I. A Transdiagnostic Treatment for Dysregulated Behavior
1. Challenges of Treating Dysregulated Behavior
2. Conceptualization and Professional Stance
II. Five Basic MMT Strategies
3. Strategy 1: Strong Focus on the Therapeutic Relationship
4. Strategies 2 and 3: Client Values and Understanding
5. Strategies 4 and 5: Home Practice and Shaping
III. MMT Session Guidelines
6. Common Questions, Obstacles, and General Issues
7. MMT Setup, Intake Guidelines, and Structure of Sessions
8. Early Sessions
9. Mindful Emotion Regulation Module
10. Mindful Communication/Relationships Module
11. Acceptance/Empathy Module
12. Integrating and Generalizing: Planning for the Future
13. Conclusion: Training Opportunities and Online Resources
References
Index
List of Audio Files
Audio Downloads:
1. Color Body Scan (12:41)
2. Body Movement (14:10)
3. Mirror (13:54)
4. Mighty Tree (8:52)
5. May You Be (10:43)
6. Thoughts (8:01)
7. Sounds (6:26)
Peggilee Wupperman, PhD, is Associate Professor of Psychology at John Jay College of the City University of New York. She is also Assistant Clinical Professor at the Yale School of Medicine. Dr. Wupperman is invested in improving the understanding and treatment of individuals with dysregulated emotions and behaviors. With this aim, she has conducted basic and applied research related to mindfulness and modification therapy since receiving her doctorate in 2006. Her publications have focused on behavior dysregulation, mindfulness, emotion regulation, emotion processing, and personality disorders. Dr. Wupperman regularly teaches classes and workshops for mental health professionals and trainees. She sees clients through the American Institute for Cognitive Therapy and through various clinical trials.
“Wupperman tackles the thorny problem of dysregulated behavior with
an elegant intervention empowered by the science of mindfulness and
behavior change. Seamlessly interweaving elements of dialectical
behavior therapy, acceptance and commitment therapy, and
cognitive-behavioral therapy, the book provides the tools and
perspectives that clinicians need to help people who suffer with
chronic, unworkable patterns of action. This is a focused approach,
and it is on target."--Dennis Tirch, PhD, Founding Director, The
Center for Compassion Focused Therapy, New York City
"This masterful book presents an empathic, individualized approach
to treating a range of behaviors that might interfere with living a
valued life, including, but not limited to, harmful alcohol and
drug use, eating behaviors, and gambling. Wupperman's caring and
compassion are clearly evident. The treatment artfully brings
together concepts and techniques from motivational interviewing,
behavior therapy, cognitive therapy, and all of the 'third-wave'
therapies. What I love most about the treatment is the focus on the
client’s perspective and individual values, as well as the
depathologizing of behaviors that are getting in the way for a
client. I can picture many clients who would benefit from
Wupperman’s pragmatic and compassionate approach. "--Katie
Witkiewitz, PhD, Regents’ Professor, Department of Psychology and
Center on Alcohol, Substance Abuse, and Addictions, University of
New Mexico
"This book provides a structured yet very flexible transdiagnostic
approach to the treatment of people with dysregulated behavior. It
will serve as a practical guide for beginning therapists or those
experienced in any therapeutic modality who want to deepen their
skills for working with this population. I highly recommend this
book and the MMT approach to clinicians in a variety of settings,
from inpatient psychiatric units to drug and alcohol centers to
eating disorder clinics."--Guy Undrill, PhD, MRCPsych, Consultant
Psychiatrist, 2gether NHS Foundation Trust, Gloucester, United
Kingdom; member, Motivational Interviewing Network of Trainers
(MINT)
"Even the most seasoned practitioners feel overwhelmed by clients
presenting with severely dysregulated behavior coupled with
impaired relationships. Wupperman masterfully presents an
integrative approach for achieving positive outcomes. She fully
anticipates the therapeutic challenges and offers expert,
step-by-step guidance for effectively treating dysregulated clients
with affirming, nonjudgmental interventions."--Richard Rogers, PhD,
ABPP, Regents Professor of Psychology, University of North
Texas
"Wupperman addresses a major gap in the field, offering a
much-needed resource for clinicians and researchers. By targeting
the shared factors that underlie the development and maintenance of
diverse forms of behavioral dysregulation, MMT has utility for
clients with a broad range of presenting problems. MMT is unique in
its explicit focus on validation and the therapeutic
relationship--recognized components of treatment effectiveness
that, unfortunately, often are not clearly emphasized in existing
cognitive-behavioral treatment protocols. By assisting clients in
identifying and pursuing life values, MMT not only aids clients in
reducing behavioral dysregulation, but also helps them build the
life they want to live."--Matthew T. Tull, PhD, Department of
Psychology, University of Toledo -The book does an excellent job of
helping therapists provide the consistent, highly structured
sessions needed to help clients with dysregulated behavior develop
a new positive therapeutic routine. Ongoing description on how and
when to use authentic affirmation, validation, and therapeutic
self-disclosure is provided throughout the book. These valuable
client-centered tips help therapists develop a strong, empathic,
non-judgmental therapeutic relationship….Detailed descriptions of
session content and process from intake to termination are provided
with important insights on how to handle expected client reactions
and issues. [Mindfulness and Modification Therapy (MMT)] provides
an effective treatment protocol grounded in evidence-based
principles, while respectful of the therapist's clinical judgment,
their need to be flexible and authentic in order to develop a
strong therapeutic relationship. In the era of manualized therapy
where clinicians grapple with the question, 'Do you want to be
effective or do you want to be authentic,' Dr. Wupperman may have
found a way to be both.--Journal of Contemporary Psychotherapy,
11/22/2019
“Wupperman tackles the thorny problem of dysregulated behavior with
an elegant intervention empowered by the science of mindfulness and
behavior change. Seamlessly interweaving elements of dialectical
behavior therapy, acceptance and commitment therapy, and
cognitive-behavioral therapy, the book provides the tools and
perspectives that clinicians need to help people who suffer with
chronic, unworkable patterns of action. This is a focused approach,
and it is on target."--Dennis Tirch, PhD, Founding Director, The
Center for Compassion Focused Therapy, New York City
"This masterful book presents an empathic, individualized approach
to treating a range of behaviors that might interfere with living a
valued life, including, but not limited to, harmful alcohol and
drug use, eating behaviors, and gambling. Wupperman's caring and
compassion are clearly evident. The treatment artfully brings
together concepts and techniques from motivational interviewing,
behavior therapy, cognitive therapy, and all of the 'third-wave'
therapies. What I love most about the treatment is the focus on the
client’s perspective and individual values, as well as the
depathologizing of behaviors that are getting in the way for a
client. I can picture many clients who would benefit from
Wupperman’s pragmatic and compassionate approach. "--Katie
Witkiewitz, PhD, Regents’ Professor, Department of Psychology and
Center on Alcohol, Substance Abuse, and Addictions, University of
New Mexico
"This book provides a structured yet very flexible transdiagnostic
approach to the treatment of people with dysregulated behavior. It
will serve as a practical guide for beginning therapists or those
experienced in any therapeutic modality who want to deepen their
skills for working with this population. I highly recommend this
book and the MMT approach to clinicians in a variety of settings,
from inpatient psychiatric units to drug and alcohol centers to
eating disorder clinics."--Guy Undrill, PhD, MRCPsych, Consultant
Psychiatrist, 2gether NHS Foundation Trust, Gloucester, United
Kingdom; member, Motivational Interviewing Network of Trainers
(MINT)
"Even the most seasoned practitioners feel overwhelmed by clients
presenting with severely dysregulated behavior coupled with
impaired relationships. Wupperman masterfully presents an
integrative approach for achieving positive outcomes. She fully
anticipates the therapeutic challenges and offers expert,
step-by-step guidance for effectively treating dysregulated clients
with affirming, nonjudgmental interventions."--Richard Rogers, PhD,
ABPP, Regents Professor of Psychology, University of North
Texas
"Wupperman addresses a major gap in the field, offering a
much-needed resource for clinicians and researchers. By targeting
the shared factors that underlie the development and maintenance of
diverse forms of behavioral dysregulation, MMT has utility for
clients with a broad range of presenting problems. MMT is unique in
its explicit focus on validation and the therapeutic
relationship--recognized components of treatment effectiveness
that, unfortunately, often are not clearly emphasized in existing
cognitive-behavioral treatment protocols. By assisting clients in
identifying and pursuing life values, MMT not only aids clients in
reducing behavioral dysregulation, but also helps them build the
life they want to live."--Matthew T. Tull, PhD, Department of
Psychology, University of Toledo -The book does an excellent job of
helping therapists provide the consistent, highly structured
sessions needed to help clients with dysregulated behavior develop
a new positive therapeutic routine. Ongoing description on how and
when to use authentic affirmation, validation, and therapeutic
self-disclosure is provided throughout the book. These valuable
client-centered tips help therapists develop a strong, empathic,
non-judgmental therapeutic relationship….Detailed descriptions of
session content and process from intake to termination are provided
with important insights on how to handle expected client reactions
and issues. [Mindfulness and Modification Therapy (MMT)] provides
an effective treatment protocol grounded in evidence-based
principles, while respectful of the therapist's clinical judgment,
their need to be flexible and authentic in order to develop a
strong therapeutic relationship. In the era of manualized therapy
where clinicians grapple with the question, 'Do you want to be
effective or do you want to be authentic,' Dr. Wupperman may have
found a way to be both.--Journal of Contemporary Psychotherapy,
11/22/2019
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