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Cognitive-behavioral therapy "on the crest of the third wave": a revolutionary new turn or new accents?

A. B. Kholmogorova
Moscow Research Institute of Psychiatry, Branch of Federal Medical Research Center of Psychiatry and Narcology of Health Ministry of Russia


The article considers the approaches of contemporary cognitive-behavioral therapy, which refers to the generation of "third wave". Provided that all these areas of psychotherapy brings focus on the need to develop the ability to take patients your unpleasant subjective experience in order to reduce the level of distress and mastery of their emotions and behavior, as well as the reliance on specific techniques aimed at the development of the specified abilities, received the difficult translated into the Russian language the name of mindfulness (mindfulness). Considered different types of this ability (meditative, socio-cognitive and detached, mindfulness) and described the differences between them. Analyzed common features of the concepts "mindfulness and mentalitate" and the differences between them, and their relationship with processes of social cognition, including empathy. Four groups transdiagnostic factors for chronification of mental disorders, which became the subject of numerous studies in recent decades: 1) persistent negative cognitive processes (ruminate and worry); 2) to support their meta-cognitive conflict. 3) violation of the form of election fixing at a certain negative inner experience; 3) global style cognitive processes. Reviewed internal processes and skills that develop in the process of formation of the ability to mindfulness and contribute to the overcoming of the selected factors for chronification. In conclusion, the paper analyses in detail the differences between the techniques of the first and second waves, the conclusion is made about their focus on the development of different reflective abilities.


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