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Third-Wave Psychotherapy - Healing with Compassion

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Third-wave therapy is an established group of therapies emphasizing mindfulness and acceptance. Read the article to know more.

Medically reviewed by

Dr. Vishal Anilkumar Gandhi

Published At October 6, 2023
Reviewed AtOctober 6, 2023

Introduction

Third-wave behavior therapy is considered a modern modulation adaptation, where incorporations of ideas encompass several innovations and extensions and are more concerned with addressing problems in contextual and functional terms to deliver clinical effectiveness and cost-effective results.

What Is Third-Wave Therapy?

The basic foundation of psychological therapies has emerged from Freud and his ideas of psychoanalysis, including psychodynamic cognitive (relating to or involving the processes of thinking and reasoning), humanistic (relating to the belief that people can live their lives using their intelligence and reason instead of depending on a god or religion), and the psychology of how mental or emotional forces or processes, particularly those that form in early childhood, and how they affect behaviour and mental states. The third-wave therapy is a minor change in the tools of therapies and a progressive endeavor to troubleshoot.

Third-wave therapies include

  • Mindfulness-Based Cognitive Therapy (MBCT): It incorporates mindfulness meditation and cognitive therapy to instruct individuals on how to deliberately notice their thoughts and feelings without passing judgment on them.

  • Acceptance and Commitment Therapy (ACT): Action-orientation psychotherapy that emphasizes acceptance to deal with negative thoughts, feelings, symptoms, or circumstances. It also encourages increased commitment to healthy, constructive activities that uphold your values or goals.

  • Extended Behavioral Activation (EBA): An approach to mental health known as "behavioral activation" focuses on utilizing actions to "activate" positive emotions. The concept is that by prioritizing action, a person can still benefit from the action's positive effects on their well-being without having to wait till they feel inspired.

  • Dialectical Behavior Therapy (DBT): This is a modified cognitive behavioral therapy (CBT) type. Its main goals are to help people learn how to be present, develop effective stress management techniques, have control over their emotions, and strengthen interpersonal relationships.

  • Mindfulness-Based Stress Reduction (MBSR): This treatment method involves an instructor leading participants in weekly stress-reduction exercises including yoga and meditation. MBSR is a well-liked treatment for a variety of conditions, including anxiety, depression, chronic pain, addiction, immunological disorders, high blood pressure, and others.

  • Functional Analytic Psychotherapy (FAP): This is a behavioral, relational approach to psychotherapy in which problematic client behaviors are collaboratively identified and gradually shaped towards greater effectiveness as they appear “live” within the client-therapist relationship. At the outset of therapy, clients are asked to identify their treatment goals.

  • The Cognitive Behavioural Analysis System of Psychotherapy (CBASP): It includes elements of cognitive, behavioral, interpersonal, and psychodynamic therapies. It is an integrative therapy for people who suffer from chronic depression. Patients are actively assisted in the development of empathic behavior, the recognition and modification of interpersonal patterns associated with depression, and the healing of interpersonal trauma through the use of therapeutic relationships. Three methods are included in CBASP:

  • Situational analysis is a technique for solving problems that aim to assist the patient in understanding the effects of their actions on others and assisting them in changing such behaviors.

  • Behavioral Skill Training/Rehearsal: It looks at the distinction between unhealthy relationships and past traumatic interactions with other people. Training in behavioral skills, such as assertiveness, is used to help depressed people change unhealthy behavior.

  • Compassion-Focused Therapy (CFT): In order to promote mental and emotional healing, encourages those getting therapy to develop compassion for both themselves and other people. Many individuals believe that a key element of wellness is the emotional response of compassion, both for oneself and for other.

  • Mindfulness-Based Relapse Prevention (MBRP): Generally based on various cognitive-behavioral therapies and based on the principles of self-compassion and acceptance of all experiences, including cravings and urges, this treatment for preventing relapse in addictive disorders integrates mindfulness meditation with conventional relapse prevention practice

  • Mindfulness-Based Eating Awareness Training (MB-EAT): Mindfulness practice is taught, mindful eating is cultivated, and self-acceptance and spiritual well-being are enhanced. An integrative concept is the value of cultivating ‘wisdom’ regarding creating a new and sustainable relationship to eating and food.

  • Metacognitive Therapy (MCT): This psychotherapy modifies beliefs that perpetuate worry, rumination, and attention fixation. Adrian Wells created it based on an information processing model by Wells and Gerald Matthews.

  • Integrative Behavioral Couple Therapy (IBCT): It is a method that has been empirically verified and incorporates the twin objectives of acceptance and change as beneficial results for couples in therapy. The emphasis on case creation, emotional acceptance as a foundation for tangible change, and evocative rather than prescriptive interventions are some of the fundamental components of IBCT.

What Is ‘Wave’ In The Psycholotherpeitic Approach?

The “wave” term implies the innovative and emerging psychotherapy approach that prioritizes the comprehensive promotion of psychological and behavioral aspects of health and well-being. The third wave of therapies acknowledges “still a movement in progress.” The third wave emphasizes mindfulness visualization, acceptance of personal values, psychological flexibility, self-awareness, spirituality, and metacognition (stepping outside ourselves to observe ourselves).

What Makes The Difference Between Cognitive Behavioral Therapy And Third-wave?

Cognitive behavioral therapy focuses on dysfunction and addresses negative thoughts and behavior that are needed to change. It deals with identifying pathological, dysfunctional behavior or thinking and eliminating it. Third-wave therapies are interested in helping individuals and the world more easily. Its target is less to eliminate what is or consider it flawed but to focus on adjusting how one sees and feels about what is.

Third-wave therapies are not just seeking to solve a problem like cognitive therapies. They are more about processes. For example, what is the process of becoming happier as a whole person? Instead of reducing symptoms, it helps to develop skills that would help one to navigate more effectively, which also solves problems as a side benefit. The third wave suggests a focus on health over the dysfunction, holistic over issue-focused, seeking context over identifying problems and managing them by skills rather than eliminating symptoms.

What Are The Different Waves In Cognitive Behavioral Therapy?

Cognitive behavioral therapy (CBT) is a psychotherapeutic (talking therapy) approach that consists of several different techniques under the influence of behavioral therapy (behaviorism) and Aaron Beck’s cognitive therapy.

First-Wave Cognitive Behavioral Therapy:

CBT differs from psychoanalysis, addressing neuroses pioneered by Sigmund Freud. Instead, first-wave CBT uses operant and classical conditioning principles and targets essential learning and conditioning paradigms. Based on empirical, research-based science, first-wave CBT was used in the 1940s as a short-term treatment for depression and severe anxiety.

Second-Wave Cognitive Behavioral Therapy:

Second-wave cognitive behavioral therapy has roots in Aaron Beck’s cognitive therapy. Based on the cognitive model, individuals are negatively affected by their automatic negative patterns of thoughts about adverse events than the events themselves. Situations can also cause automatic physiological reactions such as tachycardia (an increase in heart rate), perspiration, and blood pressure, as a sign of perceived danger when there is no threat.

Self-assumptions and presumptions control behavior and reactions more than actual events. Experiences get interpreted through cognitive filters. Cognitive filters are a metaphorical mental shorthand developed over years of experience. Thus cognitive distortions need therapies to correct.

Second-wave cognitive behavioral therapy helps people identify their automatic, reflexive thinking that occurs without reflection or input. Individuals can learn to address and evaluate their cognitive distortions and intuitive thinking. Cognitive behavioral therapy (CBT) is a kind of psychotherapy (also called talking therapy). It determines how cognitions (thoughts, values, attitudes, and beliefs) affect emotions and behavior. CBT emphasizes how internal states, such as persistent patterns of thoughts and beliefs, lead to affect external behaviors. However, CBT emphasizes the principle that how we behave can be a powerful tool for changing maladaptive thinking and feelings. Essentially, there is a relationship between internal states (thoughts, beliefs, established thought patterns) and behaviors.

The individual under the influence of psychotherapy knows to achieve a better state of mind by learning how internal environments, like thoughts and beliefs, influence behaviors and change thinking to cope better with lives and challenges.

Third Wave Cognitive Behavioral Therapies:

The most popular method from1990.Third-wave cognitive behavioral therapies differ from second-wave CBT therapies in several aspects. Second-wave Beckian CBT reduces and eliminates the symptoms of problems by changing behaviors. In contrast, third-wave therapies target broader life goals and still value behavior, as visible behaviors affect our social, psychological, and professional contexts. Our behaviors guide our day-to-day attitude, and therapists are swift to reiterate.

Third-wave therapists help individuals change how they think and respond to challenging scenarios. Third-wave cognitive behavioral therapies encourage one to accept thoughts within context rather than judging thoughts as good or bad. Third-wave behavioral therapists focus more on the context, processes, and functions of how an individual relates to internal experiences (i.e., thoughts, sensations, urges).

All third-wave therapies give more attention to holism. Holism is the aspect of a human in a unique context of psychological, physical, and spiritual facets greater than the sum of their parts. Third-wave CBT sees the therapist as a helper for good mental health rather than the technician treating only illness or maladaptiveness.

Conclusion

Third-wave psychotherapies are a crucial arena for modern psychotherapy and provide a broad spectrum of empirically supported treatment modalities for mental illness patients and have an impactful influence on research on psychotherapy. In addition, this approach opens up treatment possibilities for individuals with mental disorders such as borderline personality disorder, chronic depression, or generalized anxiety disorder that had received only little specific attention in the past.

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Dr. Vishal Anilkumar Gandhi
Dr. Vishal Anilkumar Gandhi

Psychiatry

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