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Well-being therapy in the Netherlands

Symposium “Positive Clinical Psychology: Underpinning, intervention and Process”Fourth World Congress on Positive Psychology

Friday, June 26, 2015

Peter Meulenbeek

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Well-being therapy in the Netherlands

Peter Meulenbeek, PhD

I am a psychologist and work as a researcher as well as a lecturer at the Department of Psychology, Health and Technology at the University of Twente (Master Positive

Psychology and Technology), and as a general health psychologist at GGNet (a community mental health center), in the Netherlands.

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WELL-BEING THERAPY

- adaptation of Well-being therapy in the Netherlands

- case report

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Giovanni A. Fava

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EABCT conference The Hague

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Fava Einstein

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Fava Einstein

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The Godfather of WBT

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The Godfather of WBT

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The Godfather of WBT

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Underpinning Well-being Therapy

-According to the two-continua model of Keyes mental health and mental illness are related, but distinct dimensions existing along two continua

-Reduction of symptoms + Wellbeing =

(Positive) mental health and recovery

-Well-being Therapy tries to address these factors

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Target(group) Well-being therapy

Targets:

- Promote psychological well-being

(-> mental health/ recovery)

- Relapse prevention

Target group:

-Patients with unsatisfactory degree of remission after current treatment strategies and a low score on mental health (MHC-SF)

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Ryff’s Model

EmotionalSocial

Psychological Self-acceptancePositive relationsAutonomyEnvironmental masteryPurpose in lifePersonal growth

Well-being therapy

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Well-being therapy

- The Dutch Well-being therapy contains 5-8 weekly and bi-weekly individual sessions of 45 minutes each

-Session 1 and 2- psycho-education about WBT- identifying episodes of well-being- restructuring thoughts that interrupted periods of well-being- Ryff’s Scales of Psychological Well-Being

-Session 3 – 8- 1 or 2 dimensions of psychological well-being- modules of 3 sessions (exercises to develop skills that promote psychological well-being; manual ‘Dit is jouw leven’ /’This is your life’)

-Focus on positive experiences

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Example of an exercise

The Three Good Things exercise is intended to increase

happiness and a sense of wellbeing

Each night before you go to sleep:

• 1. Think of three good things that happened today

• 2. Write them down

• 3. Reflect on why they happened

This exercise has been scientifically demonstrated to be

effective

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Example of an exercise

• Think of a recent situation when something bad happened

and you could handle the situation

• It can be a small life-event

• Think about it in a form of a story with a clear beginning,

middle, and a positive end

• Take a few minutes to think about it

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Example of an exercise

• How does it make you feel?

• What enabled you to handle the situation?

• What are your character qualities?

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Example of an exercise-Grandmother-

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Case report

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Focus on positive experiences

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Ryff’s Scales of Psychological Well-being

Impaired levels on

- Self-acceptance

- Purpose in life

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Self-acceptance

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Self-compassion

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Purpose in life

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Socialize

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Well-being therapy

AfterBefore

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Well-being therapy

AfterBefore

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Side effects?

AfterBefore

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Risks - Solutions

- Unrealistic expectations - Optimal-balanced functioning

- Dismissing negatives - Integration

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A small step for a person may

become a giant leap for his well-being

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Well-being

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Well-being therapy in the Netherlands

- Effectiveness

- Acceptability

- Implementation

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Thank you for your attention

A paper on Well-being therapy in the Netherlands is accepted for publication in the Journal Psychotherapy and Psychosomatics

Contactp.a.m.meulenbeek@utwente.nl