Les radiations sont omniprésentes. Elles ont de nombreuses applications dans des domaines variés: en médecine, elles permettent de réaliser des diagnostiques et de guérir des patients; en communication, tous les systèmes modernes utilisent des formes de rayonnements électromagnétiques; et en science, les chercheurs les utilisent pour découvrir la composition et la structure des matériaux, pour n'en nommer que quelques-unes. Concrètement, la radiation est un processus au cours duquel des particules ou des ondes voyagent à travers différents types de matériaux. La radiation peut être très énergétique, et aller jusqu'à casser les atomes de la matière ordinaire. Dans ce cas, on parlera de radiation ionisante. Il est communément admis que la radiation ionisante peut être bien plus nocif pour les êtres vivants que la radiation non ionisante. Dans cette dissertation, nous traiterons de la radiation ionisante. La radioactivité est le processus d'émission des radiations ionisantes. Elle existe sous forme naturelle, et est présente dans les sols, dans l'air et notre planète entière est bombardée en permanence de rayonnements cosmiques énergétiques. Depuis le début du XXe siècle, les chercheurs sont capables de créer artificiellement de la matière radioactive. Cette découverte a offert de multiples avancées technologiques, mais a eu également de lourdes conséquences pour l'humanité comme l'ont démontrés les évènements de Tchernobyl et de Fukushima ou d'autres accidents dans le monde médical. Cette dangerosité a conduit à l'élaboration d'un système de radioprotection. Dans la pratique, la radioprotection est principalement mise en œuvre en utilisant la méthode ALARA. Cette méthodologie consiste à justifier, optimiser et limiter les doses reçues. Elle est utilisée conjointement avec les limites légales. Le facteur d'optimisation est contraint par le fait que l'exposition volontaire d'un travailleur aux radiations lors d'une opération doit être plus bénéfique que si aucune intervention humaine n'était conduite dans une situation donnée. Dans le monde industriel et scientifique, il existe des infrastructures qui émettent des rayonnements ionisants. La plupart d'entre elles nécessitent des opérations de maintenance. Dans l'esprit du principe ALARA, ces interventions doivent être optimisées pour réduire l'exposition des travailleurs aux rayonnements ionisants. Cette optimisation ne peut pas être réalisée de manière automatique car la faisabilité des interventions nécessite dans tous les cas une évaluation humaine. La planification des interventions peut cependant être facilitée par des moyens techniques et scientifiques comme par exemple un outil informatique. Dans le contexte décrit ci-dessus, cette thèse regroupe des considérations techniques et scientifiques, et présente la méthodologie utilisée pour développer des outils logiciels pour la mise en œuvre de la radioprotection.

Bakgrund: Arbetsfrånvaro och långtidssjukskrivningar på grund av arbetsrelaterad stress och psykisk ohälsa ökar. Dess effekter påverkar både individen, organisationen och samhället. Ett bra fungerande arbetsliv bidrar till folkhälsan både genom att minska den arbetsrelaterade ohälsan och de sociala skillnaderna i ohälsa.Syfte: Syftet var att beskriva effekter av interventioner vid arbetsrelaterad stress.Metod: Denna studie var en litteraturstudie där tio vetenskapliga artiklar granskades. Artiklarna analyserades, sammanfattades och delades in i tre teman. Resultaten beskrivs med hjälp av dessa tre teman.Reslutat: Vår studie visade att de vanligaste effekterna av interventioner vid arbetsrelaterad stress var förändringar i stressnivåer, ökad kunskap och förståelse för arbetsrelaterad stress samt ökat stöd, förändrade beteenden och attityder. Kognitiv beteendeterapi, avslappningsövningar och aktivt lyssnande var metoder som visade sig vara effektiva.Slutsats: Förändringar i stressnivå, ökad kunskap och förståelse samt ökat stöd, förändrade beteenden och attityder visade sig vara de viktigaste effekterna av interventioner vid arbetsrelaterad stress. Genom att kombinera interventioner på både individ- och organisationsnivå kan resultatet bli både effektivt och långsiktigt. / Background: The levels of absenteeism and long term disability due to work-related stress and mental health problem are increasing. It affects the individual, organization and society. A well-functioning workplace contributes to public health, with both reductions in work-related illnesses and social inequalities in health. Aim: The aim of this study is to describe the effects of interventions on work-related stress. Methods: This study was a literature study in which ten scientific articles were reviewed. The articles were analyzed, summarized and divided into three themes. The results were described using these three themes. Results: We found in our study that the most common effects of the interventions on work-related stress proved to be change in stress levels, increased knowledge and understanding of work-related stress and increased support, attitude and behavior change. Conclusion: Changes in levels of stress, increased knowledge and understanding as well as increased support, changing behaviors and attitudes proved to be the most important effects of interventions of work-related stress. By combining interventions at both individual and organizational levels, the result can be both effective and sustainable.

Mentally ill patients need to be treated with dignity and their basic human rights must be respected. Community-based interventions are commonly used in many areas after deinstitutionalisation of mentally ill patients. However, it is unfortunate that mental health and mental disorders are neglected in many areas with no proper or standardized services in the community for treatment and support. As a result, most of the mentally ill patients roam in the streets in the rural communities. Exploring community-based interventions in rural areas could assist to improve the quality care of the mentally ill patients. The communities need to be aware of the interventions available to support the mentally ill patients and their family members so that community members who give care to mentally ill patients can be able to identify, implement, monitor and sustain effective interventions to meet the needs of the mentally ill patients in rural areas. Suggestions could also be made to the Department of Health with regard to the community-based interventions in order to improve quality of patient care. The aim of this research was to explore and describe the current community-based interventions for the mentally ill patients as well as explore recommendations by the professional nurses and community caregivers about the utilization of community-based interventions to support mentally ill patients in a rural community. In order to obtain rich in-depth data, a qualitative research approach was followed. A case study design was used to complement the holistic in-depth investigation. Purposive sampling was used to identify professional nurses as participants in the community and snow-ball sampling was used to identify further community caregivers who meet the inclusion criteria. Ethics was considered during the identification and selection of participants. Triangulation of data collection method was undertaken where structured interviews, field notes and documents were used as methods of data collection. A semi-structured interview schedule was formulated which was evaluated by experts in qualitative research. A trial run interview was conducted prior to data collection. Voice recorders were used for the purpose of audio taping the interviews, thereafter the interviews were transcribed and prepared for data analysis. The researcher ensured that field notes were taken immediately after each interview. Data was collected until saturation was reached after ten interviews and analysis of six documents. Data was analysed by means of a written record or transcripts as suggested by Neuwenhuis (2011:89). A specialist qualitative researcher was appointed as a co-coder to analyse the data. The interpretative pattern of data analysis for qualitative data analysis was followed and the guidelines prescribed by Terre Blanche, Durrheim and Kelly (2011:321) were adopted. The identified themes were current interventions and utilizing current suggested interventions. Thus conclusions were drawn in relation to identified themes that with current interventions there are different categories of caregivers that are involved in the care of mentally ill patients in rural communities. Included are the health caregivers, non-governmental organisations, police officers, faith/spiritual healers, traditional healers, families and community members. However challenges were still identified for an example defaulting of treatment, relapse and readmissions of mentally ill patients. With regard to utilizing suggested interventions, participants emphasised more on the need to develop structures in order to support the mentally ill patients in their rural communities and continued community education mental illness and mental health. The recommendations were made to nursing practice, nursing research and nursing education. / Thesis (MCur)--North-West University, Potchefstroom Campus, 2013.

One of the great challenges for positive psychology is that academics, researchers and authors are yet to reach agreement on the terminology, constructs and methodology of the various positive psychological concepts and interventions. One such concept that has been ambiguously and often inconsistently conceptualised is happiness. Interventions that are structured around these conceptualisations have produced mixed results, which are attributable to various aspects such as the unidimensional conceptualisation of the concept, inconsistent measurement, psychometric measuring instruments that have not been validated for the population in question, and fragmented intervention methodologies. Research was, therefore, needed regarding happiness and the development of interventions aimed at increasing happiness. Therefore, this thesis aimed to investigate the concept, manifestation, measurement and development of happiness and positive psychological interventions (PPIs) within a tertiary educational environment. A mixed method research approach was followed to reach the research objectives. The first study aimed to examine the psychometric properties of positive psychological assessment measures, and to determine the relationship between flourishing and academic performance within a tertiary educational institution. A quantitative cross-sectional survey design was used to address this objective. The Mental Health Continuum Long Form, Positive and Negative Affect Scale and Satisfaction with Life Scale were administered and indicated acceptable levels of internal consistency. The MHC-LF would need to be adapted for future studies within the tertiary educational environment. No significant correlations could be established between academic performance and flourishing. However, cross-tabulation indicated some evidence of the impact that flourishing/languishing had on academic performance. Individuals with moderate levels of flourishing typically performed in the „above average‟ to „excelling academically‟ range. Languishing individuals performed at the lower levels of the academic performance spectrum. The results indicated that a large number of individuals within this tertiary educational environment were languishing. Flourishing students experienced higher levels of positive affect and satisfaction with life, as well as lower levels of negative affect than their languishing and moderately flourishing counterparts. The second study aimed to investigate the main streams of research on happiness, the approaches/models flowing from these philosophies and the methodology of happiness interventions. A quantitative meta-analysis of the literature was used to address the aforementioned research objective. Seeing that the literature presents with such incongruent findings regarding the effectiveness of PPIs, research was needed to establish how happiness should be conceptualised, which moderating factors should be addressed in this conceptualisation, and what the content of PPIs should be. A qualitative meta-analysis of the literature indicated that happiness is approached from either a hedonic, eudaimonic or integrated approach. These philosophies gave birth to a stream of scientific literature regarding happiness and its various conceptualisations, namely (a) Subjective well-being; (b) Hedonic well-being; (c) Eudaimonic well-being; (d) Psychological well-being; (e) Flourishing, and (f) Authentic happiness. Furthermore, the results highlighted three causes for failing interventions: (a) unidimensional models/approaches towards happiness, (b) targeting the concept of happiness instead of the mediating factors; and (c) fragmented methodological interventions. The study suggested a multidimensional model for happiness and happiness interventions. Furthermore, the study proposed a multifaceted methodology for happiness interventions, comprising self-administered intentional activities, group-administered interventions and individual coaching. The third study aimed to evaluate a PPI aimed at increasing happiness of students in a tertiary educational institution. A longitudinal pre-experimental research design was used to address the aforementioned research objective. Qualitative data were used to explore the findings further. The results indicated that the overall happiness of a student may be increased through developing individuals on both an emotional and psychological level. The results showed some scientific merit to a multifaceted approach towards PPIs. The PPI affected all the aspects conceptualised in this study except for two components of authenticity, namely authentic behaviour and relational orientations. / PhD, Industrial Psychology, North-West University, Vaal Triangle Campus, 2012

Mentally ill patients need to be treated with dignity and their basic human rights must be respected. Community-based interventions are commonly used in many areas after deinstitutionalisation of mentally ill patients. However, it is unfortunate that mental health and mental disorders are neglected in many areas with no proper or standardized services in the community for treatment and support. As a result, most of the mentally ill patients roam in the streets in the rural communities. Exploring community-based interventions in rural areas could assist to improve the quality care of the mentally ill patients. The communities need to be aware of the interventions available to support the mentally ill patients and their family members so that community members who give care to mentally ill patients can be able to identify, implement, monitor and sustain effective interventions to meet the needs of the mentally ill patients in rural areas. Suggestions could also be made to the Department of Health with regard to the community-based interventions in order to improve quality of patient care. The aim of this research was to explore and describe the current community-based interventions for the mentally ill patients as well as explore recommendations by the professional nurses and community caregivers about the utilization of community-based interventions to support mentally ill patients in a rural community. In order to obtain rich in-depth data, a qualitative research approach was followed. A case study design was used to complement the holistic in-depth investigation. Purposive sampling was used to identify professional nurses as participants in the community and snow-ball sampling was used to identify further community caregivers who meet the inclusion criteria. Ethics was considered during the identification and selection of participants. Triangulation of data collection method was undertaken where structured interviews, field notes and documents were used as methods of data collection. A semi-structured interview schedule was formulated which was evaluated by experts in qualitative research. A trial run interview was conducted prior to data collection. Voice recorders were used for the purpose of audio taping the interviews, thereafter the interviews were transcribed and prepared for data analysis. The researcher ensured that field notes were taken immediately after each interview. Data was collected until saturation was reached after ten interviews and analysis of six documents. Data was analysed by means of a written record or transcripts as suggested by Neuwenhuis (2011:89). A specialist qualitative researcher was appointed as a co-coder to analyse the data. The interpretative pattern of data analysis for qualitative data analysis was followed and the guidelines prescribed by Terre Blanche, Durrheim and Kelly (2011:321) were adopted. The identified themes were current interventions and utilizing current suggested interventions. Thus conclusions were drawn in relation to identified themes that with current interventions there are different categories of caregivers that are involved in the care of mentally ill patients in rural communities. Included are the health caregivers, non-governmental organisations, police officers, faith/spiritual healers, traditional healers, families and community members. However challenges were still identified for an example defaulting of treatment, relapse and readmissions of mentally ill patients. With regard to utilizing suggested interventions, participants emphasised more on the need to develop structures in order to support the mentally ill patients in their rural communities and continued community education mental illness and mental health. The recommendations were made to nursing practice, nursing research and nursing education. / Thesis (MCur)--North-West University, Potchefstroom Campus, 2013.

Trycksår orsakar lidande för patienter och höga kostnader för sjukvården. För att förhindra uppkomst av trycksår är det viktigt att identifiera patienter med ökad risk för trycksår samt att aktivt arbeta med preventiva omvårdnadsåtgärder. Ett strukturerat arbetssätt kan göras utifrån kvalitetsregistret Senior Alerts rekommendationer. Senior Alert är inriktat på förebyggande vård av äldre över 65 år och i registret registreras bland annat risk för trycksår, planerade åtgärder samt sjuksköterskans utvärdering av de insatta åtgärderna. Syftet med studien var att kartlägga täckningsgrad, utförda riskbedömningar och planerade åtgärder avseende risk för trycksår i kvalitetsregistret Senior Alert. Datainsamling innefattade alla patienter, 75 år eller äldre, på en medicinklinik i västra Sverige, som under år 2013 riskbedömts och registrerats med risk för trycksår. Materialet beskrevs kvantitativt. Resultatet visade att täckningsgraden i Senior Alert var 61,8% och att av de riskbedömda patienterna bedömdes 22,7% ha risk att utveckla trycksår. I genomsnitt planerades för 5,84 (±2,72) åtgärder per patient. Mest frekvent var åtgärder inom nutrition. Det fanns en svag korrelation mellan antal planerade åtgärder och Modifierad Norton-poäng (MNS-poäng). Resultatet visar att fortsatt arbete för att öka täckningsgrad krävs samt att mer individanpassade åtgärder behövs. / Pressure ulcers are common and cause both suffering for patients and high costs for the health care services. To prevent the occurrence of pressure ulcers, it is important to find patients at risk and do the preventive care. This can be done based on The National Registry Senior Alert which focus is on preventive care of elderly over 65 years. The registry includes measurements of the risk of pressure ulcers, planned actions and evaluation of the inserted measures. The purpose of this study was to examine the coverage and what preventive actions that was planned and registered in Senior Alert. A data collection was performed during 2013 and included all patients 75 years or older, at a medical clinic, in western Sweden, recorded with increased risk of developing pressure ulcers. The material was analyzed quantitatively. The results showed that the coverage of registration was 61.8% and that 22.7 % had increased risk for developing pressure ulcers. On average 5.84 (± 2.72 ) actions were planned per patient. Most frequent actions were in nutrition. There was a weak correlation between the number of planned actions and Modified Norton-score (MNS-score). The results of this study showed that further work to increase the coverage is required and that more individualized measures are needed.

Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched. Aim: The purpose of this study was to describe the patient’s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test. Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented. Result: Twelve intervention varieties to control patients’ physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations. Adjustment of the patient’s body position was found in 45 % of observations. The patients were considered sufficiently awake for the neurological assessment in 74 % of observations. The level of consciousness at the point of the neurological assessment was different depending on if it took place in the mornings, performed by neurosurgeons or in the afternoon, performed by nurses. The patients were not agitated and 60 % of patients appeared pain-free. Conclusion: The observed patients were given good conditions concerning environmental factors and nursing interventions for a neurological wake-up test with a fair neurological assessment. NWT as a method didn´t generally cause the observed patients discomfort, such as pain or agitation. / Bakgrund: Undersökningar för att avgöra neurologisk funktion och medvetandegrad är vanliga inom neurointensivvården, men hur patienten påverkas av undersökningarna är relativt utforskat. Syfte: Studiens syfte var att beskriva förhållandena kring patienten vid neurologiskt wake-up test med avseende på miljö, åtgärder som utförs och möjligheten patienten ges att bli tillräckligt vaken, samt om dessa förhållanden påverkar utfallet i wake-up-testet. Metod: En kvantitativ observationsstudie genomfördes på en neurointensivvårdsavdelning, där 20 patienter observerades från sederingsstopp till bedömning av neurologisk status, vilken utfördes av neurokirurg eller intensivvårdssjuksköterska. Omvårdnadsåtgärder, miljöfaktorer och fysiologiska parametrar dokumenterades. Resultat: Tolv varianter av omvårdnadsåtgärder användes för att hålla patienternas fysiologiska parametrar inom gränsvärden. Högt CPP > 80 mmHg förekom i 90 % av observationerna och den omvårdnadsåtgärd som noterades vid flest observationer var justering av patientens kroppsposition (45 %). Vid 74 % av bedömningarna av neurologisk status ansågs patienten ha hunnit vakna tillräckligt mycket. Vakenhetsgraden vid bedömning av neurologisk status skilde sig åt beroende på om bedömningen utfördes på morgon av läkare eller på eftermiddag av intensivvårdssjuksköterska. Patienterna var inte agiterade och bedömdes vid 60 % av observationerna inte visa tecken på smärta innan bedömning av neurologisk status. Slutsats: Patienterna i studien gavs goda förutsättningar med avseende på miljö och omvårdnadshandlingar för ett neurologiskt wake-up test med rättvisande bedömning av neurologisk status. För de observerade patienterna var NWT en metod som generellt sett inte verkade orsaka obehag som smärta eller agitation.

Cerebral blood flow dynamics is an essential component for preserving cerebral integrity. Cerebral blood flow abnormalities are often seen in patients with central nervous system pathologies such as epilepsy, migraine, Alzheimer's Disease, vascular dementia, stroke, and even HIV/AIDS. There is increasing clinical and experimental evidence implicating cerebral hypoperfusion during ageing. The determination of cerebral perfusion has therefore become an important objective in physiological, pathological, pharmacological, and clinical investigations. The knowledge of regional cerebral blood flow further provides useful diagnostic information and/or data for a better understanding of the complex clinical presentations in patients with neurological and psychiatric disorders. Several cerebrovasoactive drugs have found application in the clinical setting of cerebrovascular diseases such as migraine and dementia. Due to the similarities between humans and non-human primates with respect to their brains, both structurally and behaviourally, numerous studies have been conducted and several non-human primate models have been developed for physiological, pathological, pharmacological, and clinical studies, amongst others in Parkinson's disease and diabetes. The relatively large size of the Cape baboon Papio Ursinus with a weight of 27-30 kg for a large male, makes this primate especially suitable for in vivo brain studies using radiotracers and Single Photon Emission Computed Tomography (SPECT). The main aim of the current study was therefore to develop a suitable radiotracer (99m Tc-hexamethylpropylene amine oxime (HMPAO) or 99m Tc_ethyl_cysteinatedimer (ECD) or 123l-iodoamphetamine (IMP)) for adapted in vivo cerebral blood flow measurements in a non-human primate (Papio ursinus) as an investigative model. The model was to be validated and applied in various drug studies for the evaluation of pharmacological interventions. The study design made use of split-dose methodology, whereby the radiopharmaceutical (radiotracer) was administered twice during each study. The first administration was injected soon after the induction of the anaesthesia, and was followed by the first SPECT data acquisition. The second administration of the radioligand, a double dose of radioactivity with respect to the first radioligand injection, was done at a specific time during the study, which took into account the pharmacodynamics of the drug. A second SPECT data acquisition followed subsequently. The drugs that were included in the study were acetazolamide, a carbonic acid anhydrase inhibitor (often used in nuclear medicine to determine cerebral reserve); sumaptriptan, a 5-HT (serotonin) agonist used for treatment of migraine; sodium valproate (an anti-epileptic drug); nimodipine, a calcium channel blocker and nitro-glycerine, a vasodilator used for angina. Arterial blood pressures were recorded from a catheter in the femoral artery and heart rates were concurrently monitored. The split-dose method was successfully applied to develop a non-human primate cerebral blood flow model under anaesthesia. The model showed differences in cerebral perfusion of the different anaesthesia regimes. These anaesthesia data sets were suitable as control/baseline results for drug intervention studies. Acetazolamide evaluation through the split-dose method in the baboon confirmed the sensitivity of the model by presenting comparable perfusion. This result compared to those already familiar prompted the model to be applied in pharmacological intervention studies. Subsequent results of these investigations showed increases in perfusion for single drug nimodipine treatment (25%). However, nimodipine attenuated the increases in perfusion when administered in combination with acetazolamide. Sumatriptan was able to decrease and normalise the increased perfusion after long duration anaesthesia. Decreased cerebral blood flow was observed for combinations of nimodipine with sodium valproate suggesting drug-drug interaction with important clinical implications. Similar decreases were found also for sumatriptan and nitro-glycerine when administered in combination with nimodipine. Studies with the various tracers (99m Tc_HMPAO or 99m Tc_ECD or 123l_IMP) showed clear differences in the perfusion data, confirming variation in the biochemical performance of the tracers. These differences, if not taken into consideration, caution for inappropriate clinical conclusions and subsequent erroneous therapeutic decisions. Improvement of radiotracer efficacy was subsequently attempted through application of the cyclodextrine complexation approach. Although cyciodextrine technology did not markedly improve the brain disposition of the 99m Tc-ECD, protection of the tracer against degradation was demonstrated. This study encouraged further exploration of this method for protection of the tracer against chemical and metabolic degradation. The current study was aimed to develop and effectively apply a non-human primate model with nuclear medicine technology for cerebral blood flow determinations after pharmacological interventions. This was achieved through the split-dose method and dedicated computer programming, which yielded a successful model with the non-human primate under anaesthesia. The model was validated with the application of acetazolamide to confirm familiar cerebrovascular reserve results, indicating that the model is sensitive to CBF changes. The model was also effectively applied in several pharmacological intervention studies, whereby cerebropharmacodynamics of selected drugs were investigated and established. This unique model of a non-human primate, Papio ursinus for cerebral blood flow determinations has served pharmacological research successfully during the past 12 years and could do so in the future, with scope to investigate new frontiers with improved technologies. / Thesis (Ph.D. (Pharmacology))--North-West University, Potchefstroom Campus, 2004.

Thesis (M.B.A.)--North-West University, Potchefstroom Campus, 2009.

The purpose of this study was to explore whether and in what ways an intensive eight-week Mindfulness-Based Symptom Management (MBSM) program might shape the therapeutic experiences of therapists. I used a hermeneutic phenomenological approach to interview and develop in-depth descriptions of four therapists’ experiences in relation to mindfulness and their therapeutic practices. The data collection consisted of: (1) a telephone screening interview; (2) pre-mindfulness training interview; (3) post-mindfulness training interview; (4) field notes based on my observations, subjective experiences, and beginning analyses; (5) and member-checks to verify the accuracy of my interpretations of participants’ interview responses. The results pointed to several common themes indicating the changes therapists described after participating in the mindfulness program. Themes denoting the reported changes were organized into three categories: (1) personal relationship with mindfulness; (2) relationship between mindfulness and therapeutic experiences; and (3) mindfulness-oriented interventions performed in therapy. The findings indicated that mindfulness training is associated with the enhancement of important relational attitudes and skills of therapists, including more acceptance of where clients are at, more presence in therapy, increased capacity to listen, openness and curiosity, and more compassion and empathy. In addition, mindfulness training may be linked to improved reflexive abilities, which has implications for more intentional and ethical decision-making in therapy. Further, the findings also indicated that mindfulness training may be linked to improvements in emotion regulation by decreasing stress, increasing feelings of relaxation and calmness, improving awareness of negative emotional and cognitive states as well as the ability to interrupt these negative cycles. As such, this study pointed to several potential benefits for the inclusion of mindfulness training in therapists’ self-care practices as well as in therapist education.