Självmedkänsla ett relativt nytt begrepp och anses vara en viktig faktor för psykisk hälsa och för ett hälsosamt beteende och kan tänkas utgöra ett skydd mot empatitrötthet och utbrändhet. Människor i vård- och omsorgsyrken anses utsatta och man talar mycket om vikten att vårda sig själv. Självmedkänsla är en förmåga man kan ”öva upp” vilket gör det ytterligare intressant. Syftet med denna studie var att undersöka självmedkänsla hos vårdpersonal inom psykiatrisk öppenvård och att få mer kunskap om hur behandlare hanterar misslyckanden och svårigheter. Studien har haft både en kvantitativ och en kvalitativ ansats. En enkät (42 svarande) baserad på en översättning av Self-compassion Scale, som mäter självmedkänsla och tre intervjuer har bearbetats. I resultatet framkommer att det med avseende på självmedkänsla var fördelaktigt att vara man, äldre, att ha antigen kort eller lång erfarenhet i yrket eller att ha steg ett-utbildning. Det framkom i den kvalitativa analysen en rad copingstrategier som individer använder sig av för att hantera misslyckande. Dessa sorterades in under följande teman: att hämta kraft från andra, att hämta kraft inifrån, att ta hand om sig samt att luta sig mot sina livserfarenheter. Självmedkänsla är inte ett självgående lokomotiv utan behöver bränsle, från andra, inifrån individen själv och från livserfarenheterna.

In the course of figuring out one’s identity, the proactive manner in which an individual defines one’s self or builds one’s character is an important aspect of the venture. Markus and Kitayama (1991) described and contrasted interdependent self-construal and independent self-construal, two forms of self-construction. This paper presents the theoretical link between interdependent self-construal and psychological resilience. Identity development is viewed through the interdependent self-construal perspective and it is explained how interdependence provides an individual with more and better opportunities for identity development. Through a conceptual tie to self-compassion, interdependent self-construal may be a key component to experiencing psychological resilience.

The present study sought to investigate the effects of meditation practice on the neural mechanisms of attention and self-monitoring by comparing a group of experienced meditators to matched controls. Self-report measures of mindfulness and self-compassion were assessed to examine whether meditation-related improvements in attention and self-monitoring were linked to increases in these qualities. Thus, differences between groups (meditator versus control) on all variables and relationships among variables (attention, self-monitoring, self-compassion, and mindfulness) were explored. Results indicate that individuals with meditation experience showed enhancement in neural networks related to selective attention and attentional allocation, as evidenced by larger P1/N1 and P3b amplitudes, relative to controls. Meditators also showed improved self-monitoring of their errors, as indexed by enhanced Pe amplitudes, when compared to controls. Importantly, greater number of years of meditation experience was linked to larger Pe amplitudes, providing evidence that more practice with meditation was associated with greater error awareness. At the same time, meditators showed greater levels of mindfulness and self-compassion when compared to controls. Importantly, each of the neural indices was linked to greater levels of mindfulness and self-compassion. Specifically, self-kindness was correlated with each of these ERP components and to percentage of alpha power during meditation, and the mindfulness facet of observing fully mediated the relationship between meditation experience and P1 amplitudes. These findings suggest that the qualities that are enhanced with meditation are associated with enhancements in attentional control and awareness of errors. This study is an exciting step toward future intervention studies that combine multiple sources of information (self-report, neural measures, and behavior) to clarify the nature of the associations among these variables so that the mechanisms of mindfulness can be more fully understood.

abstract: In the past decade, research has demonstrated the relationship between higher levels of self-compassion and lower levels of negative psychological outcomes. More recently, the concept of self-compassion has been explored within the context of various health behaviors. Very few studies have investigated the potential relationship between self-compassion and eating behaviors. Based on literature and the established relationship between negative self-evaluation and abnormal eating behaviors/eating disorders, the current study sought to examine correlations between self-compassion, eating behaviors, and stress in first time college freshmen. The study population consisted of 1478 participants; ages 18-22 years; females = 936 (63%), males = 541 (37%). Participants self-reported measures of the Perceived Stress Scale (PSS), the Three Factor Eating Questionnaire (TFEQ), and the Self Compassion Scale (SCS). PSS score, the overall score and individual subscale scores of SCS, and the three subscale scores of the TFEQ (restraint, disinhibiton, hunger) were examined with Pearson correlations. Results of this study indicate significant (p = < .05) differences between males and females in PSS and all three negative SCS subscales. There was a strong and consistent correlation between the eating behavior of disinhibition and all three negative constructs of self-compassion (self-judgment, r = .29; isolation, r = .23; over-identification, r = .28) in females. The eating behavior of restraint was similarly correlated with SCS self-judgment in females (r = .26). More research is needed to understand differences in stress, self-compassion, and eating behaviors between males and females and to better comprehend the weak associations between eating behaviors and the positive psychological constructs of self-compassion (self-kindness, common humanity, and mindfulness) for males and females. Additionally, future research should focus on the three subscales of disinhibition as they relate to the negative constructs of self-compassion. The preliminary results of this study suggest it would be beneficial, particularly to female college freshmen, to more fully understand the dynamics of the relationship between eating behaviors and self-compassion; this knowledge may help to better structure appropriate coping strategies for the prevention of disordered eating behaviors. / Dissertation/Thesis / M.S. Exercise and Wellness 2013

The aim of this thesis was to explore the relationships between the constructs of self-compassion (SC), self-esteem (SE) and recovery in psychosis. It is presented to the reader as three separate papers. 1) A systematic literature review exploring the relationships between SE and the positive symptoms of psychosis, 2) an empirical study investigating SC, SE, recovery in psychosis and positive psychotic symptoms and 3) a critical appraisal and personal reflection of the processes involved in conducting the research. Paper one presents a systematic review of the existing literature that explores the relationships between SE and the positive symptoms of psychosis. Thirty-four articles were identified which met the strict criteria. The evidence was mixed and much of it inconclusive. There was some support for the relationship between SE and delusions, in particular paranoia. The evidence for hallucinations was much less conclusive. Recommendations for future research were suggested as were potential clinical implications which arose from the review. The empirical study presented in paper two explores the relationships between SE, SC and recovery in psychosis, and aimed to assess whether SC was a unique predictor of recovery in psychosis, over and above the impact of SE (using cross-sectional and longitudinal analysis). Further exploratory analysis was conducted to ascertain whether specific positive symptoms of psychosis were related to SC and SE. At baseline, the results indicated that SC did not contribute unique variance in recovery from psychosis over and above that attributable to SE. Longitudinally, SC at baseline was not related to recovery at follow up. Exploratory analysis revealed levels of SE and SC were significantly different in groups who had a presence or absence hallucinations, but not delusions. Methodological strengths and limitations, clinical implications and ideas for future research discussed. Paper three provides the reader with a critical reflection of the processes involved in the undertaking of the two papers presented. Implications for clinical practice are discussed as well as directions for future research.

Research has shown that a self-compassion meditation exercise in healthy individuals reduced negative affect, negative cognitions about the self and sympathetic arousal and also enhanced positive emotions and parasympathetic activity (Kirschner, Karl, & Kuyken, 2013). Beneficial effects of self-compassion, i.e., being kind and considerate to one’s self with the acknowledgement that pain cannot always be fixed or solved (Neff, 2003; Gilbert, 2009), for mental health and well-being have been previously demonstrated. This research tested the hypothesis that meditation can also be beneficial for individuals who survived psychological trauma and have post-traumatic stress disorder (PTSD), a disorder characterised by elevated physiological arousal and negative post-traumatic cognitions about the self. This study used self-report and physiological measures such as Heart-Rate (HR), Heart-Rate Variability (HRV), and Skin Conductance Level (SCL) in a trauma-exposed sample (N =56) with and without PTSD. It was revealed that both groups show significant meditation-induced reductions in state self-criticism and sympathetic arousal (HR, SCL). However, the study only found the expected pattern of significantly elevated state self-compassion and parasympathetic activation (HRV) induced by a self-compassion meditation in the non-PTSD group. This suggests that, interpreting these findings within Gilbert’s three affect regulatory systems, a single self-compassion meditation was sufficient to reduce threat in all trauma survivors and to activate the safety system in the non-PTSD group but not to initiate safety and connectedness in PTSD patients.

Paper One: An opportunity sample from three primary schools participated, split between two age categories with 37 children from year groups three and four (mean age of 8 years) and 48 from year groups five and six (mean age of 9 years 11 months). Children’s perspectives of self-talk were explored through focus groups that were transcribed and then studied through thematic analysis (Braun & Clarke, 2006). Additional quantitative data was generated from the children’s self-reported experiences of self-talk, which they also rated along constructs relating to positivity. A sample of the children’s self-talk statements that were judged to be self-evaluative, were additionally rated by an opportunity sample of four adult participants to allow a comparison between adult and child perspectives. In line with previous research, themes arose concerning children’s perspectives of the role of self-talk in enabling them to negotiate cognitive and social situations. New themes arose including the children’s concerns about the privacy of their thoughts and the prominence of self-evaluative forms of self-talk. More similarities than differences were found between the two age ranges and there was considerable overlap between adult and child ratings of the evaluative self-talk statements. The implications of these findings and suggestions for future research are discussed, including links to Paper Two of this study. Paper Two: This is a feasibility study. An opportunity sample of 79 children, aged between seven and eleven years old (mean age of 9 years 7 months), took part in a series of six group intervention sessions run by the researcher. These aimed to encourage self-talk that is self-compassionate, using elements of compassion focused approaches (Gilbert, 2009). A mixed methods design led to analysis of qualitative data from post-intervention group interviews using thematic analysis (Braun & Clarke, 2006). Quantitative data comprised the children’s pre-intervention and post-intervention responses to three questionnaires seeking to explore wellbeing, behaviour and self-compassion. Several key themes were identified, including the children’s ability to engage with the concepts of self-talk, self-kindness and the three system model of emotions (Gilbert, 2009). The concept of self-compassion itself was found to have some aspects that were harder for the children to comprehend. There were no significant differences between the children’s responses on the pre-intervention and post-intervention questionnaires, however, there were interesting qualitative responses concerning the use of these. The implications of these findings will be discussed with consideration to current educational psychologist practice and the need for future research.

Terror management theory research suggests that self-esteem acts as an anxiety buffer and high self-esteem can reduce implicit death thoughts and worldview defense. Self-compassion, it is argued, enhances wellbeing by making people feel safe and secure, while self-esteem makes people feel superior and sometimes unrealistically self-confident. Through a series of studies, this dissertation investigated buffering of death anxiety by self-compassion. Studies 1 and 2 investigated the role of trait (Study 1) and induced (Study 2) self-compassion in buffering existential anxiety by reducing implicit death thoughts. Studies 3 and 4 investigated the role of trait (Study 3) and induced (Study 4) self-compassion in buffering existential anxiety by reducing worldview defense. The series of studies did not support the proposed hypotheses, as they failed to replicate the expected mortality salience effects. Because of this, the effects of self-compassion on implicit death anxiety were also not evident. Possible reasons for failure to reject the null hypotheses are discussed and recommendation for future studies is given.

Suicide is a significant public health concern and ranks as the 10th leading cause of death in the U.S. Veterans are at a disproportionately higher risk for suicide, due to risk factors such as exposure to trauma and its negative cognitive-emotional sequalae, such as PTSD, shame, and guilt. However, not all veterans exposed to traumatic events, or who experience shame and guilt, die by suicide, perhaps as a result of the presence of individual-level protective factors such as self-compassion. Conceptualized as self-kindness, mindfulness and common humanity, self-compassion is beneficially associated with mental and physical health, including reduced suicide risk. We examined the potential serial mediating effects of shame/guilt, separated into two models, and PTSD in the relation between self-compassion and suicide risk in a sample of U.S. veterans (N = 317). Participants in our IRB-approved study provided informed consent and completed the Self-Compassion Scale - Short Form, Differential Emotions Scale-IV, PTSD Checklist-Military Version (PCL-M) for DSM-IV, and Suicidal Behaviors Questionnaire - Revised (SBQ-R). Supporting hypotheses, shame/guilt and PTSD, and PTSD alone, mediated the relation between self-compassion and suicide risk, but shame/guilt alone did not. Our results remained significant when covarying depressive symptoms. Therapeutic interventions such as Mindful Self-Compassion and Compassion-Focused Therapy may increase self-compassion and ameliorate negative cognitive-emotional sequelae, including suicide risk, in veterans.

No description available.