Compassion Focused Therapy (CFT)
Compassion-focused therapy (CFT) is a form of psychotherapy developed by Paul Gilbert for people struggling with shame and self-criticism. It is an integration of ideas concerning: Jungian archetypes; evolutionary approaches to human behavior, suffering, and growth; neuroscientific and cognitive-behavioral ideas about the way that people think and behave; and Buddhist philosophy concerning compassion and mindfulness (Gilbert, 2009, 2010, 2014). There is considerable evidence that developing self-compassion is associated with a wide range of benefits including the ability to build positive relationships, increased physical and mental well-being, or the ability to manage voices in psychosis.
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Audio Collection: Psychology Tools For Mindfulness
The Psychology Tools For Mindfulness Audio Collection is the perfect way to introduce your clients to the practice of mindfulness. Developed by a clin ...
https://www.psychologytools.com/resource/psychology-tools-for-mindfulness-audio-collection
Audio
CFT Compassion Formulation
Within CFT, two methods are commonly used for understanding a client’s difficulties. The threat-focused formulation takes a longitudinal approa ...
https://www.psychologytools.com/resource/cft-compassion-formulation
Worksheets
Compassionate Thought Challenging Record
Thought challenging records are commonly used in CBT to help people to evaluate their negative automatic thoughts for accuracy and bias. This Compassi ...
https://www.psychologytools.com/resource/compassionate-thought-challenging-record
Worksheets
Motivational Systems (Emotional Regulation Systems)
At the heart of Compassion Focused Therapy (CFT) is an evolutionary model of human motivational systems. Developed by Paul Gilbert it is a helpful len ...
https://www.psychologytools.com/resource/motivational-systems-emotional-regulation-systems
Information handouts
Voice Tone
The Voice Tone exercise is taken from the Psychology Tools For Developing Self-Compassion audio collection. This short exercise guides listeners throu ...
https://www.psychologytools.com/resource/free-audio-voice-tone
Audio
What Is Compassion Focused Therapy (CFT)?
Compassion focused therapy (CFT) was developed to work with issues of shame and self-criticism. The CFT model complements and expands the traditional ...
https://www.psychologytools.com/resource/what-is-compassion-focused-therapy-cft
Information handouts
What Is Compassion, Why Do I Need It, And How Might It Help Me?
What Is Compassion, Why Do I Need It, And How Might It Help Me? is a track taken from the Psychology Tools For Developing Self-Compassion audio collec ...
https://www.psychologytools.com/resource/free-audio-what-is-compassion
Audio
Case Conceptualization / Case Formulation
- Formulation in Compassion Focused Therapy
downloadarchived copy - Training our minds in, with, and for compassion: an introduction to concepts and compassion-focused exercises
downloadarchived copy
Intervention
Treatment guides
- Training our minds in, with, and for compassion: an introduction to concepts and compassion-focused exercises
downloadarchive.org - The ‘Compassionate Friend’ group: A 3 session group designed for use in a ward environment download archived copy
- The ‘Compassionate Friend’ group facilitators manual download
Exercises, Worksheets & Workbooks
- Building a compassionate image download archived copy
- Compassionate Mind Training | 2010 download
- Compassionate letter writing
downloadarchived copy - Healthy emotion regulation strategies download archived copy
- Compassionate letter writing: therapist and client guides download archived copy
- Writing a compassionate letter to myself download download
- Exercises to increase self compassion download
- How to develop self-compassion | Russ Harris download archived copy
Self-Help Programmes
Developing self-compassion
- Understanding self-compassion download
- Barriers to self-compassion download
- Preparing for self-compassion download
- Compassionate imagery download
- Self-compassionate thinking download
- Self-compassionate behavior download
- Self-compassionate living download
Presentations
- Introducing compassion focused therapy | Paul Gilbert download archived copy
- An introduction to compassion focused therapy and compassion focused ACT for anxiety and depression | Dennis Tirch & Laura Silberstein Tirch | 2016 download archived copy
- Compassion focused therapy: Is compassion an antidote to shame and an effective phase in the treatment of complex PTSD? | Deborah Lee | 2017 download archived copy
Videos
- Compassion for voices: a tale of courage and hope | Charlie Heriot-Maitland, Kate Anderson youtube
- Introduction to CFT: Meng Wu Lecture | Paul Gilbert youtube
- CFT Workshop at CCARE (part 1) | Paul Gilbert youtube
- CFT Workshop at CCARE (part 2) | Paul Gilbert youtube
- CFT Workshop at CCARE (part 3) | Paul Gilbert youtube
- CFT Workshop at CCARE (part 4) | Paul Gilbert youtube
- Tragedies of the human mind: DCP lecture | Paul Gilbert | 2015 youtube
Recommended Reading
- Gilbert, P. (2009). Introducing compassion focused therapy. Advances in Psychiatric Treatment, 15, 199-208 download archive.org
- Compassion Focused Therapy – Procedure Outline download
- Goss, K., & Allan, S. (2010). Compassion focused therapy for eating disorders. International Journal of Cognitive Therapy, 3(2), 141-158
suomensyomishairioyhdistys.fiarchived copy
What Is Compassion Focused Therapy?
Assumptions of CFT
- human brains/minds have evolved and have evolved needs (e.g., affection, care, protection, belonging), competencies (e.g., mentalizing, empathy, ability for fantasy) and drives (e.g., seeking safety, achieving dominance). These needs/competencies/drives are associated with different brain systems (old brain / new brain);
- human beings have ‘social mentalities’ that enable them to seek out and form certain types of relationships. In these mentalities or ‘mind sets’ we are motivated to engage in different types of behavior, e.g., care-giving, care-seeking, safety-seeking, achievement-seeking;
- the ability to self-soothe is linked to our attachment experiences;
- humans have at least three types of emotional regulation systems: threat-focused and protection and safety-seeking; drive, excitement, and vitality; affiliative-focused soothing system;
- distress and dysfunction may arise from problematic inputs into the emotion regulation systems (e.g., being made homeless, being trapped in an abusive relationship) or because of dysregulation of the systems (e.g., poorly developed self-soothing abilities);
- the soothing system is our brain’s natural ‘threat regulator,’ which can be activated by disengaging from internal stimulators of threat (e.g., rumination, self-criticism) or by distancing oneself from one’s inner emotions (e.g., via mindfulness). Once activated this system can be used to approach aversive inner experiences in a compassionate frame of mind.
Procedures and Techniques in CFT
- psychoeducation to understand our evolved minds/brains (old brain / new brain);
- the use of mindfulness techniques to compassionately ‘stand back’ from turbulent cognitions and emotion;
- the practice of self-soothing techniques to physiologically change one’s state in order to access different social mentalities;
- to develop self-compassion using imagery in order to activate the brain’s natural threat regulator;
- the use of the (above described) ‘compassionate foundation’ as a base from which to explore and engage with aversive or traumatic inner experiences.
References
- Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in Psychiatric Treatment, 15(3), 199–208.
- Gilbert, P. (2010). Compassion focused therapy. CBT Distinctive Features Series. New York: Routledge.
- Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1), 6–41.