The Compassionate Mind (Compassion Focused Therapy)

The Compassionate Mind is essentially an amalgam of different psychological strands brought together with the central tenet of discovering more compassion for the way you lead your life, often over-looked and confused in the western hemisphere with building self-esteem. At the same time - as the title might suggest - the book leaves you with the feeling that it is much greater than the sum of its parts, especially in its delving into key aspects of Buddhism.A crucial outlining at the start, are the three evolutionary emotional regulation systems that form the way our brains and subconscious minds work via archetypes or social mentalities. They are influenced by culture/nurture (i.e. our phenotype) and nature (i.e. our genotype) making each person's wiring-up a unique conscious experience. The three systems are labelled self-threat/protection, incentive/resource and soothing/contentment. Gaining insights into the negative traits of these three distinct areas of the brain is a very useful exercise, especially in how the rush of hormones associated with each of them make repeat experiences almost inevitable. Knowing this greatly infects the 'be easy on yourself' approach that is a crucial part of the joy in reading this book.As well as concentrating on personal self-acceptance and well-being there are also insights into how compassion can be a healthy part of any organisation. It is interesting to read examples of Paul Gilbert's recent experiences of working in the NHS which has adopted the business model. In particular to see the effects of over-systematising the incentive and protection systems at the expense of human kindness that eventually becomes self-defeating and emotionally unsustainable. As Gilbert puts it, a singular quest for greater efficiencies can "play havoc with our minds, morale and ability to develop cooperative working relationships." He then goes on to describe that "managers who are only results focused...and who can't inspire people to do their best, end up wasting money.. and a team of the lesser talented is likely to beat one made up of those who are more gifted but are treated as marketable objects who don't cooperate." Maybe an explanation for Team England and their abject performance at the 2010 football World Cup?In analysing the evolutionary triune brain and the unique signature of wires which have become crossed between the various parts (to quote Hebb's famous rule that "neurons that fire together, wire together) the reader is guided through the traps of evolutionary inheritance. The positive underlying message, however, is that a course of mindfulness, appreciation, curiosity and compassion can become antidotes to our automatically programmed social mentalities, and the latter half of the book is devoted to outlining and building the compassionate Self via a series of skills and exercises.A key chapter in self-building is entitled from 'Self-criticism to Self-compassion' which I found the most useful especially in its distinction between shame and guilt with regard to transgressions, and self-esteem versus self-criticism: "..self-esteem tends to increase when you are doing well - it focuses on getting ahead of others, and is rather self-focused. Self-compassion concentrates on how we treat ourselves (and others) when things are going badly".There are so many gems of wisdom in this book that it is hard to credibly summarise the reading experience, only to say that a life-changing work for individuals and groups isn't far off the mark.

I'm a psychotherapist (UKCP registered) and CBT practitioner myself and I've been fortunate enough to hear Prof. Gilbert speak about his approach. (I remember my ears pricked up at his references to Pink Floyd, not referenced in this book, but we learn he's also a Star Trek fan, adding flashes of personality to a potentially quite academic subject.) His emphasis on compassion does seem to address a weakness in "traditional" CBT, especially for certain traumatised or depressed clients. It's also closely linked to the whole mindfulness-based orientation. My special interst is in Stoic philosophy which I was pleased to see Prof. Gilbert discusses briefly, but favourably, throughout chapter 9, recognising the similarities with Oriental Buddhist practices. I see this as a form of CBT that will appeal more to humanistic therapists and also, with its references to Jungian archetypes and Bowlby's attachment theory, to psychodynamic therapists who find themselves becoming involved with the cognitive-behavioural field. There's also a notable emphasis on what evolutionary psychology tells us about our brain and emotions. However, although it's quite thick (nearly 600 pages!) this is an engaging book, easy to read, and bound to be immensely helpful both to therapists and clients, as it's written in what I would call a popular science or self-help style and intended to be used as a practical guide to cultivating therapeutic compassion and self-acceptance for one's own wellbeing.Donald Robertson, author of,The Philosophy of Cognitive-Behavioural Therapy (CBT): Stoic Philosophy as Rational and Cognitive PsychotherapyThe Discovery of Hypnosis: The Complete Writings of James Braid the Father of HypnotherapyThe Practice of Cognitive-Behavioural Hypnotherapy