To Your Practice WHAT IS POSITIVE PSYCHOLOGY

9/12/2016

Adding Positive Psychology (PP) to Your Practice

Webinar: Pearson Assessments

Michael B. Frisch

Professor of Psychology at Baylor University Email: [email protected]

Research Fellow of the International Society for Quality of Life

Founding Fellow in the Academy of Cognitive Psychotherapy, Aaron T. Beck, Honorary President

Outline for Today

• [2 Webinars—Add PP, QOLI User] • What is PP • Why add PP • PP research • How to add PP • PP Using QOLI and QOLTC • Target Populations for PP • PP Tools/Resources

WHAT IS POSITIVE PSYCHOLOGY

1 9/12/2016

WHY ADD POSITIVE PSYCHOLOGY

MBF195

Ill-being vs. Well-being:

We’re missing half the picture!

2 9/12/2016

1. Redress the Imbalance of Negative Psychology: Aaron T. Beck and David A. Clark

• “Therapists and psychologists have exhibited a depressive thinking style in their theories, research and treatment of psychological disorders.

• “We have tended to focus exclusively on the negative as in symptoms or what’s wrong with people…

• “Our preoccupation has been the relief of suffering, the alleviation of negative emotions…it is clearly not the whole story.

2. Improve Health and Well Being Outcomes • “Treating negative mood will not automatically lead to happiness in our patients.

• “A new and expanded therapeutic perspective is needed that directly addresses issues of happiness, meaning, and contentment.

• Two goals in Healthcare today: 1. Cure /manage disease, disability, disorder 2. Preserve or enhance clients’ quality of life, well- being, and happiness.

3. Beef Up Your Evidence Based Assessments

To capture all of human experience… Add a well-being To an ill-being assessment pkg.

3 9/12/2016

4. Boost Your Clinical Effectiveness

Add a pinch of pp to existing Tx’s/Meds for :

1. Greater Effectiveness 2. Relapse Prevention

essential says Beck, Fava, new book Positive Clinical Psychology

5. Add A Whole New Area of Practice and Source of Income.

• Coaching • Incl: Executive-, Professional-, Organizational- Personal- and Life- • Work with high achievers getting them to be happier and more productive • Work with a different clientele: those w/o DSM disorders

Your Future in Positive Psychology Coaching

• http://sites.baylor.edu/michael_b_frisch/ • ippanetwork.org • International Coach Federation

4 9/12/2016

6. Enliven Your Own Life and Practice

Greater Happiness and Ethics in Your Own Life

Rationale for PP: The Trinity of Happiness Benefits

1. BETTER HEALTH and LONGEVITY

2. More REWARDING RELATIONSHIPS

3. GREATER SUCCESS in Work, School, & Retirement Pursuits

– Those with low QOLI scores are AT RISK for trinity problems

MBF214 Longevity: The Nun Study (Danner, Snowdon, et al.)

5 9/12/2016

MBF219 Businesses with Happy Workers

• Greater income, productivity and creativity • Greater customer affection, loyalty • Lower healthcare costs & turnover

POSITIVE PSYCHOLOGY RESEARCH

Validation Research

• Three NIH Trials by James R. Rodrigue of Harvard and Beth Israel Rodrigue and others 2005 Rodrigue and others 2006 Rodrigue and others 2011 Heart Disease Study: http://onlinelibrary.wiley.com/doi/10.1111/pace.12820/epdf

• Replication in different lab: Abedi, M.R. and Vostanis, P. (2010). Quality of Life Therapy for parents of children with obsessive- compulsive disorders. All studies use and validate the QOLI

• More studies in progress… • Veterans Individual Placement and Support Towards Advancing Recovery (VIP-STAR) NCT01817712

6 9/12/2016

Results of RCT:

From page 2430 of Rodrigue et al. 2005: • “Several primary findings emerged from this study: • 1. “A brief, targeted psychological intervention, that is, Quality of Life Therapy, leads to significant improvements in quality of life, mood disturbance, and social intimacy

2.” Improvements in quality of life and mood appear to be maintained for as long as 3 months after treatment.

3. “While the treatment-as-usual protocol appears to yield some short-term benefits in mood, Quality of Life Therapy was found to be a more effective treatment overall for transplant patients.”

Contagious to Caregivers

• “Caregivers whose spouses received QOLT reported vicarious gains in quality of life, mood, and social intimacy, relative to those who received the usual or standard intervention involving emotional and educational support.

• “These findings suggest that beneficial effects extend beyond the client to their spouses who are often caregivers.

• Rodrigue et al. (2006). Caregivers of patients awaiting lung transplantation: Do they benefit when the patient is receiving psychological services? Progress in Transplantation, 16, 336-342, pp. 336.

Replication Study: Rodrigue et al. 2011, pp. 709

Quality of Life Therapy while patients wait for KIDNEY transplant

• “The current study found that the Quality of Life Therapy group had superior quality of life outcomes relative to both Supportive Therapy and Standard Care groups.”

7 9/12/2016

Summary: Evidence-Based Positive Psychology.

1. Assessment: QOLI or Quality of Life Inventory 2. Intervention: Quality-of-Life-Therapy or Quality of Life Therapy and Coaching

Independent Evaluations • Marty Seligman’s Flourish, pp. 292, MAPP, Rashid & Seligman • PP Textbooks: Carr; Compton & Hoffman • Ed Diener • Alan Kazdin • Robert Biswas-Diener and Ben Dean

Abedi, M.R. and Vostanis, P. (2010). Evaluation of Quality of Life Therapy for parents of children with obsessive-compulsive disorders in Iran. European Child and Adolescent Psychiatry. doi: 10.1007/s00787-010-0098-4 . Biswas-Diener, R. and Dean, B. (2007) Positive Psychology Coaching. Hoboken, NJ: John Wiley and Sons. Clark, D.A. Foreword. (2006). In M.B. Frisch, Quality of Life Therapy: Applying a Life Satisfaction Approach to Positive Psychology and Cognitive Therapy (pp. xi-x). Hoboken, New Jersey: John Wiley & Sons. Clark, D. A., & Beck, A. T. (with Alford, B.) (1999). Scientific foundations of cognitive theory and therapy of depression. New York: Wiley. Clark, M.P. & Mason, T.W. (2001). Implementation of a comprehensive system of program evaluation: The Iowa State University experience. Journal of College Student Development, 42, 28-35. Crowley, M.J. & Kazdin, A.E. (1998). Evaluation in clinical practice: Critically sensitive and systematic methods of treatment delivery. Journal of Child and Family Studies, 7, 233-251. Danner, D. D., Snowdon, D. A., & Friesen, W. V. (2001). Positive emotions in early life and longevity: Findings from the nun study. Journal Of Personality And Social Psychology, 80(5), 804-813. doi:10.1037/0022-3514.80.5.804 Danovitch, I. and Endicott, J. (2008). Quality of life measures. In A. J. Rush & H. A. Pincus (Eds.), Handbook of psychiatric measures (2nd Edition). (pp. 125-140). Washington, DC: American Psychiatric Association.

2323

Eng, W., Coles, M. C., Heimberg, R. G., & Safren, S. A. (2001a). Quality of life following cognitive behavioral treatment for social anxiety disorder. Depression and Anxiety, 13, 192–193. Eng, W., Heimberg, R. G., Hart, T. A., Schneider, F. R., & Liebowitz, M. R. (2001b). Attachment in individuals with social anxiety disorder: The relationship among adult attachment styles, social anxiety, and depression. Emotion, 1,365–380. Frisch, M.B. (2016). Quality-of-Life-Therapy. In A. Wood & J. Johnson (Eds.). Positive Clinical Psychology (pp. 409-426). New York: Wiley-Blackwell. Frisch, Michael B. (2013). Evidence-Based Well-Being/Positive Psychology Assessment and Intervention with Quality of Life Therapy and Coaching and the Quality of Life Inventory (QOLI). Social Indicators Research, 114, 193-227. doi: 10.1007/s11205-012-0140-7. Frisch, M.B. (2006). Quality of Life Therapy. Hoboken, NJ: John Wiley & Sons. Frisch, M. B. (1998). Quality of life therapy and assessment in health care. Clinical Psychology: Science and Practice, 5, 19–40. Frisch, M. B., Clark, M. P., Rouse, S. V., Rudd, M. D., Paweleck, J., & Greenstone, A. (2005). Predictive and treatment validity of life satisfaction and the Quality of Life Inventory. Assessment, 12(1), 66-78. Frisch, M. B., Cornell, J., Villanueva, M., & Retzlaff, P. J. (1992). Clinical validation of the Quality of Life Inventory: A measure of life satisfaction for use in treatment planning and outcome assessment. Psychological Assessment, 4, 92–101. Frisch, M. B. (1992). Use of the Quality of Life Inventory in problem assessment and treatment planning for cognitive therapy of depression. In A. Freeman & F. Dattilio (Eds.), Comprehensive casebook of cognitive therapy (pp. 27–52). New York: Plenum Press.

2424

8 9/12/2016

Frisch, M.B. (2009). QUALITY OF LIFE INVENTORY HANDBOOK For Laypersons, Clients, And Coaches. Minneapolis, MN: Pearson, Inc. Frisch, M.B. (1994). QUALITY OF LIFE INVENTORY MANUAL and Treatment Guide. Minneapolis, MN: Pearson, Inc. Furey R. Beyond Feeling Better: Adding Happiness to the Treatment Plan. PsycCRITIQUES [serial online]. 2007;52(5). Furlong, M.J., Gilman, R. & Huebner, E. S. (2014). (Eds.), Handbook of positive psychology in the schools (2nd ed.). New York, NY: Routledge. Grant, G., Salcedo, V., Hynan, L. S., & Frisch, M. B. (1995). Effectiveness of quality of life therapy. Psychological Reports, 76, 1203–1208. Harter, J. K., Schmidt, F. L., & Hayes, T. L. (2002). Business-unit-level relationship between employee satisfaction, employee engagement, and business outcomes: A meta-analysis. Journal of Applied Psychology, 87, 268-279.

2525

Heimberg, R. G. (2002). Cognitive-behavioral therapy for social anxiety disorder: Current status and future directions. Biological Psychiatry, 51, 1101–1108. Henning, E., Turk, C., Mennin, D., Fresco, D., & Heimberg, R. (2007). Impairment and quality of life in individuals with generalized anxiety disorder. Depression and Anxiety, 24(5), 342-349. Judge, T., & Klinger, R. (2008). Job satisfaction: Subjective well-being at work. The science of subjective well-being (pp. 393-413). New York, NY US: Guilford Press Kazdin, A. E. (1993). Evaluation in clinical practice: Clinically sensitive and systematic methods of treatment delivery. Behavior Therapy, 24, 11–45. Kazdin, A. E. (2003). Research design in clinical psychology (4th ed.). Boston: Allyn & Bacon. Land, K. C. (2006). Quality of Life Therapy for All!: A review of Frisch’s approach to positive psychology, Quality of Life Therapy. SINET (Social Indicators Network News), 85, 1-4. Lyubomirsky, S., King, L., & Diener, E. (2005). Happiness is a good thing: A model of the benefits of chronic positive affect. Psychological Bulletin, 131(6), 803-855. McAlinden, N., & Oei, T. (2006). Validation of the Quality of Life Inventory for patients with anxiety and depression. Comprehensive Psychiatry, 47(4), 307-314. Miller, C.A. & Frisch, M.B. (2009). Creating Your Best Life: The Ultimate Life List Guide. New York: Sterling Publishing Co., Inc.

2626

Rodrigue, J. R., Baz, M.A., Widows, M.R. , & Ehlers, S.L. (2005). A Randomized Evaluation of Quality of Life Therapy with Patients Awaiting Lung Transplantation. American Journal of Transplantation, 5(10), 2425-2432. Rodrigue, J.R., Widows, M.R., & Baz, M.A. (2006). Caregivers of patients awaiting lung transplantation: Do they benefit when the patient is receiving psychological services? Progress in Transplantation, 16, 336-342. Rodrigue, J.R. Mandelbrot, D.A., and Pavlakis, M. (2011). A psychological intervention to improve quality of life and reduce psychological distress in adults awaiting kidney transplantation. Nephrology Dialysis Transplantation, 26(2): 709-715. doi:10.1093/ndt/gfq382. Safren, S. A., Heimberg, R. G., Brown, E. J., & Holle, C. (1997). Quality of life in social phobia. Depression and Anxiety, 4, 126–133. Scogin, F., Morthland, M., Kaufman, A., Burgio, L., Chaplin, W., & Kong, G. (2007). Improving quality of life in diverse rural older adults: A randomized trial of a psychological treatment. Psychology and Aging, 22(4), 657-665. Serber, E.R., Fava, J.L., Christon, L.M., Buxton, A.E., Goldberger, J.J., Gold, M.R., Rodrigue, J.R., & Frisch, M.B. (2016). Positive Psychotherapy to Improve Autonomic Function and Mood in ICD Patients (PAM-ICD): Rationale and Design of an RCT Currently Underway, Pacing and Clinical Electrophysiology (PACE), 00, 1-13. DOI: 10.1111/pace.12820. Online version at http://onlinelibrary.wiley.com/doi/10.1111/pace.12820/epdf . Seligman, M.E.P. (2011). Flourish. New York: Free Press. See pp. 292 for Quality of Life Therapy and Coaching as an evidence-based approach that “works”. Wood, A. & Johnson, J. (2016). Positive Clinical Psychology: An Introduction. Positive Clinical Psychology (pp. 3-18). New York: Wiley-Blackwell. Valois, R.F., Zullig, K.J., Huebner, E.S., Drane, J.W. (2001). Relationship between life satisfaction and violent behaviors among adolescents. American Journal of Health Behavior, 25, 353-366.

2727

9 9/12/2016

HOW TO ADD POSITIVE PSYCHOLOGY

How to Add Positive Psychology to Your Practice • Give a Well-Being Test • Develop Positive Goals • Apply EBT Interventions

Positive Psychology USING QOLI and QOLT

10 9/12/2016

MBF201

MBF213

Sweet 16 Recipe for Joy: 50-80%

Basic Needs or “Wealths” Relationships • Goals-and-Values • Love • Self-Esteem • Friends • Health • Relatives • Money • Children

Activities:Occupations-Avocations Surroundings • Play • Home • Work • Neighborhood • Money • Community • Helping • Learning • Creativity

11 9/12/2016

Case of Texas • Also in Frisch 2013 that was sent to you

MBF209

MBF210

12 9/12/2016

MBF155

Texas Interventions

Sweet 16 Pre-intervention Interventions and Outcomes Areas of Life QOLI Goals “I must put aside all Vision Quest Exercise and my personal goals • Life goals for valued areas of the QOLI while I pursue my Values career and raise my family.”

Self- Premorbid low from Success Path: progress toward goals Esteem hypercritical mom -Reflected in her Journaling “My Self-esteem is up. I LIKE ME! I am a pretty good Mother. I stood by Annie. I took ” I’m a loser who failed the blow for Annie, I’m a strong woman, to protect my daughter. who protected her kid like a cop taking a I don’t deserve PT, bullet for the president! therapy, or a lawyer”. • “Now I know that I can get KNOCKED DOWN by a truck, and survive; that is pretty amazing! • “I am a strong woman in the face of adversity. 39

13 9/12/2016

Helping “ I wish I had Helping Routine Exercise-see journal something • “I know that I am here to teach others . This here.” accident presented itself to me for my use. I’m here to serve others…I see much work to be done. I am not sure where to begin! Schools, sidewalks, crossing guards, city park, recycling, bike paths.

SAFETY ADVOCATE w/ husband. • cross walks at “scene of the crime”

Work “ I’ve been promoted out of Job Enrichment Exercise to make work a what I love [high flows]. “Passionate Calling” Too much supervising • Relationship Skills to re-negotiate others!” duties “ I’m the token woman on • More graphic design of plane interiors the grievance committee.” • Fewer comm’s “I’d like to mentor girls in • Company wants a Mentor for comm science and PR, future employess! engineering.”

Creativity “None” • Pottery class at community college. • lunch with instructor, a kind Native Texan, “Mother Teresa”

Learning/ “Nada. None. My brain is Play List Exercise Play mush”. • Go to Baylor’s public lectures. • EX. Titian, Women’s studies, Edvard Munch.

Friends “I have no friends in Texas Relationship skill-building Exercises and have been here • “EXPERT friends” = transplanted Yankees at eight years.” YMCA doing well in “Bubba-land”

Relatives Only call sisters at • “Skypes” weekly with Vermont sisters and holidays. did a book club, watched Downton Abbey.

Love “Joe ,the Plumber, • Emerged in a progress assessment! betrayed me.” • Mating in Captivity • QOLI Exchange Technique reveals… • “you betrayed me…” • Years in Texas: from 2 years to 8! • 2 funerals, “you are my everyx” • Texas hobbies and friends: ”shooting the crap outta stuff” at Guns R’ Us • FAT Time, McDates, Favor Bank

14 9/12/2016

Home Cluttered and messy LOVE IT, LEAVE IT OR FIX IT • Division of labor • “Housekeeper Therapy”

Neighbor- “Too conservative.” LOVE IT, LEAVE IT OR FIX IT hood

Community “Too redneck, LOVE IT, LEAVE IT OR FIX IT conservative…” • learns to ferret out and appreciate the good parts…

Five Paths to Happiness Instructions: Brainstorm possible solutions under each CASIO strategy for managing or solving a problem or for boosting your fulfillment and satisfaction in a valued area of life. CAS I O

Changing Changing Changing Goals Changing Priorities Boost Satisfaction in Circumstances Attitudes and Standards or What’s Important Other Areas not Considered Before

Basic Strategy: Basic Strategy: Basic Strategy: Basic Strategy: Basic Strategy:

Problem Solve to Find out what is Set realistic goals Re-evaluate Increase satisfaction improve situation. really happening and experiment with priorities in life and in any areas you and what it means raising and lowering emphasize what is care about for an for you and your standards. What most important and overall boost to future. new goals and stan- controllable. happiness. dards can you come up with?

Texas changed Texas changed her Texas lowered her Texas decided to Texas satisfied with circs by getting attitude with cog standards for money put more priority physical activity in and increased satis with Health. Doing pilates at out of house, restru; finances w/o any on self-care and home and walking dog pursuing service, “I’m here to serve change in income or marriage. Giving alone. Put some extra creativity and others…I’m a wealth! Tree Syndrome. effort by joining the Y -MOST Fun stuff didn’t and really helped mood learning in comm, strong woman, cost money! Volunteer Balanced life, not and friendships. and making who protected her work, McDates with just meaningful! “Expert friend” Yankees friends kid like a cop honey. Shooting her 50 tell her the cool stuff to taking a bullet for caliber pistol at GUNS do in Texas. ARE US! the president.” 44

TARGET POPULATIONS FOR POSITIVE PSYCHOLOGY

15 9/12/2016

Provider Types

• Psychologists • Counselors • Social Workers • Educators • Therapists • Coaches • Nurses • Occupational & Physical Therapists • Self 46

Provider Settings

– Psychological • Private or Group Practice • Individual or Group therapy – Medical • Cardiac, transplant, bariatric, cancer treatment programs • Rehab programs • Chemical dependency, chronic pain programs • OT – I/O and Employee assistance programs • Organization development initiatives – Academic/Vocational/Career • College and career counseling centers – Residential Treatment – Military, Probation/Parole – Personal – Wellness

Clinical Psychology And Mental Health Applications

• Couples Therapy--QOLI Exchange Technique • MDD • GAD • Social phobia • Panic • Chemical dependency • Caregivers support • Career success • To plan and evaluate retirement pursuits aimed at greater happiness, meaning, and quality of life • To help measure “successful aging” as defined by leaders in the field

16 9/12/2016

Medical/Behavioral Medicine/OT Applications

• Chronic Pain • Cardiac rehab • COPD • Cancer • Caregivers • Bariatric surgery • TBI • Transplant Medicine-Lung, Liver, Kidney Disease

School Psychology: MBF1 Assessments & Interventions • Assess well-being: QOLI for late teens and adults • age 17 and above. • Interventions: Quality of Life Therapy book and companion website of exercises.

• For younger teens and children’s assessment-interventions contact: Dr. Scott Huebner, [email protected] • Dr. Michael Furlong [email protected]

POSITIVE PSYCHOLOGY TOOLS AND RESOURCES

17 9/12/2016

What You Need To Get Started

• QOLI materials (Pearson) – QOLI STARTER KIT (digital vs. hand-scored) – QOLI Handbook: more interventions, short “how to” • http://www.pearsonclinical.com/psychology/products/100000635/qualit y-of-life-inventory-qoli.html • Quality of Life Therapy (Frisch 2006) • http://www.amazon.com/exec/obidos/tg/detail/- /0471213519/qid=1116019877/sr=1-1/ref=sr_1_1/103-4814745- 3565452?v=glance&s=books • Incl: 300-page, online “Toolbox CD” of client exercises you may edit and personalize—Scroll down to Downloads section: • http://www.wiley.com/WileyCDA/WileyTitle/productCd-0471213519.html 52

Where to Find it • Pearson Assessments – Order online at http://www.pearsonclinical.com – Call customer service at 800-627-7271 (7 AM – 6 PM) Central Time – Email customer support at [email protected]

• Use 10% Discount Code: (within next 30 days) “IE3” [cap letters, case sensitive]

MBF221

18 9/12/2016

Websites MBF216

• Free Exercises: http://www.wiley.com/WileyCDA/WileyTitle/ productCd-0471213519.html • Dr. Frisch: • http://sites.baylor.edu/michael_b_frisch/ • Questions?

Thank You!!