9/12/2016

1

1

Adding Positive Psychology (PP) to Your Practice

Webinar: Pearson Assessments

Michael B. Frisch

Professor of Psychology at Baylor UniversityEmail: frisch@baylor.edu

Research Fellow of the International Society for Quality of Life

Founding Fellow in the Academy of Cognitive Psychotherapy,

Aaron T. Beck, Honorary President

1

2

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 2

WHAT IS POSITIVE PSYCHOLOGY

33

9/12/2016

2

4

WHY ADD POSITIVE PSYCHOLOGY

55

Ill-being vs. Well-being:

We’re missing half the picture!

6

MBF195

9/12/2016

3

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.

7

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.

8

3. Beef Up Your Evidence Based Assessments

To capture all of human experience…

Add a well-beingTo an ill-being assessment pkg.

9

9/12/2016

4

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

10

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

11

Your Future inPositive Psychology Coaching

• http://sites.baylor.edu/michael_b_frisch/

• ippanetwork.org

• International Coach Federation

12

9/12/2016

5

6. Enliven Your Own Life and Practice

Greater Happiness and Ethics in Your Own Life

13

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

14

Longevity: The Nun Study

(Danner, Snowdon, et al.)

15

MBF214

9/12/2016

6

Businesses with Happy Workers

• Greater income, productivity and creativity

• Greater customer affection, loyalty

• Lower healthcare costs & turnover

16

MBF219

POSITIVE PSYCHOLOGY RESEARCH

1717

Validation Research• Three NIH Trials by James R. Rodrigue of Harvard and Beth Israel

Rodrigue and others 2005Rodrigue and others 2006Rodrigue 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

18

9/12/2016

7

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.”

19

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.

20

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.”

21

9/12/2016

8

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

22

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

9/12/2016

9

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

9/12/2016

10

HOW TO ADD POSITIVE PSYCHOLOGY

2828

How to Add Positive Psychology to Your Practice

• Give a Well-Being Test

• Develop Positive Goals

• Apply EBT Interventions

29

Positive Psychology USING QOLIand QOLT

3030

9/12/2016

11

31

MBF201

32

MBF213

Sweet 16 Recipe for Joy: 50-80%Basic Needs or “Wealths”• Goals-and-Values

• Self-Esteem

• Health

• Money

Activities:Occupations-Avocations• Play

• Work

• Money

• Helping

• Learning

• Creativity

Relationships• Love

• Friends

• Relatives

• Children

Surroundings • Home

• Neighborhood

• Community

33

9/12/2016

12

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

you

34

35

MBF209

36

MBF210

9/12/2016

13

37

MBF155

© 2014, biweekly “PROGRESS REPORT”-Pearson Assessments, All Rights Reserved.

38

Sweet 16Areas of Life

Pre-intervention QOLI

Interventions and Outcomes

GoalsandValues

“I must put aside all my personal goals while I pursue my career and raise my family.”

Vision Quest Exercise• Life goals for valued areas of the QOLI

Self-Esteem

Premorbid low from hypercritical mom

” I’m a loser who failed to protect my daughter. I don’t deserve PT, therapy, or a lawyer”.

Success Path: progress toward goals-Reflected in her Journaling“My Self-esteem is up. I LIKE ME! I am a

pretty good Mother. I stood by Annie. I took the blow for Annie, I’m a strong woman, who protected her kid like a cop taking a bullet for the president!

• “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.

Texas Interventions

39

9/12/2016

14

Helping “ I wish I had something here.”

Helping Routine Exercise-see journal

• “I know that I am here to teach others . This 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”

40

Work “ I’ve been promoted out of what I love [high flows]. Too much supervising others!”

“ I’m the token woman on the grievance committee.”

“I’d like to mentor girls in science and engineering.”

Job Enrichment Exercise to make work a “Passionate Calling”

• Relationship Skills to re-negotiate duties

• More graphic design of plane interiors

• Fewer comm’s

• Company wants a Mentor for comm PR, future employess!

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

Native Texan, “Mother Teresa”

Learning/Play

“Nada. None. My brain is mush”.

Play List Exercise• Go to Baylor’s public lectures.

• EX. Titian, Women’s studies, Edvard Munch.

41

Friends “I have no friends in Texas and have been here eight years.”

Relationship skill-building Exercises • “EXPERT friends” = transplanted Yankees at

YMCA doing well in “Bubba-land”

Relatives Only call sisters at holidays.

• “Skypes” weekly with Vermont sisters and did a book club, watched Downton Abbey.

Love “Joe ,the Plumber, betrayed me.”

• Emerged in a progress assessment!• 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

42

9/12/2016

15

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

Neighbor-hood

“Too conservative.” LOVE IT, LEAVE IT OR FIX IT

Community “Too redneck, conservative…”

LOVE IT, LEAVE IT OR FIX IT• learns to ferret out and appreciate the

good parts…

43

Five Paths to HappinessInstructions: 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.

C A S I O

Changing Circumstances

ChangingAttitudes

Changing Goals and Standards

Changing Priorities or What’s Important

Boost Satisfaction in Other Areas not Considered Before

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

Problem Solve to improve situation.

Find out what is really happening and what it means for you and your future.

Set realistic goals and experiment with raising and lowering standards. What new goals and stan-dards can you come up with?

Re-evaluate priorities in life and emphasize what is most important and controllable.

Increase satisfaction in any areas you care about for an overall boost to happiness.

Texas changed circs by getting out of house, pursuing service, creativity and learning in comm, and making friends

Texas changed her attitude with cog restru; “I’m here to serve others…I’m a strong woman, who protected her kid like a cop taking a bullet for the president.”

Texas lowered her standards for money and increased satis with finances w/o any change in income or wealth! -MOST Fun stuff didn’t cost money! Volunteer work, McDates with honey. Shooting her 50 caliber pistol at GUNS ARE US!

Texas decided to put more priority on self-care and marriage. Giving Tree Syndrome. Balanced life, not just meaningful!

Texas satisfied with physical activity inHealth. Doing pilates at home and walking dog alone. Put some extra effort by joining the Y and really helped mood and friendships.“Expert friend” Yankees tell her the cool stuff to do in Texas.

44

TARGET POPULATIONS FOR POSITIVE PSYCHOLOGY

4545

9/12/2016

16

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

47

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

48

9/12/2016

17

Medical/Behavioral Medicine/OT Applications

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

49

School Psychology: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, huebner@gwm.sc.edu

• Dr. Michael Furlong mfurlong@education.ucsb.edu

50

MBF1

POSITIVE PSYCHOLOGY TOOLS AND RESOURCES

5151

9/12/2016

18

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

clinicalcustomersupport@pearson.com

• Use 10% Discount Code: (within next 30 days)

“IE3” [cap letters, case sensitive]

53

54

MBF221

9/12/2016

19

Websites

• Free Exercises: http://www.wiley.com/WileyCDA/WileyTitle/productCd-0471213519.html

• Dr. Frisch:

• http://sites.baylor.edu/michael_b_frisch/

• Questions?

5555

MBF216

Thank You!!

56