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Healing the
 Nurturers
yoga based mindfulness programs
   for female trauma survivors
The Growing Epidemic:


                                                                                                                                                  Rise in Female Inmate Population


                                                                                                                                                  100,000

                          The number of
                                                                                                                                                   75,000
                          female inmates has
                          soared by over                                                                                                           50,000
                          500% between 1980
                                                                                                                                                   25,000
                          and 2000*
                                                                                                                                                               13,420    90,688


                                                                                                                                                        0
                                                                                                                                                             1980       2000
*Covington, Stephanie. “Women and the Criminal Justice System.” Official Publication of the Jacobs Institute of Women’s Health 17, no. 4 (2007).
The Growing Epidemic:



                                                                 1
                  The majority of
                  female inmates are
                                                                0.9
                  mothers, substance
                  abusers and report                            0.8
                  a history of early
                  childhood trauma                              0.7
                                                                            77%-90%         13,420   80%        75%
                  and stress*
                                                                0.6   Early Childhood Trauma Substance Abuse   Mothers

*Amnesty International. “Women in Prison: A Fact Sheet”, n.d.
women’s pathway to incarceration


Women offenders differ signicantly from their male counterparts*


              Involvement in crime is usually economically motivated
              (driven by poverty/substance abuse)




 *Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
women’s pathway to incarceration


Women offenders differ signicantly from their male counterparts*


              Involvement in crime is usually economically motivated
              (driven by poverty/substance abuse)

              More likely to share a history of physical and sexual abuse




 *Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
women’s pathway to incarceration


Women offenders differ signicantly from their male counterparts*


              Involvement in crime is usually economically motivated
              (driven by poverty/substance abuse)

              More likely to share a history of physical and sexual abuse

              Less likely to be convicted of a violent offenses




 *Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
women’s pathway to incarceration


Women offenders differ signicantly from their male counterparts*


              Involvement in crime is usually economically motivated
              (driven by poverty/substance abuse)

              More likely to share a history of physical and sexual abuse

              Less likely to be convicted of a violent offenses

               Face gender-specic adversities: sexual abuse, domestic
               violence, sexual assault and poverty

 *Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
understanding the
         link




Incarceration   substance abuse   childhood trauma
understanding the
      link




      substance abuse   childhood trauma
roots in early life




              childhood trauma
psychosocial
 experience




  childhood trauma
childhood trauma
interpersonal traumas
childhood trauma
  interpersonal traumas
adverse childhood experiences
adverse childhood experiences
adverse childhood experiences

        sexual abuse
adverse childhood experiences

        sexual abuse

       physical abuse
adverse childhood experiences

        sexual abuse

       physical abuse

      emotional abuse
e t r a
b
   adverse childhood experiences

           sexual abuse




        l
          physical abuse




     a
         emotional abuse




   y
growing up in a household with:
growing up in a household with:


  an alcoholic or drug user
growing up in a household with:


  an alcoholic or drug user
 a member who is mentally ill
growing up in a household with:


  an alcoholic or drug user
 a member who is mentally ill
    ...chronically depressed
growing up in a household with:


  an alcoholic or drug user
 a member who is mentally ill
    ...chronically depressed
     ...or institutionalized
growing up in a household with:


  an alcoholic or drug user
 a member who is mentally ill
    ...chronically depressed
     ...or institutionalized
 violence toward the mother
growing up in a household with:


     an alcoholic or drug user
     a member who is mentally ill
       ...chronically depressed
        ...or institutionalized
     violence toward the mother
both biologic parents not being present
n m  e
            v ir o                                                growing up in a household with:



         e n         l
                   a
                                                                           an alcoholic or drug user



               n t                                                      a member who is mentally ill




                        s
                                                                                ...chronically depressed




                  tr e s                                                           ...or institutionalized



               is
                                                                        violence toward the mother


             d                                          both biologic parents not being present

Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
ACE and addiction

      the more instances of ace




Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
ACE and addiction

      the more instances of ace




                                                                                                      the higher the likelihood of
                                                                                                      addiction


Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
ACE and addiction

      the more instances of ace

                                                      6 ace                         250% increase of smoking




                                                                                                      the higher the likelihood of
                                                                                                      addiction


Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
ACE and addiction

      the more instances of ace

                                                      6 ace                         250% increase of smoking


                                                     4+ ace                    500% increase of alcoholism




                                                                                                      the higher the likelihood of
                                                                                                      addiction


Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
ACE and addiction

      the more instances of ace

                                                      6 ace                         250% increase of smoking


                                                     4+ ace                    500% increase of alcoholism



                                                      6+ ace                      4600% increase IV drug use




                                                                                                      the higher the likelihood of
                                                                                                      addiction


Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
How does it happen?

      Perceived or actual
       threat to survival




Jaak Panksepp, Brian Knutson, and Jeff Burgdorf. “The Role of Brain Emotional Systems in Addictions: a Neuro-evolutionary Perspective and New ‘self-report’ Animal Model.” Society for the Study of
Addiction to Alcohol and Other Drugs, no. 97 (2002): 459–469.
eri   ence
                                                                                     b   er s Exp
                                                                             Re   mem
                                                                       Brain




Steven F. Maier, PhD, Jose Amat, PhD, Michael V. Baratta, MA, Even Paul, BA, and Linda R. Watkins, PhD. “Behavioral Control, the Medial Prefrontal Cortex, and Resilience”, 2006.
Update Software




                           eri   ence
              b   er s Exp
      Re   mem
Brain
Update Software




                           eri   ence
              b   er s Exp
      Re   mem
Brain
Update Software




                           eri   ence
              b   er s Exp
      Re   mem
Brain
Update Software




                                                                                                  eri   ence
                                                                                     b   er s Exp
                                                                             Re   mem
                                                                       Brain




                                                                            New Neur
                                                                                             al Circuitry




Levine, Peter A., and Ann Frederick. Waking the Tiger: Healing Trauma. Edited by Ann Frederick. First. North Atlantic Books, 1997.
how does it happen?


           Original stresser is
           inescapable
many later stressers are
escapable but we work
on old programming
many stressors in adult
life are percieved.
Children can be chief
among them
Naparstek, Belleruth. Invisible Heroes: Survivors of Trauma and How They Heal. Bantam, 2005.
Rothschild, Babette. The Body Remembers: The Psychophysiology of Trauma and Trauma Treatment. 1st ed. W. W. Norton & Company, 2000.
Levine, Peter A., and Ann Frederick. Waking the Tiger: Healing Trauma. Edited by Ann Frederick. First. North Atlantic Books, 1997.
when changes in the brain occur...



                                              even a stressor that is
                                           perceived or controllable will
                                             feel inescapable and life
                                                    threatening*




Steven F. Maier, PhD, Jose Amat, PhD, Michael V. Baratta, MA, Even Paul, BA, and Linda R. Watkins, PhD. “Behavioral Control, the Medial Prefrontal Cortex, and Resilience”, 2006.
The Mind/Body Connection




           Neural responses create sensation in the body.
         Sensations correlate to emotions that are judged as
                      “negative” and resisted




*Rothschild, Babette. The Body Remembers: The Psychophysiology of Trauma and Trauma Treatment. 1st ed. W. W. Norton & Company, 2000.
The Mind/Body Connection




system responds
The Mind/Body Connection




          sensation felt in body
The Mind/Body Connection




                           emotions judged
                             and resisted
The Mind/Body Connection




    resistance of emotion creates more response/sensation
Rothschild, Babette. The Body Remembers: The Psychophysiology of Trauma and Trauma Treatment. 1st ed. W. W. Norton & Company, 2000.
Naparstek, Belleruth. Invisible Heroes: Survivors of Trauma and How They Heal. Bantam, 2005.
closed system is created




Naparstek, Belleruth. Invisible Heroes: Survivors of Trauma and How They Heal. Bantam, 2005.
Hyper Arousal




                                                                                                          Dissociation
Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
Covington, Stephanie. “Women and the Criminal Justice System.” Official Publication of the Jacobs Institute of Women’s Health 17, no. 4 (2007).
gender responsive model
     integrates three theoretical approaches:


                                                                   elements that very often
                                                                   coincide are addiction,
                                                                   lack of healthy
                                                                   relationships and
                                                                   trauma. Thus the need
                                                                   for gender responsive
                                                                   programming




Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
     integrates three theoretical approaches:


                            Theory of addiction




Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
     integrates three theoretical approaches:


                            Theory of addiction



                            theory of women’s psychological development




Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
     integrates three theoretical approaches:


                            Theory of addiction



                            theory of women’s psychological development



                                 Theory of trauma



Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
     integrates three theoretical approaches:


                            Theory of addiction




Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
     integrates three theoretical approaches:


                            Theory of addiction

        • stigma (extreme social disapproval) is the main
        psychosocial difference between male/female addicts




Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
     integrates three theoretical approaches:


                            Theory of addiction

        • stigma (extreme social disapproval) is the main
        psychosocial difference between male/female addicts

        • fear of losing children lead women toward denial




Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
     integrates three theoretical approaches:


                            Theory of addiction

        • stigma (extreme social disapproval) is the main
        psychosocial difference between male/female addicts

        • fear of losing children lead women toward denial

        • addicted women have diminished sense of self worth




Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
     integrates three theoretical approaches:


                            Theory of addiction

        • stigma (extreme social disapproval) is the main
        psychosocial difference between male/female addicts

        • fear of losing children lead women toward denial

        • addicted women have diminished sense of self worth

        • chronic neglect of self over someone or something else


Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
     women need to shift from chronic neglect of self to
     healthy care of self in order to grow and recover

                           theory of women’s psychological development       Levine, Peter A. Healing Trauma. Sounds True, Incorporated, 2006.




Miller, Jean Baker. Toward a New Psychology of Women. 2nd ed. Beacon Press, 1987.
Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
     women need to shift from chronic neglect of self to
     healthy care of self in order to grow and recover

                           theory of women’s psychological development

        • connection is the guiding principle of growth for women




Miller, Jean Baker. Toward a New Psychology of Women. 2nd ed. Beacon Press, 1987.
Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
     women need to shift from chronic neglect of self to
     healthy care of self in order to grow and recover

                           theory of women’s psychological development

        • connection is the guiding principle of growth for women
        • women develop a sense of self and self-worth when their
        actions arise from and lead back to connection with others




Miller, Jean Baker. Toward a New Psychology of Women. 2nd ed. Beacon Press, 1987.
Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
     women need to shift from chronic neglect of self to
     healthy care of self in order to grow and recover

                           theory of women’s psychological development

        • connection is the guiding principle of growth for women
        • women develop a sense of self and self-worth when their
        actions arise from and lead back to connection with others
        • women’s psychological problems can be traced to
        disconnection or violations within relationships, families
        or society at large




Miller, Jean Baker. Toward a New Psychology of Women. 2nd ed. Beacon Press, 1987.
Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
     women need to shift from chronic neglect of self to
     healthy care of self in order to grow and recover

                           theory of women’s psychological development

        • connection is the guiding principle of growth for women
        • women develop a sense of self and self-worth when their
        actions arise from and lead back to connection with others
        • women’s psychological problems can be traced to
        disconnection or violations within relationships, families
        or society at large
        • critical to women’s growth and recovery are
        environments where they can experience relationships that
        are:
Miller, Jean Baker. Toward a New Psychology of Women. 2nd ed. Beacon Press, 1987.
Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
                                   Mutual                                                               empathetic
                          each person in                                                          ability to join
                          a relationship                                                          with another
                          can reveal his                                                          at a cognitive
                         or her feelings                                                          and affective
                         and perceptions                                                          level without
                         and be moved by                                                              losing
                         the feelings and                                                          connection
                          perceptions of                                                          with one’s own
                          another. There                                                            experience
                            is mutual
                          influence and
                          responsiveness


Miller, Jean Baker. Toward a New Psychology of Women. 2nd ed. Beacon Press, 1987.
Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
                                     Theory of trauma




Herman, Judith. Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror. 14tth printing. Basic Books, 1997.
Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
                                     Theory of trauma

        • history of abuse drastically increases the likelihood of
        health risk behaviors in women




Herman, Judith. Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror. 14tth printing. Basic Books, 1997.
Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
                                     Theory of trauma

        • history of abuse drastically increases the likelihood of
        health risk behaviors in women

        • both sexes are at risk of early abuse, but women are at
        greater risk for later in life interpersonal violence




Herman, Judith. Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror. 14tth printing. Basic Books, 1997.
Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
                                     Theory of trauma

        • history of abuse drastically increases the likelihood of
        health risk behaviors in women

        • both sexes are at risk of early abuse, but women are at
        greater risk for later in life interpersonal violence

        • first stage of trauma recovery is safety (in bodies and with other people)




Herman, Judith. Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror. 14tth printing. Basic Books, 1997.
Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
                                     Theory of trauma

        • history of abuse drastically increases the likelihood of
        health risk behaviors in women

        • both sexes are at risk of early abuse, but women are at
        greater risk for later in life interpersonal violence

        • first stage of trauma recovery is safety (in bodies and with other people)

                • focuses on caring for oneself in the present




Herman, Judith. Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror. 14tth printing. Basic Books, 1997.
Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
                                     Theory of trauma

        • history of abuse drastically increases the likelihood of
        health risk behaviors in women

        • both sexes are at risk of early abuse, but women are at
        greater risk for later in life interpersonal violence

        • first stage of trauma recovery is safety (in bodies and with other people)

                • focuses on caring for oneself in the present

                • homogenous groups (including facilitator)



Herman, Judith. Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror. 14tth printing. Basic Books, 1997.
Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model
                                     Theory of trauma

        • history of abuse drastically increases the likelihood of
        health risk behaviors in women

        • both sexes are at risk of early abuse, but women are at
        greater risk for later in life interpersonal violence

        • first stage of trauma recovery is safety (in bodies and with other people)

                • focuses on caring for oneself in the present

                • homogenous groups (including facilitator)

                • supported, structured, consistent environment
Herman, Judith. Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror. 14tth printing. Basic Books, 1997.
Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
gender responsive model

                                             informed, mutual, safe and
                                               empathetic relationships
                                              that foster shared growth,
                                                  empowerment and
                                                compassion for self and
                                                        others




Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
Integrated Mindfulness Therapies



                                        “an explicit emphasis on using
                                        all of one’s inner and outer life
                                         as a laboratory to empirically
                                         explore which behaviors lead
                                         to suffering and which lead to
                                                   happiness”




Margaret Cullen. “Mindfulness-Based Interventions: An Emerging Phenomenon.” Springer Science+Business Media (2011).
Trauma survivors do not
  feel safe in, and lose
connection with the body
sensations are understood
  as emotion and emotion
   become the experience

    FEAR

   GUILT

   SHAME

   GRIEF

  HOPELESS
sensations are understood
  as emotion and emotion
   become our experience

    FEAR

   GUILT

   SHAME

   GRIEF

  HOPELESS
a profound feeling of
   helplessness takes creates
action that is disproportionate

        FEAR

       GUILT

       SHAME

       GRIEF

      HOPELESS
actions lead to judgment of
  self and despair which
    continues the cycle

      FEAR

     GUILT

     SHAME

     GRIEF

    HOPELESS
self compassion
                             “...an important
                  construct that moderates reactions
                    to distressing situations involving
                   failure, rejection, embarrassment,
                        and other negative events.

                  Self-compassion [is] associated with
                      lower negative emotions in
                  the face of real, remembered, and
                       imagined events and with
                 patterns of thoughts that generally
                      facilitate people’s ability to
                       cope with negative events.”




Leary, Mark R., Eleanor B. Tate, Ashley Batts Allen, Claire E. Adams, and Jessica Hancock. “Self-Compassion and Reactions to Unpleasant Self-Relevant Events: The Implications of
Treating Oneself Kindly”, n.d.
four foundations of
                                     Mindfulness
                                                        awareness of the body




Margaret Cullen. “Mindfulness-Based Interventions: An Emerging Phenomenon.” Springer Science+Business Media (2011).
four foundations of
                                     Mindfulness
                                                        awareness of the body


                                                        awareness of feeling tone




Margaret Cullen. “Mindfulness-Based Interventions: An Emerging Phenomenon.” Springer Science+Business Media (2011).
four foundations of
                                     Mindfulness
                                                        awareness of the body


                                                        awareness of feeling tone


                                                      awareness of mental states




Margaret Cullen. “Mindfulness-Based Interventions: An Emerging Phenomenon.” Springer Science+Business Media (2011).
four foundations of
                                     Mindfulness
                                                        awareness of the body


                                                        awareness of feeling tone


                                                      awareness of mental states


                                                      awareness of mental contents



Margaret Cullen. “Mindfulness-Based Interventions: An Emerging Phenomenon.” Springer Science+Business Media (2011).
four foundations of
                                     Mindfulness
                                                        awareness of the body


                                                        awareness of feeling tone


                                                      awareness of mental states


                                                      awareness of mental contents



Margaret Cullen. “Mindfulness-Based Interventions: An Emerging Phenomenon.” Springer Science+Business Media (2011).
integrated mindfulness
                               therapies
                                                        allow for insights to
                                                        arise from rst hand
                                                        experience.


           awareness - judgment + practice + awareness =




Margaret Cullen. “Mindfulness-Based Interventions: An Emerging Phenomenon.” Springer Science+Business Media (2011).
NO SPACE
MORE SPACE
EVEN MORE SPACE
Perspective
Perspective

 Creativity
Perspective

 Creativity

Condence
Perspective

 Creativity

Condence

Compassion
Perspective

  Creativity

 Condence

 Compassion

Communication
1. Group Discussion
2. Breathing for Space
3. Asana and Guided Meditation
1. Group Discussion


2. Breathing for Space


3. Asana and Meditation
“After the first
     session, I
 experienced my
rst pain free day
 in 20 years.” -JT
“I slept through
the night for the
 rst time since
being here.” -KD
“I called home
  and my sister
      told me
   something I
didn’t like about
 my son and his
    father. The
normal reaction
 would be to go
  from 0 to 100.
 You know this
  yoga thing is
working. I’m just
going to breathe.
 It prevents you
from going from
   0 to 100.” CS
“My headaches
are not as intense
 as they used to
     be.” CS
“I use the breath
with my 3 ½ year
       old son.
“He wants to lose
 it. I say breathe.
 And he breathes
     and calms
       down.”
“We talked about
 guilt and shame
 and how it feels
  to experience
those emotions in
  our body. It is
okay to go from 0
      to 100.
 Recognizing it is
   important.”
“I wanted to
 reach across the
  table and grab
her by the throat
but I told myself
to breath and felt
     my body
    sensations
 changing. I can
  not thank you
    enough for
  coming in here
and teaching me
 how to do this. I
know I’m in here
 because I didn’t
   know how to
   calm myself
      before.”
“for so long I just
   got used to
  carrying these
 feelings around
  with me, and
  now I can feel
them softening.”
“You have
  helped me
   separate
 myself from
the stress, and
  have given
    me the
 opportunity
 to create my
 own space.”
“When I'm in
     my room,
 I try to do the
     breathing
exercises when
    I'm feeling
 stressed and it
   really helps
  me. I already
      spoke to
      another
     pregnant
 woman about
joining it later."
as women we can help each other
        recognize and value our innate gifts
            and abilities. by growing and
         recovering together we can create
        change in our society and effect the
                  next generation.




Claudia Liebl, Markus Panhuysen, Benno Putz, Dietrich Trumback, Wolfgang Wurst, Jan M. Deussing, Marianne B. Muller, and Mathias V. Schmidt. “Gene Expression Profi Ling Following Maternal
Deprivation: Involvement of the Brain Renin-angiotensin System.” Frontiers in Molecular Neuroscience 2 (2009).
Jaak Panksepp, Brian Knutson, and Jeff Burgdorf. “The Role of Brain Emotional Systems in Addictions: a Neuro-evolutionary Perspective and New ‘self-report’ Animal Model.” Society for the Study of
Addiction to Alcohol and Other Drugs, no. 97 (2002): 459–469.

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Healing the Nurturers

  • 1. Healing the Nurturers yoga based mindfulness programs for female trauma survivors
  • 2. The Growing Epidemic: Rise in Female Inmate Population 100,000 The number of 75,000 female inmates has soared by over 50,000 500% between 1980 25,000 and 2000* 13,420 90,688 0 1980 2000 *Covington, Stephanie. “Women and the Criminal Justice System.” Ofcial Publication of the Jacobs Institute of Women’s Health 17, no. 4 (2007).
  • 3. The Growing Epidemic: 1 The majority of female inmates are 0.9 mothers, substance abusers and report 0.8 a history of early childhood trauma 0.7 77%-90% 13,420 80% 75% and stress* 0.6 Early Childhood Trauma Substance Abuse Mothers *Amnesty International. “Women in Prison: A Fact Sheet”, n.d.
  • 4. women’s pathway to incarceration Women offenders differ signicantly from their male counterparts* Involvement in crime is usually economically motivated (driven by poverty/substance abuse) *Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 5. women’s pathway to incarceration Women offenders differ signicantly from their male counterparts* Involvement in crime is usually economically motivated (driven by poverty/substance abuse) More likely to share a history of physical and sexual abuse *Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 6. women’s pathway to incarceration Women offenders differ signicantly from their male counterparts* Involvement in crime is usually economically motivated (driven by poverty/substance abuse) More likely to share a history of physical and sexual abuse Less likely to be convicted of a violent offenses *Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 7. women’s pathway to incarceration Women offenders differ signicantly from their male counterparts* Involvement in crime is usually economically motivated (driven by poverty/substance abuse) More likely to share a history of physical and sexual abuse Less likely to be convicted of a violent offenses Face gender-specic adversities: sexual abuse, domestic violence, sexual assault and poverty *Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 8. understanding the link Incarceration substance abuse childhood trauma
  • 9. understanding the link substance abuse childhood trauma
  • 10. roots in early life childhood trauma
  • 11. psychosocial experience childhood trauma
  • 13. childhood trauma interpersonal traumas adverse childhood experiences
  • 16. adverse childhood experiences sexual abuse physical abuse
  • 17. adverse childhood experiences sexual abuse physical abuse emotional abuse
  • 18. e t r a b adverse childhood experiences sexual abuse l physical abuse a emotional abuse y
  • 19. growing up in a household with:
  • 20. growing up in a household with: an alcoholic or drug user
  • 21. growing up in a household with: an alcoholic or drug user a member who is mentally ill
  • 22. growing up in a household with: an alcoholic or drug user a member who is mentally ill ...chronically depressed
  • 23. growing up in a household with: an alcoholic or drug user a member who is mentally ill ...chronically depressed ...or institutionalized
  • 24. growing up in a household with: an alcoholic or drug user a member who is mentally ill ...chronically depressed ...or institutionalized violence toward the mother
  • 25. growing up in a household with: an alcoholic or drug user a member who is mentally ill ...chronically depressed ...or institutionalized violence toward the mother both biologic parents not being present
  • 26. n m e v ir o growing up in a household with: e n l a an alcoholic or drug user n t a member who is mentally ill s ...chronically depressed tr e s ...or institutionalized is violence toward the mother d both biologic parents not being present Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
  • 27. ACE and addiction the more instances of ace Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
  • 28. ACE and addiction the more instances of ace the higher the likelihood of addiction Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
  • 29. ACE and addiction the more instances of ace 6 ace 250% increase of smoking the higher the likelihood of addiction Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
  • 30. ACE and addiction the more instances of ace 6 ace 250% increase of smoking 4+ ace 500% increase of alcoholism the higher the likelihood of addiction Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
  • 31. ACE and addiction the more instances of ace 6 ace 250% increase of smoking 4+ ace 500% increase of alcoholism 6+ ace 4600% increase IV drug use the higher the likelihood of addiction Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
  • 32. How does it happen? Perceived or actual threat to survival Jaak Panksepp, Brian Knutson, and Jeff Burgdorf. “The Role of Brain Emotional Systems in Addictions: a Neuro-evolutionary Perspective and New ‘self-report’ Animal Model.” Society for the Study of Addiction to Alcohol and Other Drugs, no. 97 (2002): 459–469.
  • 33. eri ence b er s Exp Re mem Brain Steven F. Maier, PhD, Jose Amat, PhD, Michael V. Baratta, MA, Even Paul, BA, and Linda R. Watkins, PhD. “Behavioral Control, the Medial Prefrontal Cortex, and Resilience”, 2006.
  • 34. Update Software eri ence b er s Exp Re mem Brain
  • 35. Update Software eri ence b er s Exp Re mem Brain
  • 36. Update Software eri ence b er s Exp Re mem Brain
  • 37. Update Software eri ence b er s Exp Re mem Brain New Neur al Circuitry Levine, Peter A., and Ann Frederick. Waking the Tiger: Healing Trauma. Edited by Ann Frederick. First. North Atlantic Books, 1997.
  • 38. how does it happen? Original stresser is inescapable
  • 39.
  • 40.
  • 41. many later stressers are escapable but we work on old programming
  • 42.
  • 43.
  • 44.
  • 45. many stressors in adult life are percieved. Children can be chief among them
  • 46. Naparstek, Belleruth. Invisible Heroes: Survivors of Trauma and How They Heal. Bantam, 2005. Rothschild, Babette. The Body Remembers: The Psychophysiology of Trauma and Trauma Treatment. 1st ed. W. W. Norton & Company, 2000. Levine, Peter A., and Ann Frederick. Waking the Tiger: Healing Trauma. Edited by Ann Frederick. First. North Atlantic Books, 1997.
  • 47. when changes in the brain occur... even a stressor that is perceived or controllable will feel inescapable and life threatening* Steven F. Maier, PhD, Jose Amat, PhD, Michael V. Baratta, MA, Even Paul, BA, and Linda R. Watkins, PhD. “Behavioral Control, the Medial Prefrontal Cortex, and Resilience”, 2006.
  • 48. The Mind/Body Connection Neural responses create sensation in the body. Sensations correlate to emotions that are judged as “negative” and resisted *Rothschild, Babette. The Body Remembers: The Psychophysiology of Trauma and Trauma Treatment. 1st ed. W. W. Norton & Company, 2000.
  • 50. The Mind/Body Connection sensation felt in body
  • 51. The Mind/Body Connection emotions judged and resisted
  • 52. The Mind/Body Connection resistance of emotion creates more response/sensation Rothschild, Babette. The Body Remembers: The Psychophysiology of Trauma and Trauma Treatment. 1st ed. W. W. Norton & Company, 2000. Naparstek, Belleruth. Invisible Heroes: Survivors of Trauma and How They Heal. Bantam, 2005.
  • 53. closed system is created Naparstek, Belleruth. Invisible Heroes: Survivors of Trauma and How They Heal. Bantam, 2005.
  • 54. Hyper Arousal Dissociation Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
  • 55. Vincent J. Felitti, MD. “The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study.” Praxis Der Kinderpsychologie Und Kinderpsychiatrie 52 (2003): 547–559.
  • 56. Covington, Stephanie. “Women and the Criminal Justice System.” Ofcial Publication of the Jacobs Institute of Women’s Health 17, no. 4 (2007).
  • 57. gender responsive model integrates three theoretical approaches: elements that very often coincide are addiction, lack of healthy relationships and trauma. Thus the need for gender responsive programming Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 58. gender responsive model integrates three theoretical approaches: Theory of addiction Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 59. gender responsive model integrates three theoretical approaches: Theory of addiction theory of women’s psychological development Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 60. gender responsive model integrates three theoretical approaches: Theory of addiction theory of women’s psychological development Theory of trauma Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 61. gender responsive model integrates three theoretical approaches: Theory of addiction Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 62. gender responsive model integrates three theoretical approaches: Theory of addiction • stigma (extreme social disapproval) is the main psychosocial difference between male/female addicts Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 63. gender responsive model integrates three theoretical approaches: Theory of addiction • stigma (extreme social disapproval) is the main psychosocial difference between male/female addicts • fear of losing children lead women toward denial Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 64. gender responsive model integrates three theoretical approaches: Theory of addiction • stigma (extreme social disapproval) is the main psychosocial difference between male/female addicts • fear of losing children lead women toward denial • addicted women have diminished sense of self worth Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 65. gender responsive model integrates three theoretical approaches: Theory of addiction • stigma (extreme social disapproval) is the main psychosocial difference between male/female addicts • fear of losing children lead women toward denial • addicted women have diminished sense of self worth • chronic neglect of self over someone or something else Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 66. gender responsive model women need to shift from chronic neglect of self to healthy care of self in order to grow and recover theory of women’s psychological development Levine, Peter A. Healing Trauma. Sounds True, Incorporated, 2006. Miller, Jean Baker. Toward a New Psychology of Women. 2nd ed. Beacon Press, 1987. Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 67. gender responsive model women need to shift from chronic neglect of self to healthy care of self in order to grow and recover theory of women’s psychological development • connection is the guiding principle of growth for women Miller, Jean Baker. Toward a New Psychology of Women. 2nd ed. Beacon Press, 1987. Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 68. gender responsive model women need to shift from chronic neglect of self to healthy care of self in order to grow and recover theory of women’s psychological development • connection is the guiding principle of growth for women • women develop a sense of self and self-worth when their actions arise from and lead back to connection with others Miller, Jean Baker. Toward a New Psychology of Women. 2nd ed. Beacon Press, 1987. Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 69. gender responsive model women need to shift from chronic neglect of self to healthy care of self in order to grow and recover theory of women’s psychological development • connection is the guiding principle of growth for women • women develop a sense of self and self-worth when their actions arise from and lead back to connection with others • women’s psychological problems can be traced to disconnection or violations within relationships, families or society at large Miller, Jean Baker. Toward a New Psychology of Women. 2nd ed. Beacon Press, 1987. Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 70. gender responsive model women need to shift from chronic neglect of self to healthy care of self in order to grow and recover theory of women’s psychological development • connection is the guiding principle of growth for women • women develop a sense of self and self-worth when their actions arise from and lead back to connection with others • women’s psychological problems can be traced to disconnection or violations within relationships, families or society at large • critical to women’s growth and recovery are environments where they can experience relationships that are: Miller, Jean Baker. Toward a New Psychology of Women. 2nd ed. Beacon Press, 1987. Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 71. gender responsive model Mutual empathetic each person in ability to join a relationship with another can reveal his at a cognitive or her feelings and affective and perceptions level without and be moved by losing the feelings and connection perceptions of with one’s own another. There experience is mutual influence and responsiveness Miller, Jean Baker. Toward a New Psychology of Women. 2nd ed. Beacon Press, 1987. Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 72. gender responsive model Theory of trauma Herman, Judith. Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror. 14tth printing. Basic Books, 1997. Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 73. gender responsive model Theory of trauma • history of abuse drastically increases the likelihood of health risk behaviors in women Herman, Judith. Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror. 14tth printing. Basic Books, 1997. Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 74. gender responsive model Theory of trauma • history of abuse drastically increases the likelihood of health risk behaviors in women • both sexes are at risk of early abuse, but women are at greater risk for later in life interpersonal violence Herman, Judith. Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror. 14tth printing. Basic Books, 1997. Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 75. gender responsive model Theory of trauma • history of abuse drastically increases the likelihood of health risk behaviors in women • both sexes are at risk of early abuse, but women are at greater risk for later in life interpersonal violence • rst stage of trauma recovery is safety (in bodies and with other people) Herman, Judith. Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror. 14tth printing. Basic Books, 1997. Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 76. gender responsive model Theory of trauma • history of abuse drastically increases the likelihood of health risk behaviors in women • both sexes are at risk of early abuse, but women are at greater risk for later in life interpersonal violence • rst stage of trauma recovery is safety (in bodies and with other people) • focuses on caring for oneself in the present Herman, Judith. Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror. 14tth printing. Basic Books, 1997. Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 77. gender responsive model Theory of trauma • history of abuse drastically increases the likelihood of health risk behaviors in women • both sexes are at risk of early abuse, but women are at greater risk for later in life interpersonal violence • rst stage of trauma recovery is safety (in bodies and with other people) • focuses on caring for oneself in the present • homogenous groups (including facilitator) Herman, Judith. Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror. 14tth printing. Basic Books, 1997. Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 78. gender responsive model Theory of trauma • history of abuse drastically increases the likelihood of health risk behaviors in women • both sexes are at risk of early abuse, but women are at greater risk for later in life interpersonal violence • rst stage of trauma recovery is safety (in bodies and with other people) • focuses on caring for oneself in the present • homogenous groups (including facilitator) • supported, structured, consistent environment Herman, Judith. Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror. 14tth printing. Basic Books, 1997. Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 79. gender responsive model informed, mutual, safe and empathetic relationships that foster shared growth, empowerment and compassion for self and others Stephanie S. Covington, Ph.D., L.C.S.W. “Helping Women Recover: Creating Gender-Responsive Treatment.” The Handbook of Addiction Treatment for Women: Theory and Practice (2002).
  • 80. Integrated Mindfulness Therapies “an explicit emphasis on using all of one’s inner and outer life as a laboratory to empirically explore which behaviors lead to suffering and which lead to happiness” Margaret Cullen. “Mindfulness-Based Interventions: An Emerging Phenomenon.” Springer Science+Business Media (2011).
  • 81. Trauma survivors do not feel safe in, and lose connection with the body
  • 82. sensations are understood as emotion and emotion become the experience FEAR GUILT SHAME GRIEF HOPELESS
  • 83. sensations are understood as emotion and emotion become our experience FEAR GUILT SHAME GRIEF HOPELESS
  • 84. a profound feeling of helplessness takes creates action that is disproportionate FEAR GUILT SHAME GRIEF HOPELESS
  • 85. actions lead to judgment of self and despair which continues the cycle FEAR GUILT SHAME GRIEF HOPELESS
  • 86. self compassion “...an important construct that moderates reactions to distressing situations involving failure, rejection, embarrassment, and other negative events. Self-compassion [is] associated with lower negative emotions in the face of real, remembered, and imagined events and with patterns of thoughts that generally facilitate people’s ability to cope with negative events.” Leary, Mark R., Eleanor B. Tate, Ashley Batts Allen, Claire E. Adams, and Jessica Hancock. “Self-Compassion and Reactions to Unpleasant Self-Relevant Events: The Implications of Treating Oneself Kindly”, n.d.
  • 87. four foundations of Mindfulness awareness of the body Margaret Cullen. “Mindfulness-Based Interventions: An Emerging Phenomenon.” Springer Science+Business Media (2011).
  • 88. four foundations of Mindfulness awareness of the body awareness of feeling tone Margaret Cullen. “Mindfulness-Based Interventions: An Emerging Phenomenon.” Springer Science+Business Media (2011).
  • 89. four foundations of Mindfulness awareness of the body awareness of feeling tone awareness of mental states Margaret Cullen. “Mindfulness-Based Interventions: An Emerging Phenomenon.” Springer Science+Business Media (2011).
  • 90. four foundations of Mindfulness awareness of the body awareness of feeling tone awareness of mental states awareness of mental contents Margaret Cullen. “Mindfulness-Based Interventions: An Emerging Phenomenon.” Springer Science+Business Media (2011).
  • 91. four foundations of Mindfulness awareness of the body awareness of feeling tone awareness of mental states awareness of mental contents Margaret Cullen. “Mindfulness-Based Interventions: An Emerging Phenomenon.” Springer Science+Business Media (2011).
  • 92. integrated mindfulness therapies allow for insights to arise from rst hand experience. awareness - judgment + practice + awareness = Margaret Cullen. “Mindfulness-Based Interventions: An Emerging Phenomenon.” Springer Science+Business Media (2011).
  • 96.
  • 97.
  • 102. Perspective Creativity Condence Compassion Communication
  • 103. 1. Group Discussion 2. Breathing for Space 3. Asana and Guided Meditation
  • 104. 1. Group Discussion 2. Breathing for Space 3. Asana and Meditation
  • 105. “After the rst session, I experienced my rst pain free day in 20 years.” -JT
  • 106.
  • 107. “I slept through the night for the rst time since being here.” -KD
  • 108.
  • 109. “I called home and my sister told me something I didn’t like about my son and his father. The normal reaction would be to go from 0 to 100. You know this yoga thing is working. I’m just going to breathe. It prevents you from going from 0 to 100.” CS
  • 110.
  • 111. “My headaches are not as intense as they used to be.” CS
  • 112.
  • 113. “I use the breath with my 3 ½ year old son. “He wants to lose it. I say breathe. And he breathes and calms down.”
  • 114.
  • 115. “We talked about guilt and shame and how it feels to experience those emotions in our body. It is okay to go from 0 to 100. Recognizing it is important.”
  • 116.
  • 117. “I wanted to reach across the table and grab her by the throat but I told myself to breath and felt my body sensations changing. I can not thank you enough for coming in here and teaching me how to do this. I know I’m in here because I didn’t know how to calm myself before.”
  • 118.
  • 119. “for so long I just got used to carrying these feelings around with me, and now I can feel them softening.”
  • 120.
  • 121. “You have helped me separate myself from the stress, and have given me the opportunity to create my own space.”
  • 122.
  • 123. “When I'm in my room, I try to do the breathing exercises when I'm feeling stressed and it really helps me. I already spoke to another pregnant woman about joining it later."
  • 124. as women we can help each other recognize and value our innate gifts and abilities. by growing and recovering together we can create change in our society and effect the next generation. Claudia Liebl, Markus Panhuysen, Benno Putz, Dietrich Trumback, Wolfgang Wurst, Jan M. Deussing, Marianne B. Muller, and Mathias V. Schmidt. “Gene Expression Pro Ling Following Maternal Deprivation: Involvement of the Brain Renin-angiotensin System.” Frontiers in Molecular Neuroscience 2 (2009). Jaak Panksepp, Brian Knutson, and Jeff Burgdorf. “The Role of Brain Emotional Systems in Addictions: a Neuro-evolutionary Perspective and New ‘self-report’ Animal Model.” Society for the Study of Addiction to Alcohol and Other Drugs, no. 97 (2002): 459–469.

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