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Table 1 Major learning objectives of MBCT and course contents

From: Mindfulness-based cognitive therapy in obsessive-compulsive disorder – A qualitative study on patients’ experiences

Objective Course contents
Becoming familiar with some characteristics of the mind introducing “the autopilot” as a symbol for a state of mindlessness
introducingthe spectacles of OCDas a symbol for selective information processing and cognitive distortion
Exploring new ways of refocusing attention and challenging dysfunctional meta-cognitive beliefs the “body scan”, a 45-minute mindfulness exercise teaching participants to attentively and non-judgmentally become aware of their body and body sensations
yoga exercises
dealing with arising thoughts and feelings during sitting meditation exercises
the three-minute-breathing-space, a short exercise in which patients are invited to focus their attention on their breathing and present momentary experiences, shifting from a “doing-mode” to a “being-mode” of mind
discussing the cognitive model by Salkovskis, emphasizing the impact of the subjective appraisal of thoughts
diary of positive and negative events
discussing neurobiological correlates of OCD to encourage disidentification with obsessive thoughts and impulses
Freeing oneself from dysfunctional habits and being kind with oneself identifying individual OCD triggers
encouraging participants to perform the three-minute-breathing-space whenever they notice obsessive thoughts and impulses
sharing poems, short stories and metaphors in order to invite participants to experience thoughts as passing events of the mind rather than reflections of reality
Relapse prevention establishing individual schemes for dealing with difficult situations
setting objectives for goal-oriented behavior
integrating pleasant activities into everyday lives
  1. OCD-specific contents are highlighted in bold type.