KOGNITIVNO-BIHEJVIORALNE
TERAPUJE DANAS
RAZVOJ | PROMENE
Uredla
Tatjana Vokosavijevié Gvozden1° alr FTL TSAPUEOIS ALPEN
Rock H, GiborP Mckven,KyLghtnan S,& Glover B20. plot
‘xaloraion of heart te varsity and salva cota respase com
pasion focused magery tural Cia Meroe 5132-139
oct H. Ki Ac Mean Kb. Matos Mt &ber PZT ects
intanasal axyialnan compas ocsed imagery Emo, 185-1386,
soe ronezaoosseeh
Sehanete Stes 7, MeCulough .Santberg M. 8M, GH 01, The
‘alonshbetweensctvatng acts, nhbtey afer nde compstson
Impatiens with Custer parsonaty dares Pxcethery 293,
‘Siege D (202, The developing mind How etre ante bon taco
Shapewear 20d Naw Yor NV Gulf Pres
‘Sich GN, Cole § B01 Theemergingesdet human scl genomics Pye
abi Sect. Avance nie publeton 1101172167 0261307595,
‘ttl. R 2071 When te heed ana heat donot gre’ A there and
ici anajisof aera emotional dsdation RED) in ogre ten
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{o experentalmtervenions fr culating compasson-n Deka 8
“Thoma Eds Vrtng wth emotonsincognbve Beavioa herpyChaper
5. New YoreGutfrs
unis Heber 203 The hmone of desnes: Therle eatin in at
‘nip Londoner & tn
‘etn WJ Geerbeg LS 2005, Emotion neem Foran ond
nao erences 38 1585-1855
“Ziar, 2005, Thelucerefect How goodpeopltu el London-Randon
KOGNITIVNA TERAPLIA ZASNOVANA
NA PUNOJ SVESNOSTI
‘Tatjana Vukosevjevé Gvozden i Daniel Meskovie
xagaitna terapia zasnovan na pans svesnos liom tekst MBCT,
premashraceniiza etek tern Minulnesrbased cognive therapy dha
Jead sven traps unutarkogntvnoiehoalne patatrpiie pa
‘Sg to)aerzinarolpreencjereasaiponome pe vesuedepresine
pode ego lam, & Teasd200 Reo notathvne) Wao) up)
Intervene Kombi ogntino-bneorane strategie pshoeduach
Jpisprogemcssronpere sea sanevonon te puck seeros leven
Fast Ze Kast, 190, 994 MACT}e igor raion lo preverins|
iterenja nods sobes8starem elarentne deoresfetdosndase ae
peporuthvo esobame hoje su doavele Wil use depresinth ead oak
Sirona sranhana rouse mogocnost mene aCTanadugakinca
pdr a ebeeaaucin alin
NASTANAK
Terapetli2reclonalno-emetine bihe}oralne erape (REBT inp is
198713 zatim| iz kogitune trai np, Hawn, Slows Krk 8 Clark,
2008 zapzl su da pojedne hima odredenu dsfunconana reakcjna
etldognel eras endench dase venemiaah povodom ress ne
Aadstne pogoraaju soe stan, Tok fade depres vata, Jul so
Ina depresj povadom depres anksorortpovodom dere besa sabe
povadom depreseitd Sina tome sutor MCT da ada rameters
podnjede pada Seu ne uxoluje oko som pad spolatena ako nc ns
Fojreagyeroraty pj naSvobijen natin a popeovino raspolokne
tavnom dovede do egg pogoraa eyelet al, 2002 Tes anacjae
eat kj nium samo vobljenePuktace pad aspolaera vec su
‘kasd nite depose
[ako su mooge moa postavketognitimeterapie pune u MBCT,
‘vor og pstupa so! 1995 godine rma aerativ dominantro)
repost doje heii terpneasna hog promen veers sod
egatnin Keg Teasdale Segal & Willams, 1995) Ovi autor suger
Gaye etove nae ukogntmo trp ja ovabrje ijt da stan,
ntti hognleje evalua taenost|Korsnost njihovg Sada, pre
sega to sto im ovlav postupak omogutava dase econo Ree
Sposobnos dase gneve kro meta dogad ane kaa ver
"aot Manisa inane ek 875 Ustad se saphups emocensnors oo oman TuK OMS BATRA
‘bolenimsadedajem sh ogni ko me ne vol osobe su paevane
atshorac zh cath posta ida mann su i samo
Suboktura gledtaTosto mam tikes me none volne zene da
Jetotalo pak rd MBCT-aos energie nego troputizgrpe espa
Fogitmogresiukturananaglasoas nat decent, ate povecana
‘etakogninesesaot ao sfkasih inte venche kod depres apse
(Teasale t 2002, Os Se unapedio decentaane Ket se de
Pomoc ds uspotave stnj ume lz oga se egatvne mis open ks
‘og sala ao subj prlaz’dogad aoe stanje ta. pune
‘sesnost?: Ono se mote rapt us pom taps rimene edocs ee
jevredoru preladsvanudltuniconainhertana ada vrjhronog
bola pobeltan fhe emaconalne dobro ve fiksuna cemorstts
aban abt Zn, 199,19) Sobre da nego rogram ss saree
stress zasnovanog ra pune) sesnost blo znaajouemptsku pode,
Sigal Vijamsi Ted dose onda nkorprau tering pune Sess
Upeksukagatie tea, ne nastae nova fora, Kage trea
asnovana na pune svesmos MCT
“Za th nova ostjesan tek 9 prepoznaanim ava velta prablers |
= pitode depres ogrnienspostojech metodaunjnom pevenianjs
{Dimidian, Klee Segal 2010) ar 5% hs Kl hue depres dave
en porate Raval Lei lan, 138% Pyle a. 1998L¢nakon
‘ugeil wee epode depresie rik za ponovno avian poveeva se no
{80-90% (Solomon eal, 2000, Suge strane mane od plouneukipnog
‘rj pacjnat sa elim depresinam poemeésjem hon eke
orenedaem.dosigrepunurenssjvupnor paholomaloteap peep
(Cesoealenda, Poy. & Looper 2002,
Pthotarmatlonja presto naieLekortenretman za cep h
postojmalo nalaza o tome da upotrebs antsepresv dove dole Kae
{rane debt nakon to se prekines ajhovim Korenjem oto, Thase &
orkowts, 2002 Kognivn terap, jen od nanan wt tetsana
8 0 problem polazue znacajecekte fp, Dobson Halon Diniin,
Schmaling & Kahlenberg, 2008; Hellon ea, 2005 po, jen poten 22
revere laps Hod osoba koe venutn nis deprestne mje temeln0
proutavan.S carom n reales depres, osanjaje no Wetman Koh
Store auto ta an osu) shogntunam transom verortne
‘nde upet dna ajo natn preven flaps Kod adreseneg bro oro
{oe detive depres (Dimi, Koo & Sepa 210) 2bog sega navede-
og, auto ECT ata a presale naan presto 28 napredvaie
ogaltne-bihevranin tretmana nvode das eos! procedalne
ovine ojesuuneu MBCT wos oes} Nie, dora tia
tian atoda ov sta tetmana sanz polovine moqunost scan
depres pods aa op na ie lps Teed 2008,
oT ERAN AR SERS @
‘OSNOVNI KONCEPTI
ais prawn azunl anal anaénekonceta pune ernst
naj taba aged sotrumadugrenasinemocoi mi Estusone ede
ovemocie maj yeoma bru ug otaku fh a Kade pecan
‘rede probe ojala spol pa se povodam toga eoedeneemecd
‘ne nam pomst das mora ave cv nz averavin eke} oj ems
ute slméno ited osedonh operons robem te onda ad
[Eumehaisamprimanenanscpstene mish oscanj fads aktani mtn
"sterza begnanje dove lou ponsen ao spremnoszabees¥o fi apad
az sesutaaifoksa same na nepratne sdaehojemezakregse so
“nepratle tne treba dnt na ok sneaeonotv soe ve eta tom
‘fenubupovel store betaine see anne cea poost at
‘Svan povezan ashen easton Segal et 2002.
"ade sos. le sto smo son rinran le podtaza ania
rot pores depres Zit som nak gun” me so uperou
“Sxerenrug" ngs mike spr om proud neaspoloen
‘Nolen Heskzema 191 kako unestorumintanjekrssmo potent
‘pes utedavajuh mis ono sto supresyeme sta anezeliane mist
Jive ete ntenckneneposo bobo dah sme press de,
"eras Gibbs Vane nine, 002 Wegner 2021 Postado se ptane sta
Presa eftaan iron ober?
PUNK SUESNOST
‘Dok bi se kogiuns trap REA havik oghtinam restukturaciom
negatan kgaiia taper, Ako postignam neuspehunek) cba 0
2d dasa nesauen poset jussobie koja wine mane eriaka
toi qu) doi pitas MOC avid was sperobnot sabe
{in postne sania wojh eich senza, mish asecana, ne se poste
‘lecenacta kaos ho Sto je vee pomensto, sad2ah ses posmata
Ssnolae rela agmont koisy abavean ata relia stamos, Mal
‘recann poz dod ino) ser pase stogn ne reba eto
rane webs uno eta tao pola onoge tase dogada utes,
Puna seinos postazumera bata pane poseban nan: ramen,
usadatnjem tenuiaineprosudyuce” Rabat Zinn 194 st) To preety
fain duke dos prema oprvenom ki ko o8ruminatinos ta
teagovai, to od npree natn mis. Autor MBC nude eto sen
Aefrcju pune sesnost pod ojom podrazumevalusvesnost oj nase
ramen eprosusjucn ustedsredvanem pana, sadsner rent,
rasvar naive ake su (Vis, Tet Sal Kabat, 213 47.
ts net Rene oie oj vise oid abot Za aera
Jevmateme e raza negova ina nai ves nut relnost |
[Bball ram destupn.2)shustvenaje wsesedyesedektne na iusto™ raowTno aL ERAEHPUEONNS pO ROWN,
‘sang rena 3 neprosudsuta je doputa nam dvidine ster onaive
olvejesu reanost dam dozvlmo da bua bas takveave es
Proces podveavana soma pakss pone sesnos sade buat
eenta rane, 200 av sear pute ods Kn oh
‘ete teria tela, mda sedecr polos sesnoto plectina
{Go inefomaine posta ten utrenthusvotodnevnom to 3
posean sup taro dobronarberost,adonalesspremost ds bt
‘Shenk sadam Sastry 3 azumevane ude vuleabinst ko
osrazumev wl J para neodojv deo nseg ssa al da poste
aon da strato izebazaca fons je ezavame ih rodubujera Ka
[edna eta ae Ne motema spree pe ge da ole oo nh ga,
i mmotomo spc dai neato una
‘inogi outa oj kristi a begneo sein eta ihintveng
lenegvane" goon sada vod uz dalin pak problema ayes,
ikon Gil alte tsa 1996 Marla Lark, 201, Preoupiranot
‘rede msnauzsuzavanefehsa paz naane to esata natin,
tao lokranostlprplajonest emocjame ede staan ttn pons
ogee navka, hoje die vode ka sre} post nates,
‘ae anksiznos | depres bh eegovauthponasa kao Sos
‘a pemer sacine fb pore shan sloupoteb span! Se,
2065 Pun sveanet ka aman antters tim procs, pedevln Ke
‘cept i preneatasnovanh ra pun svsrest apes MAC ord
{Lapin 201, Zaaof napomenut to das sve bg psoterapes |
‘sada sma de pods nepresujueg tava prema saan
'tastimapotencalno vedan deo pshatrapje bio kag photog
‘modateta (rane tela 2006.
AuToPILOT
Pistaice MECTa very da vel deonafe hts provodmo uautomatie-
‘arin nedorano sein paca potpne nstesnmogbyo-emetion!
ro-bniermmreicjama foe onan auto aso nas sprees
“asvesa debut puniopseg iiss jaan cls puta. API oe
aja utjor ae at mentale delsber westcramere ves
{sida onde’ pajesaimtinsvesoeo sodasjem ent vet mari)
‘ner zamaglena abst Zin, 1990) Tako stan svest oko je anyon
To vst posedye mesnuevluconuprednostpote ume flas nase
Painjenaretavanekoneenagpakténeg problema al sheds cdgoxono
atu rnjvost emoconane pate lame, avtomatiovane rake od
‘moa ol uuu ruriatineiebepavjee stove obadentormaci,
pstog ave atbe ne mogu di napeave seston bor rain nao ao
tgororenasplaijaurin usa, De usta. ape oro.
‘rasiden svesott@sadsnjer vena soganju taj da uot
sg eM ANA POSEN ts
‘epalganustoe mnoge mogucrost bora koma poten megla da
true adie sone
RADNO STAN I STARE BANA
anna konceptalza)a oj vod MBC etman zanovanajanametaor
stanj uma" eal modes of mi, Ona gee urna az metode
‘omc koh procera informacie koe Karate roms raze nan
arto saretom, On nena sao aj engl cing in) one
‘van engl being min.
sto stn bal se arjnjm tome ako da smanta fe Ta sane
preeatvenojekoncepulanna mis anoven modal proceaiane lasts
Fain usmerava, pre veg, da mismo o umesto da -budemo ukontat
‘S.rektnm shiva Tekom ov sans pale uemnom, smetenana
pratest i buauenast afokusjena nastjanh dase star une drain nego
tos vdotom rent, saa ove’ ko MBCT prepoaoje de Haima
‘led neopodn da Krteradnosanjelotn plana stair
‘Sgledat um mate poset sarebenubespiadnom kano jean do uge
‘oputnt egatvnom sanooddavjcem uu hp ogiangaasposobnost
‘hie sagieda Sasa van kortenogprblem
‘Athan autplota povezanag stain stanjem unaredeava sesame u
amen geopsoleglevel aba saodnernog dag shea state
pie predsava pore esperinen iz soajne pole Sons 8 Len
{98a Aame, tes veksperments resi mapu | 2usaeo scare rl:
Zi ton cn pomogna da we sndena map pronsdetsen tect U
Jeter meas urna ekeprinent rls prom be
‘eset va tna po plskspettnet le dozamere tata Sg
“Tsispaiasjesnom 38 uptaitaupanajenom espe prime
Jed edie do samen osbe laa ita za pravac, post eras stan ana
‘elektro sane inrmac oj potebna sa esavnj problema ~pakaat
‘rien provocative open sole erbu kata pecrane kao
‘sb oa mo odkedene fetch, Sen tome ada nam se pve
‘tae st ura primer ve nkad nec pros I Ja sam Bezieane aba
{bjs ne zou da bude von nasa suze wsedseéenos ra nph specs
nas a sgledamoelopan antekst uke nase weutho spelen
[oj he postoat. pain stage patamo a neminoa svar
"taj an je anes ait natin odnos prev ksi neg 30
Je fae stan U.stanj ivan” asoba se fuse na dv) sadeinjeg|
"ruta re nego na yegovo evalua vodnos na resis buduZnost
Drupimecinadok oso uradnom sanju razmisia it proces dog i
problem oseba ustanjbanj teste usaeinjm tenuthu be eooreg|6 ‘car areronunerepurcos Arn
srsarana Uneto da ebinoka cu utestvjeme vsadstjemtentupan
‘Sralvemakayon este ber pluSja da 99 promerime.Uovom sue}
prema sopstvenom stuf dabronameren, plated anereovan |
{poo au data se pam konteksa pune svesnos aba ity
1990) Koda ra nepesuaju piven osmatramo sta oka seb
rl daje mozomo Bt motivsan da menjame avn dane al poles
‘Bum flusran aon raaiks mes trennog Kain, Mose.
‘oat na mnie konpulsan natin sa marj samauanemiaronapovodom
'shoa.5drage stan, ala povedan spremnost da pvaimo| deere
|eneclekolensu ara pate vod povecano) torent za novalshush,
Adobronsmerartssosea
-RAZUMEVANJE PATOLOGUJE | ZDRAVLIA
MBCT program von je modelom a ular mfr a ovata
vulneabinost na depres reaps = en ero ve opt Nakon te
“ame separa postakama ens ska vezaneza depres lps vee
Se.ulevesn| mat mogu pment na opstereaumeanjeHudse paolo
‘aria
MODEL DEPRESWWNOG RELAPSA
'MBCT mode! depresinog reaps kot je bial Kogit model |
eprese npr. eck, 176 ky laze od vulerabnostra depres
poveraasdtusionalim stom nego shemara ive atom,
Setom budunoieKada ju posta depres ontinasabeinerpretos
"os hur na regan iprtasanainw lady asvopmrspolterien, |
{ime odreavaju depres. pte denna oktvec oe pve
postr Tad earl 190 stove model depres ca eon
Fenomen elas One ane na toda inorespoloee imme eatin
obrescerezmsnj to ub pute tom prethodh dees san
ads sehod osob tress upreios le depresime akviatutr spate
aoteatcjana nk repovolan agads sere ktvarhe i oon tne wee
dovodiusvestkogncje aj ss asocjtvno povezane sa depesiom. Ook se
tecosobatojens sone deprestognvne ater timst bz sara
kazaa vlneabininna depres nasa senepatn il oj doe
sie raed procera dprestih mitre smptor
taraterisinin akinicha depres Cease, Segal & ams 200)
statin ong model urea suse font ge ato na
tug snostscbaojesu preted dodvaedepresjudana bags
‘spotter reapuuvellimpronerama ume Vel bre sda powaoje
"poten da depres jucresguna tino palate dae od 0b ae
‘ik hiss ble eorsn Scher nfm Seg 208k panko ska.
‘realist natuguimajudeice ape tchom potoda pace Sega Gora
kM THU ZASHMA NA FURISHESEST o
‘vitians 1999 Sealta, 2006 rsakao hogan reaktvos na tuguvsok
ho spostnotdcetians vec js najdom por ehrenetokom
{Bmese pana Fresca Sega Bl Kenney 2007 rests al os
[Ena reine ode tdona ds ject pv depres epnod, nese
‘tog interetta oe keane aos 2 fermanefopnte eaktnest
‘tuo espoltenje Mane & aos Grease 207,
Vetta lan tks deans mir e-
rian lao tonosteabe dase pas fokusia nur psec sopstveth
probes, oresansosbiaestajnem depres simploma etecejine
Fst 0 riovane proses olen Hoek 199) urna mt
sano potrbom dase stekne i posted problem versed rane
‘sepsvenen spore mode clas esavanj problema co aa 799
re dla pot uo ruminiajuosy owen’ v cus ngatirin rs
FPapageotou Was 2007 Mathews 8 Wel 208, aca ova proces uzne maha
sabato proces je ruminranje postal nett poguona a
euspera dogo ruta Ss naale ved scan obicara dep
DD zakémo: prema mens tworas MBCT (Seal et, 202 kom
sina Fogntie ektvnes ra ago tno rapolozene rumintivnog
sa reagovanapresstava nn ako ok obasavavulneablnos a
‘eps elapse Nata nai ak blga polanemepatina espolotens
‘rogues wasn pres staja Shemale pra kognsineg ka
Preven tokom remineprkazan jen Sie Sagat 200
ond
ep i
swt pesos
oat
Peden
SMa tora ees penea owing aneonoraa eu vA
ij MBCT programa ested tokom period remise snabde uéenike
“sedan de fas ads ra 9 opanim poesia wenucina kad
poten lt depres lps uns ern einkmpatbna ster
Uma wkojemsedelav lps, Ucn stage ue ds pire eke nepatne
Sekt shstvanapusteabasce umnaceraute dagen noes
‘mogu konsruktio adnost prema aspektia skis ks povenan #3
‘haeninanpoloenjem drugim epistim een,
(OD PSIHICKH SETI KA MENTALNOM ZDRAVLIU
'MBCT takode posta opt mode nfermacioneg process, maven
interakivn Hogi’ supsstem eng. Interacting cognitive subrstems,
1S ojprestuia um ho shup Komponen hoje suuineak (Brad &
“asd, 9, Test Goma, 1953, Jedna oth omponsnt odo ena
emodonane este oj nara tenn polar senza inpresy
De cemu se osoba dential, malo svesnoet =
Snort Orga se ads nt ejuteaeprocesrane lana,
‘alas sprovaene oda Tide se cs nadajvan une vest ht
orate neprosidjute opazane wert sean senza mith Sasa
‘th omponentprinalvemacye laugh amponent uma prema
tsinermoce proud tansomssanenfomaca dg ompanentan,
‘lo, postotintrakima eta unar oj se pov Obst ha gover
raodredene stele
Porat obras interes mea mertanh Komponen og se up
reds ena bod atom Teasdle, 2000) Sabana ina
Sj ink Kao sto autora ne mate ovemano bi are Brae
funkconsanj ujednom taj uma sprezva esau da bude ouemeno
rug sanju MBCT Sogn imazaai da pomognekljentima ds prepoaris
‘estan brain" ke seta da ena de uspostave unklonlnje
Prema ov) ter mentano za soled usposchnososobe da se
sei odedeneg snd ek eee med rae sen,
‘rugim reima, sobs optmainofuncinieukoio mote de spontano
pomersijdnog ucugo sane a oancra procene sis ioj womens
‘dau Kado retodepreshnom xu, taj hoje rector racine
‘itera tombinacl Regn eaktnost na tug depres ruminais
|este pun seo ase povezaa sa emocenanom dba, 9 emu
‘ec ove Teatdl 1899} Bolin retan depres toga tes deze
Sledcimpostignadima: oxobs proved ite vemena Puno seen
tsar pesobnet dase bone ecsbine omer sanju stale
oven od kontakt,
‘Jednom kad udo kao jezntaina puna sesost, modems ptt
oli jesprrrost ud za ov stare ko suakaikai gamoguomert Ne
J
|
maine TRIP ISIOA RAPISTS 9
‘dautor oj zagova primera pune svesnos vtetmanus Seok) ape!
‘vakvh psa tran MECT, ular ato dana sposobnes da bude
ptr vce sada" za od natagbadnog satan urutsinesplasne
Sigumost Siege 201) ime, znsgene koje priser nekom dogsdai
Sedtsnost x znaajpo] mej uslowjeno natn prethodiim stv pa
aie dee nazeg Sta niko spremi da ponom svesnodéa kuin |
‘amatimo sadain uenutakusvey anoga Sto on apa jst ve samo
"Breen umapomastvamost bes sworene predosnen shustima sto
‘even da toto. Uwereptiom unl oar pte
‘febrojnenetohnetelesne serzace mis ose doku erperseranm
‘nesima bj mann odbrane koje smo stor ise nas ded
‘rug fe, bee" Ihnasim prethodrm ikestom speeavgn nas da age
Ide vino cali akon ase (Gere Sng 202, Tove cee
TERAPUSKI ODNOS.
MCT insratr 8 uel) webs da pore Sk peta too ae
rninvetina hoje eocnore ra podcavanje pune seme joge,poznvanie
Fegntimo-bneorinh models! state! podsanje ute ugyupnar|
‘ating Srlaodvintompetene tvs jeustaorovy vet pad
pune svesnot Da bluspes da pomgneesnicina aru punusvesost,
ote feds intktor nts se en avast ahs avo ov
‘estn Ouginredima,najazilaspest loge istukto este da atentno
bude otlovoreneanoga cam podutave pune svesnes, dcertanos,
tvorenost prema stst, private soseeans Omid, Kebe 8 Sea,
20
Instr polazieduboko zune skys uteri, lve rere
ovaj vestan lrogieerten Negara adoale, sone) nepros
‘hujucepaje mot in oar utes aa dosve pete lsat
Iojest; manda rnogs gona dotada posal cdbacal Kao st via,
insrattrove asta poamanje oown princi koe pola da preese
Satna Ue na sve ono stose eave posts a ealolaponnazinna ove
rogram Segalet al, 2002,
‘Siem stupuStezhanje pune svenost van podruja smog MECT=
swans sprovecerana ora erapeutoju sri en aotmakorste
‘esinepune sess uarunatodanhovupaieba ma mace pate
Pelee, Ueno eda pina vero unapred norean, Kap 3
pti nterperansne reac Cstopser and Dunregan, 2006 Shana
rt Sign 2007 ao teri vein net wasted teap tog
‘nos raenotane postin ake emia inerpesonane apc
(Gstpars nar 200,rs cv SANDE TEUEONASBHEAULROUTE)
TERAPUSKE INTERVENCUE
Pshoeapie itervence w MOC hoe sani vervatnt claps