Clinical Handbook of Mindfulness (63 page)

ing her tendency to respond to social interactions with feelings of abandon-

ment and to choose an alternative response rather than withdrawal. Other

aspects touched on were how, through mindfulness, Fiona might be able

to learn to disengage from the rumination that became habitual when she

felt depressed and how she might be able to develop a different relation-

ship to the bodily symptoms of anxiety, which bothered her a great deal and

contributed to the escalation of her negative mood. Fiona stated as her gen-

eral intention that she wanted to improve her well-being and become more

engaged with life, rather than struggling from one crisis to the next.

The theme of the first session is “Automatic Pilot.” Through exercises and

meditation practice participants explore and become more aware of how

oftentimes we function in ways that are mechanical or automatic, what this

means for our experience of life, and how bringing mindful attention to what-

ever we do can change the nature of the experience of it. Although the class

instructor discussed with Fiona the fact that learning meditation was chal-

lenging and would not lead to immediate results she started the classes with

a lot of optimism that this would be “the cure” for her depression. Her initial

experience of the group, having heard each participant introduce him- or

herself briefly, was positive and she found the exercises in the first class

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