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Can Enlightenment be traced to specific correlates of the Brain, Cognition, or Behavior?

The term “Enlightenment” is quite a big word with a lot of semantic baggage. It’s really an imprecise construct for the field of contemplative neuroscience. Friend and colleague, Jake Davis, a Buddhist scholar and I comment in a recent issue of Frontiers in Consciousness about the forseeable future of unpacking the concept into clearly observable phenomena. Check out the paper here [Link]

“Using the term enlightenment or even the term more native to Buddhist traditions, “awakening” (bodhi), as if it referred to a single outcome either privileges one conception over others or else assumes that there is some commonality among the traditional goals of diverse contemplative traditions. There are deep disagreements over the nature of the goal between and even within various Buddhist schools. Scientific investigations cannot assume that there is any commonality among the transformative changes referred to as “kensho,” “stream entry,” “realizing the nature of mind,” and so on, that various Buddhist traditions take as various stages of awakening. Empirical investigations of these constructs can only proceed with reference to the specific psychological and behavioral outcomes described in the native discourse of a specific tradition”

English: Golden Buddha Amitabha Deutsch: Der g...

English: Golden Buddha Amitabha Deutsch: Der goldene Buddha Amitabha (Photo credit: Wikipedia)

Self-Awareness, Self-Regulation, & Self-Transcendence (S-ART): A Framework for Understanding the Neurobiological Mechanisms of Mindfulness

Hi all,

I wanted to take this space-time to introduce you to an integrative systems-based neurobiological model and theoretical framework for understanding the mechanisms by which mindfulness functions to reduce attention-specific and affective biases related to self processing and creates a sustainable healthy mind. The model attempts to integrate findings from the extant empirical literature related to mindfulness with our growing understanding of the mechanisms for neurocognition and with traditional Buddhist systems from which contemporary practices of mindfulness originate. The paper in which this framework and model are discussed at length was recently published in Frontiers in Human Neuroscience. [Link]

Our method for understanding mindfulness has been to focus broadly on the goals of mindfulness as it is described in the early Buddhist suttas and in the Western medical model: To decrease mental suffering and create a sustainable healthy mind. In this context, we operationalize mindfulness in two ways: 1) As a broadly defined method for developing self-awareness, self-regulation and self-transcendence (S-ART); 2) As a continuous discriminative attentional capacity.

Our second formulation is one critical skill in a multidimentional skillset that is developed and strengthened through specific meditation practices. Other skills are described to function along with mindfulness to support S-ART.

To be clear, this is in no way a new definition that is meant to disparage Jon Kabat-Zinn‘s widely disseminated description: “Paying attention in a particular way, on purpose, in the present moment, non-judgmentally” – but more so an attempt to dismantle the concept into component parts so that we can better study it in the laboratory.

I discuss the framework in a recent talk given at the 23rd annual Trauma Conference in Boston, MA

The lay press for this theoretical framework can be found at:

Psych Central [Link]

Brigham & Women’s Hospital [Link]

Science Daily [Link]

Boston Globe [Link]

Medical Express [Link]

Why Mindfulness can help the Immune System

Stress is immunosuppressive. Research into this pernicious relationship between stress and disease has piqued interest in the ways that contemplative practices might positively influence the immune system. According to a large body of evidence, meditation appears to have profound effects on immune function in health and disease because of its ability to reduce stress.

Why does mindfulness reduce stress?

Two main facets of mindfulness meditation are equanimity and focused attention. Equanimity towards one’s thoughts decreases reactivity to stressful stimuli, and focused attention helps reduce the tendency towards the type of ruminative thinking that can activate the stress pathway. This relaxation response seems to have multiple effects on the body’s stress pathways. It enhances vagal tone, which in turn suppresses the activity of pro-inflammatory cytokines through the cholinergic anti-inflammatory pathway. It also reduces hypothalamic-pituitary-adrenal (HPA) activity in response to stressful situations, reducing basal levels of cortisol and meditating other downstream stress-related processes.

Evidence:

The majority of empirical evidence for meditation’s effect on the immune system support a protection and recovery model. Imagine being caught in a rainstorm without a raincoat and without a towel. In a torrent of stress, mindfulness is both the raincoat (preventative) and towel (palliative), so that, at the very least, stress is impeded in its course to reach downstream immune targets.  Some lines of evidence are described below:

1) Richard Davidson has conducted studies on the relationship between affective style and brain lateralization, and has found that people with positive affect have increased right prefrontal activation compared to people with negative affect. In a recent study, Davidson and colleagues found that after an eight-week mindfulness program, subjects demonstrated both increased left-PFC activation as well as an increased antibody production after administration of a flu vaccine, indicating an enhanced immune response.

2) Amount of meditation practice in a 6-week compassion meditation program was positively correlated with a decrease in stress-induced interleukin-6 (a pro-inflammatory cytokine with immunosuppressive activity; increased IL-6 production is common among individuals with chronic stress and depression.)

3) Subjects who participated in a three-month mindfulness meditation program demonstrated increased activity in immune cell telomerase, an enzyme responsible for preventing immune cell death. Suppressed telomerase activity is related to increased stress perception. Increased telomerase activity is associated with decreased LDL cholesterol and epinephrine.

4) A “perception” approach to mindfulness and the immune system

Another proposed mechanism, in contrast to the stress-reduction paradigm, is a “perception” approach to meditation’s effect on the immune system, whereby one sensory modality shifts to accommodate another sensory modality. This perception approach is demonstrated by the classic “prism experiment”. If you are holding an object in your palm, you are receiving information from both visual and proprioceptive modalities. If a prism is placed in your line of vision, however, there is a perceptual discrepancy between the information from the two modalities. To overcome this discrepancy, one modality will attenuate to match the other. This “cross-modal adaptation” can also explain why mindfulness seems to positively influence the immune system. If one can visualize oneself as “healthy”, they can cause their immune system to attenuate to match the visualized information. However, there are two premises that must be accepted:  a) the immune system is a sensory modality, and that b) visualization involves the same neurobiological processes that vision does and thus also functions as a sensory modality. This mechanism lacks substantial empirical support, however, and could benefit from further study. This mechanism may not pertain to mindfulness, which is more about an open, non-intrusive introspection. However, it may support visualization-related practices, such as Tibetan g Tum-mo yoga, in which practitioners are able to regulate their body temperature [LINK]. 

References

Benson, H., Beary, J.F., Carol, M.P. (1974). The relaxation response. Psychiatry, 37, 37-46.

Davidson, R.J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, S.F., Urbanowski, F., Harrington, A., Bonus, K., Sheridan, J.F. (2003). Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Medicine, 65, 564-570.

Jacobs, T.L., Epel, E.S., Lin, J., Blackburn, E.H., Wolkowitz, O.M., Bridwell, D.A., Zanesco, A.P., Aichele, S.R., Sahdra, B.K., MacLean, K.A., King, B.G., Shaver, P.R., Rosenberg, E.L., Ferrer, E., Wallace, B.A., Saron, C.D. (2010) Intensive meditation training, immune cell telomerase activity, and psychological mediators. Psychoneuroendocrinology.

Olivo, E.L. (2009). Protection through the lifespan: the psychoneuroimmunological impact of Indo-Tibetan meditative and yoga practices. Annals Of The New York Academy Of Sciences, 1172, 163-71.

Pace, T.W.W., Negi, L. T., Adame, D.D., Cole, S.P., Sivilli, T.I., Brown, T.D., Issa, M.J., Raison, C.L. (2008). Effect of compassion meditation on neuroendocrine, innate immune and behavioral responses to psychosocial stress. Psychoneuroendocrinology.

Tausk F., Elenkov, I., Moynihan, J. (2008). Psychoneuroimmunology. Dermatologic Therapy. 21(1), 22-31.

The Wandering Mind vs. Mindfulness

Neuroimaging Research has grappled with the concept of a “resting brain”. Researchers interested in Consciousness have grappled with localizing subjective states of awareness and the elusive “self”. It seems that contemplative science is bringing both concepts to the table given the profound interest in tracing neurophenomenological states associated with “the self” and intentional, meditative practices.

All functional neuroimaging research has focused on Blood-oxygenation-level-dependent (BOLD) changes in the whole brain associated with a particular active, goal-directed, cognitive or emotional function and which has shown to be statistically different from BOLD activity across the whole brain during a “passive” baseline state. The baseline state that most researchers use is typically a 5-6 min long period of passive “rest”. The instructions are typically, “Let your mind freely wander” and “try not to think of anything in particular”. These instructions sound benign and appear to be the perfect baseline state, but as it turns out, [surprise…surprise] a wandering mind is quite active. The mind in this baseline state has shown to have a tendency to wander towards self-reflection (in the past and into the future). Some researchers have called this type of wandering, “mental time travel”.

Recently, a growing body of research has investigated the nature of this resting, or “default” state, and has found that brain activation previously considered to be spontaneous noise actually reflects the operation of active and functionally connected neural networks. These patterns of activation has been termed the default mode network (DMN), have been shown to increase during passive states of rest, to diminish during tasks involving attention or goal-directed behavior, and tend to implicate brain areas associated with self-reflection, internal mentation, and narrative self-focus. In many forms of psychopathology, the DMN has been found to be more active during resting states and less likely to decrease in activation during active goal-directed tasks, suggesting a relationship between psychopathology, excessive self-reflection or rumination [about past events], and increased self-projection [into the future].

In a recent study[Link] by friend and colleague, Judson Brewer at Yale University, adept meditators trained in meditation techniques rooted mostly in Theravada (vipassana/insight) traditions actively meditated using multiple types of meditation practices (Concentration, Loving-Kindness, Choiceless Awareness) while being imaged in the MRI. A “mind-wander” rest state was the baseline state in this case, and comparisons were made also between the adepts and a group of novices who had brief instructions how to perform each meditative practice.

As seen below, Experienced meditators demonstrate decreased DMN activation during meditation. Brain activation in meditators > controls is shown, collapsed across all meditations (relative to baseline). (A and B) BOLD activations were found to be greater in the left mPFC and PCC for adepts. Although, one should take note that the % change was very minimal (about .25 % at most). The mPFC and PCC are critical nodes of activation during typical mind wandering, self-reflection, and the core areas for the DMN.

Choiceless Awareness (green bars), Loving-Kindness (red), and Concentration (blue) meditations. Note that decreased activation in PCC in meditators is common across different meditation types. n = 12 per group.

What does this mean?

You may ask what this means and how it relates to mindfulness and mind-wandering. It suggests that adept meditators spend less time using the self-reflective network or “DMN” while meditating. This makes sense given the heavy reliance on concentration in these practices. But how about when adepts are simply “wandering” during passive rest? Are they like everyone else? Do they also reflect upon themselves in the past or into the future? This study did not quite capture the phenomenological differences between the groups, but it did find that the DMN had different functional connectivity patterns.

Using mPFC as a seed region for connectivity, they found increased connectivity with the fusiform gyrus, inferior temporal and parahippocampal gyri, and left posterior insula (among other regions) in meditators relative to controls during meditation. Using the PCC as a seed region, increased connectivity (compared with controls) was found with the dorsal ACC and DLPFC during all meditative states and baseline wandering, suggesting increased cognitive monitoring and working memory across both meditative and passive resting states. It would be helpful to know if there was a qualitative aspect of “wandering” that was about equal for meditators and controls.

Similarly, David Creswell and Lisa Kilpatrick demonstrated that 8-weeks of MBSR training showed increased functional connectivity of dmPFC (an anterior DMN region) with an auditory/salience neural network (especially with BA 22/39 (associated with auditory processing) and the dorsal ACC (involved in salience) . They suggest these results indicate greater positive coherence between self-referential, attention, and auditory sensory processing and may underlie  greater attention and reflective awareness of auditory experience in MBSR trained subjects.

Again, the DMN is used here as a proxy for a “wandering mind”. Decreased activity in the cortical midline structures that make up this network reflects less self-reflection or narrative self-processing, and suggests more present-centered awareness, monitoring, and attention of interoceptive and exteroceptive stimuli in the environment and associated with the body. The reason I bring attention to this area of research is that contemplative neuroscientists will likely have to take these differences in the DMN between novices and adepts into consideration when scanning meditative states. In other words, a passive mind wandering state may be different between adepts and novices or naives. Thus, between groups comparisons should likely account for these differences and at the very least, quantify the qualitative aspects of mind wandering between groups.

ON THE OTHER HAND….

There is some evidence that mind wandering is adaptive. One study (for example) by Jonathan Schooler and colleagues demonstrates that increased mind wandering during a boring task increased creativity. Schooler has previously demonstrated a correlation between daydreaming and creativity—those who are more prone to mind-wandering tend to be better at generating new ideas.

See New Yorker write up [Link]

Here are some links to press related to these studies:

psychology today [Link]

Some Statistics RE: explosion of research in Contemplative Sciences

Hi all,

Through my work with the Mind and Life Institute, I kept some statistics on the number and types of grants that were being awarded in the area of contemplative science. I also kept track of publication records. Here are some of those statistics (through 2010) to give you a sense of where this field is coming from and the steep slope indicating where it may be going.

Allocation of Grants from NIH - keyterm "meditation"

Allocation of Grants from NIH - keyterm "mindfulness"

Allocation of Grants from NIH - keyterm "yoga"

Peer-reviewed Publications (through 2010)

Peer-reviewed publications as referenced by PubMed (through 2010) is indicated. Pubmed is a division of the US National Library of Medicine and the National Institute of Health. It comprises more than 20 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites. The dotted line indicates when the Mind and Life Institute’s Summer Research Institute began in 2004.

NIH Grant funding (through 2010)

The graph above represents the number of grants awarded by the NIH through 2010. The RePorter database reports data and analyses of NIH research activities

More about Pain and Meditation

Can meditation practice eliminate pain? NO, but it can it reduce the emotional intensity in which it is anticipated and experienced!

There have been a few studies up to today (jan. 4, 2012) that have investigated the effects of specific meditative practices that involve the state of mindfulness on the experience of pain. Some studies suggest that pain centers (Anterior cingulate cortex, insular cortex, sensory cortex, pre-frontal cortex) that are normally active during acute pain are significantly reduced in activity while performing specific meditative practices. Other studies show the same reduction during resting brain activity of chronic pain sufferers in response to practicing these meditative states, specifically, and in contrast to allowing one’s mind to wander. These reports typically show increased pre-frontal cortex activity as a regulatory mechanism for suppressing the sensory and affective experience of pain. See this typical report from the BBC:

BBC news on mindfulness

However, there are other reports that suggest meditators are not suppressing the sensory or affective experience of pain, but rather increasing their sensory and affective experience of pain, but without a prolonged, dull, or negative quality. In this case, research is beginning to reveal what may be more akin to equanimity and embodiment, two qualities that typically are cultivated along with mindfulness during specific meditative practices. Equanimity refers to the ability to experience the sensory event fully, with awareness, but to return back to some normative baseline rapidly once the sensory event is over. There is no ruminative quality, or perseveration of the emotion in response to the sensory event. Embodiment refers to the whole-body visceral experience of the sensory event. These studies have been showing increased activation in brain areas responsible for primary and associative sensory processing along with interoception (internal bodily experience).

———————

One example comes from a study by friend and colleague, Fadel Zeidan, who recently published in the Journal of Neuroscience, ” Brain Mechanisms Supporting the Modulation of Pain by Mindfulness Meditation” [Link]


Focused Attention meditation reduced BOLD activity related to afferent processing of pain stimulus (primary sensory cortex). Meditation was also associated with deactivations in areas related to ruminative types of thinking (Default areas).  Decreased pain intensity ratings were also found to be associated with increased activity in ACC and right anterior insula, suggesting a site for pain modulation.

the NPR story is here [Link]

The CNN-health story is here [Link]

Huffington Post [Link]

Men’s Health [Link]

Music for Meditation [Link]

Live Science [Link]

Neural targets for Depression – a Neurocircuitry Model

Hi all,

Over 3 decades of neuroimaging research has begun to reveal a distinct neurocircuitry model for depression and psychopathology that involves Cortical-Striatal-Pallido-Insular-Thalamic-Temporal connectivity and dynamic activity. Check out the link below for a recent publication that proposes this model based on decades of research from the area of neuropsychiatry.

[NCNA_vago_etal_2011_finalproof]

The use of Mindfulness training for acute and chronic pain

There have been a number of studies investigating the effects of mindfulness and other forms of meditation training on the experience of pain, acutely or in chronic states. Below are just a few examples from 2009-2010

1. Brown, C. A. & Jones, A. K. P. (2010). Meditation experience predicts less negative appraisal of pain: Electrophysiological evidence for the involvement of anticipatory neural responses. Pain, 150(3), 428-438.
2. Cho, S., Heiby, E. M., McCracken, L. M., Lee, S. M., & Moon, D. E. (2010). Pain-Related anxiety as a mediator of the effects of mindfulness on physical and psychosocial functioning in chronic pain patients in Korea. The Journal of Pain, 11(8), 789-97.
3. Cusens, B., Duggan, G. B., Thorne, K., & Burch, V. (2010). Evaluation of the breathworks mindfulness-based pain management programme: Effects on well-being and multiple measures of mindfulness. Clinical Psychology & Psychotherapy, 17(1), 63-78.
4. Goyal, M., Haythornthwaite, J., Levine, D., Becker, D., Vaidya, D., Hill-Briggs, F., et al. (2010). Intensive meditation for refractory pain and symptoms. The Journal of Alternative and Complementary Medicine, 16(6), 627-31.
5. Grant, J. A., Courtemanche, J., Duerden, E. G., Duncan, G. H., & Rainville, P. (2010). Cortical thickness and pain sensitivity in Zen meditators. Emotion, 10(1), 43-54.
6. Perlman, D. M., Salomons, T. V., Davidson, R. J., & Lutz, A. (2010). Differential effects on pain intensity and unpleasantness of two meditation practices. Emotion, 10(1), 65-71.
7. Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A., & Beasley, D. (2010). Mindfulness-Based stress reduction for chronic pain conditions: Variation in treatment outcomes and role of home meditation practice. Journal of Psychosomatic Research, 68(1), 29-36.
8. Teixeira, E. (2010). The effect of mindfulness meditation on painful diabetic peripheral neuropathy in adults older than 50 years. Holistic Nursing Practice, 24(5), 277-83.
9. Zeidan, F., Johnson, S. K., Diamond, B. J., David, Z., & Goolkasian, P. (2010). Mindfulness meditation improves cognition: Evidence of brief mental training. Consciousness and Cognition, 19(2), 597-605.
10. Grant, J. A., & Rainville, P. (2009). Pain sensitivity and analgesic effects of mindful states in zen meditators: A crosssectional study. Psychosom Med, 71(1), 106.
11. McCracken, L. M., & Keogh, E. (2009). Acceptance, mindfulness, and values-based action may counteract fear and avoidance of emotions in chronic pain: An analysis of anxiety sensitivity. Journal of Pain, 10(4), 408-415.
12. Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A., & Beasley, D. (2009). Mindfulness-Based stress reduction for chronic pain conditions: Variation in treatment outcomes and role of home meditation practice. J Psychosom Res.
13. Zeidan, F., Gordon, N. S., Merchant, J., & Goolkasian, P. (2009). The effects of brief mindfulness meditation training on experimentally induced pain. Journal of Pain.

This also brings up the issue of PLACEBO. There are plenty of studies to demonstrate that negative expectation can enhance the negative experience. For example, a recent study published in Science Translational Medicine by Bingel and colleagues (“The Effect of Treatment Expectation on Drug Efficacy: Imaging the Analgesic Benefit of the Opioid Remifentanil” – [Link]) found that the effectiveness of pain killers on thermal pain decreased with expectation of receiving pain killers, while just the expectation alone of NOT receiving pain killers exacerbated the pain. In other words, the amount of potent opioid received was constant and the reported experience of pain changed in intensity depending upon expectancy.

I bring up Placebo not to make a point that  the effects of mindfulness or meditation training can be reduced to a placebo response, but more so to emphasize the powerful capability of the mind to profoundly change experience of the world depending upon OUR EXPECTATION!

As it turns out, the mechanisms of pain may be fairly clear (see Melzack’s original 1965 SCIENCE article HERE), but the biopsychsocial influences on the interpretation of pain signals is far from being completely understood.  Although over 50 billion dollars is spent on the global pain industry in prescription and over-the-counter pills…these remedies are typically little help, while some like morphine and other opiates can be highly addictive and subject to abuse.

Evidence-based Mindfulness Interventions

Mindfulness-Based Stress Reduction (MBSR)

Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4(1), 33-47.

Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8(2), 163-90.

Kabat-Zinn, J., Lipworth, L., Burncy, R., & Sellers, W. (1986). Four-Year follow-up of a meditation-based program for the self-regulation of chronic pain: Treatment outcomes and compliance. Clinical Journal of Pain, 2(3), 159.

Kabat-Zinn, J. & Chapman-Waldrop, A. (1988). Compliance with an outpatient stress reduction program: Rates and predictors of program completion. Journal of Behavioral Medicine, 11(4), 333-352.

Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Dell Publishing.

Kabat-Zinn, J., Massion, A. O., Kristeller, J., Peterson, L. G., Fletcher, K. E., Pbert, L., et al. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. The American Journal of Psychiatry, 149(7), 936-43.

Miller, J. J., Fletcher, K., & Kabat-Zinn, J. (1995). Three-Year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. General Hospital Psychiatry, 17(3), 192-200.

Kabat-Zinn, J., Wheeler, E., Light, T., Skillings, A., Scharf, M. J., Cropley, T. G., et al. (1998). Influence of a mindfulness meditation-based stress reduction intervention on rates of skin clearing in patients with moderate to severe psoriasis undergoing phototherapy (UVB) and photochemotherapy (PUVA). Psychosomatic Medicine, 60(5), 625.

Carlson, L. E., Speca, M., Patel, K. D., & Goodey, E. (2003). Mindfulness-Based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosomatic Medicine, 65(4), 571-81.

Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-Based stress reduction and health benefits. A meta-analysis. Journal of Psychosomatic Research, 57(1), 35-43.

Carlson, L. E. & Garland, S. N. (2005). Impact of mindfulness-based stress reduction (MBSR) on sleep, mood, stress and fatigue symptoms in cancer outpatients. International Journal of Behavioral Medicine, 12(4), 278-85.

Carlson, L. E., Speca, M., Faris, P., & Patel, K. D. (2007). One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, Behavior, and Immunity, 21(8), 1038-49.

Carmody, J. and R.A. Baer, Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. J Behav Med, 2007.

Davis, J. M., Fleming, M. F., Bonus, K. A., & Baker, T. B. (2007). A pilot study on mindfulness based stress reduction for smokers. BMC Complementary and Alternative Medicine, 7(2), 1-7.

Biegel, G. M., Brown, K. W., Shapiro, S. L., & Schubert, C. M. (2009). Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 77(5), 855-66.

Chiesa, A. & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: A review and meta-analysis. Journal of Alternative and Complementary Medicine , 15(5), 593-600.

Gross, C., Cramer-Bornemann, M., Frazier, P., Ibrahim, H., Kreitzer, M. J., Nyman, J., et al. (2009). Results of a double-controlled trial of mindfulness-based stress reduction to reduce symptoms in transplant patients. Explore, 5(3), 156-156.

Bazzano, A., Wolfe, C., Zylovska, L., Wang, S., Schuster, E., Barrett, C., et al. (2010). Stress-Reduction and improved well-being following a pilot community-based participatory mindfulness-based stress-reduction (MBSR) program for parents/caregivers of children with developmental disabilities. Disability and Health Journal, 3(2), e6-7.

Goldin, P.R. and J.J. Gross, Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion, 2010. 10(1): p. 83-91.

Winbush, N.Y., C.R. Gross, and M.J. Kreitzer, The effects of mindfulness-based stress reduction on sleep disturbance: a systematic review. Explore (NY), 2007. 3(6): p. 585-91.

Rosenzweig, S., et al., Mindfulness-based stress reduction for chronic pain conditions: variation in treatment outcomes and role of home meditation practice. J Psychosom Res, 2010. 68(1): p. 29-36.

Mindfulness-Based Cognitive Therapy (MBCT)

Heidenreich, T., Tuin, I., Pflug, B., Michal, M., & Michalak, J. (1998). Mindfulness-Based cognitive therapy for persistent insomnia: A pilot study. Movement Disorders, 32, 692-698.

Williams, J. M., Teasdale, J. D., Segal, Z. V., & Soulsby, J. (2000). Mindfulness-Based cognitive therapy reduces overgeneral autobiographical memory in formerly depressed patients. Journal of Abnormal Psychology, 109(1), 150.

Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615-23.

Teasdale, J. D., Moore, R. G., Hayhurst, H., Pope, M., Williams, S., & Segal, Z. V. (2002). Metacognitive awareness and prevention of relapse in depression: Empirical evidence. Journal of Consulting and Clinical Psychology, 70(2), 275-87.

Ma, S. H. & Teasdale, J. D. (2004). Mindfulness-Based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31.

Coelho, H. F., Canter, P. H., & Ernst, E. (2007). Mindfulness-Based cognitive therapy: Evaluating current evidence and informing future research. Journal of Consulting and Clinical Psychology, 75(6), 1000-1005.

Bertschy, G. B., Jermann, F., Bizzini, L., Weber-Rouget, B., Myers-Arrazola, M., & van der Linden, M. (2008). Mindfulness based cognitive therapy: A randomized controlled study on its efficiency to reduce depressive relapse/recurrence. Journal of Affective Disorders, 107, 59-60.

Kuyken, W., Byford, S., Taylor, R. S., Watkins, E., Holden, E., White, K., et al. (2008). Mindfulness-Based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology, 76(6), 966-978.

Allen, M., Bromley, A., Kuyken, W., & Sonnenberg, S. J. (2009). Participants’ experiences of mindfulness-based cognitive therapy:“It changed me in just about every way possible”. Behavioural and Cognitive Psychotherapy, 37(4), 413-430.

Barnhofer, T., Crane, C., Hargus, E., Amarasinghe, M., Winder, R., & Williams, J. M. G. (2009). Mindfulness-Based cognitive therapy as a treatment for chronic depression: A preliminary study. Behaviour Research and Therapy, 47(5), 366-373.

Bondolfi, G., Jermann, F., der Linden, M. V., Gex-Fabry, M., Bizzini, L., Rouget, B. W., et al. (2010). Depression relapse prophylaxis with mindfulness-based cognitive therapy: Replication and extension in the swiss health care system. Journal of Affective Disorders, 122(3), 224-31.

Britton, W. B., Haynes, P. L., Fridel, K. W., & Bootzin, R. R. (2010). Polysomnographic and subjective profiles of sleep continuity before and after mindfulness-based cognitive therapy in partially remitted depression. Psychosomatic Medicine, 72.

Mindfulness-Based Relapse Prevention (MBRP)

Witkiewitz, K., Marlatt, G. A., & Walker, D. (2005). Mindfulness-Based relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy, 19(3), 211-228.

Witkiewitz, K., Marlatt, G. A., & Walker, D. D. (2006). Mindfulness-Based relapse prevention for alcohol use disorders: The meditative tortoise wins the race. Journal of Cognitive Psychotherapy, 19, 221-228.

Bowen, S., Chawla, N., Collins, S. E., Witkiewitz, K., Hsu, S., Grow, J., et al. (2009). Mindfulness-Based relapse prevention for substance use disorders: A pilot efficacy trial. Substance Abuse, 30(4), 295-305.

Witkiewitz, K. & Bowen, S. (2010). Depression, craving, and substance use following a randomized trial of mindfulness-based relapse prevention. Journal of Consulting and Clinical Psychology, 78(3), 362-74.

Chawla, N., Collins, S., Bowen, S., Hsu, S., Grow, J., Douglass, A., et al. (2010). The mindfulness-based relapse prevention adherence and competence scale: Development, interrater reliability, and validity. Psychotherapy Research, 4, 1-10.

Mindfulness-Based Childbirth and Parenting (MBCP)

Dumas, J. E. (2005). Mindfulness-Based parent training: Strategies to lessen the grip of automaticity in families with disruptive children. Journal of Clinical Child and Adolescent Psychology, 34(4), 779.

Altmaier, E. & Maloney, R. (2007). An initial evaluation of a mindful parenting program. Journal of Clinical Psychology, 63(12), 1231-1238.

Vieten, C. & Astin, J. (2008). Effects of a mindfulness-based intervention during pregnancy on prenatal stress and mood: Results of a pilot study. Archives of Women’s Mental Health, 11(1), 67-74.

Bögels, S. M., Lehtonen, A., & Restifo, K. (2010). Mindful parenting in mental health care. Mindfulness, 9(2), 1-14.

Duncan, L. G. & Bardacke, N. (2010). Mindfulness-Based childbirth and parenting education: Promoting family mindfulness during the perinatal period. Journal of Child and Family Studies, 19(2), 190-202.

Mindfulness-Based Relationship Enhancement (MBRE)

Carson, J. W., Carson, K. M., Gil, K. M., & Baucom, D. H. (2004). Mindfulness-Based relationship enhancement. Behavior Therapy, 35(3), 471-494.

Carson, J. W., Carson, K. M., Gil, K. M., & Baucom, D. H. (2006). Mindfulness-Based relationship enhancement (MBRE) in couples. In Baer, R (ed.). Mindfulness-Based Treatment Approaches: Clinician’s Guide to Evidence Base and Applications. Burlingham, MA: Academic Press, pp. 309-31.

Other Secularized Contemplative training programs:

Basic Mindfulness Program (BMP) [Link] –  Shinzen Young leads mini retreats that emphasize a specific theme such as working with emotions, managing physical discomfort, dealing with difficulty concentrating, maintaining practice in daily life and so forth. Taken together they represent a unified ongoing curriculum covering all facets of Mindfulness practice.

Young, S. (2000)Applications of Mindfulness Meditation in the Study of Human Consciousness. Towards a Science of Consciousness Conference. Tuscon, Arizona

Cultivating Emotional Balance (CEB) – A research project at the Santa Barbara Institute for Consciousness Studies

Stress Management and Relaxation Techniques in Education (SMART) [Link] – eight-week teacher renewal program, is designed specifically for (K-12) educators and administrators

Contemplation in Education – Garrison Institute Report [Link]

Davidson, RJ, Dunne, J, Eccles, JS,  Engle, A, Greenberg, M, Jennings, P, Jha, A, Jinpa, T, Lantieri, L., Meyer, D., Roeser, RW, Vago, DR. (in press) Contemplative practices and mental training: Prospects for American education. Child Development Perspectives.

Roeser, R.W. & Peck, S. (2009). An education in awareness: Self, motivation, and self-regulated learning in contemplative perspective. Educational Psychologis. [Link]

Mindsight [Link]

Integrative Program in Interpersonal Neurobiology with Dr. Dan Siegel

Siegel DJ. (2007). The mindful brain: Reflection and attunement in the cultivation of wellbeing. New York: Norton.

Benson-Henry institute for Mind-Body Medicine – Relaxation Response

[Link]

The Relaxation Response (RR) is a state elicited by techniques such as meditation. RR Intervention is a program developed by BHI that includes training in RR techniques and learning about the effects of stress on health.

Being With Dying Program

Professional training program in contemplative end-of-life care from Upaya

Short term “integrative body-mind training” (IBMT) improves self- and autonomic regulation

A group from Univ. of Oregon in collaboration with the Institute of Neuroinformatics and Laboratory for Body and Mind, Dalian University of Technology, Dalian, China has found more evidence (see 2007, 2009 and 2010 articles) that short-term meditation in the form of IBMT can improve self-regulation and components of attention.

What is IBMT? According to the authors, it was developed in the 1990s as a technique adopted from traditional Chinese medicine and incorporates aspects of meditation and mindfulness training. “IBMT achieves the desired state by first giving a brief instructional period on the method (we call it initial mind setting and its goal is to induce a cognitive or emotional set that will influence the training). The method stresses no effort to control thoughts, but instead a state of restful alertness that allows a high degree of awareness of body, breathing, and external instructions from a compact disc. It stresses a balanced state of relaxation while focusing attention. Thought control is achieved gradually through posture and relaxation, body–mind harmony, and balance with the help of the coach rather than by making the trainee attempt an internal struggle to control thoughts in accordance with instruction. Training is typically presented in a standardized way by compact disc and guided by a skillful IBMT coach”.

This group has been showing (2009) that Five days of integrative body–mind training (IBMT) (20 min/day) improves attention and self-regulation in comparison with the same amount of relaxation training. During and after training, the IBMT group showed significantly better physiological reactions in heart rate, respiratory amplitude and rate, and skin conductance response (SCR) than the relaxation control. Differences in heart rate variability (HRV) and EEG power suggested greater involvement of the autonomic nervous system (ANS) in the IBMT group during and after training. Imaging data demonstrated stronger subgenual and adjacent ventral anterior cingulate cortex (ACC) activity in the IBMT group. Frontal midline ACC theta was correlated with highfrequency HRV, suggesting control by the ACC over parasympathetic activity. These results indicate that after 5 days of training, the IBMT group shows better regulation of the ANS by a ventral midfrontal brain system than does the relaxation group.

The most recent 2010 article demonstrates that changes in white matter connectivity can result from small amounts of mental training. In this case, 11 h of IBMT increases fractional anisotropy (FA), an index indicating the integrity and efficiency of white matter in the corona radiata, an important white-matter tract connecting the anterior cingulate cortex (ACC) to other structures. 45 undergraduates to an IBMT or relaxation group for 11 h of training, 30 min per session over a 1-mo period. Before and after training we acquired brain images from each participant at rest for analysis of white matter by diffusion tensor imaging and gray matter by voxel-based morphometry.

The group goes a little far in speculating “IBMT could provide a means for improving self-regulation and perhaps reducing or preventing various mental disorders”, but the research is certainly promising for demonstrating plasticity in response to mental training

Buddhist Deity Meditation Temporarily Augments Visuospatial Abilities, Study Suggests

ScienceDaily (Apr. 28, 2009) — Meditation has been practiced for centuries, as a way to calm the soul and bring about inner peace. According to a new study in Psychological Science, a journal of the Association for Psychological Science, there is now evidence that a specific method of meditation may temporarily boost our visuospatial abilities (for example, the ability to retain an image in visual memory for a long time).

The question that this study addresses is whether meditation practice, specifically meditation on a Deity, or open presence allows practitioners to access a heightened state of visual-spatial awareness. What “heightened” actually refers to physiologically and behaviorally may refer to the ability to maintain complex images in the visual short-term memory for minutes or hours, which is rather long compared to a normal undergraduate student. Such sustained attention in the visualspatial domain may indicate a more developed attentional system and visual-spatial ability.

The researchers focused on two styles of meditation: Deity Yoga (DY) and Open Presence (OP). During DY meditation, the practitioner focuses intently on an image of deity and his or her entourage. This requires coming up with an immensely detailed, three-dimensional image of the deity, and also focusing on the deity’s emotions and environment. In contrast, practitioners of OP meditation believe that pure awareness cannot be achieved by focusing on a specific image and therefore, they attempt to evenly distribute their attention while meditating, without dwelling on or analyzing any experiences, images, or thoughts that may arise.

In these experiments, experienced DY or OP meditation practitioners along with nonmeditators participated in two types of visuospatial tasks, testing mental rotation abilities (e.g., being able to mentally rotate a 3-D structure) and visual memory (e.g., being shown an image, retaining it in memory and then having to identify it among a number of other, related images). All of the participants completed the tasks, meditators meditated for 20 minutes, while others rested or performed non-meditative acitivities, and then completed a second round of the tasks.

The results revealed that all of the participants performed similarly on the initial set of tests, suggesting that meditation does not result in an overall, long-lasting improvement of visuospatial abilities. However, following the meditation period, practitioners of the DY style of meditation showed a dramatic improvement on both the mental rotation task and the visual memory task compared to OP practitioners and controls.

These results indicate that DY meditation allows practitioners to access greater levels of visuospatial memory resources, compared to when they are not meditating. The authors state that this finding “has many implications for therapy, treatment of memory loss, and mental training.” Although, they conclude, future studies will need to examine if these results are specific to DY meditation, or if these effects can also occur using other visual meditation techniques.

Journal reference:

1. Kozhevnikov et al. The Enhancement of Visuospatial Processing Efficiency Through Buddhist Deity Meditation. Psychological Science, 2009; DOI: 10.1111/j.1467-9280.2009.02345.x

Zen Meditators Show faster return to resting state

Giuseppe Pagnoni, a Neuroscientist in the dept. of Psychiatry and Behavioral Sciences at Emory University just recently published a study on Zen Meditators and fMRI.

Using fMRI and a simplified meditative condition interspersed with a lexical decision task, they investigated the neural correlates of conceptual processing during meditation in regular Zen practitioners and matched control subjects. While behavioral performance did not differ between groups, Zen practitioners displayed a reduced duration of the neural response linked to conceptual processing in regions of the default network, suggesting that meditative training may foster the ability to control the automatic cascade of semantic associations triggered by a stimulus and, by extension, to voluntarily regulate the flow of spontaneous mentation. See the entire article published in PLoS ONE HERE.

The article received press in The New Scientist. “The closest thing to Jedi Mind Tricks” See HERE.