Read Clinical Handbook of Mindfulness Online
Authors: Fabrizio Didonna,Jon Kabat-Zinn
Tags: #Science, #Physics, #Crystallography, #Chemistry, #Inorganic
Munshiram Manoharlal Publishers Pvt, Ltd.
Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D.,
Santorelli, S., et al. (2003). Alterations in brain and immune function produced
by mindfulness meditation.
Psychosomatic Medicine, 65
(4), 564–570.
Dunne, J. D. (2007, March).
Mindfulness & Buddhist contemplative theory
.
Poster presented at the 2007 annual conference, Integrating Mindfulness-Based
Approaches & Interventions into Medicine, Health Care, and Society, Worces-
ter, MA.
Eysenck, M.W., Keane, M. T. (2000).
Cognitive psychology: A student’s handbook
.
New York: Psychology Press.
Germer, C., Siegel, R., & Fulton, P. (Eds.) (2005).
Mindfulness and psychotherapy
.
New York: Guilford Press.
Grepmair, L., Mitterlehner, F., Loew, T., & Nickel, M. (2006) Promotion of mindfulness
in psychotherapists in training and treatment results of their patients.
Journal of
Psychosomatic Research 60
(6), 649–650.
Grepmair, L., Mitterlehner, F., Loew, T., & Nickel, M. (2007) Promotion of mindful-
ness in psychotherapists in training: preliminary study.
European Psychiatry, 22
,
485–489.
Gunaratana, B. (2002).
Mindfulness in plain english
. Somerville, MA: Wisdom Publi-
cations.
Hayes, S., Follette, V., & Linehan, M. (Eds.). (2004).
Mindfulness and acceptance:
Expanding the cognitive-behavioral tradition
. New York: Guilford Press.
Hebb, D. (1949).
The organization of behavior: A neuropsychological theory
.
New York: Bantam Books.
Kabat-Zinn, J. (1990).
Full catastrophe living
. New York: Delacorte Press.
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and
future.
Clinical Psychology: Science and Practice, 10
(2), 144–156.
Kabat-Zinn, J. (2006, June 10). Some clinical applications of mindfulness in medi-
cal and mental health practice. In
Meditation in Psychotherapy
. Conference con-
ducted by Harvard Medical School, Boston, MA.
Langer, E. (1989).
Mindfulness
. Cambridge, MA: Da Capo Press.
Lazar, S., Kerr, C., Wasserman, R., Gray, J., Greve, D., Treadway, M., et al. (2005). Med-
itation experience is associated with increased cortical thinkness.
NeuroReport,
16
(17), 1893–1897.
Linehan, M. (1993).
Cognitive-behavioral treatment of borderline personality disor-
der
. New York: Guilford Press.
Lutz, A., Grelschar, L., Rawlings, N., Richard, M., & Davidson, R. (2004). Long-term
meditators self-induce high-amplitude gamma synchrony during mental practice.
Proceedings of the National Academy of Sciences, 101
(46), 16369–16373.
Chapter 1 Mindfulness
35
Rapgay, L. & Bystrisky, A. (in Press). Classical mindfulness: An introduction to its the-
ory and practice for clinical application. In Longevity and Optimal Health: Inte-
grating Eastern and Western perspectives.
Annals of the New York Academy of
Sciences
.
Segal, Z., Williams, J., & Teasdale, J. (2002).
Mindfulness-based cognitive therapy for
depression: A new approach to preventing relapse
. New York: Guilford Press.
Siegel, D. (2007).
The mindful brain
. New York: W.W. Norton.
Simon, R. (2007). The top ten.
Psychotherapy Networker
, March/April, pp. 24, 25, 37.
Singh, N., Wahler, R., Adkins, A., & Myers, R. (2003). Soles of the feet: a mindfulness-
based self-control intervention for aggression by an individual with mild mental
retardation and mental illness.
Research in Developmental Disabilities, 24
(3),
158–169.
Smith, J. (2004). Alterations in brain and immune function produced by mindfulness
meditation: three caveats.
Psychosomatic Medicine, 66
, 148–152.
Teasdale, J., Moore, R., Hayhurst, H., Pope, M., Williams, S., & Segal, Z. (2002).
Metacognitive awareness and prevention of relapse in depression: Empirical evi-
dence.
Journal of Consulting and Clinical Psychology, 70
(2), 275–287.
Teasdale, J., Segal, Z., & Williams, J. (1995). How does cognitive therapy prevent
depressive relapse and why should attentional control (mindfulness) training help?
Behaviour Research and Therapy, 33
, 25–39.
Toyomasu, K. G. (2001, January 10). Haiku for People. Retrieved July 20, 2007 from
http://www.toyomasu.com/haiku/#basho
Walsh, R. & Shapiro, S. (2006). The meeting of meditative disciplines and west-
ern psychology: A mutually enriching dialogue.
American Psychologist, 61
(3),
227–239.
2
Mindfulness and Meditation
Andrew Olendzki
What should be done for his followers by a teacher with compassion
and care for their welfare, that I have done for you. Here are the roots
of trees. Here are empty places. Meditate! Do not be lazy. Do not be
ones who later have regrets. This is my instruction to you.
Buddha (Majjhima Nik¯
aya 8)
As words become more widely used, and especially as they become
fashionable, they may often become more difficult to understand. One might
think it would be the other way around, but this obfuscation of meaning
has generally been the rule with the popularization of Buddhist vocabulary.
While each had a precise technical meaning in its original context, terms like
zen, yoga, karma, and nirvana can mean almost anything the modern writer
wants them to mean. A similar trend may well be underway with
mindful-
ness
, and perhaps even with the more general word
meditation
. Understand-
ing the sense in which these words are used in their original setting should
prove to be a worthwhile undertaking as we see them applied in the current
creative encounter between psychology and Buddhist thought.
What Is Meditation?
The traditional sense of meditation in Western culture, before significant
encounter with Asian practices, involves sustained consideration or thought
√
upon a subject. Originating from the Indo-European root
med
, primarily
meaning “to measure,” it suggests a discourse upon a subject (as in the title
of Descartes’ famous work) or calm thought upon some subject (as with
structured religious prayers). As such, it is always an exercise of ordered
conceptual contemplation, involving the systematic and disciplined use of
language, symbol, and concept. As we shall see, this is exactly what one is
not
doing in mindfulness meditation. While such a structured exploration of
a conceptual landscape can be important to some forms of psychotherapy
that focus on reframing the narrative of one’s prior experience, most forms
of Buddhist meditation are working in the other direction, toward less con-
ceptual modes of consciousness.
The most common word for meditation in the classical languages of
Buddhism (Sanskrit and Pali) is
sam¯
adhi
. The etymology of this term sug-
√
gests gathering (
sam
-) the mind and placing (
dh¯
a) it upon (
-¯
a-
) an object.
In this broad sense, its meaning seems similar enough to English usage, but
there is a subtle and crucial difference between the Western and Buddhist
understanding of how the mind operates. As mentioned in the previous
37
38
Andrew Olendzki
chapter, experience ensues from the confluence of three things: conscious-
ness, an organ, and an object. An organ cognizes an object; an object is cog-
nized by an organ; consciousness of an object arises by means of an organ—
these are three ways of describing the same event. What we consider concep-
tual thinking is only one of six modes of the mind, the other five being sen-
sory, so meditation may or may not involve conceptual thought. Placing the
mind upon a sensory object is just as much meditation as placing the mind
upon a conceptual object, and it is not possible to do both at once. The point
here is that while in Western usage meditation generally assumes the exer-
cise of “thinking about” something, in Buddhism it may mean this, but more
often refers to placing the mind upon physical sensations, upon raw sights or
sounds, or upon the tangible objects of smell and taste. This gives it a wider
range of meaning, and this difference will become important.
The primary characteristic of meditation, and the term most often used
to define it, is
ekaggat¯
a
, which literally means one (
ek
-) pointed (
-agga-
)
ness (
t¯
a
). Meditation is about focusing the mind to a single point, unifying
it, and placing it upon a particular object. To some extent this happens natu-
rally every mind moment, and it if did not, there would be a serious lack of
cohesion to mental experience. According to Buddhist models of mind, con-
sciousness takes a single object at a time and organizes various supporting
mental functions around it. This can be construed as a single episode of con-
sciousness, which is essentially an event that takes place rather than some-
thing that exists. The knowing of a particular object by means of a particular
organ arises in response to a stimulus, persists for only a very brief moment,
and then passes away almost immediately. Another mind moment arises right
away in response to another stimulus, and this too immediately ceases. Sub-
jective experience presents itself to us as a stream on conscious moments;
the sense of continuity, and of subject and object stability, is projected onto
the stream much as a narrative is constructed from rapidly presented frames
of a movie. One-pointedness is a factor in every frame, for each moment
has a single focus, but concentration meditation has to do with extending
this singularity of focus over multiple ensuing mind moments. Using the cin-
ema image further, concentration meditation is like holding the video camera
steady for a long time—one takes multiple pictures of the same scene.
This is something that does not come easily to the human mind and must
be practiced diligently if the skill is to be learned. We have evolved to stay
alert to all significant changes to our environment, and attention is naturally
drawn to sensory data that is out of the ordinary or that presents in sudden
or unexpected ways. Like a bird or chipmunk, rapidly casting around in all
directions to check for danger, our mind is habituated to lurching rapidly
from one sense object to another, or from one thought to another. As anyone
who has practiced meditation can attest, or as you can discover for yourself
in a few moments, holding the mind steady on a single object, such as the
breath or a repeated word, is exceedingly difficult to do. But like so many
other things, it is a skill that can be learned through patient and diligent
practice. Much of Buddhist meditation is a process of placing the mind on a
particular object, often called the primary object, and then noticing (sooner
or later) that it has wandered off that object. When one notices this, one
gently and forgivingly abandons the train of thought the mind has boarded
and returns the attention once again to the primary object. This process is
Chapter 2 Mindfulness and Meditation
39
then repeated again and again: The mind is placed on a particular object;
it wanders off on trails of association, reverie, recollection, judgment, plan-
ning, verbalizing, conceptualizing, calculation, commentary, fantasy, and day-
dream, only to be carefully and patiently retrieved from its adventuring and
settled back upon the primary object.
Obstacles to Meditation
As with every other learned skill, people have differing aptitudes for med-
itation; make progress in an apparently endless series of breakthroughs,
plateaus, and reversals; and can experience repeated episodes of triumph
and failure in rapid succession. Any given meditation session might be influ-
enced by how comfortable the body is, how much sleep one has had
recently, the overall state of health, the temperature in the room, whether
one has a problem on the mind or is working through some emotional
issues—all sorts of factors. An interesting feature of the traditional Buddhist
understanding of meditation is that it is always influenced by one’s overall
ethical behavior. The ability of the mind to concentrate is directly hampered
by such acts as deliberately harming living creatures, taking what has not
been given, speaking untruthfully or harshly, misbehaving sexually, or tak-
ing intoxicants of various kinds. Thus, the ethical precepts of Buddhism are
a matter of great practical importance, rather than mere moral injunction.
But if one is relatively free of the remorse and emotional turmoil that can
come from unhealthy behavior, it is reasonable to expect significant progress