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Dougherty 1
I. Introduction & Integration
While the concept of mediation is considered to be a private devotion
or mental exercise, it encompasses various techniques of concentration,
contemplation, and abstraction--similarly to distraction. Most interestingly, it
is often regarded as conducive to heightened spiritual awareness or somatic
calm. This is particularly relevant for this work on the basis that this is a very
limited summation of the capacity mindful mediation and mindfulness posses.
Moreover, from an empirical perspective, it is important to clarify the
differences between mindfulness as a principle, mindful mediation as a
practice, the idea of Zen, and Buddhism in psychology.
The principle of mindfulness is most present in the usage of Dialectical
Behavioral Therapy (which will be elaborated on later) to treat complex
personality disorders, mood disorders, and addictions. Particularly within the
structure of DBT, mindfulness is interpreted as the gateway and entry point
to all other mechanisms and skills for leading a balanced and healthy life. As
is also the case with Buddhist doctrines regarding Right Mindfulness, which
will also be further addressed later in this work. Mindfulness is rooted in
several assumptions about the exterior world; for example, that in any given
moment, one must try to take a non-judgmental stance towards all things to
avoid taking short cuts in one’s emotional paradigm [De Silva 2000].
Secondly, the practice of mindful mediation can be exercised in a
variety of ways. To name a few, mindfulness exercises include grounding
work, which consists of focusing intently on detail and visual concentration to
take away from consuming or inappropriate thoughts. Another mindfulness
exercise being abstraction, usually played in the form of a game where the
goal is to fully engage one’s self in the task at hand. That being said, the
thematic purpose of all mindfulness exercises is bring oneself into the present
moment, enhance the mind-body connection through sincere self-awareness,
and is conceptualized as an act of self-care.
Transitionally, the idea of Zen is an ancient and important school of
East Asian Buddhism that constitutes the mainstream monastic form of
Mahayana Buddhism, and the word derives from the Sanskrit “dhyana”,
meaning mediation [De Silva 2000]. While the overlap between mindful
mediation and Zen make exist within semantics, Zen is more closely identified
with the “spontaneous expression of artistic or spiritual vitality regardless of
context” (Britannica Encyclopedia 2013), which does fit within the frame of
DBT, an act of self-care and creative expression, that has a balancing benefit
for the participating individual.
Lastly, Buddhism in psychology is a fascinating combination of classical
Buddhist doctrines and their modern psychology counterparts, paradigms,
and theories. Within the psychoanalytic community, mindful meditation is
comprised of three dimensions that are particularly relevant to the affective,
interpersonal, and intrapersonal empirically supported benefits of
mindfulness. Moreover, affective states are those brought on by an external
stimulus, the interpersonal dimension is comprised of one’s consequential
interactions with the external, and the intrapersonal dimension consists of
the internal dialogue and narrative. That being said, while it may be assumed
that all forms of mediation practice evoke equal benefit to the practitioner,
research suggests otherwise. In fact, different styles of meditation elicit
different patterns of brain activity. For example, mindfulness meditation, (e.g.
focusing on a mantra), has been shown to stimulate the middle pre-frontal
brain associated with both self-observation and metacognition, and foster
specific attentional mechanisms more than concentrative forms of meditation
[Davis et al. 2011].
Furthermore, while a number of other mediation practices including
Tibetan and Zen Buddhist styles also cultivate mindfulness, mindfulness
meditation is typically used synonymously with “Vipassana, a form of
mediation that derives from Theraveda Buddhism” (Gunaratana, 2002).
Vipassana is a Pāli word for insight or clear awareness and is a practice
design to gradually develop mindfulness or awareness. Lastly, (Siegel, 2009)
has proposed a neurological basis for the connection between mindfulness
and insight, and research discussed later in this work has begun to support
this proposition. As we progress into the 21st century, the field of psychology
finds itself more and more engaged in dialogue with Buddhism, an obviously
much more ancient text. Regardless, the current trend towards research and
clinical work in mindfulness meditation has been validated for the treatment
of depression, anxiety/mood disorders, and personality disorders.
Structurally, Buddhist texts are traditionally written in the form of suttas
(sutra, in Sanskrit), which are “usually told in the form of a story about
Buddha teaching a concept or giving a lesson” (Kumar, 2006). Additionally,
they are written in a very repetitive fashion, likely to facilitate memorization.
Interestingly, clinicians can use these repetitive metaphors very practically in
clinical work to convey relevant concepts to patients, especially in teaching
concepts related to mindfulness through mantra repetition, for example.
Historically, Buddhist psychology encompassed “an intricate branch of
discourse that required rigorous training and specialization” (Kumar, 2006).
Thoughts, feelings, motivations, and behaviors were painstakingly
categorized. Even still, the many concepts that parallel contemporary
psychology thinking, but emerged thousands of years ago from a
predominantly monastic setting, are fascinating [De Silva 2000]. Arguably, the
greatest recent dialogue between Buddhist and contemporary psychology
seems to be within a cognitive-behavioral context; managing both conscious
and unconscious actions, behaviors, and cognitive distortions.
“While the discourse between Buddhism and psychology is still
in its early stages, the analysis of psychological phenomena in
Buddhist literature offers significant insights into the nature of
consciousness and the psychology of human behavior” says De
Silva in his 2000 work, Introduction to Buddhist Psychology.
And so, in the literature that has shaped Buddhist Psychology and its very
thorough framework, we see relationships between Buddhist psychology and
Freudian psychoanalysis, the humanistic model, behavior therapies, and
existential therapy. That being said, Buddhism is said to offer “significant
points of convergence with psychoanalysis, humanistic psychology, and
existential therapy, whereas the model of behaviorism offers some significant
points of difference” (De Silva, 2000).
Most interestingly, the concept of unconscious motivation is also
existent in Buddhism. In both Buddhist thought and Freudian psychoanalysis,
unconscious motivation is considered a production of an ego-state derived in
attachment and anxiety. Moreover, Buddhist literature articulates that the
craving for pleasurable excitement is fed ‘by deeper undercurrents’—
pleasurable feeling that induces an attachment to pleasant objects, which
then rouse latent conceit, greed, anxiety, and desperation [De Silva, 2000]. In
Buddhist thought as well as in contemporary psychology, we acknowledge
the relevance of our deepest natures playing a role in our existence and
guiding our choices. “The mind is not an unchanging soul, but a dynamic
continuum in which is stored the residue of emotionally charged memories
going back to childhood” (De Silva, 2000). While Buddhism considers the
concept of the ego to be the seat of anxiety, the ego-anxiety linkage truly does
offer a particularly interesting point of intersection with Freudian
psychoanalysis.
Conversely, there is a subtle difference between the two ideologies, and
is in regards to the perspective with which they are mutually put into
practice. Freud once said his only aim was to “transform hysterical misery
into common unhappiness” (De Silva, 2000). Buddhism, on the other hand,
offers a more positive path for growth by being based in a spiritual and
ethical dimension, and rooted in a healthy relationship with one’s self [De
Silva 2000].
II. Practice & Process
What are the psychotherapeutic benefits and primary targets of
mindfulness? In recent years, mindfulness has moved from a largely obscure
Buddhist concept to a mainstream psychotherapy concept, enjoying
tremendous success in the past decade. Owing most of its notoriety to
mindfulness-based stress reduction therapies and the “central role” of
mindfulness in Dialectical Behavioral Therapy, the consensus amongst these
communities is that everyone would benefit from being mindful. Among its
theorized benefits are self-control, increased objectivity, enhanced
psychological flexibility, equanimity, improved concentration and mental
clarity, emotional intelligence, the ability to relate to others and one’s self
with kindness, acceptance, and compassion. For semantic purposes, the word
mindfulness originally comes from the Pali word sati, which means having
awareness, attention, and remembering (Bodhi, 2000). It can also be
conceptualized as “moment-by-moment awareness” (Germer et al. , 2005, pg.
6) or as a state of “psychological freedom that occurs when attention remains
quiet and limber, without attachment to any particular point of view” (Martin,
2007, pg. 291). Mindfulness does possess commonalities with other existing
psychotherapeutic approaches such as mentalization, the “developmental
process of understanding one’s own thoughts, feelings, and desires” Davis,
Hayes, 2011). However, mindfulness differs from mentalization in that
mindfulness is both being aware of the “reflective self”, and the practice of
fully experience the rising and falling of mental states with acceptance and
without attachment and judgment [Hayes, 2011].
In a study conducting an examination of trait mindfulness, otherwise
known as a natural affinity for mindfulness and balance in one’s life, the
practice of mindfulness as “a form of neurobiologically-proven awareness”
has indicated that those who meditate more frequently have less neural
reactivity to emotional stimulation (Farb et al. 2010). Additionally, this
investigation included the relationships among mindfulness, depressive
symptoms, and neural activity in a non-clinical sample of adults. Trait
mindfulness was found to be inversely related to amygdala activity when
participants were in a resting state; whereas amygdala activity indicates
activity deep in the brain as the primary processing center of guilt, shame, self
loathing, along with other depressive and ego-based emotions. The study also
revealed decreases in rumination scores were significantly predicted by
participants’ amount of meditation practice, as well as demonstrating that
mindful meditation enables people to become less reactive and have greater
psychological flexibility (Siegel, 2009). Research suggests that states
experienced during mindful meditation eventually become effortless traits
over time, with less and less dysfunctional emotional interference over time
(Farb et al., 2007; Siegel, 2007).
The relevance of mindfulness and the psychological process is
exhibited in a study conducted by (Cahn & Polich 2009) which displayed
other benefits of mindfulness included increased processing speed, decreased
task effort, quicker return to emotional baseline, (otherwise known as a
neutral emotional state), and having fewer thoughts unrelated to the task at
hand. In addition, (Lutz et al., 2009) conducted research that implies that due
to increased attentional skills and increased ability to manage distractions,
one who practices mindfulness meditation may have a subsequent increased
ability to be present.
In addition to affective and interpersonal benefits, mindfulness has
been shown to enhance functions associated with the middle pre-frontal lobe
area of the brain, which processes self-insight, morality, intuition, and fear
modulation (Siegel, 2009). Consequently, mindfulness has been shown to
reduce psychological distress and then increase neuroplasticity—the
rewiring that occurs in the brain as a result of experience, which now explains
how regular mindful mediation practice alters the brain’s physical structure
and functioning (Davidson et al., 2003). Changes in the structure of the brain
include thicker brain regions associated with attention, sensory processing,
and sensitivity to internal stimuli, as well as distinct gray matter
concentrations, and thicker brain stems, which many account for the positive
cognitive and emotional benefits (Vestergaard-Poulsen et al., 2009). These
brain morphometry will also be elaborated on further.
Lastly, in a study that investigated self-compassion in relation to
mindfulness, it was discovered that two components of mindfulness:
nonjudging and nonreacting; were strongly correlated with self-compassion
and two dimensions of empathy: taking on others’ perspectives, and reacting
to others’ affective emotional experiences. It was concluded that self-
compassion fully mediated the relationship between perspective-taking and
mindfulness. Most importantly, across all of these studies, after an average of
nine weeks of training in mindful meditation, trainees who meditated
experienced greater reductions in overall depressive symptoms, faster rates
of emotional change and return to emotional neutrality, scored higher on
measures of well-being, and perceived their treatment to be more effective.
III. The Collective Roots
Understanding the classical roots of Zen Buddhism, mediation, the
directions clinical psychology has taken since its convergence, and where the
two have coincided since, is a very important facet of understanding this
interdisciplinary connection. Excluding the contemporary dialogue between
Buddhism and psychology, a truly thorough grasp of Buddhist doctrine(s) is
not feasible without an understanding of concepts of the mind, cognition and
motivation, and of the nature of emotion and personality [De Silva 2000]. In
1940, pioneering work conducted by a western psychologist studied the
psychology of nirvana said:
“Anybody with a good knowledge of psychology and its history
who reads the Pāli nikayas must be struck by the fact that the
psychological terminology is richer in this than any other ancient
literature and that more space is devoted to psychological
analysis and explanations in this that in any other religious
literature” (De Silva, 2000).
From a classical perspective, mindfulness occurs in the Buddhist
scriptures in many contexts and is a member of several groups of doctrinal
terms. In the words of Thera, mindfulness is, “the unfailing master key for
knowing the mind, and is thus the starting point; the perfect tool for shaping
the mind, and is thus the focal point; the lofty manifestation of the achieved
freedom of the mind, and is thus the culminating point” (Thera, 1996). More
specifically, the Buddha-Message, as a Doctrine of the Mind, aims to teach
three things: to know the mind, that is so near to us and yet so unknown; the
shape the mind, that is so unwieldy and obstinate, and yet may turn so pliant;
and to free the mind, that is in bondage all over, and yet may win freedom
here and now [Thera 1996].
Furthermore, ‘Right Mindfulness’ is the seventh factor of the ‘Noble
Eightfold Path leading to the Extinction of Suffering’ that constitutes the fourth
of the Four Noble Truths. In a threefold division of the eightfold path—into
Virtue, Concentration, and Wisdom—Right Mindfulness belongs to the second
group, Concentration (samādhi), together with Right Effort and Right
Concentration [Thera 2006]. Mindfulness is the first of seven Factors of
Enlightenment; Thera explains that mindfulness is not only first in the order
of enumeration, “but because it is basic for the full development of the other
six qualities” (Thera 2006). Moreover, “direct experiential insight into reality
can be accomplished only with the help of the enlightenment factor
Mindfulness.
The place of mindfulness in Buddhist doctrine can also be observed among
the five Faculties; where as the other four are confidence, energy,
concentration, and wisdom. Mindfulness as a principle, apart from being a
faculty in its own right, has the important function of watching over the even
development and balance of the other four, in particular of confidence, or
faith in relation to wisdom and intellectualism, and of energy in relation to
concentration, or inner calm [Thera 2006]. Again, similarly to Dialectical
Behavior Therapy, mindfulness is the entry point into all other skills.
In the practice of awareness (a facet of mindfulness) as a form of
psychotherapy, it may be as simple as repeating words like, “rising, falling” in
connection with a breathing exercise. This type of systematic exercise was
used in India and China several centuries before the birth of Christ. Such
practices, often associated with religious belief, were empirically not common
in Europe until near the end of the Middle Ages (Meyer, 1971). During the
later sixteenth and seventeenth centuries, they become almost fashionable,
but after the Quietist controversy, fell into being considered to encourage
laziness. Within the past decades, particularly in western psychoanalytic
communities, mindful meditation exercises are resurfacing with immense
success. Almost identical to these very ancient Chinese and Indian practices,
mindful mediation exercised today using a mantra, are successfully treating
addiction, personality disorders, etc.
Semantically, the scientific community embraces mindful meditation as a
practice of awareness and it is arguably the least emotionally loaded name for
this exercise. While it is an effort in the practice of thinking, it is clear that it is
an attempt to learn to control thought, what Jung called the thinking function
(Meyer, 1971). It is also necessary to note that if this thinking
function/practice of awareness is overdeveloped, it can interfere with other
functions like feeling and intuition, especially the spontaneity essential to
sexual, artistic, and athletic achievement [Meyer, 1971]. Moreover, thinking
includes thoughts about the past, present, and future. Remembering the past
and looking into the future, if indulged in to excess, can result in depression
and anxiety, in addition to a warped self-perception. “Watts writes: One of our
greatest assets for survival is our sense of time, our marvelously sensitive
memory, which enables us to predict the future from the patterns of the past”
(Meyer, 1971). Over the past few decades the scientific community has really
abandoned this Cartesian concept of all-powerful man and the superiority of
humans to all other species on Earth. One could argue that in the modern day,
even the Neurobiology community would renounce this assumption. The
reality is that the brain’s mechanisms and affinities for recording and process
experiences, information, and stimulation are complex, fragile, and even
flawed.
IV. Mindfulness on Mental Disorders
A foundational understanding of reward/control and pleasure/pain
appraisal pathways in the brain is now being used as neurochemical markers
of substance abuse and addiction in the greater understanding of
mindfulness. Primarily, the lateral thalamus and primary somatosensory
cortex (SI) are associated with sensory experience of noxious processing, and
the anterior cingulate and insular cortices have been repeatedly associated
with the emotional response to pain. Furthermore, the hippocampus has been
proposed to mediate emotional and avoidance responses to noxious stimuli, a
suggestion supported by functional MRI (fMRI) studies, which have also
shown differential hippocampal activation dependent on the anticipated level
of pain intensity (Grant et al., 2010).
Over the past few years, it has also become evident that a substantial
amount of plasticity can occur within the nociceptive pathways (neurons that
generate action potentials and responses to pain). For example, many chronic
pain conditions have now been associated with more or less gray matter in
pain-related regions (May, 2008). This is consistent with the notion that long-
term changes in experiencing pain are associated with specific modifications
in gray matter, reflecting altered neural processing of nociceptive signals, and
essentially, a changed brain structure.
Humans suffer heavily from substance use disorders and other
addictions. Despite much effort that has been put into understanding the
mechanisms of the addictive process, treatment strategies have remained
suboptimal over the past several decades. As we now know, mindfulness
training is thoroughly based in ancient Buddhist models of human suffering,
and has recently shown success in treating addictions. What’s more, these
ancient models show remarkable similarity to current models of the addictive
process, especially in their overlap with operant conditioning (positive and
negative reinforcement). Most importantly, these ancient models provide
explanatory power for the mechanisms of mindfulness training; including its
effects on core addictive elements, such as craving, and the underlying
neurobiological processes that occur.
In looking at the ‘birth’ of an addiction (Brewer et al., 2013) studied the
acquisition of nicotine dependence. Though a complex process, it is developed
in part from the formation of associative memories between smoking and
both positive (i.e. after a good meal) and negative (i.e. when stressed)
affective states. Subsequently, cues that are judged to be positive or negative,
a process that usually happens immediately, subconsciously, and without
awareness, can induce positive or negative affective states, which then trigger
the craving to smoke. Additionally, neutral cues that have been classically
conditioned may directly trigger craving (Brewer et al., 2013). Though the
centrality of craving remains controversial, this process sets up both positive
and negative reinforcement loops, by reinforcing the associative memories
between these affective states and smoking. Consequently, this results in
what has been labeled “the addictive loop”. Through repeated smoking, this
addictive loop may become automated or habitual, leading to cue-induced
behavior that is largely outside of consciousness, let alone conscious control
[Brewer et al., 2013].
Alternatively, the therapeutic model offered in early Buddhist texts
aims at explicating suffering, its cause, the possibility of a cure, and the
interventions required to achieve that cure. Suffering is caused by many
varieties of craving, or more literally translated “thirst”; of particular
relevance here is “craving for sense pleasure” (Brewer et al., 2013). It is
through the “relinquishment, release, and letting go” of craving that suffering
is cured (Dhammacakkappavattana Sutta: Setting in Motion the Wheel of
Truth [SN 56.11], 2010), Brewer et al. 2013). It appears that through a
relatively simple psychological intervention, this relinquishment of craving
may be achieved. Buddhist psychological models distinguish bodily, affective,
cognitive, volitional, and conscious components of emotional reactions to
triggers and offer a detailed analysis of the causal relationships between
these differentiated processes, termed “dependent co-origination” (Brewer
et al., 2013). In this process, craving is said to result from a process based in
automated affective reactions to perceptual stimuli. Meaning, when
environmental cues are registered through the senses (and here thoughts are
included within the five senses), an “affective tone” automatically arises that
is typically felt as pleasant or unpleasant, and the valence of this affective tone
is conditioned by associative memories that were formed from previous
experiences. Therefore, a desire or craving arises as a psychological urge to
act or perform a behavior and the craving is for the continuation of pleasant
or the cessation of unpleasant feeling tones. This craving not only motivates
action, but also fuels the “birth” of a self-identity around the sense object
(Brewer et al., 2013). By creating a link between action and outcome that gets
laid down in memory and repeatedly self-validated, the individual learns that
smoking (the action) decreases unpleasant feelings such as negative affect
and craving, and starts forming a behavior pattern related to these affective
reactions. (ADD HOW MEDITATION BREAKS CYCLE)
Additionally, Zen meditation has been associated with low sensitivity
on both the affective and sensory dimensions of pain. Given reports of gray
matter differences in brains of meditators, chronic pain patients, and a
control group, one study in particular, Grant et al., 2010, investigated whether
differences in brain morphometry (change in bran structure) are associated
with the low pain sensitivity observed in Zen practitioners. Structural MRI
scans were scans were performed; revealing meditators had significantly
lower pain sensitivity than members of the control group. Assessed across all
subjects, lower pain sensitivity was associated with thicker cortices in
affective and pain-related brain regions. These activated and notably thicker
regions of the brain include the anterior cingulate cortex, bilateral Para
hippocampal gyrus, and anterior insula. These parts of the brain mutually
process the salience of emotion and motivational information including
perception, motor-control, self-awareness, cognitive functioning, and
interpersonal experience. Comparing groups, meditators were also found to
have thicker cortex in the dorsal anterior cingulate and bilaterally in the
secondary somatosensory cortex—meaning the reward anticipation, decision-
making, empathy and impulse-control pathways of the brain were also
activated and structurally altered. Additionally, more years of mediation
experience was associated with thicker gray matter in the anterior cingulate,
and hours or experience predicted more gray matter bilaterally in the
somatosensory cortex. In summary, results suggested that pain sensitivity is
related to cortical thickness in pain-related regions, and that the lower
sensitivity observed in meditators is the product of alterations to brain
morphometry from long-term practice (Grant et al., 2010).
The cultivation of a state of equanimity toward one’s experience—the
goal of many meditative practices—is now traditionally viewed as vitally
important to a healthy mind. Consistent with an influence on affective
processing, meditation has been found to have a positive impact on chronic
pain patients. Over the course of five years, Kabat-Zinn reported on a group of
225 chronic pain patients who had completed the Mindfulness-Based Stress
Reduction (MBSR) program (Kabat-Zinn, 1987). Follow-up evaluation at four
years showed stable improvement on most measures, with the exception of
pain intensity. This led the authors to conclude that MBSR teaches an effective
coping strategy for pain; whereby the physical sensation itself remains
unchanged, but the patients’ emotional reaction toward or even acceptance of
the pain is positively altered. Improvements, specifically in pain acceptance,
have been reported following as little as eight-week MBSR programs.
In a study examining whether an empirically and theoretically derived
treatment combining mindfulness- and acceptance-based strategies with
behavioral approaches would improve outcomes in generalized anxiety
disorder (GAD), these newly implemented were more successful than
empirically supported treatment [Hayes et al. 2013]. Generalized Anxiety
Disorder (GAD) is a chronic anxiety disorder associated with high
comorbidity (a propensity for multiple disorders), reduced quality of life, and
significant health care utilization (Hoffman et al., 2008). Meta-analyses
revealed that cognitive behavioral therapies are effective for GAD, however,
GAD remains one of the least successfully treated of the anxiety disorders. In
fact, most studies are finding that less than 65% of patients meet criteria for
high end-state functioning (successfully managing one’s life) at post
treatment, and few studies even addressing the impact of treatment on
quality of life. Several researchers have aimed to refine and expand existing
models of GAD in an effort to more clearly identify casual and maintaining
factors to target in therapy (Behar, DiMarco, Hekler, Mohlman, & Staples,
2009).
That being said, recent randomized controlled trials (RCTs) informed
by these models indicate that targeting the intolerance of uncertainty and the
interpersonal and emotion-focused aspects of GAD (Newman et al., 2011) yield
effects comparable to existing cognitive behavioral therapies for GAD.
Supported by research comparing individuals with and without GAD, these
models suggest that those with GAD have a problematic relationship with
their internalized experiences characterized by a narrowed attention towards
threat, and a critical judgmental reactivity toward their emotional responses
and thoughts (Wells & Carter 1999). This reaction to internal experiences
motivates individuals with GAD to engage in experiential avoidance and that
in turn affects behavior. As a result, individuals with GAD are less likely to
consistently engage in behaviors that are important to them (i.e. valued
actions and choices), and hence experience a diminished quality of life (Hayes
et al., 2013).
These models then led to the development of an acceptance-based
behavior therapy for GAD, a flexible treatment adapted from traditional
cognitive behavioral therapy (CBT) as well as from other acceptance-based
therapies (ABBT), which include Acceptance and Commitment Therapy,
mindfulness-based cognitive therapy, and dialectical behavior therapy; all of
which explicitly target the aforementioned neuro- and behavioral
mechanisms of GAD. In particular, this ABBT aims to help people to cultivate
an expanded (as opposed to narrowed, threat-focused) awareness along with
a compassionate (as opposed to judgmental) and decentered (as opposed to
seeing thoughts and feelings as all-encompassing indicators of truth) stance
toward internal experiences. These new skills reduce rigid experiential
avoidance, as does the explicit promotion of accepting and willing stance
toward internal experiences; behavioral avoidance and construction are
targeted by encouraging patients to identify and mindfully engage in
personally meaningful actions [Hayes et al., 2013].
We can now see that stimuli with strong affective valence capture and can
even consume our attention. In the case of treating addictions, this can
impede the self-regulation of impulses, because preoccupation with a
tempting stimulus such as alcohol may lead to continued activation of
automatic affective responses to that stimulus, increasing the likelihood of
approach and consumption. The influence of attentional biases on self-
regulation failure can be understood from dual-process models of the mind.
For example, one model proposes that an impulsive system in which
information elements are related through associative links such that the
presence of a stimulus automatically (subconsciously) activates an associated
element (i.e. alcohol = good). Subsequently, a reflective system in which
information elements are related through volitional (conscious) assigning of
truth-value to propositions allows one to process whether or not consuming
the stimuli is a compulsion or desire that can be managed. That being said,
self-regulation may benefit from variables that weaken the relationship
between salient stimuli (like alcohol) and cognitive perception with those
stimuli (the belief that it is good). Recent research shows that mindfulness
and executive control reduce the link between automatic affective responses
to alcohol and alcohol consumption. Furthermore, as can be seen from this
example, the impulsive system can influence the content on which the
reflective system operates, and this influence can occur through multiple
pathways. Primarily, the impulsive system can affect the process through
which content enters the reflective system: Dual-process models propose that
stronger associative links increase the accessibility of the content in the
impulsive system, making it more likely to enter the reflective system (Ostafin
et al., 2013). Once the associations have been transformed into propositions,
processing in the reflective system can lead to either endorsement on
consuming the stimuli, or rejection. In the case of rejection, the strength of the
associations in the in the impulsive system is proposed to influence the ability
to inhibit and disengage from alcohol-related thoughts. In both emotion and
addiction, researchers suggest that a stronger association between a stimulus
and valence (the salience of the stimuli) will increase the likelihood of
cognitive preoccupation with that stimulus (Ostafin et al., 2013)
In a study conducted by (Ostafin et al., 2013), the authors examined
whether mindfulness and executive control may similarly decouple the
relation between automatic affective responses and difficulty in disengaging
attention from alcohol-related thoughts. While their main hypothesis
regarded the moderators of a relation between automatic affective responses
to alcohol and cognitive preoccupation with alcohol, they also hypothesized
that the relation between automatic alcohol-valence associations and
preoccupations would be moderated by both mindfulness and executive
control. Mindfulness and executive control have been proposed to be
overlapping processes in that mindfulness training involves the control of
attention and should, thus, improve attentional skills. Recent studies support
this idea with findings that mindfulness training improves performance on
measures of executive control (Ostafin et al., 2013). Results in this study
showed that firstly, both trait mindfulness and executive control are inversely
related with alcohol preoccupation, and secondly, both mindfulness and
executive control weaken a positive relation between automatic alcohol-
valence associations and alcohol preoccupation. Additionally, the results of tis
study demonstrate that the relation between automatic alcohol-valence
associations and preoccupations with alcohol-related thoughts can be
reduced by mindfulness and executive control. This study further contributes
to a growing body of research on the ability of mindfulness and executive
control to moderate the influence of the automatic alcohol-affect associations
on behavior by showing that these variables also weaken the relation
between the impulsive system and preoccupation with alcohol-related
thoughts.
Mindful acceptance has also been shown to dampen neuroaffective
reactions to external and rewards performance feedback, including a study
conducted in 2013 by Inzlicht and Teper, which tested how trait mindfulness
related to reactivity in response to a difference type of external stimulus,
namely, performance feedback (external validation and appraisal). Using
electroencephalography, (EEG: measures voltage fluctuations resulting from
ionic current flows within the neurons of the brain), they recorded
participants’ responses to neuroaffective reactions to rewarding, aversive,
and neutral feedback. Their findings suggested that trait mindfulness predicts
less differentiation of rewarding from neutral feedback, but does not predict
brain differentiation of aversive from neutral feedback. Meaning, the results
of the current research suggest that trait mindfulness promotes acceptance
and lessens the intensity of response to external stimuli across all variants of
emotional response.
In conclusion, a meta-analysis conducted in 2012 compared studies of
the neurobiological effects of meditation from around the world, and very
simply asked the question; does mediation work in principle? “The evidence
accumulated in the present meta-analysis yields a clear answer: yes”
(Sedlmeier et al., 2012). From this collection of research alone, we see a quite
global hypothesis that positive effects should be expected on almost all
psychological variables used the current studies, which ranged from
addiction, mood, personality, and behavior disorders. The reality of the
success of these ancient texts is no secret, and the introduction of technology
capable of understanding the benefits of mediation is very exciting. It was the
intention of this work to pull mediation out of its classical definition,
heightened spiritual awareness or somatic calm, and embrace the capacity of
mindfulness as the gateway to a quality existence, with application in all
dimensions of life, most recently, the psychological and neurobiological.