
Why the Absence of Refuge Undermines Western Mindfulness
Western psychology has embraced mindfulness as a panacea, an intervention linked to reduced stress, treating clinical depression, and even improving cognitive function. However, despite its popularity, the lack of robust evidence for its clinical benefits has led many practitioners and scientists to speculate on why the presumed effects of traditional meditation have not been translated into clinical practice.
One of the key elements of traditional meditation, often missing from Western mindfulness, is the concept of Refuge. Refuge is a foundational concept in many meditation traditions, orienting the practitioner’s mind within a broader spiritual and relational framework. In Buddhist meditation, mindfulness is not a standalone technique; it arises within the context of the Refuge in the Buddha, the Dharma (the Buddha’s teachings), and the Sangha (the community of practitioners). Taking Refuge in these three elements provides an existential grounding and generates confidence in the meditation practice.
The precise nature of Refuge can vary according to the practitioner’s experience and Buddhist school within which the meditation is practised. However, in almost every case, it provides a mindset that serves as a stable base for meditation. Without Refuge, the act of mindfulness risks becoming an attentional exercise, uncoupled from many of the mental processes present in Buddhist meditation. There is growing unrest among some practitioner-scientists about the decontextualisation of mindfulness from traditional forms of meditation; that is, in Westernising and commodifying meditation, the benefits of traditional practice may have been lost.
Segall (2001) argues that when stripped of its Buddhist theoretical frameworks, Western mindfulness loses its transformative potential, becoming susceptible to institutional agendas and materialist objectives.1 Khong (2012) also highlights the limitations of detaching mindfulness from its Buddhist theoretical frameworks.2

The absence of Refuge is likely to impact cognitive processes and mechanisms able to mediate wellbeing in several ways:
Firstly, a lack of existential orientation: Refuge provides a holistic and spiritual telos, enabling a sense of direction towards awakening and compassion. Without these processes, Western mindfulness tends to privilege mundane, dualistic awareness, overlooking its transcendent and ethical purposes.
Isolation and individualism: The concept of Sangha offers a broader sense of community and collective purpose. The tendency of mindfulness to focus on individual, solitary needs disrupts the balance between self and other, which is central to most nondual Buddhist meditation.
Cognitive reductionism: Buddhist Refuge engages the whole person in context, emotionally, ethically and spiritually. Western clinical meditation methods typically privilege the extrinsic brain network, overlooking mental processes rooted solely in the intrinsic system.
Commodification: The absence of Refuge enables the reconfiguring of mindfulness as a health product, enabling the technique to be co-opted by corporations and institutions, including the military. This shift reshapes the mental processes used in meditation, reinforcing systemic stressors rather than challenging them.

The commodification of meditation may have limited its health benefits compared to both traditional practices and scientifically validated interventions. Taking the bigger picture into account, these concerns are the tip of an iceberg.
There is growing disquiet about the cost of the ‘mindfulness experiment’. Estimates of the global bill for the scientific investigation of mindfulness from the 1970s to date range between £1 bn and £5 bn. Several billion more represent the cost of the proliferation of the technique and the investment in training teachers and providing wider support materials. Most scientists working in this field would agree, practising mindfulness brings a degree of relaxation equivalent to and sometimes slightly greater than hundreds of other mundane human behaviours, like art or gardening.
Refuge is a concept rooted in a dual/nondual tension. An issue that is ignored by almost all meditation scientists. The psychological sciences generally present consciousness as a dualistic enterprise. For psychologists, even a preliminary understanding of Buddhism’s theoretical foundations requires a reimagining of mindfulness to access the health benefits of traditional meditation methods. On the balance of evidence, Western versions of traditional meditation are oversimplified and entirely uncoupled from the original curative network that so attracted Western academics from the 1930s onward.
The results of 90 years of meditation research have demonstrated that focusing solely on technique has been a significant error. Integrating elements of Refuge, even from a secular perspective, is likely to restore depth and direction to meditation methods. For example, a starting point for the reintroduction of Refuge could include: The use of transdisciplinary research to establish the cognitive components present in traditional Refuge and to develop the relevant theoretical framework. Encouraging practitioners to understand the concept of Refuge and apply the theoretical framework to their own conditions. Framing mindfulness within a broader narrative of healing, ethical living and growth. Developing secular practices that can cultivate interdependence, compassion and shared community.
Khong has convincingly argued that the maturation of Western mindfulness requires a return to its roots, not to replicate religious forms, but to realign the Westernised practice with the original mental processes that may hold robust potential rather than the marginal benefits that most reliable, optimistic studies present.
The concept of Refuge reminds us that dualist presence alone is not transformative, not on the spiritual nor the clinical levels. Its absence from Western practices, even in a secular form, evidences the current limitations in how psychology understands and engages with mindtraining originating in non-scientific domains.
References:
Khong, B. S. L. (2021). Revisiting and Re-Envisoning Mindfulness: Buddhist and Contemporary Perspectives. The Humanistic Psychologist, 49(1), 3 -18.
Segall, S. Z. (2021). Mindfulness In and Out of Context of Western Buddhist Modernism. The Humanistic Psychologist, 49(1), 40-55.