Deepening crisis in meditation research

Is contemporary mindfulness a meditation practice or something different?

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Two leading researchers from contemplative science respond to a critical study of meditation and mindfulness research.

Authors: Richard J. Davidson and Cortland J. Dahl

Year: 2018

Title: Outstanding Challenges in Scientific Research on Mindfulness and Meditation

Summary: The article begins by applauding the critique of Van Dam et al. This is only to be expected, published meditation and mindfulness research often falls short of the methodological standards normally required of journal articles in cognitive psychology and neuroscience. The authors address the five points raised by the original paper in a very linear fashion, not appearing to engage with the underlying issues. The same issues that have dogged meditation research since the launch of MBSR. However to summarize the five rebuttals contained in the paper:

1 – The criticisms of meditation research reflect weakness in psychological research more generally.

2 – Contemplative practices are varied and scientific enquiry is only able to understand a few limited forms.

3 – Mindfulness and contemplative practices were not originally therapeutic in nature

4 – Research has failed to understand meditation in a relevant context.

5 – Mobile technology may be able to resolve some of the methodological issues.

Link: http://journals.sagepub.com

Author’s Critique: It is important to note that Davidson and Dahl are leaders in this field, but if they permit I offer some observation as an experienced meditator and trained neuroscientist and cognitive psychologist.

Psychology does not appear to understand meditation in the broadest sense, the (mis)appropriation of the term mindfulness has led contemporary meditation research into a limited field of investigation without clear definitions. For example, the reduction of meditation (or mindfulness) to method alone, existing in isolation to wider cognitive processes is hard to understand in the context of traditional meditation. And it must be acknowledged that the MBSR/MBI movement uses methods ‘congruent’ with traditional meditation.

If we strip the motivation of the meditator from the meditation rationale we change the entire cognitive setting. To use a rough analogy, I can train people to kick a football but if participant A is training just for a course credit and participant B is training to play in the World Cup final we can expect the effect of the training to be different. This doesn’t just mean that comparing traditional and contemporary meditation practices is fraught with difficulty but that the current understanding of how we research meditation needs to be refined. Traditional meditation literature spanning hundreds of years indicates that two people undertaking the same practice may not experience the same effects. Their individual motivation, their capacity to meditate, external conditions such as the availability of a reliable teacher and methods can all play a part. Psychology has the instruments to consider and account for many of the factors presumed to impact on the effect of meditation, but generally, the method alone dominates the thinking of meditation scientists.

Don’t misunderstand me, the study of MBSR and related families of mindfulness are legitimate objects of clinical enquiry and experimental study. They have however unconfirmed connections with mindfulness in its many forms as practised in spiritual traditions. Buddhism is not one unified tradition, there are different approaches to what one might call mindfulness, these extend from ‘bare attention’ through to ‘shine’ as practised in Tibetan traditions. Often shine is only engaged with after many years of stable foundational practice and if approached from the Vajrayana perspective would be embedded in a context of a nondual appreciation of human consciousness.

The ability of the meditation teacher and the degree of challenge to dualistic thinking are just two factors able to meditate the impact of a meditation method. But these and other components are generally ignored by scientific studies, even strategic reviews and meta-studies. In a traditional context, a meditation master may undertake decades of practice and study to understand meditation on theoretical and experiential levels. Therefore the capacity of the meditation teacher is an established factor in the progress of traditional meditation students but this is rarely discussed in the scientific literature. The point is that the assumption that the teaching of the meditation method is not a potential variable in any experiment is probably unscientific. The Van Dam et al. study is one of the first to suggest the role of the teacher can influence the effect of meditation training on participants.

Leaving aside traditional mindfulness methods, the reliability of the term mindfulness in relation to MBSR and other contemporary practices needs some further work. Several recent studies have highlighted a lack of consistency in the way mindfulness is understood and thus operationalised. Perhaps this is the single biggest challenge meditation research faces today. If there is a weakness in the reliability over what mindfulness is, how it is understood, applied and taught, it makes experimental replication difficult. Without methodologically sound replication the building blocks to advance meditation research can’t be put in place. This I think is the main message from the Van Dam et al. review. Consider that the scientific investigation of meditation in the west is at least 45 years old, an estimated 15,000 meditation studies have been published in that time and yet experimental work is still often described as ‘preliminary’. What is the strategy to elevate meditation research to a more reliable footing?

Compassion and palliative care

Compassionate, loving kindness and mindfulness interventions in a palliative care setting.

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Authors: Claudia Orellana-Rios, Lukas Radbruch, Martina Kern, Yesche Regel, Andreas Anton, Shane Sinclair and Stefan Schmidt

Year: 2017

Title: Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program

Summary: Notwithstanding the extensive body of work exploring meditation and mindfulness, there is a shortage of studies that address the potential of compassion based interventions in the workplace. A national survey of palliative care practitioners had established that for 42% of respondents, frequent patient deaths was a challenging aspect of their work. Although many people report beneficial effects from delivering compassionate care, extensive exposure to suffering can be a problem for workers. This investigation recruited participants from a palliative care centre in Bonn, Germany.  Ten weeks of training in meditation combining a number of elements including, mindfulness, loving kindness and tong-len was provided. A range of mixed measures was used to establish the benefits of the practice including, a battery of self-reporting questionnaires, semi-structured interviews and a physiological measure. In conclusion, no evidence that participants experienced an increase in compassion was observed. However, improvements were reported by participants in areas including self-care and emotional regulation. The was no significant change to the cortisol levels taken as part of the trial.

Given the complex nature of introducing compassion into this particular work environment, the mixed method approach should be commended. Where compassion, loving-kindness and mindfulness are brought together as an ‘omnibus’ approach, a degree of epistemological plurality is likely to be required to gain a full understanding of the results. Reliably evaluating the effects of one approach (such as compassion) in such a trial can be a challenge in itself. However to integrate three approaches (mindfulness, compassion and loving-kindness) into a working environment, then to understand their effect individually and collectively, is making great demands of the self-reporting instruments.

It should be noted that in a recent meta-study investigating the pro-social effects of meditation, the teaching of the meditation practice by a co-author of the research was seen to be an influential factor. The precise nature of the meditation taught in this case is unclear and may, to some extent, be related to the individual approach of the teacher. The assumption that different kinds of meditation, such as compassion (tong-len), all fit within an easily replicated framework is perhaps the result of the theoretical uncertainty withing psychology towards contemplative science. There is still a shortage of data exploring how interrelated constructs such as loving-kindness and compassion might influence behaviour in the workplace. In this regard, the study provides useful information that may help the understanding of these constructs in particular working environments.

Link: https://bmcpalliatcare.biomedcentral.com

Measuring loving kindness-compassion

To what extent can loving kindness and compassion be reliably measured?

Title: The development and validation of the Loving kindness-Compassion Scale (LCS)

Authors: Hyunju Cho, Seunghye Noh, Sunghyun Park, Seokjin Ryu, Ven Misan and Jong-Sun Lee 

Year: 2017 (online), 2018 (print)

Summary: The thorny issue of effective trait and state scales for both loving-kindness and compassion is far from resolved in psychology. In fact if anything it is less clear now than it was a decade ago. One of the problems can be attributed to attempts to merge or unify concepts with subtle differences and specific cultural weighing factors. This paper explains some of the express differences between compassion and loving-kindness from a classical perspective. And the justification for drawing them together is found in the ‘boundless state of mind’. However, it is reasonable to ask in what way can the unlimited nature of mind be evaluated using limited psychometric measures? To what extent the LCS can align two distinct concepts in one scale will emerge over time.

The three reported highlights of the paper were

  • The LCS reflects the Buddhist concept of lovingkindness-compassion.
  • The LCS consists of three-factor with fifteen items.
  • The reliability and validity of LCS were adequate within our study.

This study was based on the definitions of compassion within a branch(es) of the Theravada tradition. So it should be stated at the outset the precise meanings established as a starting point may not reflect the whole family of Buddhism. This is not to say that other Buddhist schools (Zen, Mahayana or Vajrayana) might not wholly or partially share the definitions used. Simply that the definitions may not be representative of the wider Buddhist community. It should also be noted that the measures, therefore, may not reflect the explicit, not dual and absolute compassionate approaches found elsewhere in the Buddha Dharma.

Nevertheless, this paper established fifteen items within three factors through the use of exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The results suggest that LCS was significantly correlated with self-compassion, compassionate love, social connectedness, empathy and satisfaction with life. This study used 469 university students as participants and the data supports the reliability and validity of the LCS to measure lovingkindness-compassion.

An extremely useful investigation into compassion and loving-kindness raises several important questions.

Link: https://www.sciencedirect.com/science/article/pii/S019188691730733X

Putting the Meditator at the Centre of the Research

Meditators know the most about meditation, if science ignores them they miss a trick.

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(The research is now complete, thanks to all who participated)

Do you meditate or practice mindfulness?

I am currently undertaking an academic survey into meditation and wellbeing. I would like to ask meditators over the age of 18 to complete a short anonymous questionnaire about their practice (it should take around ten minutes). The research has been ethically approved and conforms to all the usual academic norms.

This important research seeks to capture the meditation and mindfulness experience of practitioners of different levels of experience and backgrounds. Based on meditators self reported insights, this projects follows recent signposts in contemplative science putting greater emphasis on the experiential nature of mindfulness and meditation.

Regards

SGM

Is Mindfulness Buddhist and Does its Social Context Matter?

Can mindfulness be regarded as a Buddhist practice?

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Title: Is mindfulness Buddhist? (and why it matters)

Author: Robert H. Sharf

Year: 2015

Summary: Modern mindfulness meditation is often associated with the state of ‘bare attention’, paying attention in the moment, non judgementally but deliberately. This particular state is not without established precedent in different schools of Buddhism and Robert H. Sharf outlines examples from Burmese reformed Buddhism, the Chinese Chan and Tibetan Dzogchen traditions. This paper also highlights issues associated with the theoretical framework for mindfulness in Buddhism and the relationship between the transformative potential of meditation and the wider context within which meditation is undertaken.

Perspective: Religious studies, psychiatry, health psychology

Link: http://buddhiststudies.berkeley.edu/people/faculty/sharf/documents/Sharf%20Is%20Mindfulness%20Buddhist.pdf

No Agreement over the Meaning of the Term Mindfulness

What is the authentic meaning of mindfulness?

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Title: What does mindfulness really mean? A canonical perspective

Author: Bhikkhu Bodhi

Year: 2011

Summary: The mindfulness movement is inextricably linked with Buddhism, both Buddhist teachings and meditation practice. It is then of particular interest when Buddhist scholars of the Pali Cannon, such as Bhikkhu Bodhi question one of the most widely used definitions of mindfulness; ‘bare attention’. This is not simply a philological debate regarding the development and use of the term mindfulness but also a discussion of the fundamental understanding of the human behaviour of meditation. There is also the question of the appropriation and ‘translation’ of the term mindfulness into secular contexts and the implications for both Buddhism and the secular meditation schools.

Perspective: Religious studies

Link: http://www.tandfonline.com/doi/full/10.1080/14639947.2011.564813?src=recsys

 

The origins of MBSR; Zen and mindfulness

Mindfulness based stress reduction (MBSR) its origins and context.

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Title: Some reflections on the origins of MBSR, skillful means, and the trouble with maps

Author: Jon Kabat-Zinn

Year: 2011

Summary: In this frank an open exposition of Jon Kabat-Zinn’s development of the Mindfulness Based Stress Reduction (MBSR) system, readers are given an insight into the background and conditions under which the MBSR concept was transposed. I use the term ‘transposed’ because that appears to be the essence of how Kabat-Zinn positions his work in the context of his experience and knowledge of Zen Buddhism. In this paper he stresses that MBSR and other systems in the mindfulness family should be integrated and consistent with the Buddhadharma (authentic teachings of Buddhism) but not constrained by the historical, cultural and religious phenomenon that exist in the societies where the Buddhadharma has been preserved and may still flourish.

Kabat-Zinn reveals his own close connection with the Zen one thousand year view and this insight perhaps gives a clue to the current academic debate whether the understanding of mindfulness as expressed in MBSR actually reflects mindfulness in Buddhism more generally. Mindfulness in its broader meaning is given a prominent role in this paper and Kabat-Zinn shares his compassionate vision regarding the benefits of the continued growth in the ‘mindfulness’ movement.

Perspective: Health psychology, religious studies,

Link: http://www.tandfonline.com/doi/abs/10.1080/14639947.2011.564844

Reliability in the Definition of Mindfulness

Definitions of mindfulness – MBSR, MBCT

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Title: On Some Definitions of Mindfulness

Author: Rupert Gethin

Year: 2011

Summary: Rupert Gethin cites Rhys Davids as the first person to translate the concept of mindfulness from the Pali sati or the Sanskrit smrti, although he stresses subsequent difficulties in finding a workable definition of the term. According to Gethin, Nyanaponika’s definition appears to have been particularly influential in providing an acceptable explanation, particularly within the MBSR and MBCT approaches to meditation. However he argues that the Theravāda exposition of mindfulness may include elements not immediately explicit in either MBSR or MBCT; concerns are also raised over the use and understanding of the term ‘non-judgmental’. In conclusion Gethin suggests that westernized approaches to Buddhism may have contributed to a ‘succinct’ definition of mindfulness, and that the clinical applications of MBSR and MBCT may lead to further understanding of mindfulness and the implications for its practice.

Perspective: Cognitive psychology, religious studies, contemporary Buddhism

Link: http://www.tandfonline.com/doi/full/10.1080/14639947.2011.564843

Problems in the Definition of Mindfulness

What does mindfulness mean, how is the term used and how closely does it relate to the practice?

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Title: Is mindfulness present-centred and non-judgmental? A discussion of the cognitive dimensions of mindfulness

Author: Georges Dreyfus

Year: 2011

Summary: Among the issues that are publicly manifesting in the research of ‘mindfulness’ are fundamental problems achieving reliable and consistent understandings of the term itself. Definitions of mindfulness are becoming an increasingly thorny issue both as a cognitive process as well as a soteriological path. Some accounts of mindfulness express the concept as ‘present-centered non-judgmental awareness’, a view that that is challenged in this critique by Georges Dreyfus. Dreyfus argues that the essence of mindfulness is connected to the phenomenon of ‘sustained attention’ and can, to some extent engage evaluative processes. Whilst acknowledging merit in the modern definitions of mindfulness, this essay highlights significant discrepancies with traditional Buddhist accounts and more general uncertainty regarding the wider theoretical understanding.

Perspective: Cognitive psychology, contemporary Buddhism, religious studies

Link: http://www.tandfonline.com/doi/full/10.1080/14639947.2011.564815?src=recsys