Can Medicalised Mindfulness Evolve?

Could Mindtraining for Life be the long-awaited new dawn for contemplative science?

Most meditation scientists agree that significant progress is needed if contemplative practices are to meet the claims made for their benefits over the last 70 years. Medicalised mindfulness has established a role as a practice that can reduce stress, anxiety, and, in some instances, cognitive dysfunctions. While its clinical applications, especially in protocols like Mindfulness-Based Cognitive Therapy (MBCT), have gained some traction, a growing body of critique highlights its limitations: conceptual vagueness, inconsistent outcomes, and detachment from its philosophical roots.

Robust correlations between regular spiritual meditation practice and improved happiness and wellbeing continue to be observed in peer-reviewed literature and society more generally. Psychology has been attempting to harness the curative power of spiritual meditation for over 70 years.1 It seems that whenever meditation and mindfulness are converted to mechanistic practices, and subject to empirical evaluation, most of the health and wellbeing benefits simply dissolve. In experiments, we frequently see modest changes used as ‘evidence’ that medicalised meditation and mindfulness work (an estimated 97% of mindfulness experiments lack adequate controls).

What will medicalised mindfulness evovle into
Religion and science remain ontologically incompatible

It’s probably not possible or desirable to prescribe religious practices as health interventions; that’s not how the spiritual path works. However, there is evidence that secular forms of meditation could still play a significant role in tackling the mental health crisis unfolding across many advanced economies. Medicalised meditation has consistently failed to establish the active cognitive components present in traditional meditation training. In my own private practice, Mindtraining for Life (MfL), we use rationales consistent with nondual Buddhism and psychology, and the benefits to clients’ happiness, wellbeing and success are clear.

Of course, MfL is one of several emerging frameworks that appear to offer a more structured, cognitively rigorous alternative to medicalised meditation. Its unique element is its integration of profound nondual knowledge outside of an explicitly Buddhist context.

If the mindfulness project has failed, what will replace it?
Science has failed to understand the relationship between meditation and consciousness.

At its core, MfL reframes mental resilience not as a passive state of “non-reactivity,” but as an active, trainable skillset grounded in attentional control, cognitive flexibility, and strategic self-regulation. Unlike medicalised mindfulness, which often relies on Westernised dualistic meditation, materialistic concepts of self and other, and ambiguous notions of “present moment awareness,” MfL emphasises goal-directed mental rehearsal, cognitive reframing, emotional regulation, and a basic training in nondual compassion. These techniques are not only more objectively measurable than current medicalised equivalents but also more compatible with neuropsychological models of executive function and emotional regulation.

From a scientific standpoint, this shift matters. Medicalised mindfulness has struggled with reproducibility, standardisation, effect size variability across populations and the concept of nonduality. Meta-analyses reveal modest benefits despite the creation of hundreds of mindfulness variants. Moreover, reliance on fragmented understandings of introspective phenomenology makes mindfulness impossible to standardise across clinical trials and other experiments. MfL’s protocols can be broken down into discrete cognitive tasks, such as attentional switching, scenario visualisation, nondual progression, and resilience scripting; these are likely more amenable to both behavioural and neuroimaging studies. By focusing on individual client needs as a starting point, MfL has retained the holistic and curative value of traditional nondual practices, complemented by reliable neuropsychology. From this platform, a degree of standardisation and operationalisation is likely. Another way to think about this, is in terms of a bottom-up model for contemplative science. After more than a decade of research in this field, I’m certain medicalised meditation needs a more reliable theoretical framework. By creating successful secular equivalents of nondual practices on a one-to-one basis, then scaling them up, we may be seeing the science of meditation turned on its head.

Another advantage of MfL lies in its philosophical neutrality. Medicalised mindfulness often inherits Western interpretation of Buddhist metaphysics (e.g., non-self, impermanence) without critical examination. It then seeks to place these concepts within psychology’s dualistic framework, leading to ontological confusion. Mindtraining sidesteps this by focusing on cognitive processes rather than spiritual insight. This makes it more accessible to diverse populations and more adaptable to transdisciplinary and interdisciplinary research.

Time to try a new approach to contemplative science

Importantly, mindtraining also addresses a key critique of mindfulness: its tendency to individualise systemic stress. By equipping individuals with tools to observe first and then strategically engage with psychological suffering, thus mind training fosters agency and contextual awareness. This aligns with contemporary models of psychological resilience, which emphasise dynamic interaction between person and environment.

In summary, while mindfulness meditation has opened the door to contemplative science, its medicalised form may have reached a conceptual plateau. Mindtraining, as exemplified by the WfL model, offers a promising evolution, one that is cognitively precise, empirically tractable, and philosophically grounded. For scientists and clinicians seeking robust and scalable interventions to work with, it may be time to shift their focus from passive awareness to active mental agility.

1 Morris, Stephen Gene (2024) The Scientific History of Mindfulness: 1938 to 2020. University of Kent,. (doi:10.22024/UniKent/01.02.106240) (KAR id:106240). https://kar.kent.ac.uk/106240/

Dr Stephen Gene Morris is a Consultant in Applied Neuropsychology and the founder of Mind Training for Life.

What Meditation Should You Choose?

The Most Important and Least Asked Question…

I’ve highlighted 100 of the most widely used forms of meditation below; however, please take a moment to read the explanation and context first.

At the start of my journey with meditation, I thought ‘meditation’ was just one thing, one practice, one method. But while, by definition, there is a general collection of behaviours we think of as ‘meditation’, the differences between practices can be unimaginable. Take the case of mindfulness meditation. In its original Buddhist form, it is a basic traditional practice directly connected to the spiritual path. There are, however, many forms of ‘mindfulness’ in different Buddhist traditions, some suitable for beginners, while others are regarded as advanced practices. Mindfulness meditation was reinvented by Western scientists as a form of medicalised therapy in the 1970s. We now have at least 50 different forms of mindfulness being used in Western clinical settings, each with a slightly different configuration that affects meditators in different ways. For almost all meditators, whether spiritual or secular, young or old, novice or experienced, the key issue when looking for a method is to be clear about your meditation goals and use a practice that can help you reach your objectives.

To learn more about the challenges and opportunities associated with the scientific appropriation of mindfulness, click here. To understand what the secularisation of meditation means to people practising meditation, read this article on the Mindtraining website.

I’ve catalogued over 500 distinct forms of meditation in my own research; the 100 listed below are among the most popular. For each method listed, there are dozens of variants. Some of those included have been scientifically validated, other techniques are unknown to psychology. Take these descriptions as relative and do some research before you commit to any meditation teacher or practice.

Core Meditation Techniques – Defining Practices

  1. Mindfulness Meditation – Split between traditional Buddhist and Western medicalised forms. Observing thoughts and sensations without judgment in the present moment.
  2. Focused Attention Meditation – Concentrating on a single object like breath, a candle, or a mantra.
  3. Open Monitoring Meditation – Maintaining awareness of all aspects of experience without fixation.
  4. Loving-Kindness (Metta) – Generating feelings of love and compassion for self and others.
  5. Vipassana – Insight-oriented observation of bodily sensations to develop self-awareness.
  6. Samatha – Calming the mind through focused attention, often on the breath.
  7. Zazen – Seated meditation from Zen Buddhism emphasising non-thinking and posture.
  8. Kundalini Meditation – Awakening energy at the base of the spine using breath, movement, and mantra.
  9. Transcendental Meditation (TM) – Using a personalised mantra to transcend thought.
  10. Mantra Meditation – Repeating sacred sounds or phrases to quiet the mind.

Yogic & Hindu Meditation Methods

  1. Yoga Nidra – Deep relaxation meditation conducted in a sleep-like state.
  2. Trataka – Gazing at a fixed point (e.g. candle flame) to develop concentration.
  3. Nada Yoga – Meditating on sound, either external or internal auditory experiences.
  4. Chakra Meditation – Focusing attention on energy centers to align body and mind.
  5. Tantra Meditation – Using ritual and visualization to integrate spiritual energy.
  6. Bhakti Meditation – Devotion-based meditation through prayer, chant, and surrender.
  7. Japa Meditation – Repetition of mantras using mala beads for counting.
  8. Raja Yoga Meditation – Combining ethical living, concentration, and absorption.
  9. Atma Vichara (Self-Inquiry) – Asking “Who am I?” to realize true self or consciousness.
  10. Sahaja Meditation – Effortless awareness focusing on spontaneous attention.

Buddhist Meditation Approaches

  1. Tonglen – Taking in suffering and breathing out compassion.
  2. Shamatha-Vipassana – Pairing calm abiding with profound insight.
  3. Walking Meditation – Practising mindfulness while moving slowly and deliberately.
  4. Dzogchen – Resting in the nature of mind, spontaneous presence.
  5. Mahamudra – Recognising awareness itself as the path and goal.
  6. Analytical Meditation – Reflecting intellectually to penetrate Buddhist teachings.
  7. Visualisation of Deities – Mentally constructing divine forms for transformation.
  8. Five Aggregates Meditation – Contemplating the components of personhood to dissolve illusion.
  9. Six Elements Meditation – Reflecting on earth, water, fire, air, space, and consciousness.
  10. Death Meditation (Maranasati) – Contemplating mortality to deepen presence.

Psychotherapeutic Meditation & Modern Adaptations

  1. Mindfulness-Based Stress Reduction (MBSR) – A Controversial clinical approach to managing stress through mindfulness. The dominant form favoured by health and social policy organisations and businesses.
  2. Mindfulness-Based Cognitive Therapy (MBCT) – Combines mindfulness with CBT to prevent depression relapse in limited cases.
  3. Acceptance and Commitment Meditation – Noticing thoughts while committing to values-led action.
  4. Body Scan Meditation – Progressive awareness of bodily sensations.
  5. Somatic Experiencing Meditation – Tuning into internal body signals to release trauma.
  6. ACT-Based Present Moment Meditation – Grounding in sensory awareness and defusion techniques.
  7. Dialectical Behavior Therapy (DBT) Mindfulness – Cultivating nonjudgmental present awareness in emotion regulation.
  8. Compassion-Focused Meditation – Generating warmth toward self and others to counter shame.
  9. Interpersonal Mindfulness – Bringing awareness to real-time relational interaction.
  10. Reflective Meditation – Allowing thoughts to arise while exploring emotional resonances.

Esoteric Meditation Methods & Energy Based Practices

  1. Qi Gong Meditation – Coordinating breath, movement, and intention to cultivate life energy.
  2. Taoist Inner Smile – Sending smiling energy to internal organs to promote healing.
  3. Astral Projection Meditation – Guiding consciousness beyond the physical body.
  4. Crystal Meditation – Using crystals to amplify specific energies and intentions.
  5. Light Meditation – Visualising inner or external light for healing or illumination.
  6. Reiki Meditation – Channelling universal energy through hands or mind for self-care.
  7. Kabbalistic Meditation – Contemplating Hebrew letters, names of God, or Tree of Life.
  8. Merkaba Activation Meditation – Awakening geometric energy fields for ascension.
  9. Third Eye Meditation – Focusing between the brows to develop intuitive insight.
  10. Aura Cleansing Meditation – Visualising the purification of personal energy fields.

Technology Enhanced Meditation Techniques

  1. Binaural Beats Meditation – Using audio frequencies to synchronise brainwaves.
  2. Guided Imagery Meditation – Listening to narrated journeys to evoke relaxation or insight.
  3. VR Meditation – Immersing oneself in virtual landscapes to deepen sensory engagement.
  4. App-Based Mindfulness – Practising structured sessions via digital platforms.
  5. Neurofeedback Meditation – Real-time monitoring to enhance brainwave states.
  6. Sound Bath Meditation – Experiencing healing vibrations through instruments like gongs or singing bowls.
  7. AI-Guided Meditation – Interactive sessions with responsive virtual facilitators.
  8. Subliminal Audio Meditation – Listening to layered affirmations below the conscious threshold.
  9. Digital Detox Meditation – Mindfully disengaging from screens and digital noise.
  10. Eye Mask Meditation – Sensory deprivation to intensify inward attention.

Cultural Based & Devotional Meditation

  1. Christian Contemplative Prayer – Meditative silence in God’s presence.
  2. Hesychasm – Repetitive Jesus Prayer to enter inner stillness.
  3. Islamic Dhikr Meditation – Repetitive remembrance of divine names.
  4. Sufi Whirling Meditation – Physical rotation to induce spiritual ecstasy.
  5. Jewish Hitbodedut – Speaking spontaneously with God for inner clarity.
  6. Native American Vision Quest – Solitary reflection in nature to seek guidance.
  7. Shamanic Drumming Meditation – Entering altered states through rhythmic beat.
  8. African Ubuntu Meditation – Reflecting on interconnectedness and community spirit.
  9. Hawaiian Ho‘oponopono – Repeating forgiveness phrases for reconciliation.
  10. Vedic Fire Ritual Meditation – Meditating on the flame as a transformation symbol.

Specialized Meditation & Hybrid Techniques

  1. Sleep Meditation – Relaxation practices to support restful sleep.
  2. Gratitude Meditation – Focusing on positive experiences and appreciation.
  3. Goal Visualization Meditation – Envisioning desired outcomes to prime action.
  4. Stoic Reflection Meditation – Contemplating virtue, mortality, and control.
  5. Emotional Release Meditation – Allowing feelings to arise and dissolve mindfully.
  6. Productivity Meditation – Grounding and setting intentions before focused work.
  7. Decision-Making Meditation – Clarifying values and options through reflection.
  8. Micro-Meditation – Quick resets throughout the day for clarity.
  9. Habit Formation Meditation – Embedding new routines through intentional repetition.
  10. Creative Flow Meditation – Tapping intuition to support artistic expression.

Nature Based Meditation – Connected

  1. Forest Bathing (Shinrin-Yoku) – Immersing attention in natural environments.
  2. Sun Gazing Meditation – Safely gazing near sunrise/sunset for energy absorption.
  3. Ocean Meditation – Synchronising breath with wave rhythms.
  4. Mountain Meditation – Visualising grounded presence and strength.
  5. Rain Meditation – Listening to or imagining rainfall to induce calm.
  6. Earth Element Meditation – Connecting with soil and grounded energy.
  7. Sky Meditation – Embracing expansive awareness through open sky imagery.
  8. Animal Observation Meditation – Mindfully watching animal behaviour to mirror presence.
  9. Campfire Contemplation – Reflecting in silence near flickering flames.
  10. Seasons Meditation – Noting changes in internal and external cycles.

Meditation for Cognitive Enhancement

  1. Meta-Cognition Meditation – Observing one’s thinking patterns consciously.
  2. Neurosculpting Meditation – Rewiring thought through mindfulness and neuroplasticity.
  3. Synesthesia Meditation – Exploring cross-sensory imaginative states.
  4. Reverse Engineering Meditation – Analysing actions to understand their motivations.
  5. Memory Palace Meditation – Visualising spatial locations to encode information.
  6. Intuition Calibration Meditation – Fine-tuning inner signals for decision-making.
  7. Language Awareness Meditation – Observing mental language formation.
  8. Time Perception Meditation – Altering awareness.
  9. Mind Training Meditation – Changing brain function and structure.
  10. Emotional Regulation Practice – Mediating emotions with the Executive Function.

Better mental health through meditation?

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Photo by Oleksandr Pidvalnyi on Pexels.com

Authors: Kieran C.R. Fox, R. Nathan Spreng, Melissa Ellamil, Jessica R. Andrews-Hanna, Kalina Christoff

Year: 2015

Title: The wandering brain: Meta-analysis of functional neuroimaging studies
of mind-wandering and related spontaneous thought processes

Summary: Thinking about the most common effects on the brain from meditation will lead you into an area that psychologists call spontaneous thoughts. These are defined as thoughts and ideas that seem to come out of nowhere and don’t necessarily have any obvious relationship to a specific task you may be undertaking. Meditation scientists have long considered that the most popular forms of secular meditation lower activity in regions of the brain known as the Default Mode Network (DMN). The DMN is strongly connected with, self-reflection, thoughts about relationships with others, memories of the past and our ability to project into the future. It is also the home to our mind wandering or drifting.

Mind wandering can increase under certain conditions and has been linked to a number of long term mental health problems including anxiety and depression. Many forms of meditation reduce activity in the parts of the DMN known to support spontaneous thoughts and mind wandering. This can be a great help to people that have problems concentrating or are troubled by negative or challenging thoughts. The research by Fox and colleagues undertook a review of 24 functional neuroimaging studies looking into mind wandering/spontaneous thought. Results confirmed that well-established centres in the DMN (medial prefrontal cortex, posterior cingulate cortex, medial temporal lobe, and bilateral inferior parietal lobule) were associated with mind wandering. However, it was evident that a number of other brain regions were also engaged. The significance of the study was that spontaneous thought cannot be regarded as universally linked to a limited number of centres in the DMN. A range of regions in different networks appears to be instrumental to spontaneous thought and mind wandering.

The implication for meditation practitioners and researchers is that the apparent act of suppression or restriction of activity in the DMN cannot be seen in a narrow context and may have a broader implication for a number of interrelated processes.

Link: https://www.sciencedirect.com