a second generation of mindfulness-based intervention

Upload: dr-edo-shonin

Post on 02-Jun-2018

218 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/10/2019 A Second Generation of Mindfulness-based Intervention

    1/7

    A New Generation of Mindfulness-based Intervention

    In one of our research papers that was published this summer in the journal

    Mindfulness,we identified and discussed a recent development in mindfulness research and

    practice. Until a few years ago, mindfulness research within psychology has primarily

    focussed on what have been termed First Generation Mindfulness-Based Interventions(FG-

    MBIs). FG-MBIs refer to interventions such asMindfulness-Based Stress Reduction(MBSR)

    developed by Kabat-Zinn in the late 1970s andMindfulness-Based Cognitive Therapy(MBCT)

    developed by Segal, Williams, and Teasdale in 2002. According to Professor Nirbhay Singh

    and colleagues, one of the primary purposes and achievements of FG-MBIs has been

    gaining acceptance of mindfulness within Western clinical and scientific domains.

    However, due to the speed at which mindfulness has been integrated into western

    research and public healthcare settings, concerns have been raised by scientists and

    Buddhist teachers regarding the authenticity of FG-MBIs and whether they actually teach

    mindfulness in a manner that still bears any resemblance to the traditional Buddhist model.

    http://link.springer.com/article/10.1007%2Fs12671-014-0334-yhttp://link.springer.com/article/10.1007%2Fs12671-014-0334-yhttp://link.springer.com/article/10.1007%2Fs12671-014-0334-y
  • 8/10/2019 A Second Generation of Mindfulness-based Intervention

    2/7

    2

    These concerns do not detract from the fact that there is a growing evidence-base that

    supports the efficacy of FGMBIs as clinical and behavioural interventions, but they give

    rise to a number of questions that have important implications for mindfulness research

    and practice:

    1. If mindfulness is efficacious when it is taught in isolation of many of the practices

    and principles that are traditionally deemed to make it effective, then how much

    more effective will it be when taught in a manner that includes and embodies these

    supporting elements?

    2. Is it ethically correct to inform service users and members of the public that they are

    receiving training in a method that is grounded in Buddhist practice (a claim often

    made about FG-MBIs), when in fact this is not the case?

    3. Is it essential to de-spiritualise psychological interventions before they can be used

    in clinical contexts, orbased on a what-works approach can interventions that

    are openly spiritual in nature be considered as viable and mainstream public

    healthcare treatments?

    In an attempt to overcome some of the above issues concerning FG-MBIs, efforts

    have been made in recent years to formulate and empirically evaluate a second generation

    of mindfulness-based interventions. Second Generation Mindfulness-based Interventions(SG-

    MBIs)are still intended to be used in public healthcare contexts (i.e., they are still secular in

    nature) butas explained in the following quote from our recently publishedMindfulness

    http://link.springer.com/article/10.1007%2Fs12671-014-0334-yhttp://link.springer.com/article/10.1007%2Fs12671-014-0334-yhttp://link.springer.com/article/10.1007%2Fs12671-014-0334-yhttp://link.springer.com/article/10.1007%2Fs12671-014-0334-y
  • 8/10/2019 A Second Generation of Mindfulness-based Intervention

    3/7

    3

    paperthey are openly spiritual in nature and are more traditional in the manner in which

    they construct and teach mindfulness:

    Due to the suggestion that some individuals may prefer to be trained in a version of mindfulness that

    more closely resembles a traditional Buddhist approach, recent years have witnessed the development

    and early-stage evaluation of several Second Generation Mindfulness-Based Interventions (SG-

    MBIs) Although SG-MBIs still follow a secular format that is suitable for delivery within

    Western applied settings, they are overtly spiritual in aspect and teach mindfulness within a practice

    infrastructure that integrates what would traditionally be deemed as prerequisites for effective

    spiritual and meditative development. At the most basic (but by no means the least profound) level,

    such prerequisites include each element of the Noble Eightfold Path. The Noble Eightfold Path

    comprises each of the three quintessential Buddhist teaching and practice principles of (i) wisdom

    (i.e., right view, right intention), (ii) ethical conduct (i.e., right speech, right action, right livelihood),

    and (iii) meditation (i.e., right effort, right mindfulness, right concentration). Each of these three

    fundamental elements (Sanskrit: trishikshathe three trainings) must be present in any path of

    practice that claims to expound or be grounded in authentic Buddhadharma and they apply to (and

    form the basis of) the Fundamental or Theravada vehicle just as much as they do the Mahayana

    and Vajrayana Buddhist vehicles. Thus, for mindfulness practice to be effective, it must be taught as

    part of a rounded spiritual path and it must be taught by a spiritual guide that can transmit the

    teachings in an authentic manner.

  • 8/10/2019 A Second Generation of Mindfulness-based Intervention

    4/7

    4

    The development and empirical evaluation of a second generation of mindfulness-

    based intervention appears to represent an emerging trend in mindfulness research.

    Outcomes from our own research work with the eight-week SG-MBI known asMeditation

    Awareness Training (MAT) suggest that SG-MBIs may have applications in the treatment of

    (i) workaholism, (ii) work-related stress, (iii) stress, (iv) anxiety, (v) depression, (vi)

    schizophrenia, and (vii) pathological gambling. Recent MAT studies that we have

    conducted have also demonstrated that SG-MBIs can help to improve work effectiveness,

    decision-making competency, and leadership/management skills more generally. SG-MBI

    studies by other researchers also indicate a range of clinical and non-clinical applications

    for SG-MBIs. For example, studies led by Professor Nirbhay Singh indicate that SG-MBIs

    may have utility as (i) a smoking cessation program for individuals with mild intellectual

    disabilities, (ii) an anger regulation method for individuals with schizophrenia, and (iii) a

    training and support program for parents in order to reduce the aggressive and disruptive

    behaviour of their children/adolescents. However, it needs to be remembered that research

    into SG-MBIs is still at a very early stage and so although the abovementioned outcomes

    are promising, further empirical investigation is obviously required. Furthermore, it is our

    view that rather than directly compete with FG-MBIs, SG-MBIs simply provide an

    alternative approach to practising mindfulness thatfor some individualsmay be more

    appealing.

  • 8/10/2019 A Second Generation of Mindfulness-based Intervention

    5/7

    5

    Please note: This article provides a summary of, and is adapted from, a discussion that first appeared in a

    paper we published in the journalMindfulness.

    Ven Edo Shonin & Ven William Van Gordon

    Further Reading

    Carrette, J., & King, R. (2005). Selling spirituality: The silent takeover of religion. New York:

    Routledge.

    Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New

    York: Hyperion.

    McWilliams, S. A. (2014). Foundations of Mindfulness and Contemplation: Traditional

    and Contemporary Perspectives. International Journal of Mental Health and Addiction,

    12,116-128.

    Rosch, E. (2007). More than mindfulness: when you have a tiger by the tail, let it eat you.

    Psychological Inquiry, 18, 258-264.

    *Shonin, E., & Van Gordon, W. (2014) Managers experiences of Meditation Awareness

    Training.Mindfulness,DOI: 10.1007/s12671-014-0334-y. [Source Article].

    Shonin, E., Van Gordon, W., & Griffiths, M. D. (2013a). Mindfulness-based interventions:

    Towards mindful clinical integration. Frontiers in Psychology, 4, 1-4. DOI:

    10.3389/fpsyg.2013.00194.

    Shonin, E.,Van Gordon, W., & Griffiths, M. D. (2014c). The treatment of workaholism

    with Meditation Awareness Training: A case study.Explore: The Journal of Science and

    Healing, 10, 193-195.

    http://link.springer.com/article/10.1007%2Fs12671-014-0334-yhttp://link.springer.com/article/10.1007%2Fs12671-014-0334-yhttp://link.springer.com/article/10.1007%2Fs12671-014-0334-yhttp://link.springer.com/article/10.1007%2Fs12671-014-0334-y
  • 8/10/2019 A Second Generation of Mindfulness-based Intervention

    6/7

    6

    Shonin, E., Van Gordon, W., Dunn, T., Singh, N., & Griffiths, M. D. (2014d). Meditation

    Awareness Training for work-related wellbeing and job performance: A randomized

    controlled trial. International Journal of Mental Health and Addiction, DOI

    10.1007/s11469-014-9513-2.

    Shonin, E., Van Gordon, W., & Griffiths, M. D. (2014e). Cognitive Behavioral Therapy

    (CBT) and Meditation Awareness Training (MAT) for the treatment of co-occurring

    schizophrenia with pathological gambling: A case study. International Journal of Mental

    Health and Addiction, 12, 181-196.

    Shonin, E., Van Gordon W., & Griffiths M. D. (2013). Meditation Awareness Training

    (MAT) for improved psychological wellbeing: A qualitative examination of participant

    experiences.Journal ofReligion and Health, 53, 849-863.

    Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, J. Curtis, W. J., Wahler, R. G., &

    McAleavey, K. M. (2007). Mindful parenting decreases aggression and increases social

    behavior in children with developmental disabilities. Behavior Modification, 31,749-771.

    Singh, N. N., Lancioni, G. E., Winton, A. S. W., Karazia, B. T., Singh, A. D. A., Singh,

    A. N. A., & Singh, J. (2013). A mindfulness-based smoking cessation program for

    individuals with mild intellectual disability. Mindfulness, 4,148-157.

    Singh, N. N., Lancioni, G. E., Winton, A. S. W., Karazsia, B. T., & Singh, J. (2014a).Mindfulness-Based Positive Behavior Support (MBPBS) for mothers of adolescents

    with autism spectrum disorders: Effects on adolescents behavior and parental stress.

    Mindfulness,DOI: 10.1007/s12671-014-0321-3.

    Singh, N. N., Lancioni, G. E., Myers, R. E., Karazsia, B. T., Winton, A. S. W., & Singh, J.

    (2014b). A randomized controlled trial of a mindfulness-based smoking cessation

    program for individuals with mild intellectual disability. International Journal of

    Mental Health and Addiction, 12, 153-168.

    Singh, N. N., Lancioni, G. E., Karazsia, B. T., Winton, A. S. W., Singh, J., & Wahler, R. G.

    (2014c). Shenpa and compassionate abiding: Mindfulness-based practices for anger

    and aggression by individuals with schizophrenia. International Journal of Mental

    Health and Addiction,12, 138-152.

  • 8/10/2019 A Second Generation of Mindfulness-based Intervention

    7/7

    7

    Van Gordon, W., Shonin, E., Sumich, A., Sundin, E., & Griffiths, M. D. (2014b).

    Meditation Awareness Training (MAT) for psychological wellbeing in a sub-clinical

    sample of university students: A controlled pilot study.Mindfulness, 5, 381-391.

    Van Gordon, W., Shonin, E., Zangeneh, M., & Griffiths, M. D. (2014). Work-relatedmental health and job performance: Can mindfulness help? International Journal of

    Mental Health and Addiction, 12, 129-137.

    Van Gordon, W., Shonin, E., & Griffiths, M. D. (2015).Mindfulness and the Four Noble

    Truths. In: Shonin, E., Van Gordon W., & Singh, N. N. (Eds). Buddhist Foundations of

    Mindfulness. New York: Springer.