Mindfulness: Diverse Perspectives on its Meaning, Origins and Applications

303 Pages·2013·3.45 MB·English

by  J. Mark G. Williams

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Introduction by J. Mark G. Williams & Jon Kabat‐Zinn        1 ‐18 

What does mindfulness really mean? A canonical perspective 
by Bhikkhu Bodhi                  19‐39 

Is mindfulness present‐centred and non‐judgmental? A discussion  
of the cognitive dimensions of mindfulness by Georges Dreyfus        41‐54 

The construction of mindfulness by Andrew Olendzki          55‐70 

Toward an understanding of non‐dual mindfulness by John Dunne      71‐88 

How does mindfulness transform suffering? I: the nature and origins 
of dukkha by John D. Teasdale & Michael Chaskalson (Kulananda)       89‐102 

How does mindfulness transform suffering? II: the transformation of dukkha  
by John D. Teasdale & Michael Chaskalson (Kulananda)          103‐124 

Mindfulness‐based cognitive therapy: culture clash or creative fusion? 
by Melanie Fennell & Zindel Segal                125‐142 

Compassion in the landscape of suffering  
by Christina Feldman & Willem Kuyken              143‐155
Meditation and mindfulness by Martine Batchelor           157‐164 

The Buddhist roots of mindfulness training: a practitioners view  
by Edel Maex                     165‐175 

Mindfulness and loving‐kindness by Sharon Salzberg          177‐182 

Mindfulness in higher education by Mirabai Bush            183‐197 

‘Enjoy your death’: leadership lessons forged in the crucible of organizational  
death and rebirth infused with mindfulness and mastery by Saki F. Santorelli    199‐217 

Mindfulness, by any other name…: trials and tribulations 
of sati in western psychology and science 
by Paul Grossman & Nicholas T. Van Dam              219‐239 

Measuring mindfulness by Ruth A. Baer              241‐261 

On some definitions of mindfulness by Rupert Gethin          263‐279 

Some reflections on the origins of MBSR, skillful means, and the  
trouble with maps by Jon Kabat‐Zinn              281‐306
Notes on Contributors
Ruth A. Baer, Department of PsyChology, University of Kentucky. Lexington, USA
Martine Batchelor, Buddhist leacher and author, South West France
,
Ven. Bhikkhu Bodhi, Chuang Yen MonastefY. New Vork, USA
Mirabal Bush, Center for Contemplative Mind in Society, Williamsburg, USA
Michael Chaskal800 (Kulanaodaj. Centre for Mindfulness ReseaJ"ch and Practice,
School of Psychology. Bangor University, UK
Georges Dreyfus, Department of Religion, Williams College, Williamstown, USA
John Dunne, Department of Religion, Emory University, USA
Christina Feldman, Co-founder and Guiding Teacher, Gala House Meditation
Retreat Centre, Devon, UK
Melanie Fennell, Oxford Mindfulness Centre, University 01 Oxford Department of
Psychiatry, Wameford Hospital, UK
Rupert Gethin, Theology and Religious Studies, University of Bristol, UK
Paul Grossman, Department of Psychosomatic Medicine, Division of Internal
Medicine, University of Basel Hospital, Switzerland
Jon Kabat-Zinn, Center for Mindfulness, University of Massachusetts Medical
School, USA
WlIIem Kuyken, Mood Disorders Centre, School of Psychology, Univefsity of
Exeter, UK
Ed&! Maex, Psychiatrist, Ziekenhuls Netwerk Antwerpen, Belgium
Andrew Olendzkl, Executive Director and Senior Scholar, Barre Center for Bud
dhist Studies, Massachusetts, USA
Sharon Salzberg, Insight Meditation Society, Massachusetts, USA
Saki F. Santorelli, Center for Mindfulness in Medicine, Health Gare and Society,
University of Massachusetts Medical School, USA
Zlndel Segal, Centre for Addiction and Mental Health, University of Toronto,
Ontario, Canada
John Teasdale, retired scholar; formerly Research Scientist, Medical Research
Council's Cognition and Brain Sciences Unit, Cambridge, UK
J. Mark G. Williams, Oxford Mindfulness Centm, University of Oxford Department
of Psychiatry, Warneford Hospital, UK
Nicholas T. Van Dam, Department of Psychology, University at Albany, SUNY,
New York, USA
I
NTRODUCTION
MINDFULNESS: DIVERSE
PERSPECTIVES ON ITS MEANING,
ORIGINS, AND MULTIPLE
APPLICATIONS AT THE INTERSECTION
OF SCIENCE AND DHARMA
J. Mark G. Williams and Jon Kabat-Zinn
TheguesteditorsintroducethisspecialissueonMindfulness,explainingitsrationale,
aims, and intentions. Integrating mindfulness-based approaches into medicine,
psychology, neuroscience, healthcare, education, business leadership, and other
majorsocietalinstitutionshasbecomeaburgeoningfield.Theveryrapidityofsuch
growth of interest in mainstream contemporary applications of ancient meditative
practicestraditionallyassociatedwithspecificculturalandphilosophicalperspectives
andpurposes,raisesconcernsaboutwhethertheveryessenceofsuchpracticesand
perspectives might be unwittingly denatured out of ignorance and/or misappre-
hendedandpotentiallyexploitedininappropriateandultimatelyunwiseways.The
authors suggest that this is a point in the development of this new field, which is
emerging from a confluence of two powerful and potentially synergistic
epistemologies, where it may be particularly fruitful to pause and take stock. The
contributors to this special issue, all experts in the fields of Buddhist scholarship,
scientificresearch,ortheimplementationofmindfulnessinhealthcareoreducational
settings,haverisentothechallengeofidentifyingthemostsalientareasforpotential
synergyandforpotentialdisjunction.Ourhopeisthatoutoftheseinterchangesand
reflections and collective conversations may come new understandings and
emergencesthatwillprovidebothdirectionandbenefittothispromisingfield.
WearedelightedtointroducethisspecialissueofContemporaryBuddhism,
whichisdevotedexclusivelytoinvitedcontributionsfromBuddhistteachersand
contemplative scholars, together with mindfulness-based professionals on both
ContemporaryBuddhism,Vol.12,No.1,May2011
ISSN1463-9947print/1476-7953online/11/010001-18
q2011Taylor&Francis DOI:10.1080/14639947.2011.564811
2 J.MARKG.WILLIAMSANDJONKABAT-ZINN
theclinicalandresearchsides,writingonthebroadtopicofmindfulnessandthe
various issues that arise from its increasing popularity and integration into the
mainstreamofmedicine,education,psychologyandthewidersociety.Thattwo
scientist/clinicians,neitherofwhomidentifieshimselfasaBuddhist,andneitherof
whom is a Buddhist scholar, have been invited to be guest editors, is itself an
eventworthyofnote,andasignofthegoodwillandspaciousnessofviewofthe
journal’s outgoing editor, John Peacocke. We thank him for the profound
opportunity,andthefaithhehasplacedinus.
Formanyyears,fromtheearly1980suntilthelate1990s,thefieldwemight
call mindfulness-based applications went along at a very modest level, at first
undertheaegisofbehaviouralmedicine.Thenumberofpapersperyearcoming
outfollowedalineartrajectorywithaverylowslope.Someplaceinthelate1990s,
therisebegantogoexponential,andthatexponentialratecontinues(Figure1).
Interestandactivityisnolongerlimitedtothedisciplineofbehaviouralmedicine,
or mind/body medicine, or even medicine. Major developments are now
occurringinclinicalandhealthpsychology,cognitivetherapy,andneuroscience,
andincreasingly,thereisgrowinginterest,althoughpresentlyatalowerlevel,in
primary and secondary education, higher education, the law, business, and
leadership. Indeed, in the UK, the National Health Service (NHS) has mandated
mindfulness-based cognitive therapy as the treatment of choice for specific
patientpopulationssufferingfrommajordepressivedisorder.Whatismore,ata
FIGURE 1
Results obtained from a search of the term ‘mindfulness’ in the abstract and
keywordsoftheISIWebofKnowledgedatabaseonFebruary5,2011.Thesearch
was limited to publications with English language abstracts. Figure prepared by
David S. Black, Institute for Prevention Research, Keck School of Medicine,
UniversityofSouthernCalifornia
MINDFULNESS 3
scientific meeting on mindfulness research within neuroscience and clinical
medicine and psychology in Madison in October 2010,1 delegates from the
National Institute of Health reported that NIH alone funded more than 150
research projects in mindfulness over the preceding five years. The growth of
interest in mindfulness in the past 10 years has been huge, and in many ways
extraordinary.
From the perspective of 1979, when mindfulness-based stress reduction
(MBSR) came into being in the Stress Reduction Clinic at the University of
Massachusetts Medical Center in Worcester, Massachusetts, the idea that
mindfulness meditation would become integrated into mainstream medicine
andsciencetotheextentthatitalreadyhas,thattheNIHwouldfundmindfulness
research at the levels that it has, as well as hold a day long symposium on its
campus inMay of 2004 entitledMindfulness Meditation and Health, and thatthe
NHS in the UK would mandate a therapy based on mindfulness nationwide, is
nothingshort of astonishing. This interest isnot confined to North America and
theUK.Itisoccurringworldwide.
Indeed,giventhezeitgeist ofthelate1970s,theprobability thatBuddhist
meditation practices and perspectives would become integrated into the
mainstreamofscienceandmedicineandthewidersocietytotheextentthatthey
already have at this juncture, and in so many different ways that are now
perceivedaspotentiallyusefulandimportanttoinvestigate,seemedatthetime
to be somewhat lower than the likelihood that the cosmic expansion of the
universeshouldallofasuddencometoahaltandbeginfallingbackinonitselfin
areversebig-bang... inotherwords,infinitesimal.Andyet,improbableasitmay
have been, it has already happened, and the unfolding of this phenomenon
continuesonmanydifferentfronts.Inthelarge,itsignalstheconvergenceoftwo
different epistemologies and cultures, namely that of science and that of the
contemplativedisciplines,andinparticularmeditation,andevenmorespecifically,
Buddhist forms of meditation and the framework associated with their
deployment and practice. Since Buddhist meditative practices are concerned
with embodied awareness and the cultivation of clarity, emotional balance
(equanimity)andcompassion,andsinceallofthesecapacitiescanberefinedand
developed via the honing and intentional deployment of attention, the roots of
Buddhistmeditationpracticesaredefactouniversal.Thus,asKabat-Zinnarguesin
the closing contribution, it is therefore appropriate to introduce them into
mainstreamsecularsettingsintheserviceofhelpingtoreducesufferingandthe
attendantmind-statesandbehavioursthatcompoundit,andtodosoinwaysthat
neither disregard nor disrespect the highly sophisticated and beautiful
epistemological framework within which it is nested, but on the contrary make
profounduseofthatframeworkinnon-parochialwaysconsistentwithitsessence.
The emergence within science and medicine of interest in Buddhist
meditativepracticesandtheirpotentialapplicationsrepresentsaconvergenceof
twodifferentwaysofknowing,thatofwesternempiricalscience,andthatofthe
empiricism of the meditative or consciousness disciplines and their attendant
4 J.MARKG.WILLIAMSANDJONKABAT-ZINN
frameworks, developed over millennia. The world can only benefit from such a
convergenceandintermixingofstreams,aslongasthehigheststandardsofrigor
andempiricismnativetoeachstreamarerespectedandfollowed.Thepromiseof
deepened insights and novel approaches to theoretical and practical issues is
greatwhendifferentlensescanbehelduptooldandintractableissues.
At the same time, such a confluence of streams and the sudden rise in
interest and enthusiasm carries with it a range of possible problems, some of
which might actually seriously undermine and impede the deepest and most
creativepotentialofthisemergentfieldandhamperitsfullestdevelopment.Itisin
this context that we hope this special issue will spark ongoing dialogue and
conversationacrossdisciplinesthatusuallydonotcommunicatewitheachother,
andequally,willsparkanintrospectiveinquiryamongallconcernedregardingthe
interface between what has come to be called ‘first person experience’ and the
‘thirdperson’perspectiveofscientistsstudyingaspectsofhumanexperiencefrom
a more traditional vantage point (Varela and Shear 1999). The promise of the
convergenceandcross-fertilizationofthesetwowaysofunderstandingtheworld
and human experience is large. It is presently becoming a leading current of
thought and investigation in cognitive science (Varela, Thompson and Roach
1991; Thompson 2007) and affective neuroscience (Lutz, Dunne and Davidson
2007).Inaparallelandoverlappingemergencedatingbackto1987,theMindand
Life Institute has been conducting dialogues between the Dalai Lama and
scientistsandclinicians,alongwithBuddhistscholarsandphilosophersonarange
oftopicsrelatedtotheconfluenceofthesestreams(seeKabat-ZinnandDavidson
2011;www.mindandlife.org).
If increasing interest and popularity in regard to mindfulness and its
expressions in professional disciplines might inevitably bring a unique set of
challenges and even potential problems—the stress of ‘success,’ so to speak—
then questions to ponder at this juncture might be: Are there intrinsic dangers
thatneedtobekeptinmind?Istherethepotentialforsomethingpricelesstobe
lost through secular applications of aspects of a larger culture which has a long
and venerable, dare we say sacred tradition of its own? What are the potential
negativeeffectsoftheconfluenceofthesedifferentepistemologiesatthispointin
time?Doweneedtobeconcernedthatyoungprofessionalsmightbeincreasingly
drawn to mindfulness (or expected by their senior colleagues to use or study a
mindfulness-based intervention) because it may be perceived as a fashionable
field in which to work rather than from a motivation more associated with its
intrinsic essence and transformative potential? Can it be exploited or mis-
appropriatedinwaysthatmightleadtoharmofsomekind,eitherbyomissionor
commission?Mightthereevenbeelementsofbereavementandlossonthepart
ofsome,mixedinwiththeexhilarationofanyapparent‘success’,asoftenhappens
whensuccesscomesrapidlyandunexpectedly?
Ifwecanasksuchsometimeshardorevenuncomfortablequestions,andif
wecandiscernelementsofbothpossibledangerandpromisethatwehavenot
thoughtofbefore,andifwecanstayinconversationandperhapscollaboration
MINDFULNESS 5
acrossdomainswheretraditionallytherehasbeenlittleornodiscourse,perhaps
this confluence of streams will give rise to its maximal promise while remaining
mindful of the potential dangers associated with ignoring the existence of or
disregardingsomeoftheprofoundconcernsandperspectivesexpressedbythe
contributorstothisspecialissue.Theveryfactthatascholarlyjournaldevotedto
Buddhism would host this kind of cross disciplinary conversation is itself
diagnosticofthedissolvingofbarriersbetween,untilrecently,veryseparateareas
ofscholarshipandinquiry.
This special issue thus offers a unique opportunity for all involved in this
field, as well as those coming to it for the first time, to step back at this critical
moment in history and reflect on how this intersection of classical Buddhist
teachingsandWesterncultureisfaring,andhowitmightbebroughttothenext
level of flourishing while engendering the least harm and thegreatest potential
benefit.
Our first task as Editors was to draw together an international team to
contributeoriginalessays,includingauthorswhomightraiseissuesofwhichsome
of us may not even be aware either from the scholarly or cultural perspective,
issues that might shed some light on how this field could be enriched and
deepened.Tothatend,weinvitedscholarsofBuddhism,scientists,cliniciansand
teacherswhowethoughtwouldbeabletospeakdeeplytotwoaudiences:first,to
thoseintheBuddhistcommunitywhomaynotbesofamiliarwiththecurrentuse
and growinginfluence of mindfulnessin professional settings,or who maybe a
littlepuzzledoranxiousaboutit;second,toteachersandresearcherswithinthe
Westernmedical,scientific,psychotherapeutic,educationalorcorporatesettings,
who would like to be more informed about current areas of debate within
Buddhistscholarship.
Withthisaiminmind,wehaveorganizedtheessaysinacertainsequence,
starting from scholars of Buddhism who can help us situate the contemporary
debateinanhistoricalcontext,thenmovingtoteachersandclinicians/scientists
fortheirperspective,beforefinallycomingbacktothehistoricalcontextandthe
question of how best to honour the traditions out of which the most refined
articulation of mindfulness and its potential value arose, yet at the same time,
makingitaccessibletothosewhowouldnotseekitoutwithinaBuddhistcontext.
From Abhidharma to psychological science
In the first essay, Bhikkhu Bodhi examines the etymology and use of the
term sati in the foundational texts to help convey the breadth and depth of
mindfulness. He explores the differences in treatment of sati pointing out how
thosesystemsthatgivegreateremphasistomindfulnessasremembrancerequire
re-interpretationinthelightofthosethatplacegreateremphasisonwhathecalls
‘lucid awareness.’ He examines passages from Nyanaponika Thera to show the
dangers of using ‘bare attention’ as an adequate account of sati. Against this
background,hisarticlefocusesonboththebeautyandthechallengesinherentin