Clinical Handbook of Mindfulness (30 page)

vided partial support for certain variables, as complete tests of mediation

have been rare thus far. Hopefully, future research evaluating possible medi-

ators will be more stringent. Overall, mindfulness interventions are gaining

prominence, and with continued research on how they work and the most

beneficial ways to incorporate them, this trend will continue with promising

results.

References

Aftanas, L., & Golosheykin, S. (2005). Impact of regular meditation practice on EEG

activity at rest and during evoked negative emotions.
International Journal of

Neuroscience, 115
, 893–909.

Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to

prevent the rehospitalization of psychotic patients: A randomized controlled trial.

Journal of Consulting and Clinical Psychology, 70
, 1129–1139.

Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and

empirical review.
Clinical Psychology: Science and Practice, 10
, 125–143.

Barnhofer, T., Duggan, D., Crane, C., Hepburn, S., Fennell, M. J. V., & Williams, J.

M.G. (2007). Effects of meditation on frontal α-asymmetry in previously suicidal

individuals.
Neuroreport, 18
, 709–712.

Bögels, S. M., Sijbers, G. F., & Voncken, M. (2006). Mindfulness and task concentra-

tion training for social phobia: A pilot study.
Journal of Cognitive Psychotherapy,

20
, 33–44.

96

Nancy L. Kocovski, Zindel V. Segal, and Susan R. Battista

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and

its role in psychological well-being.
Journal of Personality and Social Psychology,

84
, 822–848.

Cahn, B. R., & Polich, J. (2006). Meditation states and traits: EEG, ERP, and neuroimag-

ing studies.
Psychological Bulletin, 132
, 180–211.

Carter, O. L., Presti, D. E., Callistemon, A., Ungerer, Y., Lui. G. B., & Pettigrew, J. D.

(2005). Meditation alters perceptual rivalry in Tibetan Buddhist monks.
Current

Biology, 15
, 412–413.

Chambers, R., Lo, B. C., & Allen, N. B. (2008).The impact of intensive mindfulness

training on attentional control, cognitive style and affect.
Cognitive Therapy and

Research,
.

Cranson, R. W., Orme-Johnson, D. W., Gackenbach, J., Dillbeck, M. C., Jones, C. H., &

Alexander, C.N. (1991). Transcendental Meditation and improved performance on

intelligence related measures: A longitudinal study.
Personality and Individual Dif-

ferences 12
, 1105–1116.

Davidson, R. J. (1992). Emotion and affective style: Hemispheric substrates.
Psycho-

logical Science, 3
, 39–43.

Davidson, R. J. (2000). Affective style, psychopathology, and resilience: brain mecha-

nisms and plasticity.
American Psychologist, 55
, 1196–1214.

Davidson, R. J., & Irwin, W. (1999). The functional neuroanatomy of emotion and

affective style.
Trends in Cognitive Neuroscience, 3
, 11–21.

Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Saki, F.,

et al. (2003). Alterations in brain and immune function produced by mindfulness

meditation.
Psychosomatic Medicine, 65
, 564–570.

Dimidjian, S., & Linehan, M. M. (2003). Defining an agenda for future research on

the clinical application of mindfulness practice.
Clinical Psychology: Science and

Practice, 10
, 166–171.

Finucane, A, & Mercer, S. W. (2006). An exploratory mixed methods study of the

acceptability and effectiveness of mindfulness-based cognitive therapy for patients

with active depression and anxiety in primary care.
BMC Psychiatry, 6:14
.

Gotlib, I. H., Ranganath, C., & Rosenfeld, J, P. (1998). Frontal EEG alpha asymmetry,

depression, and cognitive functioning.
Cognition and Emotion, 12
, 449–478.

Gutierrez, O., Luciano, C., & Fink, B.C. (2004). Comparison between an acceptance-

based and a cognitive-control-based protocol for coping with pain.
Behavior Ther-

apy, 35
, 767–784.

Hankey, A. (2006). Studies of advanced stages of meditation in the Tibetan Buddhist

and vedic traditions. I: A comparison of general changes.
Complementary and

Alternative Medicine, 3
, 513–521.

Hayes, S. C., Bissett, R. T., Korn, Z., Zettle, R. D., Rosenfarb, I. S., Cooper, L. D., et al.

(1999). The impact of acceptance versus control rationales on pain tolerance.
The

Psychological Record, 49
, 33–47.

Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999).
Acceptance and commitment ther-

apy
. New York: Guilford.

Heimberg, R. G., & Becker, R. E. (2002).
Cognitive-behavioral group therapy for

social phobia: Basic mechanisms and clinical strategies
. New York: Guilford.

Hoppes, K. (2006). The application of mindfulness-based cognitive interventions in

the treatment of co-occurring addictive and mood disorders.
CNS Spectrum, 11
,

829–851.

Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I. et al. (2007). A

randomized controlled trial of mindfulness meditation versus relaxation training:

Effects on distress, positive states of mind, rumination, and distraction.
Annals of

Behavioral Medicine, 33
, 11–21.

Jha, A. P., Krompinger, J., & Baime, M. J. (2007). Mindfulness training modifies

subsystems of attention.
Cognitive, Affective, and Behavioural Neuroscience, 7
,

109–119.

Chapter 5 Mindfulness and Psychopathology

97

Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain

patients based on the practice of mindfulness meditation: Theoretical considera-

tions and preliminary results.
General Hospital Psychiatry, 4
, 33–47.

Kabat-Zinn, J. (1990).
Full catastrophe living: Using the wisdom of your body and

mind to face stress, pain and illness
. New York: Dell.

Kenny, M. A., & Williams, J. M. G. (2007). Treatment-resistant depressed patients show

a good response to mindfulness-based cognitive therapy.
Behaviour Research and

Therapy, 45
, 617–625.

Kocovski, N. L., Fleming, J., & Rector, N. A. (2007). Mindfulness and acceptance-

based group therapy for social anxiety disorder: Preliminary evidence from four

pilot groups. Poster accepted for presentation at the 41st Annual Convention of the

Association for Behavioral and Cognitive Therapies (ABCT), Philadelphia, Novem-

ber 15–18, 2007.

Kocovski, N. L., & Rector, N. A. (2007). Predictors of post-event rumination related to

social anxiety.
Cognitive Behaviour Therapy, 36
, 112–122.

Kocovski, N. L., Vorstenbosch, V., & Rogojanski, J. (2007). Mindfulness and social anx-

iety: An examination of mediating variables. Poster presented at the 68th Annual

Convention of the Canadian Psychological Association, Ottawa, June 7–9, 2007.

Koszycki, D., Benger, M., Shlik, J., & Bradwejn, J. (2007). Randomized trial of a

meditation-based stress reduction program and cognitive behavior therapy in gen-

eralized social anxiety disorder.
Behaviour Research and Therapy, 45
, 2518–2526.

Kraemer, H. C., Stice, E., Kazdin, A., Offord, D., & Kupfer, D. (2001). How do risk

factors work together? Mediators, moderators, and independent, overlapping, and

proxy risk factors.
American Journal of Psychiatry, 158
, 848–856.

Lau, M. A., & McMain, S. F. (2005). Integrating mindfulness meditation with cognitive

and behavioural therapies: The challenge of combining acceptance- and change-

based strategies.
Canadian Journal of Psychiatry, 50
, 863–869.

Levitt, J. T., Brown, T. A., Orsillo, S. M., & Barlow, D. H. (2004). The effects of

acceptance versus suppression of emotion on subjective and psychophysiological

response to carbon dioxide challenge in patients with panic disorder.
Behavior

Therapy, 35
, 747–766.

Linehan, M. M. (1993).
Cognitive-behavioral treatment of borderline personality

disorder
. New York: Guilford.

Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depres-

sion: Replication and exploration of differential relapse prevention effects.
Journal

of Consulting and Clinical Psychology, 72
, 31–40.

Mason, M. F., Norton, M. I., Van Horn, J. D., Wegner, D. M., Grafton, S. T., & Macrae, N.

(2007). Wandering minds: The default network and stimulus-independent thought.

Science, 315
, 393–395.

Melbourne Academic Mindfulness Interest Group. (2006). Mindfulness-based psy-

chotherapies: A review of conceptual foundations, empirical evidence and prac-

tical considerations.
Australian and New Zealand Journal of Psychiatry, 40
,

285–294.

Newberg, A. B., & Iversen, J. (2003). The neural basis of the complex mental

task of meditation: Neurotransmitter and neurochemical considerations.
Medical

Hypotheses, 61
, 282–291.

Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration

of depressive episodes.
Journal of Abnormal Psychology, 100
, 569–582.

Orme-Johnson, D. W., & Haynes, C. T. (1981). EEG phase coherence, pure conscious-

ness, creativity, and TM-Sidhi experiences.
The International Journal of Neuro-

science, 13
, 23–29.

Orme-Johnson, D. W., Schneider, R. H., Son, Y. D., Nidich, S., & Cho, Z. (2006). Neu-

roimaging of meditation’s effect on brain reactivity to pain.
Cognitive Neuroscience

and Neuropsychology, 17
, 1359–1363.

98

Nancy L. Kocovski, Zindel V. Segal, and Susan R. Battista

Orme-Johnson, D. W., & Walton, K. (1998). All approaches to preventing or reversing

effects of stress are not the same.
American Journal of Health Promotion, 12
,

297–299.

Ramel, W., Goldin, P. R., Carmona, P. E., & McQuaid, J. R. (2004). The effects of mind-

fulness meditation on cognitive processes and affect in patients with past depres-

sion.
Cognitive Therapy and Research, 28
, 433–455.

Roemer, L., & Orsillo, S. M. (2007). An open trial of an acceptance-based behavior

therapy for generalized anxiety disorder.
Behavior Therapy, 38
, 72–85.

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive

therapy for depression: A new approach to preventing relapse. New York: Guilford.

Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mind-

fulness.
Journal of Clinical Psychology, 62
, 373–386.

Teasdale, J. D., Moore, R. G., Hyhurst, H., Pope, M., Williams, S., & Segal, Z. V. (2002).

Metacognitive awareness and prevention of relapse in depression: Empirical evi-

dence.
Journal of Consulting and Clinical Psychology, 70
, 275–287.

Teasdale, J. D., Segal, Z. V., & Williams, J. M. G. (2003). Mindfulness training and

problem formulation.
Clinical Psychology: Science and Practice, 10
, 157–160.

Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A.

(2000). Prevention of relapse/recurrence in major depression by mindfulness-based

cognitive therapy.
Journal of Consulting and Clinical Psychology, 68
, 615–623.

Travis, F., & Arenander, A. (2006). Cross-sectional and longitudinal study of effects

of transcendental meditation practice on interhemispheric frontal asymmetry and

frontal coherence.
International Journal of Neuroscience, 116
, 1519–1538.

Wallace, R. K., Dillbeck, M., Jacobe, E., & Harrington, B. (1982). The effects of tran-

scendental meditation and TM-Sidhi program on the aging process.
International

Journal of Neuroscience, 16
, 53–58.

Walsh, R., & Roche, L. (1979). Precipitation of acute psychotic episodes by intensive

meditation in individuals with a history of schizophrenia.
American Journal of

Psychiatry, 136
, 1085–1086.

6

Emotional Memory, Mindfulness

and Compassion

Paul Gilbert and Dennis Tirch

But when the universe becomes your self, when you love the world as

yourself, all reality becomes your haven, reinventing you as your own

heaven.

Lao Tzu, Translated by Ralph Alan Dale Tao Te Ching

Emotional Memory, Mindfulness and Compassion

This chapter considers the role that mindfulness and compassion can play

in helping people who come from difficult and traumatic backgrounds.

These individuals often have a highly elevated sense of threat – both

from the outside (what others might do to them) and from the inside

(feeling overwhelmed by aversive feelings or memories; or their own self-

dislike/contempt for themselves). The basic view is that traumatic back-

grounds sensitise people to become overly reliant on processing from their

threat systems.

To explore this further we need to outline briefly the idea that the brain