Abstract
Context: Research in the contemplative field has focused on trainable capacities that foster self-regulation and integration. From a psychological perspective, mindfulness and personality research has largely grown with a categorical approach that explores the relationship between personality traits and mindfulness skills in clinical contexts. Problem: There is still a gap in our understanding of the subjective processes that occur through contemplative learning. Moreover, a dimensional personality approach that acknowledges personality functioning and individual vulnerability has not formed part of the discussion in the field. Method: We used a mixed methods framework to explore change and learning mechanisms among six participants in an eight-week mindfulness-based intervention. Pre- and post-intervention measurements were registered, including a micro-phenomenological interview (MPI) to explore first-person experience in dealing with difficulty, self-reported personality functioning, symptoms, and mindfulness skills, and heart rate variability, to relate self-reporting and phenomenological accounts. Results: Multiple levels of observation seem to be sensitive to capturing change and processes occurring in mindfulness-based interventions. The MPI analysis points to greater awareness and embodied care as central mechanisms. Personality functioning correlates with autonomic activity during critical phases of the MPI. Conceptual and experiential understanding of new forms of relating to experience are exemplified through a case study. Implications: This exploratory study contributes to scientific and clinical understanding of healing mechanisms of mindfulness practice. Taking vulnerability into account can help refine therapeutic strategies and clinical sensitivity. The results support more skillful ways of guiding and inquiring in mindfulness practices. Future research should explore subtler levels of experiential and physiological regulatory processes using larger samples, particularly with participants who experience difficulties during practice. Constructivist content: This work contributes to the development of Francisco Varela’s neurophenomenology project and his scientific interest in contemplative practices as tools for the study of consciousness.
Citation
Medeiros S., Crempien C., Vásquez-Rosati A., Duarte J., Andreu C., Langer I., Ibaceta M., Silva J. R. & Cosmelli Sánchez D. (2021) Assessing subjective processes and vulnerability in mindfulness-based interventions: A mixed methods exploratory study. Constructivist Foundations 16(2): 203–220. https://constructivist.info/16/2/203
Export article citation data:
Plain Text ·
BibTex ·
EndNote ·
Reference Manager (RIS)
References
Allen M., Bromley A., Kuyken W. & Sonnenberg S. J. (2009) Participants’ experiences of mindfulness-based cognitive therapy: “It changed me in just about every way possible.” Behavioural and Cognitive Psychotherapy 37: 413–430.
▸︎ Google︎ Scholar
Alsubaie M., Abbott R., Dunn B., Dickens C., Keil T. F., Henley W. & Kuyken W. (2017) Mechanisms of action in mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR) in people with physical and/or psychological conditions: A systematic review. Clinical Psychology Review 55: 74–91.
▸︎ Google︎ Scholar
Baek H. J., Cho C. H., Cho J. & Woo J. M. (2015) Reliability of ultra-short-term analysis as a surrogate of standard 5-min analysis of heart rate variability. Telemedicine and E-Health 21(5): 404–414.
▸︎ Google︎ Scholar
Baer R. A., Smith G. T., Hopkins J., Krietemeyer J. & Toney L. (2006) Using self-report assessment methods to explore facets of mindfulness. Assessment 13(1): 27–45.
▸︎ Google︎ Scholar
Banerjee M., Cavanagh K. & Strauss C. (2017) A qualitative study with healthcare staff exploring the facilitators and barriers to engaging in a self-help mindfulness-based intervention. Mindfulness 8(6): 1653–1664.
▸︎ Google︎ Scholar
Beck A. T., Ward C. H., Mendelson M., Mock J. & Erbaugh J. (1961) An inventory for measuring depression. Archives of General Psychiatry 4: 561–571.
▸︎ Google︎ Scholar
Bergen A. & Parra G. (2002) OQ-45.2, Cuestionario para evaluación de resultados y evolución en psicoterapia: Adaptación, validación e indicaciones para aplicación e interpretación [OQ-45.2, an outcome questionnaire for monitoring change in psychotherapy: Adaptation, validation and indications for its application and interpretation]. Terapia Psicológica 20(2): 161–176.
▸︎ Google︎ Scholar
Bhatnagar R., Phelps L., Rietz K., Juergens T., Russell D., Miller N. & Ahearn E. (2013) The effects of mindfulness training on post-traumatic stress disorder symptoms and heart rate variability in combat veterans. The Journal of Alternative and Complementary Medicine 19(11): 860–861.
▸︎ Google︎ Scholar
Bohlmeijer E., Prenger R., Taal E. & Cuijpers P. (2010) The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: A meta-analysis. Journal of Psychosomatic Research 68: 539–544.
▸︎ Google︎ Scholar
Bromberg P. M. (2011) The shadow of the tsunami and the growth of the relational mind. Routledge, London.
▸︎ Google︎ Scholar
Burnett-Zeigler I., Satyshur M. D., Hong S., Wisner K. L. & Moskowitz J. (2019) Acceptability of a mindfulness intervention for depressive symptoms among African-American women in a community health center: A qualitative study. Complementary Therapies in Medicine 45: 19–24.
▸︎ Google︎ Scholar
Castaldo R., Montesinos L., Melillo P., James C. & Pecchia L. (2019) Ultra-short term HRV features as surrogates of short term HRV: A case study on mental stress detection in real life. BMC Medical Informatics and Decision Making 19(1): 1–13.
▸︎ Google︎ Scholar
Christodoulou G., Salami N. & Black D. S. (2020) The utility of heart rate variability in mindfulness research. Mindfulness 11(3): 554–570.
▸︎ Google︎ Scholar
Christopher J. C., Christopher S. E., Dunnagan T. & Schure M. (2006) Teaching self-care through mindfulness practices: The application of yoga, meditation, and qigong to counselor training. Journal of Humanistic Psychology 46(4): 494–509.
▸︎ Google︎ Scholar
Creswell J. & Plano Clark V. (2018) Designing and conducting mixed methods research. Third edition. Sage, Thousand Oaks CA.
▸︎ Google︎ Scholar
Creswell J. D. (2017) Mindfulness interventions. Annual Review Psychology 68: 491–516.
▸︎ Google︎ Scholar
De la Parra G., Undurraga C., Crempien C., Valdés C., Dagnino P. & Gómez-Barris E. (2018) Estructura de personalidad en pacientes con depresión: Adaptación de un instrumento y resultados preliminares [Personality structure in patients with depression: Adaptation of an instrument and preliminary results]. Psykhé 27(2): 1–20.
▸︎ Google︎ Scholar
Depraz N. (2019) Epoché in light of Samatha-Vipassana meditation: Chögyam Trungpa’s Buddhist teaching facing Husserl’s phenomenology. Journal of Consciousness Studies 26(7–8): 49–69.
▸︎ Google︎ Scholar
Ehrenthal J. C., Dinger U., Horsch L., Komo-Lang M., Klinkerfuss M., Grande T. & Schauenburg H. (2012) The OPD Structure Questionnaire (OPD-SQ): First results on reliability and validity. Psychotherapie, Psychosomatik, medizinische Psychologie 62(1): 25–32.
▸︎ Google︎ Scholar
Fuchs T. (2013) Depression, intercorporeality, and interaffectivity. Journal of Consciousness Studies 20(7–8): 7–8.
▸︎ Google︎ Scholar
Giluk T. L. (2009) Mindfulness, big five personality, and affect: A meta-analysis. Personality and Individual Differences 47(8): 805–811.
▸︎ Google︎ Scholar
Goldberg S. B., Tucker R. P., Greene P. A., Davidson R. J., Wampold B. E., Kearney D. J. & Simpson T. L. (2018) Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysis. Clinical Psychology Review 59: 52–60.
▸︎ Google︎ Scholar
Hanna F., Wilkinson B. & Givens J. (2017) Recovering the original phenomenological research method: An exploration of Husserl, Yoga, Buddhism, and new frontiers in humanistic counseling. The Journal of Humanistic Counseling 56: 144–162.
▸︎ Google︎ Scholar
Herz N., Baror S. & Bar M. (2020) Overarching states of mind. Trends in Cognitive Sciences 24(3): 184–199.
▸︎ Google︎ Scholar
Huynh T., Hatton-Bowers H. & Smith M. H. (2018) A critical methodological review of mixed methods designs used in mindfulness research. Mindfulness 10(5): 786–798.
▸︎ Google︎ Scholar
Kabat-Zinn J. (2003) Mindfulness‐based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice 10(2): 144–156.
▸︎ Google︎ Scholar
Kabat-Zinn J. (2016) Foreword to the revised edition. In: Varela F. J., Thompson E. & Rosch E., The embodied mind: Cognitive science and human experience. Revised edition. MIT Press, Cambridge MA: xi–xvi.
https://cepa.info/6913
Kamath M. V., Watanabe M. A. & Upton A. R. M. (eds.) (2013) Heart rate variability (HRV) clinical applications. Taylor & Francis, New York.
▸︎ Google︎ Scholar
Kelm D. J., Ridgeway J. L., Gas B. L., Mohan M., Cook D. A., Nelson D. R. & Benzo R. P. (2018) Mindfulness meditation and interprofessional cardiopulmonary resuscitation: A mixed methods pilot study. Teaching and Learning in Medicine 30(4): 433–443.
▸︎ Google︎ Scholar
Kemp A. H. & Quintana D. S. (2013) The relationship between mental and physical health: Insights from the study of heart rate variability. International Journal of Psychophysiology: Official Journal of the International Organization of Psychophysiology 89(3): 288–296.
▸︎ Google︎ Scholar
Kemp A. H., Quintana D. S., Gray M. A., Felmingham K. L., Brown K. & Gatt J. M. (2010) Impact of depression and antidepressant treatment on heart rate variability: A review and meta-analysis. Biological Psychiatry 67(11): 1067–1074.
▸︎ Google︎ Scholar
Khoury B., Sharma M., Rush S. E. & Fournier C. (2015) Mindfulness-based stress reduction for healthy individuals: A meta-analysis. Journal of Psychosomatic Research 78(6): 519–28.
▸︎ Google︎ Scholar
Kiken L. G., Garland E. L., Bluth K., Palsson O. S. & Gaylord S. A. (2015) From a state to a trait: Trajectories of state mindfulness in meditation during intervention predict changes in trait mindfulness. Personality and Individual Differences 81: 41–46.
▸︎ Google︎ Scholar
Kirby J. N., Doty J. R., Petrocchi N. & Gilbert P. (2017) The current and future role of heart rate variability for assessing and training compassion. Frontiers in Public Health 5: 40.
https://doi.org/10.3389/fpubh.2017.00040
Krause M., (2019) Transformations of social bonds and mental health: How can mindfulness counter individualization and the influence of communication technologies? In: Steinebach C. & Langer Á. (eds.) Enhancing resilience in youth. Springer, Cham: 245–257.
▸︎ Google︎ Scholar
Kuyken W., Watkins E., Holden E., White K., Taylor R. S., Byford S., Evans A., Radford S., Teasdale J. D. & Dalgleish T. (2010) How does mindfulness-based cognitive therapy work? Behaviour research and therapy 48(11): 1105–1112.
▸︎ Google︎ Scholar
Lambert M. J., Hansen N. B., Umphress V., Lunnen K., Okiishi J., Burlingame G. M. & Reisinger C. W. (1996) Administration and scoring manual for the Outcome Questionnaire (OQ-45.2) American Professional Credentialing Services, Wilmington DE.
▸︎ Google︎ Scholar
Langer Á. I., Medeiros S., Valdés-Sánchez N., Brito R., Steinebach C., Cid-Parra C., Magni A. & Krause M. (2020) A qualitative study of a mindfulness-based intervention in educational contexts in Chile: An approach based on adolescents’ voices. International Journal of Environmental Research and Public Health 17(18) 6927.
https://www.mdpi.com/1660–4601/17/18/6927/htm
Lindahl J. R., Britton W. B., Cooper D. J., Kirmayer L. J. (2019) Challenging and adverse meditation experiences: Toward a person-centered approach. In: Farias M., Brazier D. & Lalljee M. (eds.) The Oxford handbook of meditation. Oxford University Press, Oxford.
▸︎ Google︎ Scholar
Lutz A., Jha A. P., Dunne J. D. & Saron C. D. (2015) Investigating the phenomenological matrix of mindfulness-related practices from a neurocognitive perspective. The American Psychologist 70(7): 632–658.
▸︎ Google︎ Scholar
Mackenzie M. J., Carlson L. E., Munoz M. & Speca M. (2007) A qualitative study of self-perceived effects of mindfulness-based stress reduction (MBSR) in a psychosocial oncology setting. Stress and Health 23(1): 59–69.
▸︎ Google︎ Scholar
McCluskey D. L., Haliwa I., Wilson J., Keeley J. W. & Shook N. J. (2020) Experiential avoidance mediates the relation between mindfulness and anxiety. Current Psychology, Online first.
https://doi.org/10.1007/s12144–020–00929–4
Nijjar P. S., Puppala V. K., Dickinson O., Duval S., Duprez D., Kreitzer M. J. & Benditt D. G. (2014) Modulation of the autonomic nervous system assessed through heart rate variability by a mindfulness-based stress reduction program. International Journal of Cardiology 177(2): 557–559.
▸︎ Google︎ Scholar
OPD Task Force (2008) Operationalized psychodynamic diagnosis OPD-2: Manual of Diagnosis and Treatment Planning. Hogrefe & Huber, Kirkland.
▸︎ Google︎ Scholar
Ostafin B. D., Robinson M. D. & Meier B. P. (eds.) (2015) Handbook of mindfulness and self-regulation. Springer, New York.
▸︎ Google︎ Scholar
Pascoe M. C., Thompson D. R. & Ski C. F. (2017) Yoga, mindfulness-based stress reduction and stress related physiological measures: A meta-analysis. Psychoneuroendocrinology 86: 152–168.
https://doi.org/10.1016/j.psyneuen.2017.08.008
Pecchia L., Castaldo R., Montesinos L. & Melillo P. (2018) Are ultra-short heart rate variability features good surrogates of short-term ones? State-of-the-art review and recommendations. Healthcare Technology Letters 5(3): 94–100.
▸︎ Google︎ Scholar
Petitmengin C. (2006) Describing one’s subjective experience in the second person: An interview method for the science of consciousness. Phenomenology and the Cognitive Sciences 5(3–4): 229–269.
https://cepa.info/2376
Piet J. & Hougaard E. (2011) The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: A systematic review and meta-analysis. Clinical Psychology Review 31(6): 1032–1040.
▸︎ Google︎ Scholar
Porges S. (2011) The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, self-regulation. W. W. Norton, New York NY.
▸︎ Google︎ Scholar
Przyrembel M. & Singer T. (2018) Experiencing meditation: Evidence for differential effects of three contemplative mental practices in micro-phenomenological interviews. Consciousness and Cognition 62: 82–101.
▸︎ Google︎ Scholar
Quintana D. S., Alvares G. A. & Heathers J. A. J. (2016) Guidelines for Reporting Articles on Psychiatry and Heart rate variability (GRAPH): Recommendations to advance research communication. Translational Psychiatry 6(5): e803–e803.
https://doi.org/10.1038/tp.2016.73
Rodríguez-Liñares L., Vila X., Méndez A. J., Lado M. & Olivieri D. (2008) RHRV: An R-based software package for heart rate variability analysis of ECG recordings. In: Proceedings of the Third Iberian Conference in Systems and Information Technologies (CISTI 2008) Universidad de Vigo, Ourense: 565–574.
▸︎ Google︎ Scholar
Rycroft-Malone J., Gradinger F., Owen Griffiths H., Anderson R., Crane R. S., Gibson A., Mercer S. W. & Kuyken W. (2019) “Mind the gaps”: The accessibility and implementation of an effective depression relapse prevention programme in UK NHS services: Learning from mindfulness-based cognitive therapy through a mixed methods study. BMJ Open 9(9): e026244.
▸︎ Google︎ Scholar
Schmidt C. & Vinet E. V. (2015) Validación del Five Facet Mindfulness Questionnaire (FFMQ) en estudiantes universitarios chilenos [Validation of the Five Facet Mindfulness Questionnaire (FFMQ) in Chilean university students]. Terapia Psicológica 33(2): 93–102.
▸︎ Google︎ Scholar
Schore A. N. (2012) The science of the art of psychotherapy. W. W. Norton, New York.
▸︎ Google︎ Scholar
Shonin E., Van Gordon W. & Griffiths M. D. (2014) Meditation awareness training (MAT) for improved psychological well-being: A qualitative examination of participant experiences. Journal of Religion and Health 53(3): 849–863.
▸︎ Google︎ Scholar
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(4): 615–623.
▸︎ Google︎ Scholar
Treleaven D. A. (2018) Trauma-sensitive mindfulness: Practices for safe and transformative healing. W. W Norton & Company, New York.
▸︎ Google︎ Scholar
Valdés C., Morales-Reyes I., Pérez J. C., Medellín A., Rojas G. & Krause M. (2017) Propiedades psicométricas del inventario de depresión de Beck IA para la población chilena [Psychometric properties of a Spanish version of the Beck depression inventory IA]. Revista médica de Chile 145(8): 1005–1012.
https://dx.doi.org/10.4067/s0034–98872017000801005
van den Hurk P. A., Wingens T., Giommi F., Barendregt H. P., Speckens A. E. & van Schie H. T. (2011) On the relationship between the practice of mindfulness meditation and personality–an exploratory analysis of the mediating role of mindfulness skills. Mindfulness 2(3): 194–200.
https://doi.org/10.1007/s12671–011–0060–7
Wang H. M. & Huang S. C. (2012) SDNN/RMSSD as a surrogate for LF/HF: A revised investigation. Modelling and Simulation in Engineering 2012: 931943.
https://doi.org/10.1155/2012/931943
Weisman K. & Luhrmann T. M. (2020) What anthropologists can learn from psychologists, and the other way around. Journal of the Royal Anthropological Institute 26: 131–147.
▸︎ Google︎ Scholar
Zimmermann J., Ehrenthal J. C., Cierpka M., Schauenburg H., Doering S. & Benecke C. (2012) Assessing the level of structural integration using operationalized psychodynamic diagnosis (OPD) Implications for DSM-5. Journal of Personality Assessment 94: 522–532.
▸︎ Google︎ Scholar
Comments: 0
To stay informed about comments to this publication and post comments yourself, please log in first.