The clinician as neuroarchitect: The importance of mindfulness and presence in clinical practice

Clinical Social Work Journal

Volumn 42, Issue 3, 2014, Pages 218-227

  Baldini, Lisa L ^a   Parker, Suzanne C ^b   Nelson, Benjamin W ^c,d   Siegel, Daniel J ^e,f,g  

^a VA PALO ALTO HEALTH CARE SYSTEM   (United States)

^b UNIVERSITY OF MIAMI   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d UNIVERSITY OF OREGON   (United States)

^e Mindsight Institute   (United States)

^f UNIVERSITY OF CALIFORNIA   (United States)

^g UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Interpersonal neurobiology; Mindfulness; Mindsight; Presence

Indexed keywords

EID: 84892766122     PISSN: 00911674     EISSN: 15733343     Source Type: Journal    
DOI: 10.1007/s10615-014-0476-3     Document Type: Article

References (63)

1. Carr, L., Iacoboni, M., Dubeau, M. C., Mazziotta, J. C., & Lenzi, G. L. (2003). Neural mechanisms of empathy in humans: A relay from neural systems for imitation to limbic areas. Proceedings of the National Academy of Sciences,100(9), 5497–5502.
2. Cassidy, J., & Shaver, P. R. (Eds.). (2008). Handbook of attachment: Theory, research, and clinical applications (2nd ed.). New York: Guilford Press.
3. Christopher, J. C., Chrisman, J. A., Trotter-Mathison, M. J., Schure, M. B., Dahlen, P., & Christopher, S. B. (2011). Perceptions of the long-term influence of mindfulness training on counselors and psychotherapists a qualitative inquiry. Journal of Humanistic Psychology,51(3), 318–349.
4. Condon, P., Desbordes, G., Miller, W., DeSteno, D., Hospital, M. G., & DeSteno, D. (2013). Meditation increases compassionate responses to suffering. Psychological Science, 24(10), 2125–2127.
5. Craig, A. D. (2003). Interoception: The sense of the physiological condition of the body. Current Opinion in Neurobiology,13(4), 500–505.
6. Craig, A. D. (2008). Interoception and emotion: A neuroanatomical perspective. In M. Lewis, J. M. Haviland-Jones, & L. F. Barrett (Eds.), Handbook of emotions (pp. 272–292). New York, NY: Guilford Press.
7. Creswell, J. D., Way, B. M., Eisenberger, N. I., & Lieberman, M. D. (2007). Neural correlates of dispositional mindfulness during affect labeling. Psychosomatic Medicine,69(6), 560–565.
8. Damasio, A., & Carvalho, G. B. (2013). The nature of feelings: Evolutionary and neurobiological origins. Nature Reviews Neuroscience,14(2), 143–152.
9. Davidson, R. J., & Begley, S. (2012). The emotional life of your brain: How its unique patterns affect the way you think, feel and live—and how you can change them. New York: Penguin.
10. DiNoble, A. (2009). Examining the relationship between adult attachment style and mindfulness traits. Unpublished doctoral dissertation, California Graduate Institute of the Chicago School of Professional Psychology.
11. Dunn, P. M., Arnetz, B. B., & Homer, L. (2007). Meeting the imperative to improve physician well-being: Assessment of an innovative program. Journal of General Internal Medicine,22(11), 1544–1552.
12. Farb, N. A., Anderson, A. K., & Segal, Z. V. (2012). The mindful brain and emotion regulation in mood disorders. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie,57(2), 70.
13. Farb, N. A., Segal, Z. V., Mayberg, H., Bean, J., McKeon, D., Fatima, Z., et al. (2007). Attending to the present: Mindfulness meditation reveals distinct neural modes of self-reference. Social Cognitive and Affective Neuroscience,2(4), 313–322.
14. Feldman, R. (2007). Parent–infant synchrony: Biological foundations and developmental outcomes. Current Directions in Psychological Science,16, 340–345.
15. Fredrickson, B. L., Cohn, M. A., Coffey, K. A., Pek, J., & Finkel, S. M. (2008). Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Journal of Personality and Social Psychology,95(5), 1045.
16. Geller, S. M., & Greenberg, L. S. (2002). Therapeutic presence: Therapists’ experience of presence in the psychotherapy encounter. Person-Centered & Experiential Psychotherapies,1(1–2), 71–86.
17. Germer, C. K. (2009). The mindful path to self-compassion: Freeing yourself from destructive thoughts and emotions. New York: Guilford Press.
18. Goodall, K., Trejnowska, A., & Darling, S. (2012). The relationship between dispositional mindfulness, attachment security and emotion regulation. Personality and Individual Differences,52(5), 622–626.
19. Goodman, M. J., & Schorling, J. B. (2012). A mindfulness course decreases burnout and improves well-being among healthcare providers. The International Journal of Psychiatry in Medicine,43(2), 119–128.
20. Greater Good Science Center. (2013). How to cultivate compassion? Retrieved from http://greatergood.berkeley.edu/topic/compassion/definition.
21. Grepmair, L., Mitterlehner, F., Loew, T., Bachler, E., Rother, W., & Nickel, M. (2007). Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: A randomized, double-blind, controlled study. Psychotherapy and Psychosomatics,76(6), 332–338.
22. Gu, X., Gao, Z., Wang, X., Liu, X., Knight, R. T., Hof, P. R., et al. (2012). Anterior insular cortex is necessary for empathetic pain perception. Brain,135(9), 2726–2735.
23. Hasson, U., Ghazanfar, A. A., Galantucci, B., Garrod, S., & Keysers, C. (2012). Brain-to-brain coupling: A mechanism for creating and sharing a social world. Trends in Cognitive Sciences,16(2), 114–121.
24. Henry, W. P., Schacht, T. E., & Strupp, H. H. (1990). Patient and therapist introject, interpersonal process, and differential psychotherapy outcome. Journal of Consulting and Clinical Psychology,58(6), 768.
25. Iacoboni, M. (2007). Face to face: The neural basis of social mirroring and empathy. Psychiatric Annals,37(4), 236–241.
26. Iacoboni, M. (2009). Imitation, empathy, and mirror neurons. Annual Review of Psychology,60, 653–670.
27. Irving, J. A., Dobkin, P. L., & Park, J. (2009). Cultivating mindfulness in health care professionals: A review of empirical studies of mindfulness-based stress reduction (MBSR). Complementary Therapies in Clinical Practice,15(2), 61–66.
28. Jacobs, T. L., Epel, E. S., Lin, J., Blackburn, E. H., Wolkowitz, O. M., Bridwell, D. A., et al. (2011). Intensive meditation training, immune cell telomerase activity, and psychological mediators. Psychoneuroendocrinology,36(5), 664–681.
29. Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice,10(2), 144–156.
30. Kane, M. J., Brown, L. H., McVay, J. C., Silvia, P. J., Myin-Germeys, I., & Kwapil, T. R. (2007). For whom the mind wanders, and when. Psychological Science,18(7), 614.
31. Kearney, D. J., Malte, C. A., McManus, C., Martinez, M. E., Felleman, B., & Simpson, T. L. (2013). Loving-kindness meditation for posttraumatic stress disorder: A pilot study. Journal of Traumatic Stress,26(4), 426–434.
32. Klimecki, O. M., Leiberg, S., Lamm, C., & Singer, T. (2013). Functional neural plasticity and associated changes in positive affect after compassion training. Cerebral Cortex,23(7), 1552–1561.
33. Krasner, M., Epstein, R., Beckman, H., Suchman, A., Chapman, B., Mooney, C., et al. (2009). Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA: The Journal of the American Medical Association,302(12), 1284–1293.
34. Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., et al. (2010). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy,48(11), 1105–1112.
35. Lazar, S. W., Kerr, C. E., Wasserman, R. H., Gray, J. R., Greve, D. N., Treadway, M. T., et al. (2005). Meditation experience is associated with increased cortical thickness. NeuroReport,16(17), 1893.
36. Lutz, A., Brefczynski-Lewis, J., Johnstone, T., & Davidson, R. J. (2008). Regulation of the neural circuitry of emotion by compassion meditation: Effects of meditative expertise. PLoS One,3(3), e1897.
37. MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review,32(6), 545–552.
38. Mikulincer, M., & Shaver, P. R. (2007). Boosting attachment security to promote mental health, prosocial values, and inter-group tolerance. Psychological Inquiry,18(3), 139–156.
39. Neff, K. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity,2(2), 85–101.
40. Neff, K. (2011). Self-compassion: Stop beating yourself up and leave insecurity behind. New York: HarperCollins e-books.
41. Neff, K. D. (2012). The science of self-compassion. In C. Germer & R. Siegel (Eds.), Compassion and wisdom in psychotherapy (pp. 79–92). New York: Guilford Press.
42. Neff, K. D., & McGeehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity,9, 225–240.
43. Nelson, B. W., Parker, S. C., & Siegel, D. J. (2013). Interpersonal neurobiology, mindsight, and the triangle of well-being: The mind, relationships & the brain. In E. Tronick, B. Perry, & K. Brandt (Eds.), Infant & early childhood mental health (pp. 129–144). Washington, DC: American Psychiatric Publishing.
44. Parker, S. C, Nelson, B. W., Epel E., Siegel, D. J. (in press). The science of presence: A central mediator of the interpersonal benefits of mindfulness. In K. W. Brown, J. D. Creswell, & R. M. Ryan (Eds.), Handbook of mindfulness: Theory and research. New York: Guilford Press.
45. Ryan, R. M., Brown, K. W., & Creswell, J. D. (2007). How integrative is attachment theory? Unpacking the meaning and significance of felt security. Psychological Inquiry,18, 177–182.
46. Salzberg, S. (2004). Lovingkindness: The revolutionary art of happiness. Boston, MA: Shambhala.
47. Santorelli, S. F., & Kabat-Zinn, J. (2009). Mindfulness-based stress reduction professional training resource manual: Integrating mindfulness meditation into medicine and health care. Worcester: University of Massachusetts Medical School.
48. Shanafelt, T. D., Boone, S., Tan, L., Dyrbye, L. N., Sotile, W., Satele, D., et al. (2012). Burnout and satisfaction with work–life balance among US physicians relative to the general US population. Archives of Internal Medicine,172(18), 1377–1385.
49. Shapiro, S. (2013). Does mindfulness make you more compassionate? Retrieved from http://greatergood.berkeley.edu/article/item/does_mindfulness_make_you_compassionate.
50. Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: Results from a randomized trial. International Journal of Stress Management,12(2), 164.
51. Shapiro, S. L., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: Effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology,1(2), 105.
52. Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine,21(6), 581–599.
53. Siegel, D. J. (2007). The mindful brain: Reflection and attunement in the cultivation of well-being. New York: W.W. Norton & Company.
54. Siegel, D. J. (2009). Mindful awareness, mindsight, and neural integration. The Humanistic Psychologist,37(2), 137–158.
55. Siegel, D. J. (2010a). The mindful therapist: A clinician’s guide to mindsight and neural integration. New York: W.W. Norton & Company.
56. Siegel, D. J. (2010b). Mindsight: The new science of personal transformation. New York: Bantam.
57. Siegel, D. J. (2012a). The developing mind, second edition: How relationships and the brain interact to shape who we are. New York: Guilford Press.
58. Siegel, D. J. (2012b). Pocket guide to interpersonal neurobiology: An integrative handbook of the mind. New York: W.W. Norton & Company.
59. Siegel, D. J., & Hartzell, M. (2003). Parenting from the inside out: How a deeper self-understanding can help you raise children who thrive. New York: Tarcher.
60. Sroufe, L. A., Egeland, B., Carlson, E., & Collins, W. A. (2005). Placing early attachment experiences in developmental context: The Minnesota longitudinal study. In K. E. Grossmann, K. Grossmann, & E. Waters (Eds.), Attachment from infancy to adulthood: The major longitudinal studies (pp. 48–70). New York: Guilford Publications.
61. Sroufe, L. A. & Siegel, D. J. (2011). The verdict is in: The case for attachment theory. Psychotherapy Networker, March–April.
62. Standen, A. (2012). Through meditation, veterans relearn compassion. Retrieved from http://www.npr.org/2012/11/21/165667696/through-meditation-veterans-relearn-compassion.
63. Zylowska, L., Ackerman, D. L., Yang, M. H., Farrell, J. L., Horton, N. L., Hale, T. S., et al. (2008). Mindfulness meditation training in adults and adolescents with ADHD a feasibility study. Journal of Attention Disorders,11(6), 737–746.