The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists

PLoS ONE

Volumn 12, Issue 5, 2017, Pages

  Lindahl, Jared R ^a   Fisher, Nathan E ^b   Cooper, David J ^c   Rosen, Rochelle K ^a   Britton, Willoughby B ^a,c  

^a BROWN UNIVERSITY   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c BROWN UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AFFECT; ARTICLE; BUDDHIST; CAUSALITY; COGNITION; CONTENT ANALYSIS; DEMOGRAPHY; DISTRESS SYNDROME; FEMALE; FOLLOW UP; FUNCTIONAL DISEASE; HEALTH BEHAVIOR; HUMAN; HUMAN EXPERIMENT; HUMAN RELATION; INTERVIEW; MALE; MEDITATION; MIDDLE AGED; NORMAL HUMAN; PERCEPTION; PERSONAL EXPERIENCE; PHENOMENOLOGY; PSYCHOSOMATICS; QUALITATIVE ANALYSIS; SELF CONCEPT; SOCIAL ASPECT; THEMATIC ANALYSIS; ADOLESCENT; AGED; BUDDHISM; HEALTH PROMOTION; PROCEDURES; PSYCHOLOGY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; BUDDHISM; FEMALE; FOLLOW-UP STUDIES; HEALTH BEHAVIOR; HEALTH PROMOTION; HUMANS; INTERVIEWS AS TOPIC; MALE; MEDITATION; MIDDLE AGED; YOUNG ADULT;

EID: 85019967401     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0176239     Document Type: Article

References (176)

1. Lindahl JR. Why right mindfulness might not be right for mindfulness. Mindfulness. 2015; 6:57-62.
2. Goyal M, Singh S, Sibinga EM, Gould NF, Rowland-Seymour A, Sharma R, et al. Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. JAMA internal medi-cine. 2014; 174(3):357-68. PubMed Central PMCID: PMC4142584. https://doi.org/10.1001/jamainternmed.2013.13018 PMID: 24395196
3. Chiesa A, Serretti A. Are mindfulness-based interventions effective for substance use disorders? A systematic review of the evidence. Substance use & misuse. 2014; 49(5):492-512.
4. Grant JA. Meditative analgesia: the current state of the field. Annals of the New York Academy of Sciences. 2014; 1307:55-63. https://doi.org/10.1111/nyas.12282 PMID: 24673150
5. Hofmann SG, Sawyer AT, Witt AA, Oh D. The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of consulting and clinical psychology. 2010; 78(2):169-83. PubMed Central PMCID: PMC2848393. https://doi.org/10.1037/a0018555 PMID: 20350028
6. Chiesa A, Serretti A. Mindfulness based cognitive therapy for psychiatric disorders: a systematic review and meta-analysis. Psychiatry research. 2011; 187(3):441-53. https://doi.org/10.1016/j. psychres.2010.08.011 PMID: 20846726
7. Chiesa A, Serretti A. Mindfulness-based interventions for chronic pain: a systematic review of the evidence. Journal of alternative and complementary medicine. 2011; 17(1):83-93. https://doi.org/10.1089/acm.2009.0546 PMID: 21265650
8. Chiesa A, Calati R, Serretti A. Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings. Clin Psychol Rev. 2011; 31(3):449-64. https://doi.org/10.1016/j.cpr.2010.11.003 PMID: 21183265
9. Chambers R, Gullone E, Allen NB. Mindful emotion regulation: An integrative review. Clinical psychology review. 2009; 29(6):560-72. https://doi.org/10.1016/j.cpr.2009.06.005 PMID: 19632752
10. Samuelson M, Carmody J, Kabat-Zinn J, Bratt MA. Mindfulness-Based Stress Reductioin in Massachusetts Correctional Facilities. The Prison Journal. 2007; 2:254-68.
11. Sumter MT, Monk-Turner E, Turner C. The benefits of meditation practice in the correctional setting. J Correct Health Care. 2009; 15(1):47-57; quiz 81. https://doi.org/10.1177/1078345808326621 PMID: 19477811
12. Jha AP, Stanley EA, Kiyonaga A, Wong L, Gelfand L. Examining the protective effects of mindfulness training on working memory capacity and affective experience. Emotion. 2010; 10(1):54-64. https://doi.org/10.1037/a0018438 PMID: 20141302
13. Stanley EA, Schaldach JM, Kiyonaga A, Jha AP. Mindfulness-based Mind Fitness Training: A Case Study of a High-Stress Predeployment Military Cohort. Cognitive and Behavioral Practice 2011; 18 (4):566-76.
14. Stanley EA, Jha AP. Mind fitness: Improving operational effectiveness and building warrior resilience. Joint Force Quarterly. 2009; 55:144-51.
15. MLERN, Davidson R, Dunne J, Eccles J, Engle A, Greenberg M, et al. Contemplative Practices and Mental Training: Prospects for American Education. Child Dev Perspect. 2012; 6(2):146-53. Epub 2012/08/21. PubMed Central PMCID: PMC3420012. https://doi.org/10.1111/j.1750-8606.2012. 00240.x PMID: 22905038
16. Kaiser-Greenland S. The Mindful Child. New York Free Press; 2010.
17. Greenberg M, Harris A. Nurturing Mindfulness in Children and Youth: Current State of Research. Child Dev Perspect. 2012; 6(2):161-6.
18. Meiklejohn J, Phillips C, Freedman M, Griffin M, Biegel G, Roach A, et al. Integrating Mindfulness Training into K-12 Education: Fostering the Resilience of Teachers and Students. Mindfulness. 2012:1-17.
19. Shapiro S, Brown K, Astin J. Toward the Integration of Meditation into Higher Education: A Review of Research Evidence. Teachers College Record. 2011; 113(3): 493-528.
20. Mani M, Kavanagh DJ, Hides L, Stoyanov SR. Review and Evaluation of Mindfulness-Based iPhone Apps. JMIR Mhealth Uhealth. 2015; 3(3):e82. https://doi.org/10.2196/mhealth.4328 PMID: 26290327
21. Wieczner J. Meditation Has Become A Billion-Dollar Business. Fortune. 2016;March 12:1-2.
22. Clarke TC, Black LI, Stussman BJ, Barnes PM, Nahin RL. Trends in the use of complementary health approaches among adults: United States 2002-2012. National Health Statistics Reports no 79. Hyattsville, MD: National Center for Health Statistics.; 2015.
23. Barnes P, Bloom B, Nahin R. Complementary and Alternative Medicine Use Among Children and Adults: United States, 2007. CDC National Health Statisitics Report #12.2008:1-24.
24. Teasdale JDC, M. How does mindfulness transform suffering? II: the transformation of dukkha. Contemporary Buddhism. 2011; 12:103-24.
25. Kabat-Zinn J. Some Reflections on the Origins of MBSR, Skillful Means, and the Trouble with Maps. Contemporary Buddhism. 2011; 12:281-306.
26. Grant JA, Rainville P. Pain sensitivity and analgesic effects of mindful states in Zen meditators: a cross-sectional study. Psychosomatic medicine. 2009; 71(1):106-14. https://doi.org/10.1097/PSY. 0b013e31818f52ee PMID: 19073756
27. MacLean KA, Ferrer E, Aichele SR, Bridwell DA, Zanesco AP, Jacobs TL, et al. Intensive meditation training improves perceptual discrimination and sustained attention. Psychological science. 2010; 21 (6):829-39. PubMed Central PMCID: PMCPMC3132583. https://doi.org/10.1177/0956797610371339 PMID: 20483826
28. Kaliman P, Alvarez-Lopez MJ, Cosin-Tomas M, Rosenkranz MA, Lutz A, Davidson RJ. Rapid changes in histone deacetylases and inflammatory gene expression in expert meditators. Psychoneuroendocri-nology. 2014; 40:96-107. PubMed Central PMCID: PMCPMC4039194. https://doi.org/10.1016/j. psyneuen.2013.11.004 PMID: 24485481
29. Sudsuang R, Chentanez V, Veluvan K. The effect of buddhist meditation on serum cortisol and total protein levels, blood pressure, pulse rate, lung volume and reaction time. Physiol Behav. 1991; 50:543-8. PMID: 1801007
30. Lopez D. The Scientific Buddha: His Short and Happy Life. New Haven: Yale University Press; 2012.
31. Lopez DS Jr. Buddhism and science: A guide for the perplexed: University of Chicago Press; 2009.
32. McMahan D. Buddhism as the "religion of science": From colonial Ceylon to the laboratories of Harvard. In: Lewis JR, Hammer O, editors. Handbook of Religion and the Authority of Science Leiden: Brill; 2011.
33. McMahan D. The Making of Buddhist Modernism. New York: Oxford University Press; 2008.
34. Sharf R. Is mindfulness Buddhist? (and why it matters). Transcultural Psychiatry. 2014; 52(4):470-84. https://doi.org/10.1177/1363461514557561 PMID: 25361692
35. Wilson J. Mindful America: The Mutual Transformation of Buddhist Meditation and American Culture. New York: Oxford University Press; 2014.
36. Huntington CW. The Triumph of Narcissism: Theravada Buddhist Meditation in the Marketplace. Journal of the American Academy of Religion 2015; 83:624-48.
37. Wallace B. Stilling the Mind: Shamatha Teachings from Dudjom Lingpa's Vajra Essence. Boston: Wisdom Publications; 2011.
38. Wallace BA. Dudjom Lingpa's Visions of the Great Perfection, Volume 3: The Vajra Essence. Boston: Wisdom Publications; 2015.
39. Gyatso J. Healing burns with fire: The facilitations of experience in Tibetan Buddhism. Journal of the American Academy of Religion 1999; 67(1):113-47.
40. Sogen O. An Introduction to Zen training. (D. Hosokawa, Trans.) Boston: Tuttle Publishing; 2001.
41. Aitken R. Taking the Path of Zen. San Francisco: North Point Press; 1982.
42. Hakuin. Idle talk on a night boat. In: Waddell N, editor. Hakuin's Precious Mirror Cave. Berkeley: Counterpoint; 2009.
43. Hua H. The Shurangama Sutra with commentary, Vol. 8. Burlingame, CA: Buddhist Text Publication Society; 2003.
44. Buddhaghosa B. The Path of Purification. Onalaska, WA: Buddhist Publication Society; 1991.
45. Sayadaw M. Manual of insight. Somerville, MA: Wisdom Publications; 2016.
46. Tate A. The Autobiography of a Forest Monk. Chiang Mai: Wat Hin Mark Peng; 1993.
47. Sayadaw M. The Progress of Insight: A Modern Pali Treatise on Buddhist Satipatthana Meditation. Kandy, Sri Lanka: Buddhist Publication Society; 1965.
48. Namto S. Insight Meditation: Practical Steps to Ultimate Truth. Fawnskin, CA: Vipassana Dhura Meditation Society; 1989.
49. Lindahl JR. Self-transformation according to Buddhist stages of the path literature. Pacific World: Journal of the Insituteof Buddhist Studies. 2012; 3(14):231-75.
50. Sharf R. Experience. In: Taylor MC, editor. Critical Terms for Religious Studies. Chicago: University of Chicago Press; 1998.
51. Sharf R. Buddhist modernism and the rhetoric of meditative experience. Numen. 1995; 42:228-83.
52. Wallace BA. The Attention Revolution: Unlocking the Power of the Focused Mind. Boston: Wisdom; 2006.
53. Kornfield J. Bringing home the Dharma: Awakening right where you are. Boston: Shambhala Publications; 2011.
54. Jonsson U, Alaie I, Parling T, Arnberg FK. Reporting of harms in randomized controlled trials of psychological interventions for mental and behavioral disorders: A review of current practice. Contemporary clinical trials. 2014; 38(1):1-8. Epub 2014/03/13. https://doi.org/10.1016/j.cct.2014.02.005 PMID: 24607768
55. Fowler F. Mode effcts in a survey of Medicare prostate surgery patients. Public Opinion Quarterly. 1998; 62:29-46.
56. Turner C, Lessler J, George B, Hubbard M, Watt M. Effects of mode of administration and wording on reporting of drug use. In: Turner CF, Lessler JT, Gfroerer JC, editors. Survey Measurement of Drug Use: Methodological Studies. Washington, D.C: Government Printing Office.; 1992. p. 177-220.
57. Weissman JS, Schneider EC, Weingart SN, Epstein AM, David-Kasdan J, Feibelmann S, et al. Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? Annals of internal medicine. 2008; 149(2):100-8. Epub 2008/07/16. PMID: 18626049
58. Bent S, Padula A, Avins AL. Brief communication: Better ways to question patients about adverse medical events: a randomized, controlled trial. Annals of internal medicine. 2006; 144(4):257-61. Epub 2006/02/24. PMID: 16490911
59. Kuyken W, Hayes R, Barrett B, Byng R, Dalgleish T, Kessler D, et al. Effectiveness and cost-effectiveness of mindfulness-based cognitive therapy compared with maintenance antidepressant treatment in the prevention of depressive relapse or recurrence (PREVENT): a randomised controlled trial. Lancet. 2015; 386(9988):63-73. https://doi.org/10.1016/S0140-6736(14)62222-4 PMID: 25907157
60. Kuyken W, Warren FC, Taylor RS, Whalley B, Crane C, Bondolfi G, et al. Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse: An Individual Patient Data Meta-analysis From Randomized Trials. JAMA Psychiatry. 2016.
61. Williams JM, Crane C, Barnhofer T, Brennan K, Duggan DS, Fennell MJ, et al. Mindfulness-based cognitive therapy for preventing relapse in recurrent depression: a randomized dismantling trial. Journal of consulting and clinical psychology. 2014; 82(2):275-86. PubMed Central PMCID: PMCPMC3964149. https://doi.org/10.1037/a0035036 PMID: 24294837
62. Kuyken W, Crane W, Williams JM. Mindfulness-Based Cognitive Therapy (MBCT) Implementation Resources. Oxford University, University of Exeter, Bangor University. 2012.
63. Lustyk M, Chawla N, Nolan R, Marlatt G. Mindfulness Medtation Research: Issues of participant screening, safety procedures, and researcher training. Advances in Mind-Body Medicine. 2009; 24 (1):20-30. PMID: 20671334
64. Kuijpers H, van der Heijden F, Tuinier S, Verhoeven W. Meditation-induced psychosis. Psychopathol-ogy. 2007; 40:461-4. https://doi.org/10.1159/000108125 PMID: 17848828
65. Epstein M, Lieff J. Psychiatric complications of meditation practice. The Journal of Transpersonal Psychology. 1981; 13(2):137-47.
66. Jaseja H. Potential role of self-induced EEG fast oscillations in predisposition to seizures in meditators. Epilepsy & Behavior. 2010; 17:124-5.
67. Shapiro DH Jr. Adverse effects of meditation: a preliminary investigation of long-term meditators. Int J Psychosom. 1992; 39(1-4):62-7. PMID: 1428622
68. Yorston G. Mania precipitated by meditation: a case report and literature review. Mental Health, Religion & Culture. 2001; 4:209-14.
69. Miller J. The unveling of traumatic memories and emotions through mindfulness and concentration meditation: clinical implications and three case reports. Journal of Transpersonal Psychology. 1993; 25:169-80.
70. Chan-Ob T, Boonyanaruthee V. Meditation in association with psychosis. Journal of the Medical Association of Thailand. 1999; 82(9):925-30. PMID: 10561951
71. Kutz I, Leserman J, Dorrington C, Morrison CH, Borysenko JZ, Benson H. Meditation as an adjunct to psychotherapy. An outcome study. Psychother Psychosom. 1985; 43(4):209-18. PMID: 3898186
72. Walsh R, Roche L. Precipitation of acute psychotic episodes by intensive meditation in individuals with a history of schizophrenia. Am J Psychiatry. 1979; 136(8):1085-6. https://doi.org/10.1176/ajp.136.8. 1085 PMID: 380368
73. Disayavanish C, Disayavanish P. Meditation-induced psychosis (in Thai). Journal of the Psychiatric Association of Thailand. 1984; 29:1-12.
74. Turner RP, Lukoff D, Barnhouse RT, Lu FG. Religious or spiritual problem. A culturally sensitive diagnostic category in the DSM-IV. The Journal of nervous and mental disease. 1995; 183(7):435-44. PMID: 7623015
75. APA. 300.6 Depersonalization Disorder. Diagnostic and Statistical Manual of Mental Disorders (DSM IV). 4th Edition ed. Washington DC: American Psychiatric Association; 1994.
76. APA. 300.6 Depersoanlization/Derealization Disorder. Diagnostic and Staistical Manual of Mental Disorders, 5th Edition (DSM-5). Arlington VA: American Psychiatric Association; 2013. p. 302-6.
77. Berkovich-Ohana A, Dor-Ziderman Y, Glicksohn J, Goldstein A. Alterations in the sense of time, space, and body in the mindfulness-trained brain: a neurophenomenologically-guided MEG study. Front Psychol. 2013; 4:912. PubMed Central PMCID: PMCPMC3847819. https://doi.org/10.3389/fpsyg.2013.00912 PMID: 24348455
78. Dor-Ziderman Y, Berkovich-Ohana A, Glicksohn J, Goldstein A. Mindfulness-induced selflessness: a MEG neurophenomenological study. Front Hum Neurosci. 2013; 7:582. PubMed Central PMCID: PMCPMC3781350. https://doi.org/10.3389/fnhum.2013.00582 PMID: 24068990
79. Ataria Y, Dor-Ziderman Y, Berkovich-Ohana A. How does it feel to lack a sense of boundaries? A case study of a long-term mindfulness meditator. Conscious Cogn. 2015; 37:133-47. https://doi.org/10.1016/j.concog.2015.09.002 PMID: 26379087
80. Chen Z, Qi W, Hood R, Watson P. Common Core Thesis and Qualitative and Quantitative Analysis of Mysticism in Chinese Buddhist Monks and Nuns. Journal for the Scientific Study of Religion. 2011; 50 (4):654-70.
81. Ataria Y. Where do we end and where does the world begin? The case of insight meditation. Philosophical Psychology. 2015; 28(8):1128-46.
82. Droit-Volet S, Fanget M, Dambrun M. Mindfulness meditation and relaxation training increases time sensitivity. Conscious Cogn. 2015; 31:86-97. https://doi.org/10.1016/j.concog.2014.10.007 PMID: 25460243
83. Full G, Walach H, Trautwein M. Meditation induced changes in perception: An interview study with expert meditators (sotapannas) in Burma. Mindfulness. 2013; 4:55-63.
84. Kornfield J. Intensive insight meditation: A phenomenological study. Journal of Transpersonal Psy-chology. 1979.
85. Lomas T, Cartwright T, Edginton T, Ridge D. A qualitative summary of experiential challenges associated with meditation practice. Mindfulness. 2014:1-13.
86. VanderKooi L. Buddhist teachers' experience with extreme mental states in Western meditators. Journal of Transpersonal Psychology. 1997; 29:31-46.
87. DeHoff S. Distinguishing Mystical Religious Experience and Psychotic Experience: A Qualitative Study Interviewing Presbyterian Church (U.S.A.) Professionals. Pastoral Psychology. 2015; 64:21-39.
88. O'Connor S, Vandenburg B. Differentiating psychosis and faith: the role of social norms and religious fundamentalism. Mental Health, Religion & Culture 2010; 13(2):171-86.
89. Menezes A, and Moreira-Almeida A. Religion, Spirituality, and Psychosis. Current Psychiatry Reports. 2010; 12:174-9. https://doi.org/10.1007/s11920-010-0117-7 PMID: 20425277
90. Dein S, Littlewood R. Religion and psychosis: A common evolutionary trajectory?. Transcultural Psychiatry 2011; 48(3):318-35. https://doi.org/10.1177/1363461511402723 PMID: 21742955
91. Pasick R., Burke N., Barker J., Joseph G., Bird J., Otero-Sabogal R., Tuason N., Stewart S., Rakowski W., Clark M., Washington P., & Guerra C. (2009). Behavioral Theory in a Diverse Society: Like a Compass on Mars. Health Education and Behavior, 36, 11S-35S.
92. Patton M. Qualitative research and evaluation methods 3rd ed. Thousand Oaks, CA: Sage Publications; 2002.
93. Taves A. Ascription, attribution, and cognition in the study of experiences deemed religious. Religion. 2008; 38:125-40.
94. Taves A. Religious Experience Reconsidered: A Building Block Approach to the Study of Religion and Other Special Things. Princeton: Princeton University Press; 2009.
95. Kirmayer L, Ban L. Cultural Psychiatry. In: Alarcon R, editor. Cultural Psychiatry. Advances in Psychosomatic Medicine. 33. Basel, Switzerland: Karger;2013.
96. Monteiro LM, Musten R. F., & Compson J. Traditional and contemporary mindfulness: finding the middle path in the tangle of concerns. Mindfulness. 2015; 6:1-13.
97. Shonin E, Van Gordon W., & Griffiths M. D. Meditation Awareness Training (MAT) for improved psy-chological well-being: a qualitative examination of participant experiences. Journal of Religion and Health. 2014; 53(3):849-63. https://doi.org/10.1007/s10943-013-9679-0 PMID: 23377964
98. Tashakkori A, Teddlie C, editors. Handbook of mixed methods in social & behavioral research. Thousand Oaks, CA: Sage; 2003.
99. Teddlie C, Yu F. Mixed Methods Sampling: A Typology With Examples. Journal of Mixed Methods Research. 2007; 1(1):77-100.
100. Faugier J, Sargeant M. Sampling hard to reach populations. Journal of Advanced Nursing. 1997; 26:790-7. PMID: 9354993
101. Guest G, MacQueen KM, Namey EE. Applied Thematic Analysis. Thousand Oaks, CA: Sage Publications 2012.
102. Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, et al. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994; 51(1):8-19. PMID: 8279933
103. Robins L, Locke B, Regier D. An overview of psychiatric disorders in America. In: Robins L, Regier D, editors. Psychiatric Disorders in America: The Epidemiological Catchment Study. New York: Free Press; 1991.
104. Bovin MJ, Marx BP, Weathers FW, Gallagher MW, Rodriguez P, Schnurr PP, et al. Psychometric Properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) in Veterans. Psychol Assess. 2015.
105. McFarlane A, Clark CR, Bryant RA, Williams LM, Niaura R, Paul RH, et al. The impact of early life stress on psychophysiological, personality and behavioral measures in 740 non-clinical subjects. J Integr Neurosci. 2005; 4(1):27-40. PMID: 16035139
106. Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child abuse & neglect. 2003; 27(2):169-90.
107. NIH. Adverse Event and Serious Adverse Event Guidelines. OHRP Guidance on Reviewing and Reporting Unanticipated Problems Involving Risks to Subjects or Others and Adverse Events, OHRP Guidance. National Insitutes of Health (NIH): Office for Human Research Protections, U.S. Department of health and Human Servcies; 2016.
108. Agbabiaka TB, Savovic J, Ernst E. Methods for causality assessment of adverse drug reactions: a systematic review. Drug safety. 2008; 31(1):21-37. PMID: 18095744
109. Turner WM. The Food and Drug Administration algorithm. Special workshop-regulatory. Drug infor-mation journal. 1984; 18(3-4):259-66. PMID: 10268553
110. WHO. The use of the WHO-UMC system for standardized case causaility assessment. who-umc.org: World Health Organization (WHO), Uppsala Monitoring Centre 2016.
111. Naranjo CA. A clinical pharmacologic perspective on the detection and assessment of adverse drug reactions. Drug information journal. 1986; 20(4):387-93. PMID: 24482869
112. Naranjo CA, Busto U, Sellers EM. Difficulties in assessing adverse drug reactions in clinical trials. Progress in neuro-psychopharmacology & biological psychiatry. 1982; 6(4-6):651-7.
113. Naranjo CA, Busto U, Sellers EM, Sandor P, Ruiz I, Roberts EA, et al. A method for estimating the probability of adverse drug reactions. Clinical pharmacology and therapeutics. 1981; 30(2):239-45. Epub 1981/08/01. PMID: 7249508
114. Hill AB. The Environment and Disease: Association or Causation? Proceedings of the Royal Society of Medicine. 1965; 58:295-300. PubMed Central PMCID: PMC1898525. PMID: 14283879
115. Hill AB. The environment and disease: association or causation? Journal of the Royal Society of Medicine. 2015; 108(1):32-7. https://doi.org/10.1177/0141076814562718 PMID: 25572993
116. Gallagher RM, Kirkham JJ, Mason JR, Bird KA, Williamson PR, Nunn AJ, et al. Development and inter-rater reliability of the Liverpool adverse drug reaction causality assessment tool. PLoS One. 2011; 6(12):e28096. PubMed Central PMCID: PMC3237416. https://doi.org/10.1371/journal.pone. 0028096 PMID: 22194808
117. Theophile H, Arimone Y, Miremont-Salame G, Moore N, Fourrier-Reglat A, Haramburu F, et al. Comparison of three methods (consensual expert judgement, algorithmic and probabilistic approaches) of causality assessment of adverse drug reactions: an assessment using reports made to a French phar-macovigilance centre. Drug safety. 2010; 33(11):1045-54. https://doi.org/10.2165/11537780-000000000-00000 PMID: 20925441
118. OHRP. Guidance on Reviewing and Reporting Unanticipated Problems Involving Risks to Subjects or Others and Adverse Events: Office for Human Research Protections, US Department of Health and Human Services; 2007.
119. NIA. NIA Adverse Event and Serious Adverse Event Guidelines. National Institutes on Aging, National Insitutes of Health (NIH)2011.
120. Elo S, Kyngas H. The qualitative content analysis process. Journal of advanced nursing. 2008; 62 (1):107-15. https://doi.org/10.1111/j.1365-2648.2007.04569.x PMID: 18352969
121. Strauss A, Corbin J. Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage Publications.; 1998.
122. DeCuir-Gunby J. Developing and using a codebook for the analysis of interview data: An example from a professional development research project. Field Methods 2011; 23(2):136-55.
123. Kriegel U. The Varieties of Consciousness. Oxford: Oxford University Press: Oxford University Press; 2015.
124. Fonteyn ME, Vettese M, Lancaster DR, Bauer-Wu S. Developing a codebook to guide content analysis of expressive writing transcripts. Applied nursing research: ANR. 2008; 21(3):165-8. https://doi.org/10.1016/j.apnr.2006.08.005 PMID: 18684411
125. MacQueen K, McLellan E, Kay K, Milstein B. Codebook development for team-based qualitative analysis. Cultural Anthropology Methods 1998; 10(31-36).
126. Lindahl J, Kaplan C, Winget E, Britton W. A Phenomenology of Meditation-Induced Light Experiences: Traditional Buddhist and Neurobiological Perspectives. Frontiers in Psychology. 2014; 4(973).
127. Simeon D. Depersonalization disorder. In: Dell PFaON, J.A., editor. Dissociation and the Dissociative Disorders: DSM-Vand Beyond. New York: Routledge; 2009.
128. Blom JD. Hallucinations and other sensory deceptions in psychiatric disorders. In: Jardri R, Cachia A, Thomas P, D P, editors. The Neuroscience of Hallucinations. New York: Spinger; 2013. p. 43-58.
129. Britton WB, Lindahl JR, Cahn BR, Davis JH, Goldman RE. Awakening is not a metaphor: the effects of Buddhist meditation practices on basic wakefulness. Annals of the New York Academy of Sciences. 2014; 1307:64-81. PubMed Central PMCID: PMC4054695. https://doi.org/10.1111/nyas.12279 PMID: 24372471
130. Gallagher S, editor. The Oxford Handbook of the Self. Oxford: Oxford University Press; 2013.
131. Parnas J, Moller P, Kircher T, Thalbitzer J, Jansson L, Handest P, et al. EASE: Examination of Anomalous Self-Experience. Psychopathology. 2005; 38(5):236-58. https://doi.org/10.1159/000088441 PMID: 16179811
132. Cermolacce M, Naudin J, Parnas J. The "minimal self" in psychopathology: re-examining the self-dis-orders in the schizophrenia spectrum. Conscious Cogn. 2007; 16(3):703-14. https://doi.org/10.1016/j. concog.2007.05.013 PMID: 17632013
133. Castillo R. Depersonalization and meditation. Psychiatry Research: Neuroimaging Section. 1990; 53:158-68.
134. Sethi S. Relationship of meditation and psychosis: case studies. Australian and New Zealand Journal of Psychiatry. 2003; 37(3):382.
135. Heide F, Borkovec T. Relaxation-induced anxiety: paradoxical anxiety enhancement due to relaxation treatment. Journal of consulting and clinical psychology. 1983; 51(2):171-82. PMID: 6341426
136. Carrington P. The Misuse of Meditation: Problems from Overmeditation. Freedom in Meditation. Garden City, NY: Anchor Books; 1977.
137. Shonin E, Van Gordon W, Griffiths MD. Do mindfulness-based therapies have a role in the treatment of psychosis? Aust N Z J Psychiatry. 2014; 48(2):124-7. https://doi.org/10.1177/0004867413512688 PMID: 24220133
138. Brown D, Forte M, Dysart M. Visual sensitivity and mindfulness meditation. Percept Mot Skills. 1984; 58(3):775-84. https://doi.org/10.2466/pms.1984.58.3.775 PMID: 6382145
139. Deikman A. Implications of experimentally induced contemplative meditation. Journal of Nervous and Mental Disease. 1966; 142:101-16. PMID: 5936297
140. Nakaya M, Ohmori K. Psychosis induced by spiritual practice and resolution of pre-morbid inner conflicts. German Journal of Psychiatry. 2010; 13:161-3.
141. VAN Nuys D. Meditation, attention, and hypnotic susceptibility: A correlation study. International Journal of Clinical & Experimental Hypnosis. 1973; 21:59-69.
142. Boorstein S. Clinical aspects of meditation. In: Scotton B, Chinen A, Battista J, editors. Textbook of Transpersonal Psychiatry and Psychology. New York: Basic Books; 1996.
143. Walsh R. Initial meditative experiences: Part I. Journal of Transpersonal Psychology. 1977; 9:151-92.
144. Walsh R. Initial meditative experiences: Part II. Journal of Transpersonal Psychology. 1978; 10:1-28.
145. Shonin E VGW, Griffiths MD. Cognitive behavioral therapy (CBT) and meditation awareness training (MAT) for the treatment of co-occurring schizophrenia with pathological gambling: a case study. Int J Ment Health Addict. 2014; 12:181-96
146. Kerr CE, Josyula K, Littenberg R. Developing an observing attitude: an analysis of meditation diaries in an MBSR clinical trial. Clin Psychol Psychother. 2011; 18(1):80-93. PubMed Central PMCID: PMCPMC3032385. https://doi.org/10.1002/cpp.700 PMID: 21226129
147. Shapiro DH Jr. Overview: clinical and physiological comparison of meditation with other self-control strategies. Am J Psychiatry. 1982; 139(3):267-74. https://doi.org/10.1176/ajp.139.3.267 PMID: 7036760
148. Perez-de-Albeniz A, Holmes J. Meditation: Concepts, effects and uses in therapy. International Journal of Psychotherapy. 2000; 5:49-58.
149. Dobkin P, Irving J, Amar S. For Whom May Participation in a Mindfulness-Based Stress Reduction Program be Contraindicated? Mindfulness. 2012; 3:44-50.
150. Waelde L. Dissociation and meditation. Journal of Trauma & Dissociation. 2004; 5(2):147-62.
151. Craven JL. Meditation and psychotherapy. Can J Psychiatry. 1989; 34(7):648-53. PMID: 2680046
152. Fenwick P. Can we still recommend meditation? Br Med J (Clin Res Ed). 1983; 287(6403):1401. PubMed Central PMCID: PMCPMC1549624.
153. Shonin E, Van Gordon W, Griffiths M. Are there risks associated with using mindfulness in the treatment of psychopathology? Clinical Practice,. 2014; 11:389-92.
154. Hanley A, Abell N, Osborn D, Roehrig A, Canto A. Mind the Gaps: Are Conclusions About Mindfulness Entirely Conclusive? Journal of Counseling & Development. 2016; 94:103-13.
155. Lukoff D, Lu FG, Turner R. Cultural considerations in the assessment and treatment of religious and spiritual problems. The Psychiatric clinics of North America. 1995; 18(3):467-85. PMID: 8545262
156. Wildman W. Religious and spiritual experiences. Cambridge: Cambridge University Press; 2011.
157. Lindahl JR, Chilcott T. Religious Experiences, Transformative Paths, And Religious Goals. Religion. 2011; 41(1):79-83.
158. Luhrmann T, Padmavati R, Tharoor H, Osei A. Hearing Voices in Different Cultures: A Social Kindling Hypothesis. Topics in Cognitive Science. 2015; 7(4):646-63. https://doi.org/10.1111/tops.12158 PMID: 26349837
159. Lutz A, Slagter HA, Dunne JD, Davidson RJ. Attention regulation and monitoring in meditation. Trends in cognitive sciences. 2008; 12(4):163-9. Epub 2008/03/11. PubMed Central PMCID: PMC2693206. https://doi.org/10.1016/j.tics.2008.01.005 PMID: 18329323
160. Kabat-Zinn J. Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte Press; 1990.
161. Miller JJ, Fletcher K, Kabat-Zinn J. Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. Gen Hosp Psychiatry. 1995; 17(3):192-200. PMID: 7649463
162. Carlson LE, Tamagawa R, Stephen J, Drysdale E, Zhong L, Speca M. Randomized-controlled trial of mindfulness-based cancer recovery versus supportive expressive group therapy among distressed breast cancer survivors (MINDSET): long-term follow-up results. Psychooncology. 2016; 25(7):750-9. https://doi.org/10.1002/pon.4150 PMID: 27193737
163. Shimokawa K, Lambert MJ, Smart DW. Enhancing treatment outcome of patients at risk of treatment failure: meta-analytic and mega-analytic review of a psychotherapy quality assurance system. Journal of consulting and clinical psychology. 2010; 78(3):298-311. https://doi.org/10.1037/a0019247 PMID: 20515206
164. Eisendrath SJ, Gillung E, Delucchi KL, Segal ZV, Nelson JC, McInnes LA, et al. A Randomized Con trolled Trial of Mindfulness-Based Cognitive Therapy for Treatment-Resistant Depression. Psychother Psychosom. 2016; 85(2):99-110. PubMed Central PMCID: PMCPMC4756643. https://doi.org/10.1159/000442260 PMID: 26808973
165. Strauss C, Cavanagh K, Oliver A, Pettman D. Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: a meta-analysis of randomised controlled trials. PLoS One. 2014; 9(4):e96110. PubMed Central PMCID: PMC3999148. https://doi.org/10.1371/journal.pone.0096110 PMID: 24763812
166. Folette V, Palm K, Pearson A. Mindfulness and trauma: implications for treatment. Journal of Rational-Emotive & Cognitive-Behavior Therapy. 2006; 24:45-61.
167. Olano HA, Kachan D, Tannenbaum SL, Mehta A, Annane D, Lee DJ. Engagement in mindfulness practices by U.S. adults: sociodemographic barriers. Journal of alternative and complementary medicine. 2015; 21(2):100-2. PubMed Central PMCID: PMCPMC4326023. https://doi.org/10.1089/acm. 2014.0269 PMID: 25685958
168. Gregory P. Describing the elephant: Buddhism in America. Religion and American Culture 2001; 11 (2):233-63.
169. Hickey WS. Two Buddhisms, Three Buddhisms, and Racism. Journal of Global Buddhism. 2010; 11:1-25.
170. Census Bureau US. Educational Attainment in the United States: 2014-Detailed Tables. http://wwwcensusgov/hhes/socdemo/education/data/cps/2014/tableshtml. 2014.
171. Kilpatrick DG, Resnick HS, Milanak ME, Miller MW, Keyes KM, Friedman MJ. National estimates of exposure to traumatic events and PTSD prevalence using DSM-IV and DSM-5 criteria. J Trauma Stress. 2013; 26(5):537-47. PubMed Central PMCID: PMCPMC4096796. https://doi.org/10.1002/jts. 21848 PMID: 24151000
172. Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005; 62(6):593-602. https://doi.org/10.1001/archpsyc.62.6.593 PMID: 15939837
173. Brattstrom O, Eriksson M, Larsson E, Oldner A. Socio-economic status and co-morbidity as risk factors for trauma. Eur J Epidemiol. 2015; 30(2):151-7. https://doi.org/10.1007/s10654-014-9969-1 PMID: 25377535
174. Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet. 2012; 380(9836):37-43. https://doi.org/10.1016/S0140-6736(12)60240-2 PMID: 22579043
175. Sierra M, Berrios GE. The phenomenological stability of depersonalization: comparing the old with the new. The Journal of nervous and mental disease. 2001; 189(9):629-36. PMID: 11580008
176. Britton WB. NCCAM/NIH K23AT006328-01A1 "Dismantling Mindfulness". Further details for this registered phase 3 clinical trial can be found at www.clinicaltrials.gov (NCT# 01831362) 2011.