Read Clinical Handbook of Mindfulness Online
Authors: Fabrizio Didonna,Jon Kabat-Zinn
Tags: #Science, #Physics, #Crystallography, #Chemistry, #Inorganic
of mindfulness to examine its short-term effects on the regulation of men-
tal health-relevant behavior, particularly affect. Most induction research has
used guided instruction designed to bring attention to, and deepen aware-
ness of, moment-to-moment physical, emotional, and cognitive experiences.
The induction exercises used to date, usually 5–10 minutes in duration, are
designed to facilitate close observation of current events and experiences so
that present realities can be seen clearly and without cognitive interference.
A variant of this induction strategy is the use of very brief instructions (2–3
sentences) that simply cue individuals to enter an experiential state of pres-
ence akin to mindfulness. This induction approach permits investigation of
the manifestations and effects of experiential processing in real time.
Mindfulness and Emotional Experience
Emotional experience and its regulation is, of course, central to mental health
and intimately bound up with mental health-relevant cognition and behavior.
Thus, research addressing how mindful traits and states explain variance in
emotion and emotion regulation can contribute to our understanding of how
mindfulness may foster mental health more broadly.
Elements of Emotional Experience
Emotion can be understood in terms of both its content – what is felt – and its
underlying neurobiological processes or causes (Barrett, Mesquita, Ochsner,
& Gross,
2007).
At its core, emotional content concerns subjective feelings of pleasure or displeasure. This is termed
core affect
. There is now considerable evidence that people represent emotions in these terms (e.g., Pos-
ner, Russell, & Peterson,
2005; Russell, 1980).
But as
Barrett et al. (2007)
note, the experience of emotion is typically
about
something, as well; that
is, it is an intentional state that is dependent on level of arousal, relational
meaning, and situational meaning that all help to create psychologically
distinct experiences of joy, calm, fear, sadness, anger, and many others. It
is in the meaning assigned to situations (i.e., cognitive appraisals) through
4 We refer to “mindfulness practice skills” as the variety of practice-based supports
for the expression of mindful attention, including an attitude of acceptance toward
experience, discursive description of subjective experiences as they arise (e.g., label-
ing), and so on.
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Kirk Warren Brown and Shari Cordon
which the study of emotional content and emotion regulation has been com-
monly conducted.
Barrett et al.
(2007)
note that most influential theories of emotion assume that experiences of emotion – like other mental events – are rooted in
(though not necessarily reducible to) neurological processes. In its current
state, neuroscience cannot pinpoint particular brain regions or types of
neural activity that instantiate specific emotional contents, but it has been
able to show what parts of the brain are active during core affective experi-
ences of pleasant and unpleasant emotion and in the experience of particular
emotions. Neuroscience research has also begun to hone in on those brain
regions that appear important to the regulation of core affect, particularly
unpleasant emotion.
Why Should Mindfulness Be Associated with Emotional Well-Being?
From the foregoing discussion of the subjective or phenomenological nature
of mindfulness, there are several reasons to propose that this quality should
have distinctive emotional content and regulatory correlates, all of which
center on the experiential nature of this manner of processing. First, because
mindfulness involves a disengagement from habitually evaluative conceptual
processing, it should conduce to more balanced states of core affect. That
is, it should be related to less unpleasant affect and perhaps less pleasant
affect as well, although a freshness and immediacy of contact with expe-
rience may, in some circumstances, add a pleasant affective overlay to it
(as in the
Varela & Depraz (2003)
example given earlier; see also Brown
& Ryan,
2003;
Csikszentmihalyi, 1990; Deci & Ryan, 1985).
Second, with the clearer objective perception that mindfulness is thought to afford, potentially challenging events and experiences are less likely to be distorted by
cognitive biases or misinterpretations that can generate unpleasant emo-
tional responses. So, for example, mild breathlessness can simply be “seen”
as is, rather than anxiously construed as a panic attack. A selfish or lustful
thought is observed as it is – a thought – rather than taken as depressing
evidence of personal unworthiness
(Claxton, 1999).
Thus, this movement
of the “cursor of consciousness”
(Claxton, 1999)
back to a more immedi-
ate, less elaborated state should not only help to diminish core, unpleasant
affective experience but also inhibit emotional reactivity to challenging stim-
uli. Third, the quality of attention is known to influence emotion regulatory
outcomes (e.g.,
Gross & Thompson, 2007),
and because mindfulness concerns a sustained, open attentiveness to internal and external phenomena
as they are, it should discourage maladaptive emotion regulatory tendencies
like rumination and thought suppression that involve cognitive entanglement
and also encourage voluntary exposure to unpleasant or challenging events
and experiences that has been shown to promote adaptive emotion regula-
tion (e.g.,
Felder, Zvolensky, Eifert, & Spira, 2003;
Levitt, Brown, Orsillo, & Barlow,
2004;
Sloan, 2004).
Research has begun to show that both trait and state mindfulness are
related to emotional content, particularly core affect, and emotion reg-
ulation. The empirical evidence on mindfulness and emotional content
comes from the use of cross-sectional, experience sampling, induction-based,
and intervention methods. A fundamental question for such research has
Chapter 4 Phenomenology and Emotional Correlates of Mindfulness
69
been: Is mindfulness associated with a more balanced or positive affective
tone (less unpleasant and more pleasant affect)? Cross-sectional and expe-
rience sampling methods have primarily been used to address the role of
trait mindfulness in the experience of core affect. Both cross-sectional and
induction-based research has also begun to disclose how both mindful traits
and states alter the primary appraisal and regulation of emotionally laden
events and experiences. Finally, mindfulness-based intervention research has
begun to show whether core affective experience and its regulation can
be changed. Research addressing affective processes is still incipient, but
studies of both mindful traits and states have begun to uncover neural sub-
strates for both the subjective experience and the regulation of emotion that
may accrue with mindfulness. We review research on each of these areas
in turn.
Mindfulness, Affect, and Emotional Content
Core affect
. Trait measures of mindfulness have been shown to corre-
late with a variety of affective (and cognitive) indicators of mental health
and well-being in college student, community adult, and clinical samples.
For example, the various extant measures of mindfulness and mindful-
ness practice skills have been associated with higher pleasant affect, lower
unpleasant affect, and lower levels of emotional disturbance (e.g., depressive
symptoms, anxiety, and stress), along with other, related mental health indi-
cators including satisfaction with life and eudaimonic well-being (e.g., vital-
ity, self-actualization) (e.g.,
Baer, Smith, Hopkins, Krietemeyer, & Toney,
2006;
Beitel, Ferrer. & Cecero, 2004; Brown & Ryan, 2003;
Cardaciotto, Herbert, Forman, Moitra, & Farrow, 2008;
Carlson & Brown, 2005;
Feldman, Hayes, Kumar, Greeson, & Laurenceau, 2007;
Frewen, Evans, Maraj, Dozois, & Partridge, in press; McKee, Zvolensky, Solomon, Bernstein, & Leen-Feldner,
2007; Walach, Buchheld, Buttenmuller, Kleinknecht, & Schmidt,
2006).
There is indication that relations between dispositional mindfulness (as measured by the mindful attention awareness scale [MAAS; Brown &
Ryan,
2003])
and various emotional and other mental health indicators cannot be explained away by social desirability biases or by shared variance with
global personality traits that have known impacts on emotional well-being,
such as neuroticism and extroversion
(Brown & Ryan, 2003;
Wupperman, Neumann, & Axelrod, in press).
This correlational research is suggestive in revealing a possible wide range
of influence that dispositional mindfulness may have on emotional experi-
ence, but there are known limitations to global self-reports, including their
retrospective nature, which introduces room for memory biases and other
errors in reporting subjective experience (e.g.,
Brown & Moskowitz, 1998;
Stone & Shiffman, 1994).
Self-reports also tend to engage semantic knowledge or beliefs about thoughts, emotions, and other subjective experiences,
so it is not clear whether they accurately reflect the actual content of those
experiences in real time
(Barrett et al.,
2007;
Barrett, 1997;
Robinson & Clore,
2002).
Such real-time or lived experiences can be assessed through experience
sampling and related ecological momentary assessment techniques designed
to capture subjective and overt behavioral experience as it occurs, typically
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Kirk Warren Brown and Shari Cordon
in individuals’ natural environments and over periods of days or weeks. Two
studies have shown that MAAS-assessed trait mindfulness predicts core affec-
tive experience
(Brown & Ryan, 2003).
A 3-week-long experience sampling study with community adults, in which participants were asked to record
the presence and intensity of their affective experience several times a day
on a quasi-random schedule when a pager signal was received, found that
trait MAAS predicted lower day-to-day unpleasant affect (but not pleasant
affect). Parallel results were found in a 2-week-long experience sampling
study with college students. This latter study also found that being in a mind-
ful state (as assessed by the state MAAS) was associated with higher pleasant
affect and lower unpleasant affect after controlling for variance attributable
to the trait MAAS. These effects were independent, suggesting that the ben-
efits of mindfulness may not be limited to those with a general disposition
toward mindfulness. However, this research also found that those higher in
trait mindfulness were more likely to report higher states of mindfulness on
a day-to-day basis.
Experimental research exploring the effect of a mindful state on core
affective experience has also been conducted. In a study contrasting the
effects of mindful, distracted, and no-instruction control states on reading
task-related subjective experience and performance,
Brown and Ryan (2007)
found that those randomly assigned to the induced mindfulness condition
reported greater interest and enjoyment of the task relative to those in both
the distraction and the no-induction conditions, after controlling for interest
and enjoyment in a baseline (pre-induction) reading task.
Emotion regulation
. While emotions, both pleasant and unpleasant, can
serve a number of adaptive purposes, they do not always do so, and optimal
emotional responding often requires regulation of the experience or expres-
sion of emotion
(Barrett & Gross, 2001).
This is most frequently the case for unpleasant emotions, and the regulation of negative emotional states is
important to mental health
(Barrett, Gross, Christensen, & Benvenuto, 2001;
Gross & Munoz, 1995;
Ryan, 2005).
Barrett and Gross (2001)
argue that effective emotion regulation requires two major skills: accurately tracking ongo-
ing emotional states and knowing when and how to intervene to alter those
states as needed. There are considerable inter-individual differences in such
skills, and such differences have consequences for adaptive psychological
and social functioning.
There is some evidence that mindfulness may promote the effective use of
both of these skills. For example, trait mindfulness has been positively asso-
ciated with measures tapping clarity about emotional experience (e.g., Baer
et al.,
2006;
Brown & Ryan, 2003).
Research has also found that mindfulness may be related to greater emotional self-awareness, as measured
by indicators of implicit and explicit emotional self-concept. Implicit emo-
tional self-concept refers to (typically) nonconscious emotional dispositions
that develop through repeated learning experiences. There is considerable
debate about whether and how individuals can be aware of implicit emo-
tions and other processes
(Wilson, Lindsey, & Schooler, 2000),
one manifestation of which may be represented by concordance between implicit