Mindfulness meditation has recently become mainstream, secular, and backed by evidence from neuroimaging studies about the benefits of “growing the brain through meditation.” Touted as the latest tool for educational curricula, psychotherapy, and intervention for at-risk or disenfranchised youth, it has garnered widespread excitement and investment for its promises to help cultivate self-regulation, empathy, and attentional focus, while being both non-invasive and empowering for young people. The mindfulness movement has, however, also been subject to skepticism, with critics raising caution about the “shadows” of mindfulness, pointing to its (often inadvertent) effects of depoliticizing social problems associated with inequality and poverty, occasional association with adverse behavioral effects, and its instrumental use as a technique for boosting productivity in the corporate workplace. In this paper, we present insights from a project on neuroscience and education, and illustrate some of the tensions surrounding mindfulness as seen from the perspectives of educators and policy makers. We apply a critical neuroscience framework to analyze the role of the brain in underpinning and undermining the mindfulness movement and to understand the reported challenges and promises of mindfulness. We point to a general ambivalence surrounding the potential of mindfulness meditation as an intervention for youth.
Background: New breast cancers occur in 25% to 30% of women <50 years of age. These young women undergo ablative surgery, chemotherapy, or hormonal/targeted treatment. These treatments have resulted in increased survival but at the expense of early menopause, marked by distressing vasomotor symptoms, sexual dysfunction, decreased metabolism, and musculoskeletal and cardiovascular effects. Methods: A comprehensive literature search was performed using PubMed. This article reviews the evidence-based approaches to the treatment of these distressing symptoms in young breast cancer survivors. Results: Menopausal symptoms in young patients are typically more severe due to the abrupt and rapid decrease in estrogen, and chemotherapy and hormones worsen these symptoms. Evidence supporting the efficacy of most complementary therapies is scarce. Behavioral modification and yoga may be helpful in mild cases of vasomotor symptoms, whereas newer antidepressants are promising in moderate to severe cases, and stellate ganglion block may be used in refractory cases. Local vaginal moisturizers, and in refractory cases low-dose estrogen creams, may ameliorate most urogenital symptoms. Bispbospbonates, vitamin D, and calcium can treat osteoporosis, and weight-bearing exercises decrease bone mineral density loss and help to control weight. Smoking cessation, exercise, and dietary modifications should be recommended to all young patients to decrease cardiac morbidity. At present, there is insufficient evidence to support any natural agent as a viable alternative to hormone replacement therapy to treat these symptoms. Conclusions: No single agent can ameliorate vasomotor, cardiac, skeletal, and sexual concerns of young breast cancer survivors coping with menopausal symptoms. Quality-of-life research involving premenopausal breast cancer survivors is lacking. Further study is needed to identify safe and effective treatments for menopausal symptoms and to confirm their long-term safety in young breast cancer survivors.
Responding to growing interest among psychotherapists of all theoretical orientations, this practical book provides a comprehensive introduction to mindfulness and its clinical applications. The authors, who have been practicing both mindfulness and psychotherapy for decades, present a range of clear-cut procedures for implementing mindfulness techniques and teaching them to patients experiencing depression, anxiety, chronic pain, and other problems. Also addressed are ways that mindfulness practices can increase acceptance and empathy in the therapeutic relationship. The book reviews the philosophical underpinnings of mindfulness and presents compelling empirical findings. User-friendly features include illustrative case examples, practice exercises, and resource listings.
Zotero Collections:
- Buddhist Contemplation by Applied Subject,
- Contemplation by Applied Subject,
- Contemplation by Tradition,
- Psychiatry and Contemplation,
- Psychotherapy and Buddhist Contemplation,
- Health Care and Buddhist Contemplation,
- Psychotherapy and Contemplation,
- Health Care and Contemplation,
- Psychology and Contemplation,
- Science and Contemplation,
- Buddhist Contemplation
ObjectiveThe DiaMind trial showed beneficial immediate effects of mindfulness-based cognitive therapy (MBCT) on emotional distress, but not on diabetes distress and HbA1c. The aim of the present report was to examine if the effects would be sustained after six month follow-up.
Methods
In the DiaMind trial, 139 outpatients with diabetes (type-I or type-II) and a lowered level of emotional well-being were randomized into MBCT (n = 70) or a waiting list with treatment as usual (TAU: n = 69). Primary outcomes were perceived stress, anxiety and depressive symptoms, and diabetes distress. Secondary outcomes were, among others, health status, and glycemic control (HbA1c).
Results
Compared to TAU, MBCT showed sustained reductions at follow-up in perceived stress (p < .001, d = .76), anxiety (p < .001, assessed by HADS d = .83; assessed by POMS d = .92), and HADS depressive symptoms (p = .004, d = .51), but not POMS depressive symptoms when using Bonferroni correction for multiple testing (p = .016, d = .48). No significant between-group effect was found on diabetes distress and HbA1c.
Conclusion
This study showed sustained benefits of MBCT six months after the intervention on emotional distress in people with diabetes and a lowered level of emotional well-being.
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CASE ILLUSTRATION 1Jeffrey Borzak, a patient I knew well, seemed to be recovering from coronary artery bypass surgery. On rounds, I sensed that there was something that was wrong, but I could not put my finger on it. In retrospect, his color was not quite right—he was grayish-pale, his blood pressure was too easily controlled, he was even hypotensive on one occasion, and he seemed more depressed than usual. He reported no chest pain or shortness of breath, and had no pedal edema, elevated jugular venous pressure, or other abnormalities on his physical examination. But still I did not feel comfortable, and although there were no “red flags,” I ordered an echocardiogram which showed a new area of ischemia. An angiogram showed that one of the grafts had occluded. After angioplasty, Mr. Borzak looked and felt better, and he again required his usual antihypertensive medications.
CASE ILLUSTRATION 1Jeffrey Borzak, a patient I knew well, seemed to be recovering from coronary artery bypass surgery. On rounds, I sensed that there was something that was wrong, but I could not put my finger on it. In retrospect, his color was not quite right—he was grayish-pale, his blood pressure was too easily controlled, he was even hypotensive on one occasion, and he seemed more depressed than usual. He reported no chest pain or shortness of breath, and had no pedal edema, elevated jugular venous pressure, or other abnormalities on his physical examination. But still I did not feel comfortable, and although there were no “red flags,” I ordered an echocardiogram which showed a new area of ischemia. An angiogram showed that one of the grafts had occluded. After angioplasty, Mr. Borzak looked and felt better, and he again required his usual antihypertensive medications.
<p>A description and pictures of the bahal monastery with an open courtyard, showing Indian influences. (Mark Turin 2004-06-16)</p>
<p>The article gives an account of the Phombos. Phombos are the traditional healers and shamans of the Jirels. The article is an extension of the article "Jirel Religion" from the same volume, which describes on the role of the Phombos in the clan rituals of the Jirel. This article also discusses the functions of the Phombo and includes their similarities with lamas and jhakris in Nepal. (Rajeev Ranjan Singh 2006-10-13)</p>
<p>The article discusses ethnosemantics of vocabulary relating to birds in Jirel. The article starts with a brief discussion on ethnographic study and cognitive anthropology. It discusses the principles of folk biological classification. It includes tables containing Jirel names for birds, Jirel bird name binomials, sorting task results, description of selected birds, sort by altitude, sort by nesting environment, sort by food, and free sort. (Rajeev Ranjan Singh 2006-10-13)</p>
The Primer on the Autonomic Nervous System presents, in a readable and accessible format, key information about how the autonomic nervous system controls the body, particularly in response to stress. It represents the largest collection of world-wide autonomic nervous system authorities ever assembled in one book. It is especially suitable for students, scientists and physicians seeking key information about all aspects of autonomic physiology and pathology in one convenient source. Providing up-to-date knowledge about basic and clinical autonomic neuroscience in a format designed to make learning easy and fun, this book is a must-have for any neuroscientist’s bookshelf!Greatly amplified and updated from previous edition including the latest developments in the field of autonomic cardiovascular regulation and neuroscienceProvides key information about all aspects of autonomic physiology and pathologyDiscusses stress and how its effects on the body are mediatedCompiles contributions by over 140 experts on the autonomic nervous system
Objective: Chronic pain is a disabling illness, often comorbid with depression. We performed a randomized controlled pilot study on mindfulness-based cognitive therapy (MBCT) targeting depression in a chronic pain population.Method: Participants with chronic pain lasting ≥ 3 months; DSM-IV major depressive disorder (MDD), dysthymic disorder, or depressive disorder not otherwise specified; and a 16-item Quick Inventory of Depressive Symptomatology-Clinician Rated (QIDS-C16) score ≥ 6 were randomly assigned to MBCT (n = 26) or waitlist (n = 14). We adapted the original MBCT intervention for depression relapse prevention by modifying the psychoeducation and cognitive-behavioral therapy elements to an actively depressed chronic pain population. We analyzed an intent-to-treat (ITT) and a per-protocol sample; the per-protocol sample included participants in the MBCT group who completed at least 4 of 8 sessions. Changes in scores on the QIDS-C16 and 17-item Hamilton Depression Rating Sale (HDRS17) were the primary outcome measures. Pain, quality of life, and anxiety were secondary outcome measures. Data collection took place between January 2012 and July 2013.
Results: Nineteen participants (73%) completed the MBCT program. No significant adverse events were reported in either treatment group. ITT analysis (n = 40) revealed no significant differences. Repeated-measures analyses of variance for the per-protocol sample (n = 33) revealed a significant treatment × time interaction (F1,31 = 4.67, P = .039, η2p = 0.13) for QIDS-C16 score, driven by a significant decrease in the MBCT group (t18 = 5.15, P < .001, d = 1.6), but not in the control group (t13 = 2.01, P = .066). The HDRS17 scores did not differ significantly between groups. The study ended before the projected sample size was obtained, which might have prevented effect detection in some outcome measures.
Conclusions: MBCT shows potential as a treatment for depression in individuals with chronic pain, but larger controlled trials are needed.
Objective: Chronic pain is a disabling illness, often comorbid with depression. We performed a randomized controlled pilot study on mindfulness-based cognitive therapy (MBCT) targeting depression in a chronic pain population.Method: Participants with chronic pain lasting ≥ 3 months; DSM-IV major depressive disorder (MDD), dysthymic disorder, or depressive disorder not otherwise specified; and a 16-item Quick Inventory of Depressive Symptomatology-Clinician Rated (QIDS-C16) score ≥ 6 were randomly assigned to MBCT (n = 26) or waitlist (n = 14). We adapted the original MBCT intervention for depression relapse prevention by modifying the psychoeducation and cognitive-behavioral therapy elements to an actively depressed chronic pain population. We analyzed an intent-to-treat (ITT) and a per-protocol sample; the per-protocol sample included participants in the MBCT group who completed at least 4 of 8 sessions. Changes in scores on the QIDS-C16 and 17-item Hamilton Depression Rating Sale (HDRS17) were the primary outcome measures. Pain, quality of life, and anxiety were secondary outcome measures. Data collection took place between January 2012 and July 2013.
Results: Nineteen participants (73%) completed the MBCT program. No significant adverse events were reported in either treatment group. ITT analysis (n = 40) revealed no significant differences. Repeated-measures analyses of variance for the per-protocol sample (n = 33) revealed a significant treatment × time interaction (F1,31 = 4.67, P = .039, η2p = 0.13) for QIDS-C16 score, driven by a significant decrease in the MBCT group (t18 = 5.15, P < .001, d = 1.6), but not in the control group (t13 = 2.01, P = .066). The HDRS17 scores did not differ significantly between groups. The study ended before the projected sample size was obtained, which might have prevented effect detection in some outcome measures.
Conclusions: MBCT shows potential as a treatment for depression in individuals with chronic pain, but larger controlled trials are needed.
<p>Two studies examined the role of mindfulness in romantic relationship satisfaction and in responses to relationship stress. Using a longitudinal design, Study 1 found that higher trait mindfulness predicted higher relationship satisfaction and greater capacities to respond constructively to relationship stress. Study 2 replicated and extended these findings. Mindfulness was again shown to relate to relationship satisfaction; then, using a conflict discussion paradigm, trait mindfulness was found to predict lower emotional stress responses and positive pre- and postconflict change in perception of the relationship. State mindfulness was related to better communication quality during the discussion. Both studies indicated that mindfulness may play an influential role in romantic relationship well-being. Discussion highlights future research directions for this new area of inquiry.</p>
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Interview with Ron Colman, the founder and executive director of Genuine Progress Index Atlantic, a non-profit research group that has constructed an index of wellbeing and sustainable development for Nova Scotia, Canada. The GPI is a response to narrow conventional measures like Gross Domestic Product (GDP), which record ecological destruction and illness as economically positive. Since 1997 his organization has authored and co-authored nearly 100 reports on population health, social wellbeing and environmental quality, including the first comprehensive report measuring Nova Scotia's ecological footprint. Hailed as a "social-science rock star," Colman has traveled extensively to communicate his indicator work. He has also worked closely with the Royal Government of Bhutan, which has adopted Gross National Happiness (rather than Gross National Product) as its central policy goal.
<p>Recent literature has described how the capacity for concurrent self-assessment—ongoing moment-to-moment self-monitoring—is an important component of the professional competence of physicians. Self-monitoring refers to the ability to notice our own actions, curiosity to examine the effects of those actions, and willingness to use those observations to improve behavior and thinking in the future. Self-monitoring allows for the early recognition of cognitive biases, technical errors, and emotional reactions and may facilitate self-correction and development of therapeutic relationships. Cognitive neuroscience has begun to explore the brain functions associated with self-monitoring, and the structural and functional changes that occur during mental training to improve attentiveness, curiosity, and presence. This training involves cultivating habits of mind such as experiencing information as novel, thinking of “facts” as conditional, seeing situations from multiple perspectives, suspending categorization and judgment, and engaging in self-questioning. The resulting awareness is referred to as mindfulness and the associated moment-to-moment self-monitoring as mindful practice—in contrast to being on “automatic pilot” or “mindless” in one's behavior. This article is a preliminary exploration into the intersection of educational assessment, cognitive neuroscience, and mindful practice, with the hope of promoting ways of improving clinicians' capacity to self-monitor during clinical practice, and, by extension, improve the quality of care that they deliver.</p>
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BackgroundSleep problems are a major risk factor for the emergence of depression in adolescence. The aim of this study was to test whether an intervention for improving sleep habits could prevent the emergence of depression, and improve well-being and cardiovascular indices amongst at-risk adolescents.
Methods/Design
A longitudinal randomised controlled trial (RCT) is being conducted across Victorian Secondary Schools in Melbourne, Australia. Adolescents (aged 12–17 years) were defined as at-risk for depression if they reported high levels of anxiety and sleep problems on in-school screening questionnaires and had no prior history of depression (assessed by clinical diagnostic interview). Eligible participants were randomised into either a sleep improvement intervention (based on cognitive behavioral and mindfulness principles) or an active control condition teaching study skills. Both programs consisted of seven 90 minute-long sessions over seven weeks. All participants were required to complete a battery of mood and sleep questionnaires, seven-days of actigraphy, and sleep diary entry at pre- and post-intervention. Participants also completed a cardiovascular assessment and two days of saliva collection at pre-intervention. Participants will repeat all assessments at two-year follow up (ongoing).
Discussion
This will be the first efficacy trial of a selective group-based sleep intervention for the prevention of depression in an adolescent community sample. If effective, the program could be disseminated in schools and greatly improve health outcomes for anxious adolescents.
BackgroundSleep problems are a major risk factor for the emergence of depression in adolescence. The aim of this study was to test whether an intervention for improving sleep habits could prevent the emergence of depression, and improve well-being and cardiovascular indices amongst at-risk adolescents.
Methods/Design
A longitudinal randomised controlled trial (RCT) is being conducted across Victorian Secondary Schools in Melbourne, Australia. Adolescents (aged 12–17 years) were defined as at-risk for depression if they reported high levels of anxiety and sleep problems on in-school screening questionnaires and had no prior history of depression (assessed by clinical diagnostic interview). Eligible participants were randomised into either a sleep improvement intervention (based on cognitive behavioral and mindfulness principles) or an active control condition teaching study skills. Both programs consisted of seven 90 minute-long sessions over seven weeks. All participants were required to complete a battery of mood and sleep questionnaires, seven-days of actigraphy, and sleep diary entry at pre- and post-intervention. Participants also completed a cardiovascular assessment and two days of saliva collection at pre-intervention. Participants will repeat all assessments at two-year follow up (ongoing).
Discussion
This will be the first efficacy trial of a selective group-based sleep intervention for the prevention of depression in an adolescent community sample. If effective, the program could be disseminated in schools and greatly improve health outcomes for anxious adolescents.
<p>The author argues that the ethnographic literature on the Jirels is extremely sparse and in this article intends to fill some of the gaps in the ethnographic literature by providing an outline of Jirel ethnogenesis, social organization, and the kinship system. The Jirels have a subsistence economy based upon the cultivation of millet, maize, wheat, barley, potato, and also rice in few lower valleys. There are several conflicting accounts concerning ethnogenesis. The Jirels are divided into 23 patrilineal, patrilocal descent groups referred to as clans and subclans. The article discusses the relation and interrelation of clans and also discusses clan leadership. The article gives a brief account of Jirel marriage. It also includes a map illustrating migration patterns in the hills of Nepal and a chart on Jirel kinship discussing some kinship terminology. (Rajeev Ranjan Singh 2006-10-14)</p>
<p>The article explores the history and impact of transportation infrastructure on the Jiri Valley in Nepal. The Jiri Valley was once isolated from other parts due to lack of transportation facilities. The Swiss Association for Technical Assistance (SATA) initiated a multipurpose development project in 1957. With the infrastructural developments, social and political changes were seen. The facility of transportation has caused changes in all major aspects of Jirel subsistence patterns and the economy. The article discusses the sociocultural consequences of transportation in the Jiri valley. The article concludes that the road has had a significant impact in the district as a whole. (Rajeev Ranjan Singh 2006-10-12)</p>
The 195 stories collected in this first anthology of Aboriginal myth were told to anthropologists Ronald and Catherine Berndt, who spent nearly fifty years working among the Aboriginal peoples of Australia.The Berndts developed a system of field research that allowed them entrance into a culture that has been alive for more than 100,000 years: Ronald Berndt met with male storytellers, while Catherine met with the women. The myths they collected come from the oldest collective memory of humankind, describing characters and events of the "Dreamtime"--a time that existed before the material world was formed.
The Speaking Land touches on all aspects of life: creation, natural forces, social rules, and the exotic. Stark, tinged with fantasy, sometimes bizarre, the myths chronicle the actions of the Ancestors, portraying not only beauty and wonder but also scenes of conflict: treachery and theft, jealousy and lust, greed and antagonism, injury and death. The lessons of life implicit in these stories are still reflected in the simplicity and deep spirituality of this culture.
In all of the myths collected here the land is as important as the living characters who travel it. In the Dreamtime creation, mythic, shape-changing characters moved across the countryside, leaving part of their eternal spiritual qualities in the land. Eventually, these characters and forces retreated into the living environment, where they remain today, spiritually anchored. The land still speaks to us, and The Speaking Land will help us understand its language.
<b>Publisher's Description:</b> Collectively, the papers of this volume reveal the cultural dynamism of Tibet in the period between 900 and 1400CE, when the fundamental contours of Tibetan Buddhism were still fluid and highly contested.<br>The papers address a spectrum of issues in Tibetan religion and literature, ranging in time and space from the far eastern oasis of Dunhuang in the tenth century through 'high classical' developments in Central Tibet in the early fifteenth century. It is divided into four parts, addressing respectively literary and religious issues in tenth-century Dunhuang, the textual history of the Old Tantric Canon (Rnying ma'i rgyud 'bum), the development of Tibetan religious literature in the new translation period, and the history and transmission of several influential systems of esoteric Buddhism.
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