Skip to main content

Mindfulness for the Treatment of Psychosis: State of the Art and Future Developments

  • Chapter
Mindfulness and Buddhist-Derived Approaches in Mental Health and Addiction

Abstract

Recent meta-analyses point towards the effectiveness of mindfulness-based interventions (MBIs) in the treatment of various psychopathologies, particularly anxiety and depression. However, there is a scarcity of research investigating whether mindfulness is an effective treatment for psychosis. This chapter assesses the state of the art of mindfulness applications for the treatment of psychosis and undertakes an analysis and review of both the quantitative and qualitative literature. Quantitative research findings indicate that MBIs lead to an increase in mindfulness competency and quality of life, as well as a reduction in negative symptoms. Meanwhile, qualitative studies indicate that MBIs are well-accepted by patients and play an important role in the way that they relate to and cope with their symptoms. However, despite these promising outcomes, there are several methodological limitations that suggest findings should be treated with caution. Furthermore, although there is currently no data to support an iatrogenic effect of the application of MBIs in psychosis, further empirical examination of this issue is required.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 89.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Abba, N., Chadwick, P., & Stevenson, C. (2008). Responding mindfully to distressing psychosis: A grounded theory analysis. Psychotherapy Research, 18, 77–87. doi:10.1080/10503300701367992.

    Article  PubMed  Google Scholar 

  • Ashcroft, K., Barrow, F., Lee, R., & MacKinnon, K. (2012). Mindfulness groups for early psychosis: A qualitative study. Psychology and Psychotherapy: Theory, Research and Practice, 85, 327–334. doi:10.1111/j.2044-8341.2011.02031.

    Article  Google Scholar 

  • British Psychological Society Division of Clinical Psychology. (2014). Understanding psychosis and schizophrenia. Available from URL: http://www.bps.org.uk

  • Brito, G. (2013). Rethinking mindfulness in the therapeutic relationship. Mindfulness, 5, 351–359.

    Article  Google Scholar 

  • Brown, L. F., Davis, L. W., LaRocco, V. A., & Strasburger, A. (2010). Participant perspectives on mindfulness meditation training for anxiety in schizophrenia. American Journal of Psychiatric Rehabilitation, 13, 224–242. doi:10.1080/15487768.2010.501302.

    Article  Google Scholar 

  • Carmona-Torres, J. A., & García-Montes, J. M. (2010). Terapia de Aceptación y Compromiso (ACT) para el tratamiento de los síntomas psicóticos. In A. J. Cangas & V. Ibañez (Eds.), Nuevas Perspectivas en el Tratamiento del Trastorno Mental Grave (pp. 133–160). Granada: Alborán Editores.

    Google Scholar 

  • Chadwick, P. (2014). Mindfulness for psychosis. British Journal of Psychiatry, 204, 333–334.

    Article  PubMed  Google Scholar 

  • Chadwick, P., Hughes, S., Russell, D., Russell, I., & Dagnan, D. (2009). Mindfulness groups for distressing voices and paranoia: A replication and randomized feasibility trial. Behavioural and Cognitive Psychotherapy, 37, 403–412.

    Article  PubMed  Google Scholar 

  • Chadwick, P., Taylor, K. N., & Abba, N. (2005). Mindfulness groups for people with psychosis. Behavioural and Cognitive Psychotherapy, 33, 351–359.

    Article  Google Scholar 

  • Chan-ob, T., & Boonyanaruthee, V. (1999). Meditation in association with psychosis. Journal of Medical Association of Thailand, 82, 925–929.

    Google Scholar 

  • Chien, W. T., & Lee, I. Y. M. (2013). The mindfulness-based psychoeducation program for Chinese patients with schizophrenia. Psychiatric Services, 64, 376–379.

    Article  PubMed  Google Scholar 

  • Dannahy, L., Hayward, M., Strauss, C., Turton, W., Harding, E., & Chadwick, P. (2011). Group person-based cognitive therapy for distressing voices: Pilot data from nine groups. Journal of Behavior Therapy and Experimental Psychiatry, 42, 111–116.

    Article  PubMed  Google Scholar 

  • Dennick, L., Fox, A. P., & Walter-Brice, A. (2013). Mindfulness groups for people experiencing distressing psychosis: An interpretative phenomenological analysis. Mental Health Review Journal, 18, 32–43. doi:10.1108/1361932131131009.

    Article  Google Scholar 

  • Fromm-Reichmann, F. (1960). Principles of intensive psychotherapy. Chicago: University of Chicago Press.

    Google Scholar 

  • Garcia-Trujillo, R., Monterrey, A. L., & Gonzalez de Riviera, J. L. (1992). Meditación y psicosis. Psiquis Revista de Psiquiatría Psicología y Psicosomática, 13, 39–43.

    Google Scholar 

  • Gaudiano, B. A., & Herbert, J. D. (2006). Acute treatment of inpatients with psychotic symptoms using acceptance and commitment therapy: Pilot results. Behaviour Research and Therapy, 44, 415–437.

    Article  PubMed  Google Scholar 

  • Glaser, B. G., & Strauss, A. L. (1967). Discovery of grounded theory. Chicago, IL: Aldine.

    Google Scholar 

  • Hayward, M., Awenat, Y., McCarthy Jones, S., Paulik, G., & Berry, K. (2014). Beyond beliefs: A qualitative study of people’s opinions about their changing relations with their voices. Psychosis, 12, doi:10.1080/17522439.2014.926388

    Google Scholar 

  • Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 169–183. doi:10.1037/a0018555.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hölzel, B. K., Carmody, J., Vangel, M., Congleton, C., Yerramsetti, S. M., Gard, T., et al. (2011). Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Research: Neuroimaging, 191, 36–43.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kuijpers, H. J. H., van der Heijden, F. M. M. A., Tuinier, S., & Verhoeven, W. M. A. (2007). Meditation-induced psychosis. Psychopathology, 40, 461–464.

    Article  PubMed  Google Scholar 

  • Langer, Á. I., Cangas, A. J., Salcedo, E., & Fuentes, B. (2012). Applying mindfulness therapy in a group of psychotic individuals: A controlled study. Behavioural and Cognitive Psychotherapy, 40, 105–109.

    Article  PubMed  Google Scholar 

  • Langer, Á. I., Cangas, A. J., & Gallego, J. (2010). Mindfulness-based intervention on distressing hallucination-like experiences in a nonclinical sample. Behaviour Change, 27, 176–183.

    Article  Google Scholar 

  • May, K., Strauss, C., Coyle, A., & Hayward, M. (2014). Person-based cognitive therapy groups for distressing voices: A thematic analysis of participant experiences of the therapy. Psychosis: Psychological, Social and Integrative Approaches, 6, 16–26. doi:10.1080/17522439.2012.708775.

    Article  Google Scholar 

  • National Institute for Health and Clinical Excellence (NICE). (2014). Psychosis and schizophrenia in adults: treatment and management. Available from URL: http://www.nice.org.uk/guidance/cg178

  • Perez-De-Albeniz, A., & Holmes, J. (2000). Meditation: Concepts, effects and uses in therapy. International Journal of Psychotherapy, 5, 49–59.

    Article  Google Scholar 

  • Pinto, A. (2009). Mindfulness and psychosis. In F. Didonna (Ed.), Clinical handbook of mindfulness (pp. 339–368). New York: Springer.

    Chapter  Google Scholar 

  • Sethi, S., & Subhash, C. (2003). Relationship of meditation and psychosis: Case studies. Australian and New Zealand Journal of Psychiatry, 37, 382.

    PubMed  Google Scholar 

  • Shonin, E., Van Gordon, W., & Griffiths, M. D. (2014a). Cognitive behavioral therapy (CBT) and meditation awareness training (MAT) for the treatment of co-occurring schizophrenia with pathological gambling: A case study. International Journal of Mental Health and Addiction, 12, 181–196.

    Article  Google Scholar 

  • Shonin, E., Van Gordon, W., & Griffiths, M. D. (2014b). Do mindfulness-based therapies have a role in the treatment of psychosis? Australia and New Zealand Journal of Psychiatry, 48, 124–127.

    Article  Google Scholar 

  • Shonin, E., Van Gordon, W., & Griffiths, M. D. (2015). Are there risks associated with using mindfulness for the treatment of psychopathology? Clinical Practice, 11, 389–392.

    Article  Google Scholar 

  • Siegel, D. J. (2010). The mindful therapist: A clinician’s guide to mindsight and neural integration. New York: W.W. Norton.

    Google Scholar 

  • Smieskova, R., Marmy, J., Schmidt, A., Bendfeldt, K., Riecher-Rössler, A., Walter, M., et al. (2013). Do subjects at clinical high risk for psychosis differ from those with a genetic high risk? A systematic review of structural and functional brain abnormalities. Current Medicinal Chemistry, 20, 467–481. doi:10.2174/0929867311320030018.

    PubMed Central  PubMed  Google Scholar 

  • Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. London: Sage.

    Google Scholar 

  • van der Valk, R., van de Waerdt, S., Meijer, C. J., van den Hout, I., & de Haan, L. (2013). Feasibility of mindfulness-based therapy in patients recovering from a first psychotic episode: A pilot study. Early Intervention in Psychiatry, 7, 64–70.

    Article  PubMed  Google Scholar 

  • Van Gordon, W., Shonin, E., Griffiths, M. D., & Singh, N. N. (2015). There is only one mindfulness: Why science and Buddhism need to work together. Mindfulness, 6, 49–56.

    Article  Google Scholar 

  • Walsh, R., & Roche, L. (1979). Precipitation of acute psychotic episodes by intensive meditation in individuals with a history of schizophrenia. American Psychiatry Association, 136, 1085–1086.

    Google Scholar 

  • Wyatt, C., Harper, B., & Weatherhead, S. (2014). The experience of group mindfulness-based interventions for individuals with mental health difficulties: A meta-synthesis. Psychotherapy Research, 24, 214–228.

    Article  PubMed  Google Scholar 

  • Yorston, G. (2001). Mania precipitated by meditation: A case report and literature review. Mental Health, Religion and Culture, 4, 209–213.

    Article  Google Scholar 

Download references

Acknowledgments

AIL is supported by the Chilean National Fund for Scientific and Technological Development, PAI, Project N° 8213005 and by the Fund for Innovation and Competitiveness (FIC) of the Chilean Ministry of Economy, Development and Tourism, through the Millennium Scientific Initiative, Grant N° IS130005.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Álvaro I. Langer .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Langer, Á.I., Carmona-Torres, J.A., Van Gordon, W., Shonin, E. (2016). Mindfulness for the Treatment of Psychosis: State of the Art and Future Developments. In: Shonin, E., Gordon, W., Griffiths, M. (eds) Mindfulness and Buddhist-Derived Approaches in Mental Health and Addiction. Advances in Mental Health and Addiction. Springer, Cham. https://doi.org/10.1007/978-3-319-22255-4_10

Download citation

Publish with us

Policies and ethics