Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Mindfulness 3/2015

01-06-2015 | ORIGINAL PAPER

The Stages of Insight: Clinical Relevance for Mindfulness-Based Interventions

Auteur: Andrea Grabovac

Gepubliceerd in: Mindfulness | Uitgave 3/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

The increased demand for and proliferation of mindfulness-based interventions (MBIs) within clinical treatment programs underscores the need for MBI clinicians to better understand the Buddhist psychological and theoretical underpinnings of such treatments. Of particular importance is familiarity with the stages of insight, the predictable developmental sequence of the Theravada Buddhist practices from which MBIs derive their core curricular components. This paper outlines the primary reasons why MBI clinicians need to be aware of the stages of insight, including: (1) some MBI participants appear to progress through the initial stages of insight, even during a relatively short period of time, such as an 8-week program; (2) knowledgeable clinicians may be better able to recognize the stages of insight and adjust practice instructions to facilitate participants’ navigation of these stages; (3) clinically significant symptoms that may be encountered during progress through the stages of insight need to be recognized by clinicians and appropriately addressed. Modifications to standards for clinician competency are suggested, and areas for future clinical and neurobiological research related to the stages of insight are explored. The risks and ethical issues associated with delivering MBIs in a health care setting, and informed consent regarding potential progress along the stages of insight, are discussed.
Literatuur
go back to reference Analayo, B. (2003). Satipatthana: the direct path to realization. Birmingham: Windhorse. Analayo, B. (2003). Satipatthana: the direct path to realization. Birmingham: Windhorse.
go back to reference Bhikkhu Analayo (2012). The dynamics of Theravada insight meditation. In Budhist Meditation Traditions: and International Symposium . Kuo-pin Chuang (ed), Taiwan: Dharma Drum Publishing Corporation, pp. 23–56. Bhikkhu Analayo (2012). The dynamics of Theravada insight meditation. In Budhist Meditation Traditions: and International Symposium . Kuo-pin Chuang (ed), Taiwan: Dharma Drum Publishing Corporation, pp. 23–56.
go back to reference Bondolfi, G., Jermann, F., Van der Linden, M., Gex-Fabry, M., Bizzini, L., et al. (2010). Depression relapse prophylaxis with Mindfulness-Based Cognitive Therapy: replication and extension in the Swiss health care system. Journal of Affective Disorders, 122, 224–231. doi: 10.​1016/​j.​jad.​2009.​07.​007. Bondolfi, G., Jermann, F., Van der Linden, M., Gex-Fabry, M., Bizzini, L., et al. (2010). Depression relapse prophylaxis with Mindfulness-Based Cognitive Therapy: replication and extension in the Swiss health care system. Journal of Affective Disorders, 122, 224–231. doi: 10.​1016/​j.​jad.​2009.​07.​007.
go back to reference Catherine, S. (2011). Wisdom wide and deep: a practical handbook for mastering Jhana and Vipassana. Somerville, MA: Wisdom Publications. Catherine, S. (2011). Wisdom wide and deep: a practical handbook for mastering Jhana and Vipassana. Somerville, MA: Wisdom Publications.
go back to reference Chanmyay Sayadaw (2010). Talks on meditation given in the Blue Mountains. Australia: Blue Mountains Insight Meditation Centre. Chanmyay Sayadaw (2010). Talks on meditation given in the Blue Mountains. Australia: Blue Mountains Insight Meditation Centre.
go back to reference Coelho, H. F., Canter, P. H., & Edzard, E. (2007). Mindfulness-based cognitive therapy: evaluating current evidence and informing future research. Journal of Consulting and Clinical Psychology, 75, 1000–1005. doi: 10.​1037/​0022-006X.​75.​6.​1000. Coelho, H. F., Canter, P. H., & Edzard, E. (2007). Mindfulness-based cognitive therapy: evaluating current evidence and informing future research. Journal of Consulting and Clinical Psychology, 75, 1000–1005. doi: 10.​1037/​0022-006X.​75.​6.​1000.
go back to reference Crane, R. S., Kuyken, W., Hastings, R., Rothwell, N., & Williams, J. M. G. (2010). Training teachers to deliver mindfulness-based interventions: learning from the UK experience. Mindfulness, 1, 74–86. CrossRefPubMedCentralPubMed Crane, R. S., Kuyken, W., Hastings, R., Rothwell, N., & Williams, J. M. G. (2010). Training teachers to deliver mindfulness-based interventions: learning from the UK experience. Mindfulness, 1, 74–86. CrossRefPubMedCentralPubMed
go back to reference Crane, R. S., Kuyken, W., Williams, J. M. G., Hastings, R., Cooper, L., & Fennell, M. J. V. (2012). Competence in teaching mindfulness-based courses: concepts, development, and assessment. Mindfulness, 3, 76–84. CrossRefPubMedCentralPubMed Crane, R. S., Kuyken, W., Williams, J. M. G., Hastings, R., Cooper, L., & Fennell, M. J. V. (2012). Competence in teaching mindfulness-based courses: concepts, development, and assessment. Mindfulness, 3, 76–84. CrossRefPubMedCentralPubMed
go back to reference Cullen, M. (2011). Mindfulness-Based Interventions: An Emerging Phenomenon. Mindfulness, 2, 186–193. Cullen, M. (2011). Mindfulness-Based Interventions: An Emerging Phenomenon. Mindfulness, 2, 186–193.
go back to reference Davis, J. H., and Vago, D. R. (2013). Can enlightenment be traced to specific neural correlates, cognition, or behavior? No, and (a qualified) Yes. Frontiers in Psychology, 4, 870. doi: 10.​3389/​fpsyg.​2013.​00870. Davis, J. H., and Vago, D. R. (2013). Can enlightenment be traced to specific neural correlates, cognition, or behavior? No, and (a qualified) Yes. Frontiers in Psychology, 4, 870. doi: 10.​3389/​fpsyg.​2013.​00870.
go back to reference Ehara, N. R. M., Thera, S., & Thera, K. (1995). Vimuttimagga the path of freedom. Kandy: Buddhist Publication Society. Ehara, N. R. M., Thera, S., & Thera, K. (1995). Vimuttimagga the path of freedom. Kandy: Buddhist Publication Society.
go back to reference Epstein, M. D., & Lieff, J. D. (1981). Psychiatric complications of meditation practice. J Transpersonal Psycholog, 13, 144. Epstein, M. D., & Lieff, J. D. (1981). Psychiatric complications of meditation practice. J Transpersonal Psycholog, 13, 144.
go back to reference Godfrin, K. A., & van Heeringen, C. (2010). The effects of mindfulness-based cognitive therapy on recurrence of depressive episodes, mental health and quality of life: a randomized controlled study. Behaviour Research and Therapy, 48, 738–746. doi: 10.​1016/​j.​brat.​2010.​04.​006. Godfrin, K. A., & van Heeringen, C. (2010). The effects of mindfulness-based cognitive therapy on recurrence of depressive episodes, mental health and quality of life: a randomized controlled study. Behaviour Research and Therapy, 48, 738–746. doi: 10.​1016/​j.​brat.​2010.​04.​006.
go back to reference Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: a meta-analysis. Journal of Psychosomatic Research, 57, 35–43. Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: a meta-analysis. Journal of Psychosomatic Research, 57, 35–43.
go back to reference Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effects 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. Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effects 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.
go back to reference Holzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6, 537–559. CrossRef Holzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6, 537–559. CrossRef
go back to reference Kabat-Zinn, J. (1990a). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Dell. Kabat-Zinn, J. (1990a). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Dell.
go back to reference Kabat-Zinn, J. (1990b). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness (p. 323). New York: Dell. Kabat-Zinn, J. (1990b). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness (p. 323). New York: Dell.
go back to reference Kabat-Zinn, J. (1990c). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Dell. pp. 6, 4, 242, 244. Kabat-Zinn, J. (1990c). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Dell. pp. 6, 4, 242, 244.
go back to reference Kornfield, J. (1979). Intensive insight meditation: a phenomenological study. J Transpers Psychol, 11, 41–58. Kornfield, J. (1979). Intensive insight meditation: a phenomenological study. J Transpers Psychol, 11, 41–58.
go back to reference Kornfield, J. (1993). A path with heart. New York: Bantam. Ch. 9–10. Kornfield, J. (1993). A path with heart. New York: Bantam. Ch. 9–10.
go back to reference Kornfield, J. (2011). Bringing home the Dharma (p. 92). Boston: Shambhala. Kornfield, J. (2011). Bringing home the Dharma (p. 92). Boston: Shambhala.
go back to reference 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. CrossRefPubMed 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. CrossRefPubMed
go back to reference Kuyken, W., Byford, S., Taylor, R. S., Watkins, E., Holden, E., White, K., et al. (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology, 76, 966–978. doi: 10.​1037/​a0013786. Kuyken, W., Byford, S., Taylor, R. S., Watkins, E., Holden, E., White, K., et al. (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology, 76, 966–978. doi: 10.​1037/​a0013786.
go back to reference Lutz, A., Slagter, H. A., Dunne, J. D., & Davidson, R. J. (2008) Attention regulation and monitoring in meditation. Trends Cogn Sci, 12,163–9. Lutz, A., Slagter, H. A., Dunne, J. D., & Davidson, R. J. (2008) Attention regulation and monitoring in meditation. Trends Cogn Sci, 12,163–9.
go back to reference Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 31–40. doi: 10.​1037/​0022-006X.​72.​1.​31. Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 31–40. doi: 10.​1037/​0022-006X.​72.​1.​31.
go back to reference Mahasi Sayadaw (1991). Fundamentals of Vipassana meditation. Berkeley: Dhammachakka Meditation Center. Mahasi Sayadaw (1991). Fundamentals of Vipassana meditation. Berkeley: Dhammachakka Meditation Center.
go back to reference Mahasi Sayadaw (2006). Practical insight meditation: basic and progressive stages. Kandy, Sri Lanka: Buddhist Publication Society. Mahasi Sayadaw (2006). Practical insight meditation: basic and progressive stages. Kandy, Sri Lanka: Buddhist Publication Society.
go back to reference McCown, D., Reibel, D. K., & Micozzi, M. S. (2010). Teaching mindfulness: a practical guide for clinicians and educators (p. 19). New York: Springer. CrossRef McCown, D., Reibel, D. K., & Micozzi, M. S. (2010). Teaching mindfulness: a practical guide for clinicians and educators (p. 19). New York: Springer. CrossRef
go back to reference Nanamoli, B. (2010). Visuddhimagga the path of purification. Kandy: Buddhist Publication Society. Nanamoli, B. (2010). Visuddhimagga the path of purification. Kandy: Buddhist Publication Society.
go back to reference Piet, J., & Hougaard, E. (2011). The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clinical Psychology Review, 31, 1032–1040. doi: 10.​1016/​j.​cpr.​2011.​05.​002. Piet, J., & Hougaard, E. (2011). The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clinical Psychology Review, 31, 1032–1040. doi: 10.​1016/​j.​cpr.​2011.​05.​002.
go back to reference Sangharakshita. (2004). Survey of Buddhism: It’s Doctrines and Methods Through the Ages. 9th Ed. Birmingham: Windhorse Publications, p. xiv. Sangharakshita. (2004). Survey of Buddhism: It’s Doctrines and Methods Through the Ages. 9th Ed. Birmingham: Windhorse Publications, p. xiv.
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach for preventing relapse. New York: Guilford Press. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach for preventing relapse. New York: Guilford Press.
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2012a). Mindfulness-based cognitive therapy for depression: a new approach for preventing relapse (2nd ed.). New York: Guilford Press. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2012a). Mindfulness-based cognitive therapy for depression: a new approach for preventing relapse (2nd ed.). New York: Guilford Press.
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2012b). Mindfulness-based cognitive therapy for depression: a new approach for preventing relapse (2nd ed.). New York: Guilford Press. pp. 165, 204, 217, 227. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2012b). Mindfulness-based cognitive therapy for depression: a new approach for preventing relapse (2nd ed.). New York: Guilford Press. pp. 165, 204, 217, 227.
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2012c). Mindfulness-based cognitive therapy for depression: a new approach for preventing relapse (2nd ed., p. 194). New York: Guilford Press. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2012c). Mindfulness-based cognitive therapy for depression: a new approach for preventing relapse (2nd ed., p. 194). New York: Guilford Press.
go back to reference Shapiro, D. H. (1992). Adverse effects of meditation: a preliminary investigation of long-term meditators. Int J Psychosomatics, 39, 62–67. Shapiro, D. H. (1992). Adverse effects of meditation: a preliminary investigation of long-term meditators. Int J Psychosomatics, 39, 62–67.
go back to reference Sharf, R. H. (1995). Buddhist modernism and the rhetoric of meditative experience. Numen, 42(3). Sharf, R. H. (1995). Buddhist modernism and the rhetoric of meditative experience. Numen, 42(3).
go back to reference Sharma, P. (1997). The Bhavanakrama of Kamalasila. New Deli: Aditya Prakashan. Sharma, P. (1997). The Bhavanakrama of Kamalasila. New Deli: Aditya Prakashan.
go back to reference Suzuki, D. T. (2012). Manual of Zen Buddhism (pp. 116–132). Los Angeles: IndoEuropean Publishing. Suzuki, D. T. (2012). Manual of Zen Buddhism (pp. 116–132). Los Angeles: IndoEuropean Publishing.
go back to reference Tang, Y. Y., Rothbart, M. K., & Posner, M. I. (2012). Neural correlates of establishing, maintaining and switching brain states. Trends Cogn Sci, 16, 330–337. CrossRefPubMedCentralPubMed Tang, Y. Y., Rothbart, M. K., & Posner, M. I. (2012). Neural correlates of establishing, maintaining and switching brain states. Trends Cogn Sci, 16, 330–337. CrossRefPubMedCentralPubMed
go back to reference Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623. doi: 10.​1037/​0022-006X.​68.​4.​615. Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623. doi: 10.​1037/​0022-006X.​68.​4.​615.
go back to reference Williams, J. M. G., & Kabat-Zinn, J. (2013). Mindfulness: diverse perspectives on its meaning, origins and applications (p. 289). New York: Routledge. Williams, J. M. G., & Kabat-Zinn, J. (2013). Mindfulness: diverse perspectives on its meaning, origins and applications (p. 289). New York: Routledge.
Metagegevens
Titel
The Stages of Insight: Clinical Relevance for Mindfulness-Based Interventions
Auteur
Andrea Grabovac
Publicatiedatum
01-06-2015
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 3/2015
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-014-0294-2

Andere artikelen Uitgave 3/2015

Mindfulness 3/2015 Naar de uitgave

ORTHOGONAL ROTATION IN CONSCIOUSNESS

Why Even Bother? The Importance of Motivation