Clinical Social Work Journal

, Volume 37, Issue 2, pp 95–103 | Cite as

Mindfulness: The Present Moment in Clinical Social Work

  • Kielty Turner
Original Paper


Mindfulness-based psychotherapies are increasingly found in the evidence-based practice realm of clinical social work. This paper provides an understanding of the concept of mindfulness as well as the research into the neurological and behavioral benefits of mindfulness skills training. Mindfulness skills training is explored as both the foundation of specific therapy protocols and as a method to foster clinician attention, affect regulation, attunement and empathy. Clinical case examples are provided to demonstrate the impact of mindfulness skills training on both clients and on the helping relationship.


Mindfulness Attention Affect regulation Attunement Empathy 



The author would like to thank the professors and students of the 2007 cohort of the DSW program at the University of Pennsylvania for their assistance on this article. Special thanks to Karen Blomain for personal assistance with the manuscript preparation.


  1. Applegate, J. S. (2000). Theory as story: a postmodern tale. Clinical Social Work Journal, 28, 141–153. doi: 10.1023/A:1005150116734.CrossRefGoogle Scholar
  2. Applegate, J. S., & Bonovitz, J. M. (1995). The facilitating partnership: A Winnicottian approach for social workers and other helping professionals. Northvale: Jason Aronson.Google Scholar
  3. Applegate, J. S., & Shapiro, J. R. (2005). Neurobiology for clinical social work: Theory and practice. New York: Norton.Google Scholar
  4. Bach, P., & Hayes, S. (2002). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 70(5), 1129–1139.PubMedCrossRefGoogle Scholar
  5. Baer, R. (2003). Mindfulness training as clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–142. doi: 10.1093/clipsy/bpg015.CrossRefGoogle Scholar
  6. Bennett, C. S., & Nelson, J. K. (2008). Closing thoughts: special issue on attachment. Clinical Social Work Journal, 36, 109–111. doi: 10.1007/s10615-007-0113-5.CrossRefGoogle Scholar
  7. Berceli, D., & Napoli, M. (2006). A proposal for a mindfulness-based trauma prevention program for social work professionals. Complementary Health Practice Review, 11(3), 153–165. doi: 10.1177/1533210106297989.CrossRefGoogle Scholar
  8. Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241. doi: 10.1093/clipsy/bph077.CrossRefGoogle Scholar
  9. Brenner, C. (2000). Brief communication: evenly hovering attention. The Psychoanalytic Quarterly, 69, 545–549.PubMedGoogle Scholar
  10. Brenner, M. J., & Homonoff, E. (2004). Zen and clinical social work: a spiritual approach to practice. Families in Society: The Journal of Contemporary Social Services, 85, 261–269.Google Scholar
  11. Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Clinical Psychology: Science and Practice, 11, 230–241.Google Scholar
  12. Chodron, P. (1994). Start where you are: A guide to comapssionate living. Boston: Shambala.Google Scholar
  13. Cozolino, L. J. (2002). The neuroscience of psychotherapy: Building and rebuilding the human brain. New York: Norton.Google Scholar
  14. Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, S., et al. (2003). Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Medicine, 65, 565–570. doi: 10.1097/01.PSY.0000077505.67574.E3.CrossRefGoogle Scholar
  15. Dimidijian, S., & Linehan, M. (2003). Defining an agenda for future research on the clinical application of mindfulness practice. Clinical Psychology: Science and Practice, 10, 166–171. doi: 10.1093/clipsy/bpg019.CrossRefGoogle Scholar
  16. Etezady, M. H. (2007). Relatedness and listening. In S. Akhtar (Ed.), Listening to others: Developmental and clinical aspects of empathy and attunement (pp. 130–145). New York: Jason Aronson.Google Scholar
  17. Fonagy, P. (2001). Attachment theory and psychoanalysis. New York: Other Press.Google Scholar
  18. Fulton, P. R. (2005). Mindfulness as clinical training. In C. K. Germer, R. D. Siegel & P. R. Fulton (Eds.), Mindfulness and psychotherapy (pp. 55–72). New York: Guilford.Google Scholar
  19. Germer, C. K. (2005). Teaching mindfulness in therapy. In C. K. Germer, R. D. Siegel & P. R. Fulton (Eds.), Mindfulness and psychotherapy (pp. 55–73). New York: Guilford.Google Scholar
  20. Goleman, D., & Schwartz, G. (1976). Meditation as an intervention in stress reactivity. Journal of Consulting and Clinical Psychology, 44(3), 456–466. doi: 10.1037/0022-006X.44.3.456.PubMedCrossRefGoogle Scholar
  21. Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford.Google Scholar
  22. Ivanovski, B., & Malhi, G. S. (2007). The psychological and neuropsychological concomitants of mindfulness forms of meditation. Acta Neuropsychiatrica, 19(2), 76–91. doi: 10.1111/j.1601-5215.2007.00175.x.CrossRefGoogle Scholar
  23. James, W. (1890/1981). The principles of psychology. Cambridge: Harvard University Press.Google Scholar
  24. Jha, A. P., Krompinger, J., & Baime, M. (2007). Mindfulness training modifies subsystems of attention. Cognitive Affective & Behavioral Neuroscience, 7(2), 109–119.CrossRefGoogle Scholar
  25. Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. New York: Dell.Google Scholar
  26. Kabat-Zinn, J. (1994). Mindfulness meditation for everyday life. New York: Hyperion.Google Scholar
  27. Keefe, T. (1996). Meditation and social work treatment. In F. J. Turner (Ed.), Social work treatment (pp. 434–461). New York: Free Press.Google Scholar
  28. Lazar, S. W. (2005). Mindfulness research. In C. K. Germer, R. D. Siegel & P. R. Fulton (Eds.), Mindfulness and psychotherapy (pp. 220–240). New York: Guilford.Google Scholar
  29. Linehan, M. M. (1993). Skills training manual for treating borderline personality disorder. New York: Guilford.Google Scholar
  30. Lutz, A., Dunne, J., & Davidson, R. J. (2007). Meditation and the neuroscience of consciousness: An introduction. In P. D. Zelazl, M. M. Moscovitch & E. Thompson (Eds.), Cambridge handbook of consciousness (pp. 449–551). New York: Cambridge University Press.Google Scholar
  31. Lynch, T. R., Morse, J., Mendelson, T., & Robins, C. (2003). Dialectical behavior therapy for depressed older adults: a randomized pilot study. American Journal of Geriatric Psychiatry, 11, 33–45.PubMedGoogle Scholar
  32. Mackey, R. A. (2007). Toward an integration of ideas about the self for the practice of clinical social work. Clinical Social Work Journal, 36, 225–234. doi: 10.1007/s10615-007-0126-0.CrossRefGoogle Scholar
  33. Miller, A. L., Rathus, J. H., & Linehan, M. M. (2007). Dialectical behavior therapy with suicidal adolescents. New York: Guilford.Google Scholar
  34. Morgan, W. D., & Morgan, S. T. (2005). Cultivating attention and empathy. In C. K. Germer, R. D. Siegel & P. R. Fulton (Eds.), Mindfulness and psychotherapy (pp. 73–90). New York: Guilford.Google Scholar
  35. National Association of Social Workers. (1999). Code of ethics of the national association of social workers. Washington, DC: National Association of Social Workers.Google Scholar
  36. Ogden, T. (1997). Subjects of analysis. Northvale: Jason Aaronson.Google Scholar
  37. Schore, J. R., & Schore, A. N. (2008). Modern attachment theory: the central role of affect regulation in development and treatment. Clinical Social Work Journal, 36, 9–12. doi: 10.1007/s10615-007-0111-7.CrossRefGoogle Scholar
  38. Segal, Z. V., Williams, M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford.Google Scholar
  39. Shapiro, D. (1992). Adverse effects of meditation: a preliminary investigation of long-term meditators. International Journal of Psychosomatics, 39, 62–66.PubMedGoogle Scholar
  40. Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21, 581–599. doi: 10.1023/A:1018700829825.PubMedCrossRefGoogle Scholar
  41. Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62, 373–386. doi: 10.1002/jclp.20237.PubMedCrossRefGoogle Scholar
  42. Shulman, L. (1992). The skills of helping individuals, families and group (3rd ed.). Itasca: F. E. Peacock.Google Scholar
  43. Siegel, D. J. (2007). The mindful brain: Reflection and attunement in the cultivation of well-being. New York: Norton.Google Scholar
  44. Simpson, G. A., Williams, J. C., & Segall, A. B. (2007). Social work education and clinical education. Clinical Social Work Journal, 35, 3–14. doi: 10.1007/s10615-006-0046-4.CrossRefGoogle Scholar
  45. Stern, D. (2004). The present moment in psychotherapy and everyday life. New York: Norton.Google Scholar
  46. Telch, C. F., Agras, W. S., & Linehan, M. M. (2001). Dialectical behavior therapy for binge eating disorder. Journal of Consulting and Clinical Psychology, 69, 1061–1065. doi: 10.1037/0022-006X.69.6.1061.PubMedCrossRefGoogle Scholar
  47. Tremmel, R. (1993). Zen and the art of reflective practice in teacher education. Harvard Educational Review, 63, 434–458.Google Scholar
  48. Willaims, M., Teasdale, J., Segal, Z., & Kabat-Zinn, J. (2007). The mindful way through depression: Freeing yourself from chronic unhappiness. New York: Guilford.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  1. 1.School of Social Policy and PracticeUniversity of PennsylvaniaUnion DaleUSA

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