Mindfulness and Empathy: Differential Effects of Explicit and Implicit Buddhist Teachings
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Several authors argue that interpersonal changes such as benevolence, compassion, and empathy should naturally emerge from a diligent practice of mindfulness. While empirical data from secularized and standardized mindfulness interventions do not fully support this assumption, a group of authors suggest that making underlying Buddhist teachings explicit within mindfulness-based interventions (MBIs) might be a key factor in the modification of such culturally rooted aspects of interpersonal functioning. In order to investigate this suggestion, we compared a mindfulness program that explicitly integrates elements of Buddhist ethics (i.e., the four immeasurables) and wisdom (i.e., interdependency, non-self, common humanity) (ethics-oriented mindfulness training (EMT)), to a standard mindfulness training (SMT) program and a control group (i.e., waiting list), with a randomized controlled design in a community sample. Empathy components (i.e., affective responding, mentalization, emotion regulation, and behavioral responding), as well as variables that are typically associated with MBIs (i.e., mindfulness, self-compassion, and well-being) were assessed using multi-dimensional measures (i.e., self-reported, behavioral, physiological). Results showed no overall effects on empathy of our interventions in comparison with our control group. With regard to other variables, we found specific effects for each of our interventions. Whereas SMT led to a stable increase in mindfulness (Cohen’s d = .7), EMT led instead to increases in self-compassion (Cohen’s d = .8) and subjective well-being (Cohen’s d = .54). Although challenging theoretical expectations, we posit that our lack of empathy effects might be explained by several factors such as program structure, individual differences, and culture.
KeywordsBuddhism Ethics Four immeasurables (self-)compassion Second-generation mindfulness-based interventions
MB designed and executed the study, analyzed the data, and wrote the paper. NV assisted with the data analyses and collaborated with the design and writing of the study. AK collaborated in the writing and editing of the final manuscript. MM collaborated with the design and writing of the study.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
This study was approved by the Ethics Committee of the Université catholique de Louvain, in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
All individual participants included in the study gave their informed consent prior to data collection.
- Avants, S. K., & Margolin, A. (2004). Development of spiritual self-schema (3-S) therapy for the treatment of addictive and HIV risk behavior: a convergence of cognitive and Buddhist psychology. Journal of Psychotherapy Integration, 14(3), 253–289. https://doi.org/10.1037/1053-04126.96.36.199.CrossRefGoogle Scholar
- Azam, M. A., Katz, J., Fashler, S. R., Changoor, T., Azargive, S., & Ritvo, P. (2015). Heart rate variability is enhanced in controls but not maladaptive perfectionists during brief mindfulness meditation following stress-induction: a stratified-randomized trial. International Journal of Psychophysiology, 98(1), 27–34. https://doi.org/10.1016/j.ijpsycho.2015.06.005.CrossRefPubMedGoogle Scholar
- Block-Lerner, J., Adair, C., Plumb, J. C., Rhatigan, D. L., & Orsillo, S. M. (2007). The case for mindfulness-based approaches in the cultivation of empathy: does nonjudgmental, present-moment awareness increase capacity for perspective-taking and empathic concern? Journal of Marital and Family Therapy, 33(4), 501–516. https://doi.org/10.1111/j.1752-0606.2007.00034.x.CrossRefPubMedGoogle Scholar
- Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31(1), 23–33. https://doi.org/10.1007/s10865-007-9130-7.CrossRefPubMedGoogle Scholar
- Crane, R. S., Eames, C., Kuyken, W., Hastings, R. P., Williams, J. M. G., Bartley, J., et al. (2013). Development and validation of the mindfulness-based interventions—teaching assessment criteria (MBI:TAC). Assessment, 20(6), 681–688. https://doi.org/10.1177/1073191113490790.CrossRefPubMedGoogle Scholar
- Derogatis, L. R. (1977). SCL90: administration, scoring and procedure manual-I for the R(revised) version. Baltimore: Johns Hopkins University School of Medicine.Google Scholar
- Desbordes, G., Negi, L. T., Pace, T. W. W., Wallace, B. A., Raison, C. L., & Schwartz, E. L. (2012). Effects of mindful-attention and compassion meditation training on amygdala response to emotional stimuli in an ordinary, non-meditative state. Frontiers in Human Neuroscience, 6. https://doi.org/10.3389/fnhum.2012.00292.
- Gilbert, P., & Choden. (2013). Mindful compassion: using the power of mindfulness and compassion to transform our lives. London: Robinson.Google Scholar
- Grossman, P. (2011). Defining mindfulness by how poorly I think I pay attention during everyday awareness and other intractable problems for psychology’s (re)invention of mindfulness: comment on Brown et al. (2011). Psychological Assessment, 23(4), 1034–1040. https://doi.org/10.1037/a0022713.CrossRefPubMedGoogle Scholar
- Grynberg, D., Bayot, M., & Vermeulen, N. (submitted). Validation of the French version of the emotional contagion scale. Journal of Nonverbal Behavior.Google Scholar
- Hanson, R., & Mendius, R. (2009). Buddha’s brain: The practical neuroscience of happiness, love, and wisdom. Oakland, CA: New Harbinger Publications.Google Scholar
- Hildebrandt, L. K., McCall, C., & Singer, T. (2017). Differential effects of attention-, compassion-, and socio-cognitively based mental practices on self-reports of mindfulness and compassion. Mindfulness, 8(6), 1488–1512. https://doi.org/10.1007/s12671-017-0716-z.CrossRefPubMedPubMedCentralGoogle Scholar
- Jinpa, T. (2015). A fearless heart: why compassion is the key to greater wellbeing. London: Piatkus.Google Scholar
- Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4(1), 33–47. https://doi.org/10.1016/0163-8343(82)90026-3.CrossRefGoogle Scholar
- Kabat-Zinn, J. (2013). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness (rev. edn.). New York: Bantam.Google Scholar
- Keng, S.-L., Smoski, M. J., Robins, C. J., Ekblad, A. G., & Brantley, J. G. (2012). Mechanisms of change in mindfulness-based stress reduction: self-compassion and mindfulness as mediators of intervention outcomes. Journal of Cognitive Psychotherapy, 26(3), 270–280. https://doi.org/10.1891/0889-83188.8.131.520.CrossRefGoogle Scholar
- Kuyken, W., Warren, F. C., Taylor, R. S., Whalley, B., Crane, C., Bondolfi, G., et al. (2016). Efficacy of mindfulness-based cognitive therapy in prevention of depressive relapse: an individual patient data meta-analysis from randomized trials. JAMA Psychiatry, 73(6), 565–574. https://doi.org/10.1001/jamapsychiatry.2016.0076.CrossRefPubMedGoogle Scholar
- Lama, D. (1999). Ancient wisdom, modern world: ethics for the new millennium. London: Abacus.Google Scholar
- McMahan, D. (2015). Mindfulness as self-cultivation in ancient and modern contexts. Oral presentation presented at the mindfulness and compassion: the art and science of contemplative practice. San Francisco, CA: San Francisco State University.Google Scholar
- Nelis, D., Kotsou, I., Quoidbach, J., Hansenne, M., Weytens, F., Dupuis, P., & Mikolajczak, M. (2011). Increasing emotional competence improves psychological and physical well-being, social relationships, and employability. Emotion, 11(2), 354–366. https://doi.org/10.1037/a0021554.CrossRefPubMedGoogle Scholar
- Parsons, C. E., Crane, C., Parsons, L. J., Fjorback, L. O., & Kuyken, W. (2017). Home practice in mindfulness-based cognitive therapy and mindfulness-based stress reduction: a systematic review and meta-analysis of participants’ mindfulness practice and its association with outcomes. Behaviour Research and Therapy, 95, 29–41. https://doi.org/10.1016/j.brat.2017.05.004.CrossRefPubMedPubMedCentralGoogle Scholar
- Pellet, J. (1997). La symptom checklist. In J. D. Guelfi (Ed.), L’évaluation clinique standardisée en psychiatrie. Société d’Imprimerie Artistique: Lavaur.Google Scholar
- Penberthy, J. K., Williams, S., Hook, J. N., Le, N., Bloch, J., Forsyth, J., et al. (2016). Impact of a Tibetan Buddhist meditation course and application of related modern contemplative practices on college students’ psychological well-being: a pilot study. Mindfulness, 8(4), 911–919. https://doi.org/10.1007/s12671-016-0665-y.CrossRefGoogle Scholar
- Purser, R., & Loy, D. (2013). Beyond McMindfulness [Blog post]. Retrieved from http://www.huffingtonpost.com/ron-purser/beyond-mcmindfulness_b_3519289.html
- Salzberg, S. (1995). Loving-kindness: the revolutionary art of happiness. Boston: Shambala Publications.Google Scholar
- Schoendorff, B., Roberts, S., & Bergeron, K. (2012). Translation of the short-form self-compassion scale validated by Raes et al. (2011). Centre d’études sur les troubles obsessionnels compulsifs et les tics du Centre de recherche Fernand-Seguin (Hôpital Louis-H. Lafontaine de Montréal).Google Scholar
- Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2001). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: The Guilford Press.Google Scholar
- Shonin, E., Van Gordon, W., Dunn, T. J., Singh, N. N., & Griffiths, M. D. (2014a). Meditation awareness training (MAT) for work-related wellbeing and job performance: a randomised controlled trial. International Journal of Mental Health and Addiction, 12(6), 806–823. https://doi.org/10.1007/s11469-014-9513-2.CrossRefGoogle Scholar
- Shonin, E., Van Gordon, W., & Griffiths, M. D. (2014b). Meditation awareness training (MAT) for improved psychological well-being: A qualitative examination of participant experiences. Journal of Religion and Health, 53(3), 849–863. https://doi.org/10.1007/s10943-013-9679-0.CrossRefPubMedGoogle Scholar
- Tennant, R., Hiller, L., Fishwick, R., Platt, S., Joseph, S., Weich, S., et al. (2007). The Warwick-Edinburgh mental well-being scale (WEMWBS): development and UK validation. Health and Quality of Life Outcomes, 5(1), 63. https://doi.org/10.1186/1477-7525-5-63.CrossRefPubMedPubMedCentralGoogle Scholar
- Trousselard, M., Steiler, D., Raphel, C., Cian, C., Duymedjian, R., Claverie, D., & Canini, F. (2010). Validation of a French version of the Freiburg mindfulness inventory-short version: relationships between mindfulness and stress in an adult population. Biopsychosocial Medicine, 4, 8. https://doi.org/10.1186/1751-0759-4-8.CrossRefPubMedPubMedCentralGoogle Scholar
- Trousselard, M., Steiler, D., Dutheil, F., Claverie, D., Canini, F., Fenouillet, F., et al. (2016). Validation of the Warwick-Edinburgh mental well-being scale (WEMWBS) in French psychiatric and general populations. Psychiatry Research, 245, 282–290. https://doi.org/10.1016/j.psychres.2016.08.050.CrossRefPubMedGoogle Scholar
- Weng, H. Y., Fox, A. S., Shackman, A. J., Stodola, D. E., Caldwell, J. Z. K., Olson, M. C., et al. (2013). Compassion training alters altruism and neural responses to suffering. Psychological Science, 24(7), 1171–1180. https://doi.org/10.1177/0956797612469537.CrossRefPubMedPubMedCentralGoogle Scholar