Abstract
Objectives
Research exploring how mindfulness is conceptualized and applied in Western psychotherapeutic settings is in its early stages. The current study examines the influence of psychotherapists’ personal practice of mindfulness meditation on their professional work.
Methods
Psychotherapists who identify as mindfulness teachers were interviewed about their motivation to practice mindfulness practice and how they apply it in both their personal lives and professional psychotherapeutic practice. Grounded theory was used to collect and analyze the data.
Results
The study's findings revealed themes relating to motivation, practices, and therapeutic application of mindfulness which differed among the therapists. Participants were motivated to practice mindfulness meditation based on a utilitarian approach or based on a wider approach, which comprised both a utilitarian and a more contemplative motivation to practice. Importantly, we found that how psychotherapists practiced mindfulness meditation, whether from a utilitarian or contemplative approach, was related to how they used and taught it in their psychotherapeutic practices.
Conclusions
The study's findings suggest a link between the personal and professional practice of mindfulness meditation by psychotherapists. Future research is needed to further investigate this link and to determine its impact on client outcomes.
Similar content being viewed by others
Data Availability
The complete dataset has been included as a supplemental document. Raw data is available on the Open Science Framework (https://osf.io/cp8w4/).
Code availability
Not applicable.
References
Bien, T. (2008). The four immeasurable minds: Preparing to be present in psychotherapy. In S. F. Hick & T. Bien (Eds.), Mindfulness and the therapeutic relationship (pp. 37–54). New York: Guilford Pressfor personal practice in therapist training and professional development. Journal of Behavior Therapy and Experimental Psychiatry, 62, 133-145.
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(3), 230–241.
Britton, W. B. (2019). Can mindfulness be too much of a good thing? The value of a middle way. Current Opinion in Psychology, 28, 159–165.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848. https://doi.org/10.1037/0022-3514.84.4.822
Bruce, N. G., Manber, R., Shapiro, S. L., & Constantino, M. J. (2010). Psychotherapist mindfulness and the psychotherapy process. Psychotherapy: Theory, Research, Practice, Training, 47(1), 83–97. https://doi.org/10.1037/a0018842
Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. Sage Publications.
Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: A review and meta-analysis. The Journal of Alternative and Complementary Medicine, 15(5), 593–600. https://doi.org/10.1089/acm.2008.0495
Cigolla, F., & Brown, D. (2011). A way of being: Bringing mindfulness into individual therapy. Psychotherapy Research, 21(6), 709–721. https://doi.org/10.1080/10503307.2011.613076
Corbin, J., & Strauss, A. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory. Sage Publications.
Crane, R., & Elias, D. (2006). Being with what is. Therapy Today, 17(10), 31–33.
Dambrun, M. (2017). Self-centeredness and selflessness: Happiness correlates and mediating psychological processes. PeerJ, 5, e3306. https://doi.org/10.7717/peerj.3306
Davis, D. M., & Hayes, J. A. (2011). What are the benefits of mindfulness? A practice review of psychotherapy-related research. Psychotherapy, 48(2), 198. https://doi.org/10.1037/a0022062
DeMauro, A. A., Jennings, P. A., Cunningham, T., Fontaine, D., Park, H., & Sheras, P. L. (2019). Mindfulness and caring in professional practice: An interdisciplinary review of qualitative research. Mindfulness, 10, 1–16. https://doi.org/10.1007/s12671-019-01186-8
Desbordes, G., Gard, T., Hoge, E. A., Hölzel, B. K., Kerr, C., Lazar, S. W., Olendzki, A., & Vago, D. R. (2015). Moving beyond mindfulness: Defining equanimity as an outcome measure in meditation and contemplative research. Mindfulness, 6(2), 356–372. https://doi.org/10.1007/s12671-013-0269-8
Deurr, M. (2004). A powerful silence: The role of meditation and other contemplative practices in American life and work. Northampton, MA: Center for Contemplative Mind in Society.
Dor-Ziderman, Y., Ataria, Y., Fulder, S., Goldstein, A., & Berkovich-Ohana, A. (2016). Self-specific processing in the meditating brain: A MEG neurophenomenology study. Neuroscience of Consciousness, 2016(1), 1–13. https://doi.org/10.1093/nc/niw019
Dor-Ziderman, Y., Berkovich-Ohana, A., Glicksohn, J., & Goldstein, A. (2013). Mindfulness-induced selflessness: A MEG neurophenomenological study. Frontiers in Human Neuroscience, 7, 582. https://doi.org/10.3389/fnhum.2013.00582
Eberth, J., & Sedlmeier, P. (2012). The effects of mindfulness meditation: A meta-analysis. Mindfulness, 3(3), 174–189 http://dx.doi.org.myaccess.library.utoronto.ca/10.1007/s12671-012-0101-x
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). Guilford Press.
Fulton, P. R., & Siegel, R. D. (2013). Buddhist and western psychology: Seeking common ground. In C. K. Germer, R. D. Siegel, & P. R. Fulton (Eds.), Mindfulness and psychotherapy (pp. 36–56). Guilford Press.
Germer, C., Siegel, R. D., & Fulton, P. R. (2016). Mindfulness and Psychotherapy (2nd ed.). Guilford Publications.
Gill, M., Waltz, J., Suhrbier, P., & Robert, L. (2015). Non-duality and the integration of mindfulness into psychotherapy: Qualitative research with meditating therapists. Mindfulness, 6(4), 708–722. https://doi.org/10.1007/s12671-014-0310-6
Goldberg, S. B., Tucker, R. P., Greene, P. A., Davidson, R. J., Wampold, B. E., Kearney, D. J., & Simpson, T. L. (2018). Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysis. Clinical Psychology Review, 59, 52–60. https://doi.org/10.1016/j.cpr.2017.10.011
Grepmair, L., Mitterlehner, F., Loew, T., Bachler, E., Rother, W., & Nickel, M. (2007a). Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: A randomized, double-blind, controlled study. Psychotherapy and Psychosomatics, 76(6), 332–338. https://doi.org/10.1159/000107560
Grepmair, L., Mitterlehner, F., Loew, T., & Nickel, M. (2007b). Promotion of mindfulness in psychotherapists in training: Preliminary study. European Psychiatry, 22(8), 485–489. https://doi.org/10.1016/j.eurpsy.2007.02.004
Grepmair, L., Mitterlehner, F., & Nickel, M. (2008). Promotion of mindfulness in psychotherapists in training. Psychiatry Research, 2(158), 265. https://doi.org/10.1016/j.psychres.2007.11.007
Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639–665. https://doi.org/10.1016/S0005-7894(04)80013-3
Heinonen, E., & Nissen-Lie, H. A. (2020). The professional and personal characteristics of effective psychotherapists: A systematic review. Psychotherapy Research, 30(4), 417–432.
Holstein, J. A., & Gubrium, J. F. (1997). Active interviewing. In D. Silverman (Ed.), Qualitative research. Theory, method and practice (pp. 113–129). Sage Publications.
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
Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. Hachette Books.
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. https://doi.org/10.1093/clipsy.bpg016
Keane, A. (2014). The influence of therapist mindfulness practice on psychotherapeutic work: A mixed-methods study. Mindfulness, 5(6), 689–703. https://doi.org/10.1007/s12671-013-0223-9
Khong, B. S. L. (2009). Expanding the understanding of mindfulness: Seeing the tree and the forest. The Humanistic Psychologist, 37(2), 117–136 http://dx.doi.org.myaccess.library.utoronto.ca/10.1080/08873260902892006
Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., Chapleau, M. A., Paquin, K., & Hofmann, S. G. (2013). Mindfulness-based therapy: A comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771. https://doi.org/10.1016/j.cpr.2013.05.005
Levi, U., & Rosenstreich, E. (2019). Mindfulness and memory: A review of findings and a potential model. Journal of Cognitive Enhancement, 3(3), 302–314. https://doi.org/10.1007/s41465-018-0099-7
MacDonald, P. (2016). ‘The nowness of everything’: A mindfulness-based approach to psychotherapy. Psychodynamic Practice, 22(1), 38–49. https://doi.org/10.1080/14753634.2016.1126979
Manuello, J., Vercelli, U., Nani, A., Costa, T., & Cauda, F. (2016). Mindfulness meditation and consciousness: An integrative neuroscientific perspective. Consciousness and Cognition, 40, 67–78. http://dx.doi.org/https://doi.org/10.1016/j.concog.2015.12.005
Marshall, B., Cardon, P., Poddar, A., & Fontenot, R. (2013). Does sample size matter in qualitative research? A review of qualitative interviews in is research. Journal of Computer Information Systems, 54(1), 11–22. https://doi.org/10.1080/08874417.2013.11645667
Mason, J. (2017). Qualitative researching. Sage Publications.
Michalak, J., Steinhaus, K., & Heidenreich, T. (2020). (How) Do therapists use mindfulness in their clinical work? A study on the implementation of mindfulness interventions. Mindfulness, 11(2), 401–410. https://doi.org/10.1007/s12671-018-0929-9
Oulanova, O., Moodley, R., & Seguin, M. (2014). From suicide survivor to peer counselor: Breaking the silence of suicide bereavement. OMEGA-Journal of Death and Dying, 69(2), 151–168. https://doi.org/10.2190/OM.69.2.d
Pidgeon, N., & Henwood, K. (1997). Using grounded theory in psychological research. In N. Hayes (Ed.), Doing qualitative analysis in psychology (pp. 245–273). Psychology Press/Erlbaum (UK) Taylor & Francis.
Prakash, R. S., Fountain-Zaragoza, S., Kramer, A. F., Samimy, S., & Wegman, J. (2020). Mindfulness and attention: Current state-of-affairs and future considerations. Journal of Cognitive Enhancement, 4, 1–28. https://doi.org/10.1007/s41465-019-00144-5
Purser, R. E., & Milillo, J. (2015). Mindfulness revisited: A Buddhism-based conceptualization. Journal of Management Inquiry, 24(1), 3–24. https://doi.org/10.1177/1056492614532315
QSR International Pty Ltd. (2018) NVivo (Version 12), https://www.qsrinternational.com/nvivo-qualitative-data-analysis-software/home
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. Guilford Press.
Seligman, M. E. (2012). Flourish: A visionary new understanding of happiness and well-being. Simon & Schuster.
Shapiro, D. H. (1992). A preliminary study of long term meditators: Goals, effects, religious orientation, cognitions. Journal of Transpersonal Psychology, 24(1), 23–39.
Shapiro, S. L., & Izett, C. D. (2008). Meditation: A universal tool for cultivating empathy. In S. Fick & T. Bien (Eds.), Mindfulness and the therapeutic relationship (pp. 161–175). Guilford Press.
Shapiro, S. L., & Carlson, L. E. (2009). The art and science of mindfulness: Integrating mindfulness into psychology and the helping professions. American Psychological Association. https://doi.org/10.1037/11885-000
Siegel, D. J. (1999). The developing mind: How relationships and the brain interact to shape who we are. Guilford Press.
Sunderani, S., & Moodley, R. (2020). Therapists’ perceptions of their use of self-disclosure (and nondisclosure) during cross-cultural exchanges. British Journal of Guidance & Counselling, 48(6), 741–756. https://doi.org/10.1080/03069885.2020.1754333
Trammel, R. C. (2017). Tracing the roots of mindfulness: Transcendence in Buddhism and Christianity. Journal of Religion & Spirituality in Social Work: Social Thought, 36(3), 367–383. https://doi.org/10.1080/15426432.2017.1295822
van Aalderen, J. R., Breukers, W. J., Reuzel, R. P. B., & Speckens, A. E. M. (2014). The role of the teacher in mindfulness-based approaches: A qualitative study. Mindfulness, 5(2), 170–178. https://doi.org/10.1007/s12671-012-0162-x
van der Tempel, J., & Moodley, R. (2020). Spontaneous mystical experience among atheists: Meaning-making, psychological distress, and wellbeing. Mental Health, Religion & Culture, 23(9), 789–805. https://doi.org/10.1080/13674676.2020.1823349
Wallace, B. A. (2009). Contemplative science: Where Buddhism and neuroscience converge. Columbia University Press.
Acknowledgements
The authors would like to acknowledge the time and effort of all the participants included in this study.
Author information
Authors and Affiliations
Contributions
Conceptualization and methodology: Huma Shireen and Roy Moodley; formal analysis and investigation: Huma Shireen, Nellie Siemers, and Yair Dor-Ziderman; writing – original draft preparation: Huma Shireen and Nellie Siemers; writing – review and editing: Huma Shireen, Nellie Siemers, Yair Dor-Ziderman, Bärbel Knäuper, and Roy Moodley; supervision: Yair Dor-Ziderman, Bärbel Knäuper, and Roy Moodley.
Corresponding author
Ethics declarations
Conflict of Interest
All authors declare no conflict of interest.
Ethical approval
This study was approved by the University of Toronto Research Ethics Board and therefore is in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.
Consent to participate
All participants in this study provided written informed consents before participation in any study procedures.
Consent for publications
All participants in this study have provided written informed consent for publication of data related to them.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Shireen, H., Siemers, N., Dor-Ziderman, Y. et al. Treating others as we treat ourselves: A qualitative study of the influence of psychotherapists’ mindfulness meditation practice on their psychotherapeutic work. Curr Psychol 42, 13532–13546 (2023). https://doi.org/10.1007/s12144-021-02565-y
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12144-021-02565-y