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Willoughby B. Britton

41 papers in the library · 3,744 citations · publishing 2004-2025

Papers

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“I was trying to save the world”: delusion-like ideation and associated impacts reported by Western practitioners of Buddhist meditation

Frontiers in Psychology October 24, 2025 Elizaveta Solomonova, Jared R. Lindahl, Ian Gold et al. 1 citation

Delusional ideation is characteristic of psychopathology (e.g., psychosis, bipolar disorder) and is also found among the general population. Contemporary case studies have documented delusional ideation as a feature of meditation-induced psychosis, and Buddhist literature on the side effects and adverse effects of meditation also includes discussion of transient experiences that could be...

DOI: 10.3389/fpsyg.2025.1644684 (opens in new tab) Buddhism Context archaeology Typology Ideation +7

Dietary changes as a risk factor and remedy for meditation-related challenges.

Frontiers in Nutrition October 23, 2025 Josie R Lee, Nicholas K. Canby, David J Cooper et al.

Objectives: Recent research has documented a range of challenging, distressing, or impairing experiences that can result from Buddhist meditation practices (Lindahl et al.). The present study investigates the impact of dietary changes on the trajectories of Western Buddhist meditators who reported meditation-related challenges. Methods: Interviews were conducted with 68 Western Buddhist...

Relationships between Religious and Scientific Worldviews in the Narratives of Western Buddhists Reporting Meditation-Related Challenges

Journal of Contemplative Studies July 23, 2025 Roman Palitsky, David J. Cooper, Jared R. Lindahl et al. 10 citations

Contemporary Buddhist meditators in the West are likely to find themselves engaged in practices with rich associations with both religious and scientific worldviews. Meditation-related challenges can provoke existential concerns that make unexplored relationships between religious and scientific worldviews more important and explicit for Western Buddhist meditators, who may turn to both...

DOI: 10.57010/gdcw6138 (opens in new tab) Meditation-related challenges Science Religion Culture +1

The Teacher Matters: The Role and Impact of Meditation Teachers in the Trajectories of Western Buddhist Meditators Experiencing Meditation-Related Challenges

Contemporary Buddhism April 22, 2025 Nicholas K. Canby, Jared R. Lindahl, David J. Cooper et al. 1 citation

Although meditation is often treated as an individual practice, meditation teachers can play an important role. Drawing on the mixed-methods dataset of the Varieties of Contemplative Experience project, this paper examines the role of meditation teachers and their impacts on Western practitioners who are navigating meditation-related challenges. Quantitative and qualitative results from 68...

Childhood trauma and subclinical PTSD symptoms predict adverse effects and worse outcomes across two mindfulness-based programs for active depression.

PLoS One 2025 Nicholas K. Canby, Elizabeth A Cosby, Roman Palitsky et al. 10 citations

Within mindfulness-based programs (MBPs), mixed results have been found for the role of childhood trauma as a moderator of depression outcomes. Furthermore, childhood trauma and PTSD symptoms have been identified as possible risk factors for the occurrence of meditation-related adverse effects (MRAE). The present research examined multiple forms of childhood trauma and PTSD symptoms as...

Leveraging meditation research for the study of psychedelic-related adverse effects.

International Review of Psychiatry December 1, 2024 Roman Palitsky, Nicholas K. Canby, Nicholas T. van Dam et al. 6 citations

Psychedelics have shown early evidence for a range of benefits and low harm profiles in extant research. However, adverse effects (AEs) research in psychedelics has been limited, leading to underspecified AE profiles, inconsistent measurement, and potential undercounting of AEs. The development of safe, effective psychedelic therapies and treatments for AEs when they occur requires a thorough...

Clarifying and measuring the characteristics of experiences that involve a loss of self or a dissolution of its boundaries.

Consciousness and Cognition March 1, 2024 Nicholas K. Canby, Jared R. Lindahl, Willoughby B. Britton et al. 11 citations

Mystical experience, non-dual awareness, selflessness, self-transcendent experience, and ego-dissolution have become increasingly prominent constructs in meditation and psychedelic research. However, these constructs and their measures tend to be highly overlapping, imprecise, and poorly integrated with similar pathological experiences. The present study seeks to clarify the common factors...

The roles and impacts of worldviews in the context of meditation-related challenges.

Transcultural Psychiatry August 1, 2023 Jared R. Lindahl, Roman Palitsky, David J Cooper et al.

Previous research has shown that worldviews can serve as a coping response to periods of difficulty or struggle, and worldviews can also change on account of difficulty. This paper investigates the impacts worldviews have on the nature and trajectory of meditation-related challenges, as well as how worldviews change or are impacted by such challenges. The context of meditation-related...

DOI: 10.1177/13634615221128679 (opens in new tab) Full text (opens in new tab) Meditation-related challenges Religion Science Worldviews

Effect of Adapted Mindfulness Training in Participants With Elevated Office Blood Pressure: The MB-BP Study: A Randomized Clinical Trial.

Journal of the American Heart Association May 23, 2023 Eric B Loucks, Zev Schuman-Olivier, Frances B Saadeh et al.

Background Hypertension is a leading risk factor for cardiovascular disease. Despite availability of effective lifestyle and medication treatments, blood pressure (BP) is poorly controlled in the United States. Mindfulness training may offer a novel approach to improve BP control. The objective was to evaluate the effects of Mindfulness-Based Blood Pressure Reduction (MB-BP) versus enhanced...

Effects of Adapted Mindfulness Training on Interoception and Adherence to the Dietary Approaches to Stop Hypertension (DASH) Diet: The MB-BP Randomized Clinical Trial.

medRxiv May 15, 2023 Eric B Loucks, Ian M Kronish, Frances B Saadeh et al. preprint

Hypertension is a major cause of cardiovascular disease. The Dietary Approaches to Stop Hypertension (DASH) diet lowers blood pressure (BP). However, adherence is typically low. Mindfulness training adapted to improving health behaviors that lower BP could improve DASH adherence, in part through improved interoceptive awareness relevant to dietary consumption. The primary objective of the MB-BP...

Fear and Terror in Buddhist Meditation

Journal of Cognitive Historiography December 24, 2022 Jared R. Lindahl, Willoughby B. Britton, David J Cooper 7 citations

This article explores the extent to which cognitive historiography can be employed to comment on debates concerning the interpretation of meditative experiences in select Buddhist texts. In particular, this article considers references to meditation-related fear and other associated emotional, perceptual, and cognitive changes. Qualitative data from Western Buddhist meditation practitioners and...

Self-judgment Dissected: A Computational Modeling Analysis of Self-Referential Processing and its Relationship to Trait Mindfulness Facets and Depression Symptoms

Cognitive, Affective, & Behavioral Neuroscience September 27, 2022 Peter F Hitchcock, Willoughby B. Britton, Kahini Mehta et al.

Cognitive theories of depression, and mindfulness theories of well-being, converge on the notion that self-judgment plays a critical role in mental health. However, these theories have rarely been tested via tasks and computational modeling analyses that can disentangle the information processes operative in self-judgments. We applied a drift-diffusion computational model to the...

Comparing impacts of meditation training in focused attention, open monitoring, and mindfulness‐based cognitive therapy on emotion reactivity and regulation: Neural and subjective evidence from a dismantling study

Psychophysiology February 19, 2022 Kirk Warren Brown, Daniel R. Berry, Kristina Eichel et al. 38 citations

Commonly conducted mindfulness-based trainings such as Mindfulness-based Stress Reduction (MBSR) and Mindfulness-based Cognitive Therapy (MBCT) highlight training in two key forms of meditation: focused attention (FA) and open monitoring (OM). Largely unknown is what each of these mindfulness practices contributes to emotional and other important training outcomes. This dismantling trial...

DOI: 10.1111/psyp.14024 (opens in new tab) Mindfulness meditation Reactivity psychology Cognition Psychotherapist +1

“Like a Vibration Cascading through the Body”: Energy-Like Somatic Experiences Reported by Western Buddhist Meditators

Religions November 24, 2021 David J. Cooper, Jared R. Lindahl, Roman Palitsky et al. 20 citations

There are numerous historical and textual references to energy-like somatic experiences (ELSEs) from religious traditions, and even a few psychological studies that have documented related phenomena. However, ELSEs remain an understudied effect of meditation in contemporary research. Based upon narratives from a large qualitative sample of Buddhist meditators in the West reporting...

From Self-Esteem to Selflessness: An Evidence (Gap) Map of Self-Related Processes as Mechanisms of Mindfulness-Based Interventions

Frontiers in Psychology November 22, 2021 Willoughby B. Britton, Gaelle Desbordes, Rebecca L. Acabchuk et al. 77 citations

Self-related processes (SRPs) have been theorized as key mechanisms of mindfulness-based interventions (MBIs), but the evidence supporting these theories is currently unclear. This evidence map introduces a comprehensive framework for different types of SRPs, and how they are theorized to function as mechanisms of MBIs (target identification). The evidence map then assesses SRP target...

The Effect of Mindfulness-based Programs on Cognitive Function in Adults: A Systematic Review and Meta-analysis

Neuropsychology Review August 4, 2021 Tim Whitfield, Thorsten Barnhofer, Rebecca L. Acabchuk et al. 193 citations

Mindfulness-based programs (MBPs) are increasingly utilized to improve mental health. Interest in the putative effects of MBPs on cognitive function is also growing. This is the first meta-analysis of objective cognitive outcomes across multiple domains from randomized MBP studies of adults. Seven databases were systematically searched to January 2020. Fifty-six unique studies (n = 2,931) were...

Prevalence of meditation-related adverse effects in a population-based sample in the United States

Psychotherapy Research June 2, 2021 Simon B. Goldberg, Sin U Lam, Willoughby B. Britton et al. 110 citations

OBJECTIVE: Meditation practice and meditation-based psychotherapies have become increasingly popular. Although psychological benefits associated with meditation are well-documented, potential risks are unclear. METHOD: We conducted a population-based survey to evaluate the occurrence of a broad range of meditation-related adverse effects (MRAE). RESULTS: Nine hundred and fifty three...

Defining and measuring meditation-related adverse effects in mindfulness-based programs

Clinical Psychological Science May 18, 2021 Willoughby B. Britton, Jared R. Lindahl, David J. C. Cooper et al.

Research on the adverse effects of mindfulness-based programs (MBPs) has been sparse and hindered by methodological imprecision. The 44-item Meditation Experiences Interview (MedEx-I) was used by an independent assessor to measure meditation-related side effects (MRSEs) following three variants of an 8-week program of mindfulness-based cognitive therapy (n = 96). Each item was queried for...

Emotion-related constructs engaged by mindfulness-based interventions: A systematic review and meta-analysis.

Mindfulness May 2021 Elizabeth A Hoge, Rebecca L. Acabchuk, Hannah J. Kimmel et al.

Mindfulness-based interventions (MBIs) have been widely implemented to improve self-regulation behaviors, often by targeting emotion-related constructs to facilitate change. Yet the degree to which MBIs engage specific measures of emotion-related constructs has not been systematically examined. Using advanced meta-analytic techniques, this review examines construct and measurement engagement in...

The Contribution of Common and Specific Therapeutic Factors to Mindfulness-Based Intervention Outcomes

Frontiers in Psychology January 14, 2021 Nicholas K. Canby, Kristina Eichel, Jared R. Lindahl et al. 75 citations

While Mindfulness-Based Interventions (MBIs) have been shown to be effective for a range of patient populations and outcomes, a question remains as to the role of common therapeutic factors, as opposed to the specific effects of mindfulness practice, in contributing to patient improvements. This project used a mixed-method design to investigate the contribution of specific (mindfulness...

Progress or Pathology? Differential Diagnosis and Intervention Criteria for Meditation-Related Challenges: Perspectives From Buddhist Meditation Teachers and Practitioners

Frontiers in Psychology July 29, 2020 Jared R. Lindahl, D. James Cooper, Nathan E. Fisher et al. 2 citations

Studies in the psychology and phenomenology of religious experience have long acknowledged similarities with various forms of psychopathology. Consequently, it has been important for religious practitioners and mental health professionals to establish criteria by which religious, spiritual, or mystical experiences can be differentiated from psychopathological experiences. Many previous attempts...

DOI: 10.3389/fpsyg.2020.01905 (opens in new tab) Meditation Buddhism Intervention counseling Psychotherapist +3

Mindfulness-Based Blood Pressure Reduction (MB-BP): Stage 1 single-arm clinical trial

PLoS One November 27, 2019 Eric B Loucks, William Nardi, Roee Gutman et al. 64 citations

BACKGROUND AND OBJECTIVES: Impacts of mindfulness-based programs on blood pressure remain equivocal, possibly because the programs are not adapted to engage with determinants of hypertension, or due to floor effects. Primary objectives were to create a customized Mindfulness-Based Blood Pressure Reduction (MB-BP) program, and to evaluate acceptability, feasibility, and effects on hypothesized...

Can Mindfulness Be Too Much of a Good Thing? The Value of a Middle Way

Current Opinion in Psychology January 7, 2019 Willoughby B. Britton

Previous research has found that very few, if any, psychological or physiological processes are universally beneficial. Instead, positive phenomena tend to follow a non-monotonic or inverted U-shaped trajectory where their typically positive effects eventually turn negative. This review investigates mindfulness-related processes for signs of non-monotonicity. A number of mindfulness-related...

Gender differences in response to a school-based mindfulness training intervention for early adolescents.

Journal of school psychology June 1, 2018 Yoona Kang, Hadley Rahrig, Kristina Eichel et al. 143 citations

Mindfulness training has been used to improve emotional wellbeing in early adolescents. However, little is known about treatment outcome moderators, or individual differences that may differentially impact responses to treatment. The current study focused on gender as a potential moderator for affective outcomes in response to school-based mindfulness training. Sixth grade students (N = 100)...

Reiterated Concerns and Further Challenges for Mindfulness and Meditation Research: A Reply to Davidson and Dahl.

Perspectives on Psychological Science 2018 Nicholas T. van Dam, Marieke K. van Vugt, David R. Vago et al.

In response to our article, Davidson and Dahl offer commentary and advice regarding additional topics crucial to a comprehensive prescriptive agenda for future research on mindfulness and meditation. Their commentary raises further challenges and provides an important complement to our article. More consideration of these issues is especially welcome because limited space precluded us from...