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Negotiating the Place of Mindfulness in Individual Psychotherapy: a qualitative study of psychologists without formal mindfulness training

Ruta Adamone, David Goss, Savin Bapir‐Tardy

Counselling Psychology Quarterly August 11, 2026 DOI: 10.1080/09515070.2026.2699754 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 10
Population HCPC-registered counselling and clinical psychologists practising in the UK without formal mindfulness training
Topics Meditation
Key findings Psychologists without formal mindfulness training integrate mindfulness in context-dependent ways, ranging from teaching techniques to embodying relational presence. They report benefits for clients' emotion regulation and self-awareness, and for therapeutic depth, while navigating challenges through reflection and collaboration. The authors argue integration is an ongoing negotiation between core principles and pragmatic adaptations.

Abstract

This study explores how psychologists without formal mindfulness training integrate mindfulness into individual psychotherapy. Despite growing interest, limited research has examined integration, particularly by practitioners without formal mindfulness qualifications. Ten HCPC-registered counselling and clinical psychologists, practising in the UK participated in semi-structured interviews exploring their experiences and approaches. A grounded theory approach was utilised to develop a theoretical perspective on this process. Participants integrated mindfulness in context-dependent ways, drawing on integrative frameworks and responding to individual client presentations. Approaches ranged from teaching specific techniques as coping tools to embodying mindfulness as relational presence, informed by personal practice. However, participants also discussed challenges including client resistance and practitioner uncertainty, and navigating this through reflective practices, informal learning, and collaborative therapeutic relationships. Mindfulness integration was intentional and tailored to client needs, with trauma-sensitive modifications ensuring psychological safety for complex presentations. Participants reported mindfulness enhanced intrapersonal capacities – fostering clients’ emotion regulation and self-awareness – while therapist mindfulness facilitated therapeutic depth through enhanced presence and relational attunement. The study illuminates mindfulness integration as an ongoing negotiation between adherence to core principles and pragmatic adaptations, highlighting both the flexibility and potential limitations of informal training approaches. As mindfulness continues expanding across psychological settings, developing training frameworks that balance core principles with contextual responsiveness represents a key challenge, underscoring the need for research on competency standards and ethical practices in individual psychotherapy.

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

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