What Mindfulness, and for Whom? And Why Might it Work?

Abstract

Abstract This comment on “Mindfulness for global public health: Critical analysis and agenda” by Doug Oman focuses on the difficulties associated with the current use and understanding of the term mindfulness. In particular, I argue that the current lack of agreement on what mindfulness practice is, or, perhaps more realistically, what mindfulness practices are, and how their effects can be explained might jeopardize such an integration process in the long run. In the literature, one can find widely differing conceptions of what constitutes a mindfulness practice. Moreover, there is clear evidence that different mindfulness practices can yield quite different effects. This holds for the comparison of “mindfulness packages” but also for comparisons of single components of these packages, and for incremental combinations of components. There is also strong evidence that mindfulness practices do not work equally well for different purposes and different people. These differential effects need to be elaborated and explained. Unfortunately, theoretical models for mindfulness practices are also still quite heterogeneous. As a first step, researchers and practitioners could be very specific about what they mean by mindfulness practice or even use alternative terms for different practices. Moreover, they could stay open to alternative forms of meditation and put as much theory as possible into their research to eventually find out when, how, and why specific mindfulness practices (and packages thereof) work and for whom.