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Trauma Therapists' Clinical Applications, Training, and Personal Practice of Mindfulness and Meditation.

Lynn C Waelde, Jason M. Thompson, Alicia Robinson, Sierra Iwanicki

Mindfulness 2016 DOI: 10.1007/s12671-016-0497-9 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Therapist survey Peer reviewed
Sample size 116
Population Trauma therapists
Topics Meditation
Keywords Psychotherapy Therapist survey Therapist training Trauma therapy
Key findings Most surveyed trauma therapists reported using mindfulness and meditation in trauma therapy, primarily imagery, breathing exercises, and in-session or daily-life mindfulness, with an average of four types used. Training source was associated with practice patterns: therapists trained by a mental health professional were more likely to integrate MM into trauma psychotherapy, while those trained by a spiritual teacher were more likely to teach clients between-session MM and reported more personal practice. The authors note this diverges from standard recommendations for therapist training and personal practice.

Abstract

Mindfulness and meditation (MM) are increasingly used in trauma treatment, yet there is little research about therapist qualifications and clinical applications of these practices. We surveyed trauma therapists (N = 116) about their clinical uses, training, and personal practice of MM. Most respondents reported use of MM in trauma therapy, primarily MM-related imagery and breathing exercises and mindfulness in session or daily life. Almost a third used mindfulness-based stress reduction, mindfulness-based cognitive therapy, or mindfulness-based relapse prevention. Across all respondents, 66 % were trained by a mental health (MH) professional, 16 % were trained exclusively by a spiritual teacher, and 18 % received no training. On average, therapists used four types of MM. Less than half maintained a personal meditation practice and only 9 % reported practicing daily meditation. Therapists who were trained by a MH professional were more likely to integrate MM into trauma psychotherapy; those who were trained by a spiritual teacher were more likely to teach clients to use MM between sessions and reported more personal practice of MM. Results indicate divergence from standard recommendations for therapist personal practice and professional training in manualized uses; however, there is little guidance about requisite training and personal practice to support individualized uses of MM such as breathing exercises and imagery. Further research should address relationships of therapist training and personal practice to clinical outcomes in MM-informed trauma therapy.

Comparable studies

Other cross-sectional and survey studies on meditation, most cited first.

Study Year Design Participants
Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups 2008 Cross-sectional study
Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants 2007 Observational cross-sectional n = 27
Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents 2011 Cross-sectional validation study n = 1,413
Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators 2012 Cross-sectional study n = 152
Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates 2008 Cross-sectional, correlational

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