I was unable to find the paper in Lancet's online system.
"Mindfulness-Based Cognitive Therapy to Prevent Relapse in Recurrent Depression", Journal of Consulting and Clinical Psychology, v. 76 (6) (2008), pp. 966-978.
Link to PDF: https://www.radboudcentrumvoormindfulness.nl/media/Artikelen...
And while meditation is good for practicing mindfulness "in slow motion", you don't _need_ to meditate to be mindful.
Yes!! If you wake up and just don't feel like meditating that day, then don't! I view meditation as a tool that helps you reach deep into mindfulness, but meditating to meditate is missing the point. The goal you should have is to be mindful/present in the moment throughout the day.
Mindfulness-based CBT worked really well for myself, coupled with Suboxone which is being investigated as an anti-depressant itself. I haven't had an episode in two and half years, which is the longest stretch of saneness I've had since I was 16.
The evidence for CBT is stronger than for MCBT, although they tend to be used for different people.
Just the title being slightly different is enough to put a different interpretation on it. For example Reuters writes that "mindfulness is as good as medication".
But a Swedish doctors journal writes "MBCT not better than pharmaceuticals".
And they both cite the same source.
"Treatment usually involves either medication, some form of psychotherapy or a combination of both. Yet many patients fail to get better and suffer recurring bouts of illness.
"MBCT was developed to help such people by teaching them skills to recognize and respond constructively to thoughts and feelings associated with relapse, aiming to prevent a downward spiral into depression."
This implird that MBCT is better than medication and/or psychotherapy, but later it says that it's just as (in)effective as medication, and also doesn't seem to realize that MBCT IS a form a psychotherapy.
"teaching them skills to recognize and respond constructively to thoughts and feelings associated with relapse, aiming to prevent a downward spiral into depression."
A lot of forms of psychotherapy do this. Some, do it explicitly, like CBT. Some do it implicitly, like psychoanalysis.
The important thing that the article leaves out (or that the study was unable to demonstrate) is how well it compares to other forms of psychotherapy in treating depression.
So in conclusion, what we know from this paper, is only, psychology should continue the course it's on: treat depression with a combination of medication and psychotherapy, and MBCT is a valid option.
This way you can minimise their emotional effects so you can then theorise objectively on why you had a disturbing thought, and can then either make a note to modify your behaviour to avoid the situation that generated the thought or rationalise a mental solution to the issue at the core of the thought. You essentially become your own psychoanalyst.
Further, you can start to be "mindful" of others: acknowledging (consoling yourself with a little mental self-love is good here, "pet your inner monkey") and letting go of the feelings that resulted from their behaviours that upset you so that you can free yourself from the hurt and resentment they cause early, and allow yourself to explore an understanding as to why they acted the way that they did. Often (almost always) you can quickly establish some reasoning for their actions that don't involve unreasonable malice towards you, and thus you can dispose of thoughts that had they lingered would have festered and contributed further to your already 'sensitive' mental state.
So while it seems to an observer that early mindfulness practice is focussed on meditation and the literal present moment, its long-term concern is on giving the practitioner the ability to keep an eye on their "present" -- that is, their stream of consciousness -- so they can manage negative thoughts effectively and mitigate any potential damage they could cause, developing strategies to cope with them more easily and eventually moving to an automatic, unconscious response that instantly changes the malignant "Bob is mad at me, I must have done something horribly wrong" to the far more benign "Bob is mad at me, he must be having a bad day. I wonder why?"
Also, memories are in effect changed by recall .
This combined with the cognitive distortions  linked to depression would seem to suggest even worse performance with regard to memory (i.e. looking for and finding fault that may not have been present, etc.)
BTW, "natural" is not really a useful distinction regarding this issue .
Study -> implies authority -> implies ability to manipulate.
"Effectiveness and cost-effectiveness of mindfulness-based cognitive therapy compared with maintenance antidepressant treatment in the prevention of depressive relapse or recurrence (PREVENT): a randomised controlled trial"
Well, if drugs are only slightly better than placebo, and that's for the sickest patients maybe you shouldn't use it as a marker anymore? And that efficacy number is so low; it's wispered, and some clinicians after looking at the studies/metadata cannot even say drugs work over placebo in clinical depression.
(sorry for being so dismissive--just tired of these "studies" that leave out the fact that so many drug/depression studies were poorly done, manipulated, cherry picked, didn't exclude early placebo responders, done in 3rd world countries for the cheapest price(no real oversight, lying, etc.), and we were essentially lied to---)
As I have learned more about anti-depressants, I've come around to the opinion that they are no more effective than placebo at treating mental illness. The fact that mindfulness therapy is "as good as medication" tells me that mindfulness therapy isn't very useful either. What it does make me think is just the act of being treated helps. Awareness of mental illness and pushing people to seek any treatment then seems to be preferable to doing nothing at all.
I'd still hedge my bets and choose some form of therapy over messing with the chemical system in my brain. I personally have experience with CBT and have great results, but in addition to that there is Mindfulness-based Cognitive Therapy (MBCT) and other forms of clinical therapy designed to treat mental illness that someone can try if CBT doesn't work for them.
Yeah.. high 40's percent relapse rate in the article.
I see therapy as being more useful and reliable in the long term than a placebo.
For mild depression. For moderate depression they're better. For severe depression they're better when you get the right one.
An evidence based therapy is always a good idea.
edit: and the concept is not so complex that it needs to also be imported from another culture.
"From shampoo to mindfulness meditation, Indic scholar Rajiv Malhotra on how western entrepreneurs are cashing in on eastern wisdom. "
Seriously? no, get out. If it's a good, healthy thing to do, you can't fault people for doing it. They don't have to also pay homage to its history.
"First of all, why do u use YOGA in ur name??????????????? This belongs 2 us Indians"
This is kinda infuriating.
That's because HN is an international crowd. As a European continental citizen I am much more aware of Aryanism than the current Indian recognition movement (I assume there seems to be one, right ?).
With that said I suggest you adopt a more diplomatic stance (because when all is said and done I believe that we are losing way too much information when `adopting/stealing` concepts from other societies and risk of making unintended mistakes when applying techniques without the full knowledge and body of experience that comes with it. And stealing/misattribution is bad and infuriating (to me). Thus I agree with you.)
edit: Which reminds me, fwiw: I had some intense debate with some 3rd generation migrants from turkey (who were at that time rediscovering their Islam heritage) in college about zero. I held the opinion it came from India but they stick to the `arab numbers`.
As it doesn't matter for you, where the word comes from, why not acknowledge it? In fact why not acknowledge that it is really "vipAsanA" when someone has already taken effort to show that it is?
This shows that YOU are perceiving people's ignorance to the origins of English words as some sort of cultural superiority/respect which is kind-of linguistic racism.
I'll happily acknowledge where words come from. No one is denying the origin of these words. I just don't see how it matters. It's okay for something to have a different word in another language.
I object to your use of the phrase "it is really 'vipAsanA'". "It is really" implies there must be one true name for a thing, which isn't true. It can have different names to different people. That's fine. I mean - Certainly we do not use the Chinese word for "firework" just because they invented fireworks first. There is no moral obligation to pay homage to the inventor of something in its name.
Of course I don't think that the cultural tradition of meditation is mine (or 'ours', or whatever, for whatever group I'm pretending to speak for. 'Western' if you will.) But the behavior of meditating, or doing yoga, is mine if I'm doing it. It can be yours too. I don't have to cite anything for it to be mine.
That book in your link doesn't mention meditation because: 1) CBT is quote-unquote 'slightly different' (I don't know if this is true, but a commenter says it is) and 2) meditation, especially with all historical terminology you seem to be advocating for, has a non-scientific connotation to some people, so they deemed it beneficial to avoid talking about it. (I'm not saying it should have an unscientific connotation, I'm saying that it has ended up that way. I think you would agree? I also think this is lessening over time.)
I think there's no denying that it is unnecessary to bring any sort of religion, or a complicated and foreign naming scheme, into meditation in order to make it useful as a medical suggestion. A medical book on a medical therapy does not need to cite the historical details of the therapy. It should cite other medical books. A history book should cite history.
With mindfulness you can completely eradicate these unskillful patterns of thinking from your life forever and replace them with more empowering patterns.
There is no better investment that you can make than to invest a little bit of your time learning how to be mindful. The rewards are extraordinary.
Here in the bay area a great class is offered at the Insight Meditation Center in Redwood city: