Psychotherapy reminds me of the fashion
industry. In fashion, a new style is introduced, becomes “hot”, and then fades
to the status of regular clothing (or worse) over time. One of today’s most
fashionable treatment interventions involves Buddhist-derived mindfulness
meditation. Many Christian therapists have training in mindfulness meditation
through their knowledge of Dialectical Behavioral Training, Mindfulness-Based
Stress Reduction, or Acceptance and Commitment Therapy. A growing empirical
literature supports each of these (e.g., Baer, 2006). Strikingly, many
Christian clinicians know more about mindfulness than Christian devotional
meditation forms. What’s wrong with this picture?
In this article, I briefly describe
mindfulness, define Christian devotional meditation (CDM), present three points
of contrast between the two meditation forms, and then provide a case
illustration. My purpose is not to debate the appropriateness of mindfulness
for Christians (though that would be a worthy topic), but rather to humbly
invite Christian therapists to grow in the knowledge of the rich resources we
have in our own faith tradition. From a
Christian psychological perspective, we must begin the task of an in-depth comparison
and contrast between these two meditation forms. I readily acknowledge my
weaknesses to even explore this topic. I am not a thoroughly trained theologian
but a psychologist who loves God, has received spiritual direction, has
benefited from reading Christian contemplative classics, and has received
mindfulness training.
Mindfulness
and Christian Devotional Meditation Defined
Kabat-Zinn (2005) describes mindfulness
meditation forms as involving several core principles: (a) increasing awareness
of internal and external experience (feelings, thoughts, images, bodily
sensations internally; sights, sounds, smells, etc. externally), (b)
nonjudgmental observation and acceptance of these experiences, (c) cultivation
of compassion towards self-experience, (d) developing curiosity and openness
towards experience, and (e) returning to the present moment when one’s mind
wanders into daydreaming or fantasies.
Christian devotional meditation,
sometimes also called contemplative prayer, has 2000 years-worth of authors and
definitions. For the purposes of this article, I define CDM as a variety of
strategies designed to enhance focused attention on the Trinity, Scripture, or
one’s self for one or more of the following purpose(s): (a) deepening one’s
relationship with the Lord, (b) cultivating spiritual growth or emotional
healing, and (c) growing in love towards one’s neighbor and one’s self (Garzon,
In Press).
Three
Differences
The table below highlights three key
differences between CDM and mindfulness.
Attributes:
|
Mindfulness
|
CDM
|
Focus
|
Self
|
God, Scripture, & Self
|
Meditation Relational Context
|
Self-Awareness (+ Therapist Input in session)
|
Self-Awareness + God-Awareness (+ Therapist
Input in session)
|
Key Attitudes
|
Acceptance & self-compassion
|
Trust, Confession, Surrender, & Grace
|
While mindfulness focuses the meditator
on the self’s internal and external experience, CDM immerses the meditator in
God, Scripture, and self-experience. The Trinitarian reality of God in His
immanence and transcendence fills the Christian meditator with more than
self-awareness. The meditator experiences Emmanuel, God with us. As such, the
relational context of CDM radically changes compared to mindfulness.
Mindfulness concentrates on building self-awareness of on-going experience. CDM
cultivates both self-awareness and God-awareness in that experience.
Core attitudes differ as well.
Mindfulness seeks an attitude of acceptance and self-compassion towards
negative internal experiences. For the Christian, at times, these attitudes may
conflict with the Christian psychological principle of putting off the old man
and putting on the new (Eph. 4:20-24). For example, should I cultivate an
attitude of acceptance and compassion towards my feelings of hate, rage,
jealousy, lust, and pride when they occur? Should I teach my clients to do so?
One reason for mindfulness’ popularity is
its pragmatic emphasis on examining what works or is helpful in dealing with
negative emotions versus what is not. Proponents of mindfulness rightfully
critique denial, suppression, and repression (common strategies among
evangelicals) as unhelpful methods in dealing with feelings like those
mentioned above. They argue that acceptance and self-compassion are much more
useful. CDM offers another important alternative to consider instead of
repression that fits the relational context of communing with a holy God. A
brief composite case example serves to illustrate key Christian attitudes of
trust, confession, surrender, and grace.
Brief Case
Example
Henry, a 37-year-old White man, suffered
from major depression with marked irritability and criticalness towards his
wife, family, and himself. “I hate that I’m doing this! I just can’t stop it!”
I approached his treatment from a cognitive and family systems perspective.
Early in treatment, I introduced CDM as one strategy to change his relational
cycle with God and others from one of angry outburst, confession of sin (to God
and family), self-loathing, another angry outburst, [repeat cycle].
One meditation strategy centered on
contemplating a core theological truth that both Henry and I could agree on:
God loves him. We practiced this initially in-session. Almost immediately, of
course, Henry’s self-loathing and guilt surfaced as he did this. I encouraged
him to see if he could just acknowledge these feelings, trust God in the midst
of these uncomfortable reactions, surrender his anger at himself and others to
God (rather than suppressing these reactions), and trust in God’s grace through
this healing and sanctification process. Henry agreed to practice this for 10
minutes a day. He would go to his study (a quiet place), make himself
comfortable, take slow deep breathes in, and state “God loves me” as he
exhaled.
Over the next three weeks, the truth that
God loved Henry no matter what self-recriminations he experienced in the
meditation or what he had done during the day became more real for him. He
reported reductions in his self-criticalness. He also reported painful memories
of his father’s criticalness towards him that surfaced during some meditations.
Exploring these in session led to valuable insights and growth. We applied
similar CDM principles to his angry outbursts towards family. Henry added “God
is in control” as a CDM practice. When Henry encountered a situation where he
was getting upset, taking a deep breath in and stating "God is in
control" as he exhaled reminded him that he could surrender the
frustrating situation into God's hands.
He also studied Scriptures related to themes of God’s love, sovereignty,
and control. Over the course of 14
individual and three family sessions, Henry’s relationship with God, his
family, and himself changed. His depression, in turn, remitted. CDM helped
embed into Henry’s personal experience important theological truths that helped
him overcome depression, reconnect with his family, and grow in the fruit of
patience.
Conclusion
Mindfulness-based therapies continue to
garner impressive empirical support for their effectiveness. It is likely that
this currently fashionable trend will become a regular part of psychological
intervention rather than go out of style. The present zeitgeist, therefore, should be seized. Christian psychology has a
unique opportunity to research its own meditative faith resources and to
develop therapies that both engage the greater psychological community’s
infatuation with meditation and point to the distinctive benefits the Christian
worldview offers when considering these methods.
References
Baer,
R. A. (2006). Mindfulness-based treatment
approaches: Clinician’s guide to evidence base and applications. Burlington: Academic
Press.
Garzon, F. L. (In
Press). Christian devotional meditation for anxiety. In J. Aten, E., Johnson,
E. Worthington, & J. Hook’s (Eds.), Evidence-based
practices for Christian counseling and psychotherapy. Downers Grove, IL:
Intervarsity Academic Press.
Kabat-Zinn, J. (2005). Coming to our senses: Healing ourselves and
the world through
mindfulness. New York: Hyperion.
Fernando Garzon, PsyD
Liberty University
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