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Neuroimaging studies have provided evidence that extensive meditation practice modifies the functional and structural properties of the human brain, such as large-scale brain region interplay. However, it remains unclear how different meditation styles are involved in the modulation of these large-scale brain networks. Here, using machine learning and fMRI functional connectivity, we investigated how focused attention and open monitoring meditation styles impact large-scale brain networks. Specifically, we trained a classifier to predict the meditation style in two groups of subjects: expert Theravada Buddhist monks and novice meditators. We showed that the classifier was able to discriminate the meditation style only in the expert group. Additionally, by inspecting the trained classifier, we observed that the Anterior Salience and the Default Mode networks were relevant for the classification, in line with their theorized involvement in emotion and self-related regulation in meditation. Interestingly, results also highlighted the role of specific couplings between areas crucial for regulating attention and self-awareness as well as areas related to processing and integrating somatosensory information. Finally, we observed a larger involvement of left inter-hemispheric connections in the classification. In conclusion, our work supports the evidence that extensive meditation practice modulates large-scale brain networks, and that the different meditation styles differentially affect connections that subserve style-specific functions.

Objectives Autobiographical memory (AM) is linked to the construct of self, which is influenced by mindfulness training. Furthermore, both self-reference and AM can be affected by psychopathological conditions, such as depression. This article offers a critical review with a systematic search of the studies using different paradigms to investigate the effects of mindfulness training on AM, as well as the relationships between trait mindfulness and AM. Methods The review includes studies with behavioral, self-report, and neuroimaging methods by considering both non-clinical and clinical investigations in an integrative perspective. Fifty articles were reviewed. The review addressed the following main fields: mindfulness and autobiographical memory specificity; mindfulness and emotional autobiographical recall; and self-inquiry into negative autobiographical narratives and mindfulness. An additional section analyzed 18 studies that addressed the effects of mindfulness training on memory flashbacks. Results In line with the hypotheses, grounded on theories of AM, self, conscious processing, memory reconsolidation, and Buddhist psychology, the review results suggest that the influences of mindfulness training and trait mindfulness on AM can be related to enhanced cognitive, emotional, and self-referential flexibility. This influence is also associated with improved meta-awareness, acceptance, and the flexibility to shift from a first- to a third-person self-perspective in AM recall. In particular, the review highlights increased self-referential flexibility related to mindfulness, which during AM recall would enable a more balanced retrieval of episodic, semantic, and emotional contents, as well as increased AM specificity and reduced emotional reactivity. A mindfulness-related reconsolidation of the links between AM traces and the self might play a crucial role. The mindfulness-related changes of the experiences during AM recall may be translated into long-term reconsolidation-related changes in the AM traces, with a potential interactive effect on the self, thus becoming more flexible. The review also highlights brain mechanisms underlying these influences, given by changes in activity and functional connectivity of core regions in the default mode network (medial prefrontal cortex and posterior cingulate cortex), salience network (anterior cingulate cortex and anterior insula), and central executive network (dorsolateral prefrontal cortex). Finally, we suggest new research developments from the review and the related theoretical perspective. Conclusion The review results, together with the proposed theoretical accounts, bridge a set of investigations on several autobiographical memory phenomena and mindfulness, and might usefully lead to further studies, also with relevant clinical and cognitive neuroscience implications.

Clinical and neuroscientific evidence indicates that transdiagnostic processes contribute to the generation and maintenance of psychopathological symptoms and disorders. Rigidity (inflexibility) appears a core feature of most transdiagnostic pathological processes. Decreasing rigidity may prove important to restore and maintain mental health. One of the primary domains in which rigidity and flexibility plays a role concerns the self. We adopt the pattern theory of self (PTS) for a working definition of self. This incorporates the pluralist view on self as constituted by multiple aspects or processes, understood to constitute a self-pattern, i.e. processes organized in non-linear dynamical relations across a number of time scales. The use of mindfulness meditation in the format of Mindfulness Based Interventions (MBIs) has been developed over four decades in Clinical Psychology. MBIs are promising as evidence-based treatments, shown to be equivalent to gold-standard treatments and superior to specific active controls in several randomized controlled trials. Notably, MBIs have been shown to target transdiagnostic symptoms. Given the hypothesized central role of rigid, habitual self-patterns in psychopathology, PTS offers a useful frame to understand how mindfulness may be beneficial in decreasing inflexibility. We discuss the evidence that mindfulness can alter the psychological and behavioral expression of individual aspects of the self-pattern, as well as favour change in the self-pattern as a whole gestalt. We discuss neuroscientific research on how the phenomenology of the self (pattern) is reflected in associated cortical networks and meditation-related alterations in cortical networks. Creating a synergy between these two aspects can increase understanding of psychopathological processes and improve diagnostic and therapeutic options.

In this paper, we address core insights from Buddhist psychology about mind-body phenomena and the self, and we relate such insights to the notion of the self-pattern developed in the pattern theory of self. We emphasize the dynamic, temporal and enactive characteristics of the self-pattern, consistent with the core Buddhist notion of non-self. Although there is no one-to-one mapping of Buddhist psychological concepts onto the pattern theory of self, there are important similarities among such concepts and the various processes and dynamical relations that constitute a pragmatic self-pattern that can explain both experiences of self and non-self. Buddhist psychology and the notion of the self-pattern offer mutual insight into the processes, the dynamics, and the implications for questions about well-being and a flexibility that avoids anxiety and reduces attachment, craving, and suffering.

Objectives: Mindfulness meditation is based on Buddhist teachings and meditation practices that promote a reduced identification with thoughts and mental states. Mindfulness meditation is also suggested to promote self-other integration, either by decreasing preference for self-related processing or by rebalancing self and other-related processing. However, it is not clear how meditation practice influences attachment to self and more specifically sense of agency. Hence, we investigated how mindfulness meditation (Vipassana or insight meditation) practice influences an implicit measure of sense of agency known as intentional binding effect with self- vs other-associated stimuli by comparing long-term meditators with non-meditators. Methods: This study had two phases. The first phase consisted of a perceptual matching task using self-related and other-related shape-label pairings so that participants can learn the shape-label associations. In the second phase, participants performed an intentional binding task with the same self-associated and other-associated stimuli displayed as target outcome of self-generated action. Results: While meditators did show faster responses to self vs other shape-label processing similar to non-meditators, they did not show stronger binding (reduced temporal estimation between action and outcome shape) for self-associated compared with other-associated outcome. Conclusions: The results indicate that even though meditators preferentially process self-related information, they are less attached to self-associated stimuli as indicated by an implicit measure of sense of agency. These results have implications for theories of action and agency based on contemplative traditions that emphasize less attachment to outcomes of our actions.

Meditation has been integrated into different therapeutic interventions. To inform the evidence-based selection of specific meditation types it is crucial to understand the neural processes associated with different meditation practices. Here we explore commonalities and differences in electroencephalographic oscillatory spatial synchronisation patterns across three important meditation types. Highly experienced meditators engaged in focused attention, open monitoring, and loving kindness meditation. Improving on previous research, our approach avoids comparisons between groups that limited previous findings, while ensuring that the meditation states are reliably established. Employing a novel measure of neural coupling – the imaginary part of EEG coherence – the study revealed that all meditation conditions displayed a common connectivity pattern that is characterised by increased connectivity of (a) broadly distributed delta networks, (b) left-hemispheric theta networks with a local integrating posterior focus, and (c) right-hemispheric alpha networks, with a local integrating parieto-occipital focus. Furthermore, each meditation state also expressed specific synchronisation patterns differentially recruiting left- or right-lateralised beta networks. These observations provide evidence that in addition to global patterns, frequency-specific inter-hemispheric asymmetry is one major feature of meditation, and that mental processes specific to each meditation type are also supported by lateralised networks from fast-frequency bands.

In this chapter, the authors address the development of executive functions and their enhancement by mindfulness-based training, with the implicated neurocognitive mechanisms. Specifically, the development of executive functions, related brain networks, and methods for training them are concisely discussed. Additionally, in more extended sections, the authors review empirical findings on mindfulness meditation training and its effects on cognition, the mechanisms implicated in mindfulness training, mindfulness-based interventions for children and adolescents, and mindfulness training in developmental disorders.

Great scientific effort has been devoted to understanding what drives pro-environmental behaviour, yet the question of the environmental attitude–behaviour gap remains unanswered. Studies have indicated that self-regulation and executive functions may reduce such a gap by increasing individuals’ ability to maintain attention on present actions and to resist goal-conflicting temptations. Given the inherent association of self-regulation and executive functions with dispositional mindfulness, we carried out a cross-sectional study to test the hypothesis of the role of dispositional mindfulness in explaining the phenomenon. Our results showed that higher levels of dispositional mindfulness, measured via the Five Facets Mindfulness Questionnaire (FFMQ), are related to a higher tendency to perform pro-environmental behaviour, and that the observing facet of the construct would predict higher pro-environmental behaviour scores. Interestingly, we also found the acting with awareness and nonjudging factors to be moderators of the relationship between pro-environmental attitudes and behaviours, suggesting that enhanced awareness of the present moment may favour higher congruence between attitudes and behaviours, and that higher acceptance may favour more adaptive coping strategies to the climate challenge. Our findings provide a novel contribution to the understanding of the relationship between mindfulness and pro-environmental behaviour and support the perspective that self-regulation skills would contribute to reducing the environmental attitude–behaviour gap.

Numerous studies alarm about stressfulness of penitentiary working environment and consequent mental health issues. To aid this problem an integrated mindfulness, ethics and compassion training program was implemented. Its efficacy on the well-being improvement was measured by four markers: general health, satisfaction with life, affect (both positive and negative) and anxiety. Additionally, a mediating role of mindfulness and self-compassion was explored. The results revealed that after the course participant’s anxiety and negative affect decreased, while positive affect and satisfaction with life increased. These improvements in wellbeing were mediated by both mindfulness and self-compassion.

The visual appearance of an object is a function of stimulus properties as well as perceptual biases imposed by the observer. The context-specific trade-off between both can be measured accurately in a perceptual judgment task, involving grouping by proximity in ambiguous dot lattices. Such grouping depends lawfully on a stimulus parameter of the dot lattices known as their aspect ratio (AR), whose effect is modulated by a perceptual bias representing the preference for a cardinal orientation. In two experiments, we investigated how preceding context can lead to bias modulation, either in a top-down fashion via visual working memory (VWM) or bottom-up via sensory priming. In Experiment 1, we embedded the perceptual judgment task in a change detection paradigm and studied how the factors of VWM load (complexity of the memory array) and content (congruency in orientation to the ensuing dot lattice) affect the prominence of perceptual bias. A robust vertical orientation bias was observed, which was increased by VWM load and modulated by congruent VWM content. In Experiment 2, dot lattices were preceded by oriented primes. Here, primes regardless of orientation elicited a vertical orientation bias in dot lattices compared to a neutral baseline. Taken together, the two experiments demonstrate that top-down context (VWM load and content) effectively controls orientation bias modulation, while bottom-up context (i.e., priming) merely acts as an undifferentiated trigger to perceptual bias. These findings characterize the temporal context sensitivity of Gestalt perception, shed light on the processes responsible for different perceptual outcomes of ambiguous stimuli, and identify some of the mechanisms controlling perceptual bias.

In three experiments we investigated the effects of selective attention in iconic memory and fragile-visual short-term memory (VSTM), which have been related to phenomenal consciousness. We used a novel retro-cue paradigm with different delays (early vs late) and object priorities (high vs equal vs low), to investigate (a) attentional costs and benefits and the role of (b) bottom-up factors and (c) fragile-VSTM in feature-based attentional selection. Experiment 1 showed that attentional costs modulate visual maintenance at longer delays, while Experiment 2 showed that by reducing the time exposure of the memory array from 250 ms to 100 ms, as a bottom-up factor, participants were not able to select the objects based on their priorities. Finally, Experiment 3 showed that a pattern mask presented before the transfer in visual working memory, attenuates the overall performance while preserving the priority effect. The implications for phenomenal consciousness before conscious access are discussed.

Objectives: There is ample evidence that mindfulness contributes to psychological well-being. There is also evidence that mindfulness can improve sleep, and previous research has suggested that the positive effects of mindfulness on well-being may depend on its capacity to decrease sleep disturbances. However, it is possible that a third factor that is affected by mindfulness may in turn affect both sleep quality and well-being. Given the well-known protective effects of mindfulness on stress and the influence of stress on both sleep disturbance and well-being, stress represents a strong candidate for such a mediational role. Methods: We collected cross-sectional data on mindfulness, stress, sleep disturbance, and well-being in a sample of adults taken from the general population, and then we applied structural equation modeling to analyze the relationships between a set of latent variables. Results: Our results confirm that mindfulness is negatively related to stress and this effect fully mediates the positive relationship between mindfulness and both sleep quality and well-being. Furthermore, our results show that if the effect of stress is taken into account, sleep quality does not mediate the influence of mindfulness on well-being and in fact does not relate to well-being at all. Conclusions: Our study points to the central role of stress reduction in explaining the beneficial effects of mindfulness on both behavioral and psychological variables.

(1) The effects of intensive mental training based on meditation on the functional and structural organization of the human brain have been addressed by several neuroscientific studies. However, how large-scale connectivity patterns are affected by long-term practice of the main forms of meditation, Focused Attention (FA) and Open Monitoring (OM), as well as by aging, has not yet been elucidated. (2) Using functional Magnetic Resonance Imaging (fMRI) and multivariate pattern analysis, we investigated the impact of meditation expertise and age on functional connectivity patterns in large-scale brain networks during different meditation styles in long-term meditators. (3) The results show that fMRI connectivity patterns in multiple key brain networks can differentially predict the meditation expertise and age of long-term meditators. Expertise-predictive patterns are differently affected by FA and OM, while age-predictive patterns are not influenced by the meditation form. The FA meditation connectivity pattern modulated by expertise included nodes and connections implicated in focusing, sustaining and monitoring attention, while OM patterns included nodes associated with cognitive control and emotion regulation. (4) The study highlights a long-term effect of meditation practice on multivariate patterns of functional brain connectivity and suggests that meditation expertise is associated with specific neuroplastic changes in connectivity patterns within and between multiple brain networks.

Multimedia Psychotherapy is a new form of brief psychotherapy based on narrative medicine and ethnopsychoanalytic theories, developed to help patients affected by prolonged grief disorder (ICD-11). It consists of eight sessions, during which an 'audio-video memory object' is produced by using pictures, video clips, and music chosen by the bereaved patient. The audio-video montage is focused on remembering the deceased relative and help the patient to move on. Considering initial positive results, we ran a first controlled pilot study comparing experimental and control group.We enrolled a sample of bereaved patients who were referred for prolonged grief disorder (ICD-11) by their general practitioners or psychiatrists. Patients were randomly assigned to the experimental group (n=18) or to the control group (n=18). Patients in the experimental group received psycho-pharmacological therapy and multimedia psychotherapy, while patients in the control group received psycho-pharmacological therapy and psycho-oncological support. All patients were assessed with Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and Prolonged Grief-13 (PG-13) prior to beginning treatment (pre-treatment), and with PG-13 after six months from the end of the treatment (post-treatment).Patients in the experimental group (i.e., Multimedia Psychotherapy treatment) after six months performed better than patients in the control group in Criteria B, D, and E of PG-13 (i.e.: Separation Distress, Cognitive, Emotional, and Behavioral Symptoms, Functional Impairment).We will discuss our results, issues related to the screening of patients (due to possible contraindications of Multimedia Psychotherapy), and methodological limitations. Finally, we will discuss new future applications in other clinical situations.These findings suggest that multimedia psychotherapy may hold promise for the treatment of prolonged grief disorder (ICD-11).

The global pandemic caused by COVID-19 and the subsequent lockdown have been widely recognized as traumatic events that pose threats to psychological well-being. Recent studies reported that during such traumatic events, women tend to be at greater risk than men for developing symptoms of stress, anxiety, and depression. Several studies reported that a mindfulness-based stress reduction protocol (MBSR) provides useful skills for dealing with traumatic events. In our study, a sample of Italian females received an 8-week MBSR course plus 6 weeks of video support for meditation practice during the first total lockdown in Italy. We assessed the participants with questionnaires before and after this period to investigate their mindfulness skills, psychological well-being, post-traumatic growth, and psychological flexibility. After the intervention, the meditators group reported improvement in measures associated with self-acceptance, purpose in life, and relation to others compared to the control group. Furthermore, our results showed that participants with greater mindfulness scores showed high levels of psychological flexibility, which in turn was positively associated with higher levels of psychological well-being. We concluded that the MBSR could support psychological well-being, at least in female subjects, even during an unpredictable adverse event, such as the COVID-19 lockdown, by reinforcing key psychological aspects.

Objectives: According to the influential Monitor and Acceptance Theory (MAT), mindfulness includes the two components of attention monitoring and acceptance, which, in conjunction, can explain its benefits on psychological well-being: monitoring alone would increase affective reactivity (MAT tenet 1b), but when combined with acceptance, it would lead to increased psycho-physical well-being (MAT tenet 2b). However, the studies cited in support to MAT are not completely consistent with the theory, Thus, we conducted a cross-sectional study to further test it. Methods: In a pool of 154 participants, we measured the two mindfulness components with the Five Facets Mindfulness Questionnaire, while also assessing ill-being or psychological distress in terms of depression, anxiety, stress, and sleep disturbances, and psychological well-being in terms of life satisfaction and happiness. We then conducted hierarchical regression analysis on these data for assessing the role of monitoring, acceptance, and their interaction on the other psychological variables. Results: Our results show that monitoring alone marginally predicted few ill-being variables, whereas acceptance strongly predicted both reductions in psychological symptoms and increases in well-being. Moreover, no significant interaction between monitoring and acceptance was found for any of the tested variables. Conclusions: The present study provides very little support for the two tested MAT tenets. On the contrary, in line with most of the available literature, our results strongly support the alternative view according to which the beneficial effects of mindfulness on psychological outcomes depend mostly on acceptance.

In recent decades, psychological research on the effects of mindfulness-based interventions has greatly developed and demonstrated a range of beneficial outcomes in a variety of populations and contexts. Yet, the question of how to foster subjective well-being and happiness remains open. Here, we assessed the effectiveness of an integrated mental training program The Art of Happiness on psychological well-being in a general population. The mental training program was designed to help practitioners develop new ways to nurture their own happiness. This was achieved by seven modules aimed at cultivating positive cognition strategies and behaviors using both formal (i.e., lectures, meditations) and informal practices (i.e., open discussions). The program was conducted over a period of 9 months, also comprising two retreats, one in the middle and one at the end of the course. By using a set of established psychometric tools, we assessed the effects of such a mental training program on several psychological well-being dimensions, taking into account both the longitudinal effects of the course and the short-term effects arising from the intensive retreat experiences. The results showed that several psychological well-being measures gradually increased within participants from the beginning to the end of the course. This was especially true for life satisfaction, self-awareness, and emotional regulation, highlighting both short-term and longitudinal effects of the program. In conclusion, these findings suggest the potential of the mental training program, such as The Art of Happiness, for psychological well-being.

The reciprocal link between scope of attention and emotional processing is an important aspect of the relationship between emotion and attention. Larger scope of attention or global processing has been linked to positive emotions and narrow scope of attention or local processing has been linked to negative emotions. The nature of this relationship in the context of central capacity limitations and individual differences in attentional processing has not been studied in detail so far. To investigate such a relationship, here we used the psychological refractory period (PRP) paradigm, in which we manipulated the stimulus onset asynchrony (SOA: 150 ms, 300 ms, 900 ms) of stimuli corresponding to two tasks in a sequence. The first task was identifying a number at the global or local level; the second task was recognizing the emotional expression (happy or angry). Additionally, predisposition towards local or global perceptual dimension was measured with the global-local task. Results indicated that global precedence modulated PRP effect and that response accuracy was impaired by the combination of local-angry task modalities. Interestingly, interference between simultaneous tasks was modulated by the predisposition to different perceptual levels resulting in different cognitive strategies for performing simultaneous tasks: locally biased subjects tended more towards serial processing, meanwhile globally biased ones were performing tasks in a parallel manner. This result suggest that individual differences may play a role in the choice of dual-task performing strategies.

The effects of intensive meditation practices on the functional and structural organization of the human brain have been addressed by a growing number of neuroscientific studies. However, the different modulations of meditation expertise and of ageing, in the underlying brain areas and networks, have not yet been fully elucidated. These effects should be distinguished in order to clarify how long-term meditation can modulate the connectivity between brain areas. To address this issue, we tested whether meditation expertise and age can be predicted from the multivariate pattern of functional Magnetic Resonance Imaging connectivity, in Theravada Buddhist monks with long-term practice in two different meditation forms: Focused Attention (FA) and Open Monitoring (OM).We found that functional connectivity patterns in both meditation forms can be used to predict expertise and age of long-term meditators. Our findings suggest that meditation expertise is associated with meditation-specific brain networks modulations, while age-related modifications are general and independent from the meditation type. Specifically, expertise modulated patterns during FA meditation include nodes and connections implicated in focusing, sustaining and monitoring attention, while the predictive patterns during OM meditation include nodes associated with cognitive and affective monitoring. Thus, the two forms of meditation may differentially contribute to counteract the effects of neurocognitive decline with ageing by neuroplasticity of brain networks.

The rapidly progressing science of meditation has led to insights about the neural correlates of focused attention meditation (FAM), open monitoring meditation (OMM), compassion meditation (CM) and loving kindness meditation (LKM), in terms of states and traits. However, a unified theoretical understanding of the brain mechanisms involved in meditation-related functions, including mindfulness, is lacking. After reviewing the main forms of meditation and their relationships, the major brain networks and brain states, as well as influential theoretical views of consciousness, we outline a Brain Theory of Meditation (BTM). BTM takes the lead from considerations about the roles of the major brain networks, i.e., the central executive, salience and default mode networks, and their interplay, in meditation, and from an essential energetic limitation of the human brain, such that only up to 1% of the neurons in the cortex can be concurrently activated. The development of the theory is also guided by our neuroscientific studies with the outstanding participation of Theravada Buddhist monks, with other relevant findings in literature. BTM suggests mechanisms for the different forms of meditation, with the down-regulation of brain network activities in FAM, the gating and tuning of network coupling in OMM, and state-related up-regulation effects in CM and LKM. The theory also advances a leftward asymmetry in top-down regulation, and an enhanced inter-hemispheric integration, in meditation states and traits, also with implications for a theoretical understanding of conscious access. Meditation thus provides a meta-function for an efficient brain/mind regulation, and a flexible allocation of highly limited and often constrained (e.g., by negative emotion and mind wandering) brain activity resources, which can be related to mindfulness. Finally, a series of experimental predictions is derived from the theory.