creativity and healing. To that end, it is obvi-
ous that engaging in periodic mindfulness meditation retreats led by highly
developed and competent teachers is essential for all those who would bring
the practice of mindfulness into their work, whether it is on the clinical side,
the research side, or both. There is simply no substitute for using one’s own
body, mind, and life as the ultimate laboratory for investigating and refining
mindfulness. This perspective is implicit or explicitly emphasized by many
of the contributors.
The dharma as it is described in this volume, and in the huge literature on
the subject, ancient and contemporary, emphasizes that it is a living, evolving
understanding, not a fixed dogma relegated to a museum honoring a cultur-
ally constrained past. As the Dalai Lama has stated on many occasions, the
framework of the dharma welcomes being put to empirical test, and would
need to change if it is found to be inadequate in some fundamental way
according to well-accepted criteria of scientific investigation and epistemol-
ogy. Now, as the glaciers of science and contemplative practices melt into
each other (due to another kind of global warming) and move ever-faster
in tandem to carve out new understandings of the most fundamental ques-
tions of what makes us human, the nature of mind and consciousness, and
the sources of empathy, compassion, and kindness within us, this kind of
open empiricism is more important than ever. While the dharma, in its most
universal articulation, cannot and should not dictate how things should be
explored, it is important, if not critical, for clinicians and researchers to know
what they are dealing with from first-person experience before being able to
authentically test the utility, efficacy, and potential of training in mindfulness
and its sisters, loving-kindness and compassion, in the secular coordinate sys-
tem of healing and knowing within psychology, psychiatry, psychotherapy,
and medicine.
Fruitful areas for future dialogue and investigation, all eloquently addressed
or pointed to in this volume, include: (1) whether mindfulness is best char-
acterized as a state, a trait, or a way of being in relationship to any state or
trait, or put otherwise, a way of seeing/knowing/being that is continually
deepening and changing; (2) differentiating between thinking and aware-
ness; and refining the clinical utility of both without confusing them; (3)
elucidating the various dimensions of the experience of “self” and its neural
correlates, as per the work of Farb et al. [14] and the skillful understanding and clinical utility of the experience and embodiment of anata (not self); (4)
investigation of possible biological pathways via which mindfulness might
exert the various effects that are now being elucidated; (5) the need for
much more creative control groups to differentiate between mindfulness-
specific and general enthusiasm/attention-based outcomes; (6) how we con-
tinue to remind ourselves that the deepest insights relevant to both clinical
applications and also study design and interesting research questions may
come out of our own direct experience of mindfulness practice as clini-
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cians and researchers; (7) on-going conversations about skillful ways to avoid
reifying mindfulness into a concept or a “thing” as it becomes increasingly
well known; (8) developing well-considered and appropriate standards for
training and assessing mindfulness instructors, recognizing that the particu-
lar background, first-person experience with formal mindfulness meditation
practice, and attendant skill sets required to teach mindfulness-based inter-
ventions are not readily amenable to the customary manualized approach to
delivery of psychological interventions; (9) effective ways to train clinically
based mindfulness instructors in the practice itself and in specific curricula
for specific