Some Definitions
Meditation-that
great and mysterious subject which in the past has always conjured up the image
of the solitary Asian ascetic sitting in deep trance-is fast appearing in unexpected
places throughout modern American culture. Secretaries are doing it as part of
their daily noon yoga classes. Preadolescent teenagers dropped off at the YMCA
by their mothers on a Saturday morning are learning it as part of their karate
training. Truck drivers and housewives in the Stress Reduction Program at the
University of Massachusetts Medical Center are practicing a combination of Hindu
yoga and Buddhist insight meditation to control hypertension. Star athletes prepare
themselves for a demanding basketball game with centering techniques they learned
in Zen. [1]
Dhyana is the generic Sanskrit term for meditation, which in the
Yoga Sutras refers to both the act of inward contemplation in the broadest sense
and more technically to the intermediate state between mere attention to an object
(dharana) and complete absorption in it (samadhi). [2] The earliest known reference
to such practice on the Indian subcontinent occurs on one of the seals, a figure
seated in the lotus posture, found in the ruins of the pre-Aryan civilizations
at Harappa and Mohenjodaro which existed prior to 1500 BCE. Most of the orthodox
Hindu schools of philosophy derive their meditation techniques from yoga, but
superimpose their own theoretical understanding of consciousness onto the results
of the practice. [3]
Meditation is also referred to as a spiritual practice
in China. Chinese forms of meditation have their origins in the early roots of
popular Taoism which existed long before the codification of Taoism as a formal
philosophy during the seventh century, B.C.. However, there is no concrete evidence
to prove that meditation first arose in Hindu culture and then spread elsewhere.
Thus, for the time being the original meditative traditions in China and India
should be considered as separate and indigenous. To further complicate the issue,
analogies between meditative states and trance consciousness suggest that even
earlier precursors to the Asian meditative arts can be found in shamanic cultures
such as those in Siberia and Africa. [4]
As for modern developments, in trying
to formulate a definition of meditation, a useful rule of thumb is to consider
all meditative techniques to be culturally embedded. This means that any specific
technique cannot be understood unless it is considered in the context of some
particular spiritual tradition, situated in a specific historical time period,
or codified in a specific text according to the philosophy of some particular
individual. [5] Thus, to refer to Hindu meditation or Buddhist meditation is not
enough, since the cultural traditions from which a particular kind of meditation
comes are quite different and even within a single tradition differ in complex
ways. The specific name of a school of thought or a teacher or the title of a
specific text is often quite important for identifying a particular type of meditation.
Vipassana, or insight meditation, for instance, as practiced in the United States
is derived from the Theravada tradition of Buddhism, and is usually associated
with the teachings of the Burmese monk Mahasi Sayadaw; Transcendental Meditation
is associated exclusively with the teachings of Maharishi Mahesh Yogi, whose tradition
is Vedantic Hinduism; and so on.
The attempt to abstract out the primary characteristics
of meditation from a grab bag of traditions in order to come to some purified
essence or generic definition is a uniquely Western and relatively recent phenomenon.
This tendency should be considered, however powerful and convincing its claim
as an objective, universal, and value-free method, to be an artifact of one culture
attempting to comprehend another that is completely different. [6]
At the same
time, however, Western styles of meditation have long existed in the form of contemplative
prayer, and contemporary interest in Asian practices has kindled a resurgence
of interest in Western parallels. Orison, the repetitive and devotional meditation
on Christ, repetition of the Holy Names, the spiritual teachings of St. Ignatius,
and the Eastern Orthodox practice of the philokalia are examples from the Western
contemplative tradition that come nearest to meditation as it has been cultivated
in Asian countries. Indeed there is an unbroken tradition of mysticism which can
be said to embody forms of meditative practice in the West-from the NeoPlatonists
such as Plotinus, through the medieval mystics both early and late-Johannes Eriugena,
St. Bonaventure, John of the Cross, St. Theresa, St. Bernard of Clarivaux-followed
by such personalities as Robert Parsons, Margaret Mary Alacoque, and Emanuel Swedenborg,
to modern Christian contemplatives such as Pierre Teilhard de Chardin and Thomas
Merton, and now Schlomo Carlbach, Bede Griffiths, and David Steindl-Rast. [7]
But for purposes of carrying on a coherent discussion about the subject, while
mystical awakening can be found in some form in all cultures, meditation per se
should be taken as a uniquely Asian phenomenon which, wholesale, has only recently
come to the attention of the West. In its new Western context, particularly in
the United States, however, it has undergone a significant reformulation. In the
US it has become indigenized, so that now one can say that Asian forms of meditation
have become thoroughly American. [8]
The Americanization of Meditation
Ideas
about the Eastern meditative traditions began seeping into American popular culture
even before the American Revolution through the various sects of European occult
Christianity that transplanted themselves to such new settlements as Germantown
and Ephrata in William Penn's "Holy Experiment," which he named Pennsylvania.
Early framers of the Declaration of Independence and the Constitution were influenced
by teachings from mystical Sufism and the Jewish Kaballah through their membership
in secret fraternities such as the Rosicrucians.
Asian ideas then came pouring
in during the era of the transcendentalists, especially between the 1840s and
the 1880s, largely influencing the American traditions of spiritualism, theosophy,
and mental healing. The Hindu conception of Brahman was reformulated by Ralph
Waldo Emerson into the New England vision of God as the Oversoul, while Henry
David Thoreau's ideas on civil disobedience arose out of his reading of Hindu
scriptures on meditation, yoga, and non-violence. At the same time, spiritualists-those
who believed that science had established communication with the dead through
the medium of the group seance-also dabbled in Asian ideas. Helena Blavatsky,
co-founder of the International Theosophical Society, is usually credited with
introducing Hindu conceptions of discarnate entities into American spiritualist
circles. In this context, the Theosophists also translated Hindu texts on meditation
and for the first time made them available in popular form to English-speaking
audiences. Similarly, New Thought practitioners-followers of the healer Phineas
P. Quimby-also included meditation techniques such as guided visualizations and
the mantra into their healing regimes.
In general, by the late nineteenth
century Americans appropriated Asian ideas to fit their own optimistic, pragmatic,
and eclectic understanding of inner experience. This usually meant adapting ideas
such as reincarnation and karma into a very liberal and heavily Christianized,
but nevertheless secular, psychology of character development that was closer
to the philosophy of transcendentalism than to doctrines in any of the Christian
denominations. (Today, the same standard for interpreting Asian ideas persists
but in the form of a neo-transcendentalist, Jungian, and counter-cultural definition
of higher consciousness.)
The World Parliament of Religions, held in Chicago
in 1893, was the landmark event that increased Western awareness of meditation.
This was the first time that Western audiences on American soil received Asian
spiritual teachings from Asians themselves. Thereafter, Swami Vivekananda taught
meditation to the spiritualists and New Thought practitioners in New Hampshire
and went on to found various Vedanta ashrams around the country in his wake. Anagarika
Dharmapala lectured at Harvard on Theravada Buddhist meditation in 1904; Abdul
Baha followed with a 235-day tour of the US teaching the Islamic principles of
Bahai, and Soyen Shaku toured in 1907 teaching Zen and the principles of Mahayana
Buddhism.
By then, the idea of comparative religions had caught on as an academic
field of inquiry in the universities. Following the Sacred Books of the East Series,
edited by F. Max Mueller, and major translations of the Theravada scriptures by
the Pali Text Society in England, the Harvard Oriental Series appeared after 1900
under the editorship of Charles Rockwell Lanman. Meanwhile, the Cambridge Conferences
on Comparative Religions, carried on by Mrs. Ole Bull in her Brattle Street home
near Harvard University, and the Greenacre School of Comparative Religions, operated
by Sarah Farmer in Portsmouth, New Hampshire, had been bringing ideas about meditation
to interested New Englanders since the late 1890s.
During the 1920s, American
popular culture was introduced to the meditative practices of the Hindu yogi Paramahansa
Yogananda. Gurdjieff, the Georgian mystic who had toured the US in 1924, was spreading
the gospel of meditation in action to American expatriates in Paris by the 1930s.
A young Hindu trained in theosophy named Jidhu Krishnamurti had been touring the
US around that same time. Settling in Southern California in the 1940s, Krishnamurti
would soon be joined by English émigrés fleeing the European war,
such as Christopher Isherwood, Gerald Heard, and Aldous Huxley, who were themselves
writers and practitioners of the meditative arts.
During World War Two, Huxley,
Heard, and others became disciples of the meditation teacher Swami Prabhavananda,
head of the Vedanta Society of Southern California. Together, they produced such
influential books as Vedanta for the West and assisted in the popular dissemination
of texts such the Hindu Upanishads and the Yoga Sutras. Meanwhile, on the east
coast of the United States, Swami Akhilananda of Boston frequently met with leading
university intellectuals in psychology, philosophy, and religion, including Gordon
Allport, Peter Bertocci, William Ernest Hocking, and George H. Williams. One product
of this liason was Akhilananda's Hindu Psychology (1946), with an introduction
by Gordon Allport, a text on the philosophy and psychology of Vedantic meditation.
Another
momentous event introducing Asian ideas to the West was the arrival in 1941 of
Henrich Zimmer, Indologist and Sanskrit scholar, who had been a friend and confidant
of C. G. Jung. Zimmer brought the young Joseph Campbell, comparative mythologist
and folklorist, to the attention of the newly formed Bollingen Foundation. Subsequently,
the Foundation produced the English translation of Jung's collected works, as
well as numerous books by Zimmer, which Campbell edited, among other titles. Perhaps
the most influential product of this endeavor was the Bollingen edition of the
I Ching, or Chinese Book of Changes. The I Ching was a Taoist oracle book revered
in Chinese religious history as one of the four great Confucian classics. Translated
by Richard Wilhelm with a preface by Jung, the work has continued to enjoy immense
popularity since its first publication in 1947.
The 1950s represented a major
expansion of interest in both meditation and Asian philosophy. Frederick Speigelberg,
a professor of comparative religions at Stanford, opened the California Institute
of Asian Studies in 1951, which highlighted the work of the modern Hindu mystic
and social reformer Sri Aurobindo Ghose. Alan Watts, a student of Zen and former
Episcopalian minister, soon joined the faculty and within a few years produced
such best-selling books as Psychotherapy East and West and The Meaning of Zen.
It was also during this time that Michael Murphy first came under the influence
of Speigelberg, was introduced to the teachings of Sri Aurobindo, and began the
practice of meditation. With the assistance of Abraham Maslow, Alan Watts, Willis
Harman, Aldous Huxley, George Leonard and others, Murphy would soon collaborate
with Richard Price to launch Esalen Institute, which quickly became the world's
premier growth center for human potential.
During the same period of the early
1950s, with the help of Watts, D. T. Suzuki came from Japan to California and
introduced Zen to a new generation of Americans. Suzuki settled in New York, where
he accepted a visiting professorship at Columbia. His seminars were open to the
public and subsequently had a wide influence. Thomas Merton visited him. The neo-Freudians
such as Karen Horney and Erich Fromm were his students. Suzuki even took Horney
on a three-month tour of the religious shrines in Japan. John Cage heard him,
as did J. D. Salinger. Soon, Suzuki was profiled in The New York Times, and many
of his previous works on the history and philosophy of Zen, published in relative
obscurity, were translated and reprinted for American audiences. Zen, embraced
by the beat generation, had suddenly come to the West.
What occurred next opened
an entirely new era of popular interest in meditation. This was the confluence
of three major cultural events in the 1960s: the psychedelic revolution, the Communist
invasion of Asia, and the rise of the American counter-culture, especially in
terms of widespread opposition to the Vietnam War.
By the early 1960s, mind
expanding drugs were being taken by a significant segment of the post war baby
boom, a generation which numbered some 40 million people born between 1945 and
1955 who came of age in the late 1960s and early 1970s. This led young people
in their teens and twenties to collectively open the doors of inward perception,
experiment with alternative lifestyles, and question established cultural norms
in Western society. An entire generation soon established their own alternative
institutions which began to operate in defiance of traditional cultural forms
still dominated by the ideology of their parents' generation. Subsequently, this
was to have important political, economic, religious, and social consequences
in the West, especially in the United States as enduring but alternative cultural
norms began to take root in the younger generation of the American middle class.
At the same time, the increased Soviet influence in India, the Cultural Revolution
in China, the Communist Chinese takeover of Tibet and Mongolia, and the increased
political influence of Chinese Communism in Korea and Southeast Asia were key
forces that collectively set the stage for an influx of Asian spiritual teachers
to the West. An entirely new generation of them appeared on the American scene
and they found a willing audience of devotees within the American counter-culture.
Swami A.C. Bhaktivedanta Swami, Swami Satchitananda, Guru Maharaji, Kerpal Singh,
Nayanaponika Thera, Swami Rama, Thich Nhat Hanh, Chogyam Trungpa, Maharishi Mahesh
Yogi, Swami Muktananda, Sri Bagwan Rujneesh, Pir Viliyat Kahn, and the Karmapa
were but a few of the names that found followers in the United States. While there
remain numerous contemporary voices, such as Guru Mai, Thich Nhat Hanh, the Maharishi,
and Sogyal Rinpoche, there can be little doubt, historically, that the most well
known and influential figure in this pantheon today remains Tenzin Gyatso, the
fourteenth Dalai Lama of Tibet, winner of the Nobel Peace Prize in 1989.
As
a result of such personalities, there has been a tremendous growth in meditation
as a spiritual practice in the United States from the 1960s to the present. This
phenomenon remains largely underestimated by the pundits of American high culture
who see themselves as the main spokespersons for the European rationalist tradition
in the New World. In the first place, from a socio-cultural standpoint, it is
clear that from the 1920s to the 1960s, Freudian psychoanalysis was the primary
socially acceptable avenue through which artists, writers, and aficionados of
modernism gained access to their own interior unconscious processes. For a new
and younger generation of visionaries, however, psychoanalysis was soon replaced
by psychedelic drugs as the primary vehicle for opening the internal doors of
perception. This occurred as a result of experiments undertaken in military and
university laboratories associated with the US Central Intelligence Agency (CIA).
The CIA was interested in developing mind-control drugs for potential use in psychological
warfare. At the same time that the CIA began testing substances such as LSD on
unsuspecting populations of soldiers, businessmen, and college students, some
of these chemicals came into the hands of the scientific and medical community.
Researchers themselves began ingesting mescaline and LSD. Soon, by the late 1950s
and early 1960s, from the psychiatrists' couches in Hollywood to the hallowed
halls of Harvard University, the youthful and educated elite of the American middle
class began to experiment with psychedelics in ever-increasing numbers.
The
counter-culture movement that followed was considered a revolution in consciousness,
driven by mind-expanding drugs, as well as defined by spiritual teachings from
Asian cultures, each creating the conditions for expansion of the other. As the
psychedelic revolution of the 1960s subsided for the post-war baby boomers maturing
into the 1970s, meditation, and all that it implied, then became fixed as an enduring
ethic of that generation. The belief was that meditative practices not only cleansed
consciousness of psychedelics, and confirmed the commitment to pursuing alternative
lifestyles, but they also informed the socio-cultural direction that the lives
of many young people would soon take in establishing new and permanent forms of
lifetime spiritual practice. Now, after thirty years, these developments have
produced advanced Western practitioners, who themselves are qualified senseis,
roshis, swamis, and tulkus. We known them as Ram Dass, Sivananda Radha, Jiyu Kennet
Roshi, Maureen Freidgood, Jack Kornfield, Robert Frager, Richard Baker Roshi,
and others. They have begun to teach these Asian traditions to Western audiences.
In so doing, they are also partipating in their modification by forming new lineages
of meditation practice that, while informed by Asian influences, turn out to be
uniquely Western. Such teachings are already being transmitted to a second and
third generation of younger people in the United States and Europe as well, altering
irrecoverably the shape and direction of spiritual life in contemporary Western
culture.
Not the least of these influences has been renewed interest in the
Western contemplative traditions. Examination of Western mystics had increased
dramatically since the 1960s. Witness, for instance, establishment of the Classics
in Western Spirituality Series, published by the Paulist Press, or the appearance
of the newly formed Mysticism Study Group within the American Academy of Religion.
At the same time, popular books on Christian meditation are clearly linked to
the spiritual awakening that has occurred in the counter-culture. Avery Brooke's
Learning and Teaching Christian Meditation (1975), Joan Cooper's Guided Meditation
and the Teachings of Jesus (1982), and Swami Rama's Meditation in Christianity
(1983) are but a few of the titles that have enjoyed continuous printings since
they first came out. There is also a case to be made for the idea that the fundamentalist
revival in the Christian right has been a direct reaction to the larger upsurge
of spirituality that has occurred in the American counter-culture.
Perhaps
the most significant opportunity to arise out of the new stream of Western meditation
practitioners has been heightened awareness of Asian cultures, especially in terms
of their unique integrity and outlook. While the Judeo-Christian, Greco-Roman,
Western European and Anglo-American tradition continues to export its beliefs
and values into other cultures on a grand scale, the Asian worldview is also fast
asserting itself as a competing economic, political, and social force. But is
a clash of world epistemologies inevitable? Perhaps. Meanwhile, Westerners within
a new and younger generation have appeared who are fast becoming skilled interpreters
of these non-Western traditions as legitimate worldviews in their own right. Their
vehicle, the practice of meditation, could, instead of the predicted clash of
cultures, potentially set the stage for an exchange of ideas between East and
West that may yet turn out to be unprecedented in the history Western thought.
Meditation as a Scientific Study
Within this context scientific interest
in meditation has grown significantly over the past quarter of a century. This
has occurred partly on the justification that science might be able to show us
objectively what meditation is and what its effects are, but also because the
scientific method represents one of the few ways in which our culture can peer
into the depths of another culture so radically different from our own. To objectively
study meditative practices, however, requires that they be taken out of their
subjective context. One quarter claims that science produces objective truth independent
of cultures, while another maintains that the scientific attitude has its own
implied philosophical context, so all we are really doing is taking the subject
out of its original frame of reference and putting it into one we can more easily
understand. The methods and theory surrounding the practice of meditation techniques
thereby undergo a radical change.
According to this second view, no more quintessential
example exists of the Westernization of an Asian idea than the scientific study
of meditation. Science, the product of Aristotelian thinking and the European
rationalist enlightenment, now turns its attention to the intuitive transformation
of personality through awakened consciousness (and other such Asian meanings of
the term enlightenment). This means that the faculties of logic and sense perception,
hallmarks of the scientific method, are now being trained on the personality correlates
of intuition and insight, hallmarks of the traditional inward sciences of the
East.
To grasp what meditation is has proven to be no easy task. The underlying
and usually hidden philosophical assumptions of traditional, rationalist science
do not value the intuitive. They do not acknowledge the reality of the transcendent
or subscribe to the concept of higher states of consciousness, let alone, in the
strictest sense, even admit to the possible existence of unconscious forces active
in cognitive acts of perception. Meditation, therefore, is a topic that characteristically
would not be taken up by mainstream scientists. One would expect that research
funding would be scarce, peer review difficult, and publication channels limited.
The evidence shows that, at least until recently, this has been exactly the case.
The essential difficulty here is not just the reformulation of meditation
techniques to fit the dictates of the scientific method, but rather what might
be called a deeper, more subtle, and potentially more transformative clash of
world epistemologies. It is not simply that meditation techniques have been difficult
to measure but rather that, in the past, meditation has largely been an implicitly
forbidden subject of scientific research. Now, however, major changes are currently
underway within basic science that presage not only further evolution of the scientific
method but also changes in the way science is viewed in modern culture. An unprecedented
new era of interdisciplinary communication within the subfields of the natural
sciences, a fundamental shift from physics to biology, and the cognitive neuroscience
revolution have liberalized attitudes toward the study of meditation and related
subjects. Meanwhile, the popular revolution in modern culture grounded in spirituality
and consciousness is having a growing impact on traditional institutions such
as medicine, religion, mental health, corporate management strategies, concepts
of marriage, child rearing, and the family, and more. Increasingly, educated people
want to know much more about meditation, while our traditional institutions of
high culture remain unprepared as adequate interpreters.
The First Edition
As
a result, when it first appeared, predictably, The Physical and Psychological
Effects of Meditation drew wide attention within the meditation community and
eventually sold out. Its authors, Michael Murphy and Steven Donovan, leaders in
the American growth center movement and themselves seasoned meditators, presented
their bibliography as a project of the Center for Exceptional Functioning, a newly
founded program within Esalen Institute. Esalen, which Murphy had co-founded with
Richard Price in 1961, was, for many, the premier growth center for personal development
in the United States.
Interest in meditation actually began out of the earliest
programs at Esalen. Alan Watts, the well-known interpreter of Zen to the West,
and Al Huang, a Chinese Tai Chi master of movement meditation, both taught meditation-related
workshops when Esalen first opened. Throughout the years, figures such as Suzuki
Roshi, Baker Roshi, Maharishi Mahesh Yogi, Lama Anagarika Govinda, and various
Tibetan Buddhist tulkus introduced different forms of meditation into the growth
center environment and helped to shape the basic theme of the Esalen program.
This theme Murphy conceived as nothing less than the transformation of personality.
The
immediate impulse that launched the bibliographic project, however, was publication
of Murphy's speculative fiction Jacob Atabet (1977). This was a tale, set in modern
San Francisco, about a writer, Darwin Fall, who had been investigating various
miraculous events for the Catholic Church in Rome and doing research into all
kinds of transformative phenomena. Fall meets and begins to chronicle the story
of Jacob Atabet, who is actually in the process of transforming every cell of
his body into the higher spiritual light. Atabet, for his part, finds in Fall
someone who at last understands what he is going through. In the course of the
novel, Atabet needs to be instructed in the contents of the massive text summarizing
Fall's not yet complete research. The monumental tome, given to Atabet in outline
form as a work in progress in that fictional account, later actually became Michael
Murphy's voluminous The Future of the Body (1992).
Meanwhile, scientific publications
and other material collected in the course of putting together The Future of the
Body became the basis for the first edition of the annotated bibliography in meditation
research, which appeared in 1988. Before the advent of the revolution in personal
computers, before managed care took over the health care industry, and before
the full impact of rapid developments in the cognitive neurosciences were felt,
Murphy and Donovan had collected a database of some 10,000 articles on various
aspects of human potential and higher consciousness. Out of this cache they extracted
1253 scientific and literary studies on meditation which formed the core of the
first edition. They introduced their bibliography with a series of essays to make
a statement on the physiological, psychological, and behavioral effects of meditative
practice as was understood in the Western literature. To this analysis they brought
a meditator's reading of both the Eastern and Western contemplative traditions,
which provided insightful comparisons to the slow but steadily growing study of
meditation according to the methods of Western science.
The first edition clearly
indicated that the scientific study of meditation was fast becoming a growth industry.
In the wake of its publication, Esalen, in cooperation with the Institute of Noetic
Sciences, and with financial assistance from Marius Robinson, launched an annual
series of invitation-only conferences on advances in meditation research. These
conferences, held annually at Esalen from 1988 to 1996, brought practitioners
of meditation together with scholars in comparative religions and scientists interested
in experimental and clinical investigation in order to generate cross-disciplinary
dialogue about the experience and the effect of meditative practice. One fruit
of those conferences has been this second edition of the Murphy and Donovan bibliography.
The
Present Update
In the eight years since the first publication of their work,
basic experimental studies on the subject of meditation have steadily increased,
while outcome research in clinical settings has grown at an even faster rate.
At the same time, when compared to what had gone on in the field in the fifty
years preceding 1988, the total rate of increase between 1988 and 1996 in articles
in scholarly and scientific journals as well as trade books has been nothing short
of spectacular.
The second edition, in keeping with the first, chronicles mainly
scientific and scholarly works, revealing several key trends and changes. Since
1988, not only has government sponsored research increased, but meditation is
now a category on the National Library of Medicine's list of computer search subjects.
There also has been an increase in the number of studies reported by researchers
outside the US, especially from Asian countries. While more studies are being
undertaken overall, the majority of research programs appear to be conducted by
practitioners of meditation who are also skilled in the techniques of modern experimental
methods. Finally, and perhaps most important from the standpoint of basic science,
investigation has moved from the level of gross physiology to more detailed points
of biochemistry and the voluntary control of internal states. From a philosophical
standpoint, these studies have also raised a number of issues about the role of
spiritual experiences in both psychology and medicine.
TM and the TM-Sidhi
Project
As Murphy and Donovan pointed out in their first edition, and as the
present update of their work has confirmed, the most prolific research on meditation
in the United States in sheer numbers of published studies has been and continues
to be on Transcendental Meditation. Transcendental Meditation is the specific
introductory program taught by Maharishi Mahesh Yogi, a Vedantic meditation teacher
originally from Madhyapradesh, India, to thousands of disciples, most of whom
are in the West. Meanwhile, the TM-Sidhi program (an anglicized version of the
Sanskrit siddhi, meaning supernormal powers) represents more advanced training
in the Vedantic interpretation of the Yoga Sutras of Patanjali. The experimental
research program into the effects of TM is carried on largely at Maharishi Mahesh
International University (MIU) in Fairfield, Iowa (now called the Maharishi International
School of Management), but there are other centers and individuals engaged in
TM research as well.
Over the past two decades, David Orme-Johnson, one of
the key investigators at MIU, and his colleagues have complied and edited 508
studies on TM in five volumes under the title Scientific Research on Maharishi's
Transcendental Meditation and TM-Sidhi Program: Collected Papers (Orme-Johnson
and Farrow, 1977; Chalmers, Clements, Schenkluhn and Weinless, 1989a, 1989b, 1989c;
Wallace,Orme-Johnson and Dillbeck, 1990). These studies are arranged approximately
in chronological order in each volume under the headings of physiology, psychology,
sociology, and then either theoretical or review oriented papers. Experimental
studies reported are about evenly divided between articles in refereed journals
and those from TM conferences and in-house TM publications.
The content of
the collected papers indicates that, historically, TM researchers began by positing
the existence of a fourth state of consciousness-a hypometabolic waking state
which their physiological measures suggested was distinctly different from either
normal waking consciousness, the state of sleep with dreams, or the state of deep
sleep without dreams. Studies then began to show effects when TM was applied to
medical conditions such as asthma, angina, and high blood pressure. Personality
variables became a focus of research. These included measures of intellectual
problem-solving ability, thinking and recall, creativity, field independence,
sense of self-esteem, and self-actualization. Researchers then moved into applied
social situations, looking at the effects of teaching TM to the police, the military,
and such populations as juvenile offenders, incarcerated adults, high school students,
and athletes, as well as managers in the corporate environment. Meanwhile, more
subtle biochemical measures of blood chemistry were also undertaken. These included
endocrine levels, effects on neurotransmitters such as dopamine, noradrenaline,
and serotonin, and the measurement of altered cell metabolism. TM was also examined
in the context of various psychiatric disorders.
By the late 1970s studies
began to appear testing the abilities of advanced meditators in the TM-Sidhi program
on numerous variables during deep meditation and during what they described as
yogic-flying. Along with individual studies, TM researchers also began reporting
evidence for an inverse correlation between the amount of meditation going on
and sociological variables such as the local and national crime rate for a given
period. This has been labeled the Maharishi Effect. Finally, there are numerous
papers on TM and world peace.
After almost a quarter of a century of scientific
investigation, TM researchers now describe their findings in theoretical terms
referring to "Vedic psychology" and "Vedic science." Their
system clearly acknowledges the reality of the transcendent and subserves materialist
methods of Western scientific investigation under the larger domain of spiritual
experience within the philosophical and religious context of Hindu monism. Their
expertise with certain aspects of Western science has become quite sophisticated,
however, creating an altogether new avenue of investigation at the interface between
science and spirituality. In the new and more open scientific climate toward research
on the subject of meditation, TM researchers have successfully been able to master
the blind peer review process and were recently awarded some $2,500,000 in research
grants from the National Institutes of Health. Their studies will look at the
large scale application of TM in the treatment of alcohol and drug abuse and in
such conditions as hypertension. [9]
Their preliminary research has shown
that, with regard to drug dependence, the traditional single-cause-for-a-single-illness
model is unworkable. Instead, addiction is viewed as a progressive behavior pattern
involving a complex of physiological, psychological, and socio-cultural variables
that can be successfully influenced by meditative practice at key points. In the
case of hypertension, they have shown that psycho-pharmacology is still the preferred
medical intervention but remains complicated because of toxic side effects, issues
of patient non-compliance, and the fact that drugs work well on preventing stroke
but not coronary heart disease. Their previous studies have confirmed that meditation
works better than drug placebos, but is slower acting than pharmacologic agents,
leading them to confirm the current recommendation that TM is most effective when
used in combination with other therapies.
Herbert Benson: The Mind-Body Medical
Institute
Another of the most visible research projects into the effects of
meditation originally reported in the first edition of the Murphy and Donovan
bibliography has been going on under the direction of Herbert Benson, cardiologist
at Harvard Medical School. In the late 1960s, Benson began studying Transcendental
Meditation practitioners. He has since expanded his work by looking at Tibetan
Buddhist meditators, and generic forms of relaxation capable of being elicited
by the general population.
His first major work, a trade book entitled The
Relaxation Response, appeared in 1975. In it, he described procedures he believed
were generic to the onset of meditation and other contemplative practices. The
conditions necessary to evoke the relaxation response involve a quiet environment,
repetition of a sound or phrase, a passive attitude, and relaxed watchful breathing.
Meanwhile, in the medical literature he had identified the relaxation response
as a natural reflex mechanism which, when practiced twenty minutes a day, reduced
stress and physiologically had the opposite effect of the fight-flight reflex.
Beyond
the Relaxation Response appeared in 1984, and combined Benson's research into
both the relaxation response and the placebo effect. This text emphasized the
role that harnessing physiology can play in improving quality of life and character.
Benson followed in 1987 with Your Maximum Mind, a text that clearly associates
the positive physiological effects of the relaxation response with the hopefulness
of the patient's own religious beliefs and values.
Since publication of Your
Maximum Mind, Benson has launched the Mind-Body Medical Institute, a for-profit
research and training initiative in behavioral medicine, in conjunction with the
Deaconess Hospital in Boston and the Harvard Medical School. Two major streams
of Benson's work on meditation are carried on at this Institute. One involves
ongoing programs in scientific research, while the other is dedicated to community
education.
Since 1967 Benson has been working on identifying the physiological
and neurochemical underpinnings of the relaxation response, which he defines as
a hypometabolic state of parasympathetic activation, that is, a state of deep
rest. Early work showed the effect of the relaxation response on lowering conditions
such as essential hypertension, headache, and alcohol consumption. Studies then
moved to show the effect of the relaxation response on various forms of heart
disease, serum levels in the blood, and on psychiatric disorders such as anxiety.
Other studies compared the relaxation response with other forms of relaxation
such as hypnosis.
The next major phase was to assess the effects of the relaxation
response in a variety of clinical situations. Women experiencing moderate forms
of PMS were found to benefit from the technique. Patients at a major health maintenance
organization were found to utilize the facilities less and to report less illness
over time when taught Benson's method. Recently, the Institute has inaugurated
a successful relaxation curriculum for high school students.
At the same time,
Benson has also been investigating advanced meditators. While he began with practitioners
of TM, as work on the relaxation response became more sophisticated, Benson turned
his attention to measuring the physiological changes in advanced Tibetan Buddhist
meditators, using monks who follow the Dalai Lama. These were on-site investigations
at monasteries in Nepal in the Himalayas. Most recently, Benson and his colleagues
have been testing out the physiological effects of different forms of practice,
as well as assessing metabolic and electrophysiologic changes in advanced meditators.
On the educational side, The Mind-Body Medical Institute offers regular one-week
training programs for health care practitioners in all aspects of the relaxation
response. The Institute franchises out its model to hospitals and other health
care facilities and periodically launches educational programs for the public.
In December of 1995, for instance, the Institute sponsored a major conference
on "Spirituality and Healing in Medicine." The three-day program was
aimed at clinical practitioners, including physicians, psychologists, nurses,
clergy, social workers, allied health professionals, and health care administrators.
Perhaps for the first time, scientists, and Western healthcare practitioners joined
with scholars in comparative religions to assess the relationship between spirituality
and health. Here presentations on scientific evidence as well as historical and
thematic scholarship attempted to interpret the life-world of radically different
epistemological frames of reference from those of the laboratory scientist. It
also meant taking seriously the claims of faith traditions in the West such as
Pentacostalism, the Charismatic Catholic movement, and Seventh Day Adventism which
the scientific outlook normally rejects. As well, Islamic, Hindu, and Buddhist
scholars took up the more difficult task of interpreting the spiritual traditions
of non-western cultures as significant sources of healing. Thoughout the conference,
the practice of meditation played a central role in these discussions.
More
recently, Benson has released Timeless Healing: The Power and Biology of Belief
(Benson and Stark, 1996). In this text he renames the placebo effect "remembered
wellness." By using this new term he takes the idea of the placebo, which
carries a negative connotation in science as something "not real," and
re-examines it as a new psychological tool in medicine. In the term "remembered
wellness" he here redefines the old term "placebo" as the person's
natural desire for health and the person's right to choose the kind of healing
to achieve it. To pharmaceuticals and surgery, Western medicine must now add the
patient's own capacity for self-healing. Expectations, beliefs, values, and the
practice of meditation, Benson maintains, are among the new forces we must now
harness for health and growth.
Jon
Kabat Zinn
at the University of Massachusetts Medical Center
Another major
program of research on meditation continues under the direction of Jon Kabat-Zinn
in the Department of Medicine, Division of Prevantative and Behavioral Medicine
at the University of Massachusetts Medical Center in Worcester, Massachusetts.
Kabat-Zinn's program, primarily for patients with medical disorders, combines
elements of Vipassana, a Theraveda form of Buddhist meditation from Burma, and
Zen practices from Japanese Buddhism with Hatha yoga, a tradition from the Indian
subcontinent, in a training regime identified as Mindfulness-Based Stress Reduction
(MBSR). The Stress Reduction Clinic takes referrals from all services throughout
the hospital and elsewhere and deals with a wide range of referred conditions,
including hypertension, heart disease, cancer, chronic pain, irritable bowel syndrome,
headaches, HIV and AIDS, as well as disorders of stress and anxiety.
Each patient
is interviewed individually prior to enrollment in the program. The course includes
eight weeks of classes, two two-and-a-half hour classes per week. Each class contains
between twenty-five and forty members. Home study is required as well. Six days
per week, with the help of audiotapes, patients practice meditation and yoga for
forty-five minutes on their own. At week six, they attend an all-day seven-hour
silent meditation. All participants in the six to eight concurrently running classes
(approximately 240 people) participate in this silent weekend meditation retreat
together. Following the program, each patient meets individually with the instructor.
Three eight-week cycles of the course are held each year.
Patients are taught
a basic regime of stretching and relaxation, plus different forms of seated meditation
that they can continue to practice at home. They are also taught a method of body
scanning, which entails following the path of the breath through different parts
of the body as a guided visualization. In groups, they also discuss issues of
formal meditation practice and ways to integrate what they learn there into their
daily lives.
The program has enjoyed considerable success and notoriety. Kabat-Zinn
has summarized his work in two popular trade books, Full Catastrophe Living (1990)
and Wherever You Go, There You Are (1994). In 1993, the work of the clinic was
prominently featured in the PBS series Healing and the Mind with Bill Moyers.
In addition, over 100 centers in the US and abroad started by colleagues trained
by Kabat-Zinn now conduct research as well as deliver clinical services. Beoynd
this network, in Massachusetts alone, MBSR training is presently offered bilingually,
in Spanish and English, in neighborhood health centers and taught to both inmates
and staff as part of an ongoing prison project. Also, training programs are offered
for first and second year medical students, corporate executives, and staff at
local HMOs.
While Kabat-Zinn and his colleagues have undertaken extensive outcome
studies of their program on meditation, recently they have moved into more basic
research that tries to refine the identification of specific biological markers
that show the effects of meditation on the body.[10] Currently, the key variable
of their investigation has been melatonin, a hormone which is produced in the
pineal gland and thought to be a scavenger against cancer cells, acting to inhibit
cancer growth at certain intermediate stages of cell proliferation. Melatonin
is known to be photosensitive and is produced in greatest quantities in the body
at night. Kabat-Zinn and his colleagues suggest that ist is also pychosensitive,
in other words, that psychosocial interventions can also increase its production.
In a recent study employing graduates from their program, for instance, Massion,
Teas, Hebert, Wertheimer, and Kabat-Zinn (1995) demonstrated a significant increase
in melatonin levels among meditators. Because the oncology literature provides
support for the concept of psychophysiological interactions in survival among
cancer patients, the Worcester group suggested not only that melatonin might be
a marker for other types of psychosocial interventions, but that meditation might
be relevant in the treatment of certain types of cancer, especially of the breast
and prostate.
Kabat-Zinn and his colleagues have several research projects
on meditation currently underway that are in their preliminary stages and have
not yet been published. One is the effect of guided meditation on psoriasis. Another,
funded by the US Army, will look at the effects of behavioral interventions such
as nutrition and meditation in patients suffering from early-stage breast cancer.
In another experiment, just completed and not yet published, Kabat-Zinn joined
colleagues A.O. Massion, J. Teas,. J.R. Hebert, and M.D. Wertheimer replicating
their original findings and once again found a positive relationship between intensive
meditation practice and increased melatonin levels.
Cognitive-Behavioral Approaches
in Psychology
In an important new development, academic psychologists in the
tradition of cognitive behaviorism have launched experimental research programs
in meditation. William Mikulas (1981) at the University of West Florida has pointed
out that, when analyzed in detail, meditation practices can be broken down and
understood in terms of traditional constructs in experimental psychology, such
as vigilance, attention, and concentration. As well, the new trend in cognitive
therapy applying principles of classical and operant conditioning in order to
inhibit or facilitate both mental images and thought processes has brought experimental
psychologists a step closer to the type of instruction typical of various Eastern
meditative practices. The continuing obstacle is, according to Mikulas, that cognitive
psychologists have overemphasized a mechanistic model of the mind as a computer
instead of expanding their definition of behavior.
To rectify this situation,
Mikulas has outlined a program to study what he called "Behaviors of the
Mind" (mind, a decidedly unbehavioristic term, he defines as the subjective
center or agent of mental activity). [11] Three such behavioral variables relevant
to the study of meditation that he has studied are concentration, the ability
to focus attention on an object for varying periods; mindfulness, a generalized
state of alertness where the mind remains unfocused but is prepared to attend
to any potential stimulus; and clinging, the tendency of the mind to attach to
and to dwell on specific thoughts or objects.
Such constructs, Mikulas believes,
can be operationalized as a way to understand meditation from a cognitive-behavioral
perspective. Moreover, this addresses what is actually going on at a mental level
in a much more sophisticated way than just studying physiological measures or
a single experimental variable. [12]
Another cognitive-behaviorist, Jonathan
C. Smith, at Roosevelt University in Chicago, has developed an extensive research
program on meditation as part of his Stress Institute (J.C. Smith, 1975a, 1975b,
1975c, 1978, 1984a, 1984b, 1985, 1986a, 1986b, 1987, 1988, 1990, 1991, 1993).
Thinking along lines similar to Mikulas, Smith had already begun his own research
by conceiving meditation as just a special form of relaxation. Psychologists have
numerous relaxation strategies available to them, including progressive muscle
relaxation, yogic stretching, guided mental imagery, contemplation, a focus on
the gross aspects of the body, and a more refined focus on subtle body functions.
Yet another is meditation, which can be either focused, as in Transcendental Meditation
or Benson's relaxation response, or open and unfocused, as in Zen practice or
Buddhist mindfulness.
His empirical research, relying heavily on factor theory,
has more recently caused Smith to revise his thinking about theories of relaxation.
In a complete reversal, he now considers relaxation a subset of meditation (J.C.
Smith et al., 1996). In the old Benson model (one that still largely prevails),
relaxation was confined to measurements of reduced physiological arousal. Another
explanation that has been most popular among traditional stress researchers, such
as Davidson and Schwartz (1984, 1976), defines relaxation in terms of cognitive-somatic
specificity, i.e., there are two kinds of relaxation, physical and mental, which
require two different sets of techniques, physiological and psychological. Then
there was Smith's approach which saw all types of relaxation as the refinement
of cognitive skills involving passivity, receptivity, and focusing. As more research
results came in, Smith then came to believe that, in addition to just cognitive
skills, relaxation was most successful when it included supportive cognitive structures,
such as those found in personal philosophies of life.
Now, his research has
further indicated that relaxation is composed of four separate effects: 1) the
initial evocation of the relaxation response, which is purely physiological (which
accounts for only 5% of the variance of relaxation); 2) tension release, the combination
of physiological relaxation plus positive thoughts and feelings (as when one describes
oneself as limp, melted, soothed, peaceful, calm); 3) disengagement, which is
an attentional effect, creating the sensation of being distant, detached, forgetful,
and becoming less aware of the world; and 4) engagement, opening up to and becoming
more aware of the world, but in a passive way.
He has further operationally
refined engagement by defining it as an advanced level of relaxation, having four
subcategories. The first is engaged awareness, feeling aware, clear, focused,
strengthened, and energized. This can be attained through yoga and breathing.
The second is engaged prayerfulness, being open not just to the world, but to
a greater world, in the sense of feeling reverent, spiritual, or selfless. Meditation
is the key to attainment here. Third is engaged joyfulness, meaning a rainbow
of feelings (feeling simultaneously loving, thankful, inspired, warm, healed,
and infinite.) (He suggests that joyfulness accounts for 40% of the variance of
relaxation, and further, that while progressive relaxation does not evoke it,
yoga, breathing, and meditation do). Finally, the final subcategory he defines
as mystery, the experience of mystical feelings. He claims that initially he did
not have enough subjects to measure this variable, that it was identified only
by a small statistical effect, and that more study will be needed in the future
to confirm it.
In addition to his empirical research, Smith has also developed
an applied program. Here, he demystifies meditation, takes it out of its Asian
context, and packages it as a training course that covers all the generic forms
one can find in both Eastern and Western contemplative traditions, making meditation
accessible to the common reader.
The significance of work by such researchers
should not be underestimated. Programs such as these, the new cognitive-behaviorists
believe, have greater potential for connecting traditional systems of Asian psychology
with basic science than the more experiential approaches of humanistic or transpersonal
psychotherapy. At the same time, interest in the subject by cognitive-behaviorists
indicates the extent to which meditation has penetrated into the mainstream of
American academic psychology as a respectable research subject.
Health Psychology
and Complementary Medicine
Another important development in the field of meditation
research has been alternative or complementary medicine. The historical evolution
of the alternative medicine movement in the United States is long and too detailed
to go into here. However, the main point can still be made that beginning in the
1960s and '70s, with the emergence of humanistic and transpersonal psychology
as major forces in the human potential movement, the clinical practice of psychology
and medicine began to fuse with a more sophisticated understanding of spiritual
growth affecting certain key areas of modern culture. Now, after more than thirty
years of personal and scientific experimentation with encounter groups, sensitivity
training, psychedelics, somatic body work, parapsychology, guided imagery, yoga
and meditation, biofeedback, hypnosis, and the like, alternative, or what is now
being called complementary, medicine has emerged as an important challenge to
Western reductionistic approaches to healing. Western medical science radically
separates mind and body; complementary medicine unites them. Western medical science
focuses on the physical symptom; complementary medicine looks at the symptom in
the context of the whole person. Western medical science presumes that it is science
that heals the sick; complementary medicine presumes that it is our manipulations
that harness the patient's own resources for self-healing.
Complementary medicine,
first of all, is now being defined by a new generation of scientist-practitioners.
Those who before were but the mere students of their subject matter have now become
both advanced meditators and recognized scientists capable of carrying off sophisticated
research. We remember the pioneering work of Arthur Deikman and Charles Tart,
done twenty-five years ago. Then we listened to Herbert Benson and Robert Keith
Wallace. Then, in the 1970s and 1980s we heard from Dan Goleman, Daniel Brown,
Jack Engler, Roger Walsh, Dean Shapiro, Elmer Green, Alyce Green, Michael Maliszewski,
and Michael West, Today, we read Charles Alexander, Robert Orme-Johnson, Richard
Freidman, Mark Epistein, and James Spira. [13] The trend began as a study of meditation
as an isolated practice, whereas it is now viewed in the much larger context of
complementary medicine and one's overall sense of health and well-being.
Complementary
medicine is complementary because it interfaces with scientific and medical reductionism.
It not only advocates a combined approach to healing, but also points to the importance
of holistic change. One does not merely take a pill and then return to the same
lifestyle that contributed to the creation of the problem in the first place.
The practice of meditation, as well as the pursuit of other forms of complementary
medicine, means an alteration of basic attitudes, dramatic and positive lifestyle
changes, and perhaps even radical overthrow of old, habitual ways of perceiving
on the part of the person being healed.
Complementary medicine also reflects
the major social revolution now going on at the interface between popular middle-class
culture and the delivery of clinical services in the health care professions.
A recent issue of the Sharper Image Catalog, for instance, advertises tapes, videos,
and books by physician Dean Ornish of the University of California at San Francisco,
who has pioneered in the treatment of heart disease using diet, meditation, and
lifestyle change. [14] The Wall Street Journal and Forbes have carried articles
on the therapeutic application of meditation in corporate management for stress
reduction, new product development, and team building, while the November 1994
issue of Psychology Today indicated that meditation practice is at the heart of
a contemporary spiritual awakening affecting not only pastoral counseling within
traditional Christianity but also a large segment of the psychotherapeutic counter-culture.
In
addition, there is clear evidence for the rising influence of complementary medicine
within other traditional institutions of modern culture. One sign has been the
recent founding of the Office of Alternative Medicine within the National Institutes
of Health. The OAM, working on a small budget, has commissioned individual investigators
to run clinical trials on alternative therapies such as meditation that can be
used in conjunction with traditional scientific medical practice. They have also
recently established a network of research centers throughout the United States
targeting specific experimental problems in complementary medicine. [15] Another
sign has been the launching of several new journals, the most successful of which
has been Alternative Therapies in Health and Medicine. [16] Edited by Larry Dossey
and Jeanne Achterberg and sponsored by the American Association of Critical Care
Nurses, Alternative Therapies regularly reports on advances in meditation research
in the context of other approaches such as homeopathy, vitamin therapy, hypnosis,
biofeedback, and psychoneuroimmunology.
The Qi Gong database
In addition
to the inclusion of meditation in complementary forms of medicine in the United
States, research on various forms of meditation is also occurring in other parts
of the world. The Qi Gong database, a report on one aspect of meditative practice
in China, is made available through the East-West Center for the Healing Arts
in California and was assembled by a team of researchers led by Kenneth M. Sancier.
[17] It contains some one thousand abstracts of unpublished papers delivered at
a series of international conferences on Qi Gong and traditional Chinese medicine
held since the late 1980s in China. Paradoxically, the Chinese Communist government
wants to promote traditional Chinese medicine to the world at the same time that
it severely restricts the ability of Chinese researchers to communicate freely
with other investigators. The bibliography is therefore valuable as one of the
only large scale sources of information available on the practice of Chinese meditation
techniques related to Qi Gong; at the same time it suffers from a certain lack
of oxygen because the material is presented in a contextual vacuum which presumes
that traditional Chinese medicine is automatically testable by Western scientific
methods.
Qi Gong is the traditional Chinese practice of meditation upon the
chi, or life force, which is believed to continuously circulate throughout the
body and which regulates the daily and seasonal functioning of the person in dynamic
relation to the environment over the entire life cycle. The internal form of Qi
Gong can be practiced as a seated meditation, while its external aspect may take
the form of different movement disciplines. Qi Gong is the mother of tai chi,
for instance, the most familiar style of Chinese health movement known to the
West.
The database clearly indicates that there is a continuously growing
body of information on the positive clinical application of Qi Gong therapy. [18]
However, to really appreciate the information presented requires a detailed knowledge
of the Taoist philosophy of yin and yang and the five elements, a knowledge of
acupuncture, acquaintance with the philosophy behind the important Chinese works
a such as the Book of Songs and the Book of Changes, and a knowledge of the major
classics in traditional Chinese medicine. Western scientific medical practitioners
will therefore find it difficult to assess the clinical significance of unpublished
studies presented only as abstracts and based on an epistemological system so
radically different from the Western analytic tradition that the very frame of
reference used in of many of the discussions will to them remain incomprehensible.
For the knowledgeable researcher, however, the hermetically sealed quality of
the research at least gives an internal consistency to the one type of meditation
studied.
Yoga Research in India
Scientific research on yoga and meditation
appears to be going on all over India, but only a fraction of this work makes
its way into the Western scientific and medical literature. An effort has recently
been made by the Yoga Biomedical Trust, a non-profit research organization in
Cambridge, England, founded in 1983 to collate more of this normally unavailable
information on yoga and meditation. [19] Principally, their bibliographic references
have come from yoga centers, private collections, specialist publishers, and researchers
themselves, in addition to scientific conferences held periodically in India,
the Indian social science literature, and the international medical research literature,
which includes references normally unavailable to Western investigators.
In
the Trust's primary publication, the Yoga Research Bibliography: Scientific Studies
on Yoga and Meditation (1989), Monro, Ghosh, and Kalish present over 1000 citations
ranging from essay-commentaries to clinical applications and pure empirical research.
Again, however, as with the Qi Gong database, the Yoga Research Bibliography will
be appreciated most by individuals trained in scientific research who also have
an extensive knowledge of the classical texts in yoga and the philosophy behind
the techniques, as well as a detailed experiential knowledge of specific yogic
practices and their Sanskrit names. Again, the trend is clearly toward a mounting
body of evidence showing the efficacious use of yoga techniques and Hindu meditation
practice in specific disorders such as hypertension, diabetes, cancer, cholesterol
regulation, alcoholism, anxiety disorders, asthma, pain control, and obesity.
As compared to studies in the Chinese database, the level of scientific expertise
in various experimental studies on yoga and meditation is quite sophisticated
by Western standards. There is a much more subtle empirical demonstration of the
relation of brain states to mental states in this yoga literature by Indian researchers
than has yet to be demonstrated by non-Indian researchers.
The International
Meditation Bibliography, 1950-1982
The only work comparable to the present
text is the International Meditation Bibliography, 1950-1982, authored by Howard
Jarrell and commissioned by the American Theological Library Association. [20]
Its linguistic breadth is somewhat larger, in that it contains articles in English,
books in English and German, with some titles in French, Spanish, and Portuguese,
and dissertations in both English and German. The total number of entries (just
over 2,200) is also somewhat larger. There are 937 journal and magazine articles,
all of which are briefly annotated, over 1000 books, 200 doctoral dissertations
and master's theses, titles from 32 motion pictures and 93 recordings and a list
of 32 societies and associations. In addition there is a title index, an author
index, and a subject index.
The Transcendental Meditation people seem to have
had more than a passing hand in creating it, as there is a eulogistic preface
extolling the benefits of TM, although the editors may have been simply trying
to reflect the fact that the majority of experimental studies reported up to 1983
involved TM techniques. The work also does not discriminate between trade literature
and more scholarly, academic or scientific publications, but rather presents them
all as part of the greater bibliography. The impression that gets reinforced,
quite accurate in my historical opinion, is that in the United States, at least,
the majority of interest in meditation has come from popular culture, rather than
from the universities or the scientific establishment, which have remained largely
reactive. [21]
The Historic Significance of Murphy and Donovan's Text
Murphy
and Donovan have done the field of meditation research a valuable service on several
fronts. Perhaps the most important of these has been to highlight the epistemological
differences between those who meditate and those who do not as a crucial determinant
of how and under what circumstances scientific research into this new subject
can be conducted. They have also raised the issue of what a new science that takes
meditation seriously might look like in the future. This issue is the same we
have raised earlier: namely, how can the methods of science be applied to a subject
whose full understanding may transform the very foundation upon which reductionistic
science is based? Murphy and Donovan produced their first edition during a time
when there was fast-growing and widespread cultural interest in the subject, but
great resistance from the basic science community. They not only collated a vast
wealth of information on scientific research when the subject of meditation was
less acceptable than it is today, but they also emphasized the importance of meditation
for understanding the larger issues of how we actualize our human potential. Now
there has been a significant change in outlook and such issues are being taken
more seriously by a younger generation of thoughtful leaders in modern culture.
From an analysis of recent history, the Murphy and Donovan bibliography in its
first edition contributed significantly toward advancing this discussion because
it was a milestone that marked the current cultural revolution focusing on spirituality
and higher consciousness. Two historical examples suggest this conclusion; the
first was an episode that took place within the profession of psychology, while
the second has occurred within the wider area of government-sponsored research
in the medical sciences.
Psychologists Debate the Issues
Twenty years ago,
the American Psychiatric Association recognized the need for controlled experimental
research when it called for an in-depth study of different types of meditation
and their positive effects on health (mentioning also that we should be investigating
their potential "dangers"). [22] Then, just before the first edition
of the Murphy and Donovan bibliography appeared in 1988, a significant exchange
on the experimental evidence underlying certain claims about meditation took place
in the pages of the American Psychologist, main organ of the American Psychological
Association.
The controversy began in 1984 when David S. Holmes, a staunch
behaviorist in the tradition of Pavlov, Watson, and Skinner, who was from the
University of Kansas and who had studied a few Transcendental Meditation practitioners,
challenged a large mass of previously published experimental literature by claiming
that there was no evidence that meditation reduced somatic arousal (Holmes, 1984).
Holmes came to this conclusion through a few studies of his own and through a
review of the research literature. From this literature, however, he excluded
consideration of all studies that were merely case reports and all those that
involved subjects who had first acted as their own controls (within subjects designs)
on the assumption that such research represented bad science. This left only studies
which had used separate experimental and control groups. He then evaluated these
remaining few and concluded that none showed meditation as producing a significant
lowering of arousal different from simply resting.
A year and a half later,
the editors of the American Psychologist devoted an entire section of their June
1985 issue to criticisms of Holmes' article, including responses from Holmes.
John
Suler from Rider College maintained that on purely methodological grounds Holmes
had invoked a fairy tale definition of psychology as an exact science in order
to discount studies on meditation, and that Holmes had limited himself to studies
on TM which were not generalizable to other types of meditation (Suler, 1985).
Michael West, from the University of Sheffield, England, researcher, practitioner,
and author of a well known text on meditation, believed that Holmes did not look
carefully enough at the research literature so that his conclusions were overgeneralized
and unwarranted (West, 1985). Needed instead, West maintained, was a more complex
discussion of evidence and more double-blind, randomly assigned experiments controlling
for expectation and group differences. He believed that someone also needed to
undertake longitudinal studies of meditators and a big picture needed to be constructed
that included case reports and within subject designs.
Deane Shapiro, clinical
psychologist, meditation practitioner, and researcher at the University of California,
Irvine, who has been one of the key pioneers in the field, waded in and concluded
that Holmes had not looked at all the literature, that what he had looked at he
had completely misinterpreted, and that conclusions drawn from Holmes' experiments
using laboratory subjects were not automatically generalizable to clinical populations
anyway.
Ignoring Suler and West, Holmes replied only to Shapiro, since in
all likelihood he saw him as the more formidable opponent (Holmes, 1985a). He
asserted on grounds of scientific rigor that Shapiro's own review of the meditation
literature, which Holmes himself had originally ignored, contained numerous errors.
Further, he clearly stated that Shapiro did not know how to conduct or analyze
scientific research.
Harvard cardiologist Herbert Benson and SUNY psychologist
Robert Freidman, practitioners, teachers, and researchers of the relaxation response,
then joined the chorus of voices. Benson and Freidman's point was that the relaxation
response was common to all forms of relaxation, including rest and meditation,
so that Holmes' distinction of meditation from rest was purely artificial (Benson
and Freidman, 1985). Further, the trophotrophic response as a complex of opposite
physiological reactions to the fight-flight reflex had been established in physiology
since the time of Hess (et al., 1947; Hess, 1953)-for which Hess had received
the Nobel Prize-and the relaxation response had been experimentally established
in the medial literature as an extension of Hess's work. Benson and Freidman then
pointed out other numerous errors in Holmes' work, suggesting not only that Holmes
did not know his basic physiology, but also that he did not know how to conduct
and interpret a scientific experiment.
Holmes (1985b) responded by implying
in his opening paragraph that Benson and his colleagues did not know anything
about meditation, physiology, or science, and then proceeded with an essay of
some 3,000 words to deliver a barrage of rhetoric about what constitutes legitimate
data in reductionistic science and what were the criteria for legitimate designs
of various experiments in psychology, meanwhile having nothing much to say about
meditation per se.
The final word was given in another issue of the American
Psychologist a year later. This last comment that the editors permitted on Holmes
was delivered by Jonathan C. Smith, cognitive-behaviorist and meditation and stress
researcher from Roosevelt University (J.C. Smith, 1986a). Smith, theoretically
in a reductionistic camp closer to Holmes than anyone else who had responded,
maintained that the recent studies by Holmes on meditation and Roberts on biofeedback
(see Roberts, 1985) that claimed no evidence for a reduction of somatic arousal
were based on outdated assumptions concerning the nature of relaxation. Psychology
had actually progressed from a 1950s definition of overt observable behavior as
simply stimulus-response connections to a more sophisticated picture demonstrating
control of mental and physiological operations. According to Smith's own model,
both stress and relaxation were complex cognitive and interactive responses. Simply
comparing meditation, biofeedback, and other relaxation techniques to each other
is not sufficient; one must get at the extent to which each technique enhances
the subject's skill at deploying attention in a focused, passive, and receptive
way. Even so, Smith suspected we would then find that genuine relaxation is not
necessarily always associated with changes in arousal. [23]
This exchange tells
us that within psychology as an academic experimental discipline there has been
significant movement from reductionistic modeling that does not even acknowledge
the reality of consciousness-the position of the radical behaviorists who controlled
much of the methodological dialogue in the discipline since J. B. Watson's infamous
proclamation of 1913-to at least a consideration of those aspects of meditation
that can be operationalized. It further suggests that scientists who are also
practitioners are not only more active in cross-disciplinary research, but by
the 1980s were ready to engage in discussions with their more reductionistic colleagues
on issues of method and interpretation. Subsequently, history has shown that the
discussion has not only moved out into the wider field of medical science, but
continues to develop in the direction set not by the reductionists but by the
scientist-practitioners of meditation.
Governmental Research and Medical Science
More
recently, in this regard, an assessment of meditation has emerged in several statements
made by investigating agencies of the United States government. Between 1988 and
1991, the National Research Council, in a project commissioned by the Army Research
Institute, issued a series of findings on the assessment of techniques believed
to enhance human performance. [24] These included, among numerous other topics,
such approaches as self-help groups, subliminal tapes, and meditation. The overall
conclusion of the investigators regarding the effect of meditation was widely
disseminated in the public press as the official position of the NRC. Their assessment
of the available scientific research led them to the conclusion that meditation
seems to be no more effective than established relaxation techniques; and it was
therefore unwarranted to attribute any special effects to meditation alone.
More
than this, however, the overall tone of the entire research endeavor was negative
and skeptical to begin with. Numerous criticisms emerged afterward of misinterpretation
of data and false conclusions even from established experimentalists. As well,
the analysis of the experimental literature on meditation was undertaken by two
psychologists who had no expertise in the area of meditation research, although,
somewhat ludicrously, they attempted to launch a definition and explanation of
what they considered to be the different types of meditation/ They compared a
few specific studies that had no basis for factual comparison according to the
experimental standards they themselves had set, and they based their overall analysis
of all experimental studies undertaken on meditation by reading a single outdated
summary that had been commissioned some years earlier from a single researcher.
To underscore the fact that their conclusions were based on a philosophical bias
rather than basic research, they even included an epistemological coda admitting
that to be the case. [25]
In October 1995, a more positive and forceful recommendation
was made in a joint statement issued by agencies within the National Institutes
of Health. The recommendation was based on the outcome of a major technology assessment
conference that attempted to integrate behavioral and relaxation approaches into
the treatment of chronic pain and insomnia. [26] One of the major interventions
considered was that of meditation. The sponsoring agencies for this conference
included The Office of Medical Applications of Research and the newly founded
Office of Alternative Medicine. These groups were then backed by co-sponsoring
agencies that included the National Institute of Mental Health, the National Institute
of Dental Research, the National Heart, Lung, and Blood Institute, the National
Institute on Aging, The National Cancer Institute, the National Institute of Nursing
Research, the National Institute of Neurological Disorders and Stroke, and the
National Institute of Arthritis and Musculoskeletal and Skin Diseases. Combining
meditation under the same heading as autogenic training and progressive muscle
relaxation, and determining that these were deep rather then merely brief methods
of standard relaxation therapy, the conference members concluded that "the
evidence is strong for the effectiveness of this class of techniques in reducing
chronic pain in a variety of medical conditions." [27] They recommended the
commitment of funds to research trials that tested these combined forms of therapy
and the integration of alternative medicine with traditional scientific medical
practice.
Here again we have the classic differentiation between the attitudes
of laboratory versus clinical researchers. Basic researchers believe that they
are doing the real science and only what comes out of the laboratory should be
applied to clinical situations. Clinicians, on the other hand, faced with the
real live complexity of human problems, maintain that most of what comes out of
basic science is done to prove some theory, while what they say they really need
is data on concrete, workable interventions for immediate life situations. While
there is a revolution now going on in the neurosciences affecting how basic scientists
communicate with one another, a completely different revolution is going on at
the level of clinical services, one that has deep roots in values and attitudes,
lifestyle choices the patient alone can make, alternative forms of healing, and
an appeal to the spiritual dimension of human experience. Consequently, the National
Research Council has had its say on the scientific validity of studying meditation,
which has now been superseded by the more recent conclusions of the National Institutes
of Health.
As this brief overview indicates, in their first edition, Murphy
and Donovan gave us a summary of meditation research that anticipated, among other
trends, the rising influence of psychology in general medicine, the increasingly
important role of beliefs and values in the healing process, the possibility of
a new dialogue emerging between science and religion framed in terms of spiritual
experience, and the potential impact that different models of consciousness might
have on our understanding of character development. Presciently, as the current
update suggests, these still seem to be rising trends for the future.
Chapter
1:
Scientific Studies of Contemplative Experience: An Overview
by Michael
Murphy
Scientific studies of meditation and other forms of contemplative
experience have only recently become a subject of scientific interest within the
last half century. In 1931 Kovoor Behanan, an Indian graduate student in psychology
at Yale, was awarded a Sterling Fellowship to undertake what has since been recognized
as the first empirical study of yoga and meditation. Supported in this research
by Walter Miles, an eminent professor of psychology, Behanan wrote a book about
yoga that described quantitative studies of his own yogic breathing. During 72
days of experiments at Yale, he found that one breathing exercise, or pranayama,
increased his oxygen consumption by 24.5%, a second by 18.5%, and a third by 12%
(Behanan, 1937, Miles, 1964). This study helped stimulate interest in meditation
research by showing that the physiological effects of yoga could be examined in
the laboratory (Behanan, 1937). Unlike many tales by travelers to the East, Behanan's
straightforward, well-observed account of his laboratory research was free of
exaggeration and mystification.
Behanan also studied Indian yogis. He was guided
in this work by Swami Kuvalayananda, who promoted yoga research at a center for
meditation practice he founded in the 1920s at Lonavla, a hill station near Bombay.
Kuvalayananda developed a system of physical culture that included asanas and
pranayamas, and he established a yogic therapy for many afflictions. His work
was supported by several Indian states, two provincial governments of British
India, Indian health agencies, and American foundations. For many years, the results
of his laboratory research were published in a quarterly journal, Yoga Mimamsa,
which also provided instruction on postures, breathing exercises, and other disciplines.
Many people interested in yoga research visited Lonavla, among them psychologists
Basu Bagchi of the University of Michigan Medical Center and M. A. Wenger of UCLA,
who gave new impetus to meditation studies in the 1950s. From the 1920s into the
1960s, Swami Kuvalayananda did much to promote the scientific study of yoga.
In
1935 a French cardiologist, Therese Brosse, took an electrocardiograph to India
and studied yogis who said they could stop their heart. According to Brosse's
published report, readings produced by a single EKG lead and pulse recordings
indicated that the heart potentials and pulse of one of her subjects decreased
almost to zero, where they stayed for several seconds (Brosse, 1946). Her finding
was criticized, though, by Wenger, Bagchi, and B. K. Anand in their later, more
thorough studies of yogic adepts (see below). Brosse also studied a yogi who was
buried for ten hours, and described other examples of self-control she had witnessed.
Like Behanan and Swami Kuvalayananda, she helped promote the idea that yogic feats
could be studied with scientific instruments.
The instrumented study of yogic
functioning was expanded by Bagchi, Wenger, and Anand. Anand was then chairman
of the Department of Physiology at the All-India Institute of Medical Sciences
in Delhi. Their landmark studies during the late 1950s were reported in American
scientific journals. Along with studies of Zen masters by Akira Kasamatsu and
Tomio Hirai in Japan (see below) the Indian studies gave new momentum to meditation
research. For five months in 1957, Bagchi and Wenger traveled through India with
an eight-channel electro-encephalograph and accessory instruments to record respiration,
skin temperature, skin conductance, and finger blood-volume changes. During their
trip they established experiments in Calcutta, Madras, Lonavla, and New Delhi,
and conducted further tests in homes and a mountain retreat (Bagchi and Wenger,
1957; Wenger and Bagchi, 1961; Wenger et al., 1961; Bagchi, 1969). Among the subjects
they examined, one could perspire from his forehead upon command in his freezing
Himalayan retreat; a second could regurgitate at will to cleanse himself (Wenger
& Bagchi, 1961). Three others altered their heartbeats so that they could
not be heard with a stethoscope, though EKG and plethysmographic records showed
that their hearts were active and their pulses had not disappeared. [28] In tests
to compare relaxation in a supine position with seated meditation, Bagchi and
Wenger found that four yoga students had faster heart rates, lower finger temperatures,
greater palmar sweating, and higher blood pressure during meditation, though their
respiration rates were reduced. Five yogis given similar tests exhibited even
faster heart rates, lower finger temperatures, greater palmar conductance, and
higher blood pressures during meditation than the students, though their breathing
was slower. Such differences suggested that for these yogis meditation was an
active rather than a passive process (Wenger and Bagchi, 1961).
Bagchi and
Wenger also studied the effects of breathing exercises and found that some of
their subjects, especially experienced ones, could produce bidirectional changes
in every autonomic variable that the experimenters measured. Though the two psychologists
found that their subjects exhibited some dramatic physiological changes, they
were cautious in drawing conclusions about yogic claims in general. "Direct
voluntary control of autonomic functions is probably rare among yogis," they
wrote. "When such control is claimed, intervening voluntary mechanisms are
usually employed." They made this qualification, however: "We have met
many dedicated yogis who described experiences to us that few Western scientists
have heard of and none has investigated. It is possible that the mere presence
of a foreigner precludes optimum results"(Wenger and Bagchi, 1961).
Other
researchers have confirmed the discovery by Bagchi and Wenger that some subjects
exhibit more than one pattern of physiological activity during their yogic practices.
N. N. Das and H. Gastaut studied seven Indian yogis, who registered no muscular
electrical activity during periods of complete immobility though their heart rates
accelerated in almost perfect parallel with accelerations of their brain waves
during moments of ecstasy. The most accomplished among these seven subjects, moreover,
exhibited "progressive and very spectacular modifications" in their
EEG records during their deepest meditations, including recurrent beta rhythms
of 18-20 cycles per second in the Rolandic area of the brain, a generalized fast
activity of small amplitude as high as 40-45 cycles per second with occasional
amplitudes reaching 30 to 50 microvolts, and the reappearance of slower alpha
waves after samadhi, or ecstasy, ended. In summarizing their study, Das and Gastaut
concluded that:
The modifications [we] recorded during very deep meditation
are much more dramatic than those known up till now, which leads us to suppose
that western subjects are far from being able to attain the yogi state of mental
concentration.
It is probable that this supreme concentration of attention
. . . is responsible for the perfect insensibility of the yogi during samadhi;
this insensibility, accompanied by immobility and pallor often led people to describe
this state as sleep, lethargy, anesthesia, or coma. The electroencephalographic
evidence here described contradicts such opinions and suggests that a state of
intense generalized cortical stimulation is sufficient to explain such states
without having to invoke associated processes of diffuse or local inhibition (Das
and Gastaut, 1955)
Das and Gastaut's conclusion does not contradict the widespread
findings of subsequent meditation studies that many or most meditators experience
the trophotropic or relaxation response described by E. Gellhorn, W. Kiely, Herbert
Benson, and other researchers (Gellhorn and Kiely, 1972; and Benson, 1975). Most
subjects in meditation studies do not experience yogic ecstasy and so do not exhibit
the cortical excitement that Das and Gastaut observed. Furthermore, different
kinds of religious practice produce different types of experience accompanied
by different types of physiological change. Kasamatsu and Hirai's Zen masters,
for example, exhibited high-amplitude alpha and theta waves, not beta waves, during
their deepest meditations (see below).
Further evidence that contemplative
practice produces different physiological profiles was provided by B. K. Anand,
G. S. Chhina, and Baldev Singh, who found that four yogis exhibited persistent
alpha activity with increased amplitude during trance. These four yogis exhibited
no alpha-wave blocking when they were bombarded with loud banging, strong lights,
and other sensory stimuli, and two of them showed persistent alpha activity while
holding their hands in ice-cold water for forty-five to fifty-five minutes (Anand,
Chhina, and Singh, 1961a). The yogis in this experiment exhibited physiological
differences during meditation from at least two other groups of accomplished meditators.
They did not exhibit alpha blocking in response to strong stimuli, in contrast
to the Zen masters studied by Kasamatsu and Hirai (see below). Nor did they exhibit
the beta waves that appeared on the EEGs of Das and Gastaut's subjects. The difference
from the Zen masters probably resulted from a basic difference in focus between
the two groups, the yogis having withdrawn their attention from external stimuli,
whereas the Zen masters remained aware of their external environment. Their difference
from Das and Gastaut's yogis, on the other hand, might have been due to differences
between their styles of meditation, the conditions of the experiments, or the
qualities of their experience. The strong stimuli Anand gave his subjects, for
example, may well have prevented the more ecstatic absorptions experienced by
Das and Gastaut's yogis. The published reports of the Das-Gastaut and Anand-Chhina-Singh
experiments do not provide enough detail to fully explain their different results,
but they remind us that there are different kinds of contemplative experience.
Roland Fischer, Julian Davidson, and other researchers have proposed some ways
in which internal states might be correlated with different physiological profiles
(Fischer, 1971; and Davidson, 1976).
In a study published in 1958, the Indian
researchers G. G. Satyanarayanamurthi and B. P. Shastry described a yogi whose
heart kept beating for thirty seconds even though his radial pulse could not be
felt and his heart could not be heard with a stethoscope. This yogi's EKG showed
no abnormalities, moreover, and finger plethysmography showed that his pulse was
present though greatly reduced. The two researchers claimed that fluoroscopy conducted
while the yogi was lying down showed that for several 30-second periods the beating
of his heart was just a "flicker along the left border below the pulmonary
conus and in the apical segment of the left ventrical." They concluded that
he achieved this control through the Valsalva maneuver. [29]
Elmer and Alyce
Green, with their colleagues at the Menninger Foundation in Topeka, Kansas, also
observed exhibitions of yogic heart control. Their subject, Swami Rama, while
sitting perfectly still, produced an atrial flutter of 306 beats per minute that
lasted for sixteen seconds. During a fibrillation of this kind, a section of the
heart oscillates rapidly while its chambers do not fill and its valves do not
work properly, but Swami Rama gave no sign that the maneuver caused him any pain
or heart damage. The swami also produced an IIF difference between the left and
right sides of his right palm. While he did this, the left side of his palm turned
pink and the right side gray (Green and Green, 1977).
Yogis frequently use
abdominal contractions to slow their heart rate rather than intervening more directly
through the central nervous system. Curiously, though, an earlier study had examined
a man with no yogic training at all who could stop his heart without such maneuvers,
simply by relaxing and "allowing everything to stop." By this procedure,
he could induce a gradual slowing of his pulse until he started to faint, at which
point he would take a deep breath. When EKG tests showed that his heartbeat did
indeed disappear, the doctor who examined him concluded that the man's cardiac
arrest was induced through some mechanism which, although under voluntary control,
is not known to the patient himself. Careful observation did not reveal any breath-holding
or Valsalva maneuver. Apparently the patient simply abolished all sympathetic
tone by complete mental and physical relaxation (McClure, 1959).
Like heart
stopping, the live burial of yogis has excited the interest of several researchers.
A physician, Rustom Jal Vakil, published an account in the British journal Lancet
of such a confinement that was witnessed by some 10,000 people near Bombay in
February 1950. According to Vakil, an emaciated sadhu named Ramdasji sat cross-legged
in a subterranean 216-cubic-foot cubicle and remained there for sixty-two hours.
His pulse remained steady at eighty beats per minute; his blood pressure was 112/78;
and his respiratory rate fluctuated from eight to ten breaths per minute. Though
he had some scratches and cuts, Vakil wrote, Ramdasji appeared "none the
worse for his grueling experience.'' (Vakil, 1950).
In June 1956, a more closely
observed study of yogic confinement was conducted under the auspices of the All-India
Institute of Mental Health in Bangalore with a Hatha yogi, Krishna Iyengar. Hoenig,
a psychiatrist from the University of Manchester, witnessed the experiment and
described it in a review of yoga research published in 1968 (Hoenig, 1968). According
to Hoenig's report, a pit some two by three by four feet was dug on the institute's
grounds and covered with wire meshing, a rubber sheet, and cotton carpet. An electrode
junction box connected to an EEG and an EKG was placed in the pit along with instruments
to measure temperature and concentration of gas. The yogi was confined for nine
hours. When he was released he immediately walked about the grounds, according
to Hoenig's firsthand account, and demonstrated athletic feats including a headstand
with his legs in the lotus position. The percentage of carbon dioxide in the air
in his enclosure, which was 1.34% at the beginning of the experiment, was only
3.8% at the end, lower than would normally be expected. Iyengar's heart rate gradually
slowed from 100 to 40 beats a minute in recurring twenty- to twenty-five-minute
cycles, but his EKG record did not register any other abnormality and the cycles
did not coincide with his breathing or brain-wave patterns. The yogi's EEG showed
a normal waking record for the full nine hours, characterized by a stable alpha
rhythm of 50 microvolts with no evidence of sleep or interference caused by physical
movement. From these records, the experimenters concluded that their subject lay
motionless and wide awake, without the active cognition that would have reduced
or eliminated his alpha rhythm. Iyengar said he had maintained the shavasana,
or corpse pose, using ujjaya breathing while remembering the names of God. He
was surprised that his heart had speeded and slowed, and could not explain why
it had done so. It beat normally, however, after the experiment.
Because the
earthen pits used in most yogic confinements leak oxygen and carbon dioxide, Anand,
Chhina, and Singh tested a yogi named Ramanand in an airtight glass and metal
box, once for eight hours and again for ten hours. The yogi's average oxygen use
during the first experiment decreased from the basal rate of 19.5 liters per hour
to 12.2, and during the second experiment to 13.3 liters per hour. His carbon
dioxide output went down during both experiments. Ramanand, moreover, did not
exhibit any rapid breathing or speeded heart rate as the oxygen in his box diminished
and carbon dioxide increased. "Sri Ramanand Yogi could reduce his oxygen
intake and carbon dioxide output to levels significantly lower than his requirements
under basal conditions," Anand and his colleagues wrote. "It appears
from this study that [he] could voluntarily reduce his basal metabolic rate on
both occasions he went into the box." [30]
During a remarkable experiment
reported by L. K. Kothari and associates, a yogi was buried for eight days in
an earthen pit and connected by leads to an EKG in a nearby laboratory. After
the pit was boarded up, the subject's heart rate sometimes went as high as fifty
beats per minute, until a straight line appeared on the EKG tracing when the yogi
had been in the pit for twenty-nine hours. There had been no slowing of his heart
immediately before the straight line appeared, nor any sign of electrical disturbance,
but the experimenters proceeded with certainty that their subject had not died.
Suspecting that their EKG leads had been deliberately or accidentally disconnected,
they checked their machine and continued to monitor its tracings. To their astonishment,
it started to register electrical activity some seven days later, about a half
hour before the yogi's scheduled disinterment. "After some initial disturbance,"
they wrote, "a normal configuration appeared. The [speeded heart rate] was
again there but there was no other abnormality." When the pit was opened,
the yogi was found sitting in the same posture he had started in, but in a stuporous
condition. In accounting for his remarkable EKG record, the experimenters argued
that a disconnection of the EKG lead would have produced obvious markings on the
tracings in their laboratory, as they found when they tried to simulate ways in
which the yogi might have tinkered with it.
Furthermore, the yogi was ignorant
about such machines, and the pit was completely dark. If the machine had malfunctioned
in some way they could not ascertain, it seemed an extraordinary coincidence that
it started again just a half hour before their subject's scheduled release. Apparently,
the yogi was operating with some kind of internal clock that did not depend upon
the daily cycles of light and darkness, for the most likely cause of the straight
line on his EKG tracing was a dramatic decrease in the activity of his heart.
Kothari and his colleagues finally could not account for this remarkable cardiac
record (Kothari et al., 1973).
Studies
of Zen Buddhist Monks
In a study that attracted much attention among meditation
and biofeedback researchers during the 1960s, Akira Kasamatsu and Tomio Hirai,
physicians at the University of Tokyo, studied the EEG changes exhibited during
meditation by Zen teachers and their disciples (forty-eight in all) from Soto
and Rinzai centers in Japan. For experimental control, they studied the EEGs of
twenty-two subjects with no experience at meditation. They made EEG recordings;
recorded their subjects' pulse rates, respiration, and galvanic skin response;
and tested their responses to sensory stimuli during meditation. The recordings
on the Zen monks were made during a weeklong retreat, or sesshin, at a Zendo,
except for a few tests at the experimenters' laboratory. The Zen teachers and
their most experienced students exhibited a typical progression of brain-wave
activity during meditation, which Kasamatsu and Hirai divided into four stages:
"
Stage 1: Characterized by the appearance of alpha waves in spite of opened eyes.
" Stage 2: Characterized by an increase in amplitude of persistent alpha
waves.
" Stage 3: Characterized by a decrease in alpha frequency.
"
Stage 4: Characterized by the appearance of rhythmical theta trains (Kasamatsu
and Hirai, 1966).
Not all four stages were evident in every Zen practitioner,
nor in any of the controls, but a strong correlation existed between the number
of stages a given student exhibited and that student's length of time in Zen training.
This correlation was supported by a Zen teacher's evaluation of each student's
proficiency. The teacher ranked the students in three levels, without seeing their
EEG records, and his rankings correlated well with Kasamatsu and Hirai's assessment
of their EEGs.
The Kasamatsu-Hirai study also revealed significant differences
between four Zen masters and four control subjects in their response to repetitive
click stimuli. Like the Zen masters, the controls exhibited a blocking of alpha
when a click sound first occurred, but they gradually became habituated to such
stimuli so that their brain-wave activity no longer responded when a click was
made. The Zen masters, however, did not become habituated, but continued to exhibit
blocking as long as the stimuli continued. This finding indicates that Zen practice
promotes a serene, alert awareness that is consistently responsive to both external
and internal stimuli (Kasamatsu et al., 1957; Hirai, 1960; and Kasamatsu and Hirai,
1963).
Difficulties of Research with Religious Adepts
Though people testified
under oath before the Congregation of Rites that they had seen Saint Teresa of
Avila or Saint Joseph of Cupertino defy gravity, no scientific studies have recorded
instances of levitation. There are at least three possible reasons for this lack
of evidence. First, of course, it might be that levitation has never happened.
Second, the contemplative traditions might have lost their power to evoke the
phenomenon. Third, levitation might only occur during rare and spontaneous ecstasies
that cannot be programmed to meet the requirements of a scientific experiment.
Superordinary lifting from the ground, if it in fact occurs, would require an
improbable set of circumstances which a scientist would be lucky to witness. Levitation,
like other holy powers, would have to be caught "in the wild." In a
laboratory, with wires attached to his head and a thermometer up his rectum, a
yogi or lama is unlikely to exhibit a capacity that is rare in any case. In studies
of extraordinary functioning there is a trade-off between robust results and scientific
precision. Uninhibited by recording machines and safety rules, for example, the
Maharaja Runjeet Singh could bury Haridas for forty days. More recent studies
of yogic confinement, however, have been constrained by procedural controls and
humane considerations.
Furthermore, there is often a disjunction between a
scientist's attitude toward exceptional powers and an adept's ideas about them.
Elmer Green, for example, described differences he had with the healer Jack Schwartz
in interpreting Schwartz's intuitive diagnosis of illness. According to Schwartz,
the question was:
Are the auras one sees always radiatory patterns of energy
from the human body . . . or are they automatic mental projections of one kind
or another that are used psychologically to interpret a "knowing"? Sometimes
when we "know" something in this way we tend to "see" it in
the same way that we see a memory (Green and Green, 1977, p. 240).
Green was
sympathetic to Schwartz, however, realizing that a scientist's constant doubt
can inhibit or destroy a psychic's intuitions. This fundamental difference between
scientists and psychics, Green wrote:
Need not cause problems if each takes
time to understand the framework in which the other necessarily operates. If the
psychic tries to pull apart every perception in order to find out if it is incorrect,
so as to better determine the "truth," what is most likely to be pulled
apart is the faculty of "seeing." The talent for perceiving might well
fade away. On the other hand, if scientists stopped trying to find alternate explanations
for the facts, they might get lost in a maze of [incoherent] ideas. For both scientists
and mystics, however, the area of facts rather than interpretations is common
ground. Excluding the opinions of fanatics, most of the arguments that we are
aware of between the two camps have revolved around interpretations. Because psychics
almost always have idiosyncratic factors in their frames of reference, scientists
often do not understand them. And psychics do not understand what seems to them
to be a destructive attitude on the part of scientists (Green and Green, 1977,
p. 242).
Sympathy between scientists and adepts was evident in Swami Kuvalayananda's
projects noted above, and in other experimenter-subject teams described in the
preceding pages. Even the stern mutual challenge between Haridas and Maharaja
Runjeet Singh exhibited an exemplary, if somewhat perverse, cooperation. Productive
study of extraordinary functioning requires understanding between accomplished
subjects and imaginative experimenters.
Contemporary Meditation Research
Meditation
research increased dramatically during the 1970s and 1980s, particularly in the
United States. This burgeoning effort was stimulated in part by the studies of
yogis and Zen masters noted in the previous section, and in part by the publication
of landmark studies by Herbert Benson and Keith Wallace in Science, the American
Journal of Physiology, and Scientific American between 1970 and 1972 (Wallace,
1970; Wallace et al., 1971b; Wallace and Benson, 1972). The Transcendental Meditation
Society supported much of this work, though its enthusiastic claims and advertising
efforts caused doubts among some researchers about the highly favorable outcomes
in studies it sponsored (Shapiro, 1982). These doubts led to further research,
which has either contradicted, tempered, or confirmed the TM-sponsored claims.
Since the early 1970s, more than a thousand studies of meditation have been reported
in English-language journals, books, and graduate theses. The range of outcomes
included in this research has grown considerably since the studies of yogis and
Zen masters by Bagchi, Wenger, Kasamatsu, and Hirai. Cardiovascular, cortical,
hormonal, and metabolic changes, several behavioral effects, and alterations of
consciousness resulting from meditation have been explored in recent years. The
medical instrumentation, psychological tests, and methods of analysis used in
such experiments have been improved, and the range of subject populations has
been enlarged to include different kinds of subject groups. This growth in sophistication
of method is gradually improving our scientific understanding of meditation in
ways that complement the insights contained in the traditional contemplative literature.
However, the overall picture of results on the subject of meditation produced
by modern research remains uneven. Some effects have appeared consistently, but
others have not.
The apparent inconsistencies defining the effects of meditation
can be accounted for in various ways. Some physiological processes, perhaps, are
unaffected by meditation, no matter how proficient or experienced the meditator
might be; or perhaps they are affected to an insignificant degree. For some changes,
such as amino acid concentrations in the blood, there has not been enough research
to establish a consistent picture, partly because there has not been as much interest
in these variables as in the effect of meditation on blood pressure, heart rate,
and other indices that have an obvious bearing on health. Taking blood samples
during meditation, moreover, is harder to accomplish than recording blood pressure
or skin responses.
Individual differences also present a special problem for
understanding the results of meditation studies, because subject populations have
included people of both sexes, all ages, various levels of education, and different
kinds of social background. Many subjects have been college students with no previous
experience at meditating; others have been recent converts to religious groups;
but only a few have been highly skilled in spiritual practice. The incentives
to concentrate during experimental sessions have also varied. Some subjects have
wanted success for religious or other reasons, while others seem not to have been
well motivated. And differences between meditation styles also complicate the
results of such research. Though most studies have used some type of quiet concentration,
some have used active methods such as rapid breathing. Julian Davidson, Roland
Fischer, and others have distinguished between two classes of meditation, those
that relax and those that excite, associating their effects with the trophotropic
and ergotropic conditions of the central nervous system modeled by Gellhorn and
Kiely (Davidson, 1976; Fischer, 1971, 1976; Gellhorn and Kiely, 1972).
The
results of scientific research on the subject of meditation are accumulating now,
forming a publicly accessible body of empirical data that can serve generations
to come. Unfortunately, however, these data are derived mainly from beginning
practitioners of meditation, and taken as a whole do not reflect the richness
of experience described in traditional contemplative teachings. They are also
limited by the conventional scientific insistence that results be repeatable.
Certain important experiences occur only rarely in meditation, and a science that
disregards them loses important empirical results. For these reasons, contemporary
research does not illumine the full range of experience described in the contemplative
scriptures and the oral traditions from which they come. Modern studies give us
only a first picture of the foothills, with a few glimpses of the peaks. Still,
what they give us corresponds in several ways with traditional accounts.
Chapter
2:
Physiological Effects
by Michael Murphy and Steven Donovan
[While
meditation can be considered as a cognitive strategy by which consciousness gains
control over normally non-conscious states of awareness, including involuntary
bodily processes, the physiology of meditation has received more attention than
any other subject from Western scientists quite out of proportion to all other
dimensions of meditative experience.
Historically, this is largely because,
for three hundred years, the dualism of Descartes has required an absolute separation
of mind and body, while its handmaiden and more recent dictum of research, scientific
positivism, asserts mechanistically that what is immediately physical and material
constitutes all there is to reality. Hence, the most visible and palpable form
of a phenonenon is the only proper object of scientific scrutiny.
Modern researchers,
by virtue of the fact that they are engaged in applying the methods of reductionistic
science, even as they apply such methods to seemingly disreputable topics, cannot
avoid these constraints. Thus the physiology of meditation has been the starting
point and remains at the center of most research efforts. Ed.]
The Cardiovascular
System
Heart Rate
Many contemporary studies have indicated that the heart
rate usually slows in quiet meditation and quickens during active disciplines
or moments of ecstasy, as we would expect from contemplative writings that describe
the calming effect of silent meditation [31] and the stimulation of exercises
such as Tantric visualization or devotional chanting. [32]
Most studies of
Transcendental Meditation (TM), Zen Buddhist sitting, Herbert Benson's "relaxation
response," and other calming forms of meditation indicate that meditating
subjects generally experience a lowering of the heart rate. The results of such
studies vary to some degree, since they depend on different kinds of subject groups
and various experimental procedures, with some showing an average decline of seven
beats or more per minute among their subjects and some showing two or three beats
per minute among some of their subjects. Bagga and Gandhi (1983) found an average
decline as high as fifteen beats per minute among some of their subjects. Some
studies indicate that meditation lowers the heart rate more than biofeedback,
progressive relaxation, other therapies, or simple sitting, while other studies
indicate that these various activities have an equivalent effect on the heart
rate. Once again, such differences in outcome can be accounted for by differences
among subjects and experimental designs.
A decline in heart rate is more pronounced
among experienced meditators, according to a few studies, though here too the
evidence is not unanimous. The only generalization we can make safely now is that
some subject groups demonstrate an average lowering of heart rate during meditation,
and that some experienced individuals may achieve a permanent lowering of the
heart rate with continued practice.
In studies involving active methods such
as rapid breathing, though, the heart rate has risen. Such studies suggest that
patterns of physiological activity are specific to particular practices.
Julian
Davidson (1976), Roland Fischer (1971, 1976), and other researchers have distinguished
excitatory from relaxing forms of meditation, associating their effects with the
ergotropic and trophotropic conditions of the central nervous system modeled by
Gelhorn and Keily (1972). Fischer (1971) has said that the extreme trophotropic
state of samadhi sometimes triggers an extreme ergotropic reaction, which may
be ecstatic, so that the physiological effects of contemplative activity show
wide variability.
The following studies show a decrease in heart rate during
meditation. Bono (1984) found that the reduction of heart rate during TM was greater
than the reduction resulting from sitting quietly with eyes closed. Delmonte (1984f)
found that heart rates were slightly lower during meditation than rest for fifty-two
subjects. Holmes et al. (1983), however, found that while meditators had lower
heart rates while practicing TM, they did not experience lower arousal than control
subjects who were simply resting. See follow-up discussion, particularly Dillbeck
and Orme-Johnson (1987), Morrell (1986), and Holmes (1984).
Bagga and Gandhi
(1983) compared groups of six TM practitioners and six Shavasana practitioners
(relaxing while lying on one's back) with six controls, and found significantly
reduced heart rates for both experimental groups versus the control group. Cummings
(1984) observed reduced heart rates for those practicing a combination of meditation
and exercise. Throll (1982) found that a Transcendental Meditation group displayed
a more significant decrease in heart rate than a group using Jacobson's progressive
relaxation.
Pollard and Ashton (1982) divided sixty subjects into six groups
in a comparison of heart rate decrease obtained by visual feedback, auditory feedback,
combined visual and auditory feedback, instructions to decrease heart rate without
biofeedback, sitting quietly, and abbreviated relaxation training. A comparison
group of meditators with a minimum of six years of experience was also studied.
The results indicated that there was no advantage of a heart rate decrease task
for subjects receiving visual, auditory, or combined biofeedback, though all groups
showed evidence of a decline in heart rate over the testing session. The meditation
group showed the greatest overall decline, with a decrease in heart rate of approximately
seven beats per minute, versus three beats per minute for the groups using biofeedback
techniques.
Cuthbert et al. (1981) had results demonstrating clear superiority
for meditators using Benson's relaxation response versus heart rate biofeedback,
especially when the subject experimenter relationship was supportive. Lang et
al. (1979) placed the heart rate decrease for advanced TM meditators with more
than four years of practice at 9%. Bauhofer (1978) found that the heart rates
of experienced TM meditators were lowered by TM more than those of less experienced
TM meditators. Corey (1977) and Routt (1977) reported that Transcendental Meditation
appeared to decrease heart rate under nonstress conditions. Glueck and Stroebel
(1975), Wallace and Benson (1972), Wallace et al. (1971c), and Wallace (1971)
found that the heart rate decreased from three to five beats per minute during
Transcendental Meditation. Reports of reduced heart rates during meditation extend
back to Paul (1969), Karambelkar et al. (1968), Anand and Chhina (1961), Wenger
and Bagchi (1961), Bagchi and Wenger (1957), and Das and Gastaut (1955).
Kothari
et al. (1973) reported the case of a yogi who was confined to a small underground
pit for eight days and continuously monitored with an EKG. From the second day
until the eighth, EKG activity was below a recordable level, indicating that the
yogi had either stopped his heart or greatly decreased its electrical activity.
The authors believe that the yogi could not have tampered with the EKG leads without
creating an obvious electrical disturbance.
Some studies indicate that heart
rates increase under certain circumstances, such as deeply absorbed trance (samadhi)
[see Lehrer et al. (1980), Parulkar et al. (1974), Wenger and Bagchi (1961), and
Das and Gastaut (1955)]. Other research shows no consistent changes in heart rate
with the practice of Ananda Marga Yoga or progressive relaxation [see Gash and
Karliner (1978), Elson et al. (1977), Travis et al. (1976), Wenger et al. (1961),
and Bagchi and Wenger (1957)].
We could not find accounts in the traditional
literature describing the number of heartbeats one should expect during meditation,
with which we could compare the numbers in modern studies. Contemplative masters
did not share the scientific passion for quantitative analysis and generally appreciated
the differences in physiology and temperament among their followers. They also
did not have the means to measure bodily changes precisely, and generally wouldn't
have used them if they had.
Redistribution of Blood Flow
Blood flow is
directly or indirectly manipulated for mental clarity, health, increased energy,
or the promotion of religious emotion through hatha yoga postures, breathing exercises,
prostrations, tai chi movements, dervish dancing, and other activities associated
with the contemplative traditions. Traditional teachers could not measure blood
flow with scientific exactness, of course, but some of them could skillfully guide
their students' practice through empathy, intuition, and kinesthetic feel, and
in doing so they sometimes looked for bodily signs related to blood circulation,
such as flushing of the face and chest and changes in skin tone and complexion.
[33] The picture of meditation's effect on blood flow provided by modern studies
is quite preliminary, though. Most of it comes from TM-sponsored research.
Delmonte
(1984f) tested fifty-two subjects and found that meditators showed a significantly
greater increase in digital blood volume during meditation than rest. Jevning,
Wilson, and O'Halloran (1982) studied muscle and skin blood flow and metabolism
during states of decreased activation in TM. They concluded that acute decline
of forearm oxygen consumption has been observed during an acute, wakeful behaviorally
induced rest/relaxation state. This change of tissue respiration was not associated
with variation of rate of forelimb lactate generation. Since forearm blood flow
did not change significantly during this behavior, the decline of oxygen consumption
by forearm was due almost solely to decreased rate of oxygen extraction. Decreased
muscle metabolism was a likely contributor to these observations. The occurrence
of sleep was not related to the metabolic change. The lack of coupling between
the metabolic and blood flow changes during this state of decreased activation
suggests limitation of the hypothesis of obligatory coupling between systemic
and/or regional cardiovascular and metabolic function.
Earlier, Jevning and
Wilson (1978) reported that TM increased cardiac output among twenty-seven subjects
by an average of 16% (ml/min measured by dye dilution methods), decreased hepatic
blood flow by an average of 34% (ml/min measured by clearance methods), and decreased
renal blood flow by an average of 29% (ml/min measured by clearance methods),
suggesting an increase of approximately 44% in the nonrenal, nonhepatic component
of blood flow (versus an increase of approximately 12% for an eyes-closed rest-relaxation
control group). Increased cerebral or skin blood flow may account for part of
this redistribution.
Jevning et al. (1976) found an average 15% increase in
cardiac output, an average 20% decline in liver blood flow, and an average 20%
decrease in renal blood flow among a group of six meditators practicing TM. A
control group of six showed no change in cardiac output and liver blood flow,
and a significant decline in renal blood flow. The authors believe that decreased
skin and muscle blood flow was suggested by other, indirect data, and that since
cardiac output increases and all measured organ blood flows decrease, it is possible
that cerebral perfusion increases markedly during TM. Jevning et al.'s findings
were a surprise because earlier studies had indicated a decrease in cardiac output
of 25% during TM (versus a decrease of about 20% in deep stage-four sleep) [see
Wallace (1970)].
Wallace et al. (1971a) speculated that the fall in blood lactate
during meditation might be due to increased skeletal muscle blood flow with consequent
increased aerobic metabolism. These researchers referred to Riechert (1976), who
recorded forearm blood flow increases of 30% with unchanged finger blood flow
(using a plethysmograph). Jevning and Wilson (1978) found that frontal cerebral
blood flow increased an average of 65% during TM for ten teachers of the technique
(five to eight years of regular practice), and remained elevated afterwards, with
brief increases up to 100-200% (measured by quadripolar rheoencephalography).
Levander et al. (1972) measured forearm blood flow (using a water plethysmograph)
in five subjects 180 times and reported that the pretest period mean blood flow
of 1.41 ml/100ml tissue volume/min increased to 1.86 ml/100ml tissue volume/min
during TM, and returned to pretest values during post-testing. Wallace and Benson
(1972) found an increase in forearm blood flow of 32% for their TM subjects.
Blood
Pressure and Hypertension
There is strong evidence that meditation helps lower
blood pressure in people who are normal or moderately hypertensive. This finding
has been replicated by more than nineteen studies, some of which have shown systolic
reductions among their subjects of 25 mmHg or more. In some studies a combination
of meditation with biofeedback or other relaxation techniques proved to be more
effective than meditation alone for some subjects. Several studies, however, have
shown that relief from high blood pressure diminishes or disappears entirely if
meditation is discontinued, and few people with acute hypertension have experienced
lower blood pressure in experiments of this kind.
At the time of this writing,
speculation regarding the mechanisms mediating meditation's beneficial effects
on high blood pressure appears to be inconclusive. Meditation often helps relax
the large muscle groups pressing on the circulatory system in various parts of
the body. It might also help relax the small muscles that control the blood vessels
themselves; when that happens, the resulting elasticity of blood vessel walls
would help reduce the pressure inside them. Other mechanisms may be involved,
which further research will reveal. The following studies explored meditation's
effect on blood pressure and hypertension:
Cort (1989) It was hypothesized
that the large the variability of results in different studies on the effect of
meditation on hypertension may be due to differences in compliance to the meditation
regimens. This study of fifty-one black adults supports the claim that greater
compliance to a meditation program leads to greater decreases in blood pressure.
Delmonte (1984f) Forty nonmeditators and twelve experienced Transcendental
Meditators were randomly assigned to four experimental cells devised to control
for order and expectation effects. All fifty-two (female) subjects were continuously
monitored in seven physiological measures during both meditation and rest. Each
subject was her own control in an experiment comparing meditation to rest. Analysis
of variance on change scores calculated from both initial and running (intertrial)
baselines revealed small but significant condition effects for all variables except
diastolic BP. With respect to systolic BP, the nonmeditators showed a significantly
larger drop from initial baseline during meditation than during rest. With respect
to running baseline, the meditators demonstrated a significantly smaller increase
in systolic blood pressure with the complete trial data and a greater decrease
with the end-of-trial data during meditation than during rest.
Wallace et
al. (1983b) This study measured systolic blood pressure using a standard mercury
sphygmomanometer on 112 transcendental meditators. The subjects had a mean systolic
blood pressure 13.7 to 24.5 less than the population mean. The analysis also showed
that meditators with more than five years of experience had a mean systolic blood
pressure 7.5 lower than meditators with less than five years of experience.
Bagga
and Gandhi (1983) The authors studied a group of eighteen people who were equally
divided into a TM, Shavasana (relaxing while lying on one's back), or control
group. After twelve weeks of practicing, the TM and Shavasana groups showed significant
declines in systolic blood pressure as high as 10 mmHg, whereas the control group
demonstrated no decline.
Hafner (1982) Twenty-one hypertension patients who
had been randomly assigned to eight one-hour sessions of either meditation training,
meditation plus biofeedback-aided relaxation, or a nontreatment control group
were studied. Statistically significant falls in systolic and diastolic blood
pressure occurred after both training programs, although overall reductions in
blood pressure were not significantly greater in either program than in the control
group. Meditation plus biofeedback-aided relaxation produced falls in diastolic
blood pressure earlier in the training program than did meditation alone. All
patients practiced meditation regularly between training sessions, but the amount
of practice did not correlate with the amount of blood pressure reduction after
training.<