676:) to oneself and others. In addition to learning various forms of meditation — which constitute the core of the course — participants engage in mindful movement, diary-based activity management, three-minute "breathing spaces", and habit-releasing practices. The course takes place over eight weeks, with weekly classes lasting 2.5 or 3 hours, and participants required to practice 20 minutes of meditation per day at home, as well as other short practices. In addition to the Breathworks Mindfulness for Health course, the MBPM approach has been adapted for those suffering primarily from stress in the Breathworks Mindfulness for Stress course.
736:
studies with MBPM course participants suffering from chronic pain and other long-term conditions found significant sustained improvements in quality of life, pain acceptance, and self-directed self management, with one study finding benefits sustained up to nine years after course completion. 2018 studies conducted in Brazil and Spain found significant lasting improvements in pain and quality of life among musculoskeletal pain and cancer patients. A 2018 literature review found that research on
Breathworks MBPM courses has shown them "to be very helpful for people with severe chronic pain and illness", while also noting that further
467:, which holds that pain is best managed through a multifaceted approach addressing the biological, psychological, and social aspects of a patient's life. MBPM is intended to form one part of a multifaceted pain management program, based on the understanding that mindfulness and meditation may reduce the experience of pain through calming the "mental, physical, emotional, and nervous systems, allowing them to return to a state of balance." This is based on extensive research indicating that
706:, which is manifested in its stress on bringing kindliness and compassion to all forms of meditative awareness, in its teaching of loving-kindness practices utilizing the imagination, and in its six-stage process progressing from the individual to the interpersonal and collective aspects of human experience. This emphasis has been connected by some observers with a sensitivity to concerns about removing mindfulness teaching from its original ethical framework within
264:
40:
463:", for instance, suggests that the experience of pain is connected with the operation of neural "gateways" that are affected by "emotional states, mental activity, and where attention is focused". These become persistently opened in people with chronic pain, even where underlying tissue damage has healed or is absent. Modern pain management draws on these understandings in the
695:– are all utilized in MBPM, but MBPM meditations are shorter and MBPM movement practice involves cultivating body awareness during simple, non-challenging movements. Like MBCT, MBPM places emphasis on working with difficult thoughts and emotions and on mindfulness in daily life, but MBPM incorporates a pacing program drawn from
740:
were needed. In addition to research indicating the effectiveness of MBPM as delivered through the
Breathworks Mindfulness for Health course, the effectiveness of MBPM as delivered through the Breathworks Mindfulness for Stress course and online Breathworks courses has also been supported by a number
385:
to live full-time in a residential
Buddhist community. In the late-1990s she suffered a further collapse in her health, confining her to home for long periods and requiring her to start using a wheelchair, which led her to re-evaluate her meditation practice. Burch realized that "my approach was out
735:
in 2013 found that chronic pain patients participating in an MBPM program experienced improvements in their mental health and perceived control of pain symptoms, as well as exhibiting physical changes in brain regions associated with cognitive control and emotional regulation. Long-term qualitative
421:
of the two arrows in the
Sallatha Sutta. According to this parable, while primary suffering or the unpleasant physical sensations that "come with being human" are inevitable, secondary suffering, which arises from mental "resistance and aversion", is not. MBPM programs train participants in kindly
718:
In addition to extensive evidence indicating the effectiveness of mindfulness-based interventions (MBIs) in general for pain management, and further evidence indicating the effectiveness of compassion-based practices for pain, a range of studies have specifically supported the effectiveness of
458:
and the medical benefits of mindfulness-based interventions (MBIs). In particular, MBPM grows out of new scientific understandings of pain that developed in the second half of the 20th century, which showed the complexity of the experience of pain and "the extent to which it involves the whole
911:
Pizutti LT, Carissimi A, Valdivia LJ, Ilgenfritz CA, Freitas JJ, Sopezki D, et al. (June 2019). "Evaluation of
Breathworks' Mindfulness for Stress 8-week course: Effects on depressive symptoms, psychiatric symptoms, affects, self-compassion, and mindfulness facets in Brazilian health
727:. A 2010 study found that chronic pain patients participating in a Breathworks MBPM program reported significantly higher levels of wellbeing than those in the control group, with significant positive changes in catastrophizing, depression, outlook, pain
450:
to meditation practice and daily life as a whole. Although the underlying principles of MBPM are drawn from
Buddhism, it is presented in secular language accessible to all and suitable for a modern healthcare intervention.
731:, and mindful attention, along with particularly large improvements in pain acceptance. (Catastrophizing has been found to be a particularly important predictor of quality of life in those with chronic pain.) A
1517:"Comparative evaluation of group-based mindfulness-based stress reduction and cognitive behavioural therapy for the treatment and management of chronic pain: A systematic review and network meta-analysis"
2083:
Henriksson J, Wasara E, Rönnlund M (December 2016). "Effects of Eight-Week-Web-Based
Mindfulness Training on Pain Intensity, Pain Acceptance, and Life Satisfaction in Individuals With Chronic Pain".
831:
Cusens B, Duggan GB, Thorne K, Burch V (2010). "Evaluation of the breathworks mindfulness-based pain management programme: effects on well-being and multiple measures of mindfulness".
544:
Mindfulness for Health course, which is structured according to a "six stage process" corresponding with practices taught at different stages of the course. The process is as follows:
687:(MBCT), but provide specific applications for those living with chronic pain, illness, or other forms of suffering. The three core practices of MBSR – the body scan, breath awareness
1195:
Brown CA, Jones AK (March 2013). "Psychobiological correlates of improved mental health in patients with musculoskeletal pain after a mindfulness-based pain management program".
750:
1875:
Costa J, Pinto-Gouveia J (2011). "Acceptance of pain, self-compassion and psychopathology: using the chronic pain acceptance questionnaire to identify patients' subgroups".
1783:
Carson JW, Keefe FJ, Lynch TR, Carson KM, Goli V, Fras AM, Thorp SR (September 2005). "Loving-kindness meditation for chronic low back pain: results from a pilot trial".
487:
The origins to mindfulness conception and creation can be traced back thousands of years to traditional approaches from East Asian functional medicine, philosophy and
422:
present-moment acceptance of primary suffering, leading to the diminishment or disappearance of secondary suffering. Initially, training focuses on the cultivation of
307:
is a mindfulness-based intervention (MBI) providing specific applications for people living with chronic pain and illness. Adapting the core concepts and practices of
526:
and by
Chinese medicinal physicians as part of an integrative mind/body therapy for the prevention and treatment of injury, pain, disease and suffering.
2044:"Internet-delivered mindfulness for people with depression and chronic pain following spinal cord injury: a randomized, controlled feasibility trial"
664:) to physical, mental, and emotional experience — then goes on to train participants in the cultivation of a broader, non-reactive awareness (
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According to many observers, the most notable distinction between MBPM and other mindfulness-based interventions (MBIs) is its emphasis on
319:', and has been seen as sensitive to concerns about removing mindfulness teaching from its original ethical framework. It was developed by
1712:
684:
476:
312:
122:
1094:"Starting where I am: a grounded theory exploration of mindfulness as a facilitator of transition in living with a long-term condition"
680:
472:
308:
117:
417:. The "core theoretical basis" of MBPM is the distinction between "primary" and "secondary" suffering, as explicated in the Buddha's
2194:
1993:
1953:"Self-compassion in patients with persistent musculoskeletal pain: relationship of self-compassion to adjustment to persistent pain"
132:
17:
1145:
Doran NJ (June 2014). "Experiencing
Wellness Within Illness: Exploring a Mindfulness-Based Approach to Chronic Back Pain".
2204:
1687:
Chinese
Medical Qigong Therapy: Differential diagnosis, clinical foundations, treatment principles, and clinical protocols
1734:
137:
438:. The training develops towards and is framed by an emphasis on the cultivation of loving-kindness, as outlined in the
737:
732:
374:
710:, while at the same time providing a secular evidence-based approach appropriate for people of all faiths, and none.
755:
1828:"Effect of compassion meditation on neuroendocrine, innate immune and behavioral responses to psychosocial stress"
1306:
658:
The course begins by establishing basic meditation skills — in particular the ability to apply focused awareness (
386:
of balance: Too much striving and not enough acceptance." She read widely about pain management and the emerging
369:, Burch turned to meditation initially as a way to escape her bodily experience, after having been introduced to
284:
142:
998:"Effectiveness of a Mindfulness-Based Intervention in the Management of Musculoskeletal Pain in Nursing Workers"
2199:
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1093:
796:
178:
370:
1048:"Mindfulness y Cáncer: Aplicación del programa MBPM de Respira Vida Breatworks en pacientes oncol´ógicos"
464:
157:
1994:"Quality of life in chronic pain is more associated with beliefs about pain, than with pain intensity"
479:(MBCT) can result in clinically significant reductions in pain, in addition to other health benefits.
1911:
277:
267:
246:
2160:
The Little Mindfulness Workbook: Everyday Techniques to Help You Combat Stress and Enhance Your Life
2142:
Mindfulness For Health: A Practical Guide To Relieving Pain, Reducing Stress And Restoring Wellbeing
1758:
1413:"Meditation programs for psychological stress and well-being: a systematic review and meta-analysis"
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791:
460:
390:, and eventually began teaching a course in meditation for people with chronic pain and illness in
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practice, and involves a distinctive emphasis on the concepts of primary and secondary suffering.
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Goyal M, Singh S, Sibinga EM, Gould NF, Rowland-Seymour A, Sharma R, et al. (March 2014).
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Mehan S, Morris J (2018). "A literature review of Breathworks and mindfulness intervention".
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Hilton L, Hempel S, Ewing BA, Apaydin E, Xenakis L, Newberry S, et al. (April 2017).
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Pace TW, Negi LT, Adame DD, Cole SP, Sivilli TI, Brown TD, et al. (January 2009).
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1969:
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Wren AA, Somers TJ, Wright MA, Goetz MC, Leary MR, Fras AM, et al. (April 2012).
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Khoo EL, Small R, Cheng W, Hatchard T, Glynn B, Rice DB, et al. (February 2019).
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327:. It has been subject to a range of clinical studies demonstrating its effectiveness.
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Living Well with Pain and Illness: the Mindful Way to Free Yourself from Suffering
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Zeidan F, Martucci KT, Kraft RA, Gordon NS, McHaffie JG, Coghill RC (April 2011).
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Living Well with Pain and Illness: The Mindful Way to Free Yourself from Suffering
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2012:
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442:. This takes place both through explicit loving-kindness practices utilizing the
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during a long hospital stay in her mid-20s. Eventually, after encountering the
2174:
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2043:
1571:"Brain mechanisms supporting the modulation of pain by mindfulness meditation"
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1465:"Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-analysis"
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Burch V (2016). "Meditation and the Management of Pain". In West MA (ed.).
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361:. Having suffered several accidents in her early life which, alongside a
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996:
Lopes SA, Vannucchi BP, Demarzo M, Cunha ÂG, Nunes MD (February 2019).
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Breathworks Mindfulness for Health MBPM programs for the management of
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1992:
Lamé IE, Peters ML, Vlaeyen JW, Kleef M, Patijn J (February 2005).
1644:
Mindfulness-Based Cognitive Therapy for Depression (Second Edition)
315:(MBCT), MBPM includes a distinctive emphasis on the practice of '
692:
455:
1660:
The Key to the Qigong Meditation State: Rujing and Still Qigong
16:"MBPM" redirects here. For the political party in Grenada, see
670:), and the bringing an attitude of compassion and kindliness (
99:
454:
The scientific origins of MBPM lie in academic literature on
1052:
Revista de Investigación y Educación en Ciencias de la Salud
459:
person—the mind as well as the body". The well-established "
751:
British Association of Mindfulness-Based Approaches (BAMBA)
506:
Mindfulness is considered the branch of its root practice
491:, birthed from the basic underlying tenets from classical
1273:
Burch V (2016). "Meditation and the management of pain".
1735:"The Breathworks approach to mindfulness and compassion"
483:
Traditional Chinese Medicinal use of Mindfulness Therapy
446:, and through bringing an attitude of kindliness and
2151:
The Psychology of Meditation: Research and Practice
1646:(in Chinese) (Second ed.). Xin Ling Gong Fang.
876:"What is Mindfulness based Pain Management (MBPM)?"
679:MBPM courses draw many practices and concepts from
377:, she became a practicing Buddhist, and moved from
1092:Long J, Briggs M, Long A, Astin F (October 2016).
365:, left her with severe long-term pain and partial
357:meditation, and her work with medical experts in
1623:Library of Congress, Washington, D.C. 20540 USA
426:and mindfulness of the present moment, and its
1268:
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1690:. International Institute of Medical Qigong.
1277:. Oxford University Press. pp. 153–176.
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8:
401:Philosophically, the origins of MBPM lie in
590:Acceptance: turning towards the unpleasant
394:. In 2004, she co-founded the organization
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22:
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1968:
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323:and is delivered through the programs of
1283:10.1093/med:psych/9780199688906.003.0007
1046:Alonso Llácer L, Ramos-Campos M (2018).
968:British Journal of Healthcare Management
618:Equanimity: gaining broader perspective
570:Awareness: establishing basic awareness
546:
540:MBPM is delivered primarily through the
305:Mindfulness-based pain management (MBPM)
1877:Clinical Psychology & Psychotherapy
833:Clinical Psychology & Psychotherapy
808:
30:
1957:Journal of Pain and Symptom Management
1916:Journal of Pain and Symptom Management
1912:"The precious necessity of compassion"
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1562:
1510:
1508:
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1336:. Windhorse Publications. p. 65.
471:-based interventions (MBIs) including
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1385:"SN 36:6 Sallattha Sutta | The Arrow"
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2042:Hearn JH, Finlay KA (August 2018).
685:mindfulness-based cognitive therapy
632:Connection: connecting with others
477:mindfulness-based cognitive therapy
349:, growing out of her experience of
313:mindfulness-based cognitive therapy
123:Mindfulness-based cognitive therapy
2153:. Oxford: Oxford University Press.
681:mindfulness-based stress reduction
548:The Breathworks Six Stage Process
473:mindfulness-based stress reduction
309:mindfulness-based stress reduction
118:Mindfulness-based stress reduction
14:
1970:10.1016/j.jpainsymman.2011.04.014
1929:10.1016/j.jpainsymman.2010.08.010
604:Wonder: seeking out the pleasant
133:Acceptance and commitment therapy
128:Mindfulness-based pain management
18:Maurice Bishop Patriotic Movement
1429:10.1001/jamainternmed.2013.13018
1307:"Interview With Vidyamala Burch"
646:Choice: responding not reacting
398:, which delivers MBPM programs.
263:
262:
38:
1759:"Mindfulness for Health course"
503:texts, doctrine and teachings.
1844:10.1016/j.psyneuen.2008.08.011
1587:10.1523/JNEUROSCI.5791-10.2011
914:Journal of Clinical Psychology
1:
1469:Annals of Behavioral Medicine
1363:. Sounds True. pp. xxx.
465:biopsychosocial model of pain
2013:10.1016/j.ejpain.2004.02.006
1684:Johnson, Jerry Alan (2002).
1534:10.1136/ebmental-2018-300062
1521:Evidence-Based Mental Health
1311:www.everyday-mindfulness.org
1275:The Psychology of Meditation
1209:10.1097/AJP.0b013e31824c5d9f
1197:The Clinical Journal of Pain
738:randomized controlled trials
388:secular mindfulness movement
138:Dialectical behavior therapy
2162:. Bath: Crimson Publishing.
2135:. Boulder, CO: Sounds True.
1785:Journal of Holistic Nursing
1657:Liu, Tianjun (2016-12-21).
1575:The Journal of Neuroscience
1147:Qualitative Health Research
1101:Journal of Advanced Nursing
1065:10.37536/RIECS.2018.3.2.101
980:10.12968/bjhc.2018.24.5.235
733:randomized controlled trial
714:Evaluation of effectiveness
510:and is used extensively in
501:Traditional Chinese medical
375:Triratna Buddhist Community
2221:
2140:Burch V, Penman D (2013).
1910:Halifax J (January 2011).
1642:Segal, PhD Zindel (2015).
1619:"Huang di nei jing su wen"
756:Compassion-focused therapy
649:Mindfulness in daily life
533:
363:congenital spine condition
334:
15:
2061:10.1038/s41393-018-0090-2
1481:10.1007/s12160-016-9844-2
1014:10.1016/j.pmn.2018.02.065
593:Compassionate acceptance
143:Mode deactivation therapy
2195:Mindfulness (psychology)
2097:10.1177/0033294116675086
2001:European Journal of Pain
1832:Psychoneuroendocrinology
1797:10.1177/0898010105277651
1159:10.1177/1049732314529662
1002:Pain Management Nursing
797:Buddhism and psychology
767:Samatha & vipassanā
179:Buddhism and psychology
1717:Community Practitioner
1417:JAMA Internal Medicine
652:Throughout the course
559:Meditations/Practices
371:visualization practice
345:MBPM was developed by
2085:Psychological Reports
607:Treasure of pleasure
2205:Mindfulness movement
2158:Hennessey G (2016).
725:long-term conditions
530:Content and delivery
247:Choiceless awareness
1389:www.dhammatalks.org
1330:Vajragupta (2010).
792:Buddhist meditation
549:
461:gate control theory
434:, as taught in the
428:transient character
55:Buddhist meditation
26:Part of a series on
2144:. London: Piatkus.
1713:"Change the Focus"
1711:Guzmari S (2018).
1663:. Singing Dragon.
1333:The Triratna Story
926:10.1002/jclp.22749
547:
436:Satipatthana Sutta
353:, her practice of
1765:. 28 January 2019
1697:978-1-885246-30-1
1670:978-0-85701-177-0
1370:978-1-60407-637-0
1343:978-1-909314-28-3
1292:978-0-19-968890-6
1113:10.1111/jan.12998
882:. 22 January 2019
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578:Mindful movement
575:Breathing anchor
424:focused attention
302:
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222:Conscientiousness
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2131:Burch V (2010).
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787:Self-compassion
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704:loving-kindness
697:pain management
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415:loving-kindness
359:pain management
347:Vidyamala Burch
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337:Vidyamala Burch
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321:Vidyamala Burch
317:loving-kindness
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444:imagination
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379:New Zealand
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242:Observation
202:Wakefulness
159:Mindfulness
80:Anapanasati
32:Mindfulness
2190:Meditation
2184:Categories
1769:2020-05-31
1744:2020-05-31
1628:2023-09-27
1394:2020-05-29
1316:2020-05-29
886:2020-05-22
803:References
723:and other
689:meditation
573:Body scan
534:See also:
508:meditation
448:compassion
432:meditation
430:, through
392:Manchester
367:paraplegia
335:See also:
112:Psychology
70:Sampajañña
667:Vipassanā
407:suffering
237:Awareness
212:Alertness
207:Attention
161:(journal)
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355:Buddhist
268:Category
217:Prudence
90:Appamāda
65:Anussati
49:Buddhism
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232:Epoché
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