investigate what mechanisms of action of mind-
fulness training actually lead to clinical change (exposure, relaxation, cogni-
tive, and behavior change). In order to reach these goals we need to stimulate
and increase the dialogue between mindfulness-based perspectives, Eastern
traditions, and neuroscience.
12
Fabrizio Didonna
Outline and Aims of the Book
One of the major stimuli behind the development of this project was the
need to bring together, in an operative, pragmatic, and easily accessible form,
the ever-increasing amount of knowledge and experience now available from
research and practice about mindfulness and its clinical application. This
book illustrates the links between theory, science, and the therapeutic appli-
cation of mindfulness for psychological and physical problems, highlighting
the connections of these themes with Eastern tradition. The book is divided
into four parts.
Part 1 (Chapters 1–4) covers theoretical issues and includes chapters on
the origin and conceptualization, phenomenology and state of the art of
research on the constructs of mindfulness and meditation. This part provides
an important theoretical framework and rationale for the clinical sections of
the book.
Part 2 (Chapters 5–9) addresses the relationships between mindfulness
and clinical problems, especially regarding psychopathology, explaining the
rationale of the use of mindfulness practice for mental diseases. Several rel-
evant clinical and phenomenological issues are also discussed, such as the
use of compassion and metaphor in psychotherapy, and the feeling of empti-
ness. The possibilities to assess and measure mindfulness components and
the possible effects of mindfulness-based interventions for non-clinical and
clinical populations are also illustrated.
Part 3 (Chapters 10–20) illustrates several mindfulness-based interventions
for a wide range of psychological disorders, but also for some severe medical
problems (cancer, chronic pain), for which this kind of approach has shown
clinical relevance and effectiveness. The chapters include a clear explana-
tion of the rationale for using mindfulness-based therapy with the specific
diseases discussed, illustrations of case studies, and descriptions of the limi-
tations and obstacles of the interventions as well as the strategies and tech-
niques that can be used to deal with problems and to implement mindfulness
interventions.
Part 4 (Chapters 21–25) shows how it is possible to implement and pro-
vide mindfulness-based interventions for specific populations (children, the
elderly) and in specific clinical settings (individual, inpatient treatment).
The last chapter in this part illustrates and explores some of the implica-
tions for clinicians wishing to use mindfulness-based approaches in terms
of the training that they need to be able to competently deliver the clinical
intervention.
Appendix A illustrates some classic mindfulness exercises that can help
readers both to more thoroughly understand mindfulness-based approaches
as well as to start developing their own meditation practice. Appendix B lists
a number of resources in several countries helpful for readers who wish to
train themselves in mindfulness-based approaches or maintain and deepen
their own meditation practice.
All the chapters were written by well-known experts and leaders in sev-
eral fields of mindfulness-based approaches and by clinical researchers with
extensive experience in the implementation of this kind of treatment with
their respective population and in their respective setting.
Introduction
13
This book will hopefully provide readers with a comprehensive and
integrated volume that illustrates the current development and evolution of
third wave approach in cognitive-behavioral therapy, as well as a practical
and valuable tool for practitioners interested in applying mindfulness in a
wide range of clinical settings. I hope and wish