Use of non-verbal construing and metaphor in psychotherapy.

This article begins by looking at the way we try to construe or make sense of the world in which we live. How in the very nature of such sense-making there is the potential for sowing the seeds of self-deception by trying to fit our (relatively simplified) bipolar constructs to a complex unitary universe. Non-verbal and verbal construing are compared. Verbal construing enables us to reach an even more sophisticated level of self-deception, via myths created by limiting metaphors--such as "man-the-machine." The institutions which we create and the people who are invested in them tend to solidify in-group myths, often with the help of metaphor. It is argued that personal, constructivist, and eclectic approaches to psychotherapy can be envisaged as enterprises to begin the process of demythologising clients in the safety of the therapeutic setting. In therapy, clients can experiment with empowering themselves in reconstruing the problem areas of their lives and actively testing out these new constructions against personal experience. Clients can also learn to explore the meaning behind symptoms, i.e., to give cognitive form to feeling with the help of their intuitive sensitivity.

Repression and somatization: a case history of hemodynamic activation.

A 52-year-old woman presented to the office about 2 and 1/2 years after the death of her husband from cancer. She had multiple hemodynamic and cardiovascular disorders such as hypertension, angina, tachycardia, dysmenorrhea, cardiac ectopics, and very cold hands and feet. The patient complained of tension and insomnia but refused to take any medications because of allergic responses to them. Hence, a relaxation and psychotherapeutic approach was adopted. Psychometric testing revealed extreme defensiveness (including repression). The patient had never mourned for her husband. Therapy helped her overcome her bereavement, tension, and insomnia. In addition, many of her physical manifestations subsided considerably during therapy.

Meditation, the unconscious, and psychosomatic disorders.

In this article, two basic meditation techniques are described--namely, concentration and mindfulness. The relationship between mindfulness and health is discussed in the context of findings linking repression to physical disorders. Parallels between meditation and psychoanalysis as methods for uncovering the unconscious, using both Freudian and Kellian constructs, are described. It is concluded that meditation, like free association, can be used to facilitate the emergence of unconscious (sub-verbal) material and allow for its integration at a higher (more cognitive) level of awareness.

Personality correlates of meditation practice frequency and dropout in an outpatient population.

A prospective study was conducted to determine personality trait correlates of regularity of meditation practice and dropout over a 2-year follow-up period in outpatients referred for relaxation therapy. Patients were supervised on a monthly basis and classified as regular vs. irregular practitioners or dropouts at 3, 6, 12, and 24 months after they began meditating on a daily basis. Short-term (3-month) compliance was related to low levels of pretest sensitization, introversion, suggestibility, and neuroticism. Long-term (6- to 24-month) compliance was related only to repression and extraversion. By the end of 2 years, roughly half (54%) of the patients had terminated meditation altogether.

Effects of expectancy on physiological responsivity in novice meditators.

Forty non-meditators were randomly assigned to 4 experimental cells devised to control for order and expectation effects. The subjects (all female) were continuously monitored on 7 physiological measures during both meditation and rest. Each subject was her own control in an 'abab' experimental paradigm comparing meditation to rest. The subjects, meditating for the first time, showed marginally lower psychophysiological arousal during the meditation than rest condition for systolic blood pressure, heart rate, skin conductance level and digital skin temperature. Deliberately fostering positive expectations of meditation was associated with lower physiological arousal in terms of diastolic and systolic blood pressure, heart rate and skin conductance level.

Biochemical indices associated with meditation practice: a literature review.

Research findings on biochemical responsivity to meditation are reviewed. Although there are some contradictory and inconclusive outcomes, there is nevertheless sufficient evidence of interest to warrant further investigation of this area. However, in the meantime, there is no compelling basis to conclude that meditation practice is associated with special state or trait effects at the biochemical level.

Electrocortical activity and related phenomena associated with meditation practice: a literature review.

The state effects of meditation appear to include decreased electrocortical arousal. There is also evidence that meditators more readily demonstrate alpha and theta activity than nonmeditators, even when not meditating. It is not clear whether prospective meditators as a group already possessed this characteristic, or whether the state effects of meditation practice eventually generalize to become traits. However, certain individuals, namely the psychologically "healthy" and those with a capacity for relaxed absorbed attention, appear to be more favourably disposed to meditation. Meditators appear to show both stronger orienting and recovery responses to stressors while meditating than controls. Meditation practice may begin with left hemisphere type activity, which gives way to functioning more characteristic of the right hemisphere. However, it appears that during advanced meditation ("no thought") both left and right hemisphere activity are largely inhibited or suspended. Depending on the individual, inexperienced meditators may report sleep, hypnogogic reverie, trance or abreaction during practice. The evidence to date does not support the notion of unique state effects associated with the practice of meditation.

Meditation practice as related to occupational stress, health and productivity.

This article reviews three studies giving evidence on the effects of meditation practice on employees' health in the work setting. Although there may be a beneficial role for meditation, unfortunately, these findings await further replication so it would be premature to conclude that meditation practice reduces occupational stress.

Factors influencing the regularity of meditation practice in a clinical population.

Tests were administered to out-patients before learning meditation. High pre-test scores on sensitization, suggestibility, introversion, neuroticism and perceived symptomatology predicted a low practice frequency. Gender, expectations, credibility, locus of control and self-esteem were unrelated to outcome. By two years, 54 per cent had stopped meditating. Meditation appeared to be more rewarding for subjects with milder complaints.

Physiological responses during meditation and rest.

Forty nonmeditators and 12 experienced transcendental meditators were randomly assigned to four experimental cells devised to control for order and expectation effects. All 52 (female) subjects were continuously monitored on seven physiological measures during both meditation and rest. Each subject was her own control in an abab experimental paradigm comparing meditation to rest. Analyses of variance on change scores calculated from both initial and running (intertrial) baselines revealed small but significant conditions effects for all variables except diastolic BP. The same subjects (both experienced meditators and those meditating for the first time) showed lower psychophysiological arousal during the meditation than during the rest condition for systolic BP, HR, SCL, digital BV, digital ST, and frontalis EMG. The experienced meditators showed only marginally more conditions effects than the novices practicing "noncultic" meditation. For the nonmeditators, deliberately fostering positive expectations of meditations was associated with lower physiological arousal in terms of diastolic BP, HR, and SCL. These findings suggest that both cultic and noncultic meditation are associated with lower physiological activation than eyes-closed rest. The meditators, however, tended to become more relaxed over meditation trials, whereas the nonmeditators showed the opposite trend.

Case reports on the use of meditative relaxation as an intervention strategy with retarded ejaculation.

Two married males presented with psychogenic retarded ejaculation. Both reported the complete absence of ejaculation during sexual intercourse. Intervention consisted of meditative relaxation exercises together with supportive (brief) psychotherapy--for the husband and wife in both cases. Normal ejaculatory competence was reported by both subjects following 10-12 months of intervention. This was maintained at follow-up 14-16 months later.

Some cognitive aspects of meditation practice.

This article reviews the role of some cognitive factors in practice of meditation. It is suggested that more attention should be given to such covert aspects of meditation as expectations, attitudes, and imagery, etc. Non-observable subjective experiences during meditation have not been adequately researched.