Effectiveness of Four Deconstructive Meditative Practices on Well-being and Self-deconstruction

University Hospital Miguel Servet

Status: Active, not recruiting

Conditions: Mental Health Wellness

Treatments: Behavioral: The mirror exercise, according to Toltec tradition; Behavioral: Prostrations, according to Tibetan Buddhist tradition; Behavioral: The Koan Mu, according to Zen Buddhist tradition; Behavioral: Mindful breathing

Study type: Interventional

Funder types: Other

Identifiers

NCT05317754

PI22/110

Details and patient eligibility

About

The efficacy of interventions based on mindfulness and compassion has been demonstrated in both clinical and general population, and in different social contexts. These interventions include so-called attentional and constructive meditation practices, respectively. However, unlike these, there is a third group, known as deconstructive meditation practices, which has not been scientifically studied. Deconstructive practices aim to undo maladaptive cognitive patterns and generate knowledge about internal models of oneself, others and the world. Although there are theoretical and philosophical studies on the origin of addiction to the self or on the mechanisms of action associated with the deconstruction of the self, there are no randomized controlled trials evaluating these techniques in either a healthy population or clinical samples. This study aims to evaluate the effect of three deconstructive techniques by comparing them to the practice of mindfulness in the general population.

A randomized controlled clinical trial (RCT) will be conducted with about 240 participants allocated (1:1:1:1) to four groups: a) mindful breathing, b) prostrations, according to Tibetan Buddhist tradition; c) the Koan Mu, according to Zen Buddhist tradition; and d) the mirror exercise, according to Toltec tradition. The primary outcome will be the qualities of the non-dual experience and spiritual awakening, measured by the Nondual Embodiment Thematic Inventory, assessed at pre and post-treatment and at 3 and 6-month follow ups. Other outcomes will be mindfulness, happiness, compassion, affectivity and altered state of consciousness. Outcomes at each time point will be compared using mixed-effects linear regression models adjusted for baseline scores, sex and age.

This is the first RCT to apply deconstructive meditation techniques to evaluate their effect on the general population. The positive results of this project may have an important impact on the development of new interventions, not only to improve happiness and well-being in healthy populations but also potentially for the prevention and treatment of psychological and medical disorders, creating a new paradigm in the context of third-generation psychological interventions.

Enrollment: 240 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Older than 18 years of age
2. No psychiatric diagnosis (self-reported)
3. More than 1 year's experience of daily meditation practice
4. Having a computer and Internet connection at home
5. Being able to read and understand the Spanish language
6. Willingness to participate in the study and sign the written informed consent form

Exclusion criteria

1. Any diagnosis of a disease that may affect the central nervous system (pathological condition affecting the brain, traumatic brain injury, dementia) or other psychiatric diagnoses or acute psychiatric illnesses (severe range of depression, substance dependence or abuse, history of schizophrenia or other psychotic disorders, eating disorders), except for anxiety disorder
2. Any medical, infectious or degenerative disease that may affect mood; presence of delusional ideas; and hallucinations consistent or not with mood and suicide risk
3. Taking any psychiatric medication.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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240 participants in 4 patient groups

Mindful breathing

Experimental group

Treatment:

Behavioral: Mindful breathing

Prostrations, according to Tibetan Buddhist tradition

Experimental group

Treatment:

Behavioral: Prostrations, according to Tibetan Buddhist tradition

The Koan Mu, according to Zen Buddhist tradition

Experimental group

Treatment:

Behavioral: The Koan Mu, according to Zen Buddhist tradition

The mirror exercise, according to Toltec tradition

Experimental group

Treatment:

Behavioral: The mirror exercise, according to Toltec tradition