Copyright is owned by the Author of the thesis. Permission is given for a copy to be downloaded by an individual for the purpose of research and private study only. The thesis may not be reproduced elsewhere without the permission of the Author. Finding Meaning in Mindfulness: An Interpretive Phenomenological Analysis A thesis presented in partial fulfilment of the requirements for the degree of Master of Science in Psychology At Massey University, Albany, New Zealand Josephine Longmore 2019 i Abstract With deep origins in Eastern Buddhist philosophy, mindfulness practice (MP) has risen in popularity in Western culture due to an increased secular delivery of the practice in both clinical and non-clinical settings. Research has focussed largely on measuring the quantitative physical and psychological effects of MP and determining the efficacy of MP for treatments of various physical and psychological conditions. Through research, increased meaning in life has been correlated with positive well-being, and examinations into the link between meaning and MP has generated several theories. Negative experiences of MP have also been the subject of more recent research, with issues arising such as non-identification, depersonalisation, and depressive experiences. The current study attempted to answer the call for qualitative research into the experiential aspects of MP, to understand how MP may influence paths to meaning in secular individuals. This study aimed to complement existing quantitative data surrounding MP through qualitative Interpretive Phenomenological Analysis (IPA). Six participants took part in a semi-structured interview subjected to IPA by a single researcher. Three overarching themes as paths to meaning were apparent – ‘Awareness’, ‘Non-judgment’, and ‘Enhanced Connection’. The overarching theme ‘Enhanced Connection’ comprised of four themes – ‘Connection with Others’, ‘Authenticity – A new way of connecting to the self’, ‘Positive Perceptual Shift – A new way of connecting’, and ‘ Connection and Spirituality’. ‘Connection with Others’ consisted of four subthemes – ‘Belonging’, Co-creation of Meaning’, ‘Cycle of Positive Contribution’, and ‘Authenticity’. Negative experiences presented by participants consisted of issues of non-identification, performance expectation, the need for supervision/guidance, and a lack of holistic understanding within the Western secular framework of MP delivery. Despite the interpretive and subjective nature of analysis, and the small sample size, results of the current study were compelling, highlighting humanity’s inherent social nature, while touching on issues of decontextualisation of MP from the Buddhist framework. ii Acknowledgements This study did not involve the participation of minors, individuals with intellectual or mental health disorders, nor did it involve any form of intervention, therefore it was classified as low risk. Notification of the low risk nature of the study was made to the Massey University Human Ethics Committee prior to commencement of the study. The author would foremost like to thank and acknowledge all the participants for their time, and open discussions – without your honesty and openness this research would not have been possible. I have learned so much from each of you and aspire to cultivate the open and accepting nature you have all developed through mindfulness practice. I would like to thank my supervisor Heather Kempton for her guidance, positive instruction and communication. Your trust in me through this process has taught me to trust and believe in myself more. Lastly, I would like to thank my family for their support and understanding, please know I have done this for you as much as for myself. iii Table of Contents Abstract………………………………………………………………………………………………………………..i Acknowledgements ................................................................................................. ii Table of Contents ................................................................................................... iii Tables and Figures ...................................................................................................v Chapter 1: Introduction and Literature Review ....................................................... 1 1.1. The Origins of Secular Mindfulness .......................................................................... 1 1.2. The Focus of Previous Research into the Effects of Mindfulness .............................. 2 1.3. The Significance of Meaning .................................................................................... 6 1.4. Theories Addressing Mindfulness and Meaning ....................................................... 8 1.4.1. Reappraisal. .................................................................................................................... 8 1.4.2. Acceptance. .................................................................................................................... 9 1.4.3. Relationships/Connection ............................................................................................. 10 1.4.4. Awareness and congruency........................................................................................... 12 1.4.5. Spirituality. ................................................................................................................... 13 1.5. Comparison of research exploring mindfulness and meaning ................................ 18 1.6. Review of literature supporting qualitative research into mindfulness ................. 20 1.7. Summary of findings .............................................................................................. 21 Chapter 2: Method ................................................................................................ 25 2.1. Participants ............................................................................................................ 25 2.1.1. Summary of participant mindfulness practice................................................................ 26 2.2. Clarifying the Constructs ........................................................................................ 27 2.2.1. Mindfulness defined ..................................................................................................... 28 2.2.2. Meaning defined. ......................................................................................................... 28 2.2.3. Secular defined. ............................................................................................................ 29 2.3. Interview process ................................................................................................... 30 2.4. Analysis .................................................................................................................. 32 2.5. Reliability and validity ............................................................................................ 34 Chapter 3: Results ................................................................................................. 37 3.1. Prior Participant Attitudes Towards Mindfulness .................................................. 37 3.2. Motivation to Learn Mindfulness ........................................................................... 38 3.3. Presenting Themes ................................................................................................. 40 3.3.1. Overarching theme – The path of the non-judgmental attitude to enhanced meaning. .. 41 3.3.2. Overarching theme – Increased meaning through awareness and presence. ................. 51 3.3.3. Overarching theme – Connectedness enhances meaning. ............................................. 59 3.4. A Note on Finalisation of Themes ........................................................................... 80 iv 3.5 A Brief Exploration into Negative Effects of Mindfulness Practice .......................... 81 Chapter 4: Discussion ............................................................................................ 85 4.1. Indications for Future Research ............................................................................. 97 4.2. Strengths and Limitations of the Current Study ..................................................... 98 Chapter 5: Conclusion ......................................................................................... 103 References ........................................................................................................... 106 Appendix A: Participant Screening Questionnaire .............................................. 117 Appendix B: Participant Advertisements............................................................. 118 Appendix C: Mindfulness Thesis Information Sheet ............................................ 120 Appendix D: Participant Consent Form ............................................................... 122 Appendix E: Interview Schedule .......................................................................... 123 Appendix F: Transcript Release Authority ........................................................... 126 Appendix G: Codewords ...................................................................................... 127 Appendix H: Coding Notes................................................................................... 130 v Tables and Figures Table 2.1: Participant motivation, training, and length of mindfulness practice .............. 27 Figure 3.1: Pathways to meaning through mindfulness practice. ..................................... 41 1 Chapter 1: Introduction and Literature Review 1.1. The Origins of Secular Mindfulness Recent research around the construct of mindfulness has experienced rapid growth since it was introduced into mainstream psychology in 1979 at the Stress Reduction Clinic situated in the University of Massachusetts Medical Centre by Jon Kabat-Zinn (Williams & Kabat-Zinn, 2013). Despite the popularity of secular mindfulness in western culture, it has deep roots in Buddhism (Liselotte, 2014). The term mindfulness has origins in the Pali term Sati - lucid awareness, originally 'memory' but adopted/adapted by Buddha to mean an awareness. The meaning is similar to observation, watchfulness, and an ability to observe without judgment or emotion. It is a foundation of Buddhist practice "the Buddha treats each of the four establishments of mindfulness as a springboard to the seven factors of enlightenment" (Bodhi, 2013). Mindfulness is therefore an act of establishing presence, it is more than just 'bare attention'. 'Bare attention' can be a helpful descriptor for assisting newcomers in cultivating their practice, it does not however encompass the essential non-judgmental nature that is required of mindfulness practice. The practice of mindfulness has become secularised and simplified in western culture, where the importance now in western society is on experience rather than beliefs and organizations (Liselotte, 2014). Maxwell and Duff (2016) state whether Buddhist or secular, mindfulness practice can have positive effects on both psychological and physical health. Pagnini and Langer (2015) distinguish between mindfulness and meditation, with mindfulness viewed as the quality in which an individual attends to the present moment which can be enhanced by numerous practices including but not limited to meditation. This concept is supported by Maxwell and Duff (2016), that meditation is not the only way to be mindful. In truth there are many opportunities to practice mindfulness, including yoga, focused attention meditation, and whole-body scan (Kabat-Zinn, 2014). Typically, secular mindfulness practice (MP) involves focussed attention - often focussing on the breath - gently pulling attention back to the focus when the mind 2 wanders, while employing a non-judgmental attitude toward both thoughts and practice. 1.2. The Focus of Previous Research into the Effects of Mindfulness Mindfulness has become a well-established psychological tool, appearing as a core component of mindfulness based interventions such as Mindfulness Based Cognitive Therapy (MBCT), Mindfulness Based Stress Reduction (MBSR), and Mindfulness Based Relapse Prevention (MBRP), as well as being integrated into treatments such as Acceptance and Commitment Therapy (ACT), and Dialectical Behaviour Therapy (DBT) (Lisolette, 2014; Stratton, 2015; Schmidtman, 2017). The rise in acceptance of mindfulness within Western culture is demonstrated in its success both inside and outside the domain of psychology. There are many ways individuals can come into contact with secular forms of mindfulness without being involved in psychological therapy, for example, mindfulness has branched into education, medicine, and business (Stratton, 2015; Thomas & Atkinson 2017). Fortune magazine noted that the mindfulness industry generated more than one billion dollars revenue in 2015 (Wieczner, 2016). The success of mindfulness in a clinical setting has undoubtedly paved the way for acceptance and normalisation of these practices across a wide number of environments. The physiological and quantifiable effects of MP on physical states and mental ailments has been researched across numerous populations. For example, the stress reduction effects of MP have received significant focus across clinical (Goldberg et al., 2018), student (Maynard, Solis, Miller, Brendel & Campbell Collaboration, 2017), teaching (Klingbeil & Renshaw, 2018), and medical professional populations (White, 2014). This focus could largely be attributed to the origins of modern MP in Western culture stemming from the introduction of MBSR. Research outside of these four major areas is limited, as is research of a qualitative nature, where the idiographic perceptual changes individuals experience has received much less attention. This is partly due to the more time consuming and challenging manner of accessing an individual's experience. The nature of qualitative research attempts to go further than simply who or how many, seeking 3 to uncover the meaning of an experience. As such it frequently involves some form of in-depth analysis of case studies or narratives such as interviews, or diary entries. The process can be lengthy, but the depth of data gained cannot be matched by quantitative methods. The majority of research into secular mindfulness has been quantitative, measuring both the physiological and psychological effects of engaging in mindfulness practice, often by way of rating scales and self-report measures. A significant amount of literature into the effects of clinical mindfulness-based interventions have found that MP can improve symptoms of both physical and psychological disorders including depression, chronic pain, insomnia, substance abuse, blood pressure, fibromyalgia and irritable bowel syndrome (Gillespie, Davey & Flemke, 2015; Jain, 2017; Maxwell & Duff, 2016; Schmidtman, 2017). There are numerous accounts of the efficacy of the practice in reducing 'negative symptoms' of psychological disorders, such as depression and anxiety by interrupting rumination and catastrophizing patterns (Leyland, 2018; Maxwell & Duff, 2016). Psychological benefits of MP include increased emotional regulation, empathy, attention, memory, intra and interpersonal relations, improved body awareness and increases in positive affect (Lacaille et al., 2018; Maxwell & Duff, 2016; Van Vliet et al., 2017). Research has also shown that mindfulness interventions create changes in brain function, such as significant changes in alpha and theta activity, prefrontal cortex and anterior cingulate cortex activations (Maxwell & Duff, 2016; Schmidtman, 2017), they can also lower cortisol and norepinephrine levels, and blood pressure (Gillespie, Davey, & Flemke, 2015). These effects are similar to what Benson (1975) termed the relaxation response (RR), essentially the opposite of the fight-or-flight response. It was concluded from Benson's studies that engaging in activities which elicited the RR could also affect spiritual perspectives, with 25% of individuals engaging in activities producing the RR feeling more spiritual as a result of practice. Greeson et al. (2011) also reported that MP resulted in increases in daily spiritual experiences, determining that increases in these experiences contributed to the enhanced well-being and mental health MP can provide. 4 While the popularity and evidence of the efficacy of MP has been growing, research has offered little in the way of understanding how mindfulness achieves such gains, or what the experience is like for the individuals who practice mindfulness. Also, while the benefits of MP generally appear to be positive for an individual’s well-being, not all experiences of MP are positive. The negative effects and experiences of MP is a growing field and research indicates that while there are numerous benefits, MP may not be suitable for all individuals. Cebolla et al.’s (2017) quantitative investigation into unwanted effects (UE) of meditative practice - including focused attention (25.4%), open monitoring (19.3%), body awareness (24.3%), compassion (9.4%), imagination (7.9%), and informal practices (11.1%) - found that 25.4% of participants surveyed experienced some form of UE. The online self-report survey delivered in Spanish, Portuguese, and English languages accessed a majority female (68.4%) sample from over 12 countries predominantly across the Americas and European continent. Reported UE included anxiety, depersonalisation, derealisation, emotional lability, and dizziness or loss of consciousness. Only 10.3% of these participants reported the UE were continuous, the majority (50.5%) did not comment, and 39% reported that these effects were transitory. The UE resulted in 1.1% of respondents discontinuing meditation. Unwanted effects were found to be more common in individual rather than group practice and were more likely to occur with focussed attention practices in this particular study. These results supported the hypothesis that any UE would be mild and transitory in nature and would not result in cessation of practice. They also highlight the fact that meditative and mindful practices may not be suitable for all individuals and that the experience varies greatly across individuals; it is this individual experience that qualitative research such as IPA attempts to capture. Lindahl et al. (2017) conducted semi-structured interviews with follow up questionnaires over 60 western Buddhist meditation practitioners to gain information regarding meditation related experiences. Attention was given to uncovering unexpected, challenging, and/or difficult experiences during meditative practice. Varied meditative practices were represented including focussed attention, insight, body scan, loving kindness, visualisation, and mantra, with a fairly 5 even representation of both Male (57%) and Female (43%) participants. A wide range of experiences were reported over seven phenomenological domains including cognitive, perceptual, affective, somatic, conative, sense of self, and social. Experiences of positive affect were reported by 75% of participants, collectively the negative affective experiences of fear, anxiety, panic, or paranoia were reported by 82% of participants often occurring as the result of some other negative experience. Experiences which could be deemed negative included loss of sense of self (25%), boundaries (53%), and self-agency (25%), depressive (57%), re- experiencing of trauma (43%), anger related (30%), emotional lability (28%), delusional beliefs (47%), hallucinations (42%) and social impairment (50%). Associated functional impairment from negative experiences ranged from minimal and transient to severe and long lasting. This demonstrates that negative experiences can be a common effect of meditative practice, and while many experiences are transitory in nature some can have long lasting impacts on individuals. Lomas et al. (2015) investigated the challenges of MP among adult male meditators including mindfulness meditation (35.4%), loving kindness meditation (35.4%), six element (7.3%), and other (17%). Qualitative semi-structured interviews with 30 participants uncovered the following five broad categories of experience during MP: difficulties learning meditation, such as ‘self-doubt’ and ‘feeling trapped’; troubling experiences of self, such as facing the ‘negative qualities of their thoughts’; exacerbation of psychological problems, such as the difficulty in maintaining a non-judgmental attitude toward their thoughts resulting in ‘poor self- esteem' and ‘anxiety’; reality being challenged, such as ‘dissolution of identity’. Overall however participants felt MP was positive with increases in compensatory positive experiences, such as feelings of ‘happiness’ and ‘contentment’. These findings are similar to those of Cebolla et al. (2017) highlighting UE such as anxiety and identity struggles, while also acknowledging that generally MP has positive impacts. The qualitative nature of this study provided more detail though, pointing toward the possible mechanisms behind these experiences such as anxiety resulting from the difficulties maintaining non-judgment. As both meaning 6 and mindfulness appeared to be significant contributors to wellbeing across the literature, it was felt that the interplay between the two among the growing western secular population deserved further attention. As such the current study sought to gain deeper understanding of the experience of MP, in order to uncover the mechanisms of meaning making processes of individuals. 1.3. The Significance of Meaning Studies focusing on meaning found that low meaning in life, or search for meaning, resulted in poor outcomes for health and wellbeing, whereas high presence of meaning was associated with high positive outcomes on well-being (Bloch et al., 2017; Pedersen et al., 2018). Numerous studies support a correlation between religiosity and meaning, however these findings are irrelevant for a significant portion of the world's population. Online global 2010 census data released by Pew Research Centre (https://www.pewforum.org/2015/04/02/religious-projections-2010-2050/) indicated there were at least 1.1 billion secular individuals worldwide, with high and growing concentrations in westernised countries across Europe and Northern America. It must be acknowledged that identifying as secular does not necessarily mean the individual does not hold some form of spiritual belief, rather they do not adhere to the doctrines and structure of organised religious belief systems. It is possible that spiritual belief in and of itself, could provide positive benefits for an individual's well-being in a similar manner to religious practice. Pedersen et al. (2018) found differences in the sources of meaning amongst the various secular groups. The study was conducted with a Danish population of 554 adults, with a slight female majority (66%). Participants responded to an online delivery of self-report rating scales consisting of measures from the Danish version of the ‘Sources of Meaning and Meaning in Life Questionnaire’, ‘Hospital Anxiety and Depression Scale’, and the ‘Satisfaction with Life Scale’. The study found that agnostic individuals - who believe that the existence of a higher power is unknowable - frequently found meaning through acts of social commitment. Atheist individuals - who lack belief in a higher power - more commonly found 7 meaning through individual and achievement-oriented acts. The research also found that both marital status and children brought meaning to individuals, demonstrating the importance of relationships on an individual's overall well-being, and how individual perspectives were important in defining an individual’s meaning. Aligning with the findings of Pedersen et al. (2018), Kucinskas, Wright, and Riepl (2018) found activities involving engagement with others, community, and activities with purpose were significant contributors to meaning. Theorising that ‘meaning has state like qualities’ the study attempted to investigate how meaning varied over differing contexts and situations in everyday life; specifically, by hour of the day, activity, and who the participant was with at the time. Participants were required to possess smartphones to access two delivered short surveys each day, for two weeks. The sample comprised American adult participants, with a high representation of Protestants (72%) and a slight female majority (61%). As with Pedersen et al. (2018) this study found higher levels of meaning when time was spent with spouses, supporting intimate connection as a source of meaning. Meditative practices, along with prayer and worship were significantly linked to meaningful experiences, indicating their power to foster meaning in individuals’ lives. Individuals who reported high engagement in conversation with others also experienced significantly more meaning. Work and music were also found to be significant contributors to meaning, whereas leisurely activities involving little cognitive engagement were linked to much lower levels of meaning. A major drawback of this study was the requirement to possess a smartphone, as this was not representative of the general population, potentially excluding older less technologically savvy, or low socio-economic participants. Another drawback could be the time commitment required to answer the two daily surveys for two weeks; there is potential that individuals may not have given each survey equal time, thought and attention over the duration of the data gathering period. However, the data still provides evidence supporting the varying sources of meaning for individuals and how levels of meaningfulness can be affected by various activities across everyday life. 8 1.4. Theories Addressing Mindfulness and Meaning Research into the mechanisms of MP has provided some interesting observations, which have in turn generated several theories, many linking enhanced meaning gained through mindfulness to the positive effects observed (Bloch et al., 2017; Ward & King, 2017). Effects of MP including reappraisal, acceptance, relationships, awareness, congruency and enhanced spirituality appeared as prominent themes in the literature. 1.4.1. Reappraisal. The Mindfulness to Meaning Theory (MMT) - (Garland, Farb, Goldin & Fredrickson, 2015) was born from a drive to provide a causal model of how mindfulness promoted wellbeing. MMT posits that MP promotes reappraisal and savouring which are central to the development of meaning. Specifically, MP teaches individuals to decentre from stress and rigid thoughts, cultivating broadened awareness and attention to stimuli which support reappraisal of situations. Broadened awareness allows for acknowledgement of new data, resulting in cognitive flexibility, the creation of new cognitive schema and the reorganisation of cognitive patterns. This gives rise to acceptance, which is posited as a gateway for attention and a pathway to positive emotion associated with experiences. Noticing and savouring positive stimuli in turn motivates value driven behaviour, contributing to eudemonic meaning. This posits a connection between reappraisal and congruency as a path to well-being. Garland et al. (2015) discussed the notion that mindfulness contributed to spirituality, as states of nondual awareness encountered by practitioners of mindfulness facilitate attentional enhancement and psychological flexibility. They posit that these ‘awakenings’ are in fact reappraisals which lead individuals down a path of self-transformation where individuals transcend the thought of a separate self, realising and embracing nonduality, understanding that they are not separate from the larger universe. They also make an important point acknowledging that meaning is not inherent in stimuli or situations, rather it is personally constructed by each individual and their unique appraisal. Therefore, the act of MP and its effect on attentional capacity and 9 appraisal directly influences the meaning that individuals create in their everyday being. Pagnini and Langer (2015) also highlighted the mechanism of reappraisal as a contributor to positive emotions and meaning. They did not view mindfulness as a technique to be practised, stating it was both state and trait and the mindful person was deeply aware of the constant change around them and how they appraised and interacted with change. Awareness of constant change and differing points of view demanded constant reappraisal, as such reappraisal was viewed as a subtype of mindfulness. They also noted the relevance of reappraisal as an important mechanism for change in psychotherapy, essential for contributing to realistic thinking, reducing rumination and catastrophising. Although reappraisal was posited as a contributor to meaning by both of these studies Pagnini and Langer (2015) viewed it as a subtype of mindfulness, where Garland et al. (2015) saw it as a mechanism resulting from mindfulness. The mechanisms for change in both studies point to cognitive flexibility and fluidity as a result of MP influencing perspectives and experiences. 1.4.2. Acceptance. The research of Burzler, Voracek, Hos, & Tran (2018) into the mechanisms of MP in the general population concluded that acceptance of emotions was central to the positive benefits MP had on mental health. The study identified 268 regular practitioners of mindfulness across a European adult (18-86) population with a roughly equal representation of male and female participants (54% female). Varied styles of meditative practice were represented including yoga, zen, vipassana and MBSR. The study used various rating scales to measure mindfulness, depression, anxiety, somatisation, attention regulation, body awareness, emotional regulation, and nonattachment. Acceptance of emotions as measured by the ‘Five Facet Mindfulness Questionnaire’ was indicated as a central tenet of mindfulness’ influence on positive mental health. Nonattachment as measured by the German translation of the ‘Nonattachment Scale’ was also considered a major contributor due to its links to cognitive diffusion. Trait mindfulness as cultivated through meditative practices was found to have positive benefits on mental health for both seasoned and naïve practitioners, however 10 seasoned practitioners reported consistently higher levels of trait mindfulness. Burzler et al. acknowledged that MP did not provide individuals with new mechanisms, rather regular MP appeared to strengthen the effects existing mechanisms such as self-regulated attention had on positive mental health outcomes. This suggests that benefits of MP are available to all who practice but are likely more readily accessible to individuals who engage in formal mindfulness activities regularly. 1.4.3. Relationships/Connection. Research suggested that strong feelings of connection fostered by MP contributed to the development and enhancement of meaning. Theories generated included that increased meaning was developed via increased relational capabilities (Siegel, 2009). Positing that MP enhanced intrapersonal relations via a process of integration, becoming attuned to oneself while realising the connection to a greater whole. They discussed the process of turning ingrained external focus inward during MP, allowing individuals to explore and expand their sense of self. This intrapersonal attunement teaches individuals that awareness is multi-layered, promoting flexibility with oneself. Flexibility resulted in an acceptance of multiple perspectives, cultivating understanding and transformation. Also noting that neural social circuitry is activated during MP, it is an act of learning how to ‘befriend’ the self, skills which were then transferred to relations with others. This learning and realisation of alternative perspectives is similar to the concept of broadened awareness and cognitive flexibility resulting from reappraisal as discussed by Garland et al. (2015) and Pagnini and Langer (2015). These theories highlight the influence of mindfulness on cognitive mechanisms and the positive effects of the development of cognitive fluidity. A multi discipline study across four separate adult populations (Lambert et al., 2013) appeared in line with Siegel’s (2009) theory, stating that meaning was developed via a sense of belonging through relationships. Using essay analysis researchers found participants frequently cited relationships with family and friends in response to the questions “Why is life meaningful?”, and “What makes your life meaningful?” Their study using a bespoke belonging rating scale in conjunction with the ‘Meaning Presence Subscale’ of the ‘Meaning in Life Questionnaire’ found that 11 a sense of belonging was a strong predictor of meaningfulness. In the third study involving priming participants with either sense of belonging, feelings of social support, or high social value, the sense of belonging condition caused higher increases in perceptions of meaningfulness. The fourth study highlighted potential differences between cultures, as the sample moved from an individualistic western population to a collectivistic Indian population. Unlike results seen in the individualistic culture, the collectivistic culture found increased meaning through both belonging and social support. This finding does not detract from belonging being an important contributor to meaning, rather highlights the differences between social structures in differing cultures. Lambert et al. (2010) also found relationships – particularly with family members - to be a primary source of meaning in the lives of adolescents. One study in this research found the relational constructs of family and friends to place first and third respectively on a ranking task selecting various sources of meaning out of twelve possible sources of meaning, the second highest being happiness. Other possible sources of meaning included religious faith, achievements, self-acceptance, personal growth, self-worth, justice, personal goals, intimacy, and helping others. A second study used an open-ended format query instructing individuals to pick the one thing that made life most meaningful for them. Again, relational constructs scored highly with family placing first and friends placing second. The influence of meditative practices on an individual’s sense of belonging as studied by Chisman and Brooks (2018) found mutual interaction. This study employed interview studies with practising meditators using constructivistic grounded theory methods of interpretation and analysis, finding that being and belonging were experienced as interconnected. They posited that meditative practice provided space for individuals to discover how to be with others, while belonging provided opportunities and learning space of how to be. These studies highlight the perceived importance of relationships and belonging to individuals’ meaning across individualistic and collectivistic cultures, and adolescent and adult populations. The breadth of the samples lends credit to 12 the concepts of relationships and belonging being a core contributor to meaning among individuals, and that MP can positively influence these constructs. 1.4.4. Awareness and congruency. Studies have also shown that the positive link between mindfulness and meaning is due in part to increased self-awareness resulting in greater consistency between an individual's values and actions (Allan, Bott & Suh, 2016). Using an online delivery of the ‘Mindful Attention Awareness Scale’, ‘Authenticity Inventory Version 3’, and the ‘Meaning in Life Questionnaire’, across 250 participants they found support for the following significant mediators for the mindfulness – meaning in life relationship: mindfulness and authenticity, and authenticity and meaning in life. They found that relational orientation and behaviours were not significant mediators, and that unbiased processing had a negative relation with meaning in life. Allan, Bott and Suh (2016) posit that this pathway to meaning in life via awareness cultivated by MP can be explained using Self Determination Theory perspectives, where individuals' behaviours can be explained by innate self-determined and self-motivated drives. Heightened awareness was seen to provide an individual with the clarity to realise their own values and subsequently choose behaviours more aligned with their core values. On the surface these results are somewhat in contrast with Siegel’s (2009) theory which highlighted the importance of relationships as a source of meaning. However, both are based on the broader premise of greater awareness of the self, contributing to increased meaning. Warren, Wray-Lake, and Syvertsen (2017) investigated the relationship between mindfulness, and the consistency between an individual's values and the behaviours the individuals engage in; termed value-behaviour-concordance (VBC). The sample of over 6000 adolescents spanning seven nations with diverse ethnic, cultural, religious and gender representation utilised self-report rating scales to measure the constructs of mindfulness, VBC, and meaning in life. The study showed that individuals higher in mindfulness experienced higher VBC, and that VBC partially mediated the link between mindfulness and meaning in adolescents. They discussed a process where the awareness cultivated by MP may make values more salient and easily accessible as individuals have more consistent access to their 13 thoughts and emotions. They posited that this salience of values enabled individuals to engage in more value congruent behaviours. Heightened awareness also allowed for individuals to be readily aware of feelings of dissonance and incongruence, this feedback allowing for behaviour adjustment. The diversity of the sample appeared to support the generalisability of these claims to the general adolescent population. Research by Christie, Atkins and Donald (2017) supported findings by Warren et al. (2017) within an adult population, in that VBC was linked to well- being via MP facilitating meaningful behavioural change. This study hypothesized that MP removed barriers to VBC allowing for greater recognition of opportunities to engage in meaningful behaviours. Their first study with over 600 predominantly female Caucasian participants, delivered an online survey focusing on three areas: values, mindful attention, and satisfaction with life as measured by the ‘Valuing Questionnaire’, ‘Mindful Attention Awareness Scale’, and the ‘Satisfaction with Life Scale’. Results supported an indirect association between MP, positive affect and satisfaction with life, via values-progress and values-obstruction. The second study employed alternative mindfulness and well-being measures - the ‘Five Facet Mindfulness Questionnaire’, the ‘Flourishing Scale’ and the ‘Scale of Positive and Negative Experience’, in a replication of the initial study across a sample of 199 participants. Support for the hypothesis was again confirmed with similar findings to study one. Positive effects on well-being were found to be due to values- progress and values-obstruction, enhanced by the awareness and non-judgment cultivated by MP. These studies demonstrate the power of internal rather than external reward, with reference again to self-determination theory. The harmony of being in balance with their own values was what motivated individuals to behave in accordance with their values, these values appeared more easily accessible to individuals due to MP. The support for this concept across both adolescent and adult populations suggests a potential mechanism for change which may not be limited to age or developmental phase. 1.4.5. Spirituality. Friedman, Myers and Benson (2001) utilised the term ‘relaxation response’ (RR) to describe the physiological effects of engaging in 1) 14 sustained focused attention, while also 2) maintaining a ‘passive’ attitude toward thoughts. The physiological effects equated to a sense of calm, with reductions of respiratory rates, norepinephrine, and cortical arousal (Friedman et al., 2001; Greenwood & Benson, 1977). Although the terminology differs, passive equates to a non-reactive state, semantically similar to the use of non-judgmental in the current study, making this definition equitable to this study's definition of MP. When these two steps were followed elicitation of the RR was found to occur over numerous activities such as prayer, yoga, meditation, or progressive muscle relaxation. Regular practice led to the benefits of RR continuing past periods of set practice into participants’ daily lives. Stemming from research into the benefits and applications of the RR, it has been theorised that enhanced spirituality may be a function of RR/MP; resulting in positive impacts on health and wellbeing (Chang, Casey, Dusek, & Benson, 2010; Kass, Friedman, Leserman, & Zuttermeister, 1991). Spirituality has long been considered to contribute positively to meaning in life, recent studies have managed to produce scientific support for this concept. Research by George and Park (2017) across two samples of heart failure patients and cancer survivors found higher levels of spirituality positively influenced meaning over time. The finding across these two diverse samples lent weight to the support of a generalisable relationship between spirituality and meaning in individuals facing adverse situations. Bamonti, Lombardi, Duberstein, King, and Van Orden (2016) also found higher levels of spirituality were linked to higher feelings of meaning in life; their results showing that within individuals with elevated depressive symptomology, spirituality raised levels of meaning in life to comparable levels with non-depressed individuals. Studies such as these indicate the importance of spirituality as a pathway to increased meaning. Cloninger (2011) described spirituality in terms of self-awareness, with self- awareness being the path to well-being, a development occurring over three stages. Stage one involved emerging self-awareness, characterised by an ability to embrace acceptance and let go of negative emotions, cultivating higher levels of understanding. Stage two involved moderate self-awareness, an illuminative stage where individuals observed self and others with non-judgment. Stage three 15 required maximum awareness, awareness of an individual's own outlook and perception. Stage three is seen as contemplative, encouraging the development of non-dualism, self-transcendence, and unity. In their discussion on spiritually oriented psychotherapy, Sperry (2018) acknowledged the alignment of MP with spiritual development; suggesting mindfulness comprised of three levels - mindfulness, wisdom and compassion. Although distinct from spirituality we can see how these levels could inform the development of spirituality as individuals move from an individual focus to a focus which transcends the self through the cultivation of awareness, non-judgment, and acceptance. Greeson et al. (2011) also discussed a mechanism where the increased awareness cultivated by MP created a spiritual shift, caused by attention and connection to the transcendent aspects of everyday life. Their research delivered an online survey, both pre and post an eight-week MBSR programme to 279 predominantly Caucasian female (75%) participants. The sample comprised a majority of religiously affiliated participants including Christian (39.4% denominational, 8.2% non-denominational), Jewish (5%), Unitarian-Universalist (5%), Buddhist (1.1%), Muslim (0.7%), Other (2.9%). While a substantial number of the sample identified with no religious affiliation (36.9%), this portion was not unpacked further so it was not possible to determine what secular beliefs if any these individuals held. The self-report online survey consisted of items from the ‘Cognitive and Affective Mindfulness Scale-Revised’, the ‘Daily Spiritual Experiences Scale’, and the ‘Short Form Health Survey’. Results indicated an average physically healthy sample, however the mental-health score of the sample indicated emotional distress; being more than one standard deviation below the norm for average self-reported mental health within the adult population. A deeper sense of spirituality after engaging in the MBSR course was reported by 54% of respondents. The research demonstrated that increases in daily spiritual experiences were directly related to increases in mindfulness within this population. As participants within this sample were predominantly religiously affiliated, it must be considered that these individuals were primed to experience events as spiritual, also results could not necessarily be generalised to public who were not experiencing some 16 form of mental distress. While the results indicate an interesting concept, the generalisability of these findings are limited. Vieten et al. (2018) posited that phenomena associated with meditative practice - such as nonduality, awakening, self-transcendence, experiences of higher powers- may be important mediators or mechanisms of their positive benefits, such as authentic being. These experiences are typical of spiritual and religious traditions, the study reported 52% of participants had experienced a connection with a non-physical entity at least twice during meditative states. The study accessed an adult population with prior meditative experience, designed to measure ‘personal experiences’ of meditative practice. Over 1000 Participants from 66 predominantly western/individualistic countries were represented in the 59% female/41% male sample. As in Greeson et al. (2011), many participants during childhood identified as Christian (73%), with only 3% identifying as spiritual but non-religious. This representation had changed significantly by adulthood, with only 15% identifying as Christian, and 36% identifying as spiritual but non-religious, indicating a shift in perception. The research showed that a significant number of regular meditators experienced some form of mystical/transcendent experience during solo meditative practices. The ‘Revised Mystical Experience Questionnaire’ was incorporated into the online survey to probe for mystical and transcendent experiences (42%). Other areas of interest were probed via bespoke questions targeting facets such as social/relational experiences (35%), anomalous physical (46%)/perceptual (46%) experiences, extended perception (41%). This study highlighted the commonality of these experiences across the sample, while also highlighting the spiritual change meditating individuals had experienced. Due to the sample being restricted to predominantly western individuals with previous meditation experience the generalisability of these results is somewhat limited. Although due to the sample size, gender balance, and breadth of the data, generalisability to a Western sample of meditators with a predominantly Christian upbringing appears reasonable. While studies such as this provide evidence for the presence of spiritual experience and development through mindful practices, they 17 do not acknowledge how these experiences are perceived by the individual, or how they may affect change on an individual’s meaning or well-being. Kristeller and Jordan (2018) discussed that the range of spiritual experiences could include development of inner meaning, unity, purpose, connection, compassion, altruism, engaging in 'right actions' actions that are congruent with prosocial actions, and self-transcendence. They also note how little research has focussed on the spiritual aspects of meditation, questioning how MP may affect spiritual engagement. In discussing MP, they acknowledge that awareness and a non-judgmental attitude are cornerstone to MP positing that the non-judgmental attitude when transferred to others could be the basis of acceptance, compassion and altruism. Also, that non-identification with thoughts allowed for less reactive behaviour allowing for realisation of 'actual self'. Facets of the above theories had been earlier presented by Shapiro et al. (2006) as part of the Intention – Attention – Attitude model, introduced to understand the mechanisms of MP and associated positive effects. Intention focuses on the personal vision that an individual brings to MP, the reason they persist with their practice, which is often tied to a goal such as stress relief. Attention is the observational quality one brings to both internal and external stimuli in the present moment, free from interpretation and perceptual layers. Attitude refers to the open and non-judgmental way that individuals learn to attend to experiences, allowing individuals to observe events with curiosity, then let them pass without holding on to them. This model posited that reperceiving was central to positive change, cultivated through intentionally attending to moments, with an open and kind attitude. Reperceiving was proposed to result in greater self- regulation, values clarification, cognitive and behavioural flexibility, and exposure. This theory also discussed how intentions toward MP change overtime, describing how self-regulation is developed initially, transforming into self-exploration, becoming self-liberation and finally developing into compassionate service. The studies above demonstrate how separate aspects of the model have since been well researched and supported, for example the importance of reperceiving as discussed in the above reappraisal section by Garland et al. (2015), and Pagnini and 18 Langer (2015). Awareness, or attention as Shapiro et al. (2006) termed it, and the activation of value congruence was also presented by Allan, Bott, and Suh (2016), Christie, Atkins and Donald (2017), and Warren et al. (2017). Attitude is represented in Burzler et al.’s discussion of the importance of acceptance. The development of compassionate service through MP mentioned by Shapiro (2006) is in line with Sperry’s (2018) suggestion of development of compassion as the highest level of mindfulness, and Kristeller and Jordan’s (2018) suggestions of MP cultivating self- transcendence to inform spirituality. 1.5. Comparison of research exploring mindfulness and meaning Across the literature there was an overlay of many concepts, particularly with regard to awareness, which appeared to be an essential contributor to meaning across multiple pathways. Literature suggested that awareness was an integral component of acceptance, relationships, congruence, and spirituality. Both Garland et al. (2015) and Burzler et al. (2018) viewed the development of acceptance through MP as an influence on meaning making processes, with acceptance relying on the awareness of, and non-judgmental appraisal of alternative perspectives. This awareness and subsequent acceptance cultivated realistic thinking and cognitive fluidity which was applied to both the self and others. The research of Siegel (2009) posited that awareness and acceptance of both the self and others resulted in enhanced relationships, with relationships adding to meaning through a sense of connection and belonging. In contrast to Siegel (2009), Allan, Bott and Suh (2016) did not find that relational behaviours enhanced meaning. As with Christie, Atkins and Donald (2017), and Warren et al. (2017) they found value behaviour congruency was a path to meaning. Congruency within the self, relied heavily on self-directed awareness, though meaning itself was enhanced by the congruency developed as a result of this awareness. Cloninger (2011), and Greeson et al. (2011) found meaning was enhanced through spirituality, directly equating spirituality with heightened awareness. The literature pointed to awareness resulting largely in cognitive flexibility which contributed directly to meaning through the realisation of new ways of relating to the self, others, and 19 situations. It suggested awareness was an initially required mechanism enhanced by MP, but it was not awareness itself that ultimately added to meaning rather awareness enhanced many mechanisms and pathways to meaning. Dahl and Davidson's (2019) discussion on future mindfulness research highlighted gaps in the understanding on how MP may influence well-being including whether MP facilitated aspects of other contemplative practice such as cultivation of kindness, compassion, and insight. In their discussions prosocial qualities (kindness/compassion), insight, and meaning were separated as three distinct types of contemplative practice, they queried the relationship between MP and these qualities, as all have been linked to psychological well-being. Also, that research demonstrated that contemplative practice positively influenced the quality of interpersonal relationships, another indicator of positive psychological well-being. Lastly, they queried how another strong indicator of positive psychological well-being - purpose and meaning in life - increased with MP. MP is an attentional practice traditionally taught as a foundation skill for other constructive and deconstructive contemplative practices. In their meta-study of effects of meditation on pro-sociality, Kreplin, Farias, and Brazil (2018) noted the prevalence of investigator bias and experimenter effects, with over 40% of studies found to have the meditative technique taught by an author of the study. This directly influenced the effect the meditative practice had on compassion; the meta- analysis found only limited support for MP increasing prosocial behaviours. These findings indicate the potential issues of some intervention-based studies, while providing a critical view of the assumptions surrounding contemplative practices and their influence on prosocial behaviours. Whereas, the current study presented here attempted to uncover influences MP had on individuals as perceived directly by participants. Dahl and Davidson (2019) discussed how, due to the broad application of MP over numerous traditions, there was no 'right' way to engage in MP, however they did query whether benefits and experiences individuals attained from MP differed depending on their initial motivation to practice and their worldview. While research has shown that MP can enhance meaning in life, Bellin (2015) 20 specifically called for qualitative study into MP in order to ascertain the mechanisms underlying this influence. Bloch et al. (2017) suggested further research was required to uncover the mediators in the mindfulness – meaning in life relationship, including interpersonal relationships, health and well-being, existential or religious beliefs, or personal growth and actualisation. Kristeller and Jordan (2018) discussed the lack of research into the spiritual effects of meditative practices, in contrast with the growth of spiritual health as a therapeutic consideration. They highlighted the importance of investigating the processes of meditative practices - including MP - and their influence on spiritual change. 1.6. Review of literature supporting qualitative research into mindfulness Quantitative research has provided numerous insights into the efficacy of MP and has an important role in providing evidential and generalisable data for the research community and practitioners alike. However, it is unable to capture and report on all facets of MP, the experiential facets of MP cannot be reached by quantitative methods. Qualitative research is a naturalistic form of inquiry, attempting to gain insight into how an experience is perceived by an individual and the meaning they make during the experience. Qualitative methods such as Interpretive Phenomenological Analysis (IPA) provide understanding from inside an individual's world, as opposed to forcing the premises of the external world on the experience of the individual. Unlike quantitative data which uses a large sample designed to be representative of a wider population, IPA focuses on the intimate sample of an individual’s perspective. Perspectives are subjective and coloured by all the prior idiographic experiences, beliefs and knowledge of the individual. No other individual will have had the exact same experiences; therefore, the perceptions of individuals are likely to vary. This idiographic perception also applies to the interpretations of the researcher during analysis. Every word or phrase read is subject to the personal understanding the researcher holds, as such researchers must attempt to contain their own understandings of experiences during interpretation to ensure that the participant’s meaning is being clearly heard. IPA involves the interpretation of narratives such as interviews or diary entries, 21 searching for the emergence of themes, firstly within and then across narratives. The in-depth exploration of individual perspectives can uncover both differences and similarities between accounts, providing insight into essential aspects of the experience. Despite limitations in generalisability due to the idiographic nature, the meaning garnered from a qualitative account is much richer than superficial quantitative data (Smith et al., 2009). Participants in an IPA study on the experiential aspects of MP (Solhaug et al., 2016) developed a shift in perspective resulting in increased curiosity, self- acceptance, patience, improved relational capabilities and decreased reactivity. Main themes discovered by Bermudez et al. (2013) IPA research into MP for Post- Traumatic Stress Disorder (PTSD) sufferers included struggles to practice meditation, a vision of growing and helping, personal improvements, and interpersonal improvements. Other themes of note included serenity, self- compassion, intra/interpersonal awareness, emotional regulation, interpersonal improvements, increased socialization, assertive communication, and quality of relationships. 1.7. Summary of findings While research into mindfulness has increased over the years, the majority of this research has been of a quantitative nature. There have been numerous studies exploring the efficacy of mindfulness and the positive effects that mindfulness provides both physically and psychologically (Leyland, Rowse & Emerson, 2018). Yet the subjective facet of mindfulness has been largely un- researched (Griffiths, Camic & Hutton, 2009; Himelstein, Hastings, Shapiro & Heery, 2012; Thomas & Atkinson, 2017). It was suggested a perspective-oriented approach could provide rich insight into how individuals experience changes resulting from mindfulness, meaning making, and how they make sense of these experiences (Bloch et al., 2017; Christopher & Maris, 2010; Hemanth & Fisher, 2015; Nakamura & Ho, 2015; Solhaug et al., 2016; Yi, 2017). Bellin (2015) specifically stated the need for more research into how individuals use mindfulness to cultivate meaning in life, and that qualitative research is a valid method to understand how something can 22 influence cognitive change (Higginson & Mansell, 2008; Van Vliet et al., 2017). Qualitative research can investigate the variations in subjective experiences that individuals experience in a way that quantitative research cannot. It was also noted that the literature had a large focus on clinical populations, many referring specifically to the MBSR program. Accessing non-clinical patients may provide alternative views, expectations and attitudes towards mindfulness, depending on where and why individuals practice it. This could provide insight into mechanisms of change and the depth of effect mindfulness may have on an individual. Solhaug et al., (2016) found that individuals who engaged with mindfulness on a deep level experienced richer and farther-reaching positive effects of mindfulness in their lives than individuals who perceived mindfulness merely as a tool. This finding highlights the difference in perceptions of mindfulness which impacts on both the results of practice and the definition of the construct. This also highlights intent; an individual's intent and perception of mindfulness can influence their level of engagement, gain and experiences. Benson (1996) acknowledged the enhancement of spirituality following engagement in what he termed the ‘relaxation response’ in non-religious individuals, so how are spirituality and meaning related? The English Oxford Dictionary (2018) defined Spiritual as: Relating to or affecting the human spirit or soul as opposed to material or physical things. The human spirit or soul references an individuals' essence, who they feel they are, how they feel inside, and their perceived connections to others. Spirituality can inform meaning through numerous paths which may not necessarily be related to religion, aiding individuals in making sense of their existence and purpose in life (Galanter, 2005). Both spirituality and meaning are highly personal constructs, with each individual likely to have their own perspective on what they mean, and how meaning and spirituality are influenced in their lives. Meaning in life is rooted in the experience of the individual (Bellin, 2015) therefore, to fully capture the essence of this construct research must be conducted using qualitative methods which can access the perceptions and experiences of individuals. The current research was deemed useful because it 23 could potentially provide insight into how individuals develop meaning and how mindfulness influences meaning. It could also provide insight into how adding meaning to an individual's life (or reducing the search for meaning) can have positive impacts on mental and physical health (Bloch et al., 2017). Furthermore, it would add to the fields of both qualitative perspective-based research and mindfulness research. It would also inform clinicians providing valuable insight into an individual's perception of the benefits and effects of mindfulness, providing deeper understanding on the mechanisms of how change can occur in individuals practicing mindfulness. This study aimed to shed light on sources of meaning for individuals, adding to the knowledge of both mindfulness processes and meaning making processes in individuals (Bloch et al., 2017). Concern has been raised in the literature regarding the decontextualisation of mindfulness from the Buddhist framework (Lee, 2017; Lomas, 2017). This qualitative exploration into mindfulness practice may also provide insight into the concerns regarding the loss of original meaning and intent of practicing mindfulness outside of the Buddhist framework. Secularism also appears to be on the rise worldwide (Woodhead, 2017), meaning practitioners can expect to encounter more individuals who may not have a religious framework upon which to base their meaning making processes. Raising the question: Outside of the confines of religious belief and dogma, how do modern secular individuals develop meaning in their lives? With both mindfulness and secularism on the rise, how do these constructs influence one another? Could mindfulness provide a path to enhanced meaning which in turn positively influences both psychological and physical well-being? Are the concerns regarding decontextualisation of mindfulness from the Buddhist framework valid or does the essence of personal growth and enlightenment naturally occur by engaging in mindfulness. This research aimed to investigate the relationship between mindfulness and meaning in life in secular individuals from individuals' unique perspectives through the question: How do secular individuals find meaning in mindfulness? IPA was employed to analyze semi-structured interviews conducted with regular practitioners of mindfulness. Recognizing that MP could be employed across 24 numerous platforms (Kabat-Zinn, 2014; Maxwell and Duff, 2016), the act of mindfulness was not confined to a set style of practice. The interview schedule was developed to provide opportunities for individuals to describe their experiences of the relationship between MP and meaning in their own words. Each interview was transcribed then reviewed for the appearance of recurring themes; themes were extracted using interpretation of the participant voice, a journey of context, and lexical semantics. Analysed transcripts were then compared for co-occurrence of themes across transcripts, with presence of co-occurring themes suggesting evidence of similarity across experiences. Co-occurring themes were further scrutinized and analysed to uncover potential key meaning making mechanisms of MP. This quantitative method of research was employed in an effort to complement the existing quantitative data, and contribute to a comprehensive understanding of the mechanisms of MP. 25 Chapter 2: Method 2.1. Participants To ensure the safety of participants the following criteria were developed to establish that individuals selected were able to demonstrate competence to participate. Participants were required to be adult, over the age of 18, not be involved in any current psychological or psychiatric treatment program, or be regularly taking any form of psychotropic medication or illicit substances. These criteria were necessary to make certain any information gathered could be related to the construct of mindfulness rather than a treatment modality, medication, or substance. Participants were required to be regular users of mindfulness, regular defined as continuous rather than sporadic practice. No further definition of regularity was applied so as not to place constrictions on the type of practice individuals engaged in, this was to enable inclusion of individuals whose MP had evolved beyond formal practice into constant application of mindful techniques. An equal gender representation was sought as participation was open to both genders, however there were only two male respondents both of whom participated in interviews. All participants were screened via questionnaire upon registering their interest in participation to ensure they met the above criteria (See Appendix A). Participants were invited through advertisement in nationwide mindfulness organisation newsletters, websites and social media pages including Mindfulness for Change, Mindfulness Education Group, and Mindfulness Works. Invitations were also sent out through: yoga centres in Tauranga - Ashtanga Yoga Tauranga, via social media - Facebook, and via noticeboard advertisements across Tauranga (See Appendix B). This contact was designed to reach a broad sample of participants from wide demographic and geographic environments. Despite the small sample size and qualitative scope, it was hoped that sampling from a broad base could increase relevance of findings and avoid reducing findings to a narrow representative sample. Compensation for participation consisted of a $20 voucher from MTA funded by the Massey University Post Graduate Research Fund. Potential participants were informed via information sheet that the study would be investigating the link between MP and meaning making processes 26 through interpretive phenomenological analysis (IPA), for a Massey University students Masters research project (see Appendix C). The information sheet informed individuals of the qualitative nature of IPA, the use of interview to access participant experiences, and provided an overview of the interview procedure. Participant exclusions were outlined and explained, as were the following rights - individuals could halt the recording at any point, decline to answer any question, withdraw from the study, and their confidentiality would be maintained. The above advertisements resulted in 16 replies of interest. Of the 16, two were discounted due to the importance of understanding and meaning of the English language in this IPA study, as they were foreign travellers to New Zealand and English was their second language. One individual did not return their screening questionnaire. Six questionnaires were returned by individuals who were deemed unsuitable, two for religious belief (as this was a study focused on secular practice) and four for current engagement with a form of psychological treatment modality. Seven suitable applicants returned questionnaires, all of who were interviewed, one interview could not be included in analysis as the transcript release authority was not returned, leaving six suitable interviews to analyse. 2.1.1. Summary of participant mindfulness practice. The length of mindfulness practice for participants ranged from 1.5 - 25 years with a range of motivations and an even split of eastern and secular training (see Table 2.1). Three separate secular psychotherapeutic deliveries of mindfulness were represented but were sought out for education rather than personal therapy; Mindfulness Based Stress Reduction, Dialectical Behaviour Therapy, Mindfulness Integrated Cognitive Behavioural Therapy. Eastern training was predominantly from a Buddhist perspective, although none of the participants engaged with Buddhism as a religion. 27 Table 2.1: Participant motivation, training, and length of mindfulness practice Participant motivation, training, and length of mindfulness practice Motivation Eastern v Secular Training Current Practice Length of Practice P1 Spiritual understanding of Yoga and desire for calm Eastern – India, Yoga Teacher Training Informal implementation across tasks and formal daily practice, seated breath focus and/or mindful yoga 1.5 Years P2 Searching for tool in a time of stress Eastern – Buddhist community meditation course Daily formal seated practice 30 minutes 25+ Years P3 Viewed as a natural progression from Yoga practice Secular – Online Mindfulness Based Stress Reduction Class Followed by ongoing secular mentored instruction 5-6 Days per week formal seated breath focus practice 20-30 minutes 3 Years P5 Initially learned for programme delivery in mental health sector. Desire for more awareness brought practice into private life Secular – Dialectical Behaviour Therapy facilitator training Informal practice across tasks Formal daily physical mindful yoga practice 9-10 Years P6 Initially learned for clinical understanding. Brought practice into private life as a tool to utilise in a time of stress. Secular – Mindfulness Integrated Cognitive Behavioural Therapy Formal seated practice 20- 30 minutes 3-4 times per week Informal application of mindful principles across tasks 3.5 Years P7 Introduction through meditation Eastern – Structured Thai Buddhist delivery Daily constant application of mindful principles across all tasks Formal breath focussed mindful ashtanga yoga 24 Years 2.2. Clarifying the Constructs Development of the interview schedule first required clarification of the concepts the researcher was trying to access, namely mindfulness, meaning, and secular. Mindfulness itself had broad applications and though gaining in popularity and use, it was still not a mainstream activity in western society. As such the definition had to be relevant to western use and open enough to ensure inclusion 28 of sufficient participants. The definition of meaning also needed to be open enough to accommodate the idiosyncrasies of meaning relevant to each participant, as each individual may source meaning through different aspects of their lives. It was essential to clearly define the term secular as this study specifically sought perceptions of individuals who were non-religious. Both the mindfulness and meaning definitions were presented to participants during the interview, the definition of secular was presented to individuals as part of the screening questionnaire. 2.2.1. Mindfulness defined. The English Oxford Dictionary defines ‘Mindfulness’ as: A mental state achieved by focusing one's awareness on the present moment, while calmly acknowledging and accepting one's feelings, thoughts, and bodily sensations, used as a therapeutic technique. Jon Kabat-Zinn the founder of MBSR defined mindfulness as "paying attention in a particular way: on purpose, in the present moment, and non-judgmentally" (Kabat-Zinn, 2014). These definitions were very similar to Friedman, Myers, and Benson's (2001) two essential components eliciting the relaxation response "mental focusing and adopting a passive attitude toward distracting thoughts.” A combination of the above definitions was utilised: “Mental focusing in the present moment, with a non-judgmental attitude toward thoughts.” While there is further debate regarding the definition of mindfulness, the simplicity of this definition was favoured, as it allowed the inclusion of a number of idiosyncratic methods that participants could have engaged in. This definition also encompassed key aspects from other definitions such as: sustained attention (Bellin, 2015); and Garland, et.al., (2015) "non-evaluative engagement with experience.” 2.2.2. Meaning defined. The English Oxford Dictionary (2018) defined 'Meaning' as: 1. Important or worthwhile quality; purpose. 29 The Merriam-Webster Dictionary (2018) defined 'Meaning' as: 1. Significant quality. Steger (2009, p. 682) went further to define meaning as: “the extent to which people comprehend, make sense of, or see significance in their lives, accompanied by the degree to which they perceive themselves to have a purpose, mission, or overarching aim in life.” Steger's (2009) definition was used in this study, it was comprehensive, inclusive of the Oxford and Merriam-Webster definitions and flexible enough to accommodate the idiosyncratic definitions participants may have held. 2.2.3. Secular defined. Defining the term secular was a task of unwrapping lexical semantics, the English Oxford Dictionary defined Secular as: 1. Not connected with religious or spiritual matters with Religious defined as: 1. Relating to or believing in a religion; (of a belief or practice) forming part of someone's faith in a divine being and Spiritual defined as: 2. Relating to or affecting the human spirit or soul as opposed to material or physical things 3. Relating to religion or religious belief The Merriam-Webster Dictionary (2018) defined secular as: 1. Of or relating to the worldly or temporal 2. Not overtly or specifically religious In contemporary English, "secular" is primarily used to distinguish something (such as an attitude, belief, or position) that is not specifically religious or sectarian in nature. 30 with religious defined as: 1. Relating to or manifesting faithful devotion to an acknowledged ultimate reality or deity As individuals often feel spiritual even when undertaking a secular practice (Chang et al., 2010), for the purposes of this study secular was defined as: “Non-religious - not relating to or believing in an acknowledged religion, ultimate reality, divine being or deity.” 2.3. Interview process Seven participants engaged in a semi structured interview administered, transcribed, and analysed by a single key researcher, using Interpretive Phenomenological Analysis (IPA). Prior to interview commencement written informed consent was obtained from each participant (see Appendix D). Interviews were conducted in person where possible (two participants) or via video call using Skype or Whatsapp (five participants). An open-ended semi structured interview schedule was used to adhere to the principles of IPA, gathering the individual's insight and perception without imposing outside influences on their experience (See Appendix E). Initial questions were designed to establish rapport and elicit information regarding where and when the participant came to practice mindfulness. These included questions regarding type of instruction, current practice, and length of practice. Questions related to motivation to learn, and initial attitude toward mindfulness were designed to access whether motivation and/or attitude was related to the level of meaning they derived from practicing mindfulness as suggested by Solhaug et al. (2016). Subsequent questions sought to elicit information regarding the relationship the participant had experienced between mindfulness and meaning. A number of questions were developed to directly elicit the individual's concept of mindfulness, their concept of meaning in their lives, how they perceived mindfulness to have influenced their meaning making processes, and how they perceived the meaning they had developed affected their daily lives. 31 While it was important to ensure the schedule was open and flexible and not imposing the frameworks of others onto the participants, it was also important to attempt to access the many facets of meaning. Research had presented numerous theories suggesting the basis of meaning making for individuals, therefore some questions were designed to probe for and potentially access these theories. Bloch et al. (2017) highlighted a number of areas for further research including whether relationship quality, personal growth and actualisation, and existential beliefs were possible mediators in the mindfulness - meaning in life relationship. The question 'How do you find practicing mindfulness affects your concept of meaning?' was designed to directly elicit a response regarding whether the participant perceived that MP had directly affected their concept of meaning. Expansion questions following this thread probed for the perceived effects mindfulness had on purpose in life (Bloch et al., 2017), connection to objects outside of the self (Maxwell & Duff, 2016; Siegel, 2009; Van Vliet et al., 2017) , self- awareness, and views of values and actions (Allan, Bott & Suh, 2016, & Bloch, 2017). Regarding the above theories, questions were developed to probe participants for their perception regarding the topic, while allowing room for participant’s own perceptions and experience to come through. To maintain the integrity and essence of IPA, subsequent questions were not designed to specifically probe for links to previous research. Rather the participants own perspective, beliefs, and explanations were sought in order to access the idiosyncratic mechanisms of the mindfulness - meaning in life relationship of each individual. The question 'Can you describe the sense of meaning that you have developed?' was an opportunity for the participants’ to vocalise specifically what meaning meant for them personally. Expansion questions sought to elicit what they perceived as important, significant, or what gave them purpose in their lives. This was an opportunity to see whether participants found meaning in similar or diverse pursuits. The following question 'How would you explain the link between your mindfulness practice and the development or enhancement of meaning in your life?' was an opportunity for participants to vocalise their understanding of the processes behind how MP affected their 32 meaning making processes. Subsequent expansion questions sought to clarify 'how' participants perceived MP to have influenced the development of their significance and purpose in life. 'How has this perception of meaning affected your daily life?' was designed to elicit information regarding how participants felt that the meaning they had created or discovered was presenting in their day to day living. Each interview was recorded using smart phone voice recording software then manually transcribed, dictation software was avoided due to reliability concerns. Once transcribed each interview was then listened to twice more whilst reading through the transcript to ensure accuracy and allow for amendments. Every participant was emailed a copy of their transcript and was asked to ensure that the transcript had captured their experience accurately. Participants were given the opportunity to amend transcripts if necessary and were required to return a signed transcript release authority (see Appendix F). No emendations were made to the transcripts by participants. At the conclusion of research each participant was provided with a summary of the research findings. 2.4. Analysis This research aimed to gather participant perspectives on how mindfulness had influenced their meaning making processes. Interpretive Phenomenological Analysis (IPA) was chosen to analyse the data, as IPA specifically seeks to uncover how individuals perceive and make sense of their experiences. Once all interviews were transcribed, checked by the participants, coded and stored securely the process of IPA commenced. Smith, Flowers, & Larkin (2009) suggested six analysis stages to complete IPA, which provided the basis of the analysis for this project. The first stage involved immersion in the raw data, reading and rereading each transcript, taking the time to read carefully and slowly, ensuring the participant’s perspective was the focus. Initial notes were made where themes or patterns emerged. As a researcher immersing oneself in the data was important as it allowed the reader the opportunity to fully absorb the messages the participant had offered. This began the hermeneutic process, interpretation considered both 'the 33 part' and 'the whole', words were interpreted both at face value and within the context of the sentence, passage, and the complete text. This interpretation was both dynamic and circular in nature, discovering and interpreting meaning which in turn further influenced the original interpretation. IPA is double hermeneutic with the researcher interpreting the participant’s interpretation of the phenomena. For example, each individual perceives each experience differently due to their own past experiences and cognitive schemas, this included the researcher listening and reading through the participant’s dialogue. In order to minimise interpretation bias, the researcher engaged in monitoring of their own thoughts during interpretation, reading and re-reading participant transcripts continually questioning the origins of interpretations. Importance was placed on acknowledging that participants were the experts of their own experiences, as such preconceptions and expectations of the interpreter were set aside, to avoid own beliefs, feelings, and prior knowledge colouring interpretation and missing the true message. Stage two involved initial coding of data, which began during the first few readings as notes were developed. Each transcript was manually analysed line by line, key words and phrases used by the participant were noted, patterns and themes were assigned codewords such as 'connectedness' and 'awareness'. These codewords began to form the basis of themes and were used to highlight significant and/or recurring points of interest (see Appendix G). To capture the full multifaceted experience of the participant, comments were considered at 'descriptive', 'linguistic', and 'conceptual' levels (Smith et al., 2009). Descriptive comments focused on describing content within the transcript, linguistic comments explored the use of language by the participant, such as repetition or highly emotive terms, and conceptual comments involved a higher level of interpretation. Stage three involved discovering and recording emergent themes. A move away from the transcript itself began, as the focus moved to analysing the comments and codewords created by the researcher. A table of coded themes and comments was created for each participant, linking the code, the participant and the supporting quote. Themes were initially recorded in the order in which they appeared in the transcript. The object was to further refine the participants’ 34 message into concise themes while retaining enough detail to maintain the essence of the communication. Stage four involved searching for connections across themes within the same transcript. Themes which were related identified overarching themes, where subsets were noted and coded. Detailed notes about the different coding processes were made in order to create evidence to back up the analysis process (see Appendix H). As developing themes from the transcript was an interpretive process, and can involve questioning the participants meaning and abstraction, it was important to document this process to explain how interpretations evolved. Once data was sorted by theme/subtheme it was presented in table form for ease of comparison to other transcripts. Stage five involved reviewing subsequent transcripts, where steps 1-4 were repeated. During this phase previous themes and codes were kept on hand to aid in faster coding where relevant. However, it was important to remember the idiographic focus of IPA and avoid reviewing each transcript through the lens of past transcripts. Bracketing of both researcher perspectives but also the themes which have emerged from the previous transcript(s) was essential, transcript data was not compared until all individual transcript analysis was completed. During step six a search for commonalities and repeated themes across transcripts took place. Evidence supporting each theme was grouped and presented in a table form for ease of viewing. Finally, psychological theory was linked to the data, where observed and appropriate (Finlay, 2010). 2.5. Reliability and validity IPA as a qualitative study is subject to a number of criticisms particularly the interpretation required of the participant’s voice. Interpretation is a key aspect of IPA and if the researcher does not bracket their own assumptions and prior beliefs adequately there is potential for this to bias the interpretation (Smith et al., 2009). It was important for the researcher to keep an open mind and immerse oneself in the data fully, appreciating each new transcript as a fresh perspective and not 35 allowing previous concepts to influence interpretation. During individual interpretations a list of code words/themes was not present, rather each interesting point was noted ensuring that the focus was on the current transcript, rather than being influenced by previous codewords. It was also essential that the researcher document all steps of interpretation so that a logical chain of evidence can be developed to back up interpretations. Extracts from multiple participant transcripts which supported interpretations would be included in this final report to demonstrate links. Another possible limitation was that the presence of the interviewer may have influenced the information the participant was willing to divulge (Anderson, 2010). Participants may not have been willing to fully share all their information with a stranger, or they may have tried to present to the interviewer what they thought they wanted to hear. Reactions from the interviewer may also influence the type or depth of information the participant is willing to share. In order to counteract these issues, the interviewer sought to frequently remind participants that it was the participant perspective and insight which was of importance. Initial questions were designed to establish rapport between interviewer and participant to establish a relationship of respect, trust, and safety. The interviewer employed the skills of active listening, unconditional positive regard and validation to encourage honesty and openness in participants. Due to the small sample size and idiographic nature of IPA, generalizations from the data were tentative and cautious in nature (Smith et al., 2009). Assessing qualitative research against criteria for quantitative reliability and validity is difficult due to the idiographic and descriptive nature of the data being gathered. The aim of this study was to understand the individual perspectives that participants had developed regarding how MP affected their meaning making processes. Also, to understand whether they felt MP had enhanced the meaning and significance they felt in their everyday lives and how they felt this may have occurred. To enhance the reliability of the study the following considerations were made: Participants were encouraged to fully explain multiple facets of their meaning making processes, in an attempt to capture their full idiographic meaning 36 making process; Open ended questions were used to encourage full discourse, with terms such as 'how', 'could you explain', and 'can you describe', these terms were specifically chosen to access the participants understanding and experience without reference to how constructs were interpreted by others; Interference from the interviewer was minimised and kept to validation of participant voice and repeated reference to the participants’ perspective; All interpretations were considered as possibilities as the data was double hermeneutic - an interpretation of an interpretation. However, to support the validity of interpreted themes, quotes from multiple participants were gathered in support of each theme. Where themes did not receive support from the majority of participants they were not included. 37 Chapter 3: Results 3.1. Prior Participant Attitudes Towards Mindfulness Despite some unfamiliarity with mindfulness the overall attitude of participants towards mindfulness was neutral, open and curious regarding what mindfulness entailed and what it could offer. Both P2 and P3 felt open toward the concept “I was open to meditation”, “I would say I had a really open attitude towards it [mindfulness], I just couldn't make it habitually stick....” Informed by research, P6 went in to practice with a positive attitude “I thought it was...a really great concept.” Both P5 and P7 had neutral perceptions of the practice “It was one of ignorance in regards to...actually what it is”, “You know, I really didn’t, I didn’t really have any fear, or like, it did-, I didn’t, I don’t think I had any sort of connotations really.” Two of the participants were somewhat informed by research or previous meditation experience prior to beginning MP, P6 first learned about MP through research: “I first came across mindfulness ah, I guess, through research, um, so I, when I was doing my undergrad, in psychology. Yeah, I was reading some books and I guess like the neuroscience of meditation.” P3 commented on the familiarities of MP with some aspects of Yoga: “But I had been practicing Yoga for….oh, um over a decade before that and so, so some of the, a lot of the things that I studied or that I was interested in, in terms of mindfulness really overlapped.” The other participants were unfamiliar with what mindfulness entailed when first beginning practice. Two of the participants initially felt that mindfulness was not an activity they would engage in, with P1 stating “I'd seen on movies...meditating and I'd thought Oh it's never me [joint laughter] you know? But it was kind of like, I was quite curious about it” and P5 expressing “Perhaps you know I'm not someone who would do meditation, it's a waste of time, I've got lots to do [laughter].” These quotes which were in contrast to the current regular practice these participants engaged in highlighted their initial unfamiliarity with the practice. All participants had an inherent interest in well-being and in particular 38 developing the well-being of others, with three participants working in the mental health sector and three working as Yoga/fitness instructors. 3.2. Motivation to Learn Mindfulness A number of participant comments were indicative of an undercurrent of dissatisfaction with Western Culture (WC). Participants indicated that WC was unable to provide them with holistic understandings as indicated by P1 “I went to India because I wanted all the spiritual stuff with it, I thought if I tried to do it in Australia or NZ I wouldn't get what Yoga really was.” This statement indicated that the way in which P1 viewed western individuals’ engagement with Yoga, was not participation in all that Yoga has to offer, that there was an essential deeper side which is as important as the physical component; a side which our culture may not fully embrace. This lack of holistic understanding was echoed by P7 as they explained “there was sort of glimmers of something that they’d discovered something over there (Asia), um, through you know, through their philosophies and religions and stuff, that I couldn’t find in our, present day.” P7 went further to comment on how the ideals and experience of growing up in WC were not aligned with their own values “So um, I didn’t feel that...um, what’s the best way to term that...that our, the society that I was kind of growing up in...didn’t, I didn’t feel met at all.” Together these passages indicated a lack of satisfaction in the understandings that WC could offer. Participants provided numerous references to the stress of western life, with many instances of negative adjective use to describe themselves when explaining their initial motivations for engaging in mindfulness practice. Both P1 and P5 spoke of the need to cope with the frenetic pace of their life: P1: “I just need to chill out, like I'm quite, not a high-strung person, but I just, I get frantic and I get, I need to be organised”, P5: “I'm an absolute rusher! [shared laughter] I'm squeezing in as much as I can into my day and thinking you know, yep, my mind is one that, that, that is constantly on the go but also myself I'm constantly on the go, and um I do 39 you know, I'm a terrible multitasker and, um, you know I'm aware that that's not fully, you know, experiencing what I'm doing...I kind of realised yeah I really need this myself because I'm a rusher, and I'm not fully experiencing the wonderful things I'm wanting to do.” P2 spoke of their grasp for sanity: “I thought, I am gonna have to do something for myself to stay sane, and so I looked around and found a community course on meditation, and so I went along.” A number of these negative terms are feeling based and indicative of states of mental distress, participants provided no reference to the physical health benefits science has suggested mindfulness can provide. A definite theme of a need to feel calmer and more organised was present. With origins in Eastern culture the search for mindfulness as a tool to alleviate mental distress could be indicative of well- being aspects lacking in WC. Participants were motivated to engage in mindfulness practice based on the perceived benefits of mindfulness as a tool to achieve a state of calm or to gain knowledge, understanding and awareness. P6 embarked on a mindfulness journey both from an academic and personal stance acknowledging the knowledge gained from MP would benefit not only their future clients, but also them self with their current stresses. “...Um, yeah a, a number of motivations I suppose, like that was one kind of, if I was going to be implementing this with clients you know, it's such an experiential thing...That you need to ah...know the territory experientially...um and then also, like...I guess, for me personally as well for my own benefit, I was going through a doctoral program it's, it's really intense, and um, kind of there's a lot of uncertainty and stress in that, so it's like well, this could be really great, 'cos I'm passionate about this area, and I'm doing my research in it, so I'll learn things that will help me through it.” 40 This search for knowledge was echoed by P3: “But I had been practicing Yoga for….oh, um over a decade before that and so, so some of the, a lot of the things that I studied or that I was interested in, in terms of mindfulness really overlapped...” Combined the above passages indicate a desire to obtain knowledge, and an acknowledgement that MP could provide alternative perceptions. 3.3. Presenting Themes This research presented three overarching paths to meaning from mindfulness practice: Non-judgment, awareness, and enhanced connection. Non-judgment and awareness cultivated enhanced connection, which pervaded all aspects of the participants’ lives resulting in four subsequent paths to meaning: connection with others, authenticity, enhanced spirituality, and positive perceptual shift (See Figure 3.1). MP cultivated a non-judgmental attitude resulting in greater acceptance of others and the self. MP also developed awareness resulting in the realisation of values and of the connectivity between things. The acceptance of others and realisation of connectivity enhanced connections to all things outside of the self. The acceptance of the self and realisation of one’s own values resulted in greater authenticity, which in turn also added to enhanced connectivity. Enhanced connectivity and spirituality appeared to be closely related and influential on one