Theoretical paper · 2004
Mindfulness: A proposed operational definition
Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., & et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241.
What it found · its limits
Drawing on consensus meetings, this paper proposes a two-component operational model of mindfulness: self-regulation of attention toward immediate experience, and an orientation toward that experience characterised by curiosity, openness and acceptance. It was intended to make mindfulness more testable in research.
Limits: A consensus-based theoretical proposal rather than an empirical study; other definitions of mindfulness exist and the model has been debated since publication.
doi:10.1093/clipsy.bph077
Neuroimaging study · 2011
Meditation experience is associated with differences in default mode network activity and connectivity
Brewer, J. A., Worhunsky, P. D., Gray, J. R., Tang, Y.-Y., Weber, J., & Kober, H. (2011). Meditation experience is associated with differences in default mode network activity and connectivity. Proceedings of the National Academy of Sciences, 108(50), 20254–20259.
What it found · its limits
In this fMRI study, experienced meditators showed relatively lower activity in main default mode network nodes (medial prefrontal and posterior cingulate cortices) across three meditation types than meditation-naive controls. Meditators also showed stronger coupling between posterior cingulate, dorsal anterior cingulate and dorsolateral prefrontal regions, a pattern the authors describe as consistent with less mind-wandering.
Limits: Small cross-sectional group comparison of experienced meditators and controls, so differences cannot be attributed to meditation practice itself. Mind-wandering was inferred from brain activity patterns rather than measured directly.
doi:10.1073/pnas.1112029108PubMed
Measurement study · 2021
Defining and measuring meditation-related adverse effects in mindfulness-based programs
Britton, W. B., Lindahl, J. R., Cooper, D. J., Canby, N. K., & Palitsky, R. (2021). Defining and measuring meditation-related adverse effects in mindfulness-based programs. Clinical Psychological Science, 9(6), 1185–1204.
What it found · its limits
In this study, an independent assessor interviewed 96 participants after three variants of an 8-week mindfulness-based cognitive therapy program. In this sample, 83% reported at least one meditation-related side effect, 58% reported meditation-related adverse effects with negative valence, and 37% reported effects with a negative impact on functioning; lasting bad effects occurred in 6–14% of this sample. These are findings from one sample of program participants, not population prevalence estimates, and the authors concluded the rates were similar to those for other psychological treatments.
Limits: A single sample of 96 participants in one program type, assessed by a detailed interview that may capture more (including mild and transient) effects than routine monitoring; rates may not generalise to other populations, practices, apps or settings.
doi:10.1177/2167702621996340PubMed
Review · 2009
How do you feel — now? The anterior insula and human awareness
Craig, A. D. (2009). How do you feel — now? The anterior insula and human awareness. Nature Reviews Neuroscience, 10(1), 59–70.
What it found · its limits
This review discusses evidence implicating the anterior insular cortex in a wide range of conditions and behaviours, and proposes that its re-representation of interoceptive signals may offer a basis for subjective feelings and awareness.
Limits: A theoretical synthesis; the proposal that the anterior insula is a neural correlate of awareness is one influential hypothesis and remains debated.
doi:10.1038/nrn2555PubMed
Review · 2015
Interoception, contemplative practice, and health
Farb, N., Daubenmier, J., Price, C. J., Gard, T., Kerr, C., Dunn, B. D., & et al. (2015). Interoception, contemplative practice, and health. Frontiers in Psychology, 6, 763.
What it found · its limits
This interdisciplinary review proposes an expanded taxonomy of interoceptive processes and links them to a predictive coding model of mind-body integration. The authors suggest that maladaptive interpretation of bodily sensations may contribute to various conditions and that contemplative practices may reduce such interpretive biases.
Limits: A narrative, integrative review; its proposals about contemplative practice and health are hypotheses to be tested rather than established findings.
doi:10.3389/fpsyg.2015.00763PubMed
Neuroimaging study · 2007
Attending to the present: mindfulness meditation reveals distinct neural modes of self-reference
Farb, N. A. S., Segal, Z. V., Mayberg, H., Bean, J., McKeon, D., Fatima, Z., & Anderson, A. K. (2007). Attending to the present: mindfulness meditation reveals distinct neural modes of self-reference. Social Cognitive and Affective Neuroscience, 2(4), 313–322.
What it found · its limits
This fMRI study compared a narrative focus (monitoring enduring traits) with an experiential focus (monitoring momentary experience). In participants who had completed an 8-week mindfulness course, experiential focus was associated with larger reductions in medial prefrontal activity and greater engagement of a right-lateralised network including the insula, compared with novices. The authors interpret this as suggesting two neurally dissociable modes of self-reference.
Limits: Modest sample and group comparison; brain activity differences are correlational and depend on task instructions, so they do not show what participants experienced or that the course alone produced the differences.
doi:10.1093/scan/nsm030PubMed
Review · 2007
Toward understanding respiratory sinus arrhythmia: Relations to cardiac vagal tone, evolution and biobehavioral functions
Grossman, P., & Taylor, E. W. (2007). Toward understanding respiratory sinus arrhythmia: Relations to cardiac vagal tone, evolution and biobehavioral functions. Biological Psychology, 74(2), 263–285.
What it found · its limits
This review sets out caveats in treating respiratory sinus arrhythmia as a direct index of cardiac vagal tone, such as confounding by breathing parameters and physical activity. The authors present evidence that polyvagal theory does not accurately depict the evolution of vagal control of heart rate variability.
Limits: A critical review and argument rather than new experimental data; the debate with proponents of polyvagal theory is ongoing.
doi:10.1016/j.biopsycho.2005.11.014PubMed
Theoretical paper · 2003
Approaching awe, a moral, spiritual, and aesthetic emotion
Keltner, D., & Haidt, J. (2003). Approaching awe, a moral, spiritual, and aesthetic emotion. Cognition and Emotion, 17(2), 297–314.
What it found · its limits
This paper proposes a prototype model of awe in which two appraisals are central: perceived vastness and a need for accommodation (difficulty assimilating an experience into existing mental structures). Additional appraisals such as threat, beauty or virtue are proposed to shape the tone of awe experiences.
Limits: A theoretical account derived from literature in religion, philosophy, sociology and psychology; it does not present new empirical data.
doi:10.1080/02699930302297PubMed
Review · 2018
Interoception and mental health: A roadmap
Khalsa, S. S., Adolphs, R., Cameron, O. G., Critchley, H. D., Davenport, P. W., Feinstein, J. S., & et al. (2018). Interoception and mental health: A roadmap. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, 3(6), 501–513.
What it found · its limits
This consensus review from the 2016 Interoception Summit defines interoception as how the nervous system senses, interprets and integrates signals from within the body. It summarises evidence that altered interoception is increasingly recognised as a component of several mental health conditions and sets out priorities for assessment and research.
Limits: An expert consensus overview rather than a systematic review or new data; it highlights conceptual and methodological challenges that remain unresolved in measuring interoception.
doi:10.1016/j.bpsc.2017.12.004PubMed
Experience-sampling study · 2010
A wandering mind is an unhappy mind
Killingsworth, M. A., & Gilbert, D. T. (2010). A wandering mind is an unhappy mind. Science, 330(6006), 932.
What it found · its limits
Using a smartphone experience-sampling method, this study found that people were thinking about something other than what they were doing almost as often as they were attending to the present activity. In this sample, mind-wandering moments were associated with lower reported happiness.
Limits: Participants were self-selected smartphone users, and happiness and mind-wandering were both self-reported. The design is correlational, so it cannot establish that mind-wandering causes unhappiness.
doi:10.1126/science.1192439PubMed
Review · 2017
Self-distancing: Theory, research, and current directions
Kross, E., & Ayduk, O. (2017). Self-distancing: Theory, research, and current directions. Advances in Experimental Social Psychology, 55, 81–136.
What it found · its limits
This chapter reviews a research programme on self-distancing, such as reflecting on experiences from a distanced perspective or using distanced self-talk. The authors summarise evidence that, in many studies, distanced reflection was associated with less emotional reactivity and more adaptive meaning-making than immersed reflection.
Limits: A review written largely by the researchers who developed the paradigm; many included studies are short-term laboratory experiments, so effects in everyday life and over time need further testing.
doi:10.1016/bs.aesp.2016.10.002
Review · 2014
Heart rate variability biofeedback: How and why does it work?
Lehrer, P. M., & Gevirtz, R. (2014). Heart rate variability biofeedback: How and why does it work?. Frontiers in Psychology, 5, 756.
What it found · its limits
This review discusses possible mechanisms for heart rate variability biofeedback, which typically involves slow breathing near a resonance frequency. The authors identify strengthening of baroreflex-mediated homeostasis as the best-supported mechanism and discuss a proposed vagal afferent pathway to frontal cortical areas.
Limits: A mechanistic review by researchers active in the field rather than a systematic evaluation; several proposed mechanisms are still hypotheses.
doi:10.3389/fpsyg.2014.00756PubMed
Mixed-methods study · 2017
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists
Lindahl, J. R., Fisher, N. E., Cooper, D. J., Rosen, R. K., & Britton, W. B. (2017). The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists. PLOS ONE, 12(5), e0176239.
What it found · its limits
Through interviews with Western Buddhist meditation practitioners and teachers in Theravāda, Zen and Tibetan traditions, this study developed a taxonomy of 59 meditation-related experiences across seven domains and 26 categories of influencing factors. Experiences ranged from very positive to very negative, and associated distress or impairment ranged from minimal and transient to severe and enduring.
Limits: The interview study focused on challenging experiences in a specific population of Western Buddhist practitioners, so it describes the range of such experiences rather than how common they are.
doi:10.1371/journal.pone.0176239PubMed
Theoretical paper · 2021
Argumentation-based health information systems: A design methodology
Lindgren, H., Kampik, T., Guerrero Rosero, E., Blusi, M., & Nieves, J. C. (2021). Argumentation-based health information systems: A design methodology. IEEE Intelligent Systems, 36(2), 72–80.
What it found · its limits
This article presents a design methodology for health information systems that use formal argumentation, covering requirements for reasoning behaviour, knowledge and user models, and system-type considerations for clinical decision support, patient-facing and administrative systems. It outlines open challenges and mitigation strategies.
Limits: A methodological proposal without an empirical evaluation of user outcomes; its applicability to non-clinical, reflective applications is an extrapolation.
doi:10.1109/MIS.2020.3044944Publisher
Review · 2008
Attention regulation and monitoring in meditation
Lutz, A., Slagter, H. A., Dunne, J. D., & Davidson, R. J. (2008). Attention regulation and monitoring in meditation. Trends in Cognitive Sciences, 12(4), 163–169.
What it found · its limits
This review distinguishes two commonly studied styles of meditation: focused attention (voluntarily holding attention on a chosen object) and open monitoring (non-reactive monitoring of moment-to-moment experience). The authors propose that these practices may train distinct attentional and emotional regulatory functions.
Limits: A conceptual review rather than new data; the two-style framework is a simplification of diverse practices, and the long-term brain and behavioural effects it discusses were proposed rather than established.
doi:10.1016/j.tics.2008.01.005PubMed
Theoretical paper · 2016
The three meanings of meaning in life: Distinguishing coherence, purpose, and significance
Martela, F., & Steger, M. F. (2016). The three meanings of meaning in life: Distinguishing coherence, purpose, and significance. The Journal of Positive Psychology, 11(5), 531–545.
What it found · its limits
This theoretical article distinguishes three facets of meaning in life: coherence (life making sense), purpose (core goals and direction) and significance (a sense that life is inherently valuable and worth living). The authors argue research may benefit from examining these facets separately.
Limits: A conceptual overview without new data; the three-facet structure was proposed here and has been examined empirically only in later work.
doi:10.1080/17439760.2015.1137623
Measurement study · 2012
The Multidimensional Assessment of Interoceptive Awareness (MAIA)
Mehling, W. E., Price, C., Daubenmier, J. J., Acree, M., Bartmess, E., & Stewart, A. (2012). The Multidimensional Assessment of Interoceptive Awareness (MAIA). PLOS ONE, 7(11), e48230.
What it found · its limits
This paper describes the development of the MAIA, a 32-item self-report questionnaire assessing eight aspects of interoceptive body awareness, through literature review, focus groups, cognitive testing and field testing. The authors present it as a starting point for research and further refinement.
Limits: Field-tested largely with students and instructors of mind-body approaches, which may limit generalisability; self-report measures of interoception do not necessarily align with performance-based measures.
doi:10.1371/journal.pone.0048230PubMed
Experimental study · 1986
Confronting a traumatic event: Toward an understanding of inhibition and disease
Pennebaker, J. W., & Beall, S. K. (1986). Confronting a traumatic event: Toward an understanding of inhibition and disease. Journal of Abnormal Psychology, 95(3), 274–281.
What it found · its limits
An early experiment comparing writing about difficult personal experiences with writing about neutral topics. It is widely credited with launching research on expressive writing; AI for Meaning cites it only as the origin of that line of research, not for any specific effect.
Limits: A small student sample in a single study; subsequent research and meta-analyses suggest expressive writing effects are generally modest and variable, and it is not a substitute for professional support after trauma.
doi:10.1037/0021-843X.95.3.274PubMed
Experimental study · 2015
Awe, the small self, and prosocial behavior
Piff, P. K., Dietze, P., Feinberg, M., Stancato, D. M., & Keltner, D. (2015). Awe, the small self, and prosocial behavior. Journal of Personality and Social Psychology, 108(6), 883–899.
What it found · its limits
Across five studies (N = 2,078), dispositional awe was associated with greater generosity, and brief awe inductions increased ethical decision-making, generosity and prosocial values relative to control conditions. Mediation analyses suggested these effects were partly explained by feelings of a small self.
Limits: Mostly short laboratory or field inductions with immediate outcomes, so durability is unknown; mediation analyses are statistical and do not by themselves establish causal mechanisms.
doi:10.1037/pspi0000018PubMed
Theoretical paper · 2007
The polyvagal perspective
Porges, S. W. (2007). The polyvagal perspective. Biological Psychology, 74(2), 116–143.
What it found · its limits
This paper gives an explicit statement of polyvagal theory, which relates autonomic nervous system function to behaviour through proposed phylogenetic shifts in the neural regulation of two vagal systems. It is best read as an influential theoretical framework rather than settled physiology.
Limits: Theoretical rather than empirical; key physiological and evolutionary claims of polyvagal theory are contested in the literature (see Grossman & Taylor, 2007, in the same journal issue).
doi:10.1016/j.biopsycho.2006.06.009PubMed
Theoretical paper · 2020
Human-centered artificial intelligence: Reliable, safe & trustworthy
Shneiderman, B. (2020). Human-centered artificial intelligence: Reliable, safe & trustworthy. International Journal of Human–Computer Interaction, 36(6), 495–504.
What it found · its limits
This article proposes the Human-Centered AI framework, arguing that designs can combine high levels of human control with high levels of computer automation, and that such designs are more likely to be reliable, safe and trustworthy while supporting human self-efficacy and responsibility.
Limits: A design framework and position paper rather than an empirical evaluation; its claims about performance and adoption are arguments, not tested outcomes.
doi:10.1080/10447318.2020.1741118
Book · 2022
Human-centered AI
Shneiderman, B. (2022). Human-centered AI. Oxford University Press.
What it found · its limits
This book expands the Human-Centered AI framework, arguing that AI design should aim to empower people and keep humans in meaningful control rather than replace them, and offers strategies for design, testing and governance.
Limits: A single-author book presenting a perspective and design guidance; it is not a systematic review of evidence on AI outcomes.
doi:10.1093/oso/9780192845290.001.0001Publisher
Measurement study · 2006
The Meaning in Life Questionnaire: Assessing the presence of and search for meaning in life
Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2006). The Meaning in Life Questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80–93.
What it found · its limits
Across three studies, this paper reports evidence for the internal consistency, temporal stability, factor structure and validity of the Meaning in Life Questionnaire, a 10-item measure with separate subscales for the presence of and search for meaning in life.
Limits: Validation relied on a limited set of samples, and the measure captures self-reported perceptions of meaning rather than any external criterion.
doi:10.1037/0022-0167.53.1.80
Systematic review · 2022
The adverse effects of meditation-interventions and mind–body practices: A systematic review
Taylor, G. B., Vasquez, T. S., Kastrinos, A., Fisher, C. L., Puig, A., & Bylund, C. L. (2022). The adverse effects of meditation-interventions and mind–body practices: A systematic review. Mindfulness, 13(8), 1839–1856.
What it found · its limits
This systematic review identified 61 studies reporting adverse effects of meditation interventions and mind–body practices. Mental-distress-related effects were reported far more often than physical symptoms, and meditation interventions were the most frequently studied practice.
Limits: Randomised controlled trials were excluded and findings were synthesised narratively, so the review describes the kinds of adverse effects reported rather than their frequency or risk relative to control conditions.
doi:10.1007/s12671-022-01915-6Publisher
Meta-analysis · 2025
A meta-analysis of the effects of mindfulness meditation training on self-reported interoception
Treves, I. N., Chen, Y.-Y., Wilson, C. L., Verdonk, C., Qina`au, J., Pustejovsky, J. E., & et al. (2025). A meta-analysis of the effects of mindfulness meditation training on self-reported interoception. Scientific Reports, 15(1), 38889.
What it found · its limits
This pre-registered meta-analysis of 29 randomised controlled trials (2,191 participants) found a small-to-medium positive effect of mindfulness interventions on self-reported interoception (g = 0.31, 95% CI 0.21 to 0.42), with the largest effects for mindfulness-based programs (g = 0.41). Improvements in self-reported interoception were related to improvements in psychological distress.
Limits: Outcomes were self-report interoception scales (most often the MAIA), which may partly reflect expectations or changes in how people describe their bodies; the pooled sample was 77.8% female.
doi:10.1038/s41598-025-22661-4PubMed
Review · 2017
The varieties of self-transcendent experience
Yaden, D. B., Haidt, J., Hood, R. W., Vago, D. R., & Newberg, A. B. (2017). The varieties of self-transcendent experience. Review of General Psychology, 21(2), 143–160.
What it found · its limits
This integrative review defines self-transcendent experiences as transient states marked by decreased self-salience and increased feelings of connectedness, and groups related constructs such as mindfulness, flow, peak and mystical-type experiences, and awe. It proposes possible psychological and neurobiological mechanisms and directions for research.
Limits: A narrative, integrative review; the proposed mechanisms are provisional and draw on heterogeneous literatures of varying quality.
doi:10.1037/gpr0000102
Measurement study · 2019
The development of the Awe Experience Scale (AWE-S): A multifactorial measure for a complex emotion
Yaden, D. B., Kaufman, S. B., Hyde, E., Chirico, A., Gaggioli, A., Zhang, J. W., & Keltner, D. (2019). The development of the Awe Experience Scale (AWE-S): A multifactorial measure for a complex emotion. The Journal of Positive Psychology, 14(4), 474–488.
What it found · its limits
In this scale-development work, participants recalled an intense awe experience and completed survey items; factor analyses supported six factors (altered time perception, self-diminishment, connectedness, perceived vastness, physical sensations, need for accommodation) in a first sample (N = 501), confirmed in a second (N = 636).
Limits: Relies on retrospective self-report of a recalled awe experience, which may be shaped by memory and by how participants interpret the word awe; further validation across contexts is needed.
doi:10.1080/17439760.2018.1484940
Systematic review · 2018
How breath-control can change your life: A systematic review on psycho-physiological correlates of slow breathing
Zaccaro, A., Piarulli, A., Laurino, M., Garbella, E., Menicucci, D., Neri, B., & Gemignani, A. (2018). How breath-control can change your life: A systematic review on psycho-physiological correlates of slow breathing. Frontiers in Human Neuroscience, 12, 353.
What it found · its limits
This systematic review of 15 studies in healthy participants found that slow breathing techniques (under 10 breaths per minute) were associated with increased heart rate variability and respiratory sinus arrhythmia, EEG changes, and psychological reports such as greater relaxation and alertness and reduced anxiety, anger and confusion.
Limits: Only 15 heterogeneous studies met criteria, with small samples and varied protocols and outcomes; there was no meta-analysis, and results in healthy participants may not generalise to clinical populations.
doi:10.3389/fnhum.2018.00353PubMed