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practicing one method per week. At the end of a six-week training period participants ranked the four meditation methods in
order of personal preference.
Objectives: For this reason a pilot study was conducted to compare four meditation techniques for personal preference.
INTRODUCTION
Meditation in the United States
Meditation, as a self-regulatory mind-body practice, has been
used throughout the Far East for millennia. In the United States
the exploration of Eastern thought and meditation began to
emerge as a more prominent aspect of American culture following the end of World War II. During the 1950s and 1960s Zen
was being popularized through important American literary
works, such as the Beat Generation author Jack Kerouacs
Dharma Bums. Alan Watts and D. T. Suzuki were actively writing
and lecturing on Zen, and Shunryu Suzuki-roshi, founder of the
San Francisco Zen Center, arrived in the United States. In 1959,
Maharishi Mahesh Yogi landed in San Francisco as part of his
first world tour teaching Transcendental Meditation mantra
techniques. In 1968, a publication of research findings by Joe
Kamiya popularized alpha neurofeedback. In 1971, Ram Dass
wrote Be Here Now, and the first study on Transcendental Meditation was published in the American Journal of Physiology. In
1 Institute for Holistic Health Studies, Department of Health Education, San Francisco State University, San Francisco, CA
# Corresponding Author. Address:
Institute for Holistic Health Studies, Department of Health Education, San
Francisco State University, San Francisco, CA
e-mail: aburke@sfsu.edu
Key words: Meditation, comparative study, individual differences, Zen, mindfulness, qigong, mantra
(Explore 2012; 8:237-242. 2012 Elsevier Inc. All rights reserved.)
1975, the Insight Meditation Society, a nonprofit Buddhist organization rooted in the Theravada tradition, was founded by
Joseph Goldstein and colleagues in Barre, MA. The 14th Dalai
Lama made his first visit to the United States in 1979. During the
ensuing decades interest in meditation and its diverse traditions
continued to grow. Two recent national surveys on complementary and alternative medicine have shown meditation to be one
of the top 10 most commonly used CAM therapies. A 2002
National Health Interview Survey (NHIS) reported that 7.6% of
the adult population was found to have practiced meditation
during the previous year.1 A subsequent 2007 NHIS study reported 9.4% use.2
Trends in Meditation Research
During this period a significant body of scientific literature has
also been generated on the subject of meditation. One indication of its growing importance to the scientific community was
the introduction of the term Meditation to the National Library of Medicine medical subject heading Database in 1996.
The term meditation in the PubMed database produces more
than 2000 citations, and the term meditation in titles produces
more than 900 citations. Searching these titles by specific meditation traditions shows trends in research over time that follow
the popular cultural interests in those traditions, from Zen in the
1950s, to Transcendental Meditation in the 1960s, and Mindfulness/Vipassana (also known Insight meditation) in the 1970s. A
METHODS
Design and Participants
A within-subjects design was used with a sample of 247 participants who learned 4 meditation techniques during a 6-week
period. Participants were a convenience sample of self-selected
undergraduate students enrolled in a semester-length university
course on meditation and imagery. They were juniors or seniors,
an average age of 28.0 (range 20-56, SD ! 7.8, mode 21), and
73% female. The majority (88%) had no significant previous
meditation experience (defined as meditation practice using a
specific method for 1 or more years). Of those who were currently practicing meditation, the majority cited mindfulness
meditation as their practice method. Because of class size limits
of 26 students per semester, 11 groups were recruited, with
groups ranging from 15 to 26 students. Recruiting multiple
groups also allowed for the rotation of the order of presentation
of the meditation techniques, reducing the chances of an order
effect. The order was varied in all but 1 of the 11 rotations.
Although randomization of techniques was not completely possible, because of the scheduling needs of the meditation centers
that participant groups visited during their training, the chances
of an open awareness or focused attention method being first,
second, third or fourth were comparable. The study was carried
out during a period of several years (2003 to 2009).
Meditation Practices
In the first class session the research project was explained and
consent obtained. Given the fact that all students had intentionally registered to take a for-credit university course on meditation, and that the research involved practicing meditation, participation was universal. The day-long meditation class met once
a week for 6 weeks for 48-hours total. In the first class students
were introduced to the concepts of meditation, its reported benefits, and were provided with general information on practice,
such as correct posture and length of practice. During the second
through fifth class sessions, the participants learned a new meditation technique each week. The course instructor (author)
would provide information on the technique for the week, lead
participants through the meditation, answer questions, and offer
guidance on correct practice. Additional resources were integrated into sessions to augment live instruction, including select
readings on each method and support materials such as audiovisual presentations by practitioners from the various traditions,
and site visits to related meditation centers when possible. Participants were asked to practice the new technique every day for
15 to 20 minutes. At the end of the week they came back to class
and practiced the weeks method again as a group. The method
was reviewed and any questions were answered. After a break, the
instructions for the next meditation method were given.
Participants learned 4 seated meditation methods2 open observing and 2 focused attention. The open observing methods were
a traditional Soto Zen meditation practice and a Theravada Vipassana practice. These methods involved generalized awareness of, or
attention to, momentary phenomenal experience. The Pali term
used in early Buddhist literature describes this as yatha bhuta or
observing reality as it is. The Zen practice included sitting with
generalized awareness and using the traditional zazen meditation
posture as a reference point for checking presence of mind. The
Mean
a
2.27
2.22a
2.60
2.84
2nd Choice
3rd Choice
4th Choice
SD
Percent
Percent
Percent
Percent
1.11
1.10
1.11
1.10
77
77
54
36
31.6
31.6
22.0
14.8
64
67
52
56
26.8
28.0
21.8
23.4
52
59
68
55
22.2
25.2
29.1
23.5
45
35
64
90
19.1
15.0
27.4
38.5
Multiple comparisons: statistically significant difference with Qigong and Zen, P ! .05.
Vipassana method used silent observation of the breath as the primary locus of momentary awareness. It also included an inner selftalk component, mentally labeling secondary points of awareness as
they were recognized, followed by a return to breath observation.
(The term Vipassana is used in this article to denote a specific
Theravada Buddhist philosophy and practice instead of the more
common contemporary term Mindfulness because of an increasing divergence of meanings of the term mindfulness in the current
research literature.18,19)
The focused attention practices were a Qigong Visualization
method (Microcosmic Orbitfrom the Taoist tradition) and a
Mantra meditation method (from the Yoga tradition). These involved a concentrative focus on a specific object of meditation to
the exclusion of all other experiences. Both methods used a selfgenerated auditory and/or visual object. The Qigong Visualization
method used the dynamic image of a thin column of light rising
from the base of the spine up to the top of the head with the inhale,
and then descending down the front midline of the body to the
perineum with the exhale. The tip of the tongue lightly touched the
palate during the practice. The Mantra method used the image of a
stationary sphere of light located in the region of the heart. This was
accompanied by the mental repetition of a sound, or mantra. The
word Hum was thought once on the inhale. The word Sah was
thought on the exhale, either once or multiple times, with as much
automaticity as possible.
Data Collection
Participants recorded weekly practice information in a meditation
log, one log per method. Data was also collected at week 6, the final
class session, when a comprehensive practice was conducted. At
that time each method the group had learned was briefly reviewed.
The students were then guided into each meditation method and
that method was practiced silently for 10 minutes. This was performed for all 4 methods. At the end of each 10-minute session
participants spent several minutes recording their perceptions
about their meditation. Measures used for this final assessment were
simple Likert format self-report items with high face validity, and
response options ranging from strongly disagree to strongly
agree. Four questions asked about ease of practice, enjoyment,
subjective calm, and ability to maintain attention during the practice. When all 4 methods had been practiced, the participants were
also asked to report on their overall rating of personal preference for
each method. Descriptive statistics and nonparametric within
group comparisons were performed.
RESULTS
Preferences for Specific Methods
During the final class session all 4 meditation methods were reviewed and then practiced for 10 minutes. Once this process was
completed, the participants were asked to rank order their preference for the styles practiced, from first choice (most preferred) to
fourth choice. In this sample a statistically significant difference was
found for individual preference with specific meditation techniques, !2(9) ! 54.4, P " .001. After multiple comparisons of the 4
methods, we found 2 of them to be more commonly selected as the
preferred first choice: Vipassanaan open observing method, and
Mantraa focused attention method (Table 1). In both cases 77
participants (31.6%) rated 1 of these 2 methods as their first choice.
There was no significant preference for either of the 2 methods
compared with each other. There was also no significant difference
between the other 2 methods compared with each other, Zen and
Qigong Visualization. Although the latter two methods were less
preferred in this sample it does merit noting that 22.0% and 14.8%
of participants ranked Qigong Visualization and Zen as their first
choices, respectively.
Additional Observations
Participants reported that during their weekly practice sessions
they meditated an average of 15.2 minutes per day (SD 4.9), and
5.3 days per week (SD 1.7). They were asked to rate each method
in terms of perceived ease of practice, enjoyment, subjective
calm, and ability to maintain attention during the practice. In
each case a similar statistically significant pattern was noted, with
Vipassana and Mantra meditations reported as easier to practice
(P ! .05), more enjoyable (P ! .05), and more calming (P ! .05)
than Qigong Visualization or Zen (Table 2). In terms of whether
Ease
Enjoyment
Calming
Sustainable
Focus
Mantra
Mindfulness
Qigong
Zen
3.69a
3.79a
3.37
3.18
4.13a
4.12a
3.81
3.66
4.19a
4.24a
3.91
3.93
3.33
3.31
3.38
2.99b
Multiple comparisons:
a
Statistically significant difference from Qigong and Zen, P ! .05.
b
Statistically significant difference from Mantra, Mindfulness and Qigong,
P ! .05.
Average Age
Method
1st
Not 1st
Significance
1st
Not 1st
Significance
Mantra
Mindfulness
Qigong
Zen
75
75
72
69
72
73
73
74
0.69
0.76
0.89
0.54
28.1
26.5
28.4
31.3
28.2
28.9
28.2
27.7
0.91
0.04a
0.86
0.02a
Statistically significant.
DISCUSSION
Study Limitations
There are a number of factors that limit the interpretation of
findings, including the use of a nonrepresentative convenience
sample of self-selected participants from a single large urban
university. Also, data were collected using simple self-report variables, although the variables chosen all possessed high face validity and were directly and parsimoniously related to the specific outcome of interestindividual preference. Because of class
size enrollment limits, the study was conducted over a period of
several years to accrue a large enough sample. This method of
enrolling participants over time could be affected by natural
history. Indeed, this study presumes that natural history influences the popularity of specific meditation methods during specific periods, so a history affect could reasonably be expected in
any meditation study. In this specific case, the presumed bias
would favor a Mindfulness approach (Vipassana), which is the
meditation method receiving the greatest attention in media and
research for at least the last decade. For example, during the
course of this study there has been significant growth in the
clinical use of hospital-based mindfulness instruction20 and
mindfulness as a component of psychotherapy with depression,
eating disorders and other conditions.21,22
CONCLUSIONS
These results speak to the value of providing novice practitioners
with a simple object of meditation and an accessible conceptual
framework for practice. In this study, breath served as a common
object of focused attention in the Mantra meditation method
and of open awareness in the Vipassana method. It should be
noted that Vipassana meditation, an open observing method, is
frequently introduced to new practitioners by way of breath as a
primary locus of awareness. The very important sutra teaching of
the Theravada tradition, the Anapanasati Sutta, or Discourse on
Mindfulness of Breath, reflects this central role. It must also be
noted again, that 22% and 15% of participants, respectively
ranked Qigong Visualization and Zen as their first choices, indeed in part because of the higher degree of specificity of Qigong
Visualization and the openness of Zen, according to student
self-reports. These methods were not without their adherents.
Individual preferences were again clearly evident.
Perhaps the evolution of diverse meditation forms reflects the
fact that individuals differ in cognitive styles, such as a preference for analytical or intuitive thinking. Crawford and colleagues,27 for example, found that those who could be hypnotized easily had a markedly greater capacity for sustained and
focused attention, and absorption, compared with those who
could not. As research in this area matures, it will be useful to
examine the potential similarities and differences among traditions. Such comparisons may shed light on unique human ca-
REFERENCES
1. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary
and Alternative Medicine Use Among Adults: United States, 2002.
Hyattsville, MD: National Center for Health Statistics; 2004.
2. Barnes PM, Bloom B, Nahin RL. Complementary and Alternative Medicine Use Among Adults and Children: United States, 2007. Hyattsville,
MD: National Center for Health Statistics; 2008.
3. Murphy M, Donovan S, Taylor E. The Physical and Psychological Effects of Meditation: A Review of Contemporary Research With a Comprehensive Bibliography, 1931-1996. Petaluma, CA: Institute of Noetic
Sciences; 1997.
4. Ospina MB, Bond K, Karkhaneh M, et al. Clinical trials of meditation practices in health care: characteristics and quality. J Altern
Complement Med. 2008;14:1199-1213.
5. Becker DE, Shapiro D. Physiological responses to clicks during Zen,
yoga, and TM meditation. Psychophysiology. 1981;18:694-699.
6. Perlman DM, Salomons TV, Davidson RJ, Lutz A. Differential effects on pain intensity and unpleasantness of two meditation practices. Emotion. 2010;10:65-71.
7. Wang DJ, Rao H, Korczykowski M, et al. Cerebral blood flow
changes associated with different meditation practices and perceived
depth of meditation. Psychiatry Res. 2011;191:60-67.
8. Schoormans D, Nyklcek I. Mindfulness and psychologic well-being: are they related to type of meditation technique practiced? J
Altern Complement Med. 2011;17:629-634.
9. Zgierska A, Rabago D, Chawla N, Kushner K, Koehler R, Marlatt A.
Mindfulness meditation for substance use disorders: a systematic
review. Subst Abus. 2009;30:266-294.
10. Dakwar E, Levin FR. The emerging role of meditation in addressing
psychiatric illness, with a focus on substance use disorders. Harv Rev
Psychiatry. 2009;17:254-267.
11. Fortney L, Taylor M. Meditation in medical practice: a review of the
evidence and practice. Prim Care. 2010;37:81-90.
12. Burke A, Kuo T, Harvey R, Wang J. An international comparison of
attitudes toward traditional and modern medicine in a Chinese and
an American clinic setting. Evid Based Complement Altern Med. 2011;
2011:204137.
13. Shannon S, Weil A, Kaplan B. Medical decision making in integrative medicine: safety, efficacy, and patient preference. Altern Complement Ther. 2011;17:84-91.
14. Thompson CJ, Troester M. Consumer value systems in the age of
postmodern fragmentation: the case of the natural health microculture. J Consum Res. 2002;28:550-571.