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Health Realization/Innate Health: can a quiet mind and a positive feeling state be accessible over the lifespan without stress-relief techniques?

Health Realization/Innate Health (HR/IH) questions long-held assumptions about chronic stress, and challenges current definitions of both stress and resiliency. HR/IH sets forth principles that explain why the experience of psychological stress is not an effect of causal factors beyond people's control, but is an artifact of the energetic potential of the mind. HR/IH describes the "cognitive factor" in stress not as the content of people's thinking in response to stressors, but rather as a quality of the way people hold and use their thinking, referred to as state of mind. HR/IH hypothesizes that understanding principles that explain the nature and origin of thinking and experience offers a means to access innate protective processes that are healing and antibiosenescent reliably and consistently, without techniques. HR/IH suggests that the primary effort of mental health care could be to initiate life-long prevention of the state of chronic stress. In addition, HR/IH suggests that addressing mental well-being would have a broad impact on the incidence and course of the many physical illnesses that are known to be stress-related. The brief therapeutic interactions of HR/IH draw upon people's innate wisdom and recognition of the healthy perspective available to everyone. Anecdotal results suggest that people who gain insight into the principles that explain the nature of thought and experience and who realize how to re-access a natural, positive state of mind can and do experience sustained day-to-day peace of mind, wisdom and well-being, regardless of circumstances. HR/IH deserves rigorous scientific evaluation.

Attitude to Health↗

A sense of control, health, and illness: exploring the mind-body relationship and the socio-cultural/spiritual context: reflections on Bali.

Research has shown that there is a much more intimate and complex relationship between the "mind" and "body" than heretofore acknowledged within the predominant Western scientific paradigm; and that a "sense of control" may be one of the more important variables mediating that relationship. Furthermore, even when this "mind-body" relationship is studied, it is often done so in a reductionist way--at a psychophysiological level within the individual, thereby ignoring the socio-cultural context within which it is embedded. To address these issues, this article examines the mind-body relationship within the socio-cultural/spiritual context of Bali. Specifically examined are: (1) the culture's underlying assumptions about the mind-body-spirit connection across developmental and life cycle issues (including physical illness, and death); (2) the importance of maintaining a sense of control, harmony, and balance, within oneself, one's community, and the cosmos; and (3) the implications of those views for a control-based model of positive health. The article concludes with: (1) a discussion of why control seems to be such an important "construct" in human evolution; (2) an examination of the costs and benefits of different methods of maintaining a sense of control and orientation; and (3) and a call for efforts toward a unifying theory of human control.

Cross-Cultural Comparison↗

The "Siamese twinship" of the cerebral hemispheres and of the brain-mind continuum. Toward a "psychology" for the corpus callosum.

The lateralization of the cerebral hemispheres constitutes a neuropsychologic parallel to the functioning of the mind. It is proposed that that the dual-track theorem generally and the Siamese-twin configuration (with the Moebius-strip twist) specifically offer a unique and useful paradigmatic perspective that allows us to organize and integrate the characteristics and functions of the brain-mind continuum. A hypothetical "psychology" for the corpus callosum and the two hemispheres was conjectured which would tentatively help to account for some of the brain's behavior, which conceivably approximates that of the mind. Ultimately, the concept of dialectics is suggested as being the best way of understanding all aspects of the brain-mind.

Corpus Callosum↗

Seriation, conservation, and theory of mind abilities in individuals with autism, individuals with mental retardation, and normally developing children.

Seriation, conservation, and theory of mind abilities were examined in individuals with autism (N = 16), mental retardation (N = 16), and in normally developing children (N = 16). Seriation tasks included seriation of tubes, blocks, and flat squares. Conservation tasks included conservation of area, number, substance, quantity, and weight. Theory of mind tasks involved predicting false belief and understanding value and fact beliefs. Participants with autism performed better than participants with mental retardation on seriation, while no differences emerged between these groups on conservation and false belief. Individuals with autism performed less well than individuals with mental retardation on the value and fact belief tasks; however, when verbal ability was held as a covariant, the difference was no longer significant. Normally developing children performed better than the other two groups on all tasks. These results suggest that autism does not involve a specific impairment in theory of mind and that theory of mind deficits are not unique to autism.

Adolescent↗

The effects of mindfulness-based cognitive therapy in the psychological and physical health of cancer patients: A systematic review and meta-analysis.

PURPOSE: No prior systematic review has specifically evaluated the efficacy of mindfulness-based cognitive therapy (MBCT) in improving both psychological and physical outcomes among cancer populations. This study aims to assess MBCT's effects on cancer patients' mental and physical health. METHOD: Following PRISMA guidelines and with PROSPERO registration (CRD42023453581), we systematically searched PubMed, Cochrane CENTRAL, Embase, and Web of Science for randomized controlled trials (RCTs) were searched up to June 2026. Eligible trials enrolled adults (≥ 18 years) with any cancer type/stage, compared MBCT delivered per standard manual against non-MBCT controls, and reported at least one validated measure of distress, depression, or anxiety; secondary outcomes included fatigue, quality of life, and mindfulness skills. Two reviewers independently selected studies, extracted data, and assessed risk of bias using the Cochrane tool; random-effects meta-analyses were performed in Stata 16. RESULTS: 11 RCTs comprising 1122 participants (mean age 54.8 years; 91% female) were included. MBCT produced large, significant reductions in psychological distress (SMD = -0.81, 95% CI-1.27 to-0.40), depression (SMD = -0.95, 95% CI -1.40 to-0.49), and anxiety (SMD = -0.86, 95% CI -1.22 to-0.51). It also markedly decreased fatigue (SMD = -0.83, 95% CI-1.10 to-0.56), improved quality of life (SMD = 0.56, 95% CI 0.22-0.88), and enhanced mindfulness skills (SMD = 0.76, 95% CI 0.59-0.92). CONCLUSIONS: This meta-analysis is the first to exclusively synthesize RCT evidence of standardized MBCT in cancer care, demonstrating significant dual benefits for emotional and physical well-being while providing strong support for integrating MBCT into comprehensive oncology rehabilitation.

Humans↗

Barriers to the integration of mind-body medicine: perceptions of physicians, residents, and medical students.

OBJECTIVE: This study of medical students, residents, and physicians examined their responses to focus group questions in an effort to understand barriers to discussing psychosocial issues and using mind-body interventions to address health issues. METHODS: Four focus groups were conducted: two with medical students and residents, one with primary care doctors, and one with physicians representing different specialties. Responses were audio recorded and transcribed verbatim. RESULTS: Factors identified as possible barriers to recognizing the importance of psychosocial/mind-body factors included lack of knowledge of evidence base, inadequate attention paid to the mind-body area in training, perceived lack of competence to use mind-body methods, inadequate time, lack of economic incentive, perception that psychosocial factors are beyond their capacity to control, tendency to perceive conditions as either biological or psychosocial in nature, perception that patients do not want to address psychosocial/lifestyle issues, and cultural beliefs that addressing the psychosocial domain is not within the purview of physicians. CONCLUSIONS: Despite evidence that psychosocial issues play an important role in health outcomes, students, residents, and practicing physicians reported that methods to deal with these issues are frequently given inadequate attention in medical training, and many physicians feel ill equipped to deal with these issues. In addition, environmental factors, including lack of time, insufficient monetary incentives, and a larger cultural ethos that favors the "quick-fix" over the more difficult task of examining the role of psychosocial factors, appear to serve as significant barriers to medicine's more fully embracing the biopsychosocial model.

Adult↗

Interactive dualism as a partial solution to the mind-brain problem for psychiatry.

With the collapse of the psychoanalytic and the behaviorist models, and the failure of reductive biologism to account for mental life, psychiatry has been searching for a broad, integrative theory on which to base daily practice. The most recent attempt at such a model, Engel's 'biopsychosocial model', has been shown to be devoid of any scientific content, meaning that psychiatry, alone among the medical disciplines, has no recognised scientific basis. It is no coincidence that psychiatry is constantly under attack from all quarters. In order to develop, the discipline requires an integrative and interactive model which can take account of both the mental and the physical dimensions of human life, yet still remain within the materialist scientific ethos. This paper proposes an entirely new model of mind based in Chalmers' 'interactive dualism' which satisfies those needs. It attributes the causation of all behaviour to mental life, but proposes a split in the nature of mentality such that mind becomes a composite function with two, profoundly different aspects. Causation is assigned to a fast, inaccessible cognitive realm operating within the brain machinery while conscious experience is seen as the outcome of a higher order level of brain processing. The particular value of this model is that it immediately offers a practical solution to the mind-brain problem in that, while all information-processing takes place in the mental realm, it is not in the same order of abstraction as perception. This leads to a model of rational interaction which acknowledges both psyche and soma. It can fill the gap left by the demise of Engel's empty 'biopsychosocial model'.

Biological Psychiatry↗

An experiential mind-body approach to the management of medically unexplained symptoms.

This article outlines an experiential mind-body framework for understanding and treating patients with medically unexplained symptoms. The model relies on somatic awareness, a normal part of consciousness, to resolve the mind-body dualism inherent in conventional multidisciplinary approaches. Somatic awareness represents a guiding healing heuristic which allows for a linear treatment application of the biopsychosocial model. The heuristic acknowledges the validity of the patient's physical symptoms and identifies psychological and social factors needed for the healing process. Somatic awareness is used to direct changes in coping styles, illness beliefs, medication dependence and personal dynamics that are necessary to achieve symptom control. The mind-body concept is consistent with and supported by neurobiological models which draw on central nervous system mechanisms to explain medically unexplained symptoms. The concept is also supported by a recent hypothesis concerning the role peripheral connective tissue may play in influencing illness and well-being. Finally, somatic awareness is described as having potential to enhance understanding and conscious use of inner healing mechanisms at the basis of the placebo effect.

Humans↗

Ethnopsychologies: cultural variations in theories of mind.

A set of basic beliefs about others' minds and behavior, referred to as folk psychology or theory of mind, is often discussed as if it were the same the world over. Yet, certainly variation in folk psychology exists. This article compares several aspects of European American theory of mind with other cultural models, as suggested by experiments and ethnographies, with the purpose of illuminating the degree to which there is variation. After summarizing 4 types of variation, the author explores possible sources of variability, implications for the mindreading process, potential universals, and directions for future research.

Adult↗

Comparing mind-body wellness interventions for older adults with chronic illness: classroom versus home instruction.

Two versions of a multicomponent mind-body wellness intervention were tested. One hundred seventy-eight physician-referred HMO patients (mean age = 64.5) were randomly assigned to a classroom intervention, a home study intervention, or a wait-list control group. Both interventions provided instruction on mind-body relationships, relaxation training, cognitive restructuring, problem solving, communication, behavioral treatment for insomnia, nutrition, and exercise. The home version was delivered by class videotapes and readings. Compared with the control condition, both interventions led to significant decreases in self-reports of pain, sleep difficulties, and symptoms of depression and anxiety. The home course also led to a significant decrease in self-reported frequency of medical symptoms, and the classroom program resulted in a significant decrease in "chance" health locus of control beliefs. No effects were obtained for health behaviors, life satisfaction, HMO satisfaction, and other health locus of control beliefs. A lower cost, more accessible home study version of a mind-body wellness program can be an effective alternative to classroom instruction.

Adaptation, Psychological↗

Understanding chronic pain and the mind-body connection.

This article investigates the mind-body connection in chronic pain. A discussion of pain physiology is designed to identify the role of the neurological system in chronic pain perception. The gate control theory and the neurotransmitter theory of pain are explored. A description of mind-body and pain management methods, and an illustrative case study are provided. The information presented concerning mind-body connection in chronic pain perception will enable practicing nurses to be more fully aware of the chronic pain phenomenon, and lead to better chronic pain assessment, management, and evaluation.

Adaptation, Psychological↗

Theory of mind abilities in individuals with autism, Down syndrome, and mental retardation of unknown etiology: the role of age and intelligence.

We examined theory of mind abilities of individuals with autism, mental retardation (MR) of unknown etiology, Down syndrome, and normal children. On false belief and deception tasks, normal children performed better than all clinical groups, while no differences emerged among the clinical groups. The groups with MR performed better than the group with autism on the value task only. For individuals with autism, theory of mind abilities correlated with verbal ability. For individuals with MR nonverbal abilities correlated with deception and false belief scores. Findings are discussed in terms of the specificity of the theory of mind deficit to autism.

Adolescent↗

Cognitive development: children's knowledge about the mind.

This chapter reviews theory and research on the development of children's knowledge about the mental world, focusing especially on work done during the past 15 years under the rubric of theory-of-mind development. The three principal approaches to explaining this development--theory theory, modular theory, and simulation theory--are described first. Next comes a description of infant precursors or protoforms of theory-of-mind knowledge in infancy, including a beginning awareness of the intentionality and goal-directedness of human actions. This discussion is followed by a summary of the postinfancy development of children's understanding of visual perception, attention, desires, emotions, intentions, beliefs, knowledge, pretense, and thinking. Briefly considered next are intracultural, intercultural, and interspecies differences in theory-of-mind development. The chapter then concludes with some guesses about the future of the field.

Adolescent↗

The notion of somatization: an artefact of the conceptualization of body and mind.

BACKGROUND: Somatization is a contemporary notion which derives from the conceptualization of body and mind and the resultant concept of disease. The common element in this thinking is that the presumed separation of the concepts body and mind can be spanned by clinical symptoms. METHODS: This paper examines the history of these concepts and the assumptions underlying them. RESULTS: It is shown that the debate on the pathological regions of the body-mind relation is of early origin. It is reflected in the evolution of concepts of disease and disease entities. The ongoing attempts to form a conceptual synthesis have resulted in a multiplicity of disease entities and in the notion of somatization. However, somatization is shown here to differ conceptually from controversial contemporary disease entities with which it often seems intertwined, such as myalgic encephalomyelitis and the hypersensitivity syndrome. CONCLUSION: This insight may help diminish the ambiguity in this area of research and practice.

Female↗

A psychiatric dialogue on the mind-body problem.

Of all the human professions, psychiatry is most centrally concerned with the relationship of mind and brain. In many clinical interactions, psychiatrists need to consider both subjective mental experiences and objective aspects of brain function. This article attempts to summarize, in the form of a dialogue between a philosophically informed attending psychiatrist and three residents, the major philosophical positions on the mind-body problem. The positions reviewed include the following: substance dualism, property dualism, type identity, token identity, functionalism, eliminative materialism, and explanatory dualism. This essay seeks to provide a brief user-friendly introduction, from a psychiatric perspective, to current thinking about the mind-body problem.

Brain↗

Re-minding the body.

The author discusses a fragment of the analysis of a patient who had experienced both neglect and sexual molestation during early childhood. The analysand had developed a defensively hypertrophied form of mindedness in an effort to gain some sense of control over bodily experience, which threatened not only his sanity, but his very sense of being. The focus of the paper is on a series of sessions from a period of regression during which the patient experienced psychotic-level anxiety and a feeling of impending psychic disintegration. The author discusses in detail two interventions that he made during this period of analytic work. The first involved the analyst's finding himself speaking with a parental voice with which he took on the responsibility of protectively "minding" the patient while the patient experienced himself on the edge of disintegration. The second spontaneous intervention involved the analyst's inviting the patient to imagine himself at his present age into a story of molestation (based on the patient's history and the history of the analysis) in which the analyst was a third presence bearing witness, bearing language and bearing compassion. These interventions seemed to have been of importance in facilitating the patient's development of a greater sense of being alive in a co-extensive minded body and bodied mind.

Adult↗

Mindfulness in hospice care: practicing meditation-in-action.

In this interpretive study, the authors explore the experience of mindfulness among hospice caregivers who regularly practice mindfulness meditation at a Zen hospice. They explore meditative awareness constituted within themes of meditation-in-action, abiding in liminal spaces, seeing differently, and resting in groundlessness. By opening into nonconceptual, paradoxical, and uncertain dimensions of experience, hospice caregivers cultivate internal and external environments in which direct experience is increasingly held without judgment. This inquiry points to in-between spaces of human experience wherein mindfulness fosters openness and supports letting go, and creating spaces for whatever is happening in attending the living-and-dying process.

Attitude to Death↗

A body-mind-spirit model in health: an Eastern approach.

Under the division of labor of Western medicine, the medical physician treats the body of patients, the social worker attends to their emotions and social relations, while the pastoral counselor provides spiritual guidance. Body, mind, cognition, emotion and spirituality are seen as discrete entities. In striking contrast, Eastern philosophies of Buddhism, Taoism and traditional Chinese medicine adopt a holistic conceptualization of an individual and his or her environment. In this view, health is perceived as a harmonious equilibrium that exists between the interplay of 'yin' and 'yang': the five internal elements (metal, wood, water, fire and earth), the six environmental conditions (dry, wet, hot, cold, wind and flame), other external sources of harm (physical injury, insect bites, poison, overeat and overwork), and the seven emotions (joy, sorrow, anger, worry, panic, anxiety and fear). The authors have adopted a body-mind-spirit integrated model of intervention to promote the health of their Chinese clients. Indeed, research results on these body-mind-spirit groups for cancer patients, bereaved wives and divorced women have shown very positive intervention outcomes. There are significant improvements in their physical health, mental health, sense of control and social support.

Adult↗