Nurturing compassion and cultural humility in health professions students through a brief mindfulness practice

Objective

Given the importance of compassion and cultural humility in healthcare providers, the study aspired to investigate the effects of a brief mindfulness practice on compassion and cultural humility in health professions students.

Methods

A quantitative, one-group pre-test/post-test study was conducted with 58 participants from undergraduate health profession education programs in the United States. Participants completed questionnaires measuring mindfulness, compassion, and cultural humility before and after engaging in an eight-minute loving-kindness meditation exercise three to four times per week for two weeks.

Results

There were statistically significant increases in mindfulness, compassion, and cultural humility after participants engaged in the brief loving-kindness meditation exercise, with small to moderate effect sizes.

Conclusion

Brief mindfulness practices may be helpful for cultivating essential qualities such as compassion and cultural humility in health professions students.

Innovation

The findings add to the research gap about the effects of mindfulness on health professions students' compassion and cultural humility. Using mindfulness as a training tool in health professions education may foster compassion, cultural humility, and mindfulness in health professions students who will become healthcare providers, addressing individual health concerns but also broader social issues related to social justice and health equity.

Does Mindfulness Improve Intergroup Bias, Internalized Bias, and Anti-Bias Outcomes?: A Meta-Analysis of the Evidence and Agenda for Future Research

Whereas mindfulness has been shown to enhance personal well-being, studies suggest it may also benefit intergroup dynamics. Using an integrative conceptual model, this meta-analysis examined associations between mindfulness and (a) different manifestations of bias (implicit/explicit attitudes, affect, behavior) directed toward (b) different bias targets (outgroup or ingroup, e.g., internalized bias), by (c) intergroup orientation (toward bias or anti-bias). Of 70 samples, 42 (N = 3,229) assessed mindfulness-based interventions (MBIs) and 30 (N = 6,002) were correlational studies. Results showed a medium-sized negative effect of MBIs on bias outcomes, g = -0.56, 95% confidence interval [-0.72, -0.40]; I(2;3)2: 0.39; 0.48, and a small-to-medium negative effect between mindfulness and bias for correlational studies, r = -0.17 [-0.27, -0.03]; I(2;3)2: 0.11; 0.83. Effects were comparable for intergroup bias and internalized bias. We conclude by identifying gaps in the evidence base to guide future research.

Mindful-Gratitude Practice Reduces Prejudice at High Levels of Collective Narcissism

This research tested the hypothesis that mindful-gratitude practice attenuates the robust association between collective narcissism and prejudice. In Study 1 (a between-subjects study using a nationally representative sample of 569 Polish adults; 313 female), 10 min of mindful-gratitude practice-compared to mindful-attention practice and control-did not decrease prejudice (anti-Semitism), but weakened the positive link between collective narcissism and prejudice. In Study 2 (a preregistered, randomized, controlled-trial study using a convenience sample of 219 Polish adults; 168 female), a 6-week mobile app supported training in daily mindful-gratitude practice decreased prejudice (anti-Semitism, sexism, homophobia, anti-immigrant sentiment) and its link with collective narcissism compared to a wait-list control. The hypothesis-consistent results emphasize the social relevance of mindful-gratitude practice, a time- and cost-effective intervention.

The positive impact of mindfulness interventions on the explicit and implicit affective attitudes toward vegetarian foods

Objectives

The main goal of our intervention study was to investigate whether two conceptually different mindfulness interventions positively impacted the explicit and implicit affective evaluations of vegetarian foods. We included possible mediating variables (e.g., wellbeing) and related our results to the stage model of self-regulated behavioral change (SSBC).

Methods

We implemented a compassion and caring-based mental training (N = 31) and an adapted MBSR course (N = 34) as mindfulness interventions, and a stress-reduction course (N = 26) as the active control group. The curriculums consisted of 12 weekly group sessions á 75 min. All participants were tested pre- and post-intervention and 3 months after the last intervention session, answered questionnaires (mindfulness, compassion, wellbeing, items of the SSBC) and completed an explicit affective evaluation task and an affective priming task.

Results

There was an improvement in the explicit attitudes toward vegetarian foods regardless of the intervention group. In the SSBC, we found a link between the explicit attitudes toward vegetarian foods and the indicated stage in the model. Multiple regression analysis revealed social and personal norms and a vegetarian/vegan diet as the only significant predictors for goal intention in the SSBC.

Conclusion

The results of our study suggest that both conceptually different mindfulness interventions, as well as a stress-reduction program, have a positive impact on explicit affective attitudes toward vegetarian foods. We highlight the meaning of inner dimensions and transformation for change processes for a more sustainable diet and the role of social and personal norms.

Psychiatric and affective predictors of negative racial attitudes

Negative Racial Attitudes (NRA) have been identified as major contributors to discrimination and inequalities. Previous studies of predictors of NRA have focused largely on socioeconomic, socialization, social attitudes, and personality characteristics. Yet, the potential links of psychiatric and affective indicators to NRA have received little scientific inquiry. Three-hundred-and-two participants completed measures of explicit, covert, and implicit NRA, along with indices of psychotic-like experiences (PLEs), mood symptoms, affective processing, social attitudes, and personality characteristics. Explicit and covert NRA were significantly correlated with difficulty identifying and describing feelings, use of suppression to regulate emotion, and the PLEs domains of perceptual abnormalities, bizarre experiences, and persecutory ideation, along with social attitudes and personality characteristics. Implicit NRA was not associated with any indicators. Next, employing hierarchical multiple linear regression analyses, the affective and psychiatric indicators accounted 5.2% and 10.4% of the explicit and covert NRA variance, respectively, controlling for previously identified predictors including demographics, social attitudes, and personality characteristics. Our results point to newly identified predictors of NRA including difficulties identifying and describing emotions, use of suppression to regulate emotions, as well as PLEs, specifically perceptual abnormalities. We discuss the implications of the findings to the development and adaptation of anti-racism interventions.

Believing in the Powers of Mindfulness: A Thematic Narrative Approach and the Development of a New Scale

Objectives

The beliefs and expectations people bring into mindfulness practice can affect the measurement outcomes of interventions. The aim of this mixed-method study was to examine the key beliefs in the powers of mindfulness-understood as non-judgmental awareness of the present moment-to transform the individual and the society, and to develop and validate the Belief in the Powers of Mindfulness Scale (BPMS).

Method

In-depth, semi-structured interviews were conducted with mindfulness meditators (n = 32), including follow-up interviews (n = 22). Qualitative data were analysed through a thematic narrative approach. Participants (n = 458) completed a questionnaire that included the new scale.

Results

Participants' key beliefs were thematically analysed in three transformation themes: interpersonal relationships and compassion, peace and violence, and the inner world-themes were encapsulated in the BPMS. Ideas presented in each theme were undergirded by a host of ideologies, epistemic claims, and metaphysical assumptions about the nature of mind, self, and reality-which are predicated by broader cultural trends such as expressive individualism, perennial philosophy, and New Age sentiments and ideals. The BPMS showed strong internal consistency and convergent validity, and individuals who were older and more spiritual practised mindfulness more often and for longer, and self-reported greater mindfulness skills, and scored higher on the BPMS.

Conclusions

Findings illustrate the persisting importance of attending to people's beliefs and expectations in mindfulness interventions and further the call for a contextual approach that accounts for cultural factors. The newly developed BPMS may assist with the measuring of peoples' beliefs and expectations.

Effects of Brief Mindfulness Meditation and Compassion Meditation on Parochial Empathy and Prosocial Behavior Toward Ethnic Out-Group Members

Objectives

Relative to the tendency to empathize with and help sociocultural in-group members, there are often social and psychological barriers to responding prosocially toward out-group members. This experiment examined the roles of mindfulness instruction and compassion instruction in fostering prosocial behavior toward an ethnic out-group (non-U.S. Arabs) relative to an ethnic in-group (U.S. residents). The study also examined whether contemplative practices would predict less parochial empathy and whether parochial empathy would mediate the relations between mindfulness/compassion and prosocial behavior toward the out-group.

Method

A national sample of n = 450 U.S. residents was recruited online via the Prolific platform using the standard sample function, which distributed the study to available participants on Prolific. Participants were randomly assigned to one of three brief, structurally equivalent audio-recorded instruction conditions: mindfulness meditation, compassion meditation, or a relaxation control, and then completed a series of tasks to assess prosociality toward in- and out-group members.

Results

The compassion training was most effective in reducing parochial empathy when controlling for all covariates. The mindfulness training reduced parochial empathy when controlling for in-group empathy, and it led to greater out-group altruism and support for out-group immigration. Parochial empathy predicted out-group altruism; however, it was not a better predictor of support for Arab immigration than trait empathic concern. Training conditions did not differ on support for out-group cause. Exploratory moderation analyses found that those with higher trait empathic concern and intergroup contact quality were more likely to show compassion training and mindfulness training effects, respectively, on support for out-group immigration.

Conclusions

Brief compassion training had the strongest effect on parochial empathy, but mindfulness training showed stronger effects on out-group altruism and support for out-group immigration. Predisposing social psychological characteristics may enhance intergroup prosociality among those receiving compassion or mindfulness instruction.

Preregistration

This study is preregistered at https://osf.io/rnc97.

Supplementary Information

The online version contains supplementary material available at 10.1007/s12671-023-02100-z.

Trait Mindfulness, Compassion, and Stigma Towards Patients with Mental Illness: A Study Among Nurses in Sri Lanka

Objectives

Stigma towards persons with mental illness is widespread. Mindfulness may protect against stigma by cultivating accepting attitudes, non-reactivity, and prosocial emotions. This study aimed to assess whether higher trait mindfulness among nurses was linked to lower stigma towards psychiatric patients, and whether compassion mediated this relationship.

Method

In this cross-sectional study among nurses in four tertiary care hospitals in Sri Lanka, stigma towards psychiatric patients was assessed using the Attribution Questionnaire (AQ-9), which assesses nine separate domains of stigma. The 20-item Six-Facet Mindfulness Questionnaire and the 5-item Santa Clara Brief Compassion Scale were used to assess mindfulness and compassion, respectively. Correlations among these variables were explored. Mediation analyses were performed.

Results

A total of 405 nurses (90.6% female, mean age = 39.6 years) participated in the study. Those with higher trait mindfulness were more likely to believe they would help a person with mental illness, and less likely to believe a person with mental illness should be avoided or segregated from the society. Compassion was inversely correlated with avoidance and anger, and positively correlated with pity, helping, and coercion domains. Trait mindfulness was positively correlated with compassion. Mediation models revealed that compassion partially mediated the effects of trait mindfulness on helping and avoidance. Facet-level analyses revealed significant effects of describing, non-reactivity, and observing on several stigma domains mediated through compassion.

Conclusions

Trait mindfulness among nurses appears to have a direct buffering effect against several domains of stigma towards psychiatric patients and significant indirect effects through compassion, albeit with small effect sizes.

Preregistration

This study is not pre-registered.

Addressing the Societal Challenges in Organizations: The Conceptualization of Mindfulness Capability for Social Justice

Social inequalities are partly caused by habitual organizational practices. In this vein, to overcome those, organizations now need to develop new organizational capabilities aimed at enhancing their attention towards societal issues. In our study, we apply the theory of mindfulness to explain how it may help organizations overcome habitual organizing that fuels social inequalities. Guided by the microfoundational perspective of organizational capability, we conceptualize individual characteristics, processes, and structures that collectively form mindfulness capability for social justice. We perceive it as an organizational capability that reflects the extent to which an organization possesses a collective social justice awareness, i.e., awareness of the impact on social justice in society through its organizational practices. We argue that, when adopted by organizations, mindfulness, by increasing the awareness of the organizational impact on society, helps notice, examine, and question the correctness of taken-for-granted organizational practices. From our perspective, this new capability will lead to changes in organizational practices that fuel social inequalities. Our study contributes to the literature on sustainable organizational development and mindfulness research in organizations. Managerial implications and future research directions are also discussed.

The Impact of Implicit-Bias-Oriented Diversity Training on Police Officers' Beliefs, Motivations, and Actions

U.S. police departments have attempted to address racial inequities in policing with diversity training. However, little research has evaluated whether these trainings are effective at changing officers' beliefs, motivations, and actions. To examine their efficacy, we tested a day-long implicit-bias-oriented diversity training designed to increase U.S. police officers' knowledge of biases, concerns about bias, and use of evidence-based strategies to mitigate bias (total N = 3,764). The training was immediately effective at increasing knowledge about bias, concerns about bias, and intentions to address bias, relative to baseline. However, the effects were fleeting. Although the training was linked to higher knowledge for at least 1 month, it was ineffective at durably increasing concerns or strategy use. These findings suggest that diversity trainings as they are currently practiced are unlikely to change police behavior. We conclude with theorizing about what organizations and training programs could do for greater impact.

Teachers' anti-black biases in disciplinary decisions: The role of mindfulness

Research suggests that disparities in exclusionary discipline can be explained, in part, by teachers' anti-Black biases in disciplinary decision-making. An emerging body of literature also speaks to the benefits of cultivating mindfulness for bias reduction. The present study adds to the literature by assessing whether mindfulness is associated with differences in teachers' responses to student disciplinary infractions as a function of student signaled race, which was manipulated as a between-subjects factor. We predicted that teachers with lower levels of mindfulness, as measured via self-report, would demonstrate greater anti-Black bias in response to students' disciplinary files than teachers with higher levels of mindfulness. Teachers (N = 179) completed the study via an online research participant platform. Consistent with hypothesis, we found that participants' self-reported mindfulness in teaching moderated their responses to a disciplinary file as a function of student signaled race, b = -1.05, F(1, 175) = 4.50, p = 0.035, η_p² = 0.03, 95% CI [-2.03, -0.07]. Specifically, participants with lower levels of mindfulness rated the disciplinary infraction as more severe if it was enacted by a Black boy compared to a White boy. At higher levels of mindfulness, however, the opposite pattern emerged; participants demonstrated more leniency if the infraction was perpetrated by a Black boy, relative to a White boy. Our research adds to the literature and suggests that improving teachers' ability to remain present in the classroom may improve their ability to make more equitable decisions in managing students' misbehavior.

Using Relational Frame Theory to Examine Racial Prejudice: A Tool for Educators and an Appeal for Future Research

Canadian colleges and universities have begun to acknowledge systemic and institutionalized racism by developing equity statements and policies in support of diverse and accessible learning environments. To encourage these equitable statements and policies as actionable, analysis of racial bias and methods for reducing its occurrence are warranted. In this article, literature on relational frame theory in the context of racial prejudice is reviewed, including treatment approaches shown to be less effective and those that appear promising. The integration of a functional contextual approach into pedagogy is considered with an aim to better understand the origins of racial prejudice. Finally, recommendations on the examination of personal and sociocultural bias among educators and their students are provided.

The positive effects of combined breathing techniques and cold exposure on perceived stress: a randomised trial

A pranayama-inspired breathing technique, cold exposure, and their combined application were assessed for their potential to reduce perceived stress in adults and compared to a control group. An experiment involving four groups was conducted, yielding separate cells for breathing technique-only and cold exposure-only, as well as a combined treatment and a control group. Eighty-six individuals participated in the study. Perceived stress is measured employing the 10-item version of the Perceived Stress Scale (PSS-10) and the 20-item version of the Perceived Stress Questionnaire (PSQ). The instruments exhibit a substantial correlation (r = 0.842, p < 0.001). The combined group exhibited a medium to large positive effect on perceived stress compared to the control group. The breathing technique and cold exposure on their own were not found to yield substantial effects, indicating synergies between both exercises. Combinations of breathing techniques and cold exposure may be employed to decrease individuals' perceived stress.

Diversifying academic medicine: One search committee at a time

Despite increasing attention to lack of diversity among medical education faculty, those traditionally underrepresented in medicine remain so. In 2017, the University of Nevada, Reno School of Medicine approved a new policy to increase diversity in the faculty search process, which includes a mandatory 2-h workshop on best practices in search processes and implicit bias training. Workshop participants were 179 search committee members making up 55 committees from February 2017 to March 2020. Participants completed two separate social validity surveys, one immediately following the workshop and another following the close of their search, and rated various aspects of the workshop. Each search committee completed a Diversity Checklist (DCL) of various mandatory and best practices to be implemented during each search. Historical data on diversity of job applicants, interviewees, and hires over the 5-year period immediately preceding workshop implementation were compared with corresponding diversity data from the participant search committees for a 3-year period following implementation of the workshop. Social validity surveys indicated high ratings pertaining to the benefits of the workshop (means 3.82-4.39 out of 5). Implementation of practices outlined in the DCL were high (94% of mandatory and 87% of best practices). Chi-square analyses of diversity data before and after implementation revealed significant increases in overall diversity (both race and gender) of applicants (p < 0.001), interviewees (p = 0.002), and those offered a position (p = 0.002), in the time period following implementation. Follow-up comparisons found greater increases for gender relative to race/ethnicity.

Antiracist Practice in Psychiatry: Principles and Recommendations

The COVID-19 pandemic has amplified mental health disparities among people of color, particularly for Black, Latinx, and American Indian populations. In addition to experiencing overt hostility and systemic injustice, people from marginalized racial-ethnic groups experience prejudice and bias from clinicians that has disrupted rapport and trust in mental health systems; these experiences, in turn, have deepened these health disparities. In this article, the authors describe factors that have served to perpetuate mental health disparities and outline key components of antiracist practice in psychiatry (and in mental health practice, more generally). With lessons learned in recent years, this article presents practical ways to incorporate antiracist practices into clinical care.

A Sociobehavioral Model of Racism against the Black Community and Avenues for Anti-Racism Research

Sociological researchers have made immense strides in understanding systemic racism, privilege, and bias against Black people. Relational frame theory provides a contemporary account of human language and cognition that intersects within complex external contingency systems that may provide a provisionally adequate model of racial bias and racism. We propose a reticulated model that includes nested relational frames and external contingency systems that operate at the level of the individual (implicit), communities (white privilege), and system policies (systemic racism). This approach is organized from within the framework of critical race theory as an area of sociological scholarship that captures racial disadvantages at multiple levels of organization. We extend this model by describing avenues for future research to inform anti-racism strategies to dismantle this complex and pervasive sociobehavioral phenomenon. At all levels, police violence against the Black community is provided as a case example of negative social impact of racism in our society.

Meditation in the Workplace: Does Mindfulness Reduce Bias and Increase Organisational Citizenship Behaviours?

Mindfulness is becoming increasingly popular in the workplace. This likely relates to a growing body of research linking mindfulness to a range of psychological outcomes such as reduced anxiety, depression and increased subjective wellbeing. However, while mindfulness has received a great deal of attention in clinical research, the evidence for workplace relevant benefits is less established. Additionally, outside of clinical research, mindfulness studies have rarely been replicated. Recent evidence suggests that the cognitive skills cultivated during meditation may be instrumental in reducing biased thinking and increasing prosocial behaviour, but these findings have not been previously tested in a workplace setting. Specifically, mindfulness has been linked to reductions in implicit age bias, sunk-cost decision-making bias and increases in organisational citizenship behaviours (OCB). In two experiments using a workplace and laboratory sample, the present investigation aimed to test the reliability and generalisability of previous findings that a brief mindfulness meditation can reduce age and sunk-cost decision-making biases. To more directly test the potential positive benefits of mindfulness in a workplace setting, this study also investigated the impact of a mindfulness intervention on intention to perform OCB. While meditation significantly increased OCB intent, predictions relating to bias were not supported. Considerations for the degree to which empirical evidence aligns with claims in popular culture, along with implications for the practical uses of mindfulness in the workplace are explored.

Integrating mindfulness and connection practices into preservice teacher education results in durable automatic race bias reductions

Automatic race bias, which is the tendency to associate positive attributes more quickly with White as compared to Black faces, reflects enculturation processes linked to inequitable teaching behaviors. In sample of undergraduate preservice teachers (N = 88), we examined whether a novel mindfulness and connection practice intervention without anti-bias content incorporated into undergraduate teacher education would result in reduced automatic race bias favoring White faces. Random assignment to the intervention predicted significantly reduced race preference for White child faces immediately after the intervention. These significant reductions persisted at the 6-month follow-up, which are the most durable reductions in automatic race bias reported to date in adults. Data from semi-structured interviews indicated that the intervention enhanced self-awareness and self-regulation while reducing automatic responding among preservice teachers. These qualities are instrumental to adaptive teaching and putative mechanisms for reducing automatic race bias. The potential value of integrating mindfulness and connection practices into undergraduate preservice teacher education is discussed.

What do Teachers do to Show They Care? Learning From the Voices of Early Adolescents

This mixed methods study examined how middle school students (ages 11–13) in middle-class neighborhoods in Western Canada characterized a caring teacher. Specifically, qualitative content analysis was conducted on 199 sixth and seventh grade students’ written responses to the question “What are three things that teachers do to show they care?” Guided by recent work in the area of mindfulness in teaching, we identified 19 themes: one was categorized as General Teaching (e.g., “They teach”), and 18 that were grouped into one of three thematic categories associated with mindful teaching: Calm (e.g., calm/not reactive), Clear (e.g., democratic communication), and Kind (e.g., empathy). In their descriptions of caring teachers, almost all students (97.5%) used Kind themes, while many used Clear themes (41%); with fewer students using Calm (13.6%) or General Teaching (10.6%) themes. Chi square analyses revealed that girls were more likely to mention Clear themes compared to boys, while boys were more likely to use the specific themes of nurturance and helpfulness. Additional demographic differences were also explored. This research adds to the growing body of studies aimed at elucidating the role of mindful teaching in caring student-teacher relationships, particularly from the perspectives of early adolescents.

Reconceptualizing school safety for Black students

Ensuring a psychologically and physically safe learning environment for students and staff is necessary for students to learn and grow and for teachers to teach. However, for Black students and other marginalized students, the school environment is often physically and emotionally unsafe and they are targeted by anti-Black policies and practices, ultimately producing inequitable outcomes. As such, school safety must be reexamined and reconceptualized to promote a safe, secure, and welcoming environment for Black students. In this article, we will discuss the school-based experiences of Black students in American schools with a particular focus on Black students’ physical and emotional safety. Furthermore, implications and recommendations for establishing safe, affirming, and culturally relevant educational spaces for Black students are provided.

Effects of Organizational Controls on Employees' Cyber-loafing

Cyber-loafing is a workplace deviant behavior that may impose perennial losses and security threats to organizations. Due to the destructive impact, organizations take controls to manage employees' cyber-loafing behavior. While previous research concerning these cyber-loafing controls has yielded inconsistent results, this research further advances this line of research through two primarily adopted organizational controls: computer monitoring and Internet usage policy. We contend that the inconsistent results of the effects of computer monitoring and Internet usage policy on cyber-loafing behavior are due to ignoring the influence of individual differences. Motivated thus, we draw on pertaining literature of trait mindfulness to propose that trait mindfulness moderates the effect of perceived computer monitoring and perceived Internet usage policy on behavioral automaticity towards cyber-loafing, which leads to employees' cyber-loafing behavior. In essence, this paper sheds new light on the relationships amid organizational controls, cyber-loafing behavior, and the moderating effects of trait mindfulness. 450 responses were collected to test these hypotheses. Our results show that trait mindfulness enhances the negative effect of perceived Internet usage policy on behavioral automaticity towards cyber-loafing. In addition, we find out that trait mindfulness has an indirect effect on employees' cyber-loafing behavior by reducing behavioral automaticity.

What Bias Management Can Learn From Change Management? Utilizing Change Framework to Review and Explore Bias Strategies

This paper conducted a preliminary study of reviewing and exploring bias strategies using a framework of a different discipline: change management. The hypothesis here is: If the major problem of implicit bias strategies is that they do not translate into actual changes in behaviors, then it could be helpful to learn from studies that have contributed to successful change interventions such as reward management, social neuroscience, health behavioral change, and cognitive behavioral therapy. The result of this integrated approach is: (1) current bias strategies can be improved and new ones can be developed with insight from adjunct study fields in change management; (2) it could be more sustainable to invest in a holistic and proactive bias strategy approach that targets the social environment, eliminating the very condition under which biases arise; and (3) while implicit biases are automatic, future studies should invest more on strategies that empower people as "change agents" who can act proactively to regulate the very environment that gives rise to their biased thoughts and behaviors.

The Mindful Lawyer: Investigating the Effects of Two Online Mindfulness Programs on Self-Reported Well-Being in the Legal Profession

OBJECTIVES

Two studies were conducted to determine whether mindfulness meditation could be an effective tool for improving well-being among legal professionals-a population plagued by high rates of depression, anxiety, and stress.

METHODS

Study 1. Legal professionals completed questionnaires before and after an 8-week mindfulness program. Study 2. Lawyers were randomly assigned to either an experimental or waitlist condition. Questionnaires were administered at the beginning of the study and after experimental participants had completed a 30-day intervention.

RESULTS

Study 1. Participants reported significant improvements in mood, resilience, trait mindfulness, stress, anxiety, and depression over time. Study 2. Post-intervention, experimental participants reported better mood, lower levels of stress, and higher levels of non-reactivity and observing than waitlist participants.

CONCLUSIONS

Mindfulness and meditation may effectively improve well-being among legal professionals.

Short-Term Training in Mindfulness Predicts Helping Behavior Toward Racial Ingroup and Outgroup Members

A randomized controlled trial tested whether mindfulness training would increase lab-based and in vivo spontaneous helping behaviors toward racial outgroup members. First, across conditions, those scoring higher in baseline trait mindfulness showed higher levels of preintervention lab-based and ecological momentary assessment (EMA)-based helping behavior. Next, short-term (4-day) training in mindfulness, relative to a well-matched sham meditation training, increased interracial helping behavior in a lab-based simulation. Finally, among people scoring lower in a basic form of trait mindfulness at baseline—that is, with greater room for improvement—mindfulness training predicted higher postintervention in vivo helping behavior reported via EMA. However, neither training condition alone attenuated preferential helping toward racial ingroup members. These findings indicate, for the first time, that mindfulness and its training fosters helping behavior toward strangers and acquaintances regardless of their racial ingroup or outgroup status, but preferential helping of racial ingroup members remains.

An investigation of emotional and evaluative implicit associations with police using four versions of the Implicit Association Test

In two studies (total N = 829), we assessed civilian implicit associations with police using four modified Implicit Association Tests (IAT). Across studies and IATs, individuals harbored stronger negative implicit associations (associating police with fear/bad) than positive implicit associations (associating police with safety/good). The predictive validity of the implicit associations and magnitude of D scores varied across IAT. In Study 1, the IATs involving categorization of police-related (vs. everyday) symbols were most sensitive, but the versions involving categorization of police (vs. civilian) models provided more evidence for predictive validity. In Study 2, the IAT involving categorization of emotional words (safety/fear) was most sensitive, but the version involving categorization of evaluative words (good/bad) provided more evidence for predictive validity. In both studies, we also assessed individual differences (race, political affiliation) in implicit associations. The findings prompt the need to further examine the underlying cognitive components of civilian attitudes toward police and emphasize the importance of developing several IATs when assessing implicit attitudes.

The Mindfulness Map: A Practical Classification Framework of Mindfulness Practices, Associated Intentions, and Experiential Understandings

When considering the numerous mindfulness-based and mindfulness-informed programs that have flourished in the past decades it is not always clear that they all refer to the same "mindfulness. " To facilitate more clarity and precision in describing, researching and teaching mindfulness in the secular settings, we propose a classification framework of mindfulness practices, intentions behind them and the experiential understandings the practices may aim to develop. Accordingly, the proposed framework, called the Mindfulness Map, has two axes. The first axis outlines mindfulness practices (and associated instructions) classified into four groups (MGs), e.g. the MG1 focuses on cultivating attention to the present moment somatic and sensory experience while the MG4 focuses on cultivating the ability to recognize and deconstruct perceptual, cognitive and emotional experiences and biases. The second axis outlines possible intentions (INTs) to cultivate particular experiential understanding (EU) via teaching and practicing the MGs, e.g., the INT1 designates the intention to gain EU of how our relationship to experience contributes to wellbeing, the INT2 refers to the intention to gain EU of the changing nature of body, mind and external phenomenon. We suggest that the same MG can lead to different EUs outcomes based on the specific INTs applied in their teaching or practice. The range of INTs and EUs included here is not exhaustive, there are further types the Map could be expanded toward. Aside from encouraging more fine-grained distinctions of mindfulness practices, the proposed Map aims to open discussions about interactions between MGs, INTs, EUs and practice outcomes. The Map may facilitate more nuanced and precise approaches to researching the range of outcomes cultivated by mindfulness practices, help bridge contradictory findings, and catalyze further debate and research into ethical aspects of mindfulness. The Map also highlights the need for further teaching development and research on longer-term trajectories of mindfulness practice. While the proposed Mindfulness Map organises the mindfulness practice territory along two axes, it is aimed as a starting point for further discussion and can be further revised and/or expanded by other axes.

Contemplative pedagogy as a framework for education about ageism

Current education in gerontology focuses on sharing knowledge and promoting intergenerational contact in order to shift students' attitudes about aging and elders. Existing interventions, however, may be less effective in modifying students' emotional reactions and implicit ageism. Contemplative pedagogy includes practices that help students notice cognitive and emotional patterns and that may serve to reduce bias. Suggestions are made for ways to incorporate contemplative pedagogy in the gerontology classroom.

Assessing Vocal Chanting as an Online Psychosocial Intervention

The ancient practice of chanting typically takes place within a community as a part of a live ceremony or ritual. Research suggests that chanting leads to improved mood, reduced stress, and increased wellbeing. During the global pandemic, many chanting practices were moved online in order to adhere to social distancing recommendations. However, it is unclear whether the benefits of live chanting occur when practiced in an online format. The present study assessed the effects of a 10-min online chanting session on stress, mood, and connectedness, carried out either in a group or individually. The study employed a 2 (chanting vs. control) × 2 (group vs. individual) between-subjects design. Participants (N = 117) were pseudo-randomly allocated across the four conditions. Before and after participation, individuals completed the Spielberg’s State Trait Anxiety Inventory, the Positive and Negative Affect Schedule, the Social Connectedness Scale and Aron’s Inclusion of Self in Other Scale. Online chanting led to a significant reduction in stress and an increase in positive affect when compared to the online control task. Participants who took part in group chanting also felt more connected to members of their chanting group than participants in the control group. However, feelings of general connectedness to all people remained similar across conditions. The investigation provides evidence that online chanting may be a useful psychosocial intervention, whether practiced individually or in a group.

The Individual Green-Washing Effect in E-Mobility: Emotional Evaluations of Electric and Gasoline Cars

In this study, the affective explicit and implicit attitudes toward electric and gasoline cars are investigated. One hundred sixty-five participants (103 cisgender women, 62 cisgender men) completed an explicit and implicit affective rating task toward pictures of electric and gasoline cars, measurements of sustainability, future and past behaviors, and mindfulness. The results showed a positive emotional attitude for the electric cars compared with the gasoline cars only for the explicit rating but not for the implicit one. Furthermore, factors that correlated to the attitudes were investigated: explicit ratings in car owners correlated with age, degree, sustainability in general, and the expressed intention to purchase an electric car in the future. Implicit attitudes in car owners correlated with the overall score of mindfulness and the dimension of “non-reactivity.” For the non-car owners, explicit attitudes correlated with the expressed intention to purchase an electric car in the future and the mindfulness dimension of “describing”. In this group, the implicit attitude correlated negatively with the mindfulness intention of acting with awareness. This indicates that several different factors should be considered in the development of promotion campaigns for the advantage of sustainable mobility behavior.

Mindfulness and equanimity moderate approach/avoidance motor responses

A person's tendency to approach pleasant stimuli and to avoid unpleasant stimuli reflects a basic psychological phenomenon. The present research aimed to investigate the extent to which mindfulness practices and trait equanimity can attenuate this motivational process. In two studies, participants were asked to perform an Approach/Avoidance Task (AAT). In Study 1 (N = 84), prior to completing the AAT, participants were randomly assigned to one of two guided mindfulness-based meditation conditions (breathing or body-scan) or to an active control condition. In Study 2 (N = 71), which controlled for mindfulness practice, motor responses to the AAT were compared by level of equanimity of the participants (low vs. high). The results revealed that breathing meditation practice and trait equanimity significantly moderated participants' motor responses to the AAT, and that the body-scan meditation did not moderate these responses. Bayesian analyses showed that participants in the breathing meditation group (Study 1) and those with higher equanimity (Study 2) showed a reduction of bias in their motor responses to the AAT. These results suggest that meditation practice and trait equanimity may promote a decrease in automatic motivational approach and avoidance tendencies evoked by positive and negative stimuli.

Mindfulness and intergroup bias: A systematic review

People’s proclivity for favoring their ingroups over outgroups has negative consequences for individuals, groups, and societies. Social psychologists have explored a variety of techniques to reduce these intergroup biases. Emerging research suggests that mindfulness may be effective for this purpose. Mindfulness is defined as present-moment attention and awareness with an accepting attitude, and it is often cultivated through meditation. Our systematic review of the mindfulness-intergroup literature suggests that, across the heterogeneity of paradigms, mindfulness attenuates intergroup bias. Supporting this supposition, for all studies in the current review, regardless of operationalization of mindfulness (i.e., mindfulness-based intervention, brief mindfulness induction, expert meditators, dispositional mindfulness), the overall effect size was g = +.29 ( k-number of studies = 36; 95% CI [0.20, 0.39]; Z = 5.94, p < .0001), suggesting a small but significant effect of mindfulness on improved levels of intergroup bias. In the current work, we review the eligible studies and their findings in detail and conclude by discussing critical issues and implications for future research.

Come On Up for the Rising: A Review of Biglan's Rebooting Capitalism

In Rebooting Capitalism: How We Can Forge a Society that Works for Everyone, Anthony Biglan (2020) explains that a free-market and capitalist narrative, sculpted by a coalition of the extremely wealthy, has led to a commonly held myth that the pursuit of individual wealth will improve the overall well-being of the populous. Instead, our current economic system and public policies have resulted in cultural practices that increase wealth inequality, incite racial tensions, and destroy the natural world. The book functions as a call to arms for behavior analysts to join a coalition of interdisciplinary professionals with a like-minded mission of creating a nurturing form of capitalism, grounded in behavior science, that improves the quality of life for all people.

Mindfulness Training Improves Quality of Life and Reduces Depression and Anxiety Symptoms Among Police Officers: Results From the POLICE Study-A Multicenter Randomized Controlled Trial

Background: Police officers' high-stress levels and its deleterious consequences are raising awareness to an epidemic of mental health problems and quality of life (QoL) impairment. There is a growing evidence that mindfulness-based interventions are efficacious to promote mental health and well-being among high-stress occupations. Methods: The POLICE study is a multicenter randomized controlled trial (RCT) with three assessment points (baseline, post-intervention, and 6-month follow-up) where police officers were randomized to mindfulness-based health promotion (MBHP) (n = 88) or a waiting list (n = 82). This article focuses on QoL, depression and anxiety symptoms, and religiosity outcomes. Mechanisms of change and MBHP feasibility were evaluated. Results: Significant group × time interaction was found for QoL, depression and anxiety symptoms, and non-organizational religiosity. Between-group analysis showed that MBHP group exhibited greater improvements in QoL, and depression and anxiety symptoms at both post-intervention (QoL d = 0.69 to 1.01; depression d = 0.97; anxiety d = 0.73) and 6-month follow-up (QoL d = 0.41 to 0.74; depression d = 0.60; anxiety d = 0.51), in addition to increasing non-organizational religiosity at post-intervention (d = 0.31). Changes on self-compassion mediated the relationship between group and pre-to-post changes for all QoL domains and facets. Group effect on QoL overall health facet at post-intervention was moderated by mindfulness trait and spirituality changes. Conclusion: MBHP is feasible and efficacious to improve QoL, and depression and anxiety symptoms among Brazilian officers. Results were maintained after 6 months. MBHP increased non-organizational religiosity, although the effect was not sustained 6 months later. To our knowledge, this is the first mindfulness-based intervention RCT to empirically demonstrate these effects among police officers. Self-compassion, mindfulness trait, and spirituality mechanisms of change are examined. Clinical Trial Registration: www.ClinicalTrials.gov. identifier: NCT03114605.

Addressing Microaggressions in Academic Health: A Workshop for Inclusive Excellence

INTRODUCTION

Health profession schools have acknowledged the need for a diverse workforce by increasing diversity in recruitment, but little has been done to build inclusive excellence in learning environments. Microaggressions and other forms of mistreatment can increase stress levels and depression and negatively impact academic performance. To increase student performance, retention, and wellness, mitigating microaggressions is needed to promote an inclusive culture.

METHODS

We designed this workshop as a framework to think critically about microaggressions, how they impact the health professions academic environment, and how administrators, faculty, and students can promote inclusion excellence. The workshop included a presentation discussing microaggression theory, seven cases describing microaggressions in the health professions education environment, and discussion and facilitator guides. Cases were based on prior research conducted by the primary author and upon interactions authors shared from their professional experience. Participants completed pre- and postsurveys.

RESULTS

During six workshops at three different institutions, 138 out of 190 participants (73% response rate), including nursing and medicine faculty, students, and leadership, completed the pre- and postsurveys. Pre- and posttraining measurements found statistically significant improvements in participants' knowledge of the impact of microaggressions, self-efficacy in responding to microaggressions, and commitment to being an active bystander in the face of microaggressions. Participants were highly satisfied with the training.

DISCUSSION

This humanistic, case-based learning curriculum allows facilitators to guide faculty, student, and leadership conversations to build skills to promote inclusion excellence through preventing microaggressions, repairing and reestablishing relationships, and restoring reputations once microaggressions occur.

Targeting automatic processes to reduce unhealthy behaviours: a process framework

While previous frameworks to address health behaviours through targeting underlying automatic processes have stimulated an improved understanding of related interventions, deciding between intervention strategies often remains essentially arbitrary and atheoretical. Making considered decisions has likely been hampered by the lack of a framework that guides the selection of different intervention strategies targeting automatic processes to reduce unhealthy behaviours. We propose a process framework to fulfil this need, building upon the process model of emotion regulation. This framework differentiates types of intervention strategies along the timeline of the unfolding automatic response, distinguishing between three broad classes of intervention strategies - direct antecedent, indirect antecedent, and response-focused. Antecedent-focused strategies aim to prevent the exposure to or activation of automatic responses directly through the avoidance of unwanted stimulus-response associations (i.e., situation modification or situation-specific response selection), or indirectly through automatising self-control (i.e., attentional deployment or cognitive change). Response-focused strategies aim to directly downregulate automatic unwanted responses (i.e., response modulation). Three main working hypotheses derived from this process framework provide practical guidance for selecting interventions, but await direct testing in future studies.

The Effects of a Novel Mindfulness-based Intervention on Nurses' State Mindfulness and Patient Satisfaction in the Emergency Department

INTRODUCTION

The objective of this study was to examine the effect of a novel mindfulness-based time-out intervention on state of mindfulness among emergency nurses and, accordingly, on patient satisfaction.

METHODS

A pre-post intervention design among nurses in the emergency department was used with a between-subjects factor of patients who were nested within each nurse. The study was conducted between January 2017 and June 2018 among 48 nurses in the emergency department of a public tertiary academic hospital. For each nurse, a consecutive sample of 20 patients who attended the emergency department was recruited (n = 1920 patients; 960 in each phase). The mindfulness-based time-out intervention was based on theoretical mindfulness principles and carried out every 4 hours with direct communication to the patient at their bedside. Nurses' sociodemographic and professional characteristics and trait mindfulness were collected preintervention. Pre- and postintervention, data was collected on patients' sociodemographic and satisfaction, nurses' state mindfulness, and ED workload.

RESULTS

An increase in nurses' state mindfulness and patients' satisfaction was found after the mindfulness-based time-out intervention compared with before the intervention (4.35 [SD = 0.64] vs 4.03 [0.82], P < .001 and 4.03 [0.41] vs 3.16 [0.44], P < .001, respectively). A positive correlation was found between patients' satisfaction and nurses' state mindfulness (r = 0.29, P < .001). The findings also demonstrated that state mindfulness was higher among nurses, characterized by high trait mindfulness, after the mindfulness-based time-out intervention implementation.

DISCUSSION

By adapting mindfulness principles to the dynamic environment of the emergency department, we showed that the mindfulness-based time-out intervention was associated with a significant improvement in state mindfulness and patient satisfaction. The findings elucidate the interrelation among several conceptualizations of mindfulness that are increasingly reported in the literature, namely trait and state mindfulness, and interventions to promote mindfulness.

East versus West: psychology of religion in East Asian cultures

Despite advancements in psychology of religion, most of what we know is derived from studies in Western Christian cultures. We review recent research investigating the impact of religion on various outcomes in East Asian cultural and religious contexts (versus Western Christian) including: religiosity components and measurement, health, personality, cognition and emotion, morality and values, and intergroup attitudes and behavior. While religion sometimes has similar effects across contexts (e.g. increased health, prosociality, and traditional values), the associations observed in Western contexts are often weaker or inexistent, especially in the moral domain. In some occasions, opposite effects of religion in East Asian contexts are observed (e.g. decreased prejudice). These observations suggest an interaction between religious and cultural factors.

Are mindful people more risk-averse? Effects of trait and state mindfulness on risk preference in decision-making

The current research investigated whether various aspects of mindfulness were differentially associated with risk preference in decision-making. In Studies 1 and 2, attention and present-focus aspects of trait mindfulness were associated with lower risk preference in making monetary gains. In Study 3, participants completed either a mindfulness training or listened to a comparable control recording. Compared to the control condition, subjects in the mindfulness condition were more risk-averse in making choices for monetary gains. The attention and present-focus aspects of state mindfulness mediated this connection. Study 4 introduced a loss framing, where attention and present-focus no longer associated with lower risk preference, but awareness and acceptance aspects of trait mindfulness associated with higher risk preference in avoiding monetary losses. The results suggest that different aspects of mindfulness have potential for mitigating risk preference, but such potential is limited depending on the framing of a decision context.

Can high quality listening predict lower speakers' prejudiced attitudes?

Theorizing from humanistic and motivational literatures suggests attitude change may occur because high quality listening facilitates the insight needed to explore and integrate potentially threatening information relevant to the self. By extension, self-insight may enable attitude change as a result of conversations about prejudice. We tested whether high quality listening would predict attitudes related to speakers' prejudices and whether self-insight would mediate this effect. Study 1 (preregistered) examined scripted conversations characterized by high, regular, and poor listening quality. In Study 2, we manipulated high versus regular listening quality in the laboratory as speakers talked about their prejudiced attitudes. Finally, Study 3 (preregistered) used a more robust measure of prejudiced attitudes to test whether perceived social acceptance could be an alternative explanation to Study 2 findings. Across these studies, the exploratory (pilot study and Study 2) and confirmatory (Studies 1 & 3) findings were in line with expectations that high, versus regular and poor, quality listening facilitated lower prejudiced attitudes because it increased self-insight. A meta-analysis of the studies (N = 952) showed that the average effect sizes for high quality listening (vs. comparison conditions) on self-insight, openness to change and prejudiced attitudes were, ds = 1.19, 0.46, 0.32 95%CIs [0.73, 1.51], [0.29, 0.63] [0.12, 0.53], respectively. These results suggest that when having conversations about prejudice, high-quality listening modestly shapes prejudice following conversations about it, and underscore the importance of self-insight and openness to change in this process.

Addressing Racial Biases in Medicine: A Review of the Literature, Critique, and Recommendations

This article reviews the literature on racism in medicine in the United States and reflects on the persistent barriers to diminishing racial biases in the U.S. health care system. Espoused strategies for decreasing racial disparities and reducing racial biases among physicians are critiqued, and recommendations are offered. Those recommendations include increasing the number of minority students in medical school, using Xavier University in New Orleans, Louisiana, as the model for medical school preparation; revamping the teaching of cultural competence; ensuring the quality of non-clinical staff; and reducing the risk of burnout among medical providers.

When Might Heterosexual Men Be Passive or Compassionate Toward Gay Victims of Hate Crime? Integrating the Bystander and Social Loafing Explanations

Compassionate feelings for people who are victimized because of their perceived sexual deviance (e.g., gay men) may be incompatible with support for heterosexual norms among heterosexual men. But, indifference (or passivity) toward such victims could raise concern over heterosexual men's gay-tolerance attitude. Two classic social psychological theories offer competing explanations on when heterosexual men might be passive or compassionate toward gay victims of hate crime. The bystander model proposes passivity toward victims in an emergency situation if other bystanders are similarly passive, but compassionate reactions if bystanders are responsive to the victims. Conversely, the social loafing model proposes compassionate reactions toward victims when bystanders are passive, but passivity when other bystanders are already responsive toward the victims' predicament. We tested and found supportive evidence for both models across two experiments (N_total = 501) in which passivity and compassionate reactions to gay victims of a purported hate crime were recorded after heterosexual men's concern for social evaluation was either accentuated or relaxed. We found that the bystander explanation was visible only when the potential for social evaluation was strong, while the social loafing account occurred only when the potential for social evaluation was relaxed. Hence, we unite both models by showing that the bystander explanation prevails in situations where cues to social evaluation are strong, whereas the social loafing effect operates when concern over social judgement is somewhat muted.

Can Behavior Analysis Help Us Understand and Reduce Racism? A review of the Current Literature

Despite ongoing efforts to eradicate racism, it persists globally, negatively affecting education, mental health, community relations, and economic development. Every behavior analyst can, and should, contribute to the reduction of racism in some way. Unfortunately, little behavior-analytic research exists to guide us. This article proposes ways that members of our scientific community can learn about racism from a behavioral perspective, extend experimental analyses of prejudice, and intervene to reduce racism in varied settings. It describes both traditional behavior-analytic and functional-contextualist accounts of racism and summarizes the small amount of related empirical and applied research. The review suggests that combining traditional behavior-analytic methods with acceptance and commitment training techniques may attenuate racism more effectively. The article ends with a call to collaborate around this globally important issue-and to do more to reduce racism.

Reframing Aging: Effect of a Short-Term Framing Intervention on Implicit Measures of Age Bias

OBJECTIVES

Evidence suggests that agist biases may operate implicitly (i.e., automatically and unconsciously) to affect discriminatory attitudes and behaviors toward older adults. However, few studies have tested the malleability of implicit age bias. The present study tests the effect of a framing intervention on implicit age bias in a nationally representative sample of American adults.

METHOD

Participants (N = 767) were randomly assigned to read 1 of 3 framed messages, to an unframed message about aging, or to a control message unrelated to aging. Framed messages emphasized (a) the contributions of older adults to society; (b) aging as a process of accumulating wisdom and energy; and (c) mechanisms through which prejudice against older adults operates. Participants subsequently completed an aging implicit association test (IAT) to assess implicit bias.

RESULTS

Relative to the control condition, participants in the 3 framed message conditions displayed lower implicit age bias. No differences were observed between participants in the control condition and those who read the unframed message.

DISCUSSION

Findings indicate that reframing messages about aging can decrease implicit bias against older adults. This study highlights ways for communicators to promote a positive understanding of the aging process, thereby mitigating sources of implicit prejudice.