Hayes Et Al 2025 Mindfulness Chapter
Hayes Et Al 2025 Mindfulness Chapter
mindfulness (2nd ed.): Theory, research, and practice. New York: Guilford Press.
Steven C. Hayes
Baljinder Sahdra
Joseph Ciarrochi
Stefan G. Hofmann
Brandon T. Sanford
behavioral science, and a rich background in human culture more generally. In behavioral
science and practice it is “treated sometimes as a technique, sometimes as a more general method
and sometimes as an outcome in and of itself” (Hayes & Wilson, 2003, p. 161). In a cultural
context it has a deep spiritual and religious history over literally thousands of years.
Contemplative practice methods are arguably part of all our major wisdom and religious
traditions, beginning with one of the oldest religious traditions, Hinduism (Kurien, 2006) but
including especially Buddhism (Shonin, van Gordon, & Singh, 2015), and in some ways the
In the first edition of this book, the senior author (SCH) and his students addressed the
role of mindfulness in the so-called “third wave” of cognitive behavioral therapy (Szabo, Long,
Villatte, & Hayes, 2015). Virtually all of “third wave” methods relied on mindfulness methods to
a degree (Hayes, 2004) and as the empirical analysis of these methods has exploded, mindfulness
methods have become a routine part of psychological interventions more generally. That is true
of popular culture as well. An examination of the frequency of usage of the term in written
English using Google N-gram shows that it has increased 15-fold over the last three decades. But
that very explosion suggests that it is time to step back and consider how best to advance
Our major spiritual and wisdom traditions do not need to be anointed by scientific
psychologists to establish their cultural legitimacy, any more than great novelists, musicians,
artists, or movie producers require such validation. For “mindfulness” to serve a role as a
progressive part of scientific psychology, however, it not only has to be viewed as a set of
A Process-Based Idionomic Approach 3
specifiable and measurable methods and change processes, analyzed in a scientifically sound
way, but it also needs to be analyzed in ways that correspond to its intended use. That is the
purpose of the present chapter: to examine whether there are progressive new ways to study
mindfulness as a set of methods and processes of change, and to empower the lives of
individuals who are touched by the science and practice of psychological intervention.
reconsider its direction. Over the last several years articles have argued that mindfulness as a
scientific concept has no value above and beyond the literature on “Big 5” personality types
(Altgassen, Geiger, & Wilhelm, 2023), or that the deployment of mindfulness methods in
therapy raises serious ethical concerns when it is cut loose of “right action”, compassion toward
(Harrington & Dunne, 2015). Capitalistic interests in mindfulness methods have received
especially strong criticism (Hyland, 2015) as an era of “McMindfulness” seems to enter modern
culture. One must only open a health app on their smartphones to see the issue. One is almost
certain to see “mindful minutes” on the list of "health categories," along with heart function,
physical activity, nutrition, and medication use. Given that degree of cultural penetration,
pausing to step back and focus on how to foster further progress seems timely.
Before we begin, it seems important to state our initial biases and assumptions. The
present chapter takes the view that “mindfulness” refers to a somewhat loose but broadly
definable set of skills -- attentional, cognitive, and affective -- that are designed to foster the
ability of individuals to live more empowered lives. While recognizing the important work done
in defining and measuring “mindfulness” (e.g., Baer, Smith, Hopkins, Krietemeyer, & Toney,
2006; Brown & Ryan, 2003), as researchers we view all scientific concepts as just ways of
A Process-Based Idionomic Approach 4
speaking that help the scientist interact with the world in an effective way that fits their analytic
purposes. For that reason, we are skeptical that there will ever be the one true analysis of
mindfulness any more than there is today a single acceptable definition of emotion, cognition,
consciousness, self, or any of the other many major concepts that bear on mindfulness. A more
attainable and scientifically helpful goal is to generate progress in the ways that various
openness are assessed and analyzed so that scientific data can begin to narrow the range of uses
of the term as assessed against the possible practical or scientific purposes of its analysis. It is
our view that such a research program will foster greater progress in the long run than adopting
The empirical pathway to conceptual utility is not an easy one, however, for reasons we
will soon describe. In this chapter, we argue that some of the methods we used to study
mindfulness skills might have interfered with progress toward the "use case" most practitioners
or applied scientists are interested in, namely, how to help individuals develop, retain, and use
A powerful way to focus on this issue is to start at the end – namely, the accomplishment
of better outcomes due to the use of a particular process – and then work backwards and to
consider the methods that move these processes. By referring to mainstream empirical methods,
we can begin by documenting what has been shown to be helpful, so we can examine component
processes involved, their role in successful psychological interventions, and the methodological
and strategic limitations that we believe must be overcome to create further progress.
mental health (Hofmann, Sawyer, Witt, & Oh, 2010; Khoury et al., 2013). However, mindfulness
is a complex construct with many different aspects that could explain its therapeutic effect (Baer,
Smith, & Allen, 2004; Baer et al., 2006; Dimidjian & Linehan, 2003). For example, mindfulness
skills are widely agreed to include both the extent to which one directs attention toward the
present, as well as the manner in which one orients toward the present (Bishop et al., 2004;
Shapiro, Carlson, Astin, & Freedman, 2006). This comprehensive and widely used way to
conceptualize and measure mindfulness is with the Five Facet Mindfulness Questionnaire
(FFMQ; Baer, Smith, Hopkins, Krietemeyer, & Toney, 2006), which was built as a kind of
superset of self-report items in this domain at the time. The facets of the FFMQ include the
propensity to observe internal and external experiences (Observe), describe internal experiences
with words (Describe), act with awareness of the present (Act with Awareness), take a
nonjudgmental stance toward one’s inner experiences (Nonjudge), and let one’s thoughts and
the FFMQ, and negative affective symptoms (Carpenter et al., 2019). The study consisted of a
comprehensive search yielding 148 eligible studies, comprising 157 distinct samples and 44,075
participants. The weighted mean correlation for affective symptoms and overall trait mindfulness
was r = -0.53, showing a large negative relationship between affective symptoms and overall
mindfulness as measured by the FFMQ. Nonjudge (r = -0.48) and Act with Awareness (r = -0.47)
demonstrated the largest correlations, followed by Nonreact (r = -0.33) and Describe (r = -0.29).
Observe was not significantly correlated with affective symptoms. No significant differences in
the strength of correlations were found between these self-reported mindfulness skills and
A Process-Based Idionomic Approach 6
anxiety, depression, and posttraumatic stress disorder (PTSD) symptoms, though symptoms of
generalized anxiety disorder exhibited a weaker negative relationship with the Describe facet
compared to PTSD symptoms. Describe also showed a stronger relationship with affective
symptoms in Eastern samples compared to Western samples, whereas Western samples had a
stronger relationship with Nonjudge. These results showed that the propensity toward
mindlessness (e.g., reacting judgmentally, running on ‘autopilot’) was associated with higher
levels of negative affective symptoms. However, these associations do not alone allow for
conclusions about the processes of change. For this, we need to examine the mediation literature.
psychological interventions (Hayes, Ciarrochi, Hofmann, Chin, & Sahdra, 2022). Using
PsychInfo, Web of Science, Medline, and ProQuest databases, our team examined every existing
identified a statistically significant mediator of outcomes. We used the following search terms:
“process of change”, “mechanism”, “mediat*”, and “change mechanism”; at least one word from
the title of every known therapy, based on the Wikipedia “list of psychotherapies”; and the terms
“RCT”, “clinical trial”, “randomi?ed control trial”, “interven*”, “treatment condition”, “control
group”, “treatment group”, “random”, and “random assignment.” That yielded 54,633 studies for
examination. Each abstract was scored by two trained raters to ensure that studies met the
inclusion criteria. Two trained raters then conducted full text screening of the 1,353 studies that
appeared to be eligible and a total of 1,050 mediational findings were identified across 624
studies, while 729 studies were excluded based on the entire article (e.g., because the mediational
A Process-Based Idionomic Approach 7
analysis itself was flawed; or only medications were examined, not psychosocial methods, and so
on). Because there was evidence that mediators were often an afterthought and unusual
combinations of items or measures were used to obtain successful mediational results (that is,
there was some evidence of “p hacking”) only the 71 mediational measures that had been
successfully replicated at least once were cataloged in the final report. Together they constituted
281 findings – representing the core of the entire world’s literature on processes of change.
Of these 281 findings, a large number (56% or 157 of the findings) focused on processes
that have routinely been identified as part of mindfulness writ large. These included emotion
focused processes such as acceptance, self-kindness, low levels of anxiety sensitivity, the ability
decentering, or observation of thought; flexible, fluid, and voluntary attentional processes such
processes that include these elements along with values and right action, such as psychological
flexibility. Some emotion regulation, coping, or self-regulation measures also included such
concepts.
Thus, in summary, we know that self-reported mindfulness skills are key to clinical
outcomes across the entire intervention science literature focused on processes of change as
assessed through traditional mediational analysis. This is before we note that many other known
mediators are ameliorated by mindfulness methods and processes, such as rumination or worry,
fostering parental functioning, or establishment of healthy coping skills, just to name a few (see
A Process-Based Idionomic Approach 8
Hayes et al., 2022 for more details). In almost all known processes of change, mindfulness and
The success story that has just been told comes with a warning label. Processes of change
cannot be fully understood and applied to particular people who may need them using only our
do that simply cannot be met. We will explain this unsettling claim in the present chapter.
Processes of change unfold within the lifetime of individuals (or of larger specified units
such as couples, families, or communities). To this point, processes of change are very largely
studied as normative analytic abstractions, in which measures are developed based on between
person consistencies relative to between person variability (that is, via traditional psychometric
criteria) and are tested in models that treat the central tendencies of a collective as the “true
score” and individuals as a source of error in the measurement of latent constructs. For example,
a common traditional mediational analysis considers the cross product of the coefficients of the
differential intervention impact on a mediator (the “a” path), and the mediator’s relation to
outcome controlling for treatment assignment (the “b” path). These comparisons and their
components are viewed as “significant” relevant to the degree of variability between participants.
When the findings are applied to a person, however, researchers and practitioners alike
expect (at least probabilistically) that if the effective treatment is applied to a particular person,
the mediator is likely to change, and the outcome in turn is likely to change. That extension is not
scientifically valid (Hofmann, Curtiss, & Hayes, 2020) and for a reason that extends to a much
wider set of data analytic circumstances (Hayes et al., 2019; Molenaar, 2013). Normative
concepts developed and measured at the level of a collective apply to the prediction of individual
A Process-Based Idionomic Approach 9
trajectories measured over time if and only if the phenomena are ergodic (Molenaar, 2013).
Ergodicity is not a new concept – it is nearly 150 years old in the physical sciences (Boltzman,
1884; see Ashley, 2015) and has been accepted science there ever since it was mathematically
proven in the early 1930’s (Birkhoff, 1931; von Neumann, 1932). In essence, ergodicity is a far
more restrictive form of the “homogeneity assumption” that everyone learns about in their early
statistical training. It turns out that normative biostatistical methods need to assume ergodicity
and homogeneity in order to apply results to individuals, but unlike homogeneity, the ergodicity
assumption is rarely if ever met in psychology (Molenaar, 2004). Distilled to a single sentence,
ergodicity requires that 1) processes be stationary and that 2) the same dynamical model apply to
all. Concretely, this would mean that, at any given time point, the phenomenon being modeled
would have the same mean and standard deviation, and assessed across time each individual
would display that same mean and standard deviation of the measured process as well.
Experience suggests that these requirements are novel enough for behavioral science
students and professionals that it is better to start with a commonsense metaphor than to jump
immediately into how to avoid the need to assume ergodicity. Suppose an applied scientist
wanted to learn more about how people can navigate a large open field with trees, rocks of all
sizes, coves, and muddy bogs. The scientists decides that a mediational analysis will best reveal
the functionally important pathways of change. A group of 100 people are broken into two
groups. One group is told to start anywhere on one side of the field try to get anywhere on the
other side. A second group is told to attend to their own body and to be very efficient while
traversing the field. That instruction leads to better outcomes (they traverse the field more
Each person has a video camera on their head taking pictures every step and, data from
the video camera shows that at step 500 (the mid-point) of their approximately 1,000 step
journey. The “attend and be efficient” group is not yet significantly faster than the control
condition. They are making fewer big jumps, however, and this fact mediates the ultimate
Should the analyst now suggest to other individuals to avoid big jumps in order to
traverse the field more quickly? The answer is “yes” if and only if there were no trends in
jumping or related processes over time, and all people showed the same mean and standard
deviation of these processes (in other words, jumping and related variables were ergodic).
Suppose the lack of jumping at the mid-point of the journey mediated outcomes because
people who were attending to their body and their efficiency were more likely early on to
discover that they could make good progress by making big jumps a lot but some of these
eventually became exhausted and slowed down, and stopped jumping by the mid-point -- but
later on avoided swamps due to that exhaustion, much to their advantage. Others did not jump
much early on and arrived at the midpoint fresh but at an average speed, but some in this
subgroup realized that they could make much better progress by picking a route that required big
jumps. These trends and differential features (who became exhausted quickly and who did not)
could cancel each other out and still yield a statistically significant mediational variable. A bell
curve of outcomes (or mid-point progress with a mediational variable) can be interpreted by
probability theory (as in traditional mediational analyses) but it does so by assuming only chance
combinations, are not “chance.” Using statistical models that require such implausible
A Process-Based Idionomic Approach 11
assumptions in order to apply the obtained results to individuals is especially unwise in applied
psychology where applying results reliably to individuals is often part of the very purpose of
scientific analysis.
There is a statistically legitimate alternative: Model each idiographic journey from the
recorded camera one pathway at a time, and then combine these into nomothetic subgroups if
and only if it helps model most of these idiographic journeys (what is called in Hayes et al., 2022
an “idionomic approach”). Knowing who displayed various patterns could help explain key
outcomes when knowledge of how individuals traversed the field is related to the time it took to
cross it, the effort spent to do so, and the impact of exhaustion or injuries that happened along the
way. The scientist could then use that knowledge to help people cross the field safely, efficiently,
and effectively.
As we will show in this chapter, if you model how much of the information about
pathways is person-specific the resulting values are so large as to question the meaningfulness of
data have trends and all “processes of change” do, by definition. Very, very few of our statistical
If you are a practitioner, this is the take home message: psychology and behavioral
science generally has unintentionally been feeding you false and misleading information that is
inadequate for you to do your job. This could be a major reason why psychological intervention
specialists have had such a hard time improving our methods based on our science: our science
has been giving us empirical information that violates its own empirical assumptions.
When mindfulness and its elements are no longer assessed as normative analytic
abstractions but instead are examined as dynamic unfolding processes that apply to particular
A Process-Based Idionomic Approach 12
people, we find what our wisdom traditions have always known: Mindfulness is a multi-element
skill that you exemplify in context over time. It is the entire set of interrelated skills that matters,
In the next section we will explore the rapidly developing but still very young science of
idionomic analysis and how modern empirical methods are validating ancient wisdom. Most
especially, we believe these methods provide a pathway forward to expand the science and
(Germer, 2009) and vice versa (e.g., Neff & Dahm, 2015), and research confirms that these skill
sets are highly interrelated (e.g., Hollis-Walker, & Colosimo, 2011; Voci, Veneziani, & Fuochi,
2019). In our research team we have begun studying self-compassion as a dynamic unfolding
process. What we have found is profoundly worrisome. Despite the overwhelming reports that
compassion towards oneself is conducive to psychological well-being (e.g., Marsh, Chan, &
MacBeth, 2018; Phillips & Hine, 2021; Sirois, Kitner, & Hirsch, 2015; Zessin Dickhäuser, &
Garbade, 2015), an idionomic analytical perspective requires that we remain open to the
possibility that the experience of compassion for some individuals may substantially deviate
from the nomothetic effect. The psychological impact of self-compassion may differ across
person, context, and time (Ferrari, Ciarrochi, Yap, Sahdra, & Hayes, 2022). For instance,
compassion towards the self can be experienced as incompatible with compassion towards others
in the daily lives of some people. Such low self-other harmony in compassion may impact the
wellbeing of the individuals differently than the overall nomothetic positive effects of self- and
compassion towards others, life-satisfaction, and mood (Sahdra et al., 2023). Consistent with
prior research, the researchers found that the moment-to-moment experiences of self-compassion
and compassion towards others were generally in harmony for most participants in the sample,
though there was substantial heterogeneity in these within-person positive associations. When
the two forms of compassion were in disharmony, the well-documented positive link between
compassion and wellbeing disappeared. That is, compassion was conducive for wellbeing in
moment-to-moment experiences of individuals, but only among those who also exhibited self-
We suspect that violations of ergodicity will be discovered in many studies as the field
becomes more comfortable at focusing more on the heterogeneity of the “fixed effects” rather
than treating the normative finding as the headline of any research study (e.g., see Sahdra,
Ciarrochi, Klimczak, et al., 2023, for systematic demonstration of violations of ergodicity and a
traditions around the world, and self-compassion appears to be a common route to compassion
itself (Neff & Pommier, 2013). Yet, when examined under an idionomic microscope, the
We have already mentioned that in a spiritual context mindfulness skills are trained as
part of an overall ethical program that avoids selfishness and promotes prosociality. For instance,
various traditions of Buddhism have for millennia emphasized ethical conduct, including
prosocial behavior, as a crucial part of practicing mindfulness (e.g., Dalai Lama & Ekman,
A Process-Based Idionomic Approach 14
2008). Buddhist mindfulness practices are meant to foster harmonious social relationships while
dampening the impact of “afflictive” states, such as selfishness, which are thought to be harmful
for the individual experiencing them and others related to them (Goleman, 2003). The ancient
anxious clinging and highlight the importance of giving and receiving love (Sahdra & Shaver,
2013).
diverse ways, forming an industry worth more than a billion dollars (Wieczner, 2016). Some
interventions focus almost exclusively on the mindfulness skills of focused attention, curiosity,
interventions teach these skills in conjunction with the cultivation of prosocial skills such as
empathy, warmheartedness, kindness towards others, and acting with compassion to relieve the
especially over the past decade, there have been a plethora of theories of how mindfulness
benefits the person and their social world. These theories come from a growing number of
studies in behavioral, cognitive, and neuroscientific literatures, and we provide only a small
sample here. The proposed mechanism by which mindfulness skills bring about wellbeing and
• greater capacity to regulate one’s own emotional states such that personal distress
• greater capacity to act in accordance with one’s values and more autonomous
forms of motivation (Donald et al., 2019; Hayes, 2019; Ryan, Donald &
Bradshaw, 2021);
lovingkindness, and fewer negative emotions such as anger that interfere with
more likely to show the activation of brain networks linked with prosocial
fixations about the self and others (Sahdra, Ciarochi, & Parker, 2016), which is
linked with observable prosocial behavior (Sahdra, Ciarrochi, Parker, Marshall, &
Heaven, 2015);
• reduced intergroup bias and internalized bias, and increased anti-bias towards
above implies that no pathway may be universally significant for linking mindfulness to
prosociality for all people in all situations. For instance, a meta-analysis shows that there is an
overall positive pooled effect of mindfulness linked to prosocial behavior but there is substantial
heterogeneity associated with that pooled effect (Donald, Sahdra, Van Zanden, Duineveld,
Atkins, et al., 2019). Similarly, a recent meta-analysis of mindfulness linked with improved
intergroup bias revealed a moderate level of between-study heterogeneity (Chang et al., 2023).
But the variation of the overall effect across studies may be only a tip of the iceberg of the
mindfulness likely function differently in the dynamics of the everyday lives of different people.
Despite that awareness there is often an implicit assumption lurking that any given
and compassionate behavior would function in the same direction for everyone, even if the
strength of those connections (effect size) differs for different people. As far as we are aware, no
examining mindfulness within persons over time in a nexus of relevant variables that are
hypothesized to play a ‘causal’ role in bringing about the personal and interpersonal benefits of
mindfulness. Many of these variables could be co-occurring and some could be more essential or
invariant than others, but that very issue needs to be examined in a way that allows the
idiosyncratic interactions to be modelled. Intensive within-person data are needed to examine the
action in an idionomic fashion. In this chapter we will examine some early attempts to move in
that direction.
People can be mindful in different ways. One way in which researchers have tried to
examine such differences is by using mixture modeling/mixed modeling or latent profile analysis
of the different aspects of mindfulness. Although profile analysis falls under nomothetic
approaches, which are variable-centered. Strictly speaking, however, the distinction between
variable-centered and person-centered approaches does not make latent profile analysis an
idionomic approach. Profile analysis is not a bottom-up approach of arriving at the group-level
insights only if it improves the understanding of specific individuals. Rather, profile analysis
aims to identify clusters of individuals whose response patterns are similar on a given set of
variables (hence the method remains nomothetic). Still, mixture modeling begins to open us to
the idea that an overall single nomothetic effect (e.g., scoring high on all aspects of mindfulness
disentangle the quantity and quality of mindfulness in latent profiles and tested their links with
mental health and life effectiveness (Sahdra et al., 2017). To separate the level and shape effects
in profiles, they used a combination of bifactor exploratory structural equation modeling and
latent profile analysis. They also tested the impact of including nonattachment in the set of
variables used to identify profiles on the nature of profiles. In a highly conservative test, they
sought to see if profile membership added value in predicting mental health and life
A Process-Based Idionomic Approach 18
effectiveness, above and beyond a purely variable-centered approach of using the scale scores of
Consistent with prior research on profiles of mindfulness (Pearson, Lawless, Brown, &
Bravo, 2015), Sahdra et al. (2017) identified a judgmentally observing profile and a non-
judgmentally aware group; but inconsistent with prior research, they did not find profiles that
showed high or low levels on all specific aspects of mindfulness as measured by the FMMQ.
Adding nonattachment improved the clarity of profiles but did not alter their shape. When testing
the unique predictive utility of profile membership, above and beyond the scale scores of the
variable, the judgmentally observing profile, compared to other profiles, showed the highest
levels of mental ill-health, but also the highest levels of life satisfaction and effectiveness. Those
“mindful” individuals got things done and were happy with their lives, despite showing signs of
the scientific literature and the general public’s understanding of the nomothetic concept. When
most people think of a mindful person, they do not automatically conjure a caricature of a
judgmental person. But that is part of the experience of being mindful for some people, as
We are arguing that the analysis of mindfulness processes will be more progressive and
surer footed if nested within an idionomic approach. That approach is new enough and different
enough to warrant an extended example so that others might explore its possible benefits. We
used an experience-sampling archival data set (Sanford, Ciarrochi, Hofmann, Chin, Gates, &
Hayes, 2022) to perform network analysis on the day-to-day links between indices of
mindfulness and other processes and negative affective experiences. For the purposes of this
A Process-Based Idionomic Approach 19
demonstration, we focused on the five processes that showed the strongest link to negative affect
Participants were recruited using Amazon’s Mechanical Turk (“mTurk”) service, both to
maximize the potential pool of eligible participants and to secure a diverse sample in terms of
age, gender, and nationality. The sample was 44 (18 female, 26 male), with a mean age of 33.8
(SD=13.03). Data were collected twice daily, across 35 days. All items were completed using a
The main process assessment was the Process Based Assessment Tool (PBAT; Ciarrochi
et al., 2022). The PBAT is not a scale but instead is a collection of 18 items focused on variation,
sociocultural and biophysiological domains. The stem for each item in this study was “Over the
past 12 hours” and the response anchors were 0 = Strongly Disagree and 100 = Strongly Agree.
We used the top five items that were group-level predictors of negative affect in past research
(Ciarrochi et al., 2022). These items included our proxy for a core mindfulness skill – “I was
struggling to connect with the moments of my day-to-day life.” In the evolutionary model, this is
a form of selection focused on the yearning for orientation. The four additional items focused on
“stuck and unable to change (lack of variation)”, “struggling to keep doing something that was
important (lack of retention)”; “having no outlet for feelings (selection: yearning to feel)”, and
“thinking helped my life (selection: Yearning for coherence).” For a detailed discussion of these
We assessed negative functioning using the Screening Tool for Psychological Distress
(Stop-D; Young et al., 2007, 2015). This five-item tool asks, “how much have you been bothered
by” four areas: Sadness - “Feeling sad, down, or uninterested in life?”; Anxiety - “Feeling
A Process-Based Idionomic Approach 20
anxious or nervous?”; Stress - “Feeling stressed?”; Anger - “Feeling angry?”; and Perceived lack
of social support - “Not having the social support you need?” (alpha = .90). because it produces
Turning to analysis, our focus was twofold: 1) examine the extent that our mindfulness
item linked to within-person changes in negative functioning and 2) identify the extent that this
relationship varied from person to person. Idionomic analysis begins with the individual, rather
than group level averages, so we sought to estimate the strength of relationship between
mindfulness and negative functioning for each person using Autoregressive Integrated Moving
Average (ARIMAX) analysis to deal with the time series data (see Ciarrochi, Sahdra, Hayes, &
Hofmann, n. d. for details). This procedure produced an effect size estimate (Beta) and standard
error for each individual which we then submitted to meta-analytic analyses. This allows us to
apply well-understood standards regarding when it is appropriate to pool data from a collection
of studies to the issue of when it is appropriate to pool data from a collection of people.
Meta-analytic results revealed a highly reliable pooled effect (Beta = .25, SE=.042, 95%
CI[.16,.33]), indicating that low mindfulness was generally associated with higher negative
functioning. However, an I2 of .88 suggested extremely high variability and the Q test for
heterogeneity was highly significant, Q = 366, p< .0001. Figure 1 below illustrates both the mean
value (triangle on x axis) and variability of effects. Many values are significantly positive
(shown when confidence interval (+-1.96SD) for positive beta values don’t cross 0), but a
significant number are either non-significant or significantly negative (the latter shown when
Figure 1: The strength of relationship between low mindfulness and negative affect
To put this variability into context, in meta-analyses I2 represents the percentage of total
variability across studies that is due to true heterogeneity rather than mere random variation or
“chance.” Rough guidelines for interpreting I2 in the meta-analytic literature are that values less
A Process-Based Idionomic Approach 22
than 25% reflect low inconsistency, 25% to 50% reflects moderate inconsistency, 50 to 75%
reflects high inconsistency, and over 75% shows very high inconsistency. Thus, this finding
represents very high inconsistency and suggests that averages should not be used.
Process-based approaches focus not just on individual variables but on the role of
variables in a wider network of processes and aspects of context. In a network, it may be that as
some processes exert weaker influence, other processes may become more impactful and thus we
examined whether when mindfulness was having little impact on some people, other processes
were more paramount. To explore these differences, we divided the sample into two based on the
above idiographic analysis: those for whom mindfulness and negative affect did not occur at the
same time (Group 1; below median relationship) and those for whom they did (Group 2; above
median relationship).
We then performed the ARIMAX procedure described above on the other four process
variables: “stuck unable to change”, “struggling to keep doing something that was important”;
“having no outlet for feelings”, and “thinking helped my life.” The results of these analyses are
summarized in Table 1. The use of both significant (p<.05) and marginally significant (p<.10)
addresses the common criticism about the over-reliance on p-value cut-offs in psychology. By
considering both levels, the general pattern of results is more evident, which may be less obvious
with a strict p<.05 cutoff. Importantly, the two levels are clearly distinguished, reducing the risk
positive 2 times (green; linked in expected positive ways to mindfulness) and negative four times
(red; linked in unexpected negative way), and neutral the other times. In contrast, “stuck” is
positive (significant and in expected direction) nine times and “persist” is positive 7 times and
negative once. These appear to be more reliable drivers of change for this group than
A Process-Based Idionomic Approach 23
mindfulness. In contrast, the high-impact group appears to be generally influenced by all the
processes, though again, there are important exceptions, and mindfulness certainly is more
important for some than others. Even though many other processes are involved, we hypothesize
that it would be more effective to focus on mindfulness among those in the high positive impact
group compared to those in the low group. To the low-impact group, we hypothesize that it is
best to focus on more behavioral processes such as feeling stuck and failing to persist at
something -- processes that are likely beneficial to at least 50% of the group, whereas
mindfulness is not.
A Process-Based Idionomic Approach 24
Table 1: Link between daily processes and daily negative affect within person
Mindfulness had low positive impact Mindfulness had moderate to high positive impact
A Process-Based Idionomic Approach 25
A Process-Based Idionomic Approach 26
Note: Mindl = struggled to connect with the moments of my day-to-day life; Stuck=stuck unable to change; Persist = Struggled to
keep doing something that was important; Feel = no outlet for feelings; Cog—thinking helped my life
A Process-Based Idionomic Approach 27
Table 1 clearly indicates that even within the two groups, there is a substantial amount of
heterogeneity. We recognize this constraint but still sought to make some nomothetic
generalizations about the two separate groups whilst still advising caution in overinterpreting the
mean averages. A notable improvement from past research is that we have taken the step of
We examined the interconnectedness between processes and negative affect, using multi-
level vector autoregression (Moulder et al., 2022) on six time series, namely, the five processes
and negative affect in daily life. We used mlVAR package in R to estimate the lagged and
contemporaneous network model for both samples (Epskamp, Deserno, Bringmann, & Veenman,
n.d.). MlVAR is able to simultaneously model reciprocal linkages between dynamic processes
and facilitates the understanding of highly complex interactions within a unified framework (Li
et al., 2022; Moulder et al., 2022). This data-driven approach can be used to explore the within-
person dynamics and allows for and explores autoregressive and bidirectional associations
outcomes moment-to-moment. Figure 2 presents the contemporaneous networks for the low
impact (LI) and moderate to high impact (MI) groups. The LI network contains no direct link
with mindfulness but does involve a direct link between struggling to persist at something
important and negative affect. This link is not present in the MI group. In the MI group there is a
link between not having an outlet for feelings and negative affect, but this link does not occur in
the LI group. In addition, effective thinking (reversed scored) is central to processes in the MI
group but not the LI group. Note that this pattern of findings does not mean that mindfulness is
A Process-Based Idionomic Approach 28
irrelevant to the LI group. Careful examination of the network suggests that mindfulness may
Figure 2: The estimated fixed effects of the contemporaneous network structures obtained in multilevel VAR for both the
Group 1: Mindfulness had low positive impact Group 2: Mindfulness had moderate to high positive impact
A Process-Based Idionomic Approach 30
Note: Green links indicate positive relationships between negative processes and negative affect. Mindl=struggled to connect with the
moments of my day to day life; Stuck=stuck unable to change; Persist = Struggled to keep doing something that was important;
In terms of overall themes, the role of mindfulness, thinking, and outlets for feelings are
dominant in MI participants: each of those variables have the maximum of five contemporaneous
links to them, along with being stuck and unable to change. In the LI group, the only variable
with this kind of centrality (5 relations) was being stuck and unable to change. As it relates to
negative affect, mindfulness plays only an indirect role for LI, linking with more behavioral
indices of being stuck and failing to persist, and these behavioral indices, in turn, link directly to
negative affect.
The lag network relationships are presented in Figure 3. Because there are lagged
relations, directionality can now be modeled. Here we see that the groups again differ. For
example, feeling stuck has a larger impact on later thinking in the MI group compared to the LI
group. They do share some things in common. Feeling stuck and unable to change predicted later
It is important to understand what can and cannot be inferred from contemporaneous and
a lagged network analysis. If a variable predicts another variable at a lag over and above auto-
regression, then this indicates that such a variable might be an antecedent or even have a causal
relation to the later-in-time variable. However, if there is no relationship between variables in the
lag network, this does not mean that there is no temporal or causal relationship between the
variables. It is possible that the length of the lag is simply too short or too long, for instance. If
mindfulness has an immediate negative effect, then a lag of three hours may miss this effect;
likewise, purely contemporaneous relations might show a lagged relation if temporal units were
smaller.
A Process-Based Idionomic Approach 32
Figure 3: The estimated fixed effects of the lagged network structures obtained in multilevel VAR for both the ideographically
Group 1: Mindfulness had low positive impact Group 2: Mindfulness had moderate to high positive impact
A Process-Based Idionomic Approach 33
Note: Mindl=struggled to connect with the moments of my day to day life; Stuck=stuck unable to change; Persist=Struggled to keep
doing something that was important; Feel=no outlet for feelings; Cog=thinking helped my life; Naff=negative affect
A Process-Based Idionomic Approach 34
This preliminary set of findings begins to suggest that mindfulness may not have the
same psychological meaning to people or the same psychological consequences depending on the
context of other processes that are idiographically present or absent. Mindfulness appears to be
much more central and influential for those in the LI group as compared to the MI group, where
its impact on negative affect is indirect and through relatively behavioral processes.
There is a growing list of idionomic and network approaches and what has been shared
here is more by way of documenting the need and possible benefits of changing our analytic
profiles and patterns to be only step one in a multistep pragmatic process (Ciarrochi et al., 2021;
Hayes et al., 2019, 2022). The next step involves using those profiles to personalized therapy by
targeting specific nodes or relations in the network. That research has begun (e.g., Ong, Hayes, &
The field will need far more research in both areas. To support step one, we will need to
gather very large samples of people reporting mindfulness and other processes in an intensive
longitudinal context. This may allow us to identify characteristic profiles – considering them
useful if and only if they increase idiographic fit. In step two, we evaluate whether the
knowledge of these idionomic networks and the profiles and patterns they may reveal will
contribute to the relevance and impact of an intervention. Stated simply, does a personalized
intervention based on this statistical knowledge improve outcomes over and above a generic
intervention?
A Process-Based Idionomic Approach 35
Conclusion
Mindfulness research began with broad hypotheses such as “Mindfulness reduces stress”
or “Mindfulness drives well-being.” As research has evolved, we as a field have begun to think
more in terms of individual heterogeneity, but the hypotheses still appear to be linear and fairly
general, such as “more mindfulness will lead to more well-being for some.”
As our process focus becomes more nuanced, we need to think in terms of networks of
process relations. For example, a person who is focused on psychological flexibility might
suppose that mindfulness skills should be deployed in service of greater emotional and cognitive
flexibility, or in the service of deeply held values such as an increased ability to care for others.
Other people who are focused on reducing unhelpful physiological arousal might use
sympathetic activations.
That kind of network thinking is progressive, but it cannot be reliably done purely
nomothetically. Average processes are not processes at all, and average networks do not escape
the requirement of ergodicity to be applied with confidence to individuals. We will need a more
bottom-up change in our measures and research methods to truly understand how mindfulness
This sensitivity is timely because as mindfulness methods are being widely implemented
in the west, we are beginning to see such aberrations as selfish mindfulness or self-centered self-
compassion. These iatrogenic effects may have been intuitively avoided in the wisdom traditions
at least to some extent, but evidence-based psychological interventions will need to do so another
way. Idionomic analysis suggests that poor outcomes can be avoided by considering the larger
A Process-Based Idionomic Approach 36
network of processes that are needed for mindfulness skills to be deployed in a positive way
Incorporating mindfulness skills into evidence-based care is a positive thing, but how we
do it differs from the spiritual and religious traditions that have developed over thousands of
years. As empirical clinicians, we need to learn to be wiser and to deploy these skills in a way
that makes them safe for individuals and for cultures. Every individual matters in such a journey,
and so skills and aspirations of the unique individuals we work with must be measured, modeled,
Authors’ Note
Dr. Hofmann receives financial support by the Alexander von Humboldt Foundation (as
part of the Alexander von Humboldt Professur) and the Hessische Ministerium für Wissenschaft
und Kunst (as part of the LOEWE Spitzenprofessur). Dr. Sanford is funded by NIH Institutional
References
Altgassen, E., Geiger, M., & Wilhelm, O. (2023; in press). Do you mind a closer look? A jingle-
10.1177/08902070231174575
Ashley, S. (2015). Ergodic theory plays a key role in multiple fields. Proceedings of the National
Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report: The
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report
Berry, D. R., & Brown, K. W. (2017). Reducing separateness with presence: How mindfulness
Routledge.
Birkhoff, G. D. (1931). Proof of the ergodic theorem. Proceedings of the National Academy of
Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., ... & Devins, G.
Boltzmann, L. (1884). Ueber eine von Hrn. Bartoli entdeckte Beziehung der Wärmestrahlung
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in
Carpenter, J. K., Conroy, K., Gomez, A. F., Curren, L. C., & Hofmann, S. G. (2019). The
Five Facet Mindfulness Questionnaire (FFMQ). Clinical Psychology Review, 74, 101785.
Doi: 10.1016/j.cpr.2019.101785
Chang, D. F., Donald, J., Whitney, J., Miao, I., & Sahdra, B. K. (2023). Does mindfulness
the evidence and agenda for future research. Personality and Social Psychology Bulletin. .
Ciarrochi, J., Hayes, S. C., Oades, L. G., & Hofmann, S. G. (2021). Toward a Unified
Ciarrochi, J., Sahdra, B. K., Hayes, S. C., & Hofmann, S. G. (n.d.). A personalised-approach to
Ciarrochi, J., Sahdra, B., Hofmann, S. G., & Hayes, S. C. (2022). Developing an item pool to
Dimidjian, S., & Linehan, M. M. (2003). Defining an agenda for future research on the clinical
application of mindfulness practice. Clinical Psychology: Science and Practice, 10, 166-
171.
Donald, J. N., Sahdra, B. K., Van Zanden, B., Johannes Duineveld, J., Atkins, P. W. B.,
Marshall, S., & Ciarrochi, J. (2019). Does your mindfulness benefit others? A Systematic
Review and Meta-analysis of the Link between Mindfulness and Prosocial Behavior.
Epskamp, S., Deserno, M., Bringmann, L., Veenman, M. (n.d.). mlVAR: Multi-Level Vector
Farb, N. A. S., Segal, Z. V., Mayberg, H., Bean, J., Mckeon, D., Fatima, Z., & Anderson, A. K.
(2007). Attending to the present: Mindfulness meditation reveals distinct neural modes of
10.1093/scan/ nsm030
Ferrari, M., Ciarrochi, J., Yap, K., Sahdra, B., & Hayes, S. C. (2022). Embracing the complexity
Fredrickson, B. L., Cohn, M. A., Coffey, K. A., Pek, J., & Finkel, S. M. (2008). Open hearts
Fredrickson, B. L., Cohn, M. A., Coffey, K. A., Pek, J., & Finkel, S. M. (2008). Open hearts
Galante, J., Galante, I., Bekkers, M.-J., & Gallacher, J. (2014). Effect of kindness-based
Germer, C. (2009). The mindful path to self-compassion: Freeing yourself from destructive
Harrington, A., & Dunne, J. D. (2015). When mindfulness is therapy: Ethical qualms, historical
Hayes, S. C. (2004). Acceptance and Commitment Therapy and the new behavior therapies:
(Eds.), Mindfulness and acceptance: Expanding the cognitive behavioral tradition (pp. 1-
Hayes, S. C. (2019). A liberated mind: How to pivot toward what matters. New York:
Penguin/Avery.
Hayes, S. C., Ciarrochi, J., Hofmann, S. G., Chin, F., & Sahdra, B. (2022). Evolving an
Hayes, S. C., Hofmann, S. G., Stanton, C. E., Carpenter, J. K., Sanford, B. T., Curtiss, J. E., &
Ciarrochi, J. (2019). The role of the individual in the coming era of process-based
Hayes, S. C. & Wilson, K. G. (2003). Mindfulness: Method and process. Clinical Psychology:
Hofmann, S. G., Sawyer, A. T., Witt, A., & Oh, D. (2010). The effect of mindfulness-based
Hollis-Walker, L., & Colosimo, K. (2011). Mindfulness, self-compassion, and happiness in non-
Kay, A. A., Masters-Waage, T. C., Reb, J., & Vlachos, P. A. (2023). Mindfully outraged:
10.1016/j.obhdp.2023.104249
Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., Chapleau, M.-A.,
Kurien, P. (2006). Multiculturalism and American religion: The case of Hindu Indian Americans.
Li, Y., Wood, J., Ji, L., Chow, S.-M., & Oravecz, Z. (2022). Fitting Multilevel Vector
Lutz, A., Brefczynski-Lewis, J., Johnstone, T., & Davidson, R. J. (2008). Regulation of the
MacLean, K. A., Ferrer, E., Aichele, S. R., Bridwell, D. A., Zanesco , A. P., Jacobs, T. L., King,
B. G., Rosenberg, E. L., Sahdra, B. K., Shaver, P. R., Wallace B. A., Mangun, G. R., &
10.1177/0956797610371339.
A Process-Based Idionomic Approach 43
Marsh, I. C., Chan, S. W., & MacBeth, A. (2018). Self-compassion and psychological distress in
back into scientific psychology, this time forever. Measurement, 2(4), 201-218.
Moulder, R. G., Duran, N. D., & D’Mello, S. K. (2022). Assessing Multimodal Dynamics in
Neff, K. D., & Dahm, K. A. (2015). Self-compassion: What it is, what it does, and how it relates
Neff, K. D., & Pommier, E. (2013). The relationship between self-compassion and other-focused
concern among college undergraduates, community adults, and practicing meditators. Self
von Neumann, J. (1932). Proof of the quasi-ergodic hypothesis. Proceedings of the National
Ong, C. W., Hayes, S. C., & Hofmann, S. G. (2022). A process-based approach to cognitive
Pearson, M. R., Lawless, A. K., Brown, D. B., & Bravo, A. J. (2015). Mindfulness and emotional
Phillips, W. J., & Hine, D. W. (2021). Self-compassion, physical health, and health behaviour: A
meta-analysis. Health Psychology Review, 15(1), 113-139.Sahdra, B. K., & Shaver, P. R.,
(2013). Comparing attachment theory and Buddhist psychology. International Journal for
Ryan, R. M., Donald, J. N., & Bradshaw, E. L. (2021). Mindfulness and motivation: A process
Sahdra, B. K., Ciarrochi, J., Klimczak, K., Krafft, J., Hayes, S. C., & Levin, M. (2023). Doing
https://doi.org/10.31234/osf.io/jd3af
Sahdra, B. K., Ciarrochi, J., & Parker, P. D. (2016). Nonattachment and mindfulness: Related but
10.1037/pas0000264.
Sahdra, B. K., Ciarrochi, J., Ferrari, M., Yap, K., Haller, E., Hayes, S. C., Hofmann, S. G., &
https://doi.org/10.1007/s12671-023-02187-4.
Sahdra, B. K., Ciarrochi, J., Parker, P. D., Basarkod, G., Bradshaw, E. L., and Baer, R. (2017)
Are people mindful in different ways? Disentangling the quantity and quality of
mindfulness in latent profiles and exploring their links to mental health and life
Sahdra, B. K., Ciarrochi, J., Parker, P., Marshall, S. & Heaven, P. (2015). Empathy and
Sahdra, B. K., MacLean, K. A., Shaver, P. R., Ferrer, E., Jacobs, T. L., Rosenberg, E., Zanesco,
A., Aichele, S., King, B., Saron, C. D., Bridwell, D., Lavy, S., & Wallace, B. A. (2011).
10.1037/a0022764.
Sanford, B. T., Ciarrochi, J., Hofmann, S. G., Chin, F., Gates, K. M., & Hayes, S. C. (2022).
Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness.
Shonin, E., Van Gordon, W., & Singh, N. N. (Eds.). (2015). Buddhist foundations of mindfulness.
Zurich: Springer.
Singer, T., Critchley, H. D., & Preuschoff, K. (2009). A common role of insula in feelings,
empathy and uncertainty. Trends in Cognitive Sciences, 13, 334–340. Doi: 10.1016/j.tics.
2009.05.001
Sirois, F. M., Kitner, R., & Hirsch, J. K. (2015). Self-compassion, affect, and health-promoting
Szabo, T. G., Long, D. M., Villatte, M., & Hayes, S. C. (2015). Mindfulness in contextual
(Eds.), Handbook of mindfulness: Theory, research, and practice (pp. 130-147). New
Tenzen Gyatzo (Dalai Lama XIV), & Ekman, P. (2008). Emotional awareness: Overcoming the
obstacles to psychological balance and compassion. New York, NY: Times Books.
Christianity. Journal of Religion & Spirituality in Social Work: Social Thought, 36(3),
367-383.
10.3389/fnhum.2012.00296
Voci, A., Veneziani, C. A., & Fuochi, G. (2019). Relating mindfulness, heartfulness, and
339-351.
Wieczner, J. (2016). Meditation has become a billion-dollar business. Fortune. Retrieved from
http://fortune.com/2016/03/12/meditation-mindfulness-apps/
Young, Q. R., Ignaszewski, A., Fofonoff, D., & Kaan, A. (2007). Brief screen to identify 5 of the
screening tool for psychological distress. Journal of Cardiovascular Nursing, 22(6), 525-
534.
Young, Q. R., Nguyen, M., Roth, S., Broadberry, A., & Mackay, M. H. (2015). Single-item
measures for depression and anxiety: Validation of the Screening Tool for Psychological
A Process-Based Idionomic Approach 47
14(6), 544-551.
Zessin, U., Dickhäuser, O., & Garbade, S. (2015). The relationship between self‐compassion and