Buddhist insight meditation (Vipassanā) and Jon Kabat-Zinn’s “Mindfulness-based Stress Reduction”: an example of dedifferentiation of religion and medicine?

For about 25 years, mindfulness meditation has attracted growing attention. Developed in the context of a traditional Asian religious tradition, mindfulness meditation originally served soteriological goals. In therapeutic settings, it has been claimed, it has become a secular ‘consciousness technology’. So far, studies have mainly been interested in clinical evidence for salutogenetic effects. Questions about if and how practices such as “Mindfulness-based Stress Reduction” (MBSR) are to be conceptualized as ‘religious’ still require further analysis. To provide a more fitting criteriology, we propose to distinguish between ‘salvific’ (‘liberating’) and ‘salvetive’ (‘healing’) settings of meditation, with the latter denoting a more ‘therapeutic’ outlook. It will be argued that MBSR bears elements of salvetive and salvific meditation. In the paradigm of a functional differentiation between ‘religion’ and ‘biomedicine’, MBSR’s presence in biomedical institutions seems to provide a counter-example, which will be discussed in the final section.     

Causes or Cures: What makes us think of attention issues as disorders?

Are attention issues disorders or not? Philosophers of medicine have tried to address this question by looking for properties that distinguish disorders from non-disorders. Such properties include deviation of a statistical norm, a loss of function or experienced suffering. However, attempts at such conceptual analysis have not led to a consensus on the necessary and sufficient conditions for the application of the concept of disorder. Recently, philosophers have proposed an experimental approach to investigate in which circumstances people think a specific concept is applicable. Here we present a quantitative vignette study investigating whether disorder attribution depends on the perceived cause and the perceived type of treatment for an attention problem. The results of our study indicate that the attribution of a disorder decreased when the attention problem was understood as caused by bullying (social environmental cause) or by an accident (non-social environmental cause) rather than a genetic cause. When prescribed a pill, attention problems were considered a disorder to a larger extent than when the child was prescribed an environmental treatment. Our study also suggests that whereas successful environmental treatments will not necessarily decrease the disorder attribution, successful pharmacological treatments will decrease the likelihood that a person is thought to still suffer from a disorder after receiving the treatment.     

运用循证医学方法防范妇产科领域医疗纠纷的研究——12例妇产科医疗纠纷病例临床决策分析

探讨循证医学方法在妇产科医疗纠纷防范中的意义。选取12例医疗纠纷病例,对照研究其原决策与循证决策、专家意见。结论认为循证医学决策更加科学化,有利减少医疗纠纷。