Oh, I am so interested in this. Thank you!
DBT and ACT are very evidence-based using the randomized controlled trial standard, and both use mindfulness concepts, but I don’t know that anyone’s ever picked them apart enough to identify the mindfulness part as necessary to the treatment. ACT (which I have done) also has a technique called defusion where you practice not attaching to your thoughts. That’s pretty Buddhist, though in ACT it’s done in a playful cognitive way, not through meditation. So for example, imagining your anxiety as a creature outside yourself, giving it shape and form, making it big and hairy and purple or whatever. You are also encouraged to create your own defusion techniques. One that I made up is that whenever I find myself having a negative thought spiral, I imagine the thoughts being sung by the singing vegetables from The Muppet Show. It’s ridiculous, but that’s the point. They are just thoughts.
Yet it’s hard to find any therapy these days, evidence-based or not, that doesn’t integrate mindfulness in some way. I have a real hard time with EMDR’s insistence that you report what’s happening in your body - it feels invasive and completely unnecessary. (Don’t recall if I mentioned polyvagal theory, but it’s all the rage right now in trauma intervention, despite the fact it is based on a neuroscience theory that is demonstrably false.)
I wish I could recall where I heard the quote, but it was something like, “It’s a pity that the key concept Western Buddhism took from the East was mindfulness and not renunciation.”
As a Zen practitioner I’ve grown curious about the implications of stripping these practices from their cultural and ethical context and using them to form psychological treatments. At least in part because “mindfulness” has really caught on in the tech-bro culture and it’s essentially being used by CEOs to make the work of exploiting others less stressful. It’s become a self-help thing. And it’s become a way to create complacent workers.
Also, I’m not entirely convinced Zen meditation and mindfulness are the same thing. Even ‘‘meditation’’ is such a broad category of practices, where do you begin?
All I can say is the profound relief I feel when I go to service every Sunday and sit down and every week it’s the same ‘‘aha’’ moment - all this stuff I’ve been stressing myself out about, it’s just bullshit. It’s a fiction of my own creation. To be able to let that go, and to find ways throughout the week to let that go, is really powerful. But that’s after a year of near daily meditation, not six weeks or whatever a study’s duration may be. It’s also anecdotal. 