Kush V Bhatt, Adam W Hanley, Chantal Martin-Soelch, Chantal Berna, Eric L Garland
{"title":"Nondual Awareness as a Novel Chronic Pain Relieving Mechanism.","authors":"Kush V Bhatt, Adam W Hanley, Chantal Martin-Soelch, Chantal Berna, Eric L Garland","doi":"10.1037/cns0000474","DOIUrl":"10.1037/cns0000474","url":null,"abstract":"<p><p>Mindfulness-based interventions (MBIs) are efficacious nonpharmacologic treatments for chronic pain, yet the psychological mechanisms mediating the pain-relieving effects of MBIs remain incompletely understood. One potential mechanism may involve nondual awareness, a state of consciousness characterized by attenuation of the subject-object duality, reduced self-referential thinking, and an increased sense of connectedness with others and the world-at-large. We conducted a secondary analysis of pooled data from two randomized controlled trials (<i>N</i>=480) investigating the effects of Mindfulness-Oriented Recovery Enhancement (MORE), an 8-week MBI, in patients receiving long-term opioid analgesic therapy for chronic pain. We tested whether nondual awareness, as measured by the Non-Dual Awareness Dimensional Assessment (NADA), mediated the effect of MORE on chronic pain severity and interference. Results demonstrated that MORE was associated with significantly lower chronic pain severity (<i>p</i>=.014) and pain interference (<i>p</i><.001) compared to a supportive group therapy control condition. Moreover, participants in the MORE condition exhibited significant increases in nondual awareness compared to the control group (<i>p</i><.001). Multivariate path analyses revealed that increases in nondual awareness significantly mediated reductions in chronic pain severity (<i>p</i>=.002) and pain interference (<i>p</i>=.01). Nondual awareness outperformed the mindfulness facet of nonreactivity as a mediator of mindfulness' pain relieving effects. Study findings demonstrate a link between mindfulness-induced nondual awareness and alleviation of chronic pain. Future research should elucidate the neurobiological mechanisms of this relationship. Moreover, studies could identify other potential interventions that produce nondual awareness (e.g., psychedelics) to address chronic pain, possibly in conjunction with mindfulness-based interventions.</p>","PeriodicalId":52129,"journal":{"name":"Psychology of Consciousness-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13417666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unblinding consciousness.","authors":"Etzel Cardeña","doi":"10.1037/cns0000467","DOIUrl":"https://doi.org/10.1037/cns0000467","url":null,"abstract":"In this editorial, the author states that the importance of casting off blinders applies to topics and disciplines as much as to individuals. There is no disagreement in psychology that we are mostly ignorant of the various neurophysiological and cognitive substrates and limitations of our conscious experience, but there are other background processes that determine what, how, and even whether we experience something. They include species sensory blinders, which determine the range and type of sensory information available to human beings, as well as species cognitive blinders, which regulate the amount and type of information we apprehend at any one point and how we interpret it. The study of consciousness suffers from disciplinary blinders that include the ingrained belief that a particular discipline or approach is the only or at least the best way to study consciousness. Closely related are methodological blinders, in which a method or research paradigm is assumed to be the best or most sophisticated one, often ignoring how any method limits the scope and nature of what is studied. And lest we forget, disciplines and journal do not occur in a cultural vacuum or eternal time but in particular circumstances that provide historical blinders, including presentism (judging a past event only according to current standards). There are also sociocultural blinders, including the assumption that a particular socioeconomic or cultural group (and its metaphysical and epistemological axioms) offers the most advanced or valid perspective on consciousness, instead of but one (at best) reasonable explanatory framework. (PsycInfo Database Record (c) 2026 APA, all rights reserved)","PeriodicalId":52129,"journal":{"name":"Psychology of Consciousness-Theory Research and Practice","volume":"13 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147901882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prototyping Haunted People Syndrome: Artificial intelligence-generated narrative, structured interview, and clinical validation.","authors":"James Houran, Ciarán O’Keeffe","doi":"10.1037/cns0000447","DOIUrl":"https://doi.org/10.1037/cns0000447","url":null,"abstract":"","PeriodicalId":52129,"journal":{"name":"Psychology of Consciousness-Theory Research and Practice","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147918423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beyond the fragmented self: The theory and practice of deconstructive inquiry.","authors":"Arie Todd Greenleaf","doi":"10.1037/cns0000442","DOIUrl":"https://doi.org/10.1037/cns0000442","url":null,"abstract":"","PeriodicalId":52129,"journal":{"name":"Psychology of Consciousness-Theory Research and Practice","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147919431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sensory-processing sensitivity as a confounder in the positive relationship between mindful awareness and psychological distress: A theoretical review.","authors":"Luca Simione, Ilde Pieroni","doi":"10.1037/cns0000380","DOIUrl":"https://doi.org/10.1037/cns0000380","url":null,"abstract":"","PeriodicalId":52129,"journal":{"name":"Psychology of Consciousness-Theory Research and Practice","volume":"13 41","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135972766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for Sensory-Processing Sensitivity as a Confounder in the Positive Relationship Between Mindful Awareness and Psychological Distress: A Theoretical Review","authors":"","doi":"10.1037/cns0000380.supp","DOIUrl":"https://doi.org/10.1037/cns0000380.supp","url":null,"abstract":"","PeriodicalId":52129,"journal":{"name":"Psychology of Consciousness-Theory Research and Practice","volume":"25 16","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135973568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Folk beliefs about where manipulation outside of awareness occurs, and how much awareness and free choice is still maintained.","authors":"Magda Osman, Christos Bechlivanidis","doi":"10.1037/cns0000379","DOIUrl":"https://doi.org/10.1037/cns0000379","url":null,"abstract":"","PeriodicalId":52129,"journal":{"name":"Psychology of Consciousness-Theory Research and Practice","volume":"11 32","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135972800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Be careful what you wish for: Acceptance of Laplacean Determinism commits one to belief in precognition.","authors":"Stan B. Klein","doi":"10.1037/cns0000378","DOIUrl":"https://doi.org/10.1037/cns0000378","url":null,"abstract":"","PeriodicalId":52129,"journal":{"name":"Psychology of Consciousness-Theory Research and Practice","volume":"12 26","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135972788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tobias Lohaus, Sarah C. Schreckenberg, Silja Bellingrath, Patrizia Thoma
{"title":"Autonomous sensory meridian response (ASMR): A PRISMA-guided systematic review.","authors":"Tobias Lohaus, Sarah C. Schreckenberg, Silja Bellingrath, Patrizia Thoma","doi":"10.1037/cns0000368","DOIUrl":"https://doi.org/10.1037/cns0000368","url":null,"abstract":"","PeriodicalId":52129,"journal":{"name":"Psychology of Consciousness-Theory Research and Practice","volume":"12 27","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135972787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for Autonomous Sensory Meridian Response (ASMR): A PRISMA-Guided Systematic Review","authors":"","doi":"10.1037/cns0000368.supp","DOIUrl":"https://doi.org/10.1037/cns0000368.supp","url":null,"abstract":"","PeriodicalId":52129,"journal":{"name":"Psychology of Consciousness-Theory Research and Practice","volume":"32 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135874274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}