Much of the time we aren't really living in this moment but in the mind's picture of the world. Mindfulness brings attention back to the present, so we can see that a thought is only a thought, and a feeling that comes also goes.
Mindfulness is the ability to keep a distance from your thoughts… When you can keep a distance from your own impulses and not let them control you, that is exactly where human freedom shows itself.
Have you noticed how the same bowl of noodles can be a revelation the first time and just "fine" the next? Or how, on a packed train, one small movement from the person beside you can annoy you for the whole ride, and only afterwards does it seem it might not have been so bad? The two look unrelated, yet they pose one puzzle: what we meet, is it what is in front of us, or the mind's picture of it?
1The worldview
First, a misunderstanding to clear away: that the answer is to empty the mind. Mention mindfulness and many people picture closing their eyes and emptying the mind. That's a common misunderstanding. The definition psychology uses most comes from Jon Kabat-Zinn: the awareness that arises from paying attention, on purpose and without judgement, to the present moment. The mind wandering is completely normal; noticing that it has wandered, and gently coming back, is the practice itself.[1]
So, back to the opening puzzle: how does mindfulness see it? Much of the time we're in touch not with what's in front of us but with the mind's model of it. The first time, with no model of the noodles in your head, you could only taste them directly; once they were familiar, they were just "fine". Predictive coding, a theory in neuroscience, offers an explanation: the brain keeps predicting sensory experience from models it already has, and once something is familiar we meet it less directly. It's the same with relationships and emotions: feeling offended often comes from how we read someone's behaviour, not from the behaviour itself. We live inside constructions that may not be accurate and are never as rich as reality.[4,5]
The authors of mindfulness-based cognitive therapy call this way of living inside constructions the "doing mode", or "autopilot": the mind busy comparing, analysing and fixing, reacting to thoughts before it has seen what's in front of it. What mindfulness builds is a different "being mode": first seeing, as it is, what is here now, and then deciding how to respond. That doesn't make the doing mode bad, and we need it to solve problems; the trouble is when it becomes the only mode we have.[4]
Moving from the doing mode to the being mode takes more than understanding the idea; it takes systematic practice, and that is where mindfulness courses come from. "Right mindfulness" is one step of the Buddhist Eightfold Path, practised together with the other seven. In 1979 Kabat-Zinn drew out awareness practices that don't depend on a Buddhist worldview and began the Mindfulness-Based Stress Reduction (MBSR) programme at the University of Massachusetts Medical Center; its first participants included people with chronic pain that standard medical care hadn't helped. Later Zindel Segal, Mark Williams and John Teasdale combined MBSR with cognitive behavioural therapy to create Mindfulness-Based Cognitive Therapy (MBCT), designed to help people who have been depressed several times stay well. Courses and therapies built around mindfulness are known together as mindfulness-based interventions.[1,2,4,6,25]
Back to the opening puzzle: to move from autopilot to the being mode, mindfulness can be broken into three elements to train: attention, awareness and a shift in perspective. Each supports the others: attention sharpens awareness, awareness lets a new angle appear, and the new angle makes it easier to stay in the moment. The course, practices and example below all revolve around these three.
2The method
For the three elements to be there in a moment like the opening ones, they need practice and a simple place to land. MBSR and MBCT are both eight-week group courses that train these three elements systematically. MBCT's authors call the three-minute breathing space the spine of the whole programme: three steps of about a minute each, condensing eight weeks of learning into a pause you can take anywhere. The three steps map onto the three elements: first notice what is here, then narrow attention to the breath, then widen the view.[4,9]
1Back to the opening train. You're practising mindfulness on a packed train when the passenger beside you starts jiggling his leg, his shoe rubbing your ankle again and again.
Attention on the sensation itselfThe touch on the ankle: rhythmic, back and forth, not painful
Attention on the sensation itselfThe irritation fades; it's almost like a massage
Attention on the sensation itselfYou keep practising, and can still choose to ask him to stop
Attention on the sensation itselfMost of the offence was in the reading; the sensation itself wasn't as bad as expected
Taken apart, these are the three elements above: resting attention on the touch at the ankle (attention), watching the irritation rise and fade (awareness), and seeing that the offence was mostly in the reading (a shift in perspective). This isn't about putting up with things. Being annoyed is normal, and you may just want him to stop; it's only because you don't want to break off the practice that you try resting attention on the sensation in your ankle. Mindfulness adds a choice: see clearly what's happening first, then decide how to respond. That also answers the opening question: what changed isn't necessarily the movement but the way we read it. Practise pausing with the three-minute breathing space
3The skills
That turn towards the ankle on the train isn't something understanding alone can do: mindfulness is a skill you practise, and like a muscle it grows with use. The breathing space packs the three elements together; the courses practise them one at a time. Most of these practices come from MBSR and MBCT, grouped by the element they mainly train: attention, awareness and shift in perspective, the three "doors".
Rest attention on one thing; when it wanders, gently bring it back.
Sit upright and comfortable and notice the sensations of breathing in and out, without forcing deep breaths. Each time you find you've wandered, note where it went ("worrying", say) and bring attention back to the breath. The moment you notice is not a failure; it's where the practice actually happens.[3]
Lying down or sitting, move attention slowly from the toes to the top of the head, noticing what's there in each place: warmth, tension, tingling, or nothing at all. The aim isn't to relax but to feel the body as it is. It's the main practice in the first weeks of MBSR and MBCT.[3,4]
MBCT's first class often begins by eating a single raisin slowly: looking, smelling, tasting, as if for the first time, This is the opening noodles puzzle brought into the classroom: how much does autopilot miss? The same attention can go into walking, brushing your teeth, washing up, even talking with a friend: the object doesn't have to be the breath; anything happening now will do.[3,4]
Widen from the breath to sounds, thoughts and the whole of experience, then look back at what you noticed.
First listen to the sounds around you: they arrive, linger and fade on their own, with no need to seek or judge them. Then watch thoughts the same way, like clouds crossing the sky or a film on a cinema screen. When you get swept into a thought, come back to the breath and body, and start again.[4,9]
Nothing in particular to attend to: thoughts or feelings, notice whatever arises, watching it come and watching it go. Compared with sounds and thoughts, even the object is left open. Researchers call this open monitoring and study it separately from focused-attention practice, which rests on a single object; it usually comes after attention has some grounding.[10]
After each group practice, the teacher doesn't ask "did you do it right?" but: what did you notice? How is that different from usual? How does it connect with your life? The teacher stays curious, doesn't correct, analyse or hurry to reassure, and lets participants discover the learning in their own direct experience. MBCT calls this inquiry.[4,11]
Would anyone like to say what they noticed in those ten minutes with the breath? Anything at all is fine, and so is not saying anything.
Thank you for saying that. How did you notice you were thinking about the report?
In that moment of waking up, what was the body like?
So there were thoughts about the report, tight shoulders, and a voice saying "you can't get it right." What did you do then?
Seven or eight times. That voice saying "you can't get it right": is it familiar from everyday life?
Many of us have a voice like that. Today it showed up in the practice, and you saw it, and saw yourself come back seven or eight times. Something for all of us to notice: in this practice, what is noticing that you've wandered?
The annoyance can be here too. This week, if that voice turns up in practice, see if you can simply recognise it, "ah, that again", and come back to the breath.
Notice: This shows the inquiry described above; watch what the teacher does. She invites rather than calls on the student, and asks only about direct experience ("how did you notice?", "what was the body like then?"). There's no "you did well" and no tip for not wandering; the self-critical voice is treated as one more thing to notice, then linked to daily life and to the group. Her frustration doesn't vanish: noticing is only a start.
In ordinary and difficult moments, see thoughts and feelings from a different place.
These are the three steps of the method above: become aware of this moment, gather on the breath, expand to the whole body, about a minute each. MBCT asks participants to do it three times a day at times chosen in advance, and also when mood dips or stress rises. It isn't a switch that makes the difficulty vanish but a pause that turns an automatic reaction into a chosen response.[4,9]
The theme of MBCT's sixth session. Rather than argue with a thought, you practise seeing it as an event in the mind: write it down, or gently name it, "this is a thought", and watch it come and go. The "offence" on the opening train was a thought taken as fact; this is the shift in perspective in practice. Research suggests MBCT may reduce depressive relapse precisely by changing people's relationship to negative thoughts, rather than how much they believe them.[4,12]
The dialogues are illustrative composites, not real clients; skills that stir strong emotion or touch on trauma should be done with a trained therapist.
Now you know how it sees a person and how it works. The next questions: what is it actually like, does it work, and what is it not for?
What the research tested was whole courses. MBSR and MBCT are usually eight-week group courses, with one session a week (about two and a half hours each in MBSR). An MBCT group is usually 8 to 15 people; MBSR classes can be larger, with roughly 35 in the original centre. There is a full day of practice partway through, and daily home practice with recordings (MBSR suggests about 45 to 60 minutes a day). The steps below follow MBCT, to show how the eight weeks build. In individual counselling, therapists also weave mindfulness practices into sessions.[4,25,26]
These run roughly from strongest evidence to weakest. The evidence is strongest for preventing depressive relapse. The UK's NICE guideline lists MBCT as an option for relapse prevention and group mindfulness as a treatment option for less severe depression; for other problems, the evidence is most consistent for pain, smoking and addiction.[17,26]
During severe depression, a psychotic episode, suicidal thoughts or strong trauma reactions, long or intensive meditation may not be right for now; talk it over with a therapist first. If you are thinking of hurting yourself or ending your life, please call The Samaritans' 24-hour line on 2896 0000, or 999 in an emergency.
Does the practice actually work? There is a great deal of research on mindfulness, and the boom has brought plenty of overstatement too. This starts with the best-supported claim (MBCT preventing depressive relapse) and works down to the thinnest, with the limits of each.
Pooling the data from several randomised trials (studies that assign people to groups by chance and compare them), people who took mindfulness-based cognitive therapy (MBCT) were about 30% less likely to become depressed again within 60 weeks; against other active treatments it still held a smaller edge. The UK's NICE guideline lists it as an option for preventing relapse. It was designed for people who have recovered and want to stay well, not for people in the middle of a severe episode, and whether people with only two past episodes benefit equally is unclear: early and later studies disagree.[13,15,16,26]
A large UK trial followed 424 people with recurrent depression for two years: those who took MBCT and, with support, cut down or stopped their medication relapsed no sooner than those who stayed on it. It is encouraging, but it rests mainly on that one trial. It doesn't make MBCT better than medication, or mean anyone should stop on their own; tapering is a decision to make with a doctor.[14]
Mindfulness-based therapy generally beats a waiting list (a group that simply waits, untreated), but against other proven treatments the overall difference is small to none. Compared with traditional CBT there is no visible difference, and that comparison rests on only nine studies. It is one effective option, not a shortcut that beats the rest.[17,19]
For ordinary adults, psychological distress eased by a small to moderate amount one to six months after a teacher-led group course; among people with psychiatric conditions the evidence is most consistent for depression, pain, smoking and addiction. But there is no sign it beats medication, exercise or other behavioural therapies, many studies were not randomised trials, and results vary widely.[17,18,20,21]
A large UK trial of 8,376 secondary-school students found school-based mindfulness training did no better for mental health than ordinary social-emotional teaching. For schools, the support is not there yet.[24]
Brain-imaging studies link mindfulness with changes in regions for attention and emotion regulation, but researchers acknowledge the mechanisms are unclear. One large trial of 218 people with an active control group (who also took part in another substantial activity, rather than just waiting) found no evidence that eight weeks of MBSR changed brain structure. Treat such claims with caution.[32,33]
To be honest: all the figures above live under one shadow, publication bias, meaning positive results are more likely to get published and null ones to be shelved. One study found 87% of 124 published mindfulness trials reported at least one positive result, far more than their effect sizes would predict; of registered trials, six in ten were still unpublished two and a half years after finishing. A 2022 review of 44 meta-analyses judged the overall results generally robust to publication bias, but against active controls effects are usually smaller and less often significant. Mindfulness helps, but it isn't a cure-all.[22,23,24]
Mindfulness isn't free of side effects. A study that followed 96 people through MBCT with independent interviews found 58% had at least one practice-related experience they felt as negative, 37% saw their daily functioning affected at some point, and 6% to 14% had longer-lasting bad effects, mostly linked to hyperarousal (the body and mind staying keyed up) or dissociation (feeling detached or unreal); the researchers judged these rates similar to other psychological treatments. A systematic review found the most common adverse events were anxiety and depression, and that they occur even in people with no history of mental health problems. Beyond side effects, researchers also warn that the mindfulness boom often runs ahead of the evidence: of the four points below, the first is about the risks of the practice itself and the other three about how it is used, and what that costs.[27,28,29,30]
This is where the side effects above come from: thoughts and memories that busyness usually covers come up when you sit still. People with psychotic symptoms or suicidal thoughts shouldn't join long or intensive courses, because in that state they may not be able to cope with what arises. If it's too much, open your eyes, shift attention to your feet on the floor, or stop, and tell the teacher.
Another kind of limit lies not in the practice but in how it is used. The book McMindfulness argues that mindfulness has been sold in the West as fast food: stripped of its worldview and ethics and reduced to a stress-reduction technique. Ten minutes of meditation a day won't fix an investment-bank analyst's 6am-to-6am working hours; treating it as a safe harbour may even sidestep what really needs to change.
Mindfulness trains close attention to your own experience; if it stops there, attention can end up entirely on yourself, cut off from the world around you. That's why some courses add loving-kindness practice (wishing yourself and others well) and mindful communication, bringing awareness into time with other people.
Most of the effects in the research come from eight-week courses with daily home practice. Listening to the odd recording isn't the same thing, and finding that much time isn't easy.
MBSR and MBCT have given mindfulness a solid evidence base; where it goes next needs a wider conversation. Taken together, the four points say it takes sustained practice, isn't right for everyone at every moment, and can't stand in for dealing with what is actually wrong in your life. It's a very useful capacity, not the answer to every problem. Back on the opening train: seeing that the annoyance was mostly in the reading doesn't mean the foot may go on rubbing; you can still ask him to stop.
The same bowl of noodles may never taste like the first mouthful again, but each time you notice you've drifted and come back to this bite, that is the practice. Mindfulness doesn't promise every bite will be good; it only helps you tell whether you're eating the bowl in front of you or the one in your head.
Want to try it yourself first? These free exercises are simpler versions of the skills above, with you step by step.
Episodes are in Cantonese.
Start with this one靜觀 Mindfulness 是什麼？覺察當下與呼吸練習靜觀 Mindfulness 不是「合上眼、心無雜念」，而是有意識地把專注力放在當下而生起的覺察力。本集從心理學角度解釋：人之所以痛苦，源於我們很多時並非真正活著，而是活在大腦對世界的「心理模型」裡，與當下的真實脫節；靜觀正是把覺察重新帶回此刻的練習。片末附有一節呼吸靜觀練習，讓第一次接觸的人親身體驗。Listen to the episode· About 22 min
2020年4月19日約 12 分鐘
靜觀 Mindfulness 的核心，是把專注力和覺察力放在當下的一件事——可以是呼吸，也可以是進食、與人溝通。這一集深入拆解五因素正念量表（FFMQ）的五個元素：觀察、形容、覺知行動、不加批判、不作反應，並解釋為何靜觀不只是放鬆，而是一種可以鍛鍊的「心理肌肉」。同時也談靜觀如何補足認知行為治療的不足、催生出第三波心理治療，以及它被快餐化（McMindfulness）後值得警惕的限制。
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2019年6月7日約 21 分鐘
視角轉換是正念冥想最關鍵的一個要素：同一種感覺，當你真正看清楚之後，往往沒有想像中那麼難受。這一集由一次火車上的經歷講起，拆解正念的三個要素——注意力、覺察與視角轉換，並談到 MBCT 與 MBSR 八週課程、大腦杏仁核與前額葉皮質的變化，以及如何看清分心是怎樣發生的。
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2022年1月19日約 19 分鐘
靜觀並不是要我們沒有情緒，而是訓練大腦把焦慮和恐懼交回理性中心處理。精神科駐院醫生Pauline從腦神經科學角度解釋，長期練習靜觀可以透過神經可塑性強化負責專注力的前扣帶皮層，提升前額葉皮質與杏仁體之間的調節能力，並減少令人疲累的胡思亂想（default mode network）。本集亦談到香港人普遍的精神困擾、對精神病的污名，以及如何由規律作息等基本步開始照顧自己的精神健康。
收聽這集To read further, start with these.
Mindfulness
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Mindfulness
Not ready for a course or a therapist? Start with these six steps at your own pace, a few minutes a day.
TreeholeHK's counsellors, clinical psychologists and coaches use Mindfulness to fit what you need, alongside other approaches.
Mindfulness has shaped many therapies and helped give rise to the so-called third wave of cognitive behavioural therapy, which relies less on correcting what thoughts say and more on meeting difficulty with acceptance and mindfulness. These approaches all use it, each with a different emphasis.
You can do the exercises on your own. When you're stuck, a trained therapist can take you further.
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