Intention is fundamental to any project, endeavor, or journey. Related to intention is the concept of mindfulness — the awareness that arises through intentionally attending to oneself and others in an open, caring, and nonjudgmental way.

Shauna L. Shapiro and Linda E. Carlson draw from Eastern wisdom and practices as well as Western psychological theory and science to explore why mindful awareness is integral to the therapeutic healing process and to show clinicians how to connect with this deeper awareness.

This second edition contains new sections describing the latest research on the neuroscience of mindfulness and mechanisms of change. Integrating the art and science of mindfulness to inspire greater well-being in both clinicians and their patients, this volume bridges a gap between therapist and patient, reminding us that we are all human beings wanting health, happiness, and freedom from suffering.

Table of Contents

Foreword to the First Edition
Jon Kabat-Zinn



I. What Is Mindfulness? And How Is It Applicable to Clinical Work?

  1. What Is Mindfulness?
  2. The Mindful Therapist
  3. Mindfulness-Informed Therapy
  4. Mindfulness-Based Psychotherapy

II. Does It Help? And How Does It Help?

  1. Mindfulness-Based Interventions in Mental Health Populations
  2. Mindfulness-Based Interventions for Medical Populations
  3. How Is Mindfulness Helpful? Mechanisms of Mindfulness

III. Expanding the Paradigm

  1. Mindfulness and Self-Care for the Clinician
  2. Exploring the Farther Reaches of Human Potential
  3. Future Directions

Appendix A: Body Scan Instructions

Appendix B: Sitting Meditation Instructions

Appendix C: Walking Meditation Instructions

Appendix D: Resources



About the Authors

Author Bios

Shauna L. Shapiro, PhD, is a professor at Santa Clara University, a clinical psychologist, and an internationally recognized expert in mindfulness.

Dr. Shapiro is the recipient of the American Council of Learned Societies teaching award, acknowledging her outstanding contributions to education; and is a fellow of the Mind and Life Institute cofounded by the Dalai Lama.

Dr. Shapiro lectures and leads mindfulness programs internationally and has been invited to present for the King of Thailand, the Danish Government, and the World Council for Psychotherapy, Beijing, China. She serves on the Advisory Board of Axialent, a leader in Conscious Business, and has brought mindfulness to pioneering companies including Genentech, Cisco Systems, and Google.

She has published more than 150 articles and book chapters and is coauthor of the critically acclaimed Mindful Discipline: A Loving Approach to Raising an Emotionally Intelligent Child.

Dr. Shapiro's work has been featured in Wired Magazine, USA Today, The Huffington Post, Yoga Journal, and American Psychologist.

Her website can be viewed at Dr. Shauna Shapiro.

Linda E. Carlson, PhD, RPsych, is the holder of the Enbridge Research Chair in Psychosocial Oncology, cofunded by the Alberta Cancer Foundation and Canadian Cancer Society Alberta/NWT Division, and of an Alberta Innovates-Health Solutions Health Scholar award.

She is a full professor in psychosocial oncology in the Department of Oncology, Cumming School of Medicine, and adjunct professor in the Department of Psychology at the University of Calgary.

She is director of research and works as a clinical psychologist at the Department of Psychosocial Resources at the Tom Baker Cancer Centre, where her group developed and tested an adaptation of mindfulness-based stress reduction (MBSR) called mindfulness-based cancer recovery (MBCR), which she has taught to people with cancer and their caregivers since 1998.

Dr. Carlson is coauthor of the book Mindfulness-Based Cancer Recovery: A Step-by-Step MBSR Approach to Help You Cope With Treatment and Reclaim Your Life, based on this program.

Dr. Carlson has practiced meditation with the Insight Meditation Society and Spirit Rock in Burma, Canada, and the United States, and trained in MBSR with Jon Kabat-Zinn and Saki Santorelli. She presented her work on MBSR with cancer patients at Mind and Life XVI, entitled Investigating the Mind-Body Connection: The Science and Clinical Applications of Meditation with His Holiness the Dalai Lama in 2008.

Dr. Carlson regularly presents her work internationally including talks across Canada and the United States, and in Australia, New Zealand, China, and Europe. She delivered a talk at TEDx Canmore entitled Mindfulness for Personal and Collective Evolution in 2016.

Dr. Carlson has published more than 150 book chapters and research papers in peer-reviewed journals, holds millions of dollars in grant funding and conducts cutting-edge clinical trials on mind–body therapies. She has received many national and international awards for her research in mindfulness and psycho-oncology and is a fellow of the Society for Behavioral Medicine and the Mind and Life Institute.

Reviews & Awards
  • 2017 Choice Outstanding Academic Title

Any clinician or researcher entering the field of mindfulness with beginning or intermediate experience will find this book of significant value. General readers will find a concise summary of the transformative features of mindful living and seeing.

Shapiro and Carlson offer the most clearly and cogently written description of this most remarkable convergence of an ancient spiritual practice and modern psychological science that I have read. It should be a first choice for students, clinicians, and researchers.

Unreservedly recommended for professional, college, and university library Psychology/Psychiatry collections and supplemental studies reading lists.
Midwest Book Review

Shapiro and Carlson are world-class authorities on mindfulness, and their comprehensive guide is grounded in research and full of practical applications. Even more, it is written from the heart by two deeply experienced teachers, and their wisdom, caring, and encouragement fill every page. Already becoming a classic, this new edition should be on the bookshelf of everyone interested in the art and science of mindfulness.
—Rick Hanson, PhD
Senior Fellow, Greater Good Science Center, University of California, Berkeley, and author of Buddha's Brain: The Practical Neuroscience of Happiness, Love, and Wisdom