Abstract

ABSTRCT The purpose of the current paper is to compare meditational and dissociative states in terms of their effects on consciousness, attention, affect, cognition, identity, and pain sensitivity. To illustrate these dimensions of dissociation, a case example is presented of a veteran with combat-related posttraumatic stress disorder who had particularly severe dissociation symptoms. The Classical Yoga literature is reviewed to examine these dimensions as they pertain to meditational states. Although dissociative and meditational states can involve alterations in consciousness, attention, affect, cognition, identity, and pain sensitivity, the nature of changes in these two states is distinct. Applications of meditation in treatment contexts have made use of some of the powerful techniques for attention control but do not incorporate the full range of practices because of the secular setting of treatment and the goal of symptom relief. The use of meditation as a treatment for dissociation has not been systematically evaluated.

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