Abstract
This chapter summarizes the history and key features of mindfulness-based stress reduction (MBSR), a time-limited, group-based behavioral medicine intervention that predated and influenced contemporary applications of mindfulness in cognitive behavior therapy. A description of the structure and curriculum of MBSR focuses on the body scan, Hatha Yoga, sitting meditation, and cognitively oriented mindfulness and awareness practices. Consideration of program elements is accompanied by a discussion of key conceptual issues, including the nature of change, metacognitive awareness, psychopathology, and possible mechanisms of change. A model of change processes based on the transactional model of stress is proposed as a means of guiding future MBSR clinical research.
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