... but I knew I was searching for an approach more grounded in the traditions long associated with it, not one that was wholly divorced from them. As much as I appreciated the burgeoning science of meditation, I was also in search of its art. I completed my report on the placebo effect, praising it for what it implied about the mystery of healing, submitted my paper for publication, and returned to my studies. It was another year before I meditated again.

For me, meditation had come to mean being with my own mind no matter what state it was in. In this way, it was closer to psychotherapy than I had initially thought.

In learning to meditate, albeit from some of the best teachers I could find, I came to appreciate that once I understood the basics, I had to teach myself how to do it. I had to take what I had learned, in terms of the formal techniques, and then make it real from the inside. Only then could I begin to appreciate what meditation could and could not accomplish.

The Buddha’s teachings run counter to this tendency to find fault. He normalized feelings of inadequacy and threw responsibility back onto the individual to sort them out. He taught mindfulness as a method of probing the self and found that impartial attention to moment-to-moment experience yields surprising but predictable insights into the self’s

contingent and relational nature. These insights, which precipitate spontaneously out of concentrated attention and mindful reflection, make abundantly clear that our habitual efforts to defend ourselves against our intrinsic groundlessness make things even worse.

But, as important as it is to understand the sources and details of one’s pain, understanding is rarely enough. My patients come to therapy wanting the burden of their accumulated experience lifted. Yes, they want to make sense of their lives, but that is not usually their fundamental or exclusive aim. First and foremost, they are trying to get over their accumulated trauma in order to feel less fearful, isolated, forlorn, helpless, alone, anxious, or depressed. They might not be able to say it so clearly, but they are reaching for things

beyond thought, trying to make contact with essential capacities that have been sacrificed in their efforts to adapt, adjust, comply, cope, or conform.