Context sensitive mindfulness: lessons from graduates of a professional training in South Africa

Abstract Objective The study aimed to evaluate the implementation of mindfulness based interventions, in different community settings in South Africa, by graduates of a two-year mindfulness training course, and to explore the challenges involved in adapting to the local context. Methods This was a d...

Full description

Saved in:
Bibliographic Details
Main Authors: Simon Whitesman, Robert Mash
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Complementary Medicine and Therapies
Subjects:
Online Access:https://doi.org/10.1186/s12906-025-04775-4
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850184973748797440
author Simon Whitesman
Robert Mash
author_facet Simon Whitesman
Robert Mash
author_sort Simon Whitesman
collection DOAJ
description Abstract Objective The study aimed to evaluate the implementation of mindfulness based interventions, in different community settings in South Africa, by graduates of a two-year mindfulness training course, and to explore the challenges involved in adapting to the local context. Methods This was a descriptive exploratory qualitative study using semi-structured interviews. Ten graduates of a two-year training in mindfulness-based interventions (MBIs) were identified using purposeful criterion-based sampling based on their implementation of adapted MBIs in communities that represented the systemic social, economic and health challenges affecting a majority of South Africans. Results Previous and ongoing trauma is pervasive in South Africa which significantly affects the quality of lived experience for many individuals and families. Teachers who offered mindfulness-based approaches within these communities needed to hold a high level of sensitivity to pre-existing and ongoing trauma and signs of traumatic abreaction to effectively and skilfully deliver these interventions. Context sensitive adaptations needed to be implemented to programme structure, such as length of sessions, prioritisation of curricular elements and duration of mindfulness practices, along with in-the-moment flexible responsiveness such as ending a formal practice ealier than planned, or responding to the emotional needs of an individual. This was supported by the creation of a robust and compassionate holding environment, a safe and secure space in which attuned relationality supported co- and self-regulation and the internalisation of mindfulness skills. Conclusion Mindfulness can be a valuable practice in diverse settings in South Africa, including communities affected by previous and current trauma, and the training curriculum in this context requires high levels of sensitivity to these conditions and must prioritise a safe and compassionate environment in which to learn.
format Article
id doaj-art-18de17af6d214440bb1a58d4c2f8d7c5
institution OA Journals
issn 2662-7671
language English
publishDate 2025-02-01
publisher BMC
record_format Article
series BMC Complementary Medicine and Therapies
spelling doaj-art-18de17af6d214440bb1a58d4c2f8d7c52025-08-20T02:16:54ZengBMCBMC Complementary Medicine and Therapies2662-76712025-02-0125111410.1186/s12906-025-04775-4Context sensitive mindfulness: lessons from graduates of a professional training in South AfricaSimon Whitesman0Robert Mash1Division of Family Medicine & Primary Care, Stellenbosch UniversityDivision of Family Medicine & Primary Care, Stellenbosch UniversityAbstract Objective The study aimed to evaluate the implementation of mindfulness based interventions, in different community settings in South Africa, by graduates of a two-year mindfulness training course, and to explore the challenges involved in adapting to the local context. Methods This was a descriptive exploratory qualitative study using semi-structured interviews. Ten graduates of a two-year training in mindfulness-based interventions (MBIs) were identified using purposeful criterion-based sampling based on their implementation of adapted MBIs in communities that represented the systemic social, economic and health challenges affecting a majority of South Africans. Results Previous and ongoing trauma is pervasive in South Africa which significantly affects the quality of lived experience for many individuals and families. Teachers who offered mindfulness-based approaches within these communities needed to hold a high level of sensitivity to pre-existing and ongoing trauma and signs of traumatic abreaction to effectively and skilfully deliver these interventions. Context sensitive adaptations needed to be implemented to programme structure, such as length of sessions, prioritisation of curricular elements and duration of mindfulness practices, along with in-the-moment flexible responsiveness such as ending a formal practice ealier than planned, or responding to the emotional needs of an individual. This was supported by the creation of a robust and compassionate holding environment, a safe and secure space in which attuned relationality supported co- and self-regulation and the internalisation of mindfulness skills. Conclusion Mindfulness can be a valuable practice in diverse settings in South Africa, including communities affected by previous and current trauma, and the training curriculum in this context requires high levels of sensitivity to these conditions and must prioritise a safe and compassionate environment in which to learn.https://doi.org/10.1186/s12906-025-04775-4MindfulnessMindfulness-based interventionsTrauma-sensitive mindfulnessContext sensitive adaptationsContinuous traumatic stressHolding environment
spellingShingle Simon Whitesman
Robert Mash
Context sensitive mindfulness: lessons from graduates of a professional training in South Africa
BMC Complementary Medicine and Therapies
Mindfulness
Mindfulness-based interventions
Trauma-sensitive mindfulness
Context sensitive adaptations
Continuous traumatic stress
Holding environment
title Context sensitive mindfulness: lessons from graduates of a professional training in South Africa
title_full Context sensitive mindfulness: lessons from graduates of a professional training in South Africa
title_fullStr Context sensitive mindfulness: lessons from graduates of a professional training in South Africa
title_full_unstemmed Context sensitive mindfulness: lessons from graduates of a professional training in South Africa
title_short Context sensitive mindfulness: lessons from graduates of a professional training in South Africa
title_sort context sensitive mindfulness lessons from graduates of a professional training in south africa
topic Mindfulness
Mindfulness-based interventions
Trauma-sensitive mindfulness
Context sensitive adaptations
Continuous traumatic stress
Holding environment
url https://doi.org/10.1186/s12906-025-04775-4
work_keys_str_mv AT simonwhitesman contextsensitivemindfulnesslessonsfromgraduatesofaprofessionaltraininginsouthafrica
AT robertmash contextsensitivemindfulnesslessonsfromgraduatesofaprofessionaltraininginsouthafrica