gregv comments on Attention control is critical for changing/increasing/altering motivation - Less Wrong

174 Post author: kalla724 11 April 2012 12:48AM

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Comment author: Kaj_Sotala 11 April 2012 05:37:45AM *  5 points [-]

Hmm. The notion that concentrating on pain makes it worse seems to contradict the finding that mindfulness meditation, which mostly involves concentrating on your feelings, increases pain tolerance even while it thickens the areas related to pain-related processing. E.g. Grant et al. (2010)

Zen meditation has been associated with low sensitivity on both the affective and the sensory dimensions of pain. Given reports of gray matter differences in meditators as well as between chronic pain patients and controls, the present study investigated whether differences in brain morphometry are associated with the low pain sensitivity observed in Zen practitioners. Structural MRI scans were performed and the temperature required to produce moderate pain was assessed in 17 meditators and 18 controls. Meditators had significantly lower pain sensitivity than controls. Assessed across all subjects, lower pain sensitivity was associated with thicker cortex in affective, pain-related brain regions including the anterior cingulate cortex, bilateral parahippocampal gyrus and anterior insula. Comparing groups, meditators were found to have thicker cortex in the dorsal anterior cingulate and bilaterally in secondary somatosensory cortex. More years of meditation experience was associated with thicker gray matter in the anterior cingulate, and hours of experience predicted more gray matter bilaterally in the lower leg area of the primary somatosensory cortex as well as the hand area in the right hemisphere. Results generally suggest that pain sensitivity is related to cortical thickness in pain-related brain regions and that the lower sensitivity observed in meditators may be the product of alterations to brain morphometry from long-term practice.

(For more on mindfulness meditation reducing the effects of pain, see e.g. here, here, here, or here).

On the other hand, mindfulness is a very specific way of paying attention to something - a non-judgemental approach where the unpleasant feelings are just observed as they appear and disappear. It seems reasonable to assume that other ways of focusing on pain might indeed make it worse.

Comment author: [deleted] 11 April 2012 04:06:29PM 0 points [-]

Right, I think it depends on how the "mindfulness" is directed. One teacher (Eckhart Tolle) suggests concentrating attention on (sorry for fuzzy terminology) internal energy in your limbs and a general sense of well-being. When pain impinges on this meditation, you notice and try to redirect your attention.