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<p>Mindfulness-based interventions (MBIs) have gained clinical prominence yet often omit the ethical and ontological dimensions central to Buddhist traditions. Building on the public health analysis by Oman (2025) of mindfulness along 14 axes (A1–A14), which finds alignment on prevention, stress/mental health, resilience, and multisectoral collaboration but identifies gaps in epidemiologic foundations, multilevel intervention design, cultural/religious adaptation, equity, and attention to the collective attentional environment, we propose a Dharma-guided model that directly addresses these implementation challenges (A6–A13). Specifically, we outline: (a) culturally responsive adaptations that preserve ethical integrity; (b) multilevel delivery (individual, group, institution, and community) through stepped-care and community-owned pathways; (c) clinician competencies in intercultural/interreligious literacy; (d) metrics and study designs that build the missing epidemiologic base; and (e) interventions responsive to society’s attentional environment. This public health-oriented translation repositions MBIs as vehicles for existential insight, moral development, and culturally grounded healing with population-level relevance, complementing the agenda of Oman (2025) and advancing an implementation-ready framework for diverse settings.</p>

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Reclaiming the Ethical Foundations of Mindfulness: Toward a Dharma-Guided Clinical Paradigm

  • 期刊论文

  • 发表日期：

    2025年10月20日

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  • Mohammad Asif Sheikh

摘要

Mindfulness-based interventions (MBIs) have gained clinical prominence yet often omit the ethical and ontological dimensions central to Buddhist traditions. Building on the public health analysis by Oman (2025) of mindfulness along 14 axes (A1–A14), which finds alignment on prevention, stress/mental health, resilience, and multisectoral collaboration but identifies gaps in epidemiologic foundations, multilevel intervention design, cultural/religious adaptation, equity, and attention to the collective attentional environment, we propose a Dharma-guided model that directly addresses these implementation challenges (A6–A13). Specifically, we outline: (a) culturally responsive adaptations that preserve ethical integrity; (b) multilevel delivery (individual, group, institution, and community) through stepped-care and community-owned pathways; (c) clinician competencies in intercultural/interreligious literacy; (d) metrics and study designs that build the missing epidemiologic base; and (e) interventions responsive to society’s attentional environment. This public health-oriented translation repositions MBIs as vehicles for existential insight, moral development, and culturally grounded healing with population-level relevance, complementing the agenda of Oman (2025) and advancing an implementation-ready framework for diverse settings.