1. Introduction
Version followed: the four jhānas (Pāli jhāna, meditative absorption) as the Pāli suttas list them (jhāna formula at DN 2; four jhānas plus four immaterial attainments), taught in the modern "sutta-style" lineage of Ayya Khema as presented by Leigh Brasington (lay teacher; Right Concentration), with the deeper "Visuddhimagga-style" versions of Pa Auk Sayadaw (Pa Auk Forest Monastery, Myanmar) and Ajahn Brahmavamso (Thai Forest lineage of Ajahn Chah) noted where they differ. [source: Brasington, Instruction for Entering Jhana; Brasington, Practical Jhanas slides 2013; Brasington, Interpretations of the Jhanas]
This is a contemplative practice of a living tradition, not a psychotherapy. Jhāna practice is the cultivation of samādhi (concentration, collectedness), the eighth factor (Right Concentration) of the Noble Eightfold Path in Theravāda Buddhism. In the tradition's own account, the meditator temporarily sets aside the five hindrances (sense desire, ill will, sloth and torpor, restlessness and worry, doubt), attention unifies on one object, and a sequence of increasingly still, unified states follows, marked by rapture (pīti), happiness (sukha), one-pointedness (ekaggatā) and finally equanimity (upekkhā). The suttas present the jhānas as a "pleasant abiding here and now" and, more importantly, as preparation for insight (vipassanā) that leads to awakening; they are a tool, not the goal. [source: Brasington slides 2013, citing DN 2.77, MN 36, MN 6; Brasington, Interpretations]
How change happens (as the tradition states it): pleasure "born of letting go" rather than of sense contact makes attention stable without force; the concentrated mind is then turned to see experience as impermanent, unsatisfactory and not-self. Ajahn Brahm's teaching places delight as the "glue" that holds attention, so that will and control become unnecessary. [source: Brahmavamso, The Jhanas] These are religious claims, described as the tradition holds them; no physical-health benefit is claimed here. Evidence status for health claims: not assessed in this guide [synthesis].
The psychotherapist's role is not to teach jhāna. It is to support a client who practises it (or wishes to), within spiritually integrated psychotherapy, with consent and in the client's own tradition and language; to refer to qualified teachers; to adapt for trauma; and to recognise and help with adverse effects, which are reported especially in intensive retreat settings. [source: Farias et al. 2020; Cheetah House VCE study page] [synthesis for role framing]
2. Framework
There is no session-based protocol. The tradition's framework has two layers: the stages of the meditation itself, and the setting (daily practice versus retreat). Teachers disagree on depth, method and what counts as jhāna; always name which teacher a client follows. [source: Brasington, Interpretations]
A. Stages of the practice (sutta-style, after Brasington; Visuddhimagga-style differences noted)
- Ethical foundation and setting aside the hindrances. Goal: a mind free, for the time being, of the five hindrances. The suttas compare the hindrances to debt, disease, prison, slavery and a desert crossing, and their abandoning to release and safety (MN 39). Brasington equates their temporary absence with what later tradition calls "access concentration", a term he notes is not in the suttas. Ajahn Brahm links a "dull" mind and dull mental sign to recent unethical conduct, so ethical conduct (sīla) is part of the method. Criterion to move on: hindrances are faint; thoughts are in the background. [source: MN 39 excerpt on SuttaCentral forum; Brasington 2013 slides; Brahmavamso]
- Access: sustained attention on a single object. Usually the breath; other publicly taught objects include loving-kindness (mettā), and in Pa Auk's system kasiṇa (coloured-disc or element) objects. Criterion: full presence with the object, thoughts faint. [source: Brasington, Instruction; Brasington, Interpretations]
- Shift to the pleasant (sutta-style) or to the nimitta (Visuddhimagga-style). Sutta-style: when the breath becomes very subtle, attention moves to a pleasant sensation and rests in its pleasantness. Visuddhimagga-style: a mental "sign" (nimitta), usually perceived as light, appears and attention is merged with it. Criterion: the pleasant feeling or sign is stable without effort. [source: Brasington, Instruction; Brahmavamso; Pa Auk, Mindfulness of Breathing]
- First jhāna. Factors: vitakka and vicāra (applied and sustained thought or attention, translated variously), pīti, sukha, ekaggatā. Simile (DN 2/MN 39): bath powder kneaded with water, so the whole body is suffused.
- Second jhāna. Vitakka and vicāra subside; inner confidence, unification, pīti and sukha born of concentration. Simile: a lake fed by a spring.
- Third jhāna. Pīti fades; equanimity, mindfulness, clear comprehension and bodily happiness remain. Simile: lotuses steeped in water.
- Fourth jhāna. Pleasure and pain abandoned; neither-pleasant-nor-painful feeling, mindfulness purified by equanimity. Simile: a man wrapped in white cloth. [source for 4–7: Brasington 2013 slides; Brahmavamso]
- Immaterial attainments ("jhānas 5–8"). Infinite space, infinite consciousness, nothingness, neither-perception-nor-non-perception. The suttas list them after the four jhānas; the Buddha's early teachers taught the last two as goals. Factors and methods for these are taught by teachers, not covered in the sources used here. [source: Brasington 2013 slides] [uncertain: method details not verified]
- Emerging, reviewing and insight. After emerging, the meditator reviews the state (Ajahn Brahm: reviewing right afterwards is essential; Pa Auk: the five factors are discerned one by one). Then the concentrated mind is turned to insight practice. Brasington's stated priority is to apply the jhānic mind to insight, during or immediately after jhāna. [source: Brahmavamso; Pa Auk; Brasington, Interpretations]
Mastery (Pa Auk/Visuddhimagga-style). Five masteries (vasī) are developed for each jhāna before moving on: entering at will, remaining for a determined time, emerging at the determined time, adverting to the factors, and reviewing them. [source: Pa Auk, Mindfulness of Breathing]
Criteria for movement between jhānas (as taught): in each case the coarser factor is let go of or allowed to fade, rather than forced; Pa Auk adds that the first jhāna is "threatened by the nearness of the hindrances", which motivates the second. [source: Brasington 2013 slides; Pa Auk]
B. Setting, format and timeframes (only as sources give them)
- Brasington's entry instructions were given on day one of a nine-day retreat, with the warning that concentration may not arrive soon. [source: Brasington, Instruction]
- Brasington reports that Ayya Khema taught jhānas in 10-day retreats; Christina Feldman wants about a month with each student; at Pa Auk, Western lay practitioners rarely reach the Visuddhimagga-depth states outside multi-month retreats. [source: Brasington, Interpretations]
- No standard number of therapy sessions exists. A therapist supporting a practising client typically works across: pre-retreat preparation, the retreat or practice period (not in-session), and post-retreat integration [synthesis].
C. The psychotherapist's parallel framework [synthesis]
- Assessment: the client's tradition, teacher, goals, practice dose, mental-health history and current stability.
- Consent and role agreement: therapy supports, it does not teach or grade attainments.
- Pre-retreat screening and planning.
- Monitoring during periods of intensive practice.
- Integration of meaning, and management of any adverse experiences.
- Collaboration with the teacher if the client wishes, and referral where needed.
3. Guiding principles
Tradition-side principles (as teachers state them)
- Letting go, not doing. Ajahn Brahm: stillness cannot be willed; Brasington: you cannot "do" the jhānas, only attend and shift object when appropriate. Practical meaning: listen for clients who are straining, and do not frame practice as a performance goal. [source: Brahmavamso; Brasington, Instruction]
- No expectations. Craving for jhāna is itself the hindrance of sense desire. Practical meaning: help the client hold aims lightly; striving to attain is an obstacle in the tradition's own terms. [source: Brasington, Instruction]
- Ethics as groundwork. Sīla is the foundation of concentration. Practical meaning: guilt or rumination about conduct may surface in practice; this is in the tradition's frame, not only a symptom. [source: Brahmavamso; Brasington 2013 slides]
- Jhāna serves insight. Concentration is a means, not an end. Practical meaning: explore with the client what the practice is for in their path. [source: Brasington slides, citing MN 36]
- Wholesome pleasure is not to be feared. Ajahn Brahm teaches that the pleasure of jhāna is not attachment in the problematic sense. Practical meaning: some clients carry guilt about pleasure; the tradition itself may ease this. [source: Brahmavamso]
- Versions differ; follow one teacher. Depth, need for a nimitta, retention of body awareness and whether thought is possible differ by teacher; teachers sometimes call others' methods inauthentic or indulgent. Practical meaning: never adjudicate; ask whose method the client follows and refer technical questions back to that teacher. [source: Brasington, Interpretations]
Therapist-side principles [synthesis unless tagged]
- Client-led integration. The client decides whether and how practice enters therapy. Practical meaning: ask permission before discussing practice details; use the client's terms (pīti, nimitta, samādhi).
- Role clarity. The therapist is not a meditation teacher, guru or spiritual director in therapy. Practical meaning: do not give jhāna instructions or confirm attainments; avoid dual relationships (for example, also teaching the client on retreat). The relevant ethics code (for psychologists, the APA Ethics Code) governs competence and multiple relationships [synthesis; code not quoted here].
- Spiritual and religious competence. Know enough of the tradition to understand the client's language and seek consultation when beyond competence. Published competency frameworks exist (e.g. Vieten et al. 2013) [uncertain: not verified].
- Self-disclosure discipline. The therapist's own religious commitments, or meditation practice, are disclosed only when it serves the client.
- Attribute, neither endorse nor dismiss. Religious concepts (rebirth, awakening, nibbāna, psychic powers mentioned in the suttas) are described as the tradition holds them.
- Safety and informed choice. Meditation can have adverse effects, including in people with no prior mental-health history; people should be told this before they begin. Practical meaning: discuss risks before intensive retreats. [source: Farias et al. 2020]
- Window of tolerance. Practice stays within the range where the client can stay regulated; grounding comes before depth. [source: BACP article on Treleaven's trauma-sensitive mindfulness]
- Don't pathologise, don't miss illness. Unusual experiences are understood first in the tradition's frame, while watching for psychosis, mania, depression or dissociation that needs medical care.
4. Intervention inventory
Part A describes the practice as teachers openly publish it, so the therapist can understand what the client is doing and talk about it accurately. It is a public outline, not a teaching script: breath-based stages are given in outline only, and the therapist does not instruct the client in them. Technical questions go to the client's teacher. Part B is the psychotherapist's own work.
Part A. The practice as taught
A1. Preparation: posture, attitude and the five hindrances
- Purpose: to create conditions in which the hindrances can be set aside for a time; used at the start of every sitting. [source: Brasington, Instruction]
- Steps (as taught, in outline): sit upright and alert but comfortable, in a posture that can be held without moving (pain breeds aversion; too much comfort invites dullness); if movement is needed, move slowly and mindfully, noticing the intention and how long the mind takes to settle again; drop expectations of attainment; recognise each hindrance as it arises. Ajahn Brahm stresses contentment as the antidote to both desire and ill will. [source: Brasington, Instruction; Brahmavamso]
- Example language (illustrative): "When you sit down to practise, what does your teacher ask you to do first? What usually gets in the way for you?"
- Watch for: rigid posture-holding through significant pain, framed as discipline (ask what the teacher actually advises); harsh self-criticism about hindrances, which Ajahn Brahm notes makes things harder. Working: the client can name hindrances without self-attack.
A2. Access: sustained attention on one object
- Purpose: to steady attention until thoughts are faint and in the background. [source: Brasington, Instruction]
- Steps (public outline only): attention rests on the natural, uncontrolled breath at a place the teacher specifies (Brasington and Pa Auk name the nostrils or upper lip); wandering is expected and attention is returned without upset. Pa Auk's system moves through knowing the breath's length, the whole breath and a subtle breath; Ajahn Brahm's sequence runs from present-moment awareness, to silent awareness, to sustained attention on the breath, to the "beautiful breath". Other teachers use loving-kindness as the access object. The breath is never held or forced. As breathing naturally becomes very subtle, teachers advise not taking a deliberate deep breath to "restore" it. [source: Brasington, Instruction; Pa Auk; Brahmavamso; Brasington, Interpretations]
- Example language (illustrative): "You mentioned the breath gets very faint. What has your teacher said about that? How is it for you when it happens?"
- Watch for: anxiety, air hunger or panic as breath sensations fade (breath focus can be difficult for some trauma survivors, see B6); any client who is deliberately holding the breath, which is not part of these instructions and should be raised with the teacher [synthesis]. Working: steadier attention and less effortful return.
A3. Shifting to the pleasant sensation (sutta-style, Brasington)
- Purpose: the pleasant feeling becomes the object that leads into the first jhāna. [source: Brasington, Instruction]
- Steps (as taught): once access is established and the breath is very subtle, attention moves to a pleasant sensation, preferably physical (options he names: a slight smile, the hands resting together, the heart area especially after loving-kindness, or another body part); attention rests on the pleasantness only, not on location, intensity or whether it is growing; no commenting and no "helping". He reports the smile works for only about a quarter of students. The sensation may build unevenly and then shift into a state of rapture and happiness, which he identifies as the first jhāna. [source: Brasington, Instruction]
- Example language (illustrative): "When the pleasant feeling grows, what happens in you? Is there any part of you that gets uneasy with feeling good?"
- Watch for: strong pīti experienced as overwhelming energy, shaking or agitation (Brasington's own slides note a hypothesis that pīti can "spiral out of control"); guilt or fear about pleasure. Working: the client describes the pleasure without grasping or alarm.
A4. Working with the nimitta (Visuddhimagga-style: Ajahn Brahm, Pa Auk)
- Purpose: in these lineages a mental sign, usually perceived as light, becomes the object of absorption. [source: Brahmavamso; Pa Auk]
- Steps (as taught, outline): Ajahn Brahm advises ignoring early or unstable signs and returning to the breath; signs that are elaborate (visions, "fireworks") are dropped; a stable bright sign is attended at its centre without trying to expand, contract or "peek at the edges"; the two enemies of stability are fear (of losing control) and excitement. Pa Auk describes the sign as changing from grey (preparatory), to white (learning sign), to bright and transparent (counterpart sign), with attention then shifting from breath to sign. [source: Brahmavamso; Pa Auk]
- Example language (illustrative): "You said a light appeared and you felt a jolt of fear. What did the fear seem to be about?"
- Watch for: fear of losing control or of "losing oneself" (Ajahn Brahm names this directly); visual phenomena that persist outside meditation, are frightening, or carry personal messages, which need assessment (B8). Working: the client relates to signs with calm curiosity and brings technical questions to the teacher.
A5. Moving through the four jhānas
- Purpose: progressive refinement and stillness, in the tradition's account. [source: Brasington 2013 slides]
- Steps (as taught): coarser factors are allowed to fall away rather than forced out. From first to second, applied and sustained thought or attention subside; from second to third, rapture fades leaving happiness; from third to fourth, happiness gives way to equanimity and neither-pleasant-nor-painful feeling. Body awareness is retained in all four in Brasington's version; Ajahn Brahm describes the five senses as shut off and no thought or decision-making possible in jhāna. [source: Brasington 2013 slides; Brahmavamso; Brasington, Interpretations]
- Example language (illustrative): "Which description fits what you've experienced, and which teacher's map are you using?"
- Watch for: comparison and self-grading against other maps; distress when experiences don't match a teacher's description; depersonalisation-like changes in sense of self that persist after sitting (B8). Working: the client uses the map loosely and checks it with the teacher.
A6. Emerging, reviewing and masteries
- Purpose: to recognise which state occurred and gain skill in entering and leaving it. [source: Brahmavamso; Pa Auk]
- Steps (as taught): after emerging, review the state promptly (Ajahn Brahm); discern the factors one by one, then together (Pa Auk); develop the five masteries for each jhāna before moving on (Pa Auk). [source: Brahmavamso; Pa Auk]
- Example language (illustrative): "How do you come back after a deep sit? What helps you land?"
- Watch for: difficulty re-orienting, disorientation or time-loss carried into daily tasks such as driving [synthesis]. Working: smooth transition back to ordinary activity.
A7. Turning the concentrated mind to insight
- Purpose: the tradition's main reason for jhāna. [source: Brasington 2013 slides; Brasington, Interpretations]
- Steps (as taught): after (or, in lighter-absorption styles, during) jhāna the mind is turned to see body and mind as dependently arisen, impermanent and unsatisfactory; Ajahn Brahm links the reviewed experience to the Four Noble Truths and not-self. Some teachers advise backing off concentration before insight practice. [source: Brasington 2013 slides; Brahmavamso; Brasington, Interpretations]
- Example language (illustrative): "What has the practice shown you about yourself or your life? How does that sit with you now?"
- Watch for: insight into not-self or impermanence experienced as fear, terror or loss of meaning, which the VCE research documents among meditation-related challenges [source: Cheetah House VCE page, listing a publication on fear and terror in Buddhist meditation]. Working: insights are integrated with stability and function intact.
Part B. The psychotherapist's work
B1. Practice and tradition assessment
- Purpose: understand what the client practises, with whom, how much and why; use at intake and whenever practice intensifies. [synthesis]
- Steps: (1) Ask the client's tradition, lineage and teacher (sutta-style or Visuddhimagga-style matters, since depth and methods differ). (2) Ask daily practice amount and retreat history and plans. (3) Ask goals in the client's own words (insight, peace, awakening, relief). (4) Ask about past challenging experiences in practice. (5) Take a mental-health history, including psychosis, mania, trauma, dissociation, and current stressors and sleep. (6) Ask about the meaning of practice in family and community. A structured cultural interview such as the DSM-5-TR Cultural Formulation Interview, with its spirituality, religion and moral traditions module, can frame this [uncertain: not verified]. [synthesis; Brasington, Interpretations for version differences]
- Example language (illustrative): "Tell me about your meditation practice: whose teaching you follow, how often you sit, and what you hope it brings." "Have you ever had an experience in meditation that frightened you or stayed with you afterwards?"
- Watch for: secrecy or reluctance (shame about difficulties, fear the therapist will dismiss practice); very high practice doses alongside poor sleep. Working: a shared, respectful picture of the practice.
B2. Consent and role agreement for spiritually integrated work
- Purpose: agree whether and how the practice is discussed in therapy, and the limits of the therapist's role. [synthesis]
- Steps: (1) Ask whether the client wants practice to be part of therapy. (2) State that you will not teach meditation, confirm attainments or advise on technique, and that technique questions go to their teacher. (3) Explain that meditation can have challenging effects and that you will check in about them, as the review literature recommends informing practitioners of possible adverse events. (4) Agree the language to use (the client's Pali terms or plain words). (5) Review and renew consent when circumstances change. [synthesis; Farias et al. 2020 for informing about adverse events]
- Example language (illustrative): "I'm glad to make room for your practice here. I'm not a meditation teacher, so questions about technique belong with your teacher; my part is how it all lands in your life."
- Watch for: a wish for the therapist to act as teacher or to confirm a jhāna; the therapist's own enthusiasm or scepticism about meditation colouring the work. Working: clear, comfortable boundaries.
B3. Pre-retreat screening and planning
- Purpose: reduce risk before intensive jhāna retreats (for example the nine-day and 10-day formats teachers describe, or multi-month stays). [source: Brasington, Instruction; Brasington, Interpretations for formats] [synthesis for screening steps]
- Steps: (1) Review current stability: recent psychosis or mania, active suicidality, severe depression, unprocessed trauma, recent bereavement, substance use, sleep. (2) Discuss known adverse experiences: anxiety, depression, cognitive anomalies, psychotic or delusional symptoms, dissociation and depersonalisation, fear or terror, and trauma re-experiencing are all reported in the research; some occur in people with no prior history. (3) Ask whether the retreat has screening, teacher interviews and a plan for people in difficulty. (4) Encourage the client to disclose relevant history to the teacher. (5) Agree a personal plan: warning signs, permission to reduce practice, who to contact, and a post-retreat appointment. (6) Where risk is high, discuss postponing or choosing a shorter, less intensive format. [source: Farias et al. 2020 for adverse event types; BACP article on screening in advance] [synthesis]
- Example language (illustrative): "Let's think together about what you'd notice if things started to feel too much on retreat, and what you'd do then."
- Watch for: minimisation driven by eagerness; pressure from community to attend. Working: the client leaves with a written plan and a follow-up booked.
B4. Integration of absorption and insight experiences
- Purpose: help the client make meaning of states and insights in their own tradition's terms, and fold them into daily life. [synthesis]
- Steps: (1) Invite description without interpretation. (2) Ask how the client's tradition and teacher understand it. (3) Explore what it means personally (relief, joy, grief, fear). (4) Notice impact on relationships, work and sleep. (5) Link to the client's values and next steps; refer doctrinal questions to the teacher.
- Example language (illustrative): "You've described a deep stillness. How does your tradition talk about that, and what does it mean to you?"
- Watch for: spiritual bypassing (using states to avoid painful feelings or relational problems), grandiosity, or devaluing ordinary life after strong states. Working: experiences feed values-consistent living.
B5. Working with striving, perfectionism and attainment comparison
- Purpose: address how the client relates to progress, since teachers describe striving and craving for jhāna as obstacles. [source: Brasington, Instruction; Brahmavamso] [synthesis for clinical steps]
- Steps: (1) Notice achievement language ("failing", "not getting it"). (2) Explore links to wider perfectionism or self-worth. (3) Use the tradition's own teaching that craving and the "doer" obstruct the practice, if the client finds this helpful. (4) Address comparison with other practitioners or with teachers' maps. (5) Encourage discussion with the teacher.
- Example language (illustrative): "Your teacher says jhāna can't be forced. What happens in you when it doesn't come?"
- Watch for: self-criticism escalating into depression; increasing practice doses to "break through". Working: lighter, more curious relation to practice.
B6. Trauma-sensitive adaptation
- Purpose: keep practice within the window of tolerance for clients with trauma histories, following Treleaven's trauma-sensitive mindfulness (2018). [source: BACP article on Treleaven]
- Steps: (1) Recognise signs of dysregulation: hyperarousal (fidgeting, clenched fists, scanning) or hypoarousal/freeze (flat affect, collapse, withdrawal). (2) Prioritise grounding: attention to stable sensations such as sit bones, soles of the feet or weight of the hands. (3) Offer choice: eyes open, posture, moving, stopping. (4) Use anchors other than the breath where breath focus is distressing; for jhāna practitioners, the client may raise with the teacher an alternative object (some teachers use loving-kindness as an access object) [source: Brasington, Interpretations]. (5) Pendulate between a difficult sensation and a place of steadiness. (6) Shorten practice and know when to stop; refer to trauma-focused therapy. [source: BACP article]
- Example language (illustrative): "If at any point the breath feels unsafe to focus on, it's okay to open your eyes and feel your feet on the floor."
- Watch for: flashbacks, flooding or numbing in or after practice; collapse of body awareness experienced as threatening rather than peaceful. Working: the client can notice activation and return to steadiness.
B7. Grounding and dose reduction during difficulties
- Purpose: respond when practice produces destabilising effects. [synthesis, informed by BACP article and VCE research]
- Steps: (1) Assess severity, function and safety. (2) Reduce or pause concentrated practice, especially long sits. (3) Shift towards grounding activities: walking, physical tasks, time outdoors, social contact, regular meals and sleep. (4) Use eyes-open, external-attention practices if any formal practice continues. (5) Re-introduce practice gradually with the teacher's input. (6) Consider specialist resources (Cheetah House offers professional consultation and training on meditation-related difficulties). [source: Cheetah House VCE page]
- Example language (illustrative): "For now, let's make practice smaller and the rest of your day more ordinary and physical. This isn't giving up; it's giving your system a chance to settle."
- Watch for: the client feeling like a failure or fearing loss of progress; symptoms persisting weeks after stopping, which call for fuller assessment. Working: sleep, function and mood stabilise.
B8. Distinguishing spiritual experiences from psychiatric conditions
- Purpose: neither pathologise religious experience nor miss psychosis, mania, depression or dissociation. [synthesis]
- Steps: (1) Describe the experience in the client's terms first. (2) Ask whether it is bounded to practice or persists outside it. (3) Check insight: can the client hold the experience as an experience, discuss alternative views, and function? (4) Screen for sleep loss, pressured speech, grandiose or persecutory beliefs, hallucinations outside practice, suicidal thinking, and loss of self-care. (5) Consider medical review where any are present. (6) Where the focus of clinical attention is a religious or spiritual problem without a disorder, DSM-5-TR provides a code for this (Z65.8). Changes in sense of self, energy-like somatic experiences and delusion-like ideation are documented meditation-related phenomena in the VCE research programme. [source: Cheetah House VCE page]
- Example language (illustrative): "Some meditators describe experiences like this. I'd like to understand it on your terms, and also check how you're sleeping and coping, so we can see what support makes sense."
- Watch for: rapid escalation, loss of reality testing, risk to self or others: this is urgent medical assessment, not integration work. Working: an agreed, non-shaming understanding and a proportionate plan.
B9. Collaboration with the teacher and referral
- Purpose: keep technique in the hands of qualified teachers and coordinate when the client wishes. [synthesis]
- Steps: (1) With written consent, offer to liaise with the teacher or retreat centre. (2) Share only what is needed (for example, the need to reduce practice). (3) Respect the teacher's authority on method; hold your own on clinical risk. (4) Refer to a qualified jhāna teacher in the client's lineage if the client lacks one; versions differ, so the match matters. (5) Refer to psychiatric, trauma-focused or other services as needed.
- Example language (illustrative): "Would it help if I spoke with your teacher about pacing your practice while things are hard? You decide what I share."
- Watch for: conflicting advice from teacher and therapist; a teacher who dismisses distress. Working: consistent, coordinated messages.
B10. The teacher relationship and power
- Purpose: support a healthy relationship with a teacher and recognise misuse of power. [synthesis]
- Steps: (1) Explore the relationship, including idealisation and dependence. (2) Note signs of coercive control: isolation from family, pressure to give money or labour, secrecy, punishment for doubt, sexual contact by a teacher, discouraging medical or psychological care. (3) Support the client's own judgement; do not label the group. (4) If the client leaves a group, attend to grief, loss of community and religious trauma.
- Example language (illustrative): "How free do you feel to disagree with your teacher, or to step back if you need to?"
- Watch for: disclosure of abuse (follow safeguarding and reporting duties); client shame about doubting. Working: the client relates to the teacher with trust and autonomy.
B11. Ethical self-review (scrupulosity)
- Purpose: some lineages link a dull mind or poor concentration to recent unethical conduct; for clients prone to scrupulosity this can fuel compulsive self-checking. [source: Brahmavamso for the teaching] [synthesis for clinical response]
- Steps: (1) Distinguish ordinary ethical reflection from repetitive, anxious checking, reassurance seeking or confession compulsions. (2) If OCD is present, use exposure and response prevention adapted with the client's religious understanding, ideally consulting a teacher or monastic on what the tradition actually requires [synthesis; IOCDF guidance not verified]. (3) Highlight Ajahn Brahm's teaching that self-criticism makes the practice harder, if useful to the client.
- Example language (illustrative): "What does your tradition actually ask of you here, and what is the anxiety asking for on top of that?"
- Watch for: reassurance-seeking from the therapist. Working: less checking, more confidence in the tradition's own standards.
5. Handling problems
Meditation-side difficulties below are described as teachers name them [source: Brahmavamso; Brasington, Instruction]; all clinical responses are [synthesis] unless tagged.
- "Stuck": no progress after long effort. Teachers attribute this mainly to trying too hard, the "doer", discontent, or unsettled hindrances (Ajahn Brahm: if delight does not arise, the cause is still trying too hard). Response: explore striving and expectations (B5); encourage the client to take the question to the teacher; check whether the chosen version suits their life (Brasington reports Visuddhimagga-depth attainments are rare for lay people outside long retreats). [source: Brahmavamso; Brasington, Interpretations]
- Fear when control loosens or the sense of self thins. Ajahn Brahm names fear of losing control as an enemy of a stable sign and teaches gradual approach. Clinically: normalise as reported in the tradition and in research; titrate (B6, B7); assess if fear persists outside practice (B8). [source: Brahmavamso; Cheetah House VCE page]
- Excitement and "yo-yo" states. Ajahn Brahm describes excitement making the sign vanish or the meditator "bounce" out. Clinically: watch for elation that spreads into sleeplessness, racing thoughts or grandiosity, which need assessment for hypomania. [source: Brahmavamso] [synthesis]
- Overwhelm: intense rapture, energy, shaking, heat or agitation. Energy-like somatic experiences are a documented category in the VCE programme. Response: ground, reduce dose, more physical activity and ordinary routine; liaise with the teacher; medical review if somatic symptoms are unexplained or severe. [source: Cheetah House VCE page; BACP article]
- Trauma re-experiencing. Reported in the adverse-events review. Response: trauma-sensitive adaptation, eyes open, alternative anchors, shorter sits, and trauma-focused therapy referral. [source: Farias et al. 2020; BACP article]
- Depression, flatness or loss of meaning after insight practice. Response: assess mood and risk with standard tools; reduce intensity; support meaning-making in the client's tradition; consider treatment for depression. [synthesis]
- Psychotic or manic symptoms. Reported among adverse events. Response: pause intensive practice, urgent medical assessment, collaborate with the teacher if the client wishes; later, plan any return to practice carefully with the treating team. [source: Farias et al. 2020] [synthesis]
- Non-adherence (to practice or to therapy suggestions). Do not prescribe practice amounts; practice belongs to the client and teacher. If the client skips grounding plans, explore what reducing practice means to them (fear of losing progress, identity, community expectations). [synthesis]
- Resistance to discussing practice in therapy. Respect it; explain why you ask about challenging experiences; return to it if risk signs emerge. [synthesis]
- Rupture: client feels the therapist pathologises or doesn't "get" the practice. Acknowledge, ask how they would like it understood, use their terms, and clarify that checking for illness is not a judgement on their spirituality. [synthesis]
- Rupture: client wants the therapist to verify attainments or arbitrate between teachers. Restate role (B2); explore what confirmation would mean; return the question to the teacher. Teachers themselves disagree on what counts as jhāna. [source: Brasington, Interpretations] [synthesis]
- Conflict between teacher's advice and clinical safety. Prioritise safety; seek consented contact with the teacher; offer the client choice and information. [synthesis]
- Practice used to avoid life (spiritual bypassing). Explore function, gently link to the tradition's own emphasis on insight and ethics rather than states. [source: Brasington slides on jhāna as a tool] [synthesis]
- Teacher misconduct or high-control dynamics. Follow B10; follow safeguarding and reporting duties; no named investigations are addressed here. [synthesis]
- Therapist's own stance. If you practise meditation or hold strong views about it, take that to supervision; disclose only when it serves the client. Ethical standards on competence and multiple relationships apply (for psychologists, the APA Ethics Code) [synthesis; code not quoted]. Competency frameworks for spiritual and religious issues exist (e.g. Vieten et al. 2013) [uncertain: not verified].
Sources
Online sources:
- Instruction for Entering Jhana (Leigh Brasington)
- Practical Jhanas: Right Concentration, slides, Secular Buddhism Conference 2013 (Leigh Brasington)
- Interpretations of the Jhanas (Leigh Brasington)
- MN39: The Longer Discourse at Assapura, SuttaCentral discussion forum (excerpts of Sujato translation)
- The Varieties of Contemplative Experience (VCE) Study (Cheetah House)
- Publications, Clinical and Affective Neuroscience Laboratory, Brown University
- Farias et al. 2020, Adverse events in meditation practices and meditation-based therapies (Coventry University repository)
- Trauma-sensitive mindfulness for students (BACP, University and College Counselling, November 2022)
- ICD-10-CM Z65.8, Other specified problems related to psychosocial circumstances (includes 'Religious or spiritual problem'), https://www.unboundmedicine.com/icd/view/ICD-10-CM/945432/all/Z65_8___Other_specified_problems_related_to_psychosocial_circumstances
Works cited:
- Ajahn Brahmavamso. The Jhanas (free-distribution teaching text) [uncertain: publication year and publisher not verified].
- Pa-Auk Tawya Sayadaw. Mindfulness of Breathing (teaching text) [uncertain: publication year and publisher not verified].
- Brasington, L. Right Concentration: A Practical Guide to the Jhānas [uncertain: year and publisher not verified].
- Farias, M., et al. (2020). Adverse events in meditation practices and meditation-based therapies: A systematic review. Acta Psychiatrica Scandinavica, 142(5), 374–393. https://doi.org/10.1111/acps.13225
- Lindahl, J. R., et al. (2017). The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists. PLoS ONE, 12(5). [uncertain: not verified]
- Treleaven, D. A. (2018). Trauma-Sensitive Mindfulness: Practices for Safe and Transformative Healing. W. W. Norton.
- Pāli Canon: DN 2 (jhāna formula and similes), MN 36, MN 39, MN 6, as cited by Brasington and on SuttaCentral.
- Buddhaghosa, Visuddhimagga (as cited by Brasington) [uncertain: not verified directly].
- Vieten, C., et al. (2013), spiritual and religious competencies [uncertain: not verified].