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    The impact of neurological disability and sensory loss on mindfulness practice

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    Authors
    Finlay, Katherine A.
    Chater, Angel M.
    Hearn, Jasmine H.
    Affiliation
    University of Reading
    University of Bedfordshire
    Manchester Metropolitan University
    Issue Date
    2021-02-23
    Subjects
    mindfulness
    
    Metadata
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    Abstract
    Objectives Mindfulness-based approaches are increasingly recommended in the management of medical conditions associated with sensory loss and absence, such as Spinal Cord Injury (SCI), Multiple Sclerosis (MS) and Functional Neurological Disorder (FND). Yet the implications of undertaking practices such as body scanning when living with sensory loss have not been considered. This study aimed to explore the impact of sensory loss on the practice and experience of mindfulness in qualified mindfulness teachers with SCI/FND/MS. Methods Eight mindfulness teachers (5 females, 3 males) with SCI/FND/MS, sensory loss and wheelchair use were recruited from mindfulness teacher databases. In-depth, semi-structured interviews were undertaken, lasting between 50 and 93 min. Interviews were transcribed verbatim and analysed using Interpretative Phenomenological Analysis. Idiographic analyses for descriptive, linguistic and conceptual themes were completed before cross-case analyses. Results Analyses resulted in two superordinate themes: (1) Adopting your Body; and (2) Sensation without Loss. These themes reflected the challenge of overcoming initial resistance to areas of the body with sensory disruption, building a relationship with the whole body, such that sensory awareness could be visualised and experienced without proprioception. Conclusions Mindfulness offers a unique approach to accepting and working with the body after paralysis or sensory loss. Fundamental to the use of mindfulness with such populations, is the prioritisation of inclusive sensory language and exploring sensory absence as well as sensory presence. The cognitive and emotional outcomes of body scanning may be uniquely elevated in populations with neurophysiological disorders, highlighting the benefits of mindfulness for adaptive and protective self-management.
    Citation
    Finlay, K. A., Chater, A., Hearn, J. (2021) 'The impact of neurological disability and sensory loss on mindfulness practice', Disability and Rehabilitation, 44 (15), pp.3825 -3833 .
    Publisher
    Taylor and Francis
    Journal
    Disability and Rehabilitation
    URI
    http://hdl.handle.net/10547/624895
    DOI
    10.1080/09638288.2021.1887946
    Additional Links
    https://www.tandfonline.com/doi/abs/10.1080/09638288.2021.1887946
    Type
    Article
    Language
    en
    ISSN
    0963-8288
    ae974a485f413a2113503eed53cd6c53
    10.1080/09638288.2021.1887946
    Scopus Count
    Collections
    Sport and physical activity

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