The ATTEND model (which stands for attunement, trust, therapeutic touch, egalitarianism, nuance, and death education) is a mindfulness-based bereavement care model based upon the foundations of self-care and compassion. The model includes a three-part system in which it strives for the client and clinician to experience a symbiotic relationship in which the clinician works towards providing the best care for the patient while sharing a deep emotional connection with the client to understand their pain.

Mindfulness-Based Interventions and Bereavement: The  ATTEND model

Near-death experiences (NDE) are intense events that immensely affect a person psychologically. Although many people have experienced a decreased fear of death after an NDE, there is still a mystery surrounding the extent to which psychological factors are linked with a decrease of anxiety about death. 

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- Increased sense of calmness
- Increased self-compassion
- Increased psychological well-being
- Decreased stress
- Decreased rumination
- Decreased emotional reactivity
- Decreased mental suffering
- Emotion regulation skills

Emotional Goals and Benefits of Mindfulness Meditation

Bianco, S., Testoni, I., Palmieri, A., Solomon, S., & Hart, J. (2019). The Psychological Correlates of Decreased Death Anxiety After a Near-Death Experience: The Role of Self-Esteem, Mindfulness, and Death Representations. Journal of Humanistic Psychology. https://doi.org/10.1177/0022167819892107

The Psychological Correlations of Decreased Death Anxiety After a Near-Death Experience: The Role of Self-Esteem, Mindfulness, and Death Representations

People who practice mindfulness meditation have shown decreased stress levels due to improved implementation of emotional regulation strategies and the ability to process emotions differently as they arise.

Mindfulness and Stress Reduction

People who practice mindfulness meditation to have shown to have an enhanced ability to not let emotionally upsetting stimuli affect them: they are able to direct their energy to other cognitive tasks instead.

Mindfulness and Emotional Reactivity

Research on psychological well-being in recent years has focused on the factors that constitute optimal levels of human flourishing and their relationship to physical health, work performance, social relationships, and a range of other outcomes. Mechanisms of self-regulation such as psychotherapy, positive psychology interventions, and contemplative practices have been studied in relation to changes in well-being.

Psychological Well-being

Rumination happens when a person spends a significant amount of time thinking and worrying about a problem. The thought that is ruminated feeds itself continuously, so the person becomes stuck in a constant cycle of worry that eventually distorts their perception of the reality of the situation.

Rumination

Mindfulness and Death 

Mindfulness meditation has been shown to lead to the development of skills that allow individuals to regulate their emotions effectively as they arise. 

Through fMRI and DTI, activity changes were shown in several regions, including: amygdala, insula, anterior cingulate cortex, and adjacent prefrontal cortex. 
Decreased activity in the amygdala and insula, paired with increased activity in the anterior cingulate cortex and adjacent prefrontal cortex, signifies both more stability in emotion regulation and better impulse control.

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