A neurobehavioral account for decentering as the salve for the distressed mind
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Abstract
Distress is commonly characterized by prolonged internal suffering that can range from self-focused processing of negative emotions and stressors, to highly intensely aversive and prolonged emotional states, thereby, worsening or complicating emotional and physical conditions. Decentering represents a metacognitive capacity thought to reflect three interrelated processes: meta-awareness, disidentification from internal experience, and reduced reactivity to thought content-which is reliably increased with mindfulness-based interventions. In this essay, we seek to link the clinical presentation of distress disorders to known or hypothesized disruptions in neural networks that underlie emotion, cognition, and goal directed behavior, and offer a neurobehavioral account for how and why treatments imbued with mindfulness meditation might ameliorate these conditions, in part through increases in decentering.
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The capacity to decenter from internal experiences matters for mental health.
“The ability to decenter from internal experiences is important for mental health.”
From The metacognitive processes of decentering scale: Development and initial validation of trait and state versions (2020) · cites this paper as King & Fresco, 2019
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Self-citationDecentering as a potential common mechanism across two therapies for generalized anxiety disorder
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Avoidant symptoms in PTSD predict fear circuit activation during multimodal fear extinction
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Short-term meditation increases blood flow in anterior cingulate cortex and insula
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Mindfulness training induces structural connectome changes in insula networks
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Brief Mental Training Reorganizes Large-Scale Brain Networks
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Changes in functional connectivity following treatment with emotion regulation therapy
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Mindfulness-Based Stress Reduction, Fear Conditioning, and The Uncinate Fasciculus: A Pilot Study
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Cognitive therapy for anxious depression in STAR(*) D: what have we learned?
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Advancing emotion regulation perspectives on psychopathology: the challenge of distress disorders
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Self-citationDistinct functional connectivities predict clinical response with emotion regulation therapy
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Self-citationvmPFC activation during a stressor predicts positive emotions during stress recovery
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Self-citationBendall, R. C. A., & Royle, S. (2018) · Journal of Neurophysiology · doi:10.1152/jn.00353.2018 · Cited by 1 · see citing works
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The Psychedelic Future of Post-Traumatic Stress Disorder Treatment
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“The ability to decenter appears to be important for mental health (Bernstein, Hadash, & Fresco, 2019; Bernstein et al., 2015; King & Fresco, 2019; Teasdale, 1999), and therefore, is a common target and mechanism of action in mindfulness-based interventions as well as other mental health…”
BackgroundIntrinsic Connectivity Networks in the Self- and Other-Referential Processing
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Self-citationMindfulness and Acceptance–Based Interventions in Physical Therapist Practice: The Time Is Now
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A Computational Model of Focused Attention Meditation and Its Transfer to a Sustained Attention Task
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An integrative framework for the mechanisms underlying mindfulness-induced cognitive change
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Construct Validity of Inherited Retinal Disease–Specific Patient-Reported Outcome Measures
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Self-citationMindfulness Training in Military Settings: Emerging Evidence and Best-Practice Guidance
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Validation of the factor structure of the Experiences Questionnaire using Exploratory Graph Analysis
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Experiences Questionnaire (EQ)
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- Authors
- King, A. P., & Fresco, D. M.
- Affiliations
- University of Michigan (US)
- Kent State University (US)
- Corresponding author
- King, Anthony P
- Venue
- Current Opinion in Psychology
- Publisher
- Elsevier BV
- Published
- 2019-08
- Volume
- 28
- Pages
- 285-293
- ISSN
- 2352-250X (ISSN-L)
- PMC
- PMC6706318
- OpenAlex
- W2916914943
- Cited by
- 36
- References
- 123
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 5 · 2023: 2 · 2022: 5 · 2021: 4 · 2020: 5 · 2019: 3
- FWCI
- 0.67
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Licence
- Locations
- Current Opinion in Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- MindRxiv (OSF Preprints) (submittedVersion, public-domain)
- MindRxiv (OSF Preprints) (submittedVersion)
- OSF Preprints (OSF Preprints) (submittedVersion)
- Funders
- National Institute of Mental Health (1K23MH112852)
- National Heart, Lung, and Blood Institute (R01HL119977)
- National Center for Complementary and Integrative Health (1R61AT009867)
- National Institute of Nursing Research (P30NR015326)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- decentering, distress, mindfulness meditation, metacognition, meta-awareness, disidentification, artificial neural networks, emotion regulation, stress, goal-directed behavior
- MeSH terms
- Metacognition, Psychological Distress, Behavioral Symptoms, Humans, Nerve Net, Mindfulness
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