Mindfulness and Buddhist principles in oncology: Risks, misconceptions and recommendations for ethical integration

Area of Science:

• Integrative Oncology
• Bioethics
• Mindfulness Studies

Background:

• Mindfulness-based interventions (MBIs) show promise for psychological distress in cancer patients.
• Western adoption of MBIs raises ethical concerns about cultural appropriation and Westernization of Buddhist wisdom.

Purpose of the Study:

• To examine the ethical implications of using Buddhist-informed mindfulness in oncology.
• To propose modifications for Westernized MBIs to ensure cultural sensitivity and transparency.

Main Methods:

• Ethical analysis of Buddhist-informed mindfulness in cancer care.
• Review of potential issues for patients, practitioners, and researchers.
• Development of recommendations for culturally sensitive MBI implementation.

Main Results:

• Practitioners require education on Buddhist philosophy, particularly "Right Mindfulness."
• Transparent communication about mindfulness origins is crucial for oncology patients.
• Shared decision-making and trauma-informed approaches are recommended.

Conclusions:

• Adapting MBIs requires respecting the cultural origins and philosophical depth of mindfulness.
• Educated practitioners can better support patients with existential questions.
• Ethical implementation ensures MBIs are beneficial without cultural insensitivity.