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East Meets 
West: 
Neuroscience 
and Meditation 
Freddy Starr, 
M.D. 
www.homebraintraining.com
Freddy Starr, M.D. 
Graduated with Doctorate in Medicine, 
1999 Rutgers. 
Completed residency and fellowship in 
Adult, Child and Adolescent psychiatry at 
BU and Vanderbilt 
Board Certified in Quantitative 
Elecroencephalogram (QEEG) and 
Neurofeedback 2008 
Certified in Critical Incident Stress Debriefing, 
Eye Movement Desensitization and 
Reprocessing, Nutritional Neuroscience,
These are my websites: 
 www.homebraintraining.com 
 www.neurofeedbackvacations.com 
 www.transformational-retreats.com
My meditation experience 
Began with Mindfulness while in school. 
Incorporated meditation into therapy 
Began practicing Kundalini and then 
Vipassana 
Vipassana retreats are given at no charge 
10 days silent/ 14-16 hours a day meditation 
Three stages (Ana-Pana/Vipassana/Mettha) 
Unbroken chain of instructors for 2500 years
What have ‘I’ received 
from meditation 
 Calmness 
 Decreased Agitation 
More Happiness 
More Compassion 
More control over myself and what I do. 
 Equanimity- The greatest lesson 
 Perceived connection with collective 
consciousness 
 Greater perceived “ESP”
Effects of Meditation 
Training  Structural changes: cortical thickness, grey matter 
density 
 Changes in anatomical connectivity 
 Changes in functional connectivity (in default mode 
network other networks) 
 Physiological “trait” changes in the resting state 
 Longitudinal differences in baseline brain activation 
 Changes in autonomic physiology 
 Changes in response to emotional stimuli 
 Longitudinal differences in brain response to stimuli 
 Changes in autonomic physiology 
 Neural correlates of meditation: mindfulness vs. 
compassion vs. rest activate different regions of the 
brain (“state” changes)
Pre/Post Vipassana 
Meditation Practice
Pre and post comparison
Psychiatry Res. 2001 Nov 30;108(2):111-21. 
Brain sources of EEG gamma frequency during 
volitionally meditation-induced, altered states of 
consciousness, and experience of the self. 
 EEG 'gamma' (35-44 Hz) frequency band activity 
differed significantly between meditations. Thus, 
during volitional self-initiated, altered states of 
consciousness that were associated with different 
subjective meditation states, different brain neuronal 
populations were active. The brain areas 
predominantly involved during the self-induced 
meditation states aiming at visualization (right 
posterior) and verbalization (left central) agreed with 
known brain functional neuroanatomy. The brain 
areas involved in the self-induced, meditational 
dissolution and reconstitution of the experience of the 
self (right fronto-temporal) are discussed in the 
context of neural substrates implicated in normal self-representation 
and reality testing, as well as in 
depersonalization disorders and detachment from 
self after brain lesions.
Occipital gamma activation during Vipassana 
meditation 
See comment in PubMed Commons belowCogn Process. 2010 Feb;11(1):39-56. Doi: 10.1007/s10339-009-0352-1. 
Epub 2009 Dec 16. 
 Long-term Vipassana …significantly increased 
parieto-occipital gamma (35-45 Hz) power, but no 
other state effects were found for the theta (4-8 
Hz), alpha (8-12 Hz), or beta (12-25 Hz) bands. 
Alpha power was sensitive to condition order, and 
more experienced meditators exhibited no 
tendency toward enhanced alpha during 
meditation relative to the control task….occipital 
gamma power was the greatest in meditators with 
a daily practice of 10+ years, and the meditation-related 
gamma power increase was similarly the 
strongest in such advanced practitioners. The 
findings suggest that long-term Vipassana 
meditation contributes to increased occipital 
gamma power related to long-term meditational 
expertise and enhanced sensory awareness.
Click icon to 
add picture
Early Studies on Meditation 
 Early scientific studies on meditation 
 Examined Physiology and “stress” 
 Transcendental Meditation 
 Herbert Benson (1975):Meditation (and 
other contemplative practices) induce a 
“Relaxation Response.”, which is the 
opposite to the “stress response.”
Click icon to 
add picture
What happens during 
stress? 
http://www.atomicmeme.com/_imgs/learninghub/stressbiol/body_fight_flight2.png
Fight / Flight VS. Rest / 
Digest
“The Relaxation Response” 
Dr. Herbert Benson (1975)
Meditation Studies 
 [Harvard review of psychiatry. 2009]Dakwar E, Levin FR. 
Harvard review of psychiatry. 2009; 17(4)254-267 
 Effect of yoga relaxation techniques on performance of digit-letter substitution [International Journal of Yoga. 2009]Pradhan B, 
Nagendra HR. International Journal of Yoga. 2009; 
2(1)30-34 
Shaolin Dan Tian 
Breathing Fosters Relaxed and Attentive Mind: A Randomized Controlled 
Neuro-Electrophysiological Study[Evidence-based 
Complementary and Alternativ...]Chan AS, Cheung MC, 
Sze SL, Leung WW, Shi D. Evidence-based Complementary 
and Alternative Medicine : eCAM. 2011; 2011180704 
The Emerging Role of Meditation in Addressing Psychiatric Illness, with a Focus  Isolated and Combined Effects of Electroacupuncture 
and Meditation in Reducing Experimentally Induced Ischemic Pain: A Pilot [Evidence-based Complementary and Alternativ...]
Meditation Studies 
 [Conscious Cogn. 2010]Travis F, Shear J. Conscious 
Cogn. 2010 Dec; 19(4):1110-8. Epub 2010 Feb 18. 
 The physiology of meditation: a review. A wakeful 
hypometabolic integrated response.[Neurosci Biobehav 
Rev. 1992]Jevning R, Wallace RK, Beidebach M. 
Neurosci Biobehav Rev. 1992 Fall; 16(3):415-24. 
Electrophysiological correlates of higher states of consciousness during sleep [Sleep. 1997]Mason LI, Alexander CN, Travis FT, Marsh G, 
Orme 
Focused attention, open monitoring and automatic self-transcending: Categories -Johnson DW, Gackenbach J, Mason DC, Rainforth M, 
Walton KG. Sleep. 1997 Feb; 20(2):102-10. 
 Transcendental experiences during meditation practice. 
[Ann N Y Acad Sci. 2014]Travis F. Ann N Y Acad Sci. 2014 
Jan; 1307:1-8. Epub 2013 Dec 23. 
 A phenomenology of meditation-induced light experiences: traditional 
buddhist and neurobiological perspectives.[Front 
Psychol. 2014]
The physiology of meditation: a review. A wakeful 
hypometabolic integrated response. 
Neurosci Biobehav Rev. 1992 Fall;16(3):415-24. 
 “It is likely that such findings during 
meditation as increased cardiac output, 
increased cerebral blood flow, and 
findings reminiscent of the "extraordinary" 
character of classical reports: apparent 
cessation of CO2 generation by muscle, 
fivefold plasma AVP elevation, and EEG 
synchrony play critical roles in this putative 
response.”
Evid Based Complement 
Alternat Med. Dec 2006; 3(4): 513–521 
 
Comparing findings of studies of 
advanced practitioners of Tibetan 
Buddhist meditation in remote regions of 
the Himalayas, with established results on 
long-term practitioners of the 
Transcendental Meditation programs.
 Many parallel levels of improvement were 
found, in sensory acuity, perceptual style 
and cognitive function, indicating 
stabilization of aspects of attentional 
awareness. Together with observed 
increases in EEG coherence and aspects 
of brain function, such changes are 
consistent with growth towards a state of 
total brain functioning, i.e. development 
of full mental potential. They are usually 
accompanied by improved health 
parameters and may be seen to be 
consistent with growth of enlightenment.
Long term changes in brain 
anatomy : 
 Meditation 
practitioners may 
have thicker cortex 
in brain regions 
associated with 
attention, 
interoception and 
sensory processing, 
including the 
prefrontal cortex and 
right anterior insula. 
Meditation might 
offset age related 
cortical thinning.
The eight week Mindfulness Based Stress 
Reduction (MBSR) Program has many 
beneficial effects on mental health, 
demonstrated in randomized controlled 
studies 
For example, it helps with chronic pain, 
autoimmune diseases(psoriasis), anxiety, 
depression.… 
[See upcoming lecture on Mindfulness and 
Depression] 
However, the mechanisms by which MBSR 
works are still largely unknown and under 
investigation. 
For example, a recent study found small 
changes in the brain after 8 weeks of MBSR
Hölzel et al., 2011: Mindfulness practice leads 
to 
increases in regional  “Participants who m beradiinta gterady f omr aabttoeur td 3e0n sity 
minutes a day for eight weeks had 
measurable changes in 
 Gray matter density in parts of the brain 
associated with memory, sense of self, 
empathy and stress. M.R.I. brain scans taken 
before and after the participants meditation 
regimen found increased gray matter in the 
hippocampus, an area important for learning 
and memory. The images also showed a 
reduction of gray matter in the amygdala, a 
region connected to anxiety and stress. A 
control group that did not practice 
meditation showed no such changes..” 
From:
Recent findings in neuroscience: 
loving-kindness and compassion 
meditation 
 In loving-kindness 
compassion meditation, 
expert practitioners 
(compared to novices) 
show more, not less, 
emotional reactivity to 
sounds of people in 
distress: faster heart beat, 
and stronger response in 
the insula(linked to 
Interoception and 
empathy), which cannot 
be explained by the 
relaxation response 
hypothesis. Lutz et al., 2008,
 “Pure Compassion.” Meditation can 
induce strong EEG patterns previously 
associated with positive emotionality and 
enhanced adaptive immune functioning: 
(Lutz et al., 2004, Proceedings of the 
National Academy of Sciences, Long 
term meditators Self induce high 
amplitude gamma synchrony during 
mental practice)
These high-amplitude gamma band oscillations and phase 
synchrony are “off-the-chart” from the normal range.
Benefits of compassion 
meditation 
 Compassion 
meditation effects on 
reductions in 
inflammation and 
emotional distress in 
response to 
psychological stress 
 Pace et al., Effect of 
compassion 
meditation on 
neuroendocrine, 
innate immune and 
behavioral responses 
to psychosocial stress 
Psychoneuroendocrino 
logy, 2009 
Pace et al., Innate immune, 
neuroendocrine and 
behavioral responses to 
psychosocial stress do not 
predict subsequent 
compassion meditation 
practice time, 
Psychoneuroendocrinology, 
2010
Effects of Group Practice of the Transcendental Meditation 
Program on Preventing Violent Crime in Washington, DC: Results 
of the National Demonstration Project, June-July 1993 
 This National Demonstration Project to Reduce 
Violent Crime and Improve Governmental 
Effectiveness brought approximately 4,000 
participants in the Transcendental Meditation and 
TM-Sidhi programs to the United States national 
capital from June 7 to July 30, 1993. A 27-member 
independent Project Review Board consisting of 
sociologists and criminologists from leading 
universities, representatives from the police 
department and government of the District of 
Columbia, and civic leaders approved in advance 
the research protocol for the project and monitored 
its progress.
 The dependent variable in the research was weekly 
violent crime, as measured by the Uniform Crime 
Report program of the Federal Bureau of 
Investigation; violent crimes include homicide, rape, 
aggravated assault, and robbery. This data was 
obtained from the District of Columbia Metropolitan 
Police Department for 1993 as well as for the 
preceding five years (1988-1992). Additional data 
used for control purposes included weather variables 
(temperature, precipitation, humidity), daylight 
hours, changes in police and community anti-crime 
activities, prior crime trends in the District of 
Columbia, and concurrent crime trends in 
neighboring cities. Average weekly temperature was 
significantly correlated with homicides, rapes and 
assaults (HRA crimes), as has also been found in 
previous research; therefore temperature was used 
as a control variable in the main analysis of HRA 
crimes. Using time series analysis, violent crimes were 
analyzed separately in terms of HRA crimes (crimes 
against the person) and robbery (monetary crimes), 
as well as together.
 Analysis of 1993 data, controlling for temperature, 
revealed that there was a highly significant decrease 
in HRA crimes associated with increases in the size of 
the group during the Demonstration Project. The 
maximum decrease was 23.3% when the size of the 
group was largest during the final week of the 
project. The statistical probability that this result could 
reflect chance variation in crime levels was less than 
2 in 1 billion (p < .000000002). When a longer baseline 
is used (1988-1993 data), the maximum decrease 
was 24.6% during this period (p < .00003). When 
analyzed as a separate variable, robberies did not 
decrease significantly, but a joint analysis of both 
HRA crimes and robberies indicated that violent 
crimes as a whole decreased significantly to a 
maximum amount of 15.6% during the final week of 
the project (p = .0008). Analysis of 1993 data, 
controlling for temperature, revealed that there was 
a highly significant decrease in HRA crimes 
associated with increases in the size of the group 
during the Demonstration Project.
Analysis of 1993 data, controlling for temperature, revealed that there was a highly significant decrease in

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East Meets West

  • 1. East Meets West: Neuroscience and Meditation Freddy Starr, M.D. www.homebraintraining.com
  • 2. Freddy Starr, M.D. Graduated with Doctorate in Medicine, 1999 Rutgers. Completed residency and fellowship in Adult, Child and Adolescent psychiatry at BU and Vanderbilt Board Certified in Quantitative Elecroencephalogram (QEEG) and Neurofeedback 2008 Certified in Critical Incident Stress Debriefing, Eye Movement Desensitization and Reprocessing, Nutritional Neuroscience,
  • 3. These are my websites:  www.homebraintraining.com  www.neurofeedbackvacations.com  www.transformational-retreats.com
  • 4. My meditation experience Began with Mindfulness while in school. Incorporated meditation into therapy Began practicing Kundalini and then Vipassana Vipassana retreats are given at no charge 10 days silent/ 14-16 hours a day meditation Three stages (Ana-Pana/Vipassana/Mettha) Unbroken chain of instructors for 2500 years
  • 5. What have ‘I’ received from meditation  Calmness  Decreased Agitation More Happiness More Compassion More control over myself and what I do.  Equanimity- The greatest lesson  Perceived connection with collective consciousness  Greater perceived “ESP”
  • 6. Effects of Meditation Training  Structural changes: cortical thickness, grey matter density  Changes in anatomical connectivity  Changes in functional connectivity (in default mode network other networks)  Physiological “trait” changes in the resting state  Longitudinal differences in baseline brain activation  Changes in autonomic physiology  Changes in response to emotional stimuli  Longitudinal differences in brain response to stimuli  Changes in autonomic physiology  Neural correlates of meditation: mindfulness vs. compassion vs. rest activate different regions of the brain (“state” changes)
  • 7.
  • 9. Pre and post comparison
  • 10.
  • 11.
  • 12. Psychiatry Res. 2001 Nov 30;108(2):111-21. Brain sources of EEG gamma frequency during volitionally meditation-induced, altered states of consciousness, and experience of the self.  EEG 'gamma' (35-44 Hz) frequency band activity differed significantly between meditations. Thus, during volitional self-initiated, altered states of consciousness that were associated with different subjective meditation states, different brain neuronal populations were active. The brain areas predominantly involved during the self-induced meditation states aiming at visualization (right posterior) and verbalization (left central) agreed with known brain functional neuroanatomy. The brain areas involved in the self-induced, meditational dissolution and reconstitution of the experience of the self (right fronto-temporal) are discussed in the context of neural substrates implicated in normal self-representation and reality testing, as well as in depersonalization disorders and detachment from self after brain lesions.
  • 13. Occipital gamma activation during Vipassana meditation See comment in PubMed Commons belowCogn Process. 2010 Feb;11(1):39-56. Doi: 10.1007/s10339-009-0352-1. Epub 2009 Dec 16.  Long-term Vipassana …significantly increased parieto-occipital gamma (35-45 Hz) power, but no other state effects were found for the theta (4-8 Hz), alpha (8-12 Hz), or beta (12-25 Hz) bands. Alpha power was sensitive to condition order, and more experienced meditators exhibited no tendency toward enhanced alpha during meditation relative to the control task….occipital gamma power was the greatest in meditators with a daily practice of 10+ years, and the meditation-related gamma power increase was similarly the strongest in such advanced practitioners. The findings suggest that long-term Vipassana meditation contributes to increased occipital gamma power related to long-term meditational expertise and enhanced sensory awareness.
  • 14. Click icon to add picture
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  • 16.
  • 17. Early Studies on Meditation  Early scientific studies on meditation  Examined Physiology and “stress”  Transcendental Meditation  Herbert Benson (1975):Meditation (and other contemplative practices) induce a “Relaxation Response.”, which is the opposite to the “stress response.”
  • 18. Click icon to add picture
  • 19. What happens during stress? http://www.atomicmeme.com/_imgs/learninghub/stressbiol/body_fight_flight2.png
  • 20. Fight / Flight VS. Rest / Digest
  • 21. “The Relaxation Response” Dr. Herbert Benson (1975)
  • 22.
  • 23. Meditation Studies  [Harvard review of psychiatry. 2009]Dakwar E, Levin FR. Harvard review of psychiatry. 2009; 17(4)254-267  Effect of yoga relaxation techniques on performance of digit-letter substitution [International Journal of Yoga. 2009]Pradhan B, Nagendra HR. International Journal of Yoga. 2009; 2(1)30-34 Shaolin Dan Tian Breathing Fosters Relaxed and Attentive Mind: A Randomized Controlled Neuro-Electrophysiological Study[Evidence-based Complementary and Alternativ...]Chan AS, Cheung MC, Sze SL, Leung WW, Shi D. Evidence-based Complementary and Alternative Medicine : eCAM. 2011; 2011180704 The Emerging Role of Meditation in Addressing Psychiatric Illness, with a Focus  Isolated and Combined Effects of Electroacupuncture and Meditation in Reducing Experimentally Induced Ischemic Pain: A Pilot [Evidence-based Complementary and Alternativ...]
  • 24. Meditation Studies  [Conscious Cogn. 2010]Travis F, Shear J. Conscious Cogn. 2010 Dec; 19(4):1110-8. Epub 2010 Feb 18.  The physiology of meditation: a review. A wakeful hypometabolic integrated response.[Neurosci Biobehav Rev. 1992]Jevning R, Wallace RK, Beidebach M. Neurosci Biobehav Rev. 1992 Fall; 16(3):415-24. Electrophysiological correlates of higher states of consciousness during sleep [Sleep. 1997]Mason LI, Alexander CN, Travis FT, Marsh G, Orme Focused attention, open monitoring and automatic self-transcending: Categories -Johnson DW, Gackenbach J, Mason DC, Rainforth M, Walton KG. Sleep. 1997 Feb; 20(2):102-10.  Transcendental experiences during meditation practice. [Ann N Y Acad Sci. 2014]Travis F. Ann N Y Acad Sci. 2014 Jan; 1307:1-8. Epub 2013 Dec 23.  A phenomenology of meditation-induced light experiences: traditional buddhist and neurobiological perspectives.[Front Psychol. 2014]
  • 25. The physiology of meditation: a review. A wakeful hypometabolic integrated response. Neurosci Biobehav Rev. 1992 Fall;16(3):415-24.  “It is likely that such findings during meditation as increased cardiac output, increased cerebral blood flow, and findings reminiscent of the "extraordinary" character of classical reports: apparent cessation of CO2 generation by muscle, fivefold plasma AVP elevation, and EEG synchrony play critical roles in this putative response.”
  • 26. Evid Based Complement Alternat Med. Dec 2006; 3(4): 513–521  Comparing findings of studies of advanced practitioners of Tibetan Buddhist meditation in remote regions of the Himalayas, with established results on long-term practitioners of the Transcendental Meditation programs.
  • 27.  Many parallel levels of improvement were found, in sensory acuity, perceptual style and cognitive function, indicating stabilization of aspects of attentional awareness. Together with observed increases in EEG coherence and aspects of brain function, such changes are consistent with growth towards a state of total brain functioning, i.e. development of full mental potential. They are usually accompanied by improved health parameters and may be seen to be consistent with growth of enlightenment.
  • 28. Long term changes in brain anatomy :  Meditation practitioners may have thicker cortex in brain regions associated with attention, interoception and sensory processing, including the prefrontal cortex and right anterior insula. Meditation might offset age related cortical thinning.
  • 29. The eight week Mindfulness Based Stress Reduction (MBSR) Program has many beneficial effects on mental health, demonstrated in randomized controlled studies For example, it helps with chronic pain, autoimmune diseases(psoriasis), anxiety, depression.… [See upcoming lecture on Mindfulness and Depression] However, the mechanisms by which MBSR works are still largely unknown and under investigation. For example, a recent study found small changes in the brain after 8 weeks of MBSR
  • 30. Hölzel et al., 2011: Mindfulness practice leads to increases in regional  “Participants who m beradiinta gterady f omr aabttoeur td 3e0n sity minutes a day for eight weeks had measurable changes in  Gray matter density in parts of the brain associated with memory, sense of self, empathy and stress. M.R.I. brain scans taken before and after the participants meditation regimen found increased gray matter in the hippocampus, an area important for learning and memory. The images also showed a reduction of gray matter in the amygdala, a region connected to anxiety and stress. A control group that did not practice meditation showed no such changes..” From:
  • 31.
  • 32. Recent findings in neuroscience: loving-kindness and compassion meditation  In loving-kindness compassion meditation, expert practitioners (compared to novices) show more, not less, emotional reactivity to sounds of people in distress: faster heart beat, and stronger response in the insula(linked to Interoception and empathy), which cannot be explained by the relaxation response hypothesis. Lutz et al., 2008,
  • 33.  “Pure Compassion.” Meditation can induce strong EEG patterns previously associated with positive emotionality and enhanced adaptive immune functioning: (Lutz et al., 2004, Proceedings of the National Academy of Sciences, Long term meditators Self induce high amplitude gamma synchrony during mental practice)
  • 34. These high-amplitude gamma band oscillations and phase synchrony are “off-the-chart” from the normal range.
  • 35. Benefits of compassion meditation  Compassion meditation effects on reductions in inflammation and emotional distress in response to psychological stress  Pace et al., Effect of compassion meditation on neuroendocrine, innate immune and behavioral responses to psychosocial stress Psychoneuroendocrino logy, 2009 Pace et al., Innate immune, neuroendocrine and behavioral responses to psychosocial stress do not predict subsequent compassion meditation practice time, Psychoneuroendocrinology, 2010
  • 36. Effects of Group Practice of the Transcendental Meditation Program on Preventing Violent Crime in Washington, DC: Results of the National Demonstration Project, June-July 1993  This National Demonstration Project to Reduce Violent Crime and Improve Governmental Effectiveness brought approximately 4,000 participants in the Transcendental Meditation and TM-Sidhi programs to the United States national capital from June 7 to July 30, 1993. A 27-member independent Project Review Board consisting of sociologists and criminologists from leading universities, representatives from the police department and government of the District of Columbia, and civic leaders approved in advance the research protocol for the project and monitored its progress.
  • 37.  The dependent variable in the research was weekly violent crime, as measured by the Uniform Crime Report program of the Federal Bureau of Investigation; violent crimes include homicide, rape, aggravated assault, and robbery. This data was obtained from the District of Columbia Metropolitan Police Department for 1993 as well as for the preceding five years (1988-1992). Additional data used for control purposes included weather variables (temperature, precipitation, humidity), daylight hours, changes in police and community anti-crime activities, prior crime trends in the District of Columbia, and concurrent crime trends in neighboring cities. Average weekly temperature was significantly correlated with homicides, rapes and assaults (HRA crimes), as has also been found in previous research; therefore temperature was used as a control variable in the main analysis of HRA crimes. Using time series analysis, violent crimes were analyzed separately in terms of HRA crimes (crimes against the person) and robbery (monetary crimes), as well as together.
  • 38.  Analysis of 1993 data, controlling for temperature, revealed that there was a highly significant decrease in HRA crimes associated with increases in the size of the group during the Demonstration Project. The maximum decrease was 23.3% when the size of the group was largest during the final week of the project. The statistical probability that this result could reflect chance variation in crime levels was less than 2 in 1 billion (p < .000000002). When a longer baseline is used (1988-1993 data), the maximum decrease was 24.6% during this period (p < .00003). When analyzed as a separate variable, robberies did not decrease significantly, but a joint analysis of both HRA crimes and robberies indicated that violent crimes as a whole decreased significantly to a maximum amount of 15.6% during the final week of the project (p = .0008). Analysis of 1993 data, controlling for temperature, revealed that there was a highly significant decrease in HRA crimes associated with increases in the size of the group during the Demonstration Project.
  • 39. Analysis of 1993 data, controlling for temperature, revealed that there was a highly significant decrease in