Despite growing evidence for the effectiveness of mindfulness-based interventions in clinical and non-clinical contexts, little research has examined the deeper psychological and existential transformations associated with advanced meditation, which contemplative traditions regard as central to the most profound states of well-being. Given the global mental health crisis and the urgent demand for innovative interventions, the present study aimed to qualitatively investigate advanced meditators’ experiences related to positive psychological transformations and improved mental health. Twenty-eight advanced meditators participated in semi-structured phenomenological interviews focused on their meditation experiences and mental health. A content-driven, inductive thematic analysis was conducted to identify core themes. Saturation was tracked, interrater reliability assessed, and Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines followed. Participants reported profound psychological changes spanning emotional, cognitive, interpersonal, and existential domains. Six major positive themes emerged: (1) vast improvements in baseline well-being; (2) consistently strong and prevalent positive attitudes; (3) increased positive affect; (4) enhanced mental and perceptual clarity, attentional stability, and cognitive balance; (5) positive shifts in life orientation; and (6) transformative changes in mental health conditions. Many described existential insights arising through the resolution of psychological difficulties, leading to reduced suffering and deeper meaning. Additional themes included synergistic effects between meditation, psychotherapy, and psychedelics. This study provided initial empirical evidence that advanced meditation supports profound psychological transformation, including reduced suffering and enhanced well-being across multiple domains, and sets the stage for multidisciplinary empirical work. Advanced meditation and meditative development may thus serve as powerful mechanisms for healing and flourishing. This study is not preregistered.
Ehmann et al. (Sat,) studied this question.