Fully Present cover

Fully Present

by Susan L Smalley and Diana Winston

Fully Present is a practical guide to mindfulness, blending scientific insights with ancient meditation practices. Discover how to integrate mindfulness into daily life, transforming mundane activities into enriching experiences and gaining emotional balance through simple, impactful techniques.

Mindfulness as a Scientific and Human Practice

How can you learn to be fully present and live with clarity, compassion, and resilience? The authors present mindfulness not as a mystical escape but as a learnable capacity grounded in psychology, neuroscience, and contemplative wisdom. Their core argument is that mindfulness—attention to present experience with an attitude of open curiosity—can be trained as both a temporary mental state and a lasting personality trait. Scientific evidence now shows that this training changes the brain, improves emotion regulation, and strengthens well-being.

From State to Trait

Mindfulness begins as a deliberate act: noticing breath, sensations, or thoughts as they arise. With repetition, it becomes a trait—an enduring tendency to stay aware and engaged rather than reactive or distracted. Researchers like David Creswell connect higher trait mindfulness with improved emotion regulation and reduced amygdala activation. Over time, practices such as breath awareness and body scanning recalibrate attention and stress systems, transforming your basic disposition toward life.

Science and Subjective Experience

The book emphasizes that mindfulness is both objective (measurable in lab studies) and subjective (discoverable through personal experience). Brain imaging, immune markers, and even gene-expression studies suggest mindfulness is not a placebo of calm but a biological shift toward balance: immune functions strengthen, inflammation decreases, and neuroplasticity supports lasting learning. Yet, the authors remind you that science can only point; your direct practice is the actual experiment.

Cultivating Mindfulness through Practice

You learn mindfulness through deliberate repetition. Start small—five minutes of breathing or observation each day—and engineer cues that make consistency easier (a dedicated spot, a bell, or a phone timer). Motivation grows through kindness rather than pressure. The strategy mirrors behavior-change models: make it simple, contextual, supported, and repeated. Over time, attention strengthens like a muscle, turning sporadic practice into embodied presence.

Scientific Validation and Real Benefits

Clinical trials connect mindfulness with measurable outcomes: reduced chronic pain, lower stress hormones, improved immune markers, and decreased relapse in depression. Neuroimaging shows meditation alters brain areas linked to attention and empathy—the insula, prefrontal cortex, and anterior cingulate. Across studies, these changes correspond with subjective reports of greater calm, compassion, and clarity. In essence, the practice harmonizes subjective experience and objective physiology.

Core insight

Mindfulness trains your attention and reshapes your brain. But beyond science, it restores agency: you can observe thoughts before believing them, feel emotions without drowning in them, and respond rather than react. It’s both empirical and existential—a skill and a way of being.

The book’s overarching narrative weaves empirical rigor and spiritual pragmatism. Whether through breathing, gentle movement, compassion practice, or self-inquiry, each technique reveals the same law: awareness changes reality. As attention grows steady and kind, your mind, brain, and actions synchronize toward coherence—scientific and emotional harmony that translates into genuine happiness.


Attention Training and the Spectrum of Awareness

Attention is the foundation of mindfulness. The authors unpack how you can systematically train focus through two primary styles—concentration and open monitoring—and how neuroscience validates the shifts these practices create. Michael Posner’s attention network model clarifies what happens inside your brain: mindfulness strengthens executive attention, the system that lets you stay focused amid competing demands.

The Concentration–Open Monitoring Spectrum

Focused attention practices, such as breath counting or mantra repetition, work like a magnifying glass—drawing scattered rays of thought into a unified beam. They build stability and are the antidote to chronic distraction. In contrast, open monitoring invites you to observe all sensations and thoughts without fixation, cultivating flexible awareness for complex and changing conditions. Together, these styles form a continuum: stability and openness reinforce each other.

Neuroscience of Attention

Posner’s research divides attention into alerting, orienting, and executive control systems. Mindfulness primarily strengthens executive attention—the ability to resist impulses and sustain focus. Studies by Amishi Jha and Y.Y. Tang show that both short-term and long-term meditation improve this capacity, even in demanding contexts like military training or ADHD intervention. Lidia Zylowska’s trials with ADHD adults demonstrate measurable gains in self-control when mindfulness becomes habitual.

Practical Exercises

You can practice the breath-counting exercise for concentration: count from one to ten, and restart whenever your mind wanders. For open monitoring, try hearing meditation—listen to sounds without labeling or judging. Alternating these modes resembles switching a camera lens from telephoto to wide-angle, training flexibility in awareness. Over time, you’ll learn to match focus style to context—tightly focused while studying, broadly open while walking or listening.

Key insight

Attention doesn’t just define mindfulness—it shapes identity. When you direct attention wisely, you reclaim autonomy from distraction, deepen learning, and create space for emotional choice.

Mastering attention through both concentration and openness anchors mindfulness in daily life. It gives you stability during chaos and perspective amid complexity—a dual capability that allows awareness to operate with precision and warmth.


Embodied Awareness: Breath and Body

The body is not separate from mindfulness—it’s the primary laboratory. Breath and physical sensation give you direct access to emotional and physiological states. The authors trace how breath functions as both anchor and mirror, and how movement transforms ordinary activity into mindful embodiment.

Breath as Anchor and Diagnostic Tool

Because breathing aligns with emotional arousal, it’s a real-time gauge of your inner state. Anger, fear, or relaxation all shift the rhythm of respiration. Observing and occasionally regulating the breath (lengthening the exhale, for instance) modulates the parasympathetic nervous system and cultivates calm. Studies at Duke and McGill link breath regulation to healthier cardiac rhythms, while gene-expression research (Framingham and 2008 relaxation studies) suggests long-term breathing practice may even influence cellular stress responses.

Mindful Movement

Walking meditation, yoga, and t’ai chi connect internal awareness with external motion. You learn to feel sensations—weight, touch, balance—and to note emotions that emerge with movement. Clinical programs like MB-EAT and MBRP use bodily awareness to interrupt addiction and binge-eating cycles. Athletes and performers experience flow—a state of deep embodied presence—akin to advanced mindfulness. Studies show improved sensory acuity and insula cortex activation in long-term practitioners, reinforcing the idea that body and mind develop together.

Everyday Embodiment

You don’t need exotic settings. Mindfulness arises as Fred recalls his breath at a stoplight, defusing anger, or Christina transforms gardening into a full-body meditation. The point is presence: tune into the body’s quiet wisdom, where reaction meets awareness. Pain relief studies (Kabat-Zinn’s MBSR) show that attending calmly to pain reduces subjective suffering—even when the sensation remains.

Embodied insight

Your body continually tells the truth about your emotional life. The practice is learning to listen—without judgment—and allowing sensation to inform wiser thought and action.

Through breath and movement, mindfulness becomes tangible: you regulate physiology, reconnect with sensory intelligence, and regain harmony between mind and matter.


Emotions, Thought, and the Art of Regulation

Mindfulness reshapes your relationship with thoughts and emotions. Rather than suppressing or avoiding them, you learn to meet inner experience with awareness and compassion. The authors combine emotional neuroscience and cognitive therapy to show how seeing feelings as transient processes—rather than threats—creates psychological freedom.

The Biology of Emotion

Joseph LeDoux’s model explains two processing routes: the fast 'low road' from stimulus to amygdala and the slower 'high road' through prefrontal analysis. Mindfulness strengthens the latter—bridging raw affect and reason. When you pause and observe, cortical circuits regulate subcortical alarms, calming fear and anger before escalation.

Working with Negative Emotion

Using RAIN—Recognize, Accept, Investigate, Non-identification—you approach anger, sadness, and anxiety with presence rather than fight-or-flight reaction. Studies of MBCT (by Teasdale et al.) show reduced depression relapse through this mechanism of “de-centering.” You stop identifying with the thought or feeling and instead observe it, realizing that emotion is an event, not essence.

Thought and Disidentification

Stressful thinking—rumination, catastrophizing—arises when the brain’s default mode network loops self-referential predictions. Mindful labeling (“worry,” “planning,” “remembering”) creates separation, weakening the loop. Practical metaphors like clouds passing through the sky or the bumper-sticker rule “Don’t believe everything you think” summarize this liberation: awareness creates space between mental appearance and action.

Key takeaway

You cannot stop emotions or thoughts from arising, but you can stop obeying them blindly. Mindfulness grants that pause—the hinge between impulse and wise choice.

Learning to regulate emotion and thought through mindfulness intertwines neuroscience and compassion: the amygdala cools, the prefrontal cortex guides, and the heart learns patience. It’s the art of feeling deeply without losing freedom.


Cultivating Compassion and Character

Happiness, the authors argue, emerges from character and compassion rather than raw temperament. Drawing on Robert Cloninger’s coherence of personality model, they show how three character traits—self-directedness, cooperativeness, and self-transcendence—form an integrated pathway to well-being. Mindfulness, loving-kindness, and service are the tools for cultivating these traits in daily life.

Temperament vs. Character

Temperament describes biologically shaped tendencies like harm-avoidance or novelty-seeking. Character reflects conscious development—how you relate to yourself, others, and the wider world. You can’t change your genes, but you can refine your character through mindful awareness and intentional practice. People high in self-directedness, cooperativeness, and self-transcendence score higher in measured happiness across large TCI datasets.

Loving-Kindness and Self-Compassion Practices

Meditations that wish well—“May you be happy”—train empathy and self-acceptance. Mark Leary’s research defines self-compassion as kindness to oneself, awareness, and recognition of shared humanity. Regular practice rewires habitual self-criticism into care; Antoine Lutz and Richard Davidson found that compassion meditation activates regions linked to love and positive affect. Simple rituals like wishing strangers well during elevator rides embody this training.

Character Coherence

Cloninger’s insight: coherence arises when all three character traits mature together. Isolated spirituality (self-transcendence without self-directedness) can lead to instability; grounded compassion balances expansiveness with responsibility. Mindfulness helps integrate them by making you aware of motives, empathic to others, and connected to larger meaning.

Practical insight

Kind attention reshapes character. When you learn to treat both yourself and others with understanding, you cultivate the inner architecture of lasting happiness.

Through compassion and coherent character development, the book reframes mindfulness from solitary calmness to relational intelligence—a lifelong art of caring wisely.


Brain Coherence and Intuitive Insight

At the biological level, happiness may correlate with harmony—neurons firing together across regions. The book connects meditation to increased brain coherence, insight, and creative intuition. These findings unite inner experience with objective measurement, offering a scientific metaphor for well-being as synchrony.

EEG Rhythms and Meditation

Brain rhythms—alpha, theta, gamma—reflect different mental states. Meditation increases relaxed rhythms (alpha, theta) and enhances gamma coherence associated with insight. Research by Antoine Lutz and Richard Davidson finds that expert practitioners synchronize high-frequency activity during compassion or mindfulness meditations. Depression correlates with reduced coherence, suggesting practice may literally tune the brain toward wellness.

Intuition and Insight

Scientific creativity often arises from intuitive flashes. The authors cite Archimedes’ eureka, Feynman’s playful discoveries, and Jonas Salk’s imaginative empathy. Studies by Jung-Beeman reveal right temporal gamma bursts during sudden insight—a pattern mirrored in meditative states. Meditation cultivates the mental coherence that primes intuition, merging reason and “nonrational” knowing.

Group Coherence and Social Connection

The authors speculate about Synchronized Individual Transformations (SITs)—group meditation potentially aligning participants’ neural rhythms and social emotions. While preliminary, this idea aligns with research on emotional contagion and happiness spreading through networks. Shared mindfulness might generate not just personal balance but collective harmony.

Integrative insight

Mindfulness builds coherence—from cells to society. This synchrony may explain why quiet meditations yield creativity and why compassion scales from the individual to community.

Mindfulness thus becomes both art and science of connection: between reason and intuition, self and others, and neural and social harmony. Coherence is happiness made visible.


Obstacles and Mindful Living in the World

Every mindfulness journey encounters obstacles—sleepiness, restlessness, doubt, craving, aversion, boredom, fear. The authors offer compassionate remedies rooted in both temperament science and contemplative experience, reminding you that these hindrances are not failures but materials for growth.

Understanding Your Patterns

Cloninger’s temperament traits predict obstacles: high novelty-seeking corresponds to restlessness, high harm-avoidance to fear or doubt, low persistence to craving. Recognizing your tendencies lets you tailor antidotes—walking meditation for fatigue, open-monitoring for restlessness, loving-kindness for aversion. Each difficulty is a doorway when met with curiosity.

Three-Step Protocol

When blocked: first, apply a quick adjustment (change posture, open eyes); second, investigate the obstacle itself with mindful labeling; third, remember all obstacles are normal phases of learning. Even emotions masked by boredom or agitation can reveal deeper truths—Mary’s restlessness, for example, hid sadness and resolved through mindful contact.

Mindful Communication and Social Expression

In interpersonal life, mindfulness translates into listening and speaking with presence. Exercises in paired dialogue—two minutes of mindful listening—build authentic connection. Case studies from education, healthcare, and business show institutional benefits: improved empathy, decision-making, and organizational well-being. Programs like Susan Kaiser Greenland’s children’s curriculum and UCLA’s C-Space illustrate mindfulness scaling from person to system.

Final insight

Obstacles and relationships are the advanced curriculum of mindfulness. Practicing awareness amid difficulty and dialogue transforms not only you but the world you inhabit.

By embracing challenges and applying mindfulness in action, you complete the arc from inner awareness to outer compassion—grounding spirituality in lived reality.

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