Judson A. Brewer | |
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Born | Judson Alyn Brewer 1974 |
Citizenship | American |
Known for |
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Academic background | |
Alma mater | Princeton University Washington University in St. Louis Yale University |
Thesis | The Role of Glucocorticoids in Immune System Development |
Academic work | |
Institutions | Brown University School of Public Health University of Massachusetts Medical School Yale University School of Medicine |
Website | https://www.drjud.com/ |
Judson Alyn Brewer (born 1974) is an American psychiatrist,neuroscientist and author. He studies the neural mechanisms of mindfulness using standard and real-time fMRI,and has translated research findings into programs to treat addictions. Brewer founded MindSciences,Inc. (now known as DrJud),an app-based digital therapeutic treatment program for anxiety,overeating,and smoking. He is director of research and innovation at Brown University's Mindfulness Center and associate professor in behavioral and social sciences in the Brown School of Public Health,and in psychiatry at Brown's Warren Alpert Medical School.
Judson Brewer is the son of Victor and Alice Brewer. [1] As a boy he delivered papers for the Indianapolis News and received a college scholarship sponsored by that newspaper in 1992. He attended Brebeuf Preparatory in Indianapolis [2] and earned an A.B. in chemistry in 1996 at Princeton University. He earned his M.D. in 2004 from Washington University School of Medicine in St. Louis,where in 2002 he had also earned his Ph.D. in immunology,working in the laboratory of Louis J. Muglia. [3] His dissertation was titled The Role of Glucocorticoids in Immune System Development. [4]
Between 2005 and 2007 Brewer worked in the post-doctoral Neuroscience Research Training Program at the Yale School of Medicine. He was chief resident in 2007 at the Clinical Neuroscience Research Unit of the Connecticut Mental Health Center,and he had a research training fellowship in substance abuse at Yale. In 2008 Brewer completed his residency in psychiatry at the Yale School of Medicine. [3] In 2009 he earned board certification in psychiatry from the American Board of Psychiatry and Neurology. [5]
In Brewer's early career he was an assistant professor in the Department of Psychiatry at Yale University School of Medicine,and also a research affiliate in the Department of Brain and Cognitive Sciences at the Massachusetts Institute of Technology. He served as director of research at the Center for Mindfulness of the University of Massachusetts Medical School prior to joining the faculty at the Mindfulness Center of Brown University as director of research and innovation. [3]
Brewer began meditating to deal with stress while a graduate student at Washington University School of Medicine. In 2011 he and colleagues published a study reporting,"the brains of experienced meditators—those who have been meditating for at least 10 years—showed decreased activity in the areas linked to attention lapses,anxiety,attention-deficit hyperactivity disorder,schizophrenia,autism,and plaque buildup in Alzheimer disease. This effect was seen regardless of the type of meditation practiced. The areas in question comprise the default mode network,which consists of the medial prefrontal and posterior cingulate cortices." [6]
Michael Pollan wrote that in 2012,Brewer,"using fMRI to study the brains of experienced meditators,noticed that their default-mode networks had also been quieted relative to those of novice meditators. It appears that,with the ego temporarily out of commission,the boundaries between self and world,subject and object,all dissolve. These are hallmarks of the mystical experience." [7]
By 2013 Brewer's focus was on "neurobiological mechanisms underlying the interface between stress,mindfulness and the addictive process,and in developing effective means for the modulation of these processes to better treat substance use disorders." [8] He was also developing measurements of mindfulness practice,using functional MRI methods with real-time feedback to examine effects of mindfulness-training on brain function and mental health. [8]
In 2012,Brewer founded MindSciences,Inc. to create app-based digital therapeutics programs based on the mindfulness training and research he pursued in his lab at Yale University. The company's apps are built on his research and the experiences of thousands of users both in clinical trials and real-world use. The apps include:"Unwinding Anxiety" for anxiety and stress reduction,"Eat Right Now" for dysfunctional eating and "Craving To Quit" for smoking cessation. Clinical research from 2017 showed a 40% decrease in craving-related eating after two months of using the "Eat Right Now" app. [9] A study on the "Craving To Quit" app found a mechanistic link between reductions in brain reactivity to smoking cues and reductions in cigarette smoking that were specific only to mindfulness training,compared to the National Cancer Institute's QuitGuide app. [10] A single arm study of Unwinding Anxiety published in 2020 found a 57% reduction in anxiety in anxious physicians. [11] A randomized controlled trial of Unwinding Anxiety published in 2021 found a 67% reduction in anxiety in people with Generalized Anxiety Disorder (vs. 14% with usual clinical care). [12] In 2019,MindSciences launched a portal. In 2019 [13] and 2020, [14] MindSciences won the "Health Value Award in Behavioral Health Management",an award "to recognize outstanding services,products,and programs across 34 categories spanning the healthcare industry". [15] Mindsciences was acquired by Sharecare Inc. (Nasdaq SHCR) in 2020. [16]
In 2023 Brewer co-founded College Journey to help high school students navigate the stress of the college application process. [17]
As of 2024,Brewer's research studies have been cited over 15,000 times. [18]
Brewer's clinical practice has specialized in habit change ranging from anxiety to unhealthy eating to addiction. He began his career at the Veteran's Administration Hospital in West Haven,CT where he was also an assistant professor in the department of psychiatry at the Yale School of Medicine. In 2018,he joined the faculty at the School of Public Health and the Warren Alpert Medical School at Brown University. [19] In 2023,he co-founded Mindshift Recovery,a non-profit organization based on his research,dedicated to helping individuals with addiction that combines app-based training with peer mentorship. [20]
Brewer uses Pandita's quote to illustrate the difference between dopamine secretions and joy:"In their quest for happiness,people mistake excitement of the mind for real happiness." [21] He advises using curiosity as a hack to move the brain's attention away from anxiety and cravings. [22]
In an article titled "Our 8 Favorite Books in 2021 for Healthy Living," Tara Parker-Pope wrote in TheNew York Times that "Dr. Brewer’s innovative approach in his new book is to view anxiety as a habit that can be broken. [23] In 2021,Ezra Klein interviewed Brewer about his "counterintuitive approach to dealing with worry,craving and anxiety" for The Ezra Klein Show. [24]
Markham Heid of Time quoted Brewer's explanation of his research findings in 2014:"Basically,meditation helps your brain get out of its own way... It's mostly about being aware of your thoughts and not running after them in your mind." [25] Brewer also had begun to focus on "how mindfulness practice can affect learning processes leading to positive habit change",translating research findings into clinical use,specifically with clinical trials of smoking cessation using neurofeedback with mindfulness. [26] Sandra Gray of UMass Boston wrote of "the striking impact of mindfulness on people trying to quit smoking",describing his interview with Meghna Chakrabarti on WBUR's Radio Boston. [27] Brewer had said,"It seems that in experienced meditators some of these regions [associated with the brain's default mode network] get pretty quiet when they are meditating. There's an activity change in the brain. There's a lot more work to be done,but it's probably letting go of some of these pathways that are laid down each time someone uses." [27]
On 60 Minutes,Anderson Cooper featured his own experiences at a mindfulness meditation retreat [28] and visited Brewer "to learn more about the cutting-edge brain imaging research he is conducting to confirm that mindfulness can be an effective treatment for addictions to everything from food to tobacco to opioids—even to electronic devices like cell phones." [29]
In addition,Farrah Jarral of Al Jazeera noted in 2016 that traditional addiction treatments have a relapse rate of 70 percent,and she featured Brewer's research,describing him as "a psychiatrist who is using the power of the mind to overcome addiction". [30] Fran Smith wrote in 2017,"In a head-to-head comparison,Brewer showed that mindfulness training was twice as effective as the gold-standard behavioral antismoking program." [31]
Smith added:
Mindfulness trains people to pay attention to cravings without reacting to them. The idea is to ride out the wave of intense desire. Mindfulness also encourages people to notice why they feel pulled to indulge. Brewer and others have shown that meditation quiets the posterior cingulate cortex, the neural space involved in the kind of rumination that can lead to a loop of obsession.
— Fran Smith, National Geographic
When Amanda Lang of Bloomberg TV Canada asked Brewer why employers are interested in mindfulness, he said if employees can develop the wisdom to understand how they and their co-workers' minds work, it could help all work together in a much more seamless manner. When asked about the possible downsides, he did not offer any negatives associated with such a change, but he did mention the importance of working with a teacher or facilitator. [32] Responding to a question from Kevin Kruse of Forbes about the "reward-based learning" model and the role of dopamine in the brain, Brewer said, "Dopamine, it seems, is there to help us learn things. So for example, when something novel happens, we get a spritz of dopamine in our nucleus accumbens. And when this process starts, we get habituated when we have the same thing happen over and over and over." [33] He then described the practice of mindfulness:
Mindfulness is really about paying attention to all aspects of our experience, but in particular we can pay attention to the push and pull of cravings. So if there is something pleasant and we want more of it, we kind of hold on to it or we move toward it and try to get it. If there is something unpleasant we want it to go away as quickly as possible. So there is also movement there. There is the push and pull. Mindfulness is really about noticing that push and pull and not getting caught up in that movement. So just being with whatever is, in a way that's curious, more than driven.
— Judson Brewer, Forbes interview, 2017
Charlotte Liebman quoted Brewer's explanation of counter-productive self-criticism: "When we get caught up in self-referential thinking — the type that happens with rumination, worry, guilt or self-judgment — it activates self-referential brain networks... When we let go of that mental chatter and go easy on ourselves, these same brain regions quiet down." [34] To achieve self-compassion, Brewer recommended using "any practice that helps us stay in the moment and notice what it feels like to get caught up. See how painful that is compared to being kind to ourselves." [34] Brewer has also addressed the "empty your mind" misconception about meditation: "Meditation is not about emptying our minds or stopping our thoughts, which is impossible... It's about changing our relationships to our thoughts." [35]
The subject of Brewer's 2015 TED Talk was "A simple way to break a bad habit". [36] It was the fourth most popular TED talk of the year and as of 2019 had been viewed more than 19 million times. [37]
Brewer and his wife Mahri reside in Massachusetts. [38]
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: CS1 maint: location missing publisher (link)Meditation is a practice in which an individual uses a technique to train attention and awareness and detach from reflexive, "discursive thinking," achieving a mentally clear and emotionally calm and stable state, while not judging the meditation process itself.
Smoking cessation, usually called quitting smoking or stopping smoking, is the process of discontinuing tobacco smoking. Tobacco smoke contains nicotine, which is addictive and can cause dependence. As a result, nicotine withdrawal often makes the process of quitting difficult.
Mind–body interventions (MBI) or mind-body training (MBT) are health and fitness interventions that are intended to work on a physical and mental level such as yoga, tai chi, and Pilates.
Mindfulness is the cognitive skill, usually developed through meditation, of sustaining meta-attentive awareness towards the contents of one's own mind in the present moment. Mindfulness derives from sati, a significant element of Hindu and Buddhist traditions, and is based on Zen, Vipassanā, and Tibetan meditation techniques. Though definitions and techniques of mindfulness are wide-ranging, Buddhist traditions describe what constitutes mindfulness, such as how perceptions of the past, present and future arise and cease as momentary sense-impressions and mental phenomena. Individuals who have contributed to the popularity of mindfulness in the modern Western context include Thích Nhất Hạnh, Joseph Goldstein, Herbert Benson, Jon Kabat-Zinn, and Richard J. Davidson.
A food addiction or eating addiction is any behavioral addiction characterized primarily by the compulsive consumption of palatable and hyperpalatable food items. Such foods often have high sugar, fat, and salt contents (HFSS), and markedly activate the reward system in humans and other animals. Those with eating addictions often overconsume such foods despite the adverse consequences associated with their overconsumption.
Meditation music is music performed to aid in the practice of meditation. It can have a specific religious content, but also more recently has been associated with modern composers who use meditation techniques in their process of composition, or who compose such music with no particular religious group as a focus. The concept also includes music performed as an act of meditation.
Mindfulness-based cognitive therapy (MBCT) is an approach to psychotherapy that uses cognitive behavioral therapy (CBT) methods in conjunction with mindfulness meditative practices and similar psychological strategies. The origins to its conception and creation can be traced back to the traditional approaches from East Asian formative and functional medicine, philosophy and spirituality, birthed from the basic underlying tenets from classical Taoist, Buddhist and Traditional Chinese medical texts, doctrine and teachings.
An addictive behavior is a behavior, or a stimulus related to a behavior, that is both rewarding and reinforcing, and is associated with the development of an addiction. There are two main forms of addiction: substance use disorders and behavioral addiction. The parallels and distinctions between behavioral addictions and other compulsive behavior disorders like bulimia nervosa and obsessive-compulsive disorder (OCD) are still being researched by behavioral scientists.
Nicotine withdrawal is a group of symptoms that occur in the first few weeks after stopping or decreasing use of nicotine. Symptoms include intense cravings for nicotine, anger or irritability, anxiety, depression, impatience, trouble sleeping, restlessness, hunger, weight gain, and difficulty concentrating. Withdrawal symptoms make it harder to quit nicotine products, and most methods for quitting smoking involve reducing nicotine withdrawal. Quit smoking programs can make it easier to quit. Nicotine withdrawal is recognized in both the American Psychiatric Association Diagnostic and Statistical Manual (DSM) and the WHO International Classification of Diseases (ICD).
The psychological and physiological effects of meditation have been studied. In recent years, studies of meditation have increasingly involved the use of modern instruments, such as functional magnetic resonance imaging and electroencephalography, which are able to observe brain physiology and neural activity in living subjects, either during the act of meditation itself or before and after meditation. Correlations can thus be established between meditative practices and brain structure or function.
Nicotine dependence is a state of substance dependence on nicotine. It is a chronic, relapsing disease characterized by a compulsive craving to use the drug despite social consequences, loss of control over drug intake, and the emergence of withdrawal symptoms. Tolerance is another component of drug dependence. Nicotine dependence develops over time as an individual continues to use nicotine. While cigarettes are the most commonly used tobacco product, all forms of tobacco use—including smokeless tobacco and e-cigarette use—can cause dependence. Nicotine dependence is a serious public health problem because it leads to continued tobacco use and the associated negative health effects. Tobacco use is one of the leading preventable causes of death worldwide, causing more than 8 million deaths per year and killing half of its users who do not quit. Current smokers are estimated to die an average of 10 years earlier than non-smokers.
Cocaine dependence is a neurological disorder that is characterized by withdrawal symptoms upon cessation from cocaine use. It also often coincides with cocaine addiction which is a biopsychosocial disorder characterized by persistent use of cocaine and/or crack despite substantial harm and adverse consequences. The Diagnostic and Statistical Manual of Mental Disorders, classifies problematic cocaine use as a stimulant use disorder. The International Classification of Diseases, includes "Cocaine dependence" as a classification (diagnosis) under "Disorders due to use of cocaine".
Behavioral addiction, process addiction, or non-substance-related disorder is a form of addiction that involves a compulsion to engage in a rewarding non-substance-related behavior – sometimes called a natural reward – despite any negative consequences to the person's physical, mental, social or financial well-being. In the brain's reward system, a gene transcription factor known as ΔFosB has been identified as a necessary common factor involved in both behavioral and drug addictions, which are associated with the same set of neural adaptations.
Mindfulness-Based Stress Reduction (MBSR) therapy is a mindfulness-based program (MBP) designed for stress management and used to treat other conditions. It is structured as an eight to ten week group program.
Mindfulness has been defined in modern psychological terms as "paying attention to relevant aspects of experience in a nonjudgmental manner", and maintaining attention on present moment experience with an attitude of openness and acceptance. Meditation is a platform used to achieve mindfulness. Both practices, mindfulness and meditation, have been "directly inspired from the Buddhist tradition" and have been widely promoted by Jon Kabat-Zinn. Mindfulness meditation has been shown to have a positive impact on several psychiatric problems such as depression and therefore has formed the basis of mindfulness programs such as mindfulness-based cognitive therapy, mindfulness-based stress reduction and mindfulness-based pain management. The applications of mindfulness meditation are well established, however the mechanisms that underlie this practice are yet to be fully understood. Many tests and studies on soldiers with PTSD have shown tremendous positive results in decreasing stress levels and being able to cope with problems of the past, paving the way for more tests and studies to normalize and accept mindful based meditation and research, not only for soldiers with PTSD, but numerous mental inabilities or disabilities.
Mindfulness and technology is a movement in research and design, that encourages the user to become aware of the present moment, rather than losing oneself in a technological device. This field encompasses multidisciplinary participation between design, psychology, computer science, and religion. Mindfulness stems from Buddhist meditation practices and refers to the awareness that arises through paying attention on purpose in the present moment, and in a non-judgmental mindset. In the field of Human-Computer Interaction, research is being done on Techno-spirituality — the study of how technology can facilitate feelings of awe, wonder, transcendence, and mindfulness and on Slow design, which facilitates self-reflection. The excessive use of personal devices, such as smartphones and laptops, can lead to the deterioration of mental and physical health. This area focuses on redesigning and creating technology to improve the wellbeing of its users.
Vaping cessation, usually called "quitting vaping", is the process of stopping using electronic cigarettes, usually those containing nicotine. Professional assistance for quitting is similar to that given for stopping smoking, though stopping vaping may have unique challenges; as noted by Harvard Medical School, "'vapes' can deliver a much higher dose much faster than traditional cigarettes." This can make vapes harder to quit than cigarettes.
Matthew D. Sacchet is a neuroscientist, Associate Professor of Psychiatry, and Director of the Meditation Research Program at Harvard Medical School and Massachusetts General Hospital. His research focuses on advancing the science of meditation and includes studies of brain structure and function using multimodal neuroimaging, in addition to clinical trials, neuromodulation, and computational approaches. He is notable for his work at the intersection of meditation, neuroscience, and mental illness. His work has been cited over 6,000 times and covered by major media outlets including CBS, NBC, NPR, Time, Vox, and The Wall Street Journal. In 2017 Forbes Magazine selected Sacchet for the “30 Under 30”.
Mindfulness-Oriented Recovery Enhancement (MORE) is an evidence-based mind-body therapy program developed by Eric Garland. It is a therapeutic approach grounded in affective neuroscience that combines mindfulness training with reappraisal and savoring skills. Garland developed this approach by combining the key features of mindfulness training, "Third Wave" cognitive-behavioral therapy, and principles from positive psychology.
Jonathan B. Bricker is an American clinical psychologist, academic, and scientist. He is a Full Professor in the Division of Public Health Sciences (PHS) at the Fred Hutchinson Cancer Center, an Affiliate Professor in the Department of Psychology, and a Member of the Graduate Faculty at the University of Washington. He is the founder and leader of the Health and Behavioral Innovations in Technology (HABIT) research lab at the Fred Hutch Cancer Center. Throughout his career, Bricker has led an NIH-funded clinical research team, provided clinical intervention and supervision, and given invited keynote lectures internationally on topics including behavioral interventions, tobacco cessation and substance addiction, and weight less.
The scriptures say that when the mind indulges in sensual objects, it becomes agitated. This is the usual state of affairs in the world, as we can observe. In their quest for happiness, people mistake excitement of the mind for real happiness. They never have the chance to experience the greater joy that comes with peace and tranquillity.