 Adapting the core concepts and practices of mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT), MBPM includes a distinctive emphasis on the practice of 'loving-kindness', and has been seen as sensitive to concerns about removing mindfulness teaching from its original ethical framework within Buddhism.It was developed by Vidyamala Burch and is delivered through the programs of Breathworks.It has been subject to a range of clinical studies demonstrating its effectiveness.