Mental health is often discussed in terms of what is absent – no depression, no anxiety, no breakdown. But there is another way to think about it: as the active presence of positive feelings like love, hope, gratitude, and compassion. This perspective, sometimes called Model C, treats mental and spiritual wellbeing as a flourishing state built from emotions that nourish the mind and connect us to something larger than ourselves. Recent neuroscience now backs what spiritual traditions have suggested for centuries: cultivating positive emotions changes the brain and body in measurable ways.
Table of Contents
- Understanding positive emotions in mental and spiritual health
- Why these emotions matter
- The science of positive psychology
- The broaden-and-build theory
- Positive emotions and the autonomic nervous system
- The role of meditation
- What meditation does to the brain
- Loving-kindness meditation and positive emotions
- Bringing the science back to daily life
- Why this model matters for public health
Understanding positive emotions in mental and spiritual health
For decades, psychiatry focused almost entirely on disorders – diagnosing, classifying, and treating illness. Mental health was simply the absence of disease. Model C challenges that view by proposing that real mental wellbeing is a blend of positive emotions that give life meaning. Love, hope, joy, forgiveness, compassion, faith, awe, and gratitude form the emotional architecture of a healthy mind. These are not fleeting pleasures but durable states that shape how we think, behave, and relate to others.
The spiritual dimension is built into this view. In 1999, the World Health Assembly recognised the need to broaden the definition of health, and added ‘spiritual well being’ to the WHO definition of health because secular medicine had begun to feel mechanised and disconnected from human experience. This was a quiet but important shift. It acknowledged that humans search for meaning, and that this search affects their health.
Why these emotions matter
Indian thought has long treated emotions like prema (unconditional love), karuna (compassion), and shraddha (faith) as central to a balanced life. The Bhagavad Gita, the Upanishads, and Ayurvedic classics like the Charaka Samhita describe the mind, body, and spirit as interconnected, with emotions playing a direct role in physical and mental wellbeing. Spirituality produces qualities such as love, honesty, patience, tolerance, compassion, faith, and hope, and these qualities correlate with better health outcomes – lower blood pressure, faster recovery from depression, and improved quality of life.
Model C does not dismiss negative emotions or mental illness. Rather, it argues that the goal of mental healthcare should extend beyond the removal of symptoms to the active cultivation of positive states. A person free from anxiety but devoid of joy is not truly flourishing.
The science of positive psychology
The academic foundation for Model C comes from positive psychology, a field that grew rapidly after psychologist Barbara Fredrickson published her landmark broaden-and-build theory in 1998. Until then, psychology had focused mainly on negative states. Fredrickson asked a simple but radical question: what good are positive emotions?
The broaden-and-build theory
Her answer was that positive emotions broaden people’s momentary thought-action repertoires, which in turn builds enduring personal resources, ranging from physical and intellectual to social and psychological. When you feel joy, you want to play. When you feel interest, you want to explore. When you feel love, you build closer relationships. Each of these momentary urges, repeated over time, accumulates into lasting resources – resilience, knowledge, friendships, skills.
This is the opposite of what negative emotions do. Fear narrows attention to the threat. Anger narrows attention to the obstacle. These responses helped our ancestors survive immediate dangers but offered little for long-term growth. Positive emotions, by contrast, give the mind room to expand.
The theory has been replicated repeatedly. A diverse body of research on the broaden-and-build theory has emerged over the past decades, confirming that positive emotions help build resources that promote satisfaction with life, flourishing, and positive mental health.
Positive emotions and the autonomic nervous system
The link between positive emotions and biology runs deeper than thoughts and behaviour. Researchers have discovered that positive emotions improve vagal tone – a measure of how flexibly the parasympathetic nervous system responds to changes in the environment. The vagus nerve regulates heart rate, breathing, and digestion, and high vagal tone is associated with faster recovery from stress, better emotional regulation, and stronger social engagement.
In a notable study by Bethany Kok and Barbara Fredrickson, community-dwelling adults monitored their positive emotions and social connectedness for nine weeks. Adults with higher initial levels of vagal tone increased in connectedness and positive emotions more rapidly than others, and increases in connectedness and positive emotions then predicted increases in vagal tone. This is what researchers call an upward spiral: positive emotions improve nervous system function, which in turn makes people more open to social and emotional experiences, which generates more positive emotions.
This finding is important for population health. It suggests that emotional life is not separate from physical health but woven into it through the autonomic nervous system. Self-generated positive emotions, through practices like loving-kindness meditation, can increase vagal tone, an effect probably mediated by increased perceptions of social connections.
The role of meditation
If positive emotions are central to mental health, the next question is practical: how do we cultivate them reliably? Across cultures and centuries, meditation has been the most consistent answer. In India, meditative practices appear in the Rig Veda, the teachings of the Buddha, and the Yoga Sutras of Patanjali. They were developed not as relaxation techniques but as systematic methods for training the mind toward equanimity, compassion, and insight.
What meditation does to the brain
Modern neuroscience has begun to verify, in striking detail, what these traditions claimed. Two brain regions are particularly important here: the hippocampus, which supports memory and emotional regulation, and the amygdala, which processes fear and threat. Both are vulnerable to chronic stress, which can shrink the hippocampus and make the amygdala hyperactive.
A 2025 study from the Icahn School of Medicine at Mount Sinai used a rare research method: recordings from electrodes implanted deep inside the brains of epilepsy patients who had agreed to participate. Researchers using intracranial EEG recordings from deep within the brain found that meditation led to changes in activity in the amygdala and hippocampus, key brain regions involved in emotional regulation and memory. These changes appeared even during a participant’s first attempt at meditation, suggesting the brain responds rapidly to the practice.
The specific finding was an increase in gamma oscillations and decrease in beta burst duration during loving-kindness meditation. In plain terms, the brain regions tied to emotion and memory began firing in patterns associated with focused awareness and positive emotional states.
Loving-kindness meditation and positive emotions
The Mount Sinai team studied loving-kindness meditation specifically, a technique with deep roots in Buddhist tradition that involves silently extending wishes of wellbeing to oneself and others. Loving-kindness meditation emphasises finding joy and sharing it with others, and such constructive contemplative practices have been shown to induce positive emotions that may lead to an increased sense of purpose and meaning in life. This connects meditation directly to Model C – the practice cultivates the very emotions the model places at the heart of mental health.
Longer-term studies have also shown structural changes. Regular meditation appears to increase grey matter volume in the hippocampus, improving memory and learning, while reducing reactivity in the amygdala. A population-based Rotterdam study found that meditation and yoga practice were associated with smaller right amygdala volume, consistent with reduced stress reactivity. The result is a brain that responds more flexibly to challenges – exactly what the theory of positive emotions would predict.
Bringing the science back to daily life
For students and young professionals, this research offers something more useful than self-help advice. It suggests that small, repeated emotional habits – expressing gratitude, practising compassion, taking a few minutes of meditation each day, maintaining social connections – produce measurable changes in the brain and nervous system. The benefits compound over time.
Schools and colleges in many parts of India have begun integrating yoga and mindfulness into their curricula, and the Ministry of AYUSH actively promotes practices grounded in Indian traditions. The convergence of ancient wisdom and modern neuroscience is no longer fringe science. It is becoming a foundation for how public health approaches mental wellbeing in the twenty-first century.
Why this model matters for public health
Treating mental illness only after it appears is expensive, slow, and incomplete. Model C points toward a prevention-first approach: build emotional resources in healthy people so that resilience is already in place when life becomes difficult. This shifts mental healthcare from a repair model to a cultivation model.
It also reconnects health with meaning. In a continuing effort to recognise the spiritual dimension of health, the WHO is increasingly using the term ‘spiritual wellbeing’. For populations dealing with high stress, rapid social change, and uncertainty, an approach that includes spiritual and emotional cultivation offers something that medication alone cannot – a sense of purpose, belonging, and inner balance.
Model C does not replace medical psychiatry. It complements it. Severe mental illness still needs clinical treatment. But for the vast middle ground of human experience – the daily struggles with anxiety, loneliness, and meaninglessness – positive emotions and the practices that cultivate them may be among the most powerful interventions available.
What do you think? Which positive emotion do you find hardest to cultivate in your own life, and what do you think makes it so difficult? If you had to design a daily five-minute practice to build emotional wellbeing for college students, what would you include?
References
- https://pmc.ncbi.nlm.nih.gov/articles/PMC2772221/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC4121749/
- https://pubmed.ncbi.nlm.nih.gov/11315248/
- https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1405272/full
- https://pmc.ncbi.nlm.nih.gov/articles/PMC3122270/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC5859128/
- https://www.mountsinai.org/about/newsroom/2025/new-research-reveals-that-meditation-induces-changes-in-deep-brain-areas-associated-with-memory-and-emotional-regulation
- https://www.pnas.org/doi/10.1073/pnas.2409423122
- https://centerhealthyminds.org/assets/files-publications/Intracranial-substrates-of-meditation-induced-neuromodulation-in-amygdala-and-hippocampus.pdf
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302143/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC11024253/

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