A Mindful Check-In: Opening to Awareness

A mindful check-in is a way of becoming aware of your internal state at any point in your day.  You can check-in to your breath, your body sensations or your feelings.  You don’t have to adopt a particular posture or location – it is just a matter of tuning in to whatever is happening for you with curiosity and openness and without judgment.  Regular mindful check-ins help to build your awareness and to realise the benefits of mindfulness.

Benefits of mindfulness

Dr. Chris Walsh maintains that mindfulness achieves positive outcomes in three core areas of our lives:

  1. Richer pleasant experiences – so much of our life is lived in anticipation of the future or regret about the past.  We are often lost in our thoughts and become disconnected from the present moment.  The simple act of eating can be a totally unconscious activity, being unaware of our accompanying bodily sensations that potentially bring joy, e.g. a pleasant taste or aroma.  We walk at a fast pace rather than enjoy the experience of walking; we give a sidelong glance at a sunrise, rather than soaking up the brightness and energy of the experience.  We can be self-absorbed in conversations, rather than actively listening and building our relationships.  Mindfulness helps to enrich what is pleasurable in our lives – to notice and pay attention to the experience of joy and happiness in whatever form it takes.
  2. Improved capacity to manage difficult experiences – so often we are just reactive when an unpleasant experience or conflict triggers our habituated thoughts and emotions.  Through mindfulness, we can grow in the self-awareness necessary to observe, understand and manage our reactivity.  Mindfulness, then, gives us the ability to create space between the trigger and our response and to develop more productive and appropriate responses.  The Mindful Nation UK Report produced by the Mindfulness All-Party Parliamentary Group (MAPPG) gives evidence-based examples of these outcomes being achieved through mindfulness training.
  3. Effectively managing transitions – so much of our life is spent in transitioning from one situation to another.  We go from home to work, from one meeting to another, from one encounter to another, from work to home.  On a more macro level, we may transition from unmarried to married, from childless to children as part of the family, from marriage to separation and divorce.  Each of these transitions place new demands on our capacity to cope, on our even-mindedness and our resilience.  Mindfulness helps us to manage the inevitable emotional challenges inherent in change and to bring positive intentions and motivation to each form of transition and to achieve calmness and equanimity despite the personal turbulence engendered by the transition.

The check-in proposed by Chris is a way of bringing mindfulness to each of these core areas of our life and to tap into our inner resources so that we can live our lives more fully, less reactively and more flexibly.

The Mindful Check-in

Chris provides a podcast as well as a descriptive article on the check-in process.  His guided three-minute meditation in the podcast leads you through various stages of awareness – beginning with your breath and its characteristics, followed by noticing any points of bodily tension and observing the pattern of your thoughts (e.g. unfocused, confused, clear or erratic).  This awareness raising and acceptance-of-what-is leads to paying attention to any dominant thought that may be preoccupying you and then letting it go (stop entertaining it).  Finally, you can bring your awareness to your overall emotional state and name your feeling (without judgement). 

Chris, who developed mindfulness.org.au in 2004, provides a wide range of resources and a recently developed course, From Relaxation to Resilience.  This course has three different levels of participation depending on level of experience with mindfulness.  It is possible to obtain a reduced price through a Medicare rebate if a referral from a GP is obtained.  Chris offers blog articles on various aspects of mindfulness and emphasises employing evidence-based approaches.

Reflection

As we grow in mindfulness through reflection, meditation and mindful check-ins, we can realise the benefits of mindfulness in the core areas of our lives – pleasant experiences, difficult situations and personal transitions.  Mindfulness equips us to live life more fully (appreciating its richness), manage challenging situations more effectively and make personal transitions more adaptively.

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Image by Sasin Tipchai from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Disconnection from Childhood Trauma: A Potential Determinant of Depression and Ill-Health

Johann Hari, in his book Lost Connections: Uncovering the Real Causes of Depression, identified seven social causes of depression including the loss of connection to other people.  One of the surprising findings in his discussions with researchers and his colleagues, was the link between obesity, childhood trauma and depression.  In the final analysis, collectively they established that in many instances unresolved childhood trauma was a determinant of obesity and depression. 

Obesity and depression

Johann drew on the ground-breaking research of Dr. Vincent Felitti, Founding Chairman of the Department of Preventative Medicine of Kaiser Permanente – a fully integrated medical provider offering not only health care plans but also services such as specialist medical practitioners, a dynamic medical school, mental health services and education and an affordable housing initiative.  Kaiser Permanente views a healthy life for all as a cause to pursue, and is a pioneer in offering seamless health services along with leading edge research into preventative methods and treatment approaches.

Kaiser Permanente commissioned Vincent to undertake research into obesity because it was becoming the major factor in the growth of its operational costs.  Vincent started out by using a specialised diet plan supported by vitamin supplements that was designed to help obese people lose weight.  This approach appeared highly successful on early indications, but Vincent noticed that the people most successful at losing weight were dropping out of the program and returning to their eating habits and becoming overweight again.  Additionally, they often experienced depression, suicidal thoughts, rage or panic. 

Research by way of interview of 286 participants dropping out of the obesity program established that most had been sexually abused or experienced some other form of childhood trauma.   Obesity was their way to deal with the aftereffects of childhood trauma, including fear of sexual assault and the desire to hide their shame.

Childhood trauma and depression

Vincent was surprised by the findings of the initial study and realised that research of childhood history as a determinant of adult ill health had been avoided previously because of shame, secrecy and the taboo nature of the topic.  Yet his early findings established that childhood trauma played out powerfully decades later in terms of emotional state, biomedical disease and life expectancy.  He found, for example, that 55% of participants in the obesity study had suffered childhood sexual abuse.

The link between obesity, depression and childhood trauma was not well received by the established medical profession.  The video, A Tribute to Dr. Vincent Felitti, highlights the scorn he experienced when first announcing his findings at a medical conference and demonstrates the resilience of a man who had the courage to back his research and the bravery to pursue his creativity.

Vincent was convinced that he had to undertake research with a larger and broader sample of people to establish the credibility of his findings.  Through Kaiser Permanente’s processes of capturing the medical history of patients he was able, in collaboration with Dr. Robert Anda of the Center for Disease Control (CDC), to add additional questions relating to life history.  The questions picked up on the 10 types of childhood trauma identified by participants in the earlier study. The 17,500 participants involved in the second study were representative of the broader population of California where the study was done.  They were middle class with an average age of 57 and were employed.

The research titled the Adverse Childhood Experience Study (ACE) highlighted even more surprising results.  Two thirds of the participants in the research program had experienced one or more traumatic events.  One in nine had experienced 5 or more adverse childhood events.  They also established that the higher the number of different adverse childhood events experienced by an individual (their ACE Score), the greater the likelihood of that person committing suicide.

Typical strategies adopted by individuals to cope with the impacts of childhood trauma only exacerbate the problem of ill health, e.g. smoking or over-eating.  Vincent maintained that the experience of chronic, unrelieved stress affects the nervous system and the brain and can produce “the release of pro-inflammatory chemicals in a person’s body”, leading to suppression of the immune system.

What can be done about childhood trauma?

I have previously discussed principles and guidelines for trauma-informed mindfulness practice.  Johann Hari, in the section of his book on reconnection strategies offered several strategies that could have a positive effect on the negative impacts of childhood trauma, such as obesity and depression.  His recommended reconnection strategies include social prescribing and reconnection with nature, meaningful work and meaningful values.

Vincent Felitti, too, was concerned that people who had experienced childhood trauma need some form of hope about their ability to redress its negative effects.  He decided to do further research involving medical practitioners who were treating patients through Kaiser Permanente.  He provided them with a few simple questions to ask patients that related to life history and covered childhood experiences, and asked them to express genuine empathy and respect for the patient. 

Vincent found that the participants showed “a significant reduction in illness” once a patient shared their story of childhood trauma with a doctor.  He thought that the explanation for this was twofold – (1) the person was sharing their story with another person for the first time and (2) the recipient of the disclosure was a trusted authority figure who treated them with kindness and respect.  He postulated that the intermediate effects related to the fact that the experience removed the shame and self-loathing associated with the adverse childhood event.  The association of the childhood trauma with the experience of humiliation was broken. Vincent acknowledged that this was an area for further research.

Vincent argued that the ultimate solution to childhood trauma lay in “primary prevention” and advocated for the integration of their research findings into primary care medical practice.  He also supported the development of a life experience questionnaire reporting on childhood trauma as a part of a patient’s medical record that could subsequently be viewed by the treating doctor.  A healing conversation could take place if the patient was willing and able to share their story.

David Treleaven warns, however, that when dealing with someone suffering from post-traumatic stress disorder (PTSD), it is imperative not to tackle the trauma experience head-on.  He advocates a trauma-sensitive mindfulness approach.  Sam Himelstein also cautions against the use of direct questioning and talking where a person is outside their window of tolerance

Reflection

As we grow in mindfulness through research, meditation and reflection, we can begin to recognise the impact of our own experience of childhood trauma and address the negative impacts it has on our own life and relationships. We can also become sensitised to the experience of others who have experienced adverse childhood events and take this into account when dealing with individuals and groups who are seeking to use a mindfulness approach to improve their quality of life.

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Image by Pete Linforth from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.