Trauma-Sensitive Mindfulness and the Window of Tolerance

In the previous blog post I discussed several resources on the topic of trauma-sensitive mindfulness.  One of these was David Treleaven’s Trauma-Sensitive Mindfulness Podcast which includes interviews with people who have expertise in the area or a related area.   In a recent podcast, David  had a conversation with Liz Stanley who not only experienced very considerable trauma, the impact of mindfulness meditation on her traumatic experience but also has developed her own resources and training for people, both civilians and military personnel, who have experienced trauma.  The conversation with Liz on the topic of Widening the Window of Tolerance draws on her personal experiences, study and training and incorporates ideas from her training program and her book, Widen the Window: Training Your Brain and Body to Thrive During Stress and Recover from Trauma.

The Window of Tolerance

The concept of the Window of Tolerance has been attributed to Dan Siegel, clinical psychologist and founding co-director of the Mindful Awareness Research Centre (MARC), UCLA.  Dan is the author many books, including Aware: The science and practice of presence.  Many people, including David Treleaven and Liz Stanley, have applied the concept of the Window of Tolerance in their research and training in relation to trauma-sensitive mindfulness.

The National Institute for the Clinical Application of Behavioral Medicine (nicabm) provides an infographic that illustrates the concept in a very clear and easy-to-understand way.  They explain that the window of tolerance is about our capacity to deal with the challenges and stresses of the moment and take wise action to deal with them.  When stress takes us outside our window of tolerance we can experience hyperarousal (related to the fight/flight response) which manifests in uncontrolled anger, emotional overwhelm, or extreme anxiety; or, alternatively, experience hypoarousal (related to the freeze response) which manifests in the body trying to shut down resulting in numbness, “zoning out” or “spacing out”.  

The Attachment and Trauma Treatment Centre for Healing (ATTCH), drawing on the work of Dan Siegel and colleagues, provides a more detailed explanation of the concept in an article titled, Understanding and Working with the Window of Tolerance.  Pooky Knightsmith, on the other hand, provides a simple explanation in her short video on the window of tolerance and how to apply it to managing our emotions in everyday life (for those who are not experiencing trauma or trauma stimuli).

Trauma and narrowing of the window of tolerance

In her podcast interview. Liz reinforced the view that trauma causes a narrowing of a person’s window of tolerance.  She explained that she is a living example of someone who has experienced multiple traumatic events and who tried to cope in the only way she knew how, conditioned as she was by familial and social determinants.  Liz suffered an incredible range of traumatic experiences – active military duty in Asia and Europe, PTSD,  a near-death experience (NDE), rape, and whistle-blower harassment as a result of formally complaining about sexual harassment by her senior officers.

Liz described her response in terms of the compulsivity that comes with hyperarousal (which can occur when a person is outside their window of tolerance).  Instead of dealing with her traumatic stress, she intensified her activities, completing two undergraduate degrees simultaneously.  She explained that like a lot of people, she “compartmentalised” the stress, suppressed it and just kept going harder than ever, managing on two hours sleep each night – she “soldiered on”, both literally and metaphorically.

Liz had to make changes when she temporarily lost her eyesight – something she described as “cosmic coping pain” when her body which had “borne the brunt” of her hyperactivity decided “enough was enough”.  It was then that she explored mindfulness and researched trauma and trauma healing.

Liz explained “trauma” as impacting “neuroception” – “how neural circuits distinguish whether situations or people are safe, dangerous or life threatening”.  In effect, trauma can distort our neuroception and effectively narrow our window of tolerance.  She explains the effect in terms of our “thinking brain” and our “survival brain”.

Our thinking brain enables us to analyse, make decisions, accurately perceive stimuli, and take wise action; our “survival brain” responds to perceived threats with the fight/flight/freeze response.  With trauma, the connection between the two is “compromised” so that, for example, seemingly harmless stimuli can be perceived as a threat and engender an inappropriate response negatively impacting a person’s health, relationships and capacity to undertake their work.   When we perceive a situation as hopeless or ourselves as powerless, our survival brain and nervous system can become flooded with heightened “emotional arousal”.

Liz explains, however, that when the thinking brain and survival brain are in harmony and working together, we have a wider window of tolerance – e.g. better tolerance of ambiguity and uncertainty and the ability to identify and make effective choices, build sustainable connections, and perform optimally. 

Experience of mindfulness for dealing with trauma

Liz turned to mindfulness meditation to help her cope with her traumas which had deep-seated antecedents in the post-traumatic stress disorder (PTSD) experienced by her father and grandfather (along with all the distorted coping mechanisms and fractured relationships that this entailed). Her initial experience with mindfulness was one of helping her to achieve some degree of self-awareness and associated self-regulation.  However, over time, she found that her “survival brain” took over as it began to “peel back deeper layers” – deep emotional scars hidden behind her hyperactivity (just as the happy-go-lucky “joker” or “larrikin” can hide the deep emotional pain of depression).

As some mindfulness practices acted as “trauma stimuli” she experienced panic and shallow breathing in-the-moment and flashbacks, nausea, claustrophobia, and inability to sleep for days afterwards.  Liz explained that a potential problem with mindfulness done in isolation and without appropriate modifications can lead to such heightened emotional awareness and arousal that the traumatised person can lose their ability to regulate their emotions and their unhealthy condition can be exacerbated rather than diminished, both mentally and physically.

Developing a trauma-sensitive approach to mindfulness training

Liz explained that she spoke to scientists and neuroscientists, explored multiple skills and techniques, and wrote a book about her experiences and her journey out of trauma disablement.  She found that the myths surrounding mindfulness could make matters worse unless the mindfulness trainer recognised the impact of traumatic experience on a person’s window of tolerance.

In her book on widening the window, she draws on her own experiences and stories from people she has trained in a areas such as healthcare facilities and the armed forces.  Liz maintains that you can build resilience even in stressful jobs or when healing from traumatic experience(s).  She provides strategies involving paying attention in certain ways to increase the capacity to access choice and creativity and to make courageous decisions while effectively connecting with others through curiosity, openness, and compassion.

Liz’s Mindfulness-based Mind Fitness Training (MMFT)® which was developed in 2008 and evaluated on four occasions by neuroscientists and stress experts is now available online through Sounds True.  The comprehensive course includes video training and live sessions on topics such as resilience, stress and trauma recovery, effective decision making and relationship building along with “new tools for successfully navigating the interpersonal aspects of stress, trauma, emotions, and conflict”.

Reflection

When you first hear about the potential harmful effects of mindfulness meditation training for trauma sufferers, you can understandably become concerned about conducting mindfulness training for any group.  Alternatively, you might initially dismiss the trauma-sensitive mindfulness movement as a movement to counter the growing global popularity of mindfulness.  However, the evidence to support the trauma-sensitive approach is growing and cannot be ignored.

On the other hand, both Liz and David strongly encourage practitioners not to be put off from training others in mindfulness by this new information nor to behave as if they are “walking on eggshells”.  They strongly encourage mindfulness trainers to persist, especially in these challenging times when mindfulness and resilience is needed by some many people.  They do, however, suggest to proceed with “some discernment”, develop increased awareness of trauma and its impacts, learn about new tools available for trauma-sensitive mindfulness training and intensify their own efforts to grow in mindfulness so that they can train with increasing awareness, insight and sensitivity.

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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.

Reflective Practices to Facilitate Managerial Mindfulness

In the previous post I discussed managerial mindfulness as an outcome of the Confident People Management (CPM) Program.  This form of mindfulness translates into conscious awareness about the type of team culture the manager is developing through their words, actions, inactions, and time allocation.  The cultural framework developed for the CPM program provides the catalyst for reflective practices incorporated in the program.

The manager’s role in shaping team culture

At the outset of our process of consciousness-raising within the CPM program, we reinforce the view that the immediate manager is the most influential person in shaping the team culture.  We say to our participant managers, “What you say and how you say it; what you do and how you do it; what you omit to do; and what you spend your time on; is shaping your team culture hour by hour, day by day.”  We acknowledge to participants that it is a harsh reality that “they get the team culture they deserve” – that their team culture is a direct result of what they choose to say and do and what they spend their time on.

However, we also explain to the participant managers that they have a set of tools at their disposal which enable them to shape team culture – the tools include congruent behaviour, active listening, setting expectations, positive feedback, and corrective feedback.  We then work with the managers through a series of experiential exercises and reflective practices that enable them to progressively build their awareness of how they are currently shaping their team culture and how they might proceed differently to improve both the productivity of their team and the mental health of their team members.

The cultural framework as a catalyst for developing managerial mindfulness

The CPM program is conducted over four to six workshop days, with the first two workshop days being adjacent and the remaining workshops separated by a month to facilitate practice on-the-job of the acquired skills.  Participant managers also conduct a workplace project (individually or in a team) to implement their learning from the program and gain greater personal insight and self-awareness.  The presentation of the results of their project to co-participants and their managers occurs on the final day of the Program.

The CPM Program offers many opportunities to develop managerial mindfulness through the following reflective practices:

  • Reflection on past experience: Participant managers are asked to reflect individually and in small groups on their experience of being managed by other supervisors/managers.  They then share in the small groups and the plenary group not only about their manager’s behaviour but also the impact that their manager’s words, actions, inaction, and time allocation had on them – on their feelings and their motivation.  This typically leads to a discussion about how workplace culture is shaped by managers – increasing awareness of the impact on team culture of their own managerial behaviour.
  • Exploring intention: Being conscious of your intention in any endeavour is a key element of mindfulness.  The centrepiece of the team culture model is congruence – aligning words and actions.  Participants reflect individually in writing on what kind of culture they are intending to create and how congruent their words, actions, inaction, and time allocation are with this intention. 
  • Debriefing experiential exercises: During the workshops, participant managers undertake experiential exercises focused on the elements of the team culture model – setting expectations, active listening, positive feedback, and corrective feedback.  They then reflect on the exercise in their group and share insights with the plenary group. This process facilitates the development of reflection-on-action.
  • Reflection on workplace practice: At the end of each workshop, participant managers are asked to consciously practise several skills in their workplace with their intact team during the intervening period between workshops.  Each new workshop begins with a small group-based reflection exercise.  The results of their reflection-on-action is shared with the larger group.  This often stimulates vicarious learning amongst the broader group.
  • Presentation of action learning project:  Participants are asked during their presentations to share what they set out to do, what outcomes they achieved (intended and unintended) and what they learnt through the program and their project.  This reflective process helps individual participants to make explicit their implicit learning.

Reflection

My co-facilitator and I have observed that the frequent practice of reflection-on-action during the CPM Program tends to cultivate the capacity to reflect-in-action, a process that involves being fully present on purpose.  As participant managers undertake reflective practices within the Program, they progressively develop the insights and skills of managerial mindfulness, awareness of how they are shaping team culture in the moment through their words, actions, inaction, and time allocation.  As they grow in mindfulness, the managers are more in tune with their staff, better able to be present when interacting and more open to influence and the development of staff agency.  This, in turn, contributes to the development of a productive and mentally healthy culture.

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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.

Managerial Mindfulness

Over the past 12 years, I have been co-facilitating a longitudinal, action learning program for managers.  The initial program, Practical People Management, was developed by my colleague Julie Cork and Mike Nelson in 2004 to address the issue of poor-quality supervision that was negatively impacting the health of public servants.  Over time, different components such as managing change and managing generational differences were added to the content of the program resulting in a loss of coherence.

When Julie and I started working together, we began to pool our ideas, concepts, models, and experiences and repurposed the program as Confident People Management (CPM).  A key element of this change was the introduction of a cultural change framework to integrate the components of the program.  

We also became more conscious of the role the program played in assisting managers to create both a productive and a mentally healthy workplace.  As we explored the writings and research on mental health in the workplace, we became increasingly aware of the role that mindfulness could play in helping managers to develop self-awareness and self-regulation and to facilitate development of a workplace culture conducive to the positive mental health of their employees.

Action learning, mindfulness, and mental health in the workplace

We were conscious that the research on mindfulness demonstrated that developing mindfulness was conducive to positive mental health in the workplace and elsewhere.  We were confident that action learning also contributed to a mentally healthy workplace. So, I undertook research to identify what were the factors (active ingredients) that enabled both action learning and mindfulness to contribute to positive mental health in the workplace.

In a book chapter I wrote on the topic, Action Learning and Mindfulness for Mental Health in the Workplace, I explained how action learning and mindfulness are complementary and mutually reinforcing as they have the common intermediate goals of developing “self-awareness” and “agency” , both of which are conducive to positive mental health in the workplace.

Our initial efforts to incorporate mindfulness concepts and practices into the Confident People Management (CPM) Program involved adding a mindfulness session to the program content.  However, for various reasons, including time restrictions, this did not have the traction we had hoped for.

As we reflected on the CPM Program and its development, we began to reframe our facilitation processes as “consciousness-raising”.   More recently, in our lag time because of Covid-19, I have come to conceptualise a core outcome of the program as developing “managerial mindfulness”.

Managerial Mindfulness

Drawing on the definition of mindfulness proposed by Jon Kabat-Zinn, I have developed a definition of Managerial Mindfulness as follows:

Managerial mindfulness is the awareness that arises when a manager pays particular attention, in the present moment, on purpose, to the impact they are having on the culture of their team.  This involves consciousness about the impact, positive or negative, that their words, actions, omissions, and time allocation have on the development of a productive and mentally healthy workplace. Managerial mindfulness is developed through openness, curiosity, and a commitment to reflective practice.

Over time, we have incorporated a range of reflective practices into CPM that facilitate the development of managerial consciousness by participant managers.  Some of these processes are integral to an action learning approach, others involve strategic questioning around the manager’s role in shaping team culture.

Reflection

Both action learning and mindfulness contribute to positive mental health.  However, in any given context, mindfulness practices can take on different forms.  Within the context of the CPM program, experiential learning and on-the-job practice, combined with reflective practice, enable participating managers to grow in mindfulness.  As they develop and enhance their managerial mindfulness, they can more consciously and effectively develop a workplace culture that builds both productivity and positive mental health.  They become acutely aware of the impact of their own words, actions, inaction, and time allocation in shaping their team culture.

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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.

Benefits of Body Scan Meditations

Body Scan meditations take many forms but typically involve a process of progressive noticing of parts of the body, usually beginning with the feet.  A body scan meditation can be undertaken anywhere or at any time and can be brief or extended.  One of its advantages is that it can be easily integrated into other forms of mindfulness practices such as gratitude meditation or loving-kindness meditation.  It can also be undertaken while lying down or sitting on a chair (e.g. in a workplace).  A powerful example of the benefits of this form of meditation is provided by Tara Healey who offers a guided meditation incorporating a 10-minute full body scan.

What are the benefits of body scan meditations?

There are many benefits that accrue from this form of meditation and these benefits are typically mutually reinforcing.  I will discuss several of the benefits here, but the real test is to try different forms of body scan and select one that is appropriate for the time you have available and your needs at the time.  A daily practice will be habit forming so that in times of stress you can automatically drop into a body scan.

  • Relaxation: the body scan is often described as a form of progressive relaxation as you consciously progress from your feet to your head paying attention to parts of your body, e.g. your toes on your left foot.  The very act of noticing serves to relax the different parts of the body as you progress.  Michelle Maldonado, when discussing self-care, suggests that a body scan can be used by people who have difficulty going to sleep in these challenging times. 
  • Tension release: some forms of body scan involve identifying different parts of the body where tension is being experienced in the form of tightness, ache, pain, or soreness.  This approach involves noticing these specific physical tension points so that you can consciously release them.  Because of the close mind-body connection, the release of physical tension can also serve to lessen sources of mental tension such as anxiety, fear or worry.  Deepak Chopra maintains that “there is no mental event that doesn’t have a biological correlate” – in other words, our thoughts and feelings are automatically manifested in our body.
  • Body awareness: as you develop the habit of a body scan, you increase your body awareness.  Some forms of this meditation focus on body sensations as you progress through the scan. In this way, you become more conscious of how your body is reacting to your daily experiences – often an aspect of your daily living that is outside conscious awareness.  Thus, the body scan is a route to developing mindfulness through heightening awareness of your body and its various sensations. 
  • Being present: body scan helps you to be in-the-moment, not distracted by thoughts of the past or anxiety about the future.  Focusing on body sensations such as heat or energy in various parts of your body (such as when your fingers touch), can enable you to become really grounded in the present moment.
  • Building capacity to focus: the act of conscious noticing of parts of the body, builds the capacity to focus – a key component of achieving excellence in any endeavour.  Learning to pay attention to what is going on in your body builds your awareness muscle and can help to reduce debilitating habits such as procrastination.
  • Developing self-awareness: this is a key element in the process of developing self-regulation.  As you develop self-awareness, you become more conscious of what triggers negative emotions for you and are better able to build your response-ability, thus controlling how you respond in specific situations.   You can become aware, for example, that particular situations make you “uptight” and learn what it is about those situations that contribute to your body and mental stress.
  • Dealing with trauma: body scan is a form of somatic meditation that is often employed in helping people who have suffered trauma or adverse childhood experiences.  Trauma and associated experiences leave deep imprints on your body, and mindfulness activities such as body scan can help to reduce this scarring and release harmful emotions.

Reflection

There are many benefits that accrue from the use of body scan meditations.  However, the benefits are intensified with daily practice.  As we grow in mindfulness through body scan meditations, we can develop self-awareness, release tension, improve self-regulation, build our body awareness, and heighten our capacity to be in the present moment.  In this way, we can learn to focus our mind and energy and overcome the dissipating effects of distractions and challenging emotions.

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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.

Self-Care and Care for Others in Challenging Times

Resilience is a constant theme of podcasts, online courses, and conferences in these challenging times.  One outstanding example of this is the interview podcast conducted with Michelle Maldonado  by Mindful.org.  Michelle discussed Resilience for Divided Times – the challenge of maintaining equilibrium in times of divisions on the grounds of race, nationality, gender, wealth and health.  The pandemic has unsettled everyone and challenged our way of operating day-to-day and, in the process, heightened anxiety and unearthed deep divisions previously hidden by the routines and busyness of daily life.  IN the interview, Michelle highlights the need for self-care, self-awareness, and pursuit of our own individual contribution to the service of others.

Self-Care for resilience

Without self-care we are unable to care for others and are more likely to contribute to divisions rather than their resolution.  Michelle emphasises the need to get in touch with our challenging emotions and not push them away or ignore them.  She quotes her father who used to say, “No way to it but through it”.  Michelle suggests that with escalating personal challenges, the need for self-care increases and demands that we increase the frequency, duration, and variety of our self-care approaches and mindfulness strategies if we are to build resilience and maintain our balance.   

Many people are finding it difficult to sleep in the current challenging times because of worries about health, finances, employment or restrictions on movement and access.  Michelle shared her own approach to overcoming the inability to go to sleep.  She maintains that often sleep eludes us because our mind is unsettled or constantly ruminating.  Her recommendation is to meditate or write a journal before going to bed to provide a “dump” for the mind and to still the mind’s incessant activity.  This mental activity can be complemented by a “body scan” to identify and release points of tension.  If you wake up prematurely, Michelle encourages you to practise a form of breathing involving exhaling longer than you inhale (e.g. a count of 7 on the exhale and 5 on the inhale) – an approach that activates the parasympathetic nervous system.  An alternative is to get up and write.

Self-awareness to take wise action

Michelle argues that if we lack self-awareness, we can unconsciously inflame divisions by our words and actions.  She maintains that each of us is constantly engaged in perception and prediction – both of which are influenced by our past experiences, including our childhood.  Our perception and prediction can generate a wide array of emotions including anticipation, sense of hopelessness, exhaustion, and excitement. 

As we grow in mindfulness, we can become more aware of our biases, predispositions, and distorted perceptions and create the space to think and act more consciously, skilfully, and compassionately (towards our self and others).  Michelle tells the story of how working closely with Federal Enforcement Officers totally changed her perception of these officers – an erroneous perception built up through newspaper and TV reports.  She saw their humanity, kindness, and concern for others. The danger is that we tend “to lump all people together” – whether they are of a particular location, race, profession, political affiliation, or gender orientation.  We need to challenge our assumptions through curiosity and honest self-inquiry so that we can create the space to understand where others are coming from and be able to take “wise action”, not action fuelled by ignorance, fear, hatred or misunderstanding.  

Contributing to the service of others

When we are confronted with the magnitude of suffering, mental illness, and uncertainty in these pandemic times, we can have a strong desire to help others but can feel overwhelmed by the magnitude of the task.  Michelle assures us that there is a unique way for each of us to make a contribution to the welfare of others.  She suggests that you can sit with the challenge of identifying your role and contribution to the service of others, think about it and attempt to write it down (to provide clarity and order for your thoughts).  With patience and persistence, you can gain the necessary insight to take the first steps and have the courage to “concretize and manifest what is yours to do”.  This may involve overcoming your natural tendency to procrastinate.

Reflection

As we grow in mindfulness through self-care and developing self-awareness, we are better placed to identify any distortions in our perceptions and projections and to manage challenging emotions.  We can build resilience and contribute in a unique way to healing divisions and helping others to achieve the ease of wellness.  

Michelle offers a brief G.R.A.C.E. meditation by way of reflection and integration of her discussion (at the 29-minute mark).  The meditation encompasses gathering attention; recalling intention; attuning to self and others; considering what would serve your self-care needs and the needs of others at this moment; and engaging ethically through deciding one wise action you can take (a first step).

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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.

Developing Wisdom Through Meditation

In a recent interview for Mindful.org, Sharon Salzberg discussed The Power of Loving Kindness.  In the course of the interview, Sharon identified different ways that meditation can develop wisdom – the ability to make insightful judgments and sensible decisions based on our knowledge and experience.  Her wide-ranging conversation focused on a number of key insights that can help us to inform our judgements and guide our decision making.

Elements of wisdom developed through meditation

In her interview, Sharon shared several key insights into the way meditation can contribute to the development of wisdom:

  • Learning to accept what you can’t control – the starting point to develop wisdom is to acknowledge that many things are outside our control and to accept this fact despite our innate need for control.  Wasting energy and negative emotion on things outside our control only debilitates us and leaves us open to frustration and depression.
  • Realising that no matter the situation, you have agency – you can exercise agency (your capacity to act to have control over your inner landscape and over some elements of your external environment).   Viktor Frankl, author of Yes to Life in Spite of Everything, demonstrated control over his inner landscape during his internment in a concentration camp.  There is always something that you can do externally as well – you just need the space and time to be open to this possibility.  Even in this time of the global pandemic, people and organisations are finding creative ways to take action to exercise control over some elements of their life and work.  Wisdom recognises that you don’t need to feel entirely powerless.  As Sharon points out, “It’s an illusion to think that we are without any agency in our lives, any ability to act”.
  • Learning to use the gap that is available between stimulus and response – you can become convinced that your conditioned way of responding is the only way for you to react to a negative stimulus.  As Viktor Frankl maintains there is a gap between stimulus and response and therein lies your freedom to choose your action (“considered action” rather than reaction).  Meditation develops self-awareness, especially in relation to the negative stimuli that activate your fight/flight/freeze responses.  Meditation also builds self-regulation so that you can choose your response rather than be conditioned by your past experiences and habituated way of reacting.
  • There is a unique way for you to help others – you have a combination of life experiences, skills, personal attributes and knowledge/understanding that is different to anyone else.  Instead of trying to live up to others’ expectations, you can find a personal way to help through meditation and reflection – you can exercise sound judgment and creative decision making in relation to your potential contribution.  Sharon reinforces this when she suggests that you can “pay attention and look and listen for opportunities to help” that are in line with your capabilities and the challenges of the situation you are faced with.
  • Dealing effectively with difficult emotions – being with these emotions in all their pain and intensity instead of avoiding them and acting in a dysfunctional and hurtful way.  Feeling difficult emotions in your body and naming them in a granular way (e.g. anxiety, fear, shame) enables you to tame them and to convert negative energy into constructive action.
  • Appreciating moments of wellness and joy – it takes awareness in the moment to appreciate your experiences of beauty, joy and love.  Gratitude for these experiences enhances their impact on your overall wellbeing. Also, as Sharon maintains in her recent book, loving-kindness meditation is a revolutionary way to happiness.
  • Developing your sense of connectedness – when you experience wellness or complex emotions or become immersed in nature through meditation and reflection, you heighten your sense of connectedness to everyone else who is experiencing this range of human emotions and to every living thing.  Sharon notes that connectedness is the very fabric of life and if you treat yourself as separate, you are “fighting that reality”.  Loving-kindness meditation is a very effective way to reinforce and manifest our connectedness to others.

Reflection

It pays to think about, and experience, how meditation develops sound judgement and enables sensible decisions.  We so often relate meditation to rest and relaxation and overlook its power to facilitate effective action in a wide range of situations.  As we grow in mindfulness through meditation and reflection, our awareness of what is and what’s possible develops, our ability to manage ourselves (thoughts, emotions and actions) increases and our enhanced sense of connectedness becomes an inner source of energy and empowerment.

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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.

Bringing Challenging Emotions to Awareness

Often our tendency with challenging emotions is to push them away or ignore them.  We may disown these thoughts and challenging emotions because we feel shame that we are experiencing intense anger, continuous resentment or persistent bitterness. Sometimes, if we entertain them and play the triggering situation over and over in our minds, these emotions take over our life, our reactions and interactions.  We may harbour resentment and continuously engage in harmful and unproductive thoughts, e.g. “Why me?”, “Wait till I get the chance to pay them back!” or “What have I done to deserve this?”  Our thoughts emerge from our inner hurt and overtake us.  

A guided meditation to bring challenging emotions to awareness

Tom Heah, accredited UCLA meditation teacher, provides a guided meditation podcast focused on Meeting Challenging Emotions with Awareness.  Tom maintains, like other meditation teachers, that it is important to allow these emotions, face them fully and own them, while treating ourselves with kindness and compassion.  

He suggests that we can grow in mindfulness and the capacity for a healthy response by meditating on a triggering situation and allowing the stimulated emotion to be with you.  He encourages you to feel the emotions in your body – sense its location, strength and size.  Tom recommends giving a label to your emotion – naming your feelings – so that you can better manage them.  He argues that being clear about how you really feel (not diminishing it or hiding its nature or intensity), will help you to respond appropriately rather than reactively.

As you open your “awareness to whatever feelings arise” such as loneliness, anger or frustration, you will experience bodily sensations such as tightness in the chest, pain in your arms/back or constriction of your breathing.  Tom maintains that it is important to allow these bodily sensations but support yourself with conscious breathing.  He suggests that you can think of breathing in self-kindness, love and caring and breathing out tension, pain and anxiety.   Your breath can be your emotions release valve.

Reflection

Tom’s process enables us to reflect on a past event that triggered challenging emotions.  However, if you are in the situation that is triggering your strong emotional response, you can adopt the S.T.O.P. process suggested by Tara Brach.  This process – stop, take a breath, observe, respond – enables you to pause before responding and assists you to regain control.

As we grow in mindfulness through meditation and reflection, we will be better able to manage our challenging emotions in-the-moment.  This self-regulation takes considerable self-awareness and heightened self-control, both of which can be developed over time.  Tom reminds us that emotions can have a “limited timespan” if we readily face them and their bodily manifestations and don’t brush them aside, ignore them or engage in endless negative thinking.

Tom offers a range of free guided meditation podcasts and paid training courses, including a course in Mindfulness Based Stress Reduction (MBSR) for which he is highly qualified and experienced.

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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.

Forgiveness: A Reflection

In a previous post I discussed an important topic, Don’t Wait to Forgive, based on the book by Frank Ostaseski, The Five Invitations.  Forgiveness is something that we tend to put off because it is too self-revealing and painful.  Frank suggests that we have to face up to who we really are and not who we project ourselves to be.  We have to look in the mirror, not into an internally fabricated image that shows ourselves in the best possible light.  The honesty required is disarming and can be disturbing.   Experience and research suggest that some principles can help us along the way:

  • Be grounded and relaxed – Forgiveness is a difficult pursuit at the best of times.  However, if you are agitated or highly distracted, it is extremely difficult to focus on forgiving yourself or someone else.  The starting point is to become grounded and relaxed.  Grounding in the present moment can involve tapping into your breath, your bodily sensations or the sounds around you.  I find sometimes that sounds can themselves be distracting because I am always trying to interpret them.  I like using a particular body sensation as a means of grounding, e.g. the sensation of fingers on both hands touching.  I find that I can use this practice anywhere, whether waiting for something or someone, or beginning a meditation.  It can quickly induce relaxation and focus for me.  Each person will have their preferred approach to grounding and relaxation – for some people, it may involve a full body scan to identify and release tension.
  • Manage distractions – Distractions are a natural, human frailty – they pull us away from our focus.  However, they can be more persistent and intensive when we are trying to focus on forgiveness because of the level of discomfort that we may feel when dealing with our shame.   Having a “home” or anchor such as our breath can enable us to restore our focus.  Persistence in returning to our focus builds our “attention muscle” over time – a necessary strength if we are to progress in our goal of developing forgiveness.
  • Start small – Self-intimacy around our need for forgiveness (for the multiple ways in which we have hurt others) can be overwhelming if we take on too much at once.  When you think about it, our need for forgiveness can be pervasive – impacting every facet of our interactions in close relationships, with work colleagues or with strangers in the street or shops.  We can think of times when we have interrupted someone, ignored people, been harsh towards them or spoken ill of them.   There are times when we have taken out our frustration or anger on someone who is not the trigger for our difficult emotions.  We can begin by focusing on a small, recent incident where we have caused hurt or harm to someone and gradually build to more confronting issues, situations or emotions.  Mitra Manesh in her guided meditation podcast on forgiveness suggests that a simple way to start might be to bring a particular person to mind and mentally say, “For all the pain and suffering I may have caused you, I ask for your forgiveness”.  This kind of catch-all statement avoids going into all the detail of an interaction.  Sometimes we can become distracted by what Diana Winston describes as “being lost in the story” – we can end up recalling blow by blow what happened, indulging in blame and self-righteousness.   Forgiveness is not a process of justifying our words or actions.
  • Forgiveness is healing for ourselves – We have to bring loving kindness to our forgiveness practice whatever form it takes – loving kindness for our self as well as for the person we are forgiving.  The process is not designed to “beat up on” our self but to face up to the reality of what we have said or done or omitted to do that has been hurtful for someone else.  It’s releasing that negative, built-up energy that is stored in difficult emotions and is physically, mentally and emotionally harmful to our self.  It is recognising that holding onto regret, anger, resentment or guilt can be toxic to our overall wellness.  However, like giving up smoking, it takes time, persistence and frequent revisiting of our motivation.

As we grow in mindfulness and self-awareness through meditation, reflection and daily mindfulness practices, we can learn to face up to our real self and our past and seek forgiveness.  However challenging this may be, we need to begin the journey for our own welfare and that of others we interact with.  Diana Winston in her forgiveness meditation podcast reminds us that mindfulness involves “being in the present moment with openness and curiosity” together with a “willingness to be with what is” – it entails honest self-exploration.  She cites Lily Tomlin who maintains that forgiveness involves “giving up all hope for a better past” – seeing our past with clear sight and honesty.

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Image by Gerd Altmann 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.

Understanding the Process of Emotions

Dr. Eve Ekman recently presented a session on Overcoming Negativity and Judgement as part of the Wise@Work Virtual Communities series organised by Wisdom Labs.  Eve’s professional work focuses on developing emotional awareness, compassion and mindfulness. In pursuit of this goal, she draws on her knowledge, research and experience in areas such as integrative medicine, clinical social work and contemplative science. The mission of Wisdom Labs is to improve mental health in the workplace and the organisation offers guided virtual communities and a stress reduction app as a means to pursue these goals.  The positive outcomes from these tools are reduction in workplace stress, combating loneliness and burnout and improvement in teamwork.

Eve facilitates the Cultivating Emotional Balance Online Course and is Director of Training at the Greater Good Science Center (GGSC), University of California Berkeley.  Eve demonstrates the benefits of her yoga and meditation practice in her concise, calm, practical and insightful presentations in many contexts, including in large organisations around the world.   Her video presentation on cultivating emotional balance and fluency at the 2013 Summer Institute for Educators (GGSC) is another example of the depth and passion of her work in developing emotional awareness

The process of emotions

Eve made the point at the outset that we have to understand the nature of emotions if we are going to learn how to keep them under control.  She explained that emotions are more than feelings (e.g. feeling good or bad about something).  In her view (informed by scientific research), emotions are really a process – a process involving “a trigger, an experience and a response”.

The trigger for a feeling of frustration and anger in the workplace could be something like the internet freezing continuously, someone who continually talks loudly in your open office workspace or the fact that your views and suggestions are ignored by management.   Working from home in the current lockdown environment of the Coronavirus can provide multiple triggers for frustration such as distractions, inadequate computer resources and managers who lack an understanding of your personal situation and associated difficulties (such as young children at home).   

Our experience of frustration and anger and associated thoughts of unfairness have a “biological correlate” – in other words, our thoughts and feelings are reflected in our body.  We may feel “uptight”, experience soreness in our back, arms or legs or have a stiff neck or headache.  Our response to the trigger and associated feelings and bodily sensations, can be mild, measured, “over-the-top” or involve some form of calming of ourselves and our emotions.

Eve suggests that we draw on integrative science (Western and Eastern approaches) to identify emotions as “constructive or destructive in how they are enacted” – in other words, how we respond, how our emotions play out in our words and actions.  Whether we choose a constructive or destructive way to act out our emotions will depend on how well we have our emotions under control at the time. 

The capacity to consciously chose an appropriate response to our triggers and associated feelings is described as emotional fluency or as Susan David calls it, “emotional agility”.  Eve’s facilitation in workplaces and her research, confirm that meditation and mindfulness practices are a pathway to developing emotional fluency/agility.   Without awareness of our emotions and how we enact them, we can be easily captured and controlled by them, resulting in harmful interactions and poor decision making.

Reflection

Viktor Frankl reminds us that between a stimulus (a trigger) and our response, there is a gap – wherein lies the opportunity to exercise choice in how we respond, and in the process, free ourselves from the enslavement of our emotions.  As we grow in mindfulness through meditation, reflection and mindfulness practices we can build our self-awareness in relation to our triggers, thoughts, feelings, bodily sensations and habituated responses and develop self-regulation to deal with our emotions constructively.

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Image by Gerd Altmann 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.

Self-Care for Healthcare Professionals

Dr. Reena Kotecha presented at the 2020 Mindfulness & Compassion Global Summit on the topic of self-care for healthcare professionals.  Reena highlighted the irony of healthcare professionals caring for everyone but themselves and, in the process, suffering pain, disillusionment and burnout.  She shared her own story of depression, mental illness and suicidal thoughts resulting from working as a young doctor in an emergency department in a hospital.  She was drowning in self-doubt, suffering anxiety about the future and trying to cope with her present level of stress symptoms such as palpitations and sleeplessness.  Reena found her way out of the dark hole of depression through meditation.

She highlighted the stresses that healthcare professionals are experiencing in these challenging times of the Coronavirus.  Reena spoke of frontline healthcare workers who had to move out of home to protect their family and/or elderly parents, of the sadness and grief they experienced with the death of patients, of the frustration of having inadequate resources (such as personal protective equipment) and of their fear for their own safety in terms of the impact of their work on their mental and physical health.  Frontline professionals experience the intensity and immediacy of Coronavirus-related stress and emotional inflammation as a result of the risks to the life of their patients and their own life.

Barriers to healthcare professionals seeking help

Reena emphasised that healthcare professionals not only tended to overlook caring for themselves but also failed to seek help for their mental welfare when they really needed it.  She spoke of the barriers that stop healthcare workers from seeking professional support (some of which she experienced herself):

  • Training focus – all the focus of their training is on how to care for others, very little of the training is focused on caring for themselves or how to seek professional help for themselves
  • Priority focus – healthcare professionals are singularly focused on caring for others and they fail to give priority to their own mental and emotional health that would actually enable them to care for others more effectively and in a more sustainable way.  As Reena points out, healthcare professionals are much more comfortable and more proficient in the role of caregiver than that of “care-taker”.
  • Career focus – healthcare professionals become concerned about what others, including management, would think of them if they admitted to not coping and experiencing some form of mental illness (which still carries its own stigma).  They can be concerned about how others will judge them and what impact this would have on their career.
  • Expectations focus – the community has highlighted the heroic efforts of the frontline healthcare workers but this brings with it an unrealistic set of expectations that they are all strong and courageous, free from normal human emotions of fear, anxiety and self-doubts and the resultant experience of depression with its concomitant impacts of inertia, exhaustion, reticence and lack of energy.  In the light of this community expectation set, they are reluctant to admit to “weakness and fragility”.

Young healthcare professionals may begin their career with an unerring focus on their patients, giving priority to their caregiver role and ignoring their own needs.  They may feel really uncomfortable about being seen as “needy” or becoming a “care-taker”.  Professionalism is interpreted by them as being strong and efficient, able to cope with any situation.  Gradually, however, the singular focus on patients begins to take its toll and is compounded by the fact that no matter how hard or fast they work, demand continues to outpace resources and capacity.  They begin to experience stress, fatigue and sleeplessness.  Despite these signs of not coping they push on – driven by their own expectations and the perceived expectations of others, including the “worshipping” community.  Burnout results when the gap between what they are putting in and their intrinsic satisfaction with their work widens to the point where they lose belief in the value of what they are doing – burnout occurs on the physical, emotional and spiritual levels.

Mindfulness as self-care for healthcare professionals

Self-care for healthcare professionals is a lifetime passion for Reena, partly generated by her own early professional experience but also reinforced by the healthcare workers who seek her help and support during these highly stressful times.  She is the founder of Mindful Medics – an 8 week course for healthcare professionals incorporating mindfulness, emotional intelligence, neuroscience and positive psychology. Participants in the course have experienced significant benefits for their mental and physical health as well as in their overall personal and professional lives.

Reena is also a highly recognised public speaker on the topic of her lived experience.  For example she presented at the Happiness and Its Causes Conference in 2018 on the topic, Personal Story: Healthcare Starts with Self-Care.   In her Summit presentation, Reena provided a gratitude meditation designed to focus on appreciation for what we have in the present to displace a focus on a disturbing past or anticipatory anxiety about the future.  There is so much that we can be grateful for and savour in our life – nature and our environment, the development of our children, our achievements and rewards and the space of being alone

Reena in an article, titled I am grateful…, recommends strongly that we develop a constant practice of expressing gratitude for the simple things that we have in our lives and highlights the neuroscience research that supports the benefits of gratitude for mental health and wellbeing.

Reflection

It is important to express compassion for others, especially healthcare professionals and those directly impacted by the Coronavirus.  However, we have to recognise the enormous stress healthcare workers are experiencing in these challenging times and be more aware of not adding to that burden by perpetuating the expectation that they, individually and collectively, can cope with any challenge at no cost to themselves.  We can also offer our support for people like Reena who are helping healthcare professionals to develop mindfulness as a means of self-care.  The Mindful Healthcare Speaker Series is one ongoing event that we can support.

As we grow in mindfulness by focusing on self-care through mindfulness practices and gratitude meditation, we can become more conscious of what we are thinking and feeling and be better able to appreciate the present moment and all it has to offer in terms of overall wellness and happiness.  Mindfulness enables us to identify our barriers and expectations, acknowledge when we need help, develop strategies to cope more effectively and progressively build our resilience.

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Image by Petya Georgieva 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.