Tag: cancer

Understanding Death and the Process of Dying

Rheanna Hoffmann recently interviewed Frank Ostaseski on healing grief through compassion and love.  Frank founded the Metta Institute whose mission is to provide innovative educational approaches to developing skills in “mindful and compassionate end-of-life care”.  Rheanna herself is the founder of The Whole Practitioner, dedicated to helping nurses move beyond frustration and burnout to “rediscover, health, balance and their core values”.

Frank and many other writers on the process of dying maintain that it is not just a medical event but is much broader and more holistic than this form of the mechanical model.  Increasingly, research is confirming too that consciousness is more than our physical brains.  Frank argues that the unwillingness in our culture to talk about death and the dying process is preventing us from learning the lessons that the dying can teach us and our children.  He contends that if we learn about the dying process and face the reality of our inevitable death, we can better appreciate the “preciousness of life” and live our lives more fully and in alignment with our values and purpose.

The process of dying

Frank describes dying as a process of “stripping away”.  It’s as if everything that is associated with our “ego” – our sense of self – is peeled away.  Undoubtedly, our mental and physical capacities decline, and this begins with the aging process.  But the stripping away is much more than that – it is losing attachment to everything including our spouse or partner, our home, our roles, our possessions, and the animals in our life.  Frank also talks about dying as a “sacred process of transformation” through which we see things in a new light, have a deeper understanding of the meaning of life and the value and true purpose of our own life – in other words “an awakening”, no longer limited by our concept of a “small separate self”.

Peter Fenwick, when talking about What Really Happens When We Die, suggests that the more we hold on to our ego needs and refuse to let go, the more difficult is the dying process.  Living our life in a selfless way – not totally self-centred — makes the process of dying easier because we are not absorbed in holding on to our attachments.  Being “other-centred” in the pre-transition phase of our life makes dying easier and enables the final transformation that Peter describes as entering a “spiritual domain” where you lose your identity as a separate self and become identified with the total cosmos – the universal whole.

Peter discusses the change in our level of consciousness in the light of research into Near Death Experience (NDE).  He maintains that consciousness research focused around NDE experiences confirm a “widening of consciousness” that manifests in:

  • Losing the self-narrative – the self-talk that we employ to boost or deflate our egos
  • Being just in the moment – not absorbed in the past or anxious about the future
  • Experiencing “unbelievable” happiness
  • Tending to be transcendent – losing a sense of duality (our self and others) and becoming merged with the cosmos.

Peter has co-authored The Art of Dying with Elizabeth Fenwick which provides personal accounts from those who have been dying and people (healthcare professionals, carers and family) who have been with them and supported them in the process of dying.   The accounts discussed, as well as other research into NDE experiences, confirm that consciousness is much more than our physical brains.  Monica Renz, author of Dying: A Transition, provides a process-oriented approach to end-of-life patient care that incorporates confirming the dignity of the patient, understanding the transition process of dying and being able to sensitively engage in the symbolic journey described by dying patients.  Her observations and detailed accounts are based on attending 1,000 cancer patients during the process of dying.  Monica describes the dying process as both an archetypal and a spiritual process and contends that, in the process of transition, patients move through fear into a “space of peace, acceptance, dignity and tranquillity characterised by connectedness and even luminosity”.

Reflection

Our cultural blinkers blind us to the reality of the dying process and the nature of our own inevitable death.  As we become more aware of the dying process through our own research and study, we can learn to appreciate how precarious our life is and how precious is the process of both living and dying.  As we grow in mindfulness through meditating on death and reflecting on its implications for how we live our life, we can progressively come into more alignment with our life force, our values and our life purpose.

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Image by Hans Braxmeier 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.

Mindfulness and Personal Transitions During Organisational Change

Change in our personal lives and in an organisational setting can generate anxiety, fear, insecurity and anger.  This discomfort can be expressed as resistance to change and lead to a wide range of unproductive behaviours that can be harmful to us as individuals as well as for the organisations we work in.  William and Susan Bridges identified three broad stages of personal transition in the context of organisational change.  In their 2017 book, Managing Transitions: Making the Most of Change, they explained that each of us go through these stages at different rates for different changes depending on the our perception of the impact of the changes.  The three stages they identified are (1) endings – where the focus is on loss, (2) neutral zone – involves a “wait and see” orientation and (3) new beginnings – putting commitment and energy behind the change.  Their book provides a range of managerial strategies that can be employed by organisations to help people transition from endings to new beginnings. They emphasize that without these strategies individuals and organisations can become stuck in either the endings stage or the neutral zone, resulting in illness and organisational decline.

Mindfulness and personal transitions during organisational change

Wendy Quan, a certified organisational change agent and creator of The Calm Monkey (Mindfulness Meditation in the Workplace), had a personal experience that gave her a deep insight into how people deal with a confronting and challenging change.  She was diagnosed with cancer after many years in multiple organisational change roles. This personal challenge led her to seek out mindfulness practices, and meditation in particular, to help her deal with this devastating illness.  Through her meditation practice she came to accept her illness and all that it entailed, and realised that she had a choice – she could view herself as a victim or take a proactive approach that would enable her to lead the best life possible, given her health setback.

This led to a further insight in that she realised that she could employ her understanding of organisational change and mindfulness to help others in an organisational setting.  She was able to draw on the research of William and Susan Bridges and developed a refined model of personal transitions.  She focused on the psychological change processes involved and identified five transition points in an individual’s psychological journey during organisational change:

  • Awareness: becoming aware of your thoughts, emotions, reactions and behaviour when facing the change
  • Understanding: gaining insight into the “why” of your holistic response – body and mind (recognising that this is a normal reaction to a confronting and challenging change)
  • Acceptance: accepting “what is”, not denying your current reality (e.g. a changed role, loss of a job or status)
  • Commitment: moving beyond acceptance to committing to adopt a positive, proactive response to improve your personal experience of the change, “taking things into your own hands” – self-management instead of reactivity
  • Advocacy: promoting the change and its positive elements if your energy level and role enable this.

Research into mindfulness and personal transitions during organisational change

Wendy was able to apply her insights in her work situation to help her colleagues through difficult change processes.  She moved beyond working with a small group to establishing a weekly mindfulness meditation “drop-in” where participants could share their experiences of change, both personal and organisational, and identify what they were trying to cope with and how they were going about it.  After a few years, she had 185 people on this drop-in program (highlighting the psychological challenge of organisational change) and this enabled her to undertake formal research of the impact of her approach of combining mindfulness with change management insights.

Her research was published in a study titled Dealing with Change Meditation Study which can be downloaded here.   Wendy indicated that her approach revolved around two key points of intervention, (1) raising awareness of the personal, holistic impact of a change process and (2) focusing on the future to develop a more constructive response so that the individual undergoing organisational change can have a better experience of the change and make decisions about their future.  Participants in the study were asked to focus on a challenging change and listen three times over a two-week period to a 15-minute, guided meditation focused on positively dealing with the change.

Resources for personal transitions during organisational change

Wendy, building on her own experience of combining mindfulness and organisational change insights, has developed several resources that people can use to assist their personal change processes or to facilitate the transition for others undergoing organisational change:

Wendy also provides a series of free and paid meditation podcasts on her website.

Reflection

I have been engaged in organisational change consultancy for over 40 years, and more recently undertaken extensive research and writing about mindfulness, as well as developing my own mindfulness practices, including meditation.  However, identifying a practical approach to combining the two related skill sets has alluded me to date.  Wendy, through her experience of a personal health crisis, has been able to introduce a very effective, evidence-based approach to using mindfulness to help people transition through organisational change processes.  She has been able to demonstrate that as we grow in mindfulness we can become more aware of our personal response to an organisational change, develop an increased understanding of the nature of that response, increase our acceptance of our changing reality and gradually build a commitment to shaping our future in a positive and constructive way.  Her work resonates with the insights and approach of Acceptance and Commitment Therapy, as well as that of Susan David who focuses on using mindfulness to develop “emotional agility”.

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Image by Geralt 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.

Mindfulness and the Mind-Body Connection

Dr. Cheryl Rezek, Consultant Clinical Psychologist, in her video presentation, What is mindfulness, stresses the connection between mind and body.  She highlights the fact that stress is not only experienced in the mind through perception of threat but also in the body in the form of stomach aches, headaches, pain in the shoulder or other parts of the body and many forms of physical illnesses.  Cheryl draws on neuroscience research to demonstrate the positive impact of mindfulness on the body and the brain.

What is mindfulness?

Cheryl discusses mindfulness in terms of “focus with intention” – designed to become more aware of what is happening inside of us as well as around us. She stresses the role of context in shaping who and what we are.  In her own practice and research, she seeks to integrate insights from biology, sociology and psychology – a holistic perspective on the forces shaping our makeup and the way we experience the world.  For example, like Johann Hari, she sees negative childhood experiences as contributing to the likelihood of experiencing depression in adulthood.  Our social environment – whether family, work or community, in isolation or conjointly – shape our perceptions.  Cheryl’s holistic approach is reflected in her training in the interrelated disciplines of clinical psychology, psychotherapy, play therapy, family therapy and mindfulness.

She reminds us that children are naturally mindful as they negotiate their world – they are curious and open, asking questions, exploring nature and wondering about their own bodily sensations.  I recall recently playing tennis with my grandson in a clearing in a wooded area while my granddaughter sat on the grass and explored everything in her immediate environment- the grass, wildflowers, leaves and anything that wriggled or moved.  Her attention was totally focused for an hour on whatever she could see, touch or smell.

Applications of mindfulness

In her presentation, Cheryl discusses the numerous applications of mindfulness – from dealing with chronic pain to managing mental illness.  Her own writings reflect this diversity of mindfulness applications.  For instance, she talks about how mindfulness can help people manage contracting cancer and undergoing treatment – her ideas are explained in her book, Managing Cancer Symptoms: the Mindful Way.  She also discusses the application of mindfulness to dealing with Anxiety and Depression.

Cheryl stresses the importance of seeing mindfulness in its broadest context – not confined to the act of meditation but extending to being mindful in our everyday activities such as walking, listening, eating, attending meetings, waiting and washing the dishes.  She offers an app, iMindfulness on the go, to encourage people to be mindful when in transit or engaging in any of their daily activities.

As we grow in mindfulness, we become aware of the opportunities to be mindful in our everyday activities.  Practice of simple mindfulness activities builds our inner and outer awareness and helps us to better navigate the stresses of life.

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Image – Painting by a Chinese-born artist who experiences the mental health condition of Schizophrenia

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.

Post-Holiday Blues

If you have recently returned from a holiday away, the normal reaction is to focus on the loss resulting from your return home.  You might miss the break away from work and home responsibilities, the free time, the opportunity to see new things, meet new people and have time to yourself.

People often feel sad at the end of a holiday, wishing they had made better use of their break, visited some particular attraction or brought a particular item of clothing that they really liked.

So we can experience depression by focusing on our recent past holiday which invariably “seemed to go all too quickly”.

You might also not be looking forward to the responsibilities of work, the time pressures, the repetition that is present in any job, the pressure to produce, unfinished business from the time before you went away and the inevitable conflict with one or more colleagues, staff or clients/ customers.

This focus, in turn, can make us anxious as we look to the future and all the demands we expect to be placed on us.

Alternatively, we can avoid depression and anxiety by focusing on the present moment, appreciating what we do have – health, home, family, work and friends.

We could express gratitude for the time we did have away, all the individual activities that brought joy and happiness, the highlights that we really value and the. companionship we enjoyed.

We could focus on the precious moments when we were able to stop and be mindful in the presence of nature’s stunning variety and beauty, the ingenuity of men and women, the artistry of sculptors and artists of long ago or the magnificence of architecture we observed.

We might also express empathy and compassion for those who had real loss and grief during the holiday period – the loss of family members through accidents or illness or suicide, the break-up of an intimate relationship or a fracture of the relationship with a son or daughter or other family member.

Appreciating what we do have, being grateful for what we were able to experience on our holiday and/or thinking empathetically about others and their loss, can take us outside of our self-focus and enable us to experience the richness of the present moment in our lives.

As we grow in mindfulness, we are better able to savour the present moment and avoid depression resulting from a focus on the past or anxiety arising from a focus on the future.

We can learn a lot from Holly Butcher who died on 4 January 2018, at the age of 27, from a rare form of cancer and had written a powerful letter just before her death which her family published on her Facebook page the day she died.  Some of her comments are especially relevant for the topic of this blog post:

Those times you are whinging about ridiculous things (something I have noticed so much these past few months), just think about someone who is really facing a problem. Be grateful for your minor issue and get over it. It’s okay to acknowledge that something is annoying but try not to carry on about it and negatively effect other people’s days…

I hear people complaining about how terrible work is or about how hard it is to exercise – Be grateful you are physically able to. Work and exercise may seem like such trivial things … until your body doesn’t allow you to do either of them.

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

 

Dying for Tomorrow or Living Today?

In February 2016, news.com.au reported on the story of Jake Bailey who got out of his hospital bed to deliver his Captain’s address at the 2015 Christchurch Boys’ High School Prize Giving ceremony.  Jake, in his final year, had been diagnosed with cancer and was on his fourth chemotherapy treatment when he left his hospital bed to give the speech.

Despite his illness, Jake passed the year 12 exams and expressed gratitude for the support he received from near and far.  His speech is very moving and, at times, confronting.  He makes the point that when you are confronted with death you are forced to reflect on who you are and what you are doing with your life.  In his own words, Jake reminds us that we so often overlook the present because we are so focused on tomorrow:

I was dying for the weekends, I was dying for the school holidays.  Before I knew it, I was dying.

Jake reminds us to be grateful for what we have and to live the present fully:

Here’s the thing – none of us get out of life alive. So be gallant, be great, be gracious, and be grateful for the opportunities that you have.

The full speech is available on YouTube and the video of his speech has been viewed by more than 1.7 million people at the time of writing this post.

Jake’s speech causes you to ask the question:

Are you dying for tomorrow or living today?

Image Source: Courtesy of Pixabay.com