Tag: choices

Mindfulness and Dealing with Pain

Diana Winston in her meditation podcast, Working with Pain, offers some suggestions on how meditation can be used to alleviate and/or manage pain better.  She highlights the fact that along with pain are the stories that we tell ourselves about the pain we are experiencing, e.g. “This pain will never go way.”, This is ruining my life.”, “I cannot cope with this pain.”  Diana suggests that the stories aggravate the suffering we experience with pain and only serve to amplify the pain through their negativity.

Pain and suffering are part of being human as we are reminded by the Buddhist tradition.  Diana quotes the often repeated saying, “Pain is inevitable, suffering is optional”, to remind us that we have choices in how we deal with pain.  So, we are left with the challenge of managing the pain that occurs at different points of our life, whether the pain of loss or physical pain in some part or all of our body.   Dealing with chronic pain through mindfulness has been the focus of a lot of the pioneering work of Jon Kabat-Zinn.

Meditation for working with pain

Diana provides a meditation exercise for working with pain in her podcast mentioned above.  The meditation practice involves several discrete steps and is about 20 minutes in length:

1. Grounding – feet on the ground, arms relaxed on your lap or beside you (h0wever is comfortable), eyes closed or looking downwards, a few deep breaths to relax your body.

2. Focus on your breathing – focus your attention on wherever you can feel your breathing in your body (nose, mouth, chest, stomach). Don’t try to control you breathing but just notice it, e.g. the undulations of your stomach.  Get in touch with your in-breath and out-breath and the space between.  You can rest in the space.

3. Body scan – explore your body with your attention, noting as you progress from your head to your toes any points of tightness, tingling or other sensation.  Just notice as your attention moves over your body and let go as you experience the sensation. (The art of noticing is integral to mindfulness practice.)

4. Refocus on your breathing – now return to mindful breathing (3 above).  Spend a reasonable amount of time resting in this focus – about 10 minutes say.

5. Focus on a relaxed part of your body – the aim is to locate in your body a part (e.g. arm, leg, chest) that feels secure, relaxed, at peace and pain-free.  Rest for a time in this relaxed part of your body to enable the sensation of peace and calm to spread through your body.

6. Focus on your pain – now focus on that part of your body where you are experiencing the ongoing pain.  Feel the sensation of the pain and describe the sensation to yourself.  Now focus on the stories you have developed around the pain and let them go – they are fabrications created by your fight/flight response.  If you can, bring your focus to a point outside the area of pain as a prelude to completing the next step.

7. Re-focus on the relaxed part of your body – experience the restfulness here.

8. Re-focus on your breathing – gradually bring your attention back to your breathing.  After a time of mindful breathing, resume your daily activity.

As we grow in mindfulness though meditation, we can learn ways to reduce pain or better manage pain so that we can function normally.  It is important to master our stories that aggravate our suffering from pain.

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

Image source: courtesy of dimitrisvetsikas1969 on Pixabay

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.

How Mindfulness Undermines Cravings and Addiction

Melli O’Brien recently interviewed Dr. Judson Brewer (known as Jud) who is Director of Research at the Center for Mindfulness at the University of Massachusetts and author of The Craving Mind.  Jud is an acknowledged international expert in training people in mindfulness to overcome addiction.

In the interview Jud explained the basic cause of addiction and shared neuroscience research that explained the impact of addiction on the brain and the counter-impact of mindfulness.

How addiction develops

The concept of “operant conditioning” developed by B.F. Skinner provides a fundamental explanation of how addiction develops.  Basically, certain behaviours lead to what we perceive as rewards.  So, if we continue to engage in those behaviours and receive the associated rewards, we positively reinforce the behaviours so that we are more inclined to repeat them – thus leading to cravings and addiction.

The craving and resultant addiction can be related to anything, e.g. food, sex, shopping, spending money, drinking alcohol, gambling or consuming drugs.  We unconsciously link the rewarded behaviour with something that is unpleasant – e.g. if we are stressed we may over-eat or drink alcohol excessively.  What we are attempting to do is to substitute something pleasurable for something that we find unpleasant, e.g. we eat dark chocolate (pleasure) to overcome the unpleasantness of stress.  So, stress acts as the trigger for our craving and addiction.

We consolidate our belief in the utility of dark chocolate to help us deal with stress by reminding ourselves of the latest research that shows the positive benefits of dark chocolate – thus we not only receive a physical reinforcement (pleasant taste) but also an emotional reinforcement (positive feelings for “eating what is good for me”).  Of course, we overlook the fact that the research on dark chocolate stresses the moderation required in eating the chocolate so that the positive benefits are not outweighed by negative impacts such as the amount of saturated facts consumed.

Mindfulness undermines addiction through a process of substitution

Jud pointed out in the interview that addiction activates a part of the brain that is called “the posterior cingulate cortex”; whereas, when we engage in mindfulness practice, the opposite happens – that region of the brain becomes deactivated.   Through mindfulness, then, we are substituting excitation of the brain (generated through craving and addiction) with restfulness.

Mindfulness for overcoming addiction works on two basic levels – firstly, as we look inward, we increase our awareness of the body sensations associated with our craving; and secondly, we sever the link between our addictive behaviour and the rewards we ascribe to that behaviour.  We effectively undermine the reinforcing link between the behaviour and the reward.

Substitution occurs on three levels:

  1. pleasant feelings associated with our addictive behaviour are replaced by the pleasure experienced when we are curious about, and investigate, the bodily sensations generated by our cravings and addiction (we are substituting one form of pleasure for another);
  2. seeking to have, or do more, is replaced by the act of noticing what is going on for us (we replace uncontrolled seeking with patient noticing of the bodily sensations experienced in craving something);
  3. temporary happiness derived from satisfying our craving is replaced by the realisation of more sustainable peace and joy.

In the final analysis, mindfulness breaks what Jud calls the “habit loop” of addiction with a new and rewarding “habit loop” – habituated behaviour whose rewards grow exponentially.  Jud reiterates that developing new habits, such as mindfulness, requires “dedicated practice every day”, which is one way to overcome the barriers to changing our behaviour.  Sustaining mindfulness practice, then, is critical to undermining cravings and addictions.

As we grow in mindfulness, we gain a better understanding of our craving and addiction and learn ways to use mindfulness to undermine the hold that cravings have on our thoughts and emotions.  We can learn to make more conscious choices in the process.

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

Image source: courtesy of  whekevi on Pixabay

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.

Looking For Inspiration

Inspiration is everywhere if we just look out for it.  However, as mentioned in the previous post, we tend to become focused on negative news, rather than positive stories.  Inspiration leads to health and well-being, while negative-oriented news creates distraction and emotional disturbance – especially where events are sensationalised to create the maximum emotional impact.

One of the very helpful sources of inspirational stories is TED Talks – an endless source of video presentations on every conceivable topic by numerous people from different corners of the world who have achieved much to improve the human condition.

One such talk was given by Dr. Lucy Kalanithi – What Makes Life Worth Living in the Face of Death?  In this outstanding presentation, Lucy discusses how she and her husband Paul, a neuroscientist, coped with the knowledge that at the age of 37 he was dying from Stage IV lung cancer.

In her optimistic -and sometimes humourous – talk, Lucy makes some key points:

  • the critical importance to keep talking to each other, with no topic off limits
  • realising that the person who is dying must work to reshape their identity
  • making conscious choices together about ongoing health care
  • learning to accept the pain of your dying partner
  • finding beauty and purpose amidst the sadness
  • learning that resilience, in this situation, means bouncing back to real living without denying the reality of impending death.

The video of the presentation by Dr. Lucy Kalanithi is given below:

Besides building bonfires on the beach and watching the sunset with her friends, Lucy found that “exercise and mindfulness meditation helped a lot” after Paul’s death.

Both Paul and Lucy were noted for their compassion towards others. As they were able to grow in mindfulness through this compassion and their intense living-in-the moment, they were better able to cope with the reality of Paul’s terminal illness.

 

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

Image source: Courtesy of martythelewis on Pixabay