Managing Chronic Illness

The November Creative Meetup was facilitated by Jennifer Crystal, author of One Tick Stopped the Clock.   Jennifer is a “story coach” with the Health Story Collaborative which hosts the online Meetups.   She also conducts the Writing to Heal Immersive at the Grubb Street Center for Creative Writing.   Jennifer has a long history in writing about her experience with Lyme Disease and sharing her knowledge with others who have contracted the disease and other tick-born illnesses.  Since 2013, she has been the writer of a weekly column for the Global Lyme Alliance and her enlightening and inspiring blog posts can be found on the Alliance website.

Jennifer’s medical journey

Jennifer was bitten by a tick on a camp when she was 19 years old but had to experience many frustrating years of misdiagnosis.  At 25 years of age, she was finally diagnosed with Lyme Disease which led to the Epstein-Barr virus (EBV) infection that causes Mononucleosis.   Jennifer was bed-ridden and experienced multiple symptoms that doctors had not been able to explain.  In her period of misdiagnosis, she was variously told “to rest”, “eat things close to the ground” (e.g. chicken and turkey),  and “talk about your feelings” (assuming that the illness was psychosomatic, not real). Grace Currey from Australia (bitten by a tick in the US) provides a vivid description of what it was like to have Lyme disease that was not recognised by medical professionals in her home country.

Jennifer Crystal had a five-year journey to wellness and remission of the Lyme disease.  However, she then had to experience a “searing relapse” and eventually found a new balance and developed her teaching-coaching career.  Earlier, she was unable to commit to relief teaching because of her inability to guarantee that she could manage physically or emotionally.  She is now a leading proponent of the multiple benefits of sharing your health story and teaches people how to write-to-heal.

Stimulus questions during the Creative Meetup

Typically the Creative Meetups begin with a writing stimulus of some kind such as a poem, article or book extract.  Jennifer introduced herself to the group and read a few brief sections from her book which served as a basis for creative writing by group members and story sharing in the group.  Jennifer’s stimulus questions flowed naturally from her book extracts:

  1. Write about a time when you felt brushed off and what you wished that person could have seen on the inside, or
  2. Pick a single object related to your story and write about it in a poem or prose – see where it takes you!

These were both challenging and fruitful questions that led to some insightful, creative writing by the group and follow-on sharing and discussion.  The level of creativity, resilience and insight in the group always amazes me.  The Creative Meetup process illustrates the healing power of storytelling and demonstrates the benefits of this approach to “narrative medicine”.

Jennifer’s healing strategies

Besides the medical solution of months of antibiotics, Jennifer identified the need to change her mindset about her chronic illness.  She adopted a number of strategies to achieve this:

  • Integrating chronic illness into her life – she established a “new normal” which addressed the question, “How to live well in the context of a chronic illness?”.  This very much involved self-acceptance and avoiding denial.  It also meant acknowledging that there was “no going back”.
  • Shedding an identity made impossible by the chronic illness – Jennifer’s dream was to become a skiing instructor – a role very much tied up with her self-image and personal goals.  This identity was no longer possible given her disabilities precipitated by her chronic illness.  She had to shed her ”skier instructor identity” and find a new sense of self.  She asked herself the question, “if I can’t [follow this dream], who am I?”.  This required her to value herself for who she was, not who she might be or could become.  She recognised that she was still a caring person, who had friends that she connected with, and was still a writer.
  • Pacing herself – slowing down and recognising that she needed frequent sleep and suffered from brain fog and other debilitating symptoms.  It meant napping each day, taking on freelance writing, listening to her body and sharing the load by moving in with her parents.  It also meant building stamina gradually, not trying to achieve her previous “workaholic” status.  It required her to accept that things would take much longer than previously to complete and that healing from chronic illness is not a  linear process, but an undulating journey of indeterminate length.
  • Learning to say “no” – part of self-care during chronic illness is to being able to say “no”.  Jennifer reiterated the view that “No is a complete sentence”.  Saying “no” enables us to set personal boundaries.  Jennifer encouraged us not to fall into the “explanation trap”, which itself consumes energy and can lead to exhaustion and frustration.  We don’t have to explain everything or give a reason for our “no”.  She suggested that we could use her phrase, “No, that would not be healthy for me now”.
  • Writing – the process of writing enables our inner landscape to become outer, to express the feelings that are hidden inside us.  Writing can change our mindset and create freedom.  Initially, Jennifer could not write about her illness and all that it entailed, so she concentrated on writing to her friends and family.  Eventually, she was able to address the issues of her chronic illness, including the challenge of “not being seen” or understood.  She found that writing enabled her to be more honest and vulnerable. It helped other people to see the effects of chronic illness and to become more compassionate in their interactions with others.
  • Joining a community – the Health Story Collaborative (HSC), for example, provides a community where people are encouraged to share their health stories either verbally or in writing.  Their Creative Meetups are one form of regular online interaction in a community that provides social support and encouragement.  Jennifer found that undertaking a course in creative writing enabled her to share her chronic illness with her classmates who did not judge her, were in a learning mode too and were exploring making the “inner world” visible.  She also noticed that people were better able to assimilate information about an individual’s chronic illness when it was shared in written form.

Reflection

In the discussion that followed the creative writing of participants, one major issue emerged.  This involved people not understanding the hurt that their well-intentioned words can cause to someone who is suffering from chronic illness.  Comments such as “You look good” or “You don’t look ill to me” can be particularly hurtful when someone with a chronic illness has gone to the trouble (despite the difficulty involved) to “dress up” or put on a “façade” when they are going out in public (leaving their bed and track pants behind)! 

The well-intentioned comments can be experienced as “devaluing” the experience of a person with a chronic illness.  It can also trigger memories of mistreatment by the medical practitioners who were unable to relate the presenting symptoms to their “medical cookbook”.   Annie Brewster (founder of HSC) contends that many patients with chronic illness experience “frustration, invalidation and exhaustion” when their ongoing symptoms don’t fit neatly into the “diagnostic algorithms” of medical practitioners.

As we grow in mindfulness through reflection and sharing our stories, we can increase our sensitivity to the situation and needs of others and experience what Jennifer describes as developing “greater compassion for others”.

During the creative writing segment of our Meetup with Jennifer I wrote the following poem to reflect some of the earlier sharing and my own experience of dealing with medical professionals who consider the existence of MCAS (Mast Cell Activation Syndrome – my chronic illness) as controversial as the concept of Lyme disease:

Validation and Accommodation

There’s no place for me in cookbook medicine –
so I don’t have an illness,
it’s all in my head.

Until something happens that is considered serious –
then perspectives change.

I appreciate my body –
the millions of daily decisions,
the miracle of breath,
the ability to write, walk, run and play tennis.

Now my body seems to be letting me down –
treating good food as invaders,
hypervigilant, ever on the alert.

My new bodily reality –
reflecting the dark and light of nature,
creating a challenge to accommodate the “new normal”,
with its remissions and relapses,
enabling and disabling in unpredictable ways.

___________________________________________

Image by Márta Valentínyi 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.

Living at the Edge: Empathy

Joan Halifax author, Buddhist teacher, anthropologist and Zen priest has written a profound book on what she calls the “Edge States” – “five internal and interpersonal states” that she maintains are the foundation of compassionate action and living a courageous life.  They are described by her as “Edge States” because they can lead to positive living and constructive social contribution or become harmful and cause damage to others.  Joan describes the Edge States in her book, Standing at the Edge: Finding Freedom Where Fear and Courage Meet.  Her book covers each of the five edge states in detail  – altruism, respect, integrity, engagement and empathy.  In this blog post, I will address Joan’s views on empathy as an Edge State.

Empathy vs Compassion

Joan contends that empathy is not compassion.  In her words, empathy is “feeling into” another – experiencing their pain and suffering.  Compassion, on the other hand, is not only “feeling for” another but aspiring to take some form of action that will be of benefit to the person you are feeling for – this can be any form of compassionate action.   Empathy underpins compassion and is a necessary internal state if we are to avoid becoming totally self-absorbed, small-minded or even narcissistic.

Three forms of empathy – somatic, emotional and cognitive

Joan describes three forms of empathy and illustrates them from her own life experience.  The first of these is somatic empathy – where resonance with another’s suffering or pain is felt in some form of bodily manifestation.  It can take the form of a strong physical sensation such as feeling punched in the stomach, feeling faint or being unsteady.  Joan mentions that  somatic empathy can occur on a regular basis between people who are close or in frequent contact.  She mentions, for example, the uncanny ability of her mountain guide/minder in the Himalayas who became so “physically attuned” to her that he could sense if she was about to fall over and catch her to prevent it happening.  Joan indicated that some people are hypersensitive to the somatic experience of others and she mentioned Dr. Joel Salinas who has what is called “mirror-touch synesthesia” – an extreme form of somatic identification that he has to consciously manage for his own preservation and the benefit of his patients.

Emotional empathy, the second form of empathy described by Joan, involves sharing the emotions being experienced by another person – becoming “inhabited by another’s feelings”.   When emotional empathy is at a healthy level, it can help us to be more caring, more conscious of connectedness to others  and more willing to take compassionate action.  However, if we become too closely identified with the emotions of others we can tip over the edge into personal distress, burnout and “blunting” (a state where we no longer “feel for” others as a way to protect ourselves).

The third form of empathy described by Joan is cognitive empathy.  This is explained in terms of “perspective taking” – in other words inhabiting the mindset or mind view of another, often described as “standing in another’s shoes”.  Again this form of empathy can be enabling for ourselves as well as others or lead to our being captured by another’s way of seeing the world (as in cults or the experience of the German people at the time of Hitler).  People’s propensity to adopt another’s world view can be used as a form of manipulation.  However, when employed positively it involves attunement to another leading to a form of resonance.  Joan illustrates this in describing an experience of being confronted by an angry Algerian soldier at the Algeria-Mali border when she was on an archaeological trip by herself.  Her ability to take on his perspective, instead of “othering” him and viewing herself as a victim, enabled her to gain safe passage.  Joan also recounts the story of Lieutenant Colonel Hughes and his instructions to his troops in Iraq near the holy Imam Ali Mosque to “take a knee” (and point their rifles to the ground) as a form of successful perspective taking that saved many lives when the troops were confronted by an angry crowd (who misunderstood the American’s intentions).

Over the edge – empathic distress

Empathic distress occurs when we become too identified  – somatically, emotionally and/or cognitively – with another person’s suffering or pain.  We lose the capacity to separate ourselves from the other person’s experience and in the process become disoriented and unbalanced.  Joan describes a number of situations where she was on the edge of empathic distress but was able to recognise her response for what it was and pull back from the edge. 

In one situation, involving a young girl with severe burns who had been carried by her father to the Upaya Nomads Medical Clinic in Nepal, Joan found that her own heart rate was racing and dropping, her breath was “shallow and rapid” and her skin became “cold and clammy”.  She was momentarily overwhelmed with her perception of the little girl’s suffering and pain.  Joan indicated that at the time her “hyper-attunement ” with the child was causing her to spiral out of control and into deep distress physically (almost fainting) and emotionally.  Fortunately, through her social engagement activities (including being with the dying), she was able to draw on a process to help her restore her balance and control.

Moving away from the empathic edge – overcoming empathic distress

 Joan was able to draw on a process she had developed to help people move from empathy to compassion, to move away from the edge represented by empathic distress.  Her process involves the mnemonic, GRACE.  This stands for:

  • G – gathering our attention by refocusing on our breath or our feet on the ground (restoring our groundedness)
  • R – recalling (bringing to mind again) our intention for being with the other person in their situation
  • A – attuning to ourself and the other – being fully aware of our own bodily sensations and what the other person is demonstrating (in the case of the little girl, this was resilience). 
  • C – considering how we can serve in the situation without taking control over others or pursuing our own needs
  • E – engagement and disengagement –adopting an appropriate means of engagement (e.g. engaging in a loving-kindness meditation focused on the other’s wellbeing) and being able to end the interaction when desirable to do so.

Joan makes the point that if we learn to identify empathic distress, we will be better able to manage our responses and restore our balance instead of experiencing burnout, with its physical, emotional and moral degradation.  She likens empathic distress to vicarious suffering and highlights the fact that people in the helping professions and caregivers are prone to experiencing this depleted state.

Developing empathy

Joan describes four practices that support the development of empathy – attuning to our bodily sensations, (e.g., body scan), deep listening, stewarding empathy and “rehumanization”.  Her description of deep listening is especially insightful and demonstrates her willingness to be with another person fully.  She maintains that “really hearing another person requires us to listen with body, heart and mind” while being aware of how our personal experiences and recollections can act as filters, thus distorting the message of the other person.  By stewarding empathy, Joan means that we have to be able to cope with the dilemma of our life – that we are both connected to everyone and, at the same time, separate – we cannot become totally identified with the other or we lose ourselves in the process.  This requires practice and the GRACE approach is one way to develop this capacity.  Lastly, rehumanization according to the work of John Paul Lederach, involves adopting a moral stance “to see the other as a person first, to see ourselves in others, and to recognise our common humanity”.

Reflection

I have experienced empathic distress on a number of occasions.  In one particular instance, I was driving across the Story Bridge in Brisbane when I heard a woman on the radio talking about her suffering and grief.  I can’t recall the detail of the story but I became more and more strongly identified with her emotions.  I can clearly recall my somatic empathy in the form of a sense of dizziness and disorientation while driving.  Fortunately, I intuitively knew to turn off the radio and refocus my attention on the act of driving the car and paying attention to the road and traffic.

On other occasions, I have experienced hyper-attunement to someone who is suffering extreme stress from working for a narcissistic manager.  Because I have been involved in directly helping a manager and their unit in such a situation, I have great difficulty stopping myself from taking on another’s distress and suffering when they are in a similar situation.

Joan’s GRACE model will be particularly helpful for me in the future.  As I grow in mindfulness through mindfulness meditation, reflection and mantra meditations, I can increase my self-awareness of when I am experiencing empathic distress and have the insight and courage to adopt the GRACE model so that I do not fall over the empathic edge.

________________________________

Image by Mirosław i Joanna Bucholc 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 and the resources to support the blog.

Tina Turner’s Approach to Mindfulness

Allyson Pimentel, psychologist and meditation practitioner/teacher,  fittingly provides a meditation podcast titled, The Mindfulness Teachings of Tina Turner.   Allyson describes mindfulness as “a way of attending to your life as it unfolds” while bringing to this awareness an attitude of “openness, friendliness, and kindness” without judgment.  Associated with this, is a willingness “to be with things as they are”.

She maintains that the goal in practising meditation is not to master the art of meditation itself but to lead better lives day-to-day though our groundedness, compassion and wisdom.  We do this so that we can become “a force for good” in our family, in our work, in our community and in our daily interactions.  Allyson maintains that Tina Turner, who died at the age of 83 in May 2023, exemplified this broader goal and drew on mindfulness practices to be a positive influence in people’s lives.  Allyson viewed Tina as a personal hero who, in her view, embodied kindness, love, wisdom, resilience and creative talent.

Tina’s approach to personal transformation

In her book, Happiness Becomes You: A Guide to Changing Your Life for Good, Tina explains her Buddhist approach and how she turned her life around after multiple “lifequakes” that threatened to derail her singing career and harm her mental wellbeing.  She explains in-depth that chanting enabled her to overcome adversity, develop resilience and realise happiness in her life.  Her ability to commune with nature from an early age enabled her to find her true home within, despite the turbulence and torment of her outer world.  Besides the vibrational energy and groundedness of chanting, Tina drew on the teachings of Nichiren Buddhism to transform and reframe her life.

Tina explains that this Buddhist approach, that places emphasis on engagement and social activism helped her to move beyond her comfort zone, to appreciate the connectedness of everything, to value diversity in nature and cultures and participate actively in the Beyond Music Project designed to use music as a way to respect and celebrate cultural diversity.

Tina saw experiencing adversity as a way to shape ourselves and build our resilience – in her words, adversity is not a bad thing in itself, it is how we use it that really matters.  She contended that adversity could build character, self-awareness, insight and a stronger sense of connection.  This perception aligns with the tenets of mindfulness that reinforce the view that while we have little in our life that we can control, we can control our response to what happens to us as well as around us.  Mitra Manesh in her podcast on responsibility contends that mindfulness builds our ability to respond to adversity and setbacks – she describes this outcome of mindfulness practice as developing our “response-ability”.

Tina explained in her book that all of life shapes us – the good, the bad and the ugly.  We become our transformed selves through the richness and diversity of our life experiences and by developing a constructive, creative and energetic response to whatever occurs.  She maintained in her eighties that she had no regrets – she had lived her life to the full, positively impacted numerous people all over the world and experienced deep happiness.

Reflection

Tina demonstrated in her life, music and her writing that as we grow in mindfulness we can overcome adversity, develop resilience, enrich our creativity and build the courage and sense of connectedness to take compassionate action.  Her life and music provide an invaluable legacy and a “ripple effect” that has the power to inspire others  to work to create a better world.

In her guided meditation podcast, Allyson draws on Tina’s core teachings to help us explore our connection with nature, the influence of our ancestors, our own legacy, and our present moment awareness.

________________________________

Image by Kanenori 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.

Accessing the Present Moment through Mindfulness Meditation

Diana Winston, Director Mindfulness Education at MARC, offers a guided meditation podcast on the theme, “Back to Basics”.  She reminds us that mindfulness is very much about the capacity to pay attention in the present moment and to do so with curiosity, openness and a willingness to be with what is, including our habituated distraction behaviours.  Without mindfulness meditation we tend to spend out time thinking about the past (replaying undesirable events/outcomes) or the future (worrying about possible negative events which rarely happen). 

Mindfulness meditation enables us to build our concentration by staying fully focused on the present. The beauty of the present moment is that it is always accessible to us if only we focus our attention.  However, our busy human brains are forever active – engaged in planning, categorising, criticising,  exploring, and many other mental activities that manifest our intelligence.  Diana notes that everyone gets distracted during mindfulness meditation but the power of the process lies in the ability to return to our anchor to restore present moment awareness and build our awareness muscle.

Diana suggests that if we become distracted by thoughts we can name what we are doing, for example, “planning” or “critiquing” and return to our anchor.  She reminds us of the research that demonstrates the benefits of mindfulness, including building relational resilience and relieving painNeuroscience research shows us how mindfulness can increase our capacity to manage stress, enhance positivity and happiness and even alter the physical shape of our brains.  Dr. Dilip Jeste, Professor of Psychiatry and Neuroscience, provides research to highlight the role of mindfulness in developing wisdom and compassion.  Daniel Goleman and Richard Davidson in their book, Altered Traits: Science Reveals How Meditation Changes Your Mind, Brain, and Body,  explain that mindfulness research provides very strong evidence that meditation builds self-awareness, self-management and social awareness.   

Diana maintains from her research and extensive training of others in mindfulness practice, that “people who practise mindfulness report more gratitude, more appreciation and more connection with themselves and other people”.  Sometimes, a particular location can provide us with the right environment to develop mindfulness.  It may provide solitude and silence or reinforce our connection to country and community as Brooke Blurton frequently describes in her memoir, Big Love: Reclaiming myself, my people, my country.  Nature has a way of developing mindfulness because it stimulates wonder and awe and all our senses – sight, hearing, smell, touch and taste.

The guided meditation

In the guided meditation, Diana encouraged us to adopt a comfortable posture to enable us to sustain our focus throughout the 20 minute meditation.  She suggested we choose an anchor to enable us to restore our attention whenever we notice that we were distracted.  The anchors suggested were our breath, external sounds or bodily sensations.  I chose to focus on my joined fingers that were resting on my lap.  I find that I can very quickly sense the tinkling, vibration and warmth in my fingertips once I have them joined.  As I focused on the associated bodily sensations, I became aware of pain in my fingers and wrists which then became my focus.

Diana suggests that when you are starting out using meditation, it is best to maintain a focus on your anchor and not be diverted by strong emotions.  There are, however, specific guided meditations for dealing with challenging emotions

The guided meditation provided by Diana (which begins after 6.35 minutes of introduction) incorporates a 10 minute silent meditation.  Towards the end of the meditation, Diana encourages us to sense how we are feeling, e.g., whether we are experiencing ease or relaxation.

Reflection

After the meditation, I recalled that one of the first mindfulness books I read was that by Eckhart Tolle, The Power of Now.   Also In an interesting occurrence of synchronicity, I had been listening to mantra meditations on Spotify (via a Janin Devi Mix) as I wrote the first draft of this blog post and Alexia Chellun starting singing The Power Is Here Now (a song I have never heard before).

As we grow in mindfulness through our regular mindfulness practice, we can access the power of the present moment to gain greater self-awareness, heightened creativity, improved emotional regulation and a deeper sense of happiness and ease.  There are many options available for us to choose, e.g., chanting, meditation, yoga, mantra meditations or movement meditations.  We just need to choose the modality that works best for us and enables us to sustain our practice.  I find that Tai Chi provides the greatest immediate benefits for me and that is my primary mindfulness practice (supplemented by other practices as well).

________________________________

Image by Ryan KLAUS 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.

Building Tolerance through Understanding

We have each experienced situations where someone seems to overact to what appears to be a minor stimulus – a sound, a sight, something said, or a gentle touch on the arm.   For example, I have seen people become hysterical while just observing a one-on-one facilitation process or hearing a very loud note sung close to them.  More than likely, we have each observed a disruptive person in a team meeting or training course, someone who is withdrawn and refuses to engage in conversation or someone who is overly aggressive.  Bruce D. Perry and Oprah Winfrey in their book, What Happened to You? maintain that understanding the impact of trauma on others helps us to build tolerance for what seems initially to be aberrant behaviour.  They argue that the foundation for that understanding is learning about how our brains operate.

Understanding how our brains work

Bruce illustrates the processes of the brain by showing an inverted triangle with the cortex at the top and the “lower brain” or reptilian brain at the bottom.  While the cortex enables us to think, create and plan and is conscious of time (past, present and future), the lower part of the brain has no sense of time but serves to regulate bodily functions.   The fundamental problem with our emotional and behavioural response to stimuli is that all sensory input (perceptions) are first processed in the lower part of the brain and interpreted there after matching with prior experiences (which are stored along with the emotional content).  This is why someone who shares a disturbing event with others can become quite emotional even when the event occurred many years before.

The associated problem is that sensory input (sight, sound, taste, touch and smell) can stimulate recall of a traumatic experience – “a powerful, frightening or isolating sensory experience”.  Bruce discusses a case study of a veteran of the Korean war experiencing Post-Traumatic Stress Disorder (PTSD).  The sound of a motorcycle backfiring would generate an “extreme survival response” such as immediately lying prone on the ground behind some form of shelter.  Bruce comments that what was originally an “adaptive protective memory” (for surviving in the trenches “where you had to keep your head down”), had become a maladaptive behavioural response.  The veteran’s life became “miserable” because he was frequently startled, always on the alert (scanning a room or the environment continuously) and often “jumpy”.

Maladaptive responses

Oprah pointed out that people like the veteran who have maladaptive responses to stimuli, often ask “What’s wrong with me?”  The book she has produced with Bruce, changes the focus to “What happened to you”.  Understanding what people have experienced and the depth of the impact on their lives helps to build tolerance and empathy, and ideally, compassionate action.  Bruce explained that for each of us “every moment builds upon all other moments that come before”.  The net result of our personal history shaping our brain’s development is that “each of our brains are unique” – our experiences, traumatic and otherwise, shape our perceptions of the world, what we feel and how we respond.

Oprah describes in detail her own traumatic experiences and maintains from her numerous interviews with people who have experienced trauma, that the result is often self-sabotage in the form of addiction, abuse, promiscuity or “the need-to-please”.  She argues that there is considerable work to be done by the individual and their therapist to identify the trauma-inducing event, the “evocative cues”,  and the related emotional and behavioral responses. 

Reflection

We can become more tolerant of other people if we acknowledge Bruce’s findings (developed through neuroscience and clinical practice) that “each of us sees and understands the world in a unique way” – and this conclusion applies to us also!  Our view of the world is not the only view nor is it necessarily complete, accurate or uncontaminated by our life experiences.  We are challenged to recognise our own fallibility, especially if we too have had traumatic experiences that will have shaped our perceptions and responses.  We can build our tolerance of others too if we work to understand what trauma does to the brain and its impact on behavioural responses.  Bruce suggests that we approach others with a degree of “curiosity”, wanting to understand what happened to them (not what’s wrong with them).  Frank Ostaseski, author of The Five Invitations,  encourages us to cultivate openness and curiosity – to replace criticism with understanding.

As we grow in mindfulness through reflection, journalling, research on trauma and meditation, we can develop greater openness and curiosity, increase our self-awareness (including of the impacts of trauma on our own emotional and behavioural responses) and cultivate understanding, empathy and compassion.

 _________________________________

Image by John Hain 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.

Integrating Kindness with Mindfulness Meditation

In a recent guided meditation podcast, Radiating Kindness Practice, Diana Winston reinforced the view that kindness is integral to mindfulness – kindness to ourselves and others.  She maintained that being kinder to ourselves (e.g. overcoming negative self-evaluation) and to others (loving kindness towards both people we love and those we dislike), is embedded in meditation.  In the guided meditation, she integrates kindness with the meditation process by incorporating three different loving kindness practices that she describes as:

  1. “Dry loving kindness”
  2. “Wet loving Kindness”
  3. “Radiating loving kindness”

At the start of the meditation, Diana encourages us to adopt a comfortable position that will aid relaxed breathing and assist us to express kindness to ourselves and others.  She begins with taking slow breaths before engaging in a brief body scan to identify points of tension or tightness.  After encouraging us to release the tension/tightness by softening the point in our body, she moves onto undertaking the different kindness practices in the order indicated above.

Dry loving kindness

Diana explains that the idea behind dry loving kindness is repetition of words that supplant any negative thoughts.  The idea is to stop ourselves from engaging in unflattering comparisons, negative self-evaluations, caustic critiques or cycles of worry and anxiety.  The concept is simple and is easy to undertake.  Basically, you can repeat words like, May I be happy, may you be happy, may we all be happy.  The approach adopts the intention to change our inner dialogue from negative to positive, from denigrating ourselves and others to empowering each of us through the repeated expression of kind thoughts.   Karen Drucker, in her song Gentle with Myself, expresses this form of loving kindness when she sings, I will be easy on myself, I will be kinder with my heart.

Wet loving kindness

Wet loving kindness”, in contrast to the previous approach, focuses on feelings rather than thoughts.  Thus it involves a systemic approach whereby we extend feelings of loving kindness towards people closest to us and then to others from those we love to those we may ignore or actually resent.  Reflection on resentment that we carry towards another person could be a useful prelude to this meditation to free us up to express understanding and kindness towards the person we resent.  Diana suggests a series of expressions that could be used as part of this wet loving kindness practice, such as:

May you be safe and protected

May you experience peace and contentment

May you feel strong and healthy

May you experience ease and equanimity.

Diana suggests that you substitute your own expression of kind feelings as you work from envisaging the people you love to others who may present a challenge to you.  She provides some ways of expressing kindness to others by way of example, not as a prescription.

Radiating loving kindness

The idea here is to radiate kindness beyond ourselves to the broader world.  In the guided meditation on radiating kindness, Diana begins with asking us to envisage a glow or sense of warmth emanating from our heart.  Initially, we can envisage it extending within our room – to the left, right, below and above. As we capture the essence of this approach, we can expand our vision to envisaging our heart’s glow/warmth filling our house (and household) and extending to our immediate neighbourhood and beyond.  I found it useful in this radiating kindness practice, to envisage wrapping people in Ukraine with warmth, care and kindness, embracing Ukrainian refugees as well.

Diana suggests that you can radiate kindness to areas of conflict, disease, natural disaster (e.g. floods, fire or hurricanes) or alternatively to individuals or groups who may be in need of kindness and thoughtfulness.  For example, I focused too on extending warmth and kindness to the relatives of the Australian soldier, known as “Ninja” who died fighting as a volunteer for Ukraine in the current war.  “Heart-focused breathing™” promoted in the online Heart Science Course could be a useful prelude to the radiating kindness practice as it helps us to recognise and appreciate the energy field that emanates from our heart.

Reflection

I have previously written about barriers to expressing loving kindness, including self-absorption, disconnection from the outside world, distorted view of “love” and inability to recognise that compassion requires external expression, even in the form of loving kindness meditation.  An additional barrier can be the inability to understand and value the intelligence and energy of the heart which has been demonstrated in research and documented in the Science of the Heart (free book).

As we grow in mindfulness through different loving kindness practices, we can become more open to the needs of others, better able to express gratitude and appreciation, more willing to take compassionate action, and more ready to accept things as they are for us.

_________________________________

Image by Elias 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.

How to Build Team Resilience: The 10 C’s

After writing multiple posts about personal resilience over the past five years, I have turned my attention to the task of building team resilience.  This has always been a challenge for managers but the issues have been compounded by the challenging times we are experiencing at the moment (with the global pandemic, war in Ukraine and elsewhere, economic uncertainty and the differential impacts of climate change and associated global warming).  Managers and staff are increasingly facing discontinuities in the way work is done, in where they work and in the nature of internal and external environmental changes.

How then do we go about building team resilience as we are confronted with multiple assaults on many fronts – e.g., on physical and mental health, economic welfare, working conditions, supply and demand, and relationships?   More recent writing and research point to a number of factors that contribute to team resilience in these challenging times.  I have summarised these as the 10 C’s for ease of access and recollection.

The 10 C’s for building team resilience

Team resilience has been described as “the capacity of a group of people to respond to change and disruption in a flexible and innovative manner”.   Even if adverse conditions result in a temporary loss of productivity, the resilient team can restore its balance, take care of affected members and find new ways to work and achieve their goals.  They are able to revise their goals, too, where necessary.  The 10 C’s of a resilient team are described below:

  1. Congruence: This is the cornerstone of a productive, mentally healthy and resilient workplace culture.  Managers need to ensure that they share their values and align their actions with their words.  Congruent leadership inspires, motivates and engages others in the task of personal improvement and innovation.  Lack of congruence on the part of a manager adds to environmental uncertainty, derails personal resilience and undermines team cohesion.  Team members don’t know what to believe, question their own self-worth and lose confidence in the face of the ambiguity created by incongruent behaviour.  Managers need to develop managerial mindfulness so that they are constantly aware of the impact of their words, actions and omissions on the welfare and resilience of their staff.
  2. Connection: Dr. Erin Raab maintains that “resilience is rooted in relationships” which enable trust and flexibility to develop and grow.  Without trust in a team, there is no resilience – individuals withhold information, protect themselves and withdraw (both psychologically and physically).  Managers need to be proactive in building connection through established rituals – e.g., regular, productive and focused meetings; celebrations of birthdays and personally significant events such as cultural or religious days; on-boarding and “off-boarding” practices; and regular occasions of eating together (e.g., enjoying shared  lunches that reflect the multicultural nature of a team).  Foundational to trust and a sense of being valued for contributions to a team, is expression of appreciation given as positive feedback in a way that is sincere, specific, timely and personal.  This builds personal self-efficacy, reinforces team values and develops overall team competence and capability. 
  3. Clarity: Along with relationships, Dr. Erin places considerable emphasis on the role of clarity in building team resilience.  She maintains that clarity “facilitates communication, increases intrinsic motivation and engagement” and contributes to a team’s capacity to handle change adaptively.  At a fundamental level, this involves ensuring that each person understands the specific requirements of their job and are trained and resourced to achieve them.  For the purposes of this discussion, clarity includes not only roles and structures but also team values.  Lack of clarity around roles/structures can lead to role overlap, role conflict and role ambiguity – each of which can undermine alignment of individual effort with team goals.  Clarity about team values is critically important to team resilience.  If team values are developed collaboratively, along with the explicit behavioural expressions of those values, they provide agreed guideposts and enable individual and collective alignment with the ethos of the team, facilitating working together productively within an ever-changing environment.
  4. Collaboration: This includes being conscious of contributing to a team effort (rather than solely absorbed in one’s own tasks) and a willingness to work together and to help out where needed.   It also involves moving beyond competition to “committing to build each other’s competence” to enable other team members to be the best they can be.  In line with an action learning approach, this can entail providing “supportive challenge” to assumptions or negative self-talk that are holding an individual back and undermining their personal resilience and capacity to contribute to the team.   Managers can proactively build collaboration through cross-functional, action learning project teams, establish reverse mentoring (e.g. where new, young staff with specific technological skills mentor older staff in those skill areas) and/or engage in team-building activities such as collaborative problem solving using change tools (e.g., Force Field Analysis or Brainstorming).  These activities build overall team competence and capacity to effectively manage change as a team. They also develop a sense of agency amongst team members – the ability to influence their work environment and how their work is done.
  5. Competence: Conscious efforts to build individual and team competence are an essential element for moving a team beyond its current level of capability.  This not only involves providing externally facilitated individual and team training opportunities but also building competence through internal, prioritised knowledge sharing processes, multi-skilling activities and related learning-on-the job opportunities.  If people in a team are not developing their knowledge and skills, they are going backwards in terms of a changing environment and its concurrent demands for upskilling.  The wider the gap between the present level of team members’ knowledge and skills and that demanded by the internal and external environment, the less resilient the team will be.  In contrast, relevant competence building develops a team’s resourcefulness and the process of continuous learning builds a team’s resilience.  Having a debrief or reflection process after a mistake or setback, without trying to apportion blame, can provide team members with new insights, ideas, tools and increased capacity to avoid or manage such adverse situations in the future.`
  6. Candor: LHH and Ferrazzi Greenlight, through their research, identified candor as one of the four critical characteristics of a resilient team, along with compassion , resourcefulness and humility.  Candor can be understood as “tell it like it is”.  It entails honesty, openness and transparency on an individual as a well as a team level.  It is the manager’s role to keep the workplace “businesslike and professional” and a key element of this is providing corrective feedback to an individual where they fail to meet communicated performance and/or behavioural standards.  Honesty in this interaction is essential to develop the receiver’s self-awareness, create the opportunity for their skill development and reduce the possibility of disharmony in the team.  On a team level, the manager can openly share with the team where they are placed in relation to the team goals and elicit team members help in attaining the goals and/or setting new goals.
  7. Challenge: Keith Ferrazzi, Mary-Clare Race and Alex Vincent argue that helping team members to own, and share, their workplace challenges, builds trust and openness.   This is important on a team level as well as individually.  Managers can be open about the challenges facing the team as a whole.  I worked with a CEO some years ago who managed an aged care operation with 23 different residential facilities on the one site, each with a separate manager and providing services ranging from respite care to palliative care.  What the manager found is that the level of care required by residents was increasing in need,  complexity and cost, at the same time that Government funding was reducing dramatically.  The manager openly shared this financial situation with his team of facility managers and enlisted their aid in resolving the challenge.  The facility managers came up with a number of innovative solutions which enabled the installation to overcome substantial losses.   Managers, where possible, can share information about impending organisational changes to build change readiness in the team and to prevent team members from being blindsided by the changes when they occur.  In the absence of information, team members fear the worst and start to share rumours that undermine individual’s confidence and the team’s resilience.  Sharing information about forthcoming changes can enable a team to collaboratively develop strategies to effectively manage the changes, thus building resilience.
  8. Compassion: It is important that managers show that they care – not only expressing empathy for staff needs, but also taking compassionate action.  This may entail making reasonable adjustments for people experiencing mental or physical health issues.  It could involve developing mental health awareness programs that facilitate people effectively managing their own mental health.  Another approach involves offering workplace mindfulness training to enable staff to manage stress and build personal resilience in the face of multiple workplace stressors.  Mindful organisations develop compassion in all their interactions, including actively listening to each other in the workplace and helping each other through the challenges they experience.  Overall, it entails cultivating a care and concern culture where peoples’ welfare comes before task achievement – a culture that can be developed by regular, non-invasive check-ins by the manager as well as by workplace colleagues.  Involvement in the RUOK? movement can facilitate the development of this cultural orientation. 
  9. Communication: “Information is power”, so sharing information is sharing power – empowering others to achieve.  This involves moving from sharing information on a “need-to-know” basis (often arbitrarily determined by the manager) to a “need-to-enable” basis.  People need information to do their job, to understand the organisational context and to align with the organisation’s strategic direction.  Managers are interpreters of the organisation’s vision, values and goals and have a critical role in ensuring their staff know where the organisation is headed and why.  They can enhance their role in engaging the minds and hearts of staff by enabling collaborative development of a local statement of the team’s vision in line with the organisation’s direction.  What mangers say and how they say it can create a positive or negative culture and contribute to team resilience or undermine it.  Research has shown that a manager’s mood is contagious.  This emotional contagion impacts how a team responds to challenges and setbacks.  Managers are encouraged to be positive and avoid cynicism and negativity if they want to build team resilience.  They need to be conscious about the impact of their communication and monitor their own talk
  10. Celebration: Celebrating successes in terms of goal accomplishment or achievement of project milestones, deepens the memory of team members in terms of how they have overcome obstacles and setbacks and serves as a fall-back when future challenges or setbacks arise.  Mind Tools provides the research behind the value of savoring team success and offers multiple ways to celebrate team achievements.  Celebrations open up the opportunity to share success stories, build cohesion and reinforce positive emotions associated with belonging to the team – all of which adds to a sense of connectedness and team resilience.  Another way into savoring team achievement is to engage in an “appreciative inquiry” process with a team.  This strengths-based approach works from what is good about the present (revisiting achievements) to envisioning an even better future and innovating to realise this vision.

Reflection

The factors impacting team resilience – the 10 C’s mentioned above – are not discrete influences.  They overlap to some degree and reinforce each other.  The relationship between different factors is often bi-directional, e.g., connection inspires compassion and compassion, in turn, builds connection.  So, acting positively on any one of the factors identified, can strengthen other factors and enhance the impact on team cohesion and resilience.   The factors provide a focus for efforts to build team resilience.   If a manager wants to achieve a significant change in an organisational/team context, they need to have multiple points of intervention to shift from the status quo to a desired future. 

However, trying to focus on all the resilience factors at once can create overwhelm for a manager.  Shelly Tygielski, international mindfulness trainer and trauma counsellor, encourages “chunking” when faced with such a mammoth “to-do list” – that is, grouping tasks into like activities (chunks) and assigning relative priorities.  A manager, for example, could engage their staff in a Force Field Analysis (FFA) process to identify the helping and hindering forces impacting the goal of developing team resilience and then collaboratively assign a priority to each force to determine what factor(s) to focus on.  The 10C’s and their component elements could be used as a checklist during the FFA process.

When writing about personal resilience, Shelly Tygielski encourages “building resilience one step at a time”.   On a team resilience level, this involves beginning with a primary focus and progressively adding activities as one intervention is established and stabilised.  

As managers grow in managerial mindfulness, they will see opportunities for improving their own practices and develop creative ways to build team resilience.  Proactivity is required on the part of a manager if team resilience is to be developed and sustained.  Writers in this area often liken team resilience to a battery – needing continual recharging and reenergising. 

__________________________________

Image by John Hain 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.

Ways to Manage Ourself During Difficult Times

The Mindful Awareness Research Center (MARC) at UCLA offers weekly guided meditation podcasts on a wide range of topics and issues.  In one of the recent meditation podcasts Diana Winston, Director of Mindfulness Education at MARC focused on “Practices in Difficult Times” – providing several mindfulness practices designed to help us achieve calmness, manage our challenging emotions and express compassion to ourselves and to others who are suffering.

Diana highlighted the fact that challenging events such as the mass shootings in America and the war in Ukraine can generate “emotional inflammation” in us – we can feel strong emotions of anger, grief, rage or sadness.  We might feel overwhelmed by others’ inconceivable pain and loss and our own emotional response.  We might be confused and continually ask ourselves, “Why the children?”, “Why Ukraine?” or “When will this emotional and physical devastation stop?”

Diana draws on mindfulness practices to help us deal with these challenging times and the emotions they elicit in us.  She reminds us that mindfulness involves placing our attention fully on the present moment while being open and curious and accepting what is in our present internal and external reality. 

Three mindfulness practices for difficult times

The three mindfulness practices offered by Diana are described, in turn, in the following discussion:

  1. Calming Practices: Here we are encouraged to tap into the body’s own capacity to generate calm and ease.  The primary aim is to achieve groundedness in a way that is conducive to our present needs.  We could start by taking a couple of deep breaths and releasing them slowly to let go of the tension within us.  There is the option to find a place of ease in our body and focus in on it, e.g., our arms beside our body, our relaxed legs or our fingers joined and pulsating with energy.  Diana particularly stressed the power of “feeling the support of the earth” through our feet on the floor or the ground.  Our breath with its natural rhythm can provide a basis for experiencing calm and ease (unless, of course, focusing on our breath acts as a trauma stimulus).  If attention to our breath is calming, there are many ways to access a relaxed state through mindful breathing  practices.  We could adopt “micro-practices” such as the  4-7-8 breathing practice often used in yoga, the breathing in time practices (using our breath as a musical instrument) or we could pay attention to the internal physical sensations of our breathing – e.g., the rising and falling of our abdomen or the feeling of air moving in and out of our nose.  Diana suggests another alternative is to pay full attention to the sounds in the room or what is being generated externally (especially if we are in a natural setting with the sounds of birds, waves, or wind).  Sound can also be used as a calming mindfulness practice as we listen to and sing mantra meditations provided by people like Lulu & Mischka (such as their Rainbow Light song as part of their peaceful Horizon album).
  2. Holding strong emotions: Normally, people tend to suppress challenging emotions, deny them, or deflect their attention from them by numbing themselves with some form of addictive behaviour such as drinking excessive alcohol, overeating, taking illegal drugs or over-spending while shopping compulsively.  Mindfulness experts and psychologists remind us that we need to face up to our emotions or they will cause disruptions in our lives through some form of mental and/or physical illness.  Diana encourages us in this guided meditation to pay attention to our challenging emotions and observe how they are manifesting in our body, e.g. tightness in the chest, pain in the arms or neck, headaches, overall stiffness or fibromyalgia (non-specific whole-body pain).  Holding on to these strong emotions enables us to deal with them directly and use the healing power of our mind and body to dissipate them.  If we experience overwhelm while confronting our strong emotions, we can return to our meditation anchor which could be our breath, external sounds, bodily sensations or music.
  3. Compassion practice: Diana explains that compassion practice in this context involves ourselves as well as others who may be experiencing suffering and loss.  She encourages us to treat ourselves with kindness and compassion as we struggle to deal with our challenging emotions and our misguided attempts to ignore them or numb them.  She suggests, then, that we extend loving kindness to others in the world who are experiencing pain, devastation, grief and anger.  Diana offers  a possible expression of compassion for others in the form of a statement of desire, “May you be freed from pain and suffering and find contentment and ease”.

Reflection

We have a deep well of ease in our bodies that we can access at any time, if only we can let go of our damaging thoughts.  As we grow in mindfulness through calming practices, facing our challenging emotions and practising compassion towards ourselves and others, we can gain the insight, courage and capacity to manage ourselves during difficult times.  Mindfulness enables us to achieve emotional regulation, self-awareness and the creative drive to be the best we can be.  Challenging emotions, left unchecked or ignored, can undermine our endeavours at home or at work.

Over time we can develop a regular mindfulness practice that suits our make-up and that we can undertake on a daily basis (e.g., Tai Chi, mantra meditations, chanting or yoga).  This core mindfulness practice can be supplemented by micro-practices that we engage in throughout the day (e.g., when washing our hands, during waiting times, or when boiling the jug).  The compound effect of these core and micro-practices is a calm state of mind, enhanced patience and conscious presence.

__________________________________

Image by ChiemSeherin 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.

A Compassionate Approach to Addiction

Gabor Maté argues for a compassionate approach to addiction in his book, In the Realm of Hungry Ghosts: Close Encounters with Addiction.   He points out that Portugal has successfully decriminalised the personal use of drugs that were previously illicit with the result that they have seen “a reduction in drug habits, less criminality, and more people in treatment”.

However, he maintains that a key success factor in this decriminalised approach is the development of effective rehabilitation processes and comprehensive resources to support them.   Such rehabilitation approaches need to be viewed as ongoing and long-term as well as “patiently pursued and compassionately conducted”.  Gabor claims too that Portugal’s success in decriminalisation of personal drug use is influencing the development  of a more compassionate approach in Norway and Canada.

Gabor contends that addictions. no matter what their form or manifestation, in very many cases have their origins in the pain resulting from adverse childhood experiences.   For example, in his book he explains that the self-harm (lacerations) employed by “Arlene” creates pain that obliterates, however briefly, “the pain of a larger hurt deep in the psyche” – a deep pain resulting from sexual exploitation when she was young.

Parents reaction to addiction suffered by their adult child or children often involves hurt or anger, instead of understanding and compassion.  This censorious stance is underpinned by self-blame and a lack of self-awareness.

Gabor maintains that parents should not be blamed for their children’s addictive behaviour – they have most likely experienced intergenerational trauma and “unwittingly bequeathed” to their children their “own unresolved or unconscious trauma”.  They have tried to cope with their own pain by what Johann Hari describes as “disconnection from childhood trauma” in his book, Lost Connections: Uncovering the Real Causes of Depression.  

Adopting a holistic approach

Gabor also argues that a holistic approach to addiction in all its forms requires teaching people ways of self-care including meditation and other mindfulness practices as well as what he describes as “body-work” which covers practices such as yoga and Tai Chi and other forms of martial arts.  Included in self-care approaches would be training in nutrition and overall stress management approaches such as reconnection to nature.

While Gabor acknowledges the benefits of 12-step approaches like that adopted by Alcoholics Anonymous (AA) and GROW, he asserts that these approaches are not for everyone and other methods may be more appropriate for some people.  He argues for an approach that he calls “compassionate inquiry” which is based on trauma-informed understanding and a depth of inquiry that pursues causal factors rather than just seeks alleviation of symptoms. 

The aim of compassionate inquiry is to help the person suffering addiction to identify the trauma/traumas that they have experienced early in life, to isolate the resultant negative self-messaging and to ultimately confront and name the underlying pain they are seeking to alleviate through their ineffectual addictive behaviour.

Reflection

Underpinning Gabor’s compassionate approach is his unshakeable belief, informed by research and decades of field work, that addiction “arises from thwarted love” and that it is “one of the commonest and most human manifestations of torment”.  He maintains that the addicted person is constantly seeking external solutions for their internal “insatiable yearning for relief and fulfillment” – a state he describes as the Realm of Hungry Ghosts.

As we grow in mindfulness through reflection, meditation and body-work practices such as Tai Chi we can enhance our self-awareness, reduce self-blame and increase our understanding and compassion towards ourselves and others who are addicted.

___________________________________

Image by Gisela Merkuur 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.

Illness and the Impact of Our Psychological and Social Environment

Over the past couple of blog posts, I have focused on the manifestation of trauma and adverse childhood experiences in our negative self-thoughts and addictive behaviours.  Drawing on the work of Dr. Gabor Maté in the area of compassionate inquiry, I have also discussed how the compassionate approach to addiction is to look beneath the self-destructive behaviour to the person and pain that lies beneath.   In this post, I want to explore more of Gabor’s ideas about the negative impact of adverse psychological and social environments and how they lead to chronic disease.

Gabor suggests that a fundamental flaw of the traditional medical model is the separation of mind and body and viewing a person in isolation from their psychological and social environment.  This leads to a symptomatic perspective on illness and the use of medications to redress the symptoms.  He suggests that these deficiencies in the approach of traditional medical practice are no more highlighted than in the pursuit of the search for a cure for cancer.  He draws on the work of a holistic wellness expert who illustrates this flawed thinking by arguing that the research of individual cells for the source of cancer is like exploring the combustion engine as the cause of traffic jams.  

Gabor strongly maintains that his years of family medical practice and his role as Coordinator of palliative services (end-of-life care) for a hospital have convinced him that underlying all chronic disease, without exception, is a deficient psychological and social environment of the individual involved.  His assertion is based, in part, on the assumption that a defective social and psychological environment negatively impacts the immune system as well as other bodily systems (such as the respiratory and cardiovascular systems) that are inextricably interconnected.  He asserts in live with Buddhist philosophy that everything is connected to everything else and that “nothing exists on its own”.  He cites the Buddhist concept of life as the “interconnection of co-arising phenomena”.

He argues that in line with this perspective which reflects the reality of human existence, that a leaf and raindrop should be viewed not as isolated occurrences but as resulting from the interplay of soil, compost, sky, sun, rain and atmospheric conditions.  Louie Schwartzberg would add the role too of mycelium (mushrooms and their internet-like connected tentacles beneath the earth).  Gabor maintains that we have to take a “biocycle, social approach” to really address the causes of chronic illness.

The impacts of injurious psychological and social environments

Gabor in his YouTube© talk on “When the Body Says No”, draws on scientific studies to demonstrate the connection between stress and disease.  He maintains that an injurious psychological and social environment has major implications for the development of illness.  He illustrates this interconnection, for example, by discussing the impact of stressed parents on the physical welfare of a child.  Parents themselves can be stressed by their environments (economic and social systems, the presence or threat of war, racism) and/or their own lived experience of trauma or adverse childhood experiences.  The child, in consequence of this psychological/social environment, is stressed and scan suffer from asthma (which itself is treated with stress hormones to open the airways and reduce inflammation, resulting in the adrenal system becoming overcharged).

The parents’ stress is contagious – the child is aware of their own body and the impacts of parental stress on their bodily sensations.  The pain of the parent, mother and/or father, is experienced by the child but the real problem is that this pain “never gets discharged”.  Gabor cites Australian research that demonstrates that our bodies adapt to our psychological and social environment (as well as our physical environment).  He maintains that some of this adaption is helpful in the short term but in the longer term results in adverse bodily manifestations such as elevated blood pressure, heightened stroke risk, unhealthy sugar levels, arteriosclerosis and defective immune system.

Gabor also refers to research that shows that if a woman is both stressed (psychological environment) and isolated (social environment) her chances of a lump in her breast being diagnosed as malignant are increased immensely.  This research reinforces the interplay of illness and the psychological/social environment of an individual.  Other research shows that if one partner of an elderly couple dies, and the other partner is left bereaved and isolated, there are deleterious changes in the surviving partner’s immune, nervous, hormonal and cardiovascular systems, resulting in a “significant risk of dying”.

The development of illness through the suppression of challenging emotions and our own needs

Gabor demonstrates that suppression of challenging emotions such as anger negatively impacts the immune system and other connected bodily systems.  A person may suppress expressions of anger to gain and/or maintain parental affection and affiliation (because their absence is too painful).  The result of suppression of challenging emotions is “suppression of the immune system”. 

Gabor argues that a  key contributor to disease is a personal stance that is forever worrying about other people’s psychological needs while “ignoring your own needs”.  This can manifest as feeling responsible for the feelings of others and avoiding any words or actions that might disappoint them.  Gabor argues then that there are four significant risk factors that contribute to chronic illness and are life-threatening (18 minute mark of his talk):

  1. Ignoring your own emotional needs to cater for the perceived needs of others
  2. Identifying yourself with duty and responsibility in a way that is rigid (at the cost of your own authenticity, thus creating an external locus of control)
  3. Repressing challenging emotions such as anger or resentment
  4. Believing that you are responsible for how other people feel and, in consequence, trying assiduously not to disappoint them (and, as a result, never saying “no” when you should do so for your own health and welfare).

Gabor contends that “attachment” is the “most important dynamic in human life”.  Without it, we cannot survive as infants or adults.  We seek “closeness and proximity” with another so that we “are taken care of”.   He maintains that pathologies arise when our attachment needs are not met. This, in turn, leads to frustration of our other basic need, the need for “authenticity” – which he expresses in terms of our ability to be in touch with, and listen to, our “gut feelings”.  Gabor instances the  “please love me syndrome” of Robin Williams as an underlying cause of his depression and chronic illness,  leading to his death by suicide.

Reflection

We cannot ignore the impact of our psychological and social environment on our physical health.  At the same time, we have to recognise that we are contributing to the creation of a psychological and social environment that could be healing or harmful for others, especially if we are in a caring or managerial role.  Gabor explains his ideas about stress and illness in his book, When The Body Says No: The Cost Of Hidden Stress.  He also provides training and further resources on his website, The Wisdom of Trauma.

As we grow in mindfulness, we can become increasingly self-aware and aware of our impacts on the physical health and psychological welfare of others.  We can be more determined to take compassionate action, to look beneath self-destructive behaviours to find the person desirous of wellness and associated ease.

___________________________________________

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.