fragility – Grow Mindfulness

Aging: Being Open to Opportunities

Day four of the Radically Reframing Aging Summit challenged us to be open to the opportunities that aging presents. Each of the four presenters in their own lives and their own words demonstrated that they had reframed aging and viewed it positively as a period of possibility and creativity. They reinforced the view that aging requires personal adaption and a resetting of expectations as there are some things that they can no longer do. However, this does not preclude the potentiality of exploring new opportunities in work, play and life generally.

The interviewees – Lottie Tartell, Joseph C. Maroon, David Sinclair and William Shatner – stated that what is required to be open to opportunities as we age is not only examining our blind spots but also building mental and physical fitness to undertake new endeavours. William Shatner reinforced the mental openness required by reiterating the exhortation of Viktor Frankl to “Say Yes to Life” in spite of what happens when we are aging. Each of the interviewees have demonstrated in their own lives and their exploratory pursuits that physical age does not define us and our capacity to be open to opportunities. However, our mind plays a key role in what we enable ourselves to do and pursue.

Lottie Tartell taught at Hofstra University for four decades and became an Adjunct Associate Professor in Economics and Geography. She indicated that even at age 96 she still undertook exercise classes, had an active social life and was engaged in community service as well as playing the violin. She had to deal with grief with the loss of her husband, Dr. Robert Tartell, in 2013 (after 65 years of marriage), as well as the loss of friends and other family members. She indicated that she did not dwell on getting old but did what she had to do each day. Lottie has been active in the Women’s Movement through Planned Parenthood and with Robert had set up the Tartell Family Foundation providing funds to many charities.
Dr. Maroon is a neurosurgeon and author and completed a triathlon at the age of 81. He is noted for his research work and innovations in the area of concussion and neurotrauma. His recent book (2020), Square One: A Simple Guide to a Balanced Life – 2^nd Edition, provides insights into his own early setbacks and resultant depression and encourages people to experience a joyful and creative life by achieving balance and avoiding burnout by prioritizing health, meaningful work, relationships that are strong and spirituality. In his interview, he urged people who are aging to “be mindful and aware of where they are“ in everyday life, especially in relation to sleeping patterns, exercise and diet. In his earlier publication, The Longevity Factor, he highlighted the beneficial effects of Resveratrol and other related natural substances found in red wine, green tea, berries and dark chocolate. Dr. Maroon is a strong advocate of mindfulness as a means of achieving awareness and life balance and living a long and healthy life. In his Summit interview, he maintained that the harmful effects of stress, such as elevated cortisol in our bodies, could be controlled by mindfulness practices such as Tai Chi, yoga, meditation and prayer.
Dr. David Sinclair, genetics professor at Harvard Medical School, is the author of Lifespan: Why We Age – and Why We Don’t Have To. He maintains that the goal of research into genetics is not to prolong a life of suffering and disease but to achieve “prolonged vitality” – more active, happy and healthy years of life. In other words to “live younger longer”. Like Dr. Maroon, David takes a Resveratrol supplement daily and in his book on lifespan he explained in detail how the beneficial effects of this natural molecule were discovered, including in his own laboratory and in experiments on his kitchen table. He suggests that the beneficial effects of Resveratrol in extending lifespan can be enhanced when combined with intermittent fasting. In the interview, it was clear that “he practices what he preaches” in terms of exercise, diet, and lifestyle. He also spoke passionately about new discoveries in the area of “reverse aging” which he discussed at length in his lifespan book as well as the benefits of “delayed aging”, including the economic benefits for society.
William Shatner epitomised the philosophy of “seize the day” (carpe diem) and spoke enthusiastically about the need to be open to the opportunities that aging presents. At age 90, he was the oldest person to travel into space and this was for him a life-changing event. He spoke passionately about his deep insight into the beauty and fragility of earth, a theme he had recounted in many other interviews. Bill, as he is known, is a prime example of living younger, longer – he is a multiple best-selling author, highly-awarded actor, film director, song-writer, charity worker, and rides horses competitively. He is a living inspiration of what is possible as we age. His positive philosophy on life is reflected in his latest album, Bill, and his latest book (2022), Boldy Go: Reflections on a Life of Awe and Wonder. In his Summit interview, he spoke extensively and enthusiastically about the wonder of earth and every living thing and demonstrated a “don’t know mind” as he marvelled at the unending mystery of life and earth’s ineffable beauty.

Reflection

To some extent the revelations on Day 4 of the Radically Reframing Aging Summit were overwhelming but also immensely inspiring. There was so much to think about and take on board. The presentations were energising and empowering in terms of living a fuller life, longer. There was very strong encouragement to be open to the opportunities afforded in aging which enable us to explore personal freedom and pursue unfettered creativity.

There was also very strong reinforcement of the message that as we grow in mindfulness, we enrich not only our mind and body but also increase the quality of our life and extend our lifespan. We can stay younger longer as a result of mindfulness practices that help us to manage stress effectively in our life, build a positive attitude, enhance our emotional regulation, develop wonder and awe, actively engage in social networks and undertake compassionate action.

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Image by Patrik Houštecký 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.

Equanimity and Fragility of the Human Condition

Martin Brensilver, meditation teacher at UCLA, provides a guided meditation podcast on Equanimity as a Facet of Mindfulness. In the process he explores the nature of equanimity and argues that it is not the same as passivity – it is not inaction or indifference in the face of human suffering in the world. For Martin, equanimity involves “having a relationship with one’s deep sensory experience right now” – engaging with our deepest thoughts and feelings in the moment. It involves being open to the full poignancy of the human condition – not deadening our experience of life but drawing out the sadness and melodrama of the human condition. Mindfulness enables us to meet this intensity with “patience, love and tolerance” and a “soft heart”.

Martin stresses that equanimity is a fine balance between suppression of what we are feeling and thinking and becoming totally caught up in those thoughts and feelings. Equanimity involves being fully present to our bodily sensations and open to fully experiencing our challenging emotions. What equanimity brings to our lives is the capacity to overcome the “compulsion to act out our preferences” – the temptation to succumb to our habituated responses in the face of challenging thoughts and emotions.

Martin observes that there are times when meditation is “not fun at all”. To be silent and still, in whatever posture we adopt, can unearth strong emotions and racing thoughts. It can be a catalyst for uncomfortable bodily sensations. What it does, however, is “open our hearts to ourselves” and what we are experiencing.

The fragility of the human condition

Martin gave a talk in May 2020 as part of a retreat for Buddhist practitioners. The podcast of the talk is titled, Vulnerability, Porousness, Equanimity, and Love. The talk is fairly conceptual and focuses on the difference between classical Buddhist thinking on vulnerability versus modern-day Buddhist thinking. However, Martin makes a number of points relevant to our discussion about the human condition by drawing on the work of several authors.

One of these writers is Adam Phillips, author of Missing Out: In Praise of the Unlived Life. Adam suggests that we long for a different life from what we are experiencing. We can become focused on “needs unmet”, “desires unfulfilled” and “roads not taken” – effectively “falling short” of our potential. These are the “lives unlived” that we imagine could have been possible and this can lead to a sense of unrest and even “rage”.

Martin compares the human condition to that of the fragility of a plant and contrasts it to the solidity of a jewel. He refers to Susan David’s comment that “life’s beauty is inseparable from its fragility”. In her book, Emotional Agility, Susan asserts that life involves sadness, fragility and anxiety and we need to acknowledge this, but to live our life more fully requires the courage to go beyond our comfort zone and manage our fear about uncertainty and ambiguity.

Martin asserts that the pandemic has highlighted the downside of interdependence as well as the upside. He suggests that we have been experiencing the “porousness of the boundary between self and world” – the pandemic has injected itself into millions of lives in numerous countries so that we are conscious that we are “living in precariousness”, we cannot ignore the fragility of the human condition. Martin reaffirms Susan’s contention that failure to accept this vulnerability is a “major source of inhumanity” – the harmful withholding of care, concern and compassion. He maintains that, in contrast, embracing vulnerability fully, (and with It, the possibility of rejection) leads to softening the heart and opening to patience, tolerance and care.

Developing equanimity

Martin draws on the work of Sara Lazar, a scientist researching meditation and yoga. Sara and her colleagues in a joint research paper define equanimity as “an even-minded state” or an even disposition towards all experiences no matter their source or how they are experienced (e.g., pleasant or unpleasant).

Martin summarises Sara’s thoughts about developing the key aspects of equanimity as follows:

Widen our perspective – when we are in pain or feel vulnerable (e.g. because of the pandemic), our focus narrows and we can easily lose perspective. Martin suggests that one way to widen our perspective is to envisage the vastness of space or the time the light from stars take to journey to us. We could also envisage the earth in space and billions of people living in diverse countries, timeframes and cultures.
More readily engage in sensory experience – as suggested earlier, this means not denying experience or associated emotions but embracing them fully. If we can accept not suppress what we are experiencing then we are better able to ride out the “the winds of feelings”, rather than tightly bracing against them. This principle is captured in a very practical way by Jon Kabat-Zinn in his book, Full Catastrophe Living: How to cope with stress, pain and illness using Mindfulness Meditation.
Disengage from evaluative (judgemental) thinking and reactive behaviour – we have to overcome the unevenness of our response to challenging emotions and events conditioned by our habituated behaviour. This takes a quiet confidence that is born of courage and self-awareness. Despite our best efforts, our equanimity can ebb and flow but as we work with our deepest emotions we can widen our window of tolerance so that we are “not afraid to be overrun by experience”.

Reflection

Martin reinforces the fact that equanimity is not a steady state – it can have its ups and downs. As we grow in mindfulness through meditation and reflection, we can develop this “even-minded state” and ready disposition towards the challenging experiences and emotions of our life. We can become increasingly self-aware and learn to overcome our reactivity and learned responses to stressors.

Increasingly, we can build what Martin describes as “courageous confidence” – a healthy confidence not born of conceit but deeply embedded in consciousness of the fragility of the human condition. We can progressively move away from acquisitiveness and self-absorption to care and compassionate action for others who together with us are experiencing life’s frailties, uncertainties and challenges.

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Image by Anant Sharma from Pixabay

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

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

Self-Care for Healthcare Professionals

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

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

Barriers to healthcare professionals seeking help

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

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

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

Mindfulness as self-care for healthcare professionals

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

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

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

Reflection

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

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

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Image by Petya Georgieva from Pixabay

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

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