Living in the Light of the Lessons from Death and Dying

Frank Ostaseski in an interview with Rheanna Hoffmann about death and the process of dying, mentioned his book based on his experiences of being with a thousand people as they died.  His book, The Five Invitations: Discover What Death Can Teach Us About Living Life Fully, provides five principles or guides for living life with integrity, meaningfully and in alignment with our true purpose.  Frank was the co-founder and director of a thousand-bed hospice, so his book is based on lived experiences and real stories of how people faced death, as well as the distillation of the “wisdom of death” from these deeply personal and moving experiences.

Frank maintains that death is the “silent teacher”, imparting understanding and wisdom about how we should live.  He expounds his ideas and principles in a number of recorded podcast interviews, including What Can Death Teach Us About Living Mindfully. His recoded talk at Google focused on his book through the theme, Inviting the Wisdom of Death Into Life.   A succinct explanation of the principles in his book, which he describes as “invitations to living”, is provided in his 26-minute edited interview with Steve Heilig of Palouse Mindfulness.

The five invitations to living learned from the dying

Frank emphasises that these invitations to living have been taught to him by the dying and by compassionately helping many hundreds of people with the process of dying.   Understanding the following five principles and putting them into practice enables us to live life fully and mindfully:

  1. Don’t wait – we assume that life will go on as it always has, that our health, wealth and relationships will persist into the future.  If nothing else, the Coronavirus should disabuse us of this belief and the associated perceptions.  There is a tendency to put off changing the way we live because of this belief in continuity.  However, living is precarious, nothing is certain.  We can become absorbed in the busyness of life and put off any change – avoiding the need to slow down and really experience life and relationships.  We can spend so much of the day planning our next activity or sequence of events. Frank maintains that we are reticent to fully “step into life” – “waiting for the next moment in life, we miss the present”.  Frank urges us not to wait till our death to find out the lessons of dying.
  2. Welcome everything, push nothing away – whether it’s grief, loneliness, boredom or suffering, there is a lesson to learn if we don’t push away the feelings, emotions and thoughts that pervade our life.  Frank suggests that we should welcome grief and fear and difficult feelings because these “moments” of discomfort are pivotal in our life for developing sustainable personal change, if we fully face them.  He spoke of the grief he experienced working with the dying and how he adopted meditation, bodywork (the touch of a practitioner on a source of physical pain in his body) and holding and rocking newly born babies (a life-affirming activity) as a way to face the full emotional, physical and mental experience of grief – it’s as if he ritually experienced the life cycle of birth, living and dying as a way to manage his overwhelming grief.  
  3. Bring your whole self to the experience – Frank made the point that in his work with the dying, the part of him that was most helpful was his vulnerability and helplessness because it acted as an “empathetic bridge to their experience”.  These “weaknesses” became his strengths and enabled him to be fully present to them, to be-with-them.  He has stated previously that authentic presence and compassionate listening are healing and supportive of people’s transition in both the challenges of living and of the dying process.  He asserts that none of us is perfect but that we can bring our whole self to whatever we are experiencing – leaving no part of our self out of the interaction.
  4. Find a place of rest in the middle of things – we can find a place to rest amidst the turmoil and tenuousness of life and despite overwhelming emotions that beset us.  The “place of rest” could be a breathing exercise, a ritual, mindfulness practice or reconnecting with nature.  Finding such a “place” is critical as a self-care approach for healthcare professional, particularly in these challenging times. Rheanna Hoffmann, who volunteered to work in the Emergency Department of a New York Hospital during the height of the Coronavirus, stated that this principle, explained in Franks’ book, helped her deal with the exhaustion, grief and overwhelm she experienced in helping suffering and dying patients while working under unimaginably difficult conditions. Frank also recounts the story of how he helped a woman to find a place of rest who was dying and experiencing extreme difficulty breathing, a struggle to breathe exacerbated by fear.  He asked her, “Would you like to struggle a little less?”  He then helped her to put her attention to the gap/pause in her breathing and began to pace her by breathing in and out with her.  He reports that “fear left her face” and she died peacefully.  Frank pointed out that none of the conditions had changed for her (including difficulty with breathing), only her relationship to her experience of dying.
  5. Cultivate a don’t know mind – this is not designed to encourage ignorance.  Frank quoted a Zen saying, “Ignorance is not just ‘not knowing something’ but the right thing”.  Ignorance is knowing the wrong thing and insisting on its truth and universality.  The principle is not about accumulating information (the “what”) but cultivating a mind that is “open, receptive and full of wonder” – a mind that is curious and pursues the truth and understanding in everything.  Frank suggested that we should talk with our children about death and, in the process, learn from them (not tell them).  He recounts his experience as a Director of a pre-school when he organised for the children involved to go and collect dead things in the woods nearby.  He marvels at the insight of the children and their perceptiveness.  They had been discussing the theme of endings becoming beginnings, e.g. a caterpillar becoming a butterfly, when a four-year old girl said, “I think the leaves on the trees are very, very generous – they fall and make room for new leaves”.  Frank maintains that a “don’t know mind” is fluid and flexible and “infused with a deep interest to know” and to know what is true right now.

Reflection

Frank’s approach to fully facing all that life presents (both discomfort and joy) is in alignment with Jon Kabat-Zinn’s concept of Full Catastrophe Living and Frank’s personal process for handling his grief accords with Deepak Chopra’s recommendation that we adopt a ritual to symbolise our release from the stranglehold of grief.

Frank epitomises in his life and work what he advocates through his talks and video podcasts.  He pursues a life that is meaningful and purposeful.  For example, in addition to his book and public presentations sharing his knowledge and experience of the dying process and its lessons, he has established a creative approach to educating end-of-life carers through the Metta Institute.  His words and actions manifest a life of integrity, compassion and wisdom.

Steve Heilig, the person who interviewed Frank in one of the video podcasts mentioned above, has also found a way to live a life full of meaning and purpose.  One of his many mindfulness endeavours has been to collect resources and permissions from leading mindfulness practitioners, including Jon Kabat-Zinn, to enable him to provide a free, 8-week, online course in Mindfulness-Based Stress Reduction (MBSR).

As we grow in mindfulness, by employing the five principles that Frank espouses, we can live our lives more fully and expansively and truly aligned to our energy and purpose.  We can find our expansiveness and spaciousness which Frank evidenced with people who were dying – their capacity to find the personal resources to face their fear and death despite their belief that the challenge was beyond them.   We can also become a calming presence to others who are experiencing difficulties as we progressively overcome our own reactivity. If we develop the discipline of the daily practice of meditation, we can live in the light of the lessons of dying and death.

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Image by mostafa meraji from Pixabay

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

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

Mindfulness and Resilience in Challenging Times

The Awake Network and Mindful.org have collaborated to provide a free resource for healthcare professionals in the form of The Mindful Healthcare Speaker Series.  Jon Kabat-Zinn speaking on Mindfulness and Resilience in Challenging Times was the first in the series of six speakers.   While Jon is not an MD, he has a PhD in Medicine and focuses on mindfulness in medication, healthcare and society.

Jon and host, Dr. Reena Kotecha, spoke of the enormity of the challenges facing everyone with the advent of the Coronavirus and especially the frontline healthcare professionals who, in many instances, lack adequate resources and training to deal with the magnitude of this pandemic.  They spoke of the trauma experienced by these healthcare professionals who are witnessing the suffering and death of so many people.  Reena spoke of one frontline female doctor who had to move out of home to live in a hotel for three months to protect her mother who was suffering from cancer. 

A truly disturbing event was the suicide death of Dr. Lorna M. Breen, an emergency center doctor, who continually witnessed the very worst of the impact of the Coronavirus on people, including people dying at the hospital before they could be removed from the ambulance.   Her heroic efforts to save people through her frontline medical work contributed to her own death.  Jon reiterated that mindfulness does not lessen the enormity of the physical and mental health impact of the pandemic on the lives of healthcare professionals but emphasised that mindfulness acts as a ballast to provide stability in the face of the turbulent winds created by the pandemic.

Mindfulness as ballast for stability

Jon referred to the 25 years of quality scientific research that showed the benefits of mindfulness, extending to positively altering the structure of the brain, increasing functional connectivity (e.g. of the mind-body connection) and enhancing neuroplasticity.   Neuroscientist Richard Davidson co-authored a book, Altered Traits: Science Reveals How Meditation Changes Your Mind, Brain, and Body, and demonstrated the powerful effect mindfulness had on building resilience.

Jon spoke of “full catastrophe living” and emphasised that it is truly human to experience fear, anxiety and grief.  He argued that mental health is enhanced by feeling and accepting everything we experience, rather than denying its existence or intensity.  He stated that no matter how emotionally rending our circumstances are we can find refuge in mindfulness, by being “in the present moment, moment by moment”.  In this way, we are better able to recover from the “trauma” of the present reality and to do so without total depletion of ourselves.   

Mindfulness as awareness

Jon maintained that “we are not our narrative” – we are not our negative self-talk that diminishes us and depletes our energy in the face of life challenges.  He argues that our life is “one seamless whole” – our mind, body, thoughts and emotions.  In his view, our breath serves as the integrating factor and energy force.  Awareness of our breath in the present moment enables us “to get out of the wind” and “to recalibrate, recover and respond instead of reacting”.  To reinforce this message, he provided a guided meditation during his presentation focused on the breath for about ten minutes (at the 30-minute mark).

Jon maintained that awareness of our breath can enable us to be fully awake to what is going on inside us and to be more deeply connected to others.  He argued that we don’t have to achieve a particular goal – to become more or better – in his view, “we are already okay”.  In these challenging times, what is needed to help ourselves and others we interact with is to be authentically present, without a “mask” (metaphorically speaking), but with openness and vulnerability. 

Reflection

Jon highlighted the importance of trusting our “human creativity” when confronted with the need to help people who are stressed out by the pandemic.  As we grow in mindfulness through mindful breathing, we not only build our resilience in managing our personal challenges but also “modulate the tendency to put self ahead of everyone else” – we can diminish our self-absorption and self-doubt.  He maintained that awareness of our breathing reinforces our ecological connectedness.  

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Image by Jill Wellington 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.

Being Present to the Power of the Now

Jon Kabat-Zinn, international expert in mindfulness and its positive effects on mental health, provides some important insights about being present in-the-moment.  Jon, author of Wherever You Go, There You Are,  presented on Mindfulness Monthly, and focused on mindfulness for living each day.  His emphasis was on the fact that mindfulness meditation is not an end in itself but a preparation for, or conditioning for, everyday living.

He argues that through mindfulness we develop the capacity to cope with everyday life and its challenges and demands – whether emotional, physical, economic or relationship-based.  He urges mindfulness practitioners to avoid the temptation to pursue the ideal meditation practice or the achievement of a particular level of awareness as a goal in itself.  He argues that the “Now” is the practice ground for mindfulness – being open to, and fully alive to, the reality of what is.  Being-in-the-moment can make us aware of the inherent beauty of the present and the creative possibilities that are open to us.

Dropping in on the now

Jon suggests that we “drop in on the now” as a regular practice to keep us in touch with what is happening to us and around us.  This involves being willing to accept whatever comes our way – whether good fortune or adversity, joy or pain.  

He maintains that being present entails embracing the “full catastrophe of human living”- the theme of his book, Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness.  This means accepting whatever is unfolding in the moment, whether “challenging, intoxicating or painful”.  It also means not seeing the present through the prism of our expectations, but through an open-heartedness.  As we have previously discussed, so much of what we see is conditioned by our beliefs, unless we build awareness of our unconscious biases through meditation and reflection.  Being mindful at work through short mindfulness practices can assist us to drop in on the now.

Taking our practice into the real world

Jon challenges us to take our practice of mindfulness into the real world of work, family and community.  He expresses concern about the hatred and delusion that is evident in so much of our world today – a state of intoxication flowing from a complete disconnection with, and avoidance of, the human mind and heart.

Jon urges us to do whatever we are able, within our own realms of activity, to treat ourselves with kindness and compassion and extend this orientation to everyone we interact with – whether in an official/work capacity or in a personal role interacting with people such as the Uber driver, the waiter/waitress, checkout person or our neighbour.  We are all interconnected in so many ways and on so many levels – as an embodied part of the universal energy field

Jon reminds us that increasingly science is recognising the positive benefits of mindfulness for individuals and the community at large. He stressed that neuroscience research shows that mindfulness affects many aspects of the brain – level of brain activity, structure of the brain and the adaptability of the brain (neuroplasticity).  Mindfulness also builds what is termed “functional connectivity” – the creation of new neural pathways that build new links to enable parts of the brain to communicate with each other.  Without mindfulness practice much of this connectivity remains dormant.

As we grow in mindfulness, we can become more present to what is happening now in various spheres of our lives, become more aware of latent opportunities and creative possibilities and more willing and able to extend compassion, forgiveness and kindness to others we interact with.  We can progressively shed the belief blinkers that blind us to the needs of others and the ways that we could serve our communities and help to develop wellness and happiness in others.

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

Image source: courtesy of SalvatoreMonetti on Pixabay

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

Being Still

I suppose like everyone else you find it hard in your busy life to be still and yet being still is a gateway to happiness, creativity and calm.

Isabel Allende once wrote that “life is nothing but noise between two unfathomable silences”. In explaining these words, she went on to say:

We have very busy lives – or we make them very busy.  There is noise and activity everywhere.  Few people know how to be still and find a quiet place inside themselves.  From that place of silence and stillness the creative forces emerge; there we find faith, hope, strength, and wisdom.  However, since childhood we are taught to do things.  Our heads are full of noise.  Silence and solitude scare us most. (About the author, “The Sum of Our Days”, p. 4.)

As Allende explains, being still is about “being” rather than compulsive “doing”.

Jon Kabat-Zinn, in discussing his Mindfulness Based Stress Reduction (MBSR) program, describes how participants stand and do nothing, sit and do nothing, lie and do nothing – they clear their thoughts and just focus on being.  The MBSR Program has proven over more than 30 years to be very successful in helping people deal with chronic stress, panic and many forms of mental illness that are often precipitated by busyness. Kabat-Zinn discusses the program and its origins in his book, Full Catastrophe Living.

Andy Puddicombe suggests that “all it takes is 10 mindful minutes” per day to achieve an increased sense of calm, clarity ad focus.  He reminds us that we spend more time looking after our clothes, our hair and how we look, than in caring for our brain – the centre of creativity, energy and happiness.  Puddicombe demonstrates how our lives have become an endless juggling act, not only juggling things-to-do but also our self-defeating thoughts:

There are many resources available to motivate you to be still or to show you how to achieve this.  RMIT, for example, provides an audio resource on “sitting still” to help students cope with study and life stress. This is part of an online resource that covers “mindfulness and being present“.

Being still and doing nothing is a real challenge, but if you take the time out from your busy life to actually do nothing, for however long each day, you will experience real benefits for your health, well-being and happiness.

Image Source: Courtesy of Pixabay.com