Tag: illness

The Pervasive Impact of Negative Beliefs About Aging

Dr. Becca Levy, Yale professor and world leader in the psychology of aging successfully, has written a groundbreaking book that is brilliant in its conception and exhaustive in its research foundation.  The book is titled Breaking the Age Code: How Your Beliefs About Aging Will Determine How Long and Well You Live.   Becca draws on global research, undertaken by herself and colleagues in the field, to demonstrate that our age beliefs impact positively or negatively not only our physiology but also our mental health.  Negative age belief, perpetuated through the media and our social environment, can lead to mental and physical ill-health and a diminished quality of life.  In contrast, positive age beliefs can enable us to transcend the limitations of aging in terms of mental acuity, physical strength, flexibility and longevity.  Becca draws on numerous stories of people from all walks of life – artists, musicians, actors, athletes, carers, and health professionals – to illustrate the very real impact of beliefs about aging.

How our negative aging beliefs are formed

Becca demonstrates the impact of nursery rhymes and cartoons on the early formation of our age beliefs.  These typically negative portrayals of aging are further reinforced by social media, films, newspapers and everyday social conversations.  The pervasive marketing of a desirable body image and associated cosmetic propaganda (a Trillion-Dollar industry), have served to embed a negative image of aging in our psyche.   We now have “age-defying” skin treatments that remove wrinkles and make our skin glow, along with a pervasive negative stereotyping of menopause (loss of youthfulness, sexual drive, physical prowess and energy).

The impacts of negative age beliefs on institutions and individuals

The resultant negative age beliefs underpin the growth of ageism – “discrimination against older people because of negative and inaccurate stereotypes”.  This discrimination is reflected in institutional bias, in interpersonal communications and relationships, and self-talk/limiting behaviours.  Becca gives examples of institutional discrimination in employment, the acting and legal professions and hospital protocols.  She explains that her research confirms that many health professionals have negative age beliefs and act on them.  Our language in conversations can betray an ageist mindset, for example, when we talk about “having a senior moment” (Becca devotes a chapter to this phenomenon and highlights the amazing memory of deaf people and the role of memory in the oral transmission of indigenous knowledge).

The last mentioned arena of negative age beliefs, the intrapersonal, is difficult for an individual to realise and acknowledge.  Becca surprised herself by her ageist mindset when she suffered an injury while running in a charity event.  Despite her professional knowledge of aging, she immediately attributed the injury to her middle-aged body “succumbing – all too early – to the ravages of age”.  She assumed that her running days had come to a “premature end”.  It was only when her husband, a doctor, explained that she only had a “badly pulled muscle” that she was able to recognise and acknowledge the personal impact of her negative mindset about aging.  Like many people, Becca was shocked that ageism was influencing her own thinking.

I can relate to Becca’s personal injury story.  I was diagnosed with multilevel spinal degeneration, in part, as a result of playing tennis for more than 60 years, including many years at a competitive level.  My doctor told me that I would have to give up tennis because the injury was the result of “wear and tear”.  Initially, I put the degeneration down to aging (I was 76 years old at the time) and decided that my body was no longer able to cope with the rigours of tennis.  For some reason, unknown to me, I decided to seek a second opinion.  The second medical practitioner gave me a referral to an exercise physiologist who provided me with a series of progressively more challenging exercises over a period of six weeks.  By the end of this period, I was able to return to playing tennis and have been doing so for six months (I play social tennis weekly at night).  This brought home to me that a negative mindset about aging can actually prevent us from exploring and undertaking remedies for health issues. We can adopt a helpless frame of mind that impedes our chances of improving our health, physically and/or mentally. 

Reflection

Becca reveals through her research and storytelling that our negative age beliefs can influence our behaviours, our ability to recover from illness and injury, our quality of life, and life span.  It behoves us to become aware of the influence of ageism on us, to become conscious of our negative thought patterns and to be aware of our resultant limiting behaviours (including our willingness to seek ways of healing).

As we grow in mindfulness through reflection and mindfulness practices such as meditation, we can become more aware of our thought processes and their impact and develop increased self-awareness, including knowledge of our habituated behaviours.   Tara Brach and Jack Kornfield teach us about The Power of Awareness developed through mindfulness meditation.

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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 and the resources to support the blog.

Healing Through Creative Storytelling

I have previously written about the Health Story Collaborative created by Dr. Annie Brewster M.D.  The Collaborative provides an online platform for individuals to share their story (through any medium) about their health challenges and their road to recovery.  The stories provide healing for the storyteller and ongoing inspiration for others to overcome the challenge of ill-health in whatever form it takes.  Annie Brewster is the author of The Healing Power of Storytelling: Using Personal Narrative to Navigate Illness, Trauma and Loss.

Creative Meetups

One of the programs offered by the Health Story Collaborative is Creative Meetups that are designed to cultivate “writing for expression and connection”.  They are based on the firm belief that artistic expression of a person’s story can help them “find hope and healing”.  These free workshops are offered every second Wednesday via the Zoom platform – they only require prior registration through the website.

The Creative Meetups are currently facilitated by Annie Robinson, who has completed a Masters in Narrative Medicine and is a qualified meditation, mindfulness and yoga teacher. In her private practice, Annie helps health professionals, including nurses and doctors, by training them in wellbeing, reflection and resilience.  She also assists individuals in various life transitions and is co-curator of the podcast for health professionals, Thriving in Scrubs. 

My experience of a Creative Meetup

I recently participated in my first Creative Meetup – initially with some uncertainty, not knowing what would be involved and how vulnerable I would feel.  The Meetup facilitated by Annie had about 12 participants, both male and female.  The process usually involves Annie providing some form of stimulus for reflection followed by a period for individual creative writing that can take any form a participant desires, e.g., a poem, picture, narrative or dot points.

Annie explained at the outset that she was departing from her usual practice of having two participants read out a piece of writing, e.g. a poem, that can act as a stimulus to reflection.  On this occasion, she shared an abstract painting that featured a number of colours with a pattern that suggested “reflection” to me.

Our Meetup process involved an initial two minute writing task where we reflected on what the painting meant for us as individuals, there being “no right answer”.  This was followed by a brief sharing by some people who wished to share with the larger group.  We were then assigned the task of taking a sentence from our earlier reflection and expanding on this over a period of 20 minutes of individual creative writing (with no restrictions on form or length).

When we had completed our creative writing, Annie placed us into Zoom “rooms” of three or four people to share at another level.  Participants were encouraged to share only what they felt comfortable sharing with no pressure for full disclosure.  The small group environment enabled rapid rapport building and a degree of openness that was disarmingly honest (destroying any erroneous first impressions that may have been formed). 

As one participant commented in the larger group, there was a common bond amongst participants in that we were all dealing with a health challenge (however varied in nature and complexity) and were seeking healing through writing and sharing.  Reg Revans, the Father of Action Learning, would describe us as “Comrades in Adversity” (or as others put it, “Comrades in Opportunity”).

The environment created through the Creative Writeup process was one of trust that facilitated openness and vulnerability by participants.   There was a shared sense of journeying towards healing with the aid of the understanding, empathy and mutual support offered by fellow participants.  Annie’s low-key facilitation style and active listening modelled appropriate behaviour for participants.

I was blown away in the small group by the creative writing that was shared.  In one case, this involved a poem that expressed the meaning for the participant of each of the colours in the painting – an insightful and revealing piece of writing that we asked the storyteller to read a second time because it was so rich.  Another involved an allegorical story that was emotive and self-disclosing and left us all feeling loving kindness towards the person who shared so vulnerably. 

One of the features of the small group was the way that one person’s shared reflection stimulated reflection by another person and achieved a deeper level of self-disclosure.  Participants could relate to some aspect of a shared situation, response or recovery approach.  We were each able to learn from the storytelling.

Reflection

During the small group sharing, I was able to share with others how expressing gratitude for what I am able to have and do was a recovery mechanism for me following my diagnosis of multi-level spinal degeneration.  It also empowered me to seek alternative medical assistance in the form of an exercise physiologist who helped me return to tennis when my doctors told me that I would never play again.

The painting that Annie shared reminded me of the art of reflection – having spent most of my working life in studying, teaching and practicing action learning.  Reflection underpinned the way I played tennis, conducted workshops, managed people and interacted with others.

More recently, through reflection,  I came to understand that one of my personal barriers to active listening was my need to come from an “I know” perspective rather than what Frank Ostaseski  recommends as a “don’t know mind”.  The “don’t know” approach is foundational to action learning, so my listening behaviour was not congruent with what I espoused about action learning.  Reg Revans reminds us that, ”If you think you fully understand something, you are not only going to get yourself in trouble but others as well.”  Reg encourages us to “ask fresh questions” and to develop “questioning insight”.   He frequently quoted Isaac Newton’s comment about studying some interesting shells and pebbles in his lifetime “whilst the great ocean of truth lay all undiscovered before me”.

At the time, I attributed this personal barrier to active listening to my many years as an academic.  I realised, too, that the “I know” perspective accounts in part why I had so much resistance when trying to introduce action learning into my university.  It also explains why in the first year of an action learning program that I was facilitating in another university, the hierarchy insisted on removing “become a learning organisation” from the vision statement for the program (they re-inserted it after their experience of the first year of the program and its outcomes).   

As I grow in mindfulness through reflection and activities such as the Creative Meetups, I am better able to develop resilience to deal with life’s challenges, gain increased self-awareness and cultivate deep listening to enrich my relationships.

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Image by Peter H 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.

The Impermanence of Everything and the Preciousness of Life

In Part 1 of his book, The Five Invitations, Frank Ostaseski discusses his first invitation and principle for living, “Don’t Wait”.  Frank, as founder of a hospice and end-of-life carer, has cared for more than a thousand patients during their dying process and death.  In this first part of his book, he highlights the impermanence of everything and the preciousness of each moment of living.   

Frank has been a companion to the deepest grief of friends and relatives of the dying and experienced a depth of vicarious grief that is difficult to conceive – it’s as if the collective grief of others had beset him and brought him to his knees, both physically and metaphorically.  Fortuitously, he was a colleague and friend of Elizabeth Kübler-Ross at the time who supported him in his grief and his work as an end-of-life carer.  Elizabeth developed the classic concept of the five stages of dealing with death and loss in her book On Death and Dying and was also the author of Grief and Grieving: Finding the Meaning of Grief Through the Five Stages of Loss.

The impermanence of everything

If nothing else, the Coronavirus reinforces the impermanence of everything through its pervasive impact on every facet of our daily lives – our home, work location, transportation, schooling and education, shopping, spending, entertainment, health, finances, sport and our very daily interactions and movements.  The on-off nature and varying intensity of imposed restrictions serve to reinforce this message of the changeability of everything.  In these challenging times, we are called to adapt to the unpredictability of our work, our changing home arrangements, the extreme challenge to our health and welfare, and the uncertainty of our income and overall finances.

Without the pandemic, we can still become aware of impermanence – the birth and death cycle for humans, animals and nature.   Relationships end, animals are killed and eaten by other animals in the endless pursuit of food and survival and leaves fall off trees to become life-giving compost for new plant growth.  

The impermanence of everything was brought home to me by two recent incidents.  The first was the disturbing story of a nurse killed suddenly in our city while cycling to work.  Her husband indicated that their day started as normal with a coffee and breakfast together but ended tragically when the nurse was only metres away from her work at the hospital.

The second experience of impermanence occurred when I was walking along the foreshore of Moreton Bay near our home.  I was watching the small fish full of life darting back and forth in the marina when a fast-moving bird dived into the water and retrieved one of the fish for its food – only to be followed by other birds dive-bombing the school of little fish. 

The preciousness of life

Frank describes the process of dying as a “stripping away” of everything including our sense of “self” – our sense of who we think we are and should be, all our roles such as husband/wife, partner, parent, neighbour.  We lose our professional identity, our personal orientation, e.g. as a “people person” and our comparative self-assessment such as well-off or impoverished and successful or an abject failure.  Frank reinforces his view of the inadequacy of the medical model to explain the breadth and depth of the “stripping away” at death.  He maintains that in dying everything is released/dissolved – “the gross physical elements of the body, thoughts, perceptions, feelings, conditioning all dissolving”.  Frank asserts that what is left to discover is “something more elemental and connective” that constitutes the real essence of human nature.

Our awareness of impermanence, accentuated by illness, can lead to anxiety or a readiness to appreciate and savour the preciousness of life, of our relationships and of nature.   Through appreciating the pervasiveness of impermanence, we can more readily accept change and more willingly give up our attachments – the things that we hold onto to define our self and our worth.   This is where meditation can help us both in fully living and preparing for dying and death.

The “Don’t Wait” principle reminds us of the certainty of death and the uncertainty of the timing of our death – that it will happen, but we don’t know when or how.  This principle encourages us to value every moment we are alive and to savour what we have in life and the experiences of living.  Frank’s heart attack reinforced this message for him – his sense of self and perception of himself as the “strong one” helping everyone else in need was completely undone.  He encourages us to be curious about ourselves and our preferences/attitudes/ biases and to work at letting go of the identities that we have become attached to.

 Frank maintains that “softening around these identities, we will feel less constraint, more immediacy and presence”.  I am learning the profound truth of this statement through softening my identification with being a “good” tennis player who never or rarely makes mistakes.  Instead of wallowing in negative self-evaluation, I am beginning to enjoy the freedom of progressively loosening this unsustainable identification as I grow older and less physically able.

Reflection

Frank’s book would have to be the easiest and most-engrossing personal development book I have had the privilege to read, and, at the same time, the most profound.  As someone who has had a deep interest in, and knowledge of, his subject, he can communicate his ideas in simple language and practical illustrations.  Each paragraph contains exquisite morsels of wisdom and the book is replete with moving but brief stories that impress indelibly – so, even if you don’t remember the exact wording of his principles, you certainly remember the stories that illustrate them.  Frank’s writing reflects the calmness, humility and depth of insight and wisdom that is evident in his many conversations and podcast interviews about the process of dying and “The Five Invitations”.

“Don’t Wait” is a challenging principle but Coronavirus has forced us to stop, reassess and protect ourselves and others.  It has been the catalyst for incredible acts of courage and kindness – by our health professionals and people from all walks of life.  The Pandemic Kindness group on Facebook©, with over half a million members, is but one of many efforts to encourage and support random acts of kindness in these challenging times.

The “Don’t Wait” principle incorporates many invitations to create change in our lives.  As we grow in mindfulness through meditation and reflection, we can become increasingly aware of our attachments (including to harmful self-narratives) and progressively develop the discipline and self-regulation to create real change in our lives to live with more appreciation, thoughtfulness, kindness and compassion.  We can learn to savour every moment of our life and everything that it entails.

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Image by christels from Pixabay

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

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

Mindfulness and Personal Transitions During Organisational Change

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

Mindfulness and personal transitions during organisational change

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

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

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

Research into mindfulness and personal transitions during organisational change

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

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

Resources for personal transitions during organisational change

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

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

Reflection

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

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Image by Geralt from Pixabay

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

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