Preventing and Reversing Alzheimer’s – Dr. Kat Toups

Dr. Dale Bredesen, author of The End of Alzheimer’s, in an interview podcast with Kirkland Newman, indicated that he was the theoretician oversighting the work of his team engaged in clinical trials to prevent and reverse Alzheimer’s.  He also introduced Dr. Kat Toups as the practitioner and Principal Researcher for the clinical trials.  Kat specialises in functional medicine psychiatry and in 2009 was awarded the honour of Distinguished Fellow of the American Psychological Association (APA), the highest honour bestowed by the APA.  After researching Alzheimer’s for 20 years and working with Dementia patients in her clinic, she found in 2010 that she herself was a Dementia sufferer.  She spent the next three years researching and treating herself to the point where she was able to return to her practice after a period of incapacitation.

Kat was 50 years old at the time of her self-diagnosis of Dementia and she was acutely aware that such early onset Alzheimer’s tends to develop more rapidly than for people who are 65 years or older.  Kat described development of her symptoms as a progressive deterioration of her cognitive abilities:

  • Commencing with her inability to remember two sets of three words that she had used for 20 years in undertaking memory tests with her patients (she had to write them down to access them)
  • She found she was unable to reverse park or parallel park her car because these involved fairly complex cognitive steps
  • Her memory of how to work on her computer declined – she could not  remember how to operate this primary research tool and its particular functions; she found that her husband would get annoyed at her because she could not remember his instructions or that he had actually reminded her of the processes involved
  • Kat found she had difficulty remember phone numbers, and even worse, needed multiple attempts to dial a phone number
  • She found during a conversation at a friend’s place that she lost track of the conversation and was unable to understand what was being said in normal conversation (her cognitive ability had declined to the point where she had developed auditory processing problems)
  • She continued to deteriorate and eventually she suffered extreme fatigue, had difficulty getting out of a chair (for a year) and could not work.

Kat was very conscious of her concurrent problems including an auto-immune disease, Lyme disease, chemical sensitivity, allergy to multiple things resulting in hives and rashes all over her body and brain fog (resulting from exposure to chemicals in stores).  Because of her awareness of the many factors impacting cognitive ability – such as toxins, nutrient deficiency, lack of hormones, lifestyle challenges and stresses, inflammation and infections, and diet – she was motivated to undertake a battery of tests to determine and treat the specific factors impacting her cognitive health.  She indicated that in her clinical trials she does the same thing – isolate personal factors that can then become “treatment targets” for reversing the impact of Dementia (including Alzheimer’s).

Kat was eventually able to return to work and resume her clinical practice with the added benefit, because of her personal experience, of being able to treat her patients faster than she had treated herself.  She explains the thoroughness of her self-testing and treatment in her podcast interview with Kylene Terhune, Functional Diagnostic Nutrition (FDN) practitioner.

In her interview with Kirkland mentioned previously, Kat discussed a case study that demonstrated reversal of Dementia.  She spoke about a patient who had been tested elsewhere at the age of 60 and found to have a delayed memory score of 19, a score that should have been “way over 50”, given his education and obvious intelligence.  When he presented for a Dementia trial with Kat at age 63 (after doing nothing in the intervening period on the basis of the medical advice he had received), his cognitive test result was 7 (a decline of more than 50%).  Kat stated that she and her team were able to reverse this result after the patient spent 9 months in the clinical trial – resulting in a score of 92 at the end of that time.   

Ways to prevent and reverse Alzheimer’s and other forms of Dementia

Kat provides a free e-book, Decoding Dementia, in which she explains the causes of decline in memory and cognitive ability, discusses different treatment options, proposes diet and lifestyle changes and ways to test for and identify underlying causes of Dementia, including toxins (especially mould), inflammation, lack of hormones, and stress.

Kat provides what she terms a Basic Dementia Protocol which includes:

  • Identifying and correcting any underlying causes likely to contribute to cognitive problems
  • Observing her guidelines on exercise, diet and sleep
  • Brain training e.g. Brain-HQ
  • Correcting vision and hearing through testing and taking remedial action
  • Overcoming deficiencies in nutrients (e.g. Vitamin D)
  • Reducing stress by using mindfulness practices
  • Restoring hormones to the right levels and balance.

Kat is particularly conscious of the need to remove mould from homes and correct sleep apnea:

  • Mould – Kat explains that certain types of mould “can result in inflammation and destruction of the neurons” if left unattended over a reasonable period.  She advocates strongly for mold testing using home kits and external professional assessment.  Kat provides detailed instructions on how to go about dust collection and assessment (pgs. 10-11 of Decoding Dementia).
  • Sleep Apnea – Kat encourages testing and correcting Sleep Apnea where frequent snoring occurs as this condition causes a continuous loss of oxygen to both the brain and the heart.  In her words, if left untreated, “Sleep Apnea can lead to both Dementia and Congenital Heart Disease”.

In her free e-book, Decoding Dementia, Kat offers more details in relation to each of the elements of her Basic Dementia Protocol.  On mindfulness, she states that any mindfulness practice will be beneficial provided it is done on a daily basis and, ideally, for at least 20 minutes.  Kat recommends using a mindfulness practice that suits you personally and your commitments.  She encourages the use of guided meditations such as those provided by the Mindful Awareness Research Centre (MARC), UCLA.  Other options Kat proposes include Tai Chi, Gratitude practices including journalling, Meditation apps such as HeadSpace, and HeartMath Technology (focused on inner balance and stress reduction).

Reflection

We can each think of someone who could make use of the information and options provide by Kat.  The challenge is to apply her experience and research insights to ourself and undertake the testing, lifestyle changes and treatments (where necessary) that she proposes.  I find that guided mediations, mantra meditations and Tai Chi (meditation-in-action) are my favourite mindfulness practices.  Through these practices, I hope to grow in mindfulness so that I can increase my self-awareness, develop and support my brain (through improved attention and concentration) and build better understanding and compassion.  I hope to cultivate and savour my subconscious and gain greater access to my innate creativity.

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Image by Gerd Altmann 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.

Note: The Content of this post is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

Undertaking a Life Review

In a previous post I discussed the life review process when it occurs during a near-death experience or when a person is dying.  While millions of people have reported near-death experiences (NDE’s), not everyone has the privilege of having this experience.  If we wait till we are dying, we may find that we are overwhelmed with regrets, rather than experiencing the joy of having created positive ripple effects in our life, especially in our latter years.

It is possible to undertake a life review at any point in our life and to benefit ourselves and others we interact with as a result.  The life review process, even self-initiated, can be a forbidding task.  People find that early in life (especially as teenagers) we tend to be more reckless and less sensitive to the needs of others.  Jeff Janssen, in his video podcast interview with Kirsty Salisbury offers two questions which may be too daunting as a starting point:

  1. Which events/situations would you look forward to seeing and feeling again?
  2. Which events/situations do you dread seeing and feeling again?

We can build towards a situation where the events/situations we look forward to re-visiting (in all their visual and emotional elements) dominate our life review towards the end of our life.  This can be achieved by beginning on the path to a complete life review – taken in your own time and own way.

Chunking to manage the life review task

You might adopt a process of chunking up the life review task – breaking it into manageable chunks.  Shelly Tygielski, in her online course on the Power of Showing Up,  decided to focus on self-care in her life review after receiving a diagnosis which indicated that she would go blind without radical medical treatment – which subsequently failed.   She adopted the process of chunking up the self-care life review by looking at the different spheres in her life, e.g. work, home, social and community.  Community was included because she believes strongly that self-care is ultimately for enabling one to participate in a unique way in community care.  The result of such a review could be a comprehensive self-care plan that serves our needs and, at the same, time contribute to the wellbeing of others that we interact with daily.

Using role reversal to access others’ perspectives.

Jeff also adopts another approach to a life review by using a role reversal process.  He suggests for example, that if he was in his son’s place, how would he view his father?; or if he was in his wife’s place, how would she view him as a spouse?  We can ask similar questions in relation to our colleagues, family members or clients/customers.  This can be enlightening in terms of the ripple effect of our words, omissions and actions and can identify ways to ensure that we are choosing to create positive rather than negative ripples.  

Life purpose review

Consistently we are told that pursuing a life purpose beyond ourself adds meaning to our lives and is foundational to achieving happiness, joy and self-fulfilment.  In a life review, we can explore how we are pursuing a life purpose that engages us in community care.  We can ask ourselves two basic questions:

  1. What is my unique combination of experience (including trauma), skills, knowledge and abilities?
  2. How can I better use these to advance community care in my immediate environment and/or the wider community?

If we answer these questions honestly and pursue the insights gained we can begin to generate more positive ripple effects in the lives of others (and our own life).

Questions from lessons learned through near-death experiences

In the summary of his book, 10 Life-Changing Lessons from Heaven (based on reported NDE’s), Jeff provides a series of questions around each chapter that addressing a separate lesson or recommended way of living our life.  Even without reading the book, you can use the questions as a form of life review (of course, if you read the book, you will gain so much more meaning, insight and “how to” information).  You could for example explore these sample questions or others provided by Jeff:

  • How have your fears held you back and limited you?;
  • Where in your life do you need to summon the courage to jump?
  • Can you think of any situations where the Ripple Effect of your actions have had a negative effect on others? What was this effect and how far did the ripple effect extend?
  • Which individuals or groups might you not fully understand or accept?

Reflection

There are many approaches we can use to begin on the path to a life review.  Undertaking a life review is a massive task and can be managed through chunking up the task by choosing a manageable focus and starting point (e.g. self-care plan, role reversal reflection, life purpose review, or specific lessons from NDE’s or from death and dying).

We can engage in self-pity and get lost in the adversity caused by our past words and/or actions, or offer ourselves self-compassion and forgiveness and move forward with a life review process that engenders a commitment to creating positive ripples in our life and that of others in the community.

As we engage in mindfulness practices, we can grow in mindfulness in every aspect of our daily life, gain self-awareness and insight into our impact on others and have the courage to change for the better.

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Image by Public Co 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.

The Ripple Effect of Your Life – Choosing What Effect You Will Have

Authors who have reported research into near-death experiences (NDE’s) invariably describe the “life review” as an integral part of the experience, along with many other elements.  While researchers and writers in the area of NDE’s confirm that every near-death experience is different in its dimensions and intensity for everyone (no two are exactly the same), they consistently report on the high level of incidences of people experiencing a life review during their NDE.  The character of the life review is typically individualised also.

The nature of the life review is richly described by Jeff Janssen, author of Your Life’s Ripple Effect: Discover How and Why Your Life Really Matters.  Jeff has researched more than 3,500 NDE cases and reported in depth on their nature and their impact on the individual involved.   He discusses his research findings and his book in a video podcast interview with Kirsty Salisbury.  Jeff explains the nature of life reviews along a number of dimensions and provides illustrations of each dimension from actual near-death experiences.  The dimensions include microscopic focus, panoramic view of the ripple effect of a person’s life and the resultant profound understanding experienced by the individual involved:

  • Microscopic focus: Jeff describes the level of detail experienced by many people undergoing a life review during their near-death experience.  He explains that the life review can encompass a person’s life from birth to the present day (or periods within) and entail highlighting every thought, word, action and feeling experienced by the individual involved over the span of the review.  Not only does this involve vivid recall but what is also exposed is person’s reasons for acting (or re-acting) in the way they did.  This microscopic view means that the individual involved cannot hide the real reasons through self-justifications, lack of self-insight or unfounded assumptions – the underpinning motivations and precursors are in the spotlight.
  • Ripple effects: Not only are the individual’s words, actions and reasons exposed but also the impact that these have on individuals who are directly impacted by them.  This is experienced in high definition – feeling the physical impact of a slap or punch, experiencing the pain, anguish, frustration and anger of another resulting from the focal individual’s words and actions.  So not only do you experience your own thoughts and feelings but also those of people directly impacted.  The ripple effect is disclosed through being able to observe what the impacted individual does as a result of the interaction with you – passing on their anger, resentment or other feelings to family members, co-workers and anyone else they interact with.  Orthopaedic Surgeon Dr. Mary Neal in her book chapter, Death on the River,  discusses her life review during her near death experience and explains that no event or words in her life were seen in isolation but starkly in terms of their “unseen ripple effects”.  She saw the impact of her words and actions on others “dozens of times removed” from the immediate situation and understood that “every human interaction” has a far more significant effect than we can possibly imagine with our limited vision and insight.  The effects of words and actions that express love and kindness towards another person appear in the life review as amplified feelings of joy, gratitude and appreciation by the recipients and others.
  • Profound understanding: people who report having a life review during their near-death experience also report that if there are witnesses present who can see the life review (in all its high definition visuals, e.g. in shared death experiences), they do not judge the person having the review.  Jeff confirms that this is true also of other beings who are seen by some people to be present, including the Supreme Being (or “God” for some people).  There is no external judgment as the life review proceeds, only one’s own evaluation based on full information, understanding and insight that is engendered by the life review process.  Kirsty and Jeff suggest that the life review serves to identify areas for learning and development – what they describe as “soul purpose”, e.g. to develop greater patience or empathy.  The life review can also throw light on one’s life purpose and may even show the way forward by identifying a unique way to contribute to the welfare of the broader community and the world at large.

Choosing the effect you will have

There is little we can do about our past words, actions and omissions other than seek and/or give forgiveness – a forgiveness meditation can be helpful here.  Research into life after a NDE and life review indicates that people affected by the experience tend to change their words and actions so that they will have a positive ripple effect in their interactions.  Jeff describes these changes on his website and I have summarised them here:

More of:

  • Focus on living a life of contribution and personal meaning
  • Courage and fearlessness to live authentically
  • Offering unconditional love
  • Purposely living life to the full
  • Peace, patience and joy.

Less of:

  • Being a victim and passive in the face of challenges
  • Focus on materialistic values
  • Hatred and envy of others
  • Being stressed and overwhelmed
  • Concern about what others think about them.

As a result of this changed orientation to a positive ripple effect in their lives, people left soul-destroying jobs, increased their connectedness with others (family, friends, colleagues) and ceased to gossip about or bad-mouth others. Some even chose to work with the dying in a hospice setting.

In his earlier book, 10 Life Changing Lessons from Heaven, Jeff identifies how we can increase the positive ripple effect from our words and actions – we can choose what kind of ripple effect we will have in the rest of our life.  The lessons include learning, loving, trusting, and appreciating without limit while fearlessly pursuing a purposeful life in the service of others.  These lessons from near-death experiences resonate strongly with what Frank Ostaseski describes as the “lessons from death and dying” – gleaned from providing end-of-life care to over a thousand people who have died in a hospice environment.

Reflection

Throughout his book on the 10 lessons, Jeff offers exercises to make us think about what we need to change in our lives.  He also offers a series of questions on his website that address each of the 10 lessons, including “accept non-judgmentally” and “appreciate regularly”.  He encourages us to explore these with our friends or a community of care.

Even small acts of kindness have a positive flow on effect and cause ripples that may improve the quality of other peoples’ lives.  One small example of this is the daily ritual of the “waving man”, Peter Van Beek,  who waved to everyone who passed him in a car as he stood near a roundabout with a broad and welcoming smile – the positive ripple effect of this small action was reported recently on his death.

The challenge as Kirsty points out is to avoid being obsessed with our past life and things that we cannot change but to look ahead and change our words and actions while pursuing a life of purpose, meaning and contribution.  As we grow in mindfulness through reflection, meditation and other mindfulness activities, we can develop the necessary self-awareness, insight, courage and fearlessness to make our life matter for others.

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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, the associated Meetup group, and the resources to support the blog.

 

Mindfulness in Everyday Life

Rachel Kable – author, podcaster, blogger and mindfulness coach from Victoria in Australia –  recently participated in a podcast interview with Dr. Justin Puder.  In the course of the interview, she explained that when she first started out practising mindfulness in the more formal way of meditating (e.g. focusing on her breath), she had great difficulty and did not like it at all.  At the time she lived very much in the past and the future, not the present.  She would review past performance and prepare to-do lists for future activities to the point where she would lie awake at night, not being able to quiet her mind.  To sit still and focus on the moment was a real challenge and counter-intuitive.

However, Rachel persisted with formal practice because she had heard of the benefits of meditation and mindfulness and wanted to experience them for herself and to share them with others.  As she persisted in her more formal efforts, she found that mindfulness practice increased her ability to focus and concentrate, enabled her to sleep more restfully and fully, enhanced her relationships (e.g. through being present to the person speaking and listening actively, not distractedly) and improving her capacity to be creative in her career endeavours.

Rachel also discovered that she could bring mindfulness to everyday life and the things she already did each day, e.g. cleaning the house, washing the dishes, preparing the meal, driving the car, eating her meals, or sitting on her deck (which provided the opportunity for engaging in “natural awareness”, taking in the sounds, sights, and smells already present to her).  Consequently, she decided that the focus of her mindfulness coaching would be on helping people to bring mindfulness to the activities of everyday life.  To this end, she has developed her blog covering things like self-care, meditation techniques, and simple living.  Rachel’s podcast series, which at the time of writing has 322 episodes, provides lots of practical advice on how to be mindful in everyday life, dealing with issues such as challenging emotions, expectations, stress, decision making and negative self-evaluation.

Rachel has also written a book, The Mindful Kind Book, wherein she provides practical advice and tools to manage overwhelm and stress, enjoy life more, improve resilience to handle setbacks and to practise mindfulness as a form of self-care when engaging in everyday activities, including work.  Her interview is one of many conducted by Dr. Justin Puder who has developed the podcast series, Drop In with Dr. J.

Reflection

Tennis is a very important part of my life and my exercise activity and has been since I was in Primary School (about 10 years of age).   Rachel’s podcast interview reminded me that I need to bring mindfulness more to the fore when playing tennis.  I have certainly used reflection-on-action in the past when looking at how I play tennis.  Through reflection, I have become more conscious of the importance of savouring the moment when playing tennis; addressing my “habit loop” (and related reward system) when experiencing blockages to trying out new tennis strokes; being able to constructively manage mistakes when playing social tennis; and identifying the behavioural and cognitive blind spots that are impeding my tennis performance.

I am often conscious of the technical aspects of playing tennis, e.g. keeping your eyes on the ball, preparing for a tennis shot, choosing the right shot, deciding the stance and position to receive a serve, and identifying the gaps in which to play a shot.  I can become more conscious of when my attention strays to what is happening on one of the other eleven occupied courts and bring my attention back to my own tennis game.

What Rachel’s comments remind me to do is to face my emotions in the moment when playing tennis (e.g. anxiety, fear), name them and decide how to manage them – rather than ignore or suppress them.  It also means acknowledging to myself (and challenging) my self-imposed expectations that impede my performance and enjoyment of the game. 

Rachel reminds us that mindfulness can be practised in every aspect of our life, even having lunch.  For me, for example, that means eating my lunch mindfully, savouring the taste, texture and aroma of what I am eating – not processing emails or planning my day as I eat. 

As we grow in mindfulness through formal processes such as meditation, Tai Chi, or yoga, we can more readily bring mindfulness to our everyday life whether that is driving a car in traffic, sitting on our back deck, working in our garden or just taking a walk.  Mindfulness can accompany us wherever we go and whatever we do – if we only let ourselves drop into present moment awareness.

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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, the associated Meetup group, and the resources to support the blog.

Reframing Menopause: Making Sense of the Transition

Maria Shriver, creator of the Radically Reframing Aging Summit, identified aspects of our life that need reframing such as the aging narrative, retirement, life transitions and death and dying.  She also mentioned explicitly the negative narrative around menopause and the need to reframe it as “a different stage of life” leading to blossoming, rather than decline.  This theme of post-menopausal empowerment is taken up in Susan Willson’s book, Making Sense of Menopause: Harnessing the Power and Potency of Your Wisdom Years. In a podcastinterview with Tami Simon, Susan spoke energetically and insightfully about the disempowerment of the current narrative about menopause.

Salient messages in Making Sense of Menopause

In her interview, Susan covered many aspects of menopause including the physical, psychological and cultural dimensions.  Some of the key messages introduced in her interview podcast and detailed in her book are identified below.

  • The negative narrative – the prevailing narrative around menopause focuses on what can be lost, e.g. looks, sexual drive and physical prowess.  This narrative can be disempowering so that some women view menopause as a period of decline rather than the transition to a new phase of life that can be enriching, rewarding and a source of creativity and shared wisdom.   She sees her role as helping women to change the narrative and to see menopause in a new lights that leads to proactive action and empowerment.
  • Physical changes – Susan stresses that the body is forever working in the best interests of the individual, by integrating its functions, accessing its intelligence and continuously adapting to its environment.  She argues that women need to understand what the body is trying to achieve and to work with it rather than against it.  She suggests that women can move beyond the symptomatic level and their conditioning arising through being “marinated” in the pharmaceutical solution to everything.  Susan explains too that part of the hormonal changes occurring in menopause actually “trigger the creative centers of the brain”.
  • The sharing of wisdom – Susan argues that what is needed is a new narrative about menopause that recognises it as a time for “thriving” and for women to access their creativity and wisdom.  She identifies the post-menopausal wise woman as someone who has worked on their “inner landscape” so that she “really knows who she is” and is comfortable enough in herself to own her self-identity without being dependent on the opinions of others.  The wise woman too, in her view, who takes the “long view” – being present in the moment but not captured by it, and being able to see beyond limiting ideologies, narrow worldviews and short-term time horizons.  The long view includes consciousness of community and a desire to make a contribution drawing on a woman’s innate gifts and wisdom accumulated through life experiences. 
  • Role models of the wise woman – Susan suggested that there are increasing examples of the post-menopausal wise women, some of whom will be presenting at the Radically Reframing Aging Summit. She also mentioned Hazel McCallion as a model of a wise women – a woman who became a Mayor in Ontario in her 60’s and retired at 95, after focusing on building community and the welfare of people she served.   Another example that comes to mind is Edith Eger who at 92 wrote The Gift: 12 Lessons to Save Your Life– a  reflection on lessons learned in her time in Auschwitz and, subsequently, as a world-renowned and highly accredited trauma counsellor.
  • Need for ritual – Susan maintains that there is a need for ritual “to bring menopause to a conscious place”.  In the podcast and her book, she describes her own ritual for menopause as a point of transition to a new and fulfilling phase in her life.  She makes the point that in Western Society, unlike many other cultures, we do not have established rituals to celebrate rites of passage such as puberty and menopause.  Susan strongly suggests that women can use their creativity to design their own ”cloning ceremony” that celebrates their post-menopausal transition to a “Wise Woman”.   She explains that such a ritual has four key elements – acknowledging what has been left behind, acknowledging the gifts brought forward, a commitment to a new phase of life through engaging creativity and sharing wisdom and a number of witnesses drawn from friends or the broader community (that makes the commitment public).   She suggests that women need to overcome the reticence experienced in the West to talk about life transitions affecting them and engage friends and family in conversation about what is happening for them.
  • Lifestyle choices – Susan suggests that women need to develop a ritual around eating, sleeping and exercising.  This establishes a “body rhythm” and enables the body to provide the necessary amount of energy when required.  She notes that many women live on adrenaline pushing themselves to the limit and causing their body to be in a continuous state of fight or flight – which runs down energy and causes the adrenals to continuously make adjustments to manage blood sugar levels.
  • Intimate relationships – Susan notes that while some women report that their sex drive diminishes with menopause, other women report that their post-menopausal stage represents “the best years ever in terms of sex”.  She contends that a key factor in these differences is a woman’s sense of connection with their partner – a feeling of connection enhanced through communication about present moment feelings and bodily disposition, as well as about shared future goals.

Susan provides further ideas and resources to help women navigate the menopausal life transition through her website, Making Sense of Menopause – where she provides further podcast interviews she has been involved in (or will be in the future) and also her blog posts.   

Reflection

Menopause, like other life transitions, impact women on multiple levels – physical, psychological, cultural and emotional levels.  Susan and Maria both strongly support the idea of changing the narrative about menopause from one of loss and depletion to one of women gaining empowerment.   They stress the gift of menopause lies in greater access to creativity and wisdom for women and the positive energy and sense of achievement that comes from creatively sharing their wisdom with others in the form of teaching, managing, writing, performing, painting, counselling or any other endeavour that utilises their knowledge, skills and life experience.

As women grow in mindfulness and self-awareness, they are better able to make the transition to post-menopausal life.  They develop a deeper sense of who they are, what they are capable of, and how they can contribute to the quality of life for other people. 

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Image by silviarita 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.

Conscious Aging: Reframing for Health and Happiness

Maria Shriver – author, journalist and activist for healthy aging – recently spoke to Tami Simon about the Radically Reframing Aging Summit that they are collaborating on to promote a balanced view of aging.   Maria is the founder of Women’s Alzheimer’s Movement (WAM) which she established after her mother died of Alzheimer’s and following her awareness that two thirds of people living with Alzheimer’s or Dementia in America are women and the same percentage of carers for these sufferers are also women.  Maria was conscious that there was a lack of research and education about women’s Alzheimer’s and she set out to address this deficiency by funding research and education about Alzheimer’s management and prevention through the Movement which also engages in advocacy.

In the interview podcast with Tami Simon, Maria discussed several topics that will be covered in the Summit and explained some of the background to bringing together a range of “groundbreakers” drawn from many fields including performers, neuroscientists, medical professionals, psychologists, and entrepreneurs – all of whom have broken through the mythical “age barrier” to achieve outstanding results in work and life in their later years.

Fundamental to the Summit is the realisation that there are lots of myths about aging and unhelpful “narratives” that disempower people from achieving a healthy and productive life as they grow old.  While numerous narratives exist for early life up to and including age 40 (e.g. establishing a career, getting married and having children), there is very little in terms of positive narratives about aging and the later years of life.  One of Maria’s goals is to establish new “aging narratives” through the words and example of “groundbreakers”, some of whom are presenters at the Summit.

Some lessons from the groundbreakers

In the course of the podcast interview, Maria highlighted some of the key insights and lessons gleaned from the groundbreakers and she identified Tami Simon as one of them [Tami established her multimedia company Sounds True in 1985 to promote mindfulness, mental health and spirituality in business and now has over 600 podcast interviews with leaders in these fields].   The insights and lessons cover areas such as the following:

  • Reframing the aging narrative – the problem with the mainstream aging narrative is that it induces fear and prevents proactive actions to live later years in a meaningful, healthful and optimum way.  The focus on deterioration with aging, instead of potentiality, induces fear about the future and the possibility of chronic ill-health, Alzheimer’s and loneliness.  People become fixed in their ways, lacking initiative in dealing with their health and happiness.   Maria is determined to promote positive stories about aging and change the dominant narrative.  She points out that the groundbreakers presenting in the Summit proactively work on their mind, their body and their overall frame of mind.  They age consciously – reframing aging so that they experience health and happiness.  They work to achieve a designer future.
  • Reframing retirement – the old narrative about retirement involved finishing a career and engaging in some hobbies while leading a relatively sedentary life.  Reframing the retirement narrative involves a change in mindset that views the best years of life ahead, rather than behind. Groundbreakers live a life that inspires themselves and others.  They choose to work on what matters to them (something that they are passionate about); what “speaks to them” at the time (given their life experience, skill set and lessons learned); and what brings them joy, happiness and fulfillment.  They are able to flourish, enrich their life and deepen their life experience.  Pursuing a purpose that energizes them and enables them to tap into their creativity.  My brother Pat was an example of this when in his early 70’s (until he was 81), he started “virtual walking” (covering more than 25,000 kilometres) to raise funds for his aged care centre, Sinnamon Village.  Maria also shares the story of a woman who was retired by her law firm (because she was 60!) and went on to become a full-time art instructor at an Art School (a long-held dream of hers).   We are able to rewire and, like super-agers, pursue a life energised by a purpose and mission, access our creativity by challenging ourselves and adopt a mindset that sees ourselves as active and healthy.  The principle of changing the retirement narrative is also captured in Bob Bradshaw’s book, Don’t Retire to Expire: “Once you wake up, everything else is optional”.
  • Alzheimer’s prevention – given her family history, Maria was very determined to prevent Alzheimer’s, not only for herself, but also for the wider community through her Women’s Alzheimer’s Movement (WAM).  She recognised that the presence of Alzheimer’s in your parents is not a major determinant of whether you will experience Alzheimer’s or not – there are other factors such as the way you live that have a greater influence.  The Harvard Medical School in their report, Alzheimer’s Disease: A guide to diagnosis, treatment and caregiving, confirms the view that the major determinant of Alzheimer’s is lifestyle, not family history.  In the podcast, Maria shared what she does personally to ward off Alzheimer’s in line with current research into Alzheimer’s prevention and what is beneficial for a healthy brain and heart.  She explained, for example, that she exercises, tries to get adequate and quality sleep, reduces stress in her life (where possible), sets about learning new things and watches her diet and nutrition (no longer for weight-loss reasons but for the health of her mind and body).
  • Reframing life transitions – Maria highlighted the constant need for adaption in life as we experience periods of transition, e.g. marriage breakup, loss of a job, children leaving home, extended marriages or establishing a new relationship in later life.  Many of these transitions involve reframing one’s identity (e.g., identity changes because you are no longer a carer, paid employee of an organisation, or a provider of a home for your own children).  There can be a feeling of loneliness with the “empty nest” or a sense that you are “not needed anymore”.  The feelings of loneliness can be compounded by the death of a partner, close relative or friend.  Maria suggests that to make the transition we need to respect our feelings and face them while trying progressively to figure out a way forward for ourself.  She maintains that grief is a real challenge as we age because we lose people and, as a result, grief is an inevitable accompaniment of the aging process.  Jenée Johnson provides some sound advice on coping with grief.
  • Reframing death and dying – as we age and get closer to our death,it is natural to fear dying and to avoid conversations about this inevitable experience.  However, many mindfulness experts encourage meditating on death as a preparation for dying.  Maria informs herself about the dying process through her journalistic stories on near death experiences and the Hospice Movement.  She maintains that it is an ongoing challenge for all of us to work out “how to live well and how to die well”.  Maria contends that regrets are normal when we die and that we should die with as few regrets as possible through feeling that we have made the most of our life and used our gifts to enhance our own life and that of others.  Franks Ostaseski, an  expert in the process of dying and death, suggests that we go one step further when thinking about past regrets. He argues that we should replace regret with remorse so that we are motivated to do, and say things, differently when we reflect on what we have done or said, or failed to do or say.

Reflection

Maria points out tha t different cultures (such as African Americans) have a much more positive view of aging than Western society and respect the wisdom of their elders and, accordingly, treat older people with much deference and a wholesome respect.  I found even in Italy, for example, that older people were highly respected (to my surprise, having men and women of all ages offering their seat to me on a tram, even when they were sitting further away from me on the tram – I was in my early 70’s at the time). 

Maria suggests that it is critical that we have the conversation in public about aging and its attendant challenges and opportunities. People in Western society  have suffered in silence in the past and been subjected to the limiting, prevailing mindset about aging.  For example, Maria’s interviewer, Tami, mentioned the challenge of going grey as a woman and the pressures to die her hair a different colour (which she resisted, being a groundbreaker in lots of ways).  Maria also encourages us to write about our fears, to get them outside our head  and onto paper.  She has found that this serves to reduce the fear and related stress and enables her to take appropriate action.

People in chronic pain have additional challenges as they age.  Maria expressed empathy and compassion for people in this situation.  She stressed the need to express gratitude at each stage of life for what we have and are able to do.  In being grateful for our current capabilities, both mental and physical, we are more likely to care for them and develop them, rather than take them for granted.  We are also more likely to be compassionate towards others who lack our capabilities because of some form of disability.

Maria shares her own life experiences, lessons and meditation practices in her book, I’ve Been Thinking…:Reflections, Prayers and Meditations for a Meaningful LifeShe also expands on the book’s insights through a regular podcast, Meaningful Conversations, where she interviews people she admires and explores life’s challenges and the “art of self-invention”.

 As we grow in mindfulness through listening to podcasts, reflecting on our own life and engaging in meditation and other mindfulness practices, we can become more aware of our limiting narratives, be more proactive as we age and tap into our creative energy to pursue a meaningful and fulfilling life purpose.   

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Image by annayozman 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.

Cultivating Curiosity and Openness

Frank Ostaseski in his presentations during the Healing Healthcare Summit focused on openness and curiosity.  In the process, he revisited two of the key lessons of living and dying that he had previously written about – (1) welcome everything, push nothing away and (2) cultivate a don’t know mind.

Openness – welcome everything

Frank suggests that we need to be able to meet whatever our life circumstances bring our way and do so in a way that we are open to the full range of thoughts and emotions involved.  He reminds us that life is a series of constant changes, e.g. loss of a job, death of a close family member, change In financial circumstances or location.  He encourages us to meet these changes as if welcoming a familiar person at our front door.  He draws on James Baldwin’s insightful comment for his rationale – “Nothing can be changed, if it is not first faced”.

Frank reminds us that denial or ignoring unpleasant experiences does not create freedom, only servitude.  He encourages “fearless receptivity” – awareness of fear without imprisonment by it.  He maintains that mindfulness involves moment to moment awareness of everything we are experiencing – bodily sensations, thoughts and emotions.  In this openness lies true freedom – because we are fully aware of what is happening to us and conscious of our habituated responses and yet able to regulate our emotions and explore alternative ways of responding.

Frank suggests that sometimes mindfulness practices involving “precise attention” to a single thing, e.g. a word or our breathing can create something of a struggle or tension in our minds and somewhat defeat the purpose of the practice.  He contends that the practice of “open boundless awareness”, sometimes called “natural awareness”, can be more liberating when we feel constrained by a focused meditation practice.  He offers awareness of the sky and its vastness as an example.  He also provides a mini-practice that can help to engender this sense of boundlessness.

In the mini-practice, Frank encourages us first to become grounded and relaxed so that we can focus on the meditation.  He then encourages us to take in the space above us, to our left, then to our right, followed by the space below and in front of us.  An alternative to this, is to focus on the sounds that surround us, progressively shifting our focus onto the soundscape in the directions that Frank mentions above.   Frank suggests that we treat distracting thoughts like birds flying past, not landing or hovering above.

Becoming more curious and less critical

This topic was the theme of his second presentation during the Summit and aligns with his exhortation to “cultivate a don’t know mind”.  Frank argues that mindfulness is not about searching for some future enlightenment goal but becoming “up close and personal” with ourselves.  He contends that our aim is to become “intimate” with ourselves and every aspect of our lives, pleasant and unpleasant.  He explains that this is the path to true liberation and reinforces the view that “the path is right beneath your feet”. 

In cultivating intimacy with ourselves we will become aware of parts of ourselves that we do not like.  In Frank’s view, the inherent challenge is to be able to “tolerate intimacy” – be able to fully face up to who we are really, warts and all.  In his podcast interview with Whit Missildine, Frank addressed the question, “What if you witnessed a thousand deaths?”  – a question that was based on his personal experience as End-of-Life Teacher, Founding Director of the Zen Hospice Project and Director of the Metta Institute.  Frank maintained that the ways we define ourselves will be stripped away in the process of dying and death.  He contends that throughout life we live a delusion about ourselves – we project an image that is not our real self, but our imagined or idealised self.  He has witnessed numerous people expressing regret as they lay dying – regrets about what they have done of failed to do.  In dying, we are confronted with who we really are. 

Frank maintains that when people are dying they have no interest in, or energy for, maintaining an illusion of who they are and cease to be concerned about what others think about them.   He suggests that it behoves us during life to express remorse rather than regret – because remorse confronts the unpleasant side of ourselves and motivates us to avoid similar actions or omissions in the future.  As we grow in intimacy with ourselves through meditation, we can progressively strip away the illusions about who we are through a process of loving kindness and forgiveness towards ourselves, avoiding harsh self-criticism.

Frank argues that In developing intimacy with ourselves, we become acutely aware that we are not separate but connected to everyone.  He maintains that in this deep learning about ourselves, we develop a “deep sense of belonging” – an acute recognition of our interdependence and a strong desire to move beyond our limiting self-centredness.  He suggests that a simple practice is to just “pause” throughout our day, taking a break from the busyness of life, and to focus on our experience as it is occurring.  Frank contends that “mindfulness emerges from a relaxed heart and mind”.

Reflection

Frank has learned so much through observing the process of dying and death and willingly shares the lessons he has learned.  He explains that he learns from the dying as they learn from him – there is a reciprocity about his engagement with them.  He is humbled and amazed by what he learns and yet he recognises that he still harbours a fear of death because of its uncertainty.  Frank has detailed his lessons learned in his book, The Five Invitations: Discovering What Death Can Teach Us About Living Fully.

Regrets are a natural response in the event of someone dying who is close to us (or not as close as they should have been).  I can certainly acknowledge that I had regrets on the recent death of my brother Pat.  However, as Frank suggests, remorse is a better option.  With remorse we can revisit what we have said and done or failed to say and do, give ourselves forgiveness and express the intention to do better in the future. We can reflect on our individual regrets and ask ourselves:

  • What will I do more of in the future?
  • What will I do less of?
  • What will I stop doing?
  • What will I start doing?

As we grow in mindfulness through reflection, meditation and other mindfulness practices, we can develop intimacy with ourselves, recognise our connectedness, deepen our connection with others and learn the profound lessons from death and dying.  

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Image by Tommy_Rau 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.

Savouring Your Subconscious Mind

Paul McCartney in an interview for BBC Radio stated that the melody for the Beatles famous song Yesterday” came to him in a dream.  He literally heard the melody while asleep and when he woke he could not work out where the tune had come from.  He checked with his contacts and friends who had a comprehensive knowledge of songs that had been published and none of them recognised it.  While he had the tune in his head he made up some lyrics so he would not lose the song.  He indicated it was rare for him to use nonsense lyrics to memorise a song but on this occasion, he used the words, “Scrambled eggs, oh my baby….”   

It was a short time later after the dream that he was in Portugal on a car trip which took about three hours that the lyrics started to come to him, “Yesterday, suddenly…”  By the time he had finished the car trip, he had the complete song in terms of melody and lyrics. 

This story of Paul’s experience highlights the power of the subconscious mind, working away below consciousness to solve a problem, complete a song or piece of music, finish an unfinished manuscript or locate a missing object. 

How often have we given up looking for something and found some time later that the item “turns up” when we were not consciously looking for it but doing something else.  Meanwhile, the subconscious mind has created a new significance and a heightened level of awareness for the item so that when you accidently come into contact with the item, you become suddenly, consciously aware that “this is what I was looking for!” – all very amazing.

Reflection

I had been working on my PhD for about five years mentoring a change team in the University of Queensland and co-facilitating an action learning change program, when I got stuck trying to write up the mountains of data I had gathered through workshop processes, observations, submissions and multiple interviews.  At this time, we had planned a family holiday on Stradbroke Island.  It was while we were enjoying a day at Brown Lake on North Stradbroke Island that I had a breakthrough for my thesis,  I was sitting on the shore watching our children play in the shallow part of the lake when a model “came into my head” that integrated my research and insights. 

I had not taken any of my research material with me and was not consciously seeking to solve my writer’s block.   Yet an organisational change model “came to me” that integrated my data, a model for individual motivation at work and the nature of innovation.  I immediately recorded the model using charcoal sticks from a barbecue and pieces of butcher’s paper that I had in my car.   It was only later that I was able to articulate the full meaning of the model and complete my PhD thesis. 

There are times when we need to use sleep, peace and quiet, or stillness and silence to honour our unconscious mind and let it do its work.  I found on another occasion that I had difficulty writing the conclusion to a PhD chapter.  However, like Paul McCartney, it was during a long car trip (again about three hours) that the conclusion “fell out” and I was able to write it down when I reached my destination which was Lismore at the time.

In writing this blog, I will often listen to a podcast, undertake a meditation and/or read an article and make notes.  I will then “sleep on it” and when I wake up the following morning, the structure of a blog post, carved out of my notes, will “come to me”.  Again, it is the subconscious mind at work.

As we grow in mindfulness through meditation, connecting with nature, experiencing stillness or silence, listening to music, chanting or participating in mantra meditations, we can gain greater access to our subconscious mind and the integrative power and creativity that lies within.  We can continuously savour our subconscious mind through mindfulness practices. 

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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.

Supporting Recovery – Peer to Peer Support for Mental Illness

Increasingly, there is recognition that peer to peer support for people experiencing mental health issues is an important catalyst for recovery.  The support can be provided as a stand-alone service or as an adjunct to traditional mental health support services provided by doctors, psychologists and psychiatrists. Fundamentally, the approach involves people with lived experience of recovery from mental ill-health (or as a carer of someone in recovery) providing structured, support services for others who are experiencing varying levels of mental illness.

Professor Phyllis Solomon suggests that the dynamics underpinning the effectiveness of peer to peer support for mental health include the perceived value of experiential learning of the peer worker, the recognition by the program participant that they have something in common with the peer worker, inspiration and hope afforded by the recovery status of the peer worker, and the sense of mutual sharing and accrued benefits. 

Phyllis cautions, however, that there are several key factors that are critical to the success of a peer to peer support system for mental health.  These encompass ensuring inclusiveness, accessibility, and cultural representativeness; embedding an experiential learning approach; highlighting mutuality (benefit for both participant and peer worker); maintaining the voluntary nature of the service while enabling control by participants who are experiencing mental health disorders; and focusing on social support while providing professional support for the peer worker to ensure their stability and ongoing recovery.

The Queensland Department of Health in discussing their Mental Health Framework and attendant mechanisms for supporting peer workers, propose a set of underpinning values that align with Phyllis’ research and writing.  These include mutuality and personal responsibility, valuing the expertise of lived experience, facilitating self-determination and connection, and behaving authentically and transparently. 

The Framework highlights the support mechanisms required to ensure that peers workers can operate effectively and in a way that does not damage their own mental health.  These support mechanism for peer workers include quality supervision (incorporating professional supervision), education and training in core competencies and “navigating boundaries”, role clarity and clear reporting arrangements, and a career structure conducive to continued growth and personal advancement.

The GROW organisation

The GROW organisation is community-based and offers peer to peer support to enable participants (Growers) to overcome mental ill-health and achieve personal development.  GROW was started in Sydney, Australia, in 1957 by Con Keogh who drew on the Alcoholics Anonymous (AA) approach and program to develop the core 12-step Grow Program. 

The Grow journey is illustrated diagrammatically by Grow Ireland along with video interviews with people in recovery who each talk passionately and appreciatively about the relevance of one of the 12 steps to their personal recovery.   

The core Program provides the structure and method for Grow Group meetings which are at the heart of the Program.  GROW itself is non-denominational and inclusive and embeds the values for peer workers discussed above (Queensland Health Framework).  The organisation has provided peer support for people with mental health issues for more than 60 years – sustainability that can be attributed to the focus on recovery and pursuit of the key success factors identified by Professor Solomon and, in particular, emphasis on volunteering for the group leadership roles of Organiser and Recorder which place control in the hands of the Growers.  GROW has a track record of personal recovery by thousands of people who have participated in the Grow Program locally and  internationally.

A key catalyst for the Program’s sustainability is the testimonies of recovery of participants, including the podcast interview with Dave McLoughlin who, at the time of the interview, was a Senior Manager in GROW Australia.  Dave stated in the interview that when he was ill he identified with the shared testimonials and was encouraged to join a Grow group early on in his illness because he thought that the Grow community “understood where I’d been and what I needed to do to get well”.  His story is inspiring others, just as he was inspired by the recovery story of people who participated in the Grow Program before him.

GROW offers a range of programs in addition to the core one, including the free Growing Resilience online program and Get Growing for school-aged participants.  Grow also provides online groups for the core Program, known as eGrow, for people who cannot attend the normal face-to-face meetings.

The emphasis on people with lived experience of mental ill-health sharing their experience and their steps to recovery is epitomised by Con Keogh, co-founder of GROW,  when he talked humorously and insightfully about his experience with mental ill-health and the institutionalised medical response he experienced in the 1950’s (which included electric shock treatment that blocked memory and learning).  He decided to attend an AA meeting through the encouragement of a friend and found that the people attending the meeting were incredibly helpful, frank, humble and able to achieve recovery despite their “messed-up lives”.  He discovered that the AA process was incredibly powerful for helping him move towards recovery from his mental illness, even though he was not an alcoholic.

Con’s experience with AA inspired him to form a specialised group meeting along similar lines but devoted to recovery for people who were experiencing mental ill-health in all its complexity and variability – he actually initially called them Recovery Meetings to keep the focus on what they were about.  He also introduced a system of reflection and recording on a monthly basis to capture the learning from the group meetings.  Con’s contribution to GROW which itself grew to 800 groups in 5 countries by 2005 was acknowledged in 2004 through the award of the Medal of the Order of Australia for his community contribution

Reflection

We are all growers in terms of our journey to wellness – seeking to overcome the mental stress of the pandemic, adverse childhood experiences, trauma, divorce, grief, work loss and disappointment, family conflict, abuse and bullying, loneliness, aging, physical ill-health, drug and alcohol addiction, isolation, financial difficulties or homelessness .  Our individual journeys with their distinctive combination of challenges are unique and this uniqueness is captured by Evonne Madden who shares the grief journey and recovery of more than 60 people in her book, Life After.

Con’s experience and that of thousands of Growers working through the Grow Program, confirms the recovery effectiveness of “mutual help for the mentally ill”.  The recorded testimonials reinforce the view that mutual help and reflection is one pathway for people suffering ill-health to grow in mindfulness through increased self-awareness and insight, enhanced consciousness of the impact of their behaviour on themselves and others, creative strategies to overcome negative thoughts, and increased capacity for self-regulation.  Grow groups, or their equivalent, can act as a mirror to stimulate awareness, cultivate hope and transform self-image.

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Image by Lars_Nissen 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 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.