Trauma Treatment: Understanding the Complexity of Trauma

The complexity of trauma is explained both scientifically and by case histories by Bessel Van Der Kolk in his book, The Body Keeps the Score: Mind, brain and body in the transformation of trauma.  As I mentioned in an earlier post, psychologists agree that trauma is not the “life-threatening”, precipitating event but the ongoing impact on a person’s mind, brain and body.  In his book, Bessel discusses the evolution of trauma treatment methodologies (and his roles in this evolution), the complex impact of trauma on individuals, the differential behavioural responses to trauma by individuals and the common responses that lead to addiction.

Evolution of trauma treatments

Bessel explains that in his early training and working days, he experienced different treatment modes for trauma such as “talk therapy” and the pharmacological approach.  He explained that talk therapy involved having an individual recount the trauma event in detail so that they had to confront the reality of the event.  Unfortunately, this often lead to the person experiencing a traumatic episode as a result of the stimulus of recall.  In the pharmacological approach, reliance was placed on drugs to treat the trauma patient.  Unfortunately, these were often administered in isolation without the support of therapy and contributed to ongoing psychological problems such as prescription drug addiction and depression.

The most heartless approach that Bessel describes is electrical shock treatment designed to desensitise individuals to precipitating stimuli.  Sometimes the treatment itself created a trauma response because of the effect of the stimulus (e.g. touch) and the inhuman nature of the treatment, e.g. for someone who had been sexually abused.  Bessel highlighted the lack of understanding of trauma and the absence of an adequate framework for treatment modalities illustrated in these early methodologies. The pursuit of a more holistic and scientific approach to trauma treatment underpinned his life’s work in helping trauma sufferers, especially those suffering from P.T.S.D. (post-traumatic stress disorder).

Result of visceral overload of precipitating event

Bessel was at pains to explain the complexity of trauma and its impact on individuals.  In his book, he explains the different regions of the brain, how they interact normally and the dysfunctionality caused by trauma.  He stated, for example, that a traumatic event can leave a “visceral imprint” on the lower region of the brain, the amygdala (the source of our fight/flight/freeze response). Thus a particular sensation (a smell, sound, sight, touch or taste) can create a “flashback” and trigger a trauma response in an individual.  This traumatic experience of discrete sensations illustrates the ever-present challenge for a traumatised person of “misreading signals” and seeing danger where it does not exist.  This inability to control the stress response is in part due to what Bessel describes as the ”visceral overload” at the time of the trauma-precipitating event.  He also makes the point that therapists are often misguided by their own belief systems, including the belief that the interaction of the mind and body is top-down only.  However, his own experience of trauma patients and recent neuroscience research shows clearly that the body/brain influence is bidirectional.

Same event – different behavioural responses

Different people respond differently to the sensory overload precipitated by a traumatic event.  Bessel tells the story of Stan and Ute who were involved in a major pile-up on a Canadian motorway in 1999 involving 87 cars.  They were travelling in the same car and met a wall of fog and were part of the continuous crashing of cars and trucks.  They feared for their lives and witnessed people being killed by the intensity of the crash and associated fires.  Stan’s reaction to subsequent stimuli was one of aggression and anger (fight response) whereas Ute was numb, a condition involving “massive dissociation” (the freeze response).  Bessel suggested that Ute’s freeze response was a learned behaviour precipitated by her upbringing by a mother who continuously “yelled” at her.  Through Bessel’s caring therapy, they were able to progressively restore their lives, regaining emotional control.  Ute benefited from the bottom-up approach of the Trauma Center where the focus was on physiological monitoring to enable the patient on change their “relationship to bodily sensations”.  Bessel subsequently established the Trauma Research Foundation after he had been unfairly dismissed from the Center, experiencing trauma in his own professional life.

Common responses to trauma

Trauma and its incessant re-activation through discrete sensory stimulation along with flashbacks and nightmares, create a life situation of continuous pain.  Many people attempt to numb the pain by resorting to drugs or excessive alcohol to block out the painful memories. This can eventually lead to addiction, associated mental illnesses and censorious misunderstanding by family and friends.

Reflection

Trauma is a very complex phenomenon precipitated by a great variety of events, experienced in differential ways by individuals and leading to individualised responses.  Added to these diverse events, impacts and responses are the variety of initiating stimuli that can trigger a seemingly unrelated trauma response in everyday life.

Bessel argues that one of the problems for traumatised individuals is that they spend so much time and energy in the past.  They become unaware of, and insensitive to, the present.  He maintains that mindfulness practices can help to restore top-down, emotional regulation and that bottom-up approaches such as “breath, movement, touch” can help to restore physical equilibrium and calmness.  The widespread use of somatic meditation for trauma management  is consistent with his view.

As we grow in mindfulness, we gain increased insight into our “inner landscape”, our behavioural responses and the options we have to behave differently.  We come to understand better the impact of past events on our present-day triggers and responses.  This can help us to achieve clarity, calmness and compassion towards others experiencing their own physical and emotional challenges.

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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.

Aging: Being Open to Opportunities

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

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

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

Reflection

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

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

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Image by Patrik Houštecký from Pixabay

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

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

Life is Like Playing Tennis

Daily living has a lot in common with playing tennis – this does not suggest that they are exactly the same, only that they have some features in common when observed from an effectiveness viewpoint.  As with any metaphor, to say that life is “like playing tennis” is to say that there are some aspects that are the same in each thing being compared.  Life and playing tennis are characterised by uncertainty and challenges, require constant adaption, are affected by our mental and emotional state and can be a source of happiness or disappointment.

When playing tennis, as in life, you are uncertain about the next ball/challenge you will have to face.  In tennis, the shot you have to deal with can vary in spin, speed, and direction and be affected by external factors such as wind and air temperature and the kind of surface you are playing on, as well as the condition of that surface.   In life, we are faced with all kinds of challenges such as financial and health issues, relationship problems or adverse work conditions as well as broader issues such as financial constraints or heath crises such as the pandemic.

I have to admit that I am a “tennis tragic” having played tennis for over 60 years and continuing to do so in my 70’s.  I only play social tennis now once a week (compared to in my youth when I played morning and afternoon on Saturdays and Sundays, including different forms of fixtures and coaching).   As with life, I have had to make continual adaptions as I age.   I have decided, for example, that I need a new tennis racquet to provide better support for my game.  I requested a new racquet from my wife for my recent 75th birthday –  a racquet that is lighter and has a larger frame (for failing eyesight).   This replaced my 20-year old tennis racquet which was badly in need of a restring to restore power and precision.  

They say that to ward off Alzheimer’s disease you need to exercise and learn a new skill that challenges you and provides you with mental stimulation.  Again to overcome the declining strength in my arms and wrists, I decided to learn how to play a two-handed backhand instead of the single-handed backhand that I have used for the last 60 years plus.  This is incredibly challenging for me, not only from a technical viewpoint but also from the perspective of incorporating it psychologically in my game, with the high probability in the early stages of making a lot more mistakes when playing a tennis game.  It means  that I have to take more risks, reflect on what I am doing wrong and manage my mental and emotional reactions to the higher level of mistakes

To help me start out with the requisite technical knowledge, I asked by my sons to pay for three professional coaching lessons (as a 75th birthday present) which gave me a good grounding in the technique required to achieve an effective two-handed backhand.  Now, I just have practice to acquire the technical competency of a two-handed backhand and learn to manage my fear of making a lot of mistakes as I learn to adapt my shot and my positioning to different balls that I will face in a tennis game.  Fear can prevent me from trying out the two-handed backhand in a real game and deprive me of the opportunity to learn as I go.  As with life, I have to learn to manage my fears if I am to achieve a rewarding level of competency and joy.  

Over many years, I have learned to develop a number of principles for playing tennis effectively – a set of principles that have relevance to achieving a life that is fulfilling and happy.  I describe these principles below and they may serve to reinforce a positive approach to life.

My six principles for effective and joyful tennis playing are:

  1. As I approach each night of social tennis, I decide on one micro skill that I am going to concentrate on improving during that night (usually over three or four sets).  There are so many micro-skills involved in playing tennis that it is not possible or effective to concentrate on everything.  As with making resolutions in life to improve your behaviour, focusing on a single goal can prove to be more achievable, effective and reinforcing.   This process employed on each occasion of playing, has served as the basis for continuous improvement, one micro skill at a time.
  2. When playing, I make continuous adaptions to my game to adjust to the circumstances – different players and different conditions.  If some particular tennis stroke is not working or getting me into trouble, I try something different.  Over the years I have developed multiple forms of spin such as top spin, slice, back spin, “out-swinger” (spins away from the body of my opponent) and “in-swinger” (spins into the body).  I adapt my spin to suit the circumstances, e.g. the type of players I am playing against and the external conditions.
  3. Over the last few years dealing with declining physique, I have had to change my mindset playing tennis.  Earlier on when I was much more physically able, I used to try to avoid making mistakes.  But increasingly now, mistakes are a part of the game of tennis.  So I have come to view playing each shot as an experiment – in the face of the numerous variables involved in a tennis shot (both received and hit), it realistic to view playing tennis as a process of conscious “trial and error”, with relevant adjustments for what is deemed to be an error in shot selection and/or delivery.
  4. Instead of dwelling on mistakes I make in a game, I try to savour my really good shots – those that were executed well with the desired effect.  Over time, I have built up a mental video playlist of really good shots which serve to build my sense of self-efficacy – my belief in my capacity to competently complete a particular shot (e.g. a backhand, half-volley lob). 
  5. The challenge when continuously making mistakes or doing the wrong thing, is to avoid beating up on yourself.  I am learning instead to appreciate the fact that I can still run, play a tennis shot, enjoy a game with friends, have ready access to tennis courts and be able to afford to play.  When I am tempted to chastise myself for a poor shot, I try to express gratitude for the things that I have and can do on a tennis court.
  6. Over time, as my physical capacities have declined, I have had to adjust my expectations of what I am capable of achieving.   In my secondary school days, I was trained as a sprinter and achieved selection at GPS level.  Now I am a lot slower off the mark.  I have had to change my expectations about my speed and mobility around the court and capacity to hit fast tennis shot (owing to weakening strength in my arms and wrists).  I do try to strengthen my wrists and arms through exercise but this can only serve to reduce the rate of decline.  In the meantime, I have had to adjust my expectations (though sometimes, I attempt to play like a 40 year old…and suffer accordingly!).
  7. I have taken up again the regular practice of Tai Chi which helps to build balance, flexibility, reflexes, coordination and overall energy.  I have learned that Tai Chi has quite remarkable benefits for playing tennis.  This form of meditation-in-action also suits my personal approach to developing mindfulness and helps to offset my declining physical prowess as I age.

Reflection

I have previously written about how tennis can build mindfulness if approached in an appropriate way.  For me, playing tennis involves a continuous process of reflection.  AS I grow in mindfulness through reflection, meditation and other mindfulness practices, I am increasing my self-awareness about my thought patterns and emotional states when playing tennis.  I am also learning to adapt and adjust my expectations and to approach my game more mindfully, enjoying the present moment without the contamination of continuous negative self-evaluation.  There can be real joy in savouring the experience of competency and being grateful for what I have and can do. Despite the aging process.  I am increasingly convinced that If you live a reflective and mindful life, wisdom becomes a natural outcome.

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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.

A Compassionate Approach to Addiction

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

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

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

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

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

Adopting a holistic approach

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

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

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

Reflection

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

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

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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.

Exploring the Spectrum of Awareness through Fish in an Aquarium

Diana Winston previously introduced the concept of the spectrum of awareness – moving from a narrow lens through a wide lens to a panoramic view.  In a recent guided meditation podcast, Diana illustrated how to practice these different types of awareness through meditating with fish in an aquarium.   She suggested that observing fish in an aquarium with varying focus enables us to develop our understanding of the different ways we can pay attention – from a very narrow and sustained focus to a totally open awareness that takes in all that is occurring in our range of vision as well as what is happening internally.  Diana used the Aquarium of the Pacific webcam to enable participants to practice these different types of awareness.

Adopting a narrow awareness

Diana progressively introduced a range of awareness practices after having participants relax and adopt a comfortable, upright (if possible) position.  This can be preceded by slow, deep breathing to bring awareness to the present moment.  In the narrow awareness stage, Diana suggests that you focus on a plant at the bottom of the aquarium where there are a number of bright, green plants.  The chosen plant serves as an anchor throughout the meditation with the fish.  Once you have chosen a plant, she suggests that you maintain your focus on this particular plant and, if distractions occur, return your focus to the plant.  This practice of returning to your anchor builds your awareness muscle.  It is natural for your attention to wander, particularly where you have a lot of movement in front of you as in the aquarium.  A brightly coloured fish, a ghostly stingray or a sleek shark may pull your attention away – you can then just restore your focus to your chosen plant.

Widening awareness to movement of particular fish

Diana explained that this form of widened awareness can be activated by an investigative stance – e.g. exploring the movement of a fish as it passes in front of you from bottom to top, diagonally from corner to corner or from side to side, eventually disappearing from view.  Sometimes this widened focus can take in the synchronised swimming of a group of fish, moving artistically in pairs or threes.  Diana encourages you after following the movement of a particular fish or group of fish to return to your plant focus, again strengthening your capacity for paying attention and concentrating on a particular object.

Taking a panoramic view

Diana recommends that before expanding your awareness, you allow your body to soften and settle back to facilitate taking in the full screen, taking in everything that is happening in front of you in the aquarium.  As you observe the totality of the scene in front of you, you can notice the different colours of the fish (ranging from black to a bight orange), different shaped bodies and heads, varying speed of movement (from fast to very slow).   You can take in the ease and smoothness of movement of the different species in the aquarium, including varying movement of fins and tails.  You can extend your awareness further to take in the water itself, including the disturbance of the surface of the water as the continuous movement causes motion in the water itself.   Diana suggests that if at any time the scene and broader focus becomes overwhelming, you can return your focus to your plant anchor within the aquarium (e.g. some people may experience a sensation of giddiness with all the movement, colour, and glistening scales).

An addendum to this panoramic focus is to notice what is going on inside you, your own throughs and feelings.  This is in line with the definition of mindfulness used by MARC in their online and drop-in meditation sessions – paying attention in the moment with openness, curiosity and acceptance of what is occurring for you.  Your emotions may include calmness and peace, a sense of wonder and awe, or appreciation and gratitude. You can also check in with your associated bodily sensations at the time.  Diana encourages you, too, to become conscious of “who is noticing” being aware of your awareness – a uniquely human property as illustrated by clinical psychologist Noam Shpancer in his book, The Good Psychologist, when he compares the capacities of a human being to that of a zebra .

Reflection

I had become aware of the spectrum of awareness through a previous post I had written based on one of Diana’s earlier guided meditations.  Coincidentally, I recalled this practice when I was having my lunch on the deck at my home.  When I finished my lunch (which I did not eat very mindfully!), I decided to take a panoramic view of what I could see from the deck, including the far away waters of Moreton Bay.  I noticed the trees and plants, the different shaped leaves, varying movement with the wind in the trees, newly formed and colourful spring growth and the sounds and movement of birds penetrating my visual space.  This process of widened awareness was very calming and peaceful.

As we grow in mindfulness through observation, meditation, reflection and other mindfulness practices, we can build our capacity to focus and concentrate, to appreciate and savour what is around us and to get in touch with the healing power of nature.

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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.

What Does Success Mean for You?

When we read about success we often encounter only the materialistic dimension of personal wealth – manifested in flashy cars, large homes, fame and substantial assets.  However, as Debra Poneman points out, many of these things feel hollow without the development of an inner life.  You can have all the external trappings of success and still not find happiness or a sense of fulfillment.  Debra, creator of Yes To Success, maintains that success has two key dimensions, (1) a deep inner life and true self-love and (2) contribution to a better world based on your life purpose.  Recently, Debra encapsulated these principles in a series of online seminars, Living a New Paradigm of Success, which incorporated interviews with leading experts in the field of success.

In one of the interviews, she spoke to Katherine Woodward, relationship expert and author of Conscious Uncoupling, who maintained that trauma we experience in life acts as a catalyst for self-awareness and self-realisation.  It is through challenging us and forcing us outside our comfort zone that trauma enables us to tap into our inner resources and gain clarity about our contribution to the world.  Evonne Madden, author of Life After,  has documented the lives of people who have come to terms with grief resulting from the death of a loved one.   She describes how many of them have “rebounded to fuller lives than they once thought possible”.  Her stories not only portray real-life resilience in the face of horrific events but also the ability of some people in their “life after” to make a contribution to a better world through selfless service motivated and informed by their personal experience.

Begin with the inside and the outside will follow

In her free e-book, The 5 Secrets to a Life of True Success (available on her website), Debra asserts that “true success” derives from “inner stillness” and contentment that provide the foundation for “effortlessly manifesting” outer success whether that be in relationships, material possessions, business success or publishing.   Without thorough development of our “inner landscape”, we are so easily impacted by external events.  Once we have developed our inner freedom and inner success, the loss of external success is only a minor detour – our sense of self-worth is not dependent on external realities.

Debra’s first “success secret” is about creating silence and stillness through what she describes as “spiritual practices” which incorporate mindfulness.  Inner silence enables us to surf the waves and vicissitudes of life and to tap into our life purpose – we are not daunted or side-tracked by setbacks, “failures” or critics.  Debra suggests that practices such as meditation, yoga, prayer or breath-work help us to create the requisite inner silence and also serve as a way to enhance our physical and mental capacities.  If we are at peace with ourselves we manifest this to others and impact those around us, including those in a close relationship with us.  Regular practice enables us to sustain our inner silence and this can be further enhanced by courses, retreats or periods of extended silence.

Reflection

So much of life is spent striving for outer success, that it is so easy to overlook our inner development.  Debra and her transformational colleagues stress that the real foundation of lasting success and happiness is inner silence.  As we grow in mindfulness through our regular practice of meditation or other mindfulness practices, we can develop our inner landscape and achieve inner peace, stillness and tranquility – which will serve to enable us to not only face the challenges that confront us but also to create outer success that incorporates a conscious, positive contribution to a better world.

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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.

Mind Your Brain

In the previous post, I discussed the ravages of Alzheimer’s disease on the mental. emotional and physical capacities of the affected person.  I particularly emphasised the importance of self-care for the carer whose life is increasingly disrupted and made more stressful because of the cognitive, emotional and financial drain on their personal resources. 

Alzheimer’s disease and the associated  disorder of dementia are becoming increasingly prevalent in society as our populations age.  The Alzheimer’s Association maintains that there are 342,000 people in Australia living with dementia and 44 million worldwide.  The Harvard Medical School notes that Alzheimer’s disease is the major cause of dementia. 

When you come into close contact with someone who is suffering from Alzheimer’s disease or other forms of dementia, you begin to realise the need to savour your brain as a source of wonder in everyday life.  As you see the progressive loss of key faculties by another person, you begin to realise how much we rely on our brains to live effectively and happily in our day-to-day existence. 

It is often only when we lose something, or see others lose something that we value, that we begin to really appreciate what we have.  The same is true of our brains.  And yet, as Andy Puddicombe points out in a YouTube video, we spend more time looking after our hair or car than we do our brains – the source of our thoughts, creativity, happiness, and practical skills.  Andy suggests that all It takes is 10 mindful minutes each day to begin to mind our brains.

Protective measures

The Harvard Medical School, in their publication on Alzheimer’s disease and its treatment, suggest a range of protective measures that people can take to either avoid Alzheimer’s or to slow the progress of the disease.  They point out however that scientists have not found a cure for Alzheimer’s or found definitive ways to prevent its occurrence – there are still many unknowns in relation to the disease, including the actual impact of genetic factors.  The Harvard Medical School, however, notes that lifestyle factors are a major influence on preventing the disease or slowing its progress.

In line with many other sources such as the National Institute of Aging, the Harvard Medical School recommends exercise, diet, weight reduction, restful sleep and mental stimulation as protective measures.  They remind us that what is good for our brain and body is also good for our heart.

The Harvard Medical School provides health reports on the benefits and techniques for different exercise routines.  They particularly stress the multiple benefits of walking in their publication Walking for Health, including the positive impacts on blood pressure, memory, heart health and weight.  Walking is one of the easiest and most accessible forms of exercise and they suggest that it is a good place to start for people who are not used to exercising.  In a related article they identify 5 Surprising Benefits of Walking.

The recommendation re restful sleep accords with the research by Stanislas Dehaene, author of the book How We Learn: The New Science of Education and the Brain.  Stanislas highlights the key role of sleep in consolidation of learning – in making our learning explicit and building “unconscious competence”.

Mental stimulation as a way to mind your brain

The Harvard Medical School maintains that while level of education has a positive effect on maintaining a healthy brain  (through the process of creating “cognitive reserve” in the form of neurotransmitters and brain cells), what is more important as you age is to engage in activities that stimulate the brain.  They suggest, like the Institute of Aging’s recommendations re “cognitive training”, that mentally stimulating activities such as playing music, reading, writing, doing puzzles and playing games, can help to develop and maintain a healthy brain despite physically ageing.  There are many very active and inspiring octogenarians who provide testament to this possibility.

Minding your brain through mindfulness

Harvard Medical School, in the previously mentioned publication on Alzheimer’s, illustrates how this disease actually shrinks the physical brain as a result of the ”massive loss of brain cells” – which, in turn, “damages areas involved in thought, planning, memory, mood and behavior”.  In contrast, Richard Davidson and Daniel Goleman in their book,  Altered Traits: Science Reveals How Meditation Changes Your Mind, Brain and Body, reveal that mindfulness meditation actually increases the neo-cortex area of the brain.

They also contend that mindfulness meditation can shape your brain to build resilience.  Drawing on the science of meditation they maintain that focused meditation and aligned action can develop the traits necessary for personal resilience – positive connections, awareness, insight into your inner landscape, clarity of purpose and a permeable self.  

One of the positive effects of mindfulness meditation is better use and development of your working memory which is an area negatively impacted by Alzheimer’s disease.   The act of paying attention facilitates short term memory thus enabling better retention and use of information for improved decision-making and behavioural choices.  Harvard Medical School has a series of articles on improving your memory and a comprehensive report on how to keep your brain healthy in the face of age-related memory loss.

Specific mindfulness activities have particular effects relevant to minding your brain.  Tai Chi, for example, enables you to deepen the mind-body connection as well as improve physical health, psychological well-being and overall energy levels (thus facilitating other forms of exercise such as walking). 

Reflection

Harvard Medical School emphasises the need to mind your memory to offset the occurrence of memory lapses which are a natural part of the ageing process.  Looking after our memory can be one of the many protective measures that we can employ to prevent or delay the onset of Alzheimer’s disease and its multiple debilitating effects. 

As we grow in mindfulness, through meditation and other mindfulness practices such as Tai Chi, we can enhance our working memory, build resilience, develop our physical brain, and improve our overall psychological well-being which further reduces the strain on our brain brought on by life’s stressors.  Developing the habit of mindfulness is a very sound and healthy resolution for the New Year.

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Image by Mabel Amber 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.

Alzheimer’s Disease – Self-Care for the Carer

If you have a family member or friend suffering from Alzheimer’s disease you may find yourself suddenly thrust into a carer’s role, often with little preparation and understanding of that role.  The tendency is to “soldier on” through all the difficulties and ignore the emotional toll on yourself.  However, there are many resources and people willing to help and mindfulness can play a role in your self-care.

You may be witnessing the cognitive and behavioural decline of someone you love who not so long ago was vital, well-read, highly competent, intelligent, and very aware of current events and global trends.  Now you are having to contend with the emotional, financial, and time-consuming toll of caring for someone who has Alzheimer’s (on top of your daily work and life with their own challenges).

Dealing with the symptoms of Alzheimer’s disease

You may have to deal progressively with some or all of the following effects that Alzheimer’s has on your loved one:

  • Disorientation: losing track of where they are; thinking that they are in hospital or just out of hospital when neither is true; thinking they are in a location where they lived many years prior; assuming that their location is somewhere that happened to be mentioned in casual conversation.
  • Rapid memory loss: forgetting what they set out to do and constantly forgetting in the course of some action, e.g., finding their phone, having a shower, locating an object – the result is that everything takes so much longer and tests your patience (despite your good intentions).
  • Loss of practical skills; unable to do normal daily tasks such as cooking, keeping accounts, paying bills, driving the car or operate the TV remote.
  • Mood or personality changes: going from pleasantness to anger and aggression, happy to discontent, calm to agitated, confident to fearful, purposeful to suffering apathy and inertia; or any of the other possible mood/personality swings.
  • Indulging in unusual behaviours: constantly packing up the house expecting to be moved, indulging in unsafe behaviours (e.g., ladder climbing when they are unsteady), tendency to wander and lose their way (even in very familiar territory).
  • Confusion: forgetting who individuals are and their relationships, constantly losing things, thinking that a past event is happening in the present and preparing for it with some anxiety.
  • Difficulty with self-expression: unable to find the words to express what they want to say.

Each of these symptoms is taxing for the carer as well as the person suffering from Alzheimer’s.  As a carer, you may not know what to say, you can become confused about what is true and what is imagined, and you can become uncertain about the best way forward and the decisions that need to be made.

Self-care for the carer

There are many things that a carer for an Alzheimer’s sufferer can do to proactively care for their own welfare and psychological health:

  • Inform yourself about Alzheimer’s disease – understanding the disease helps you to make better decisions, reduce some of the uncertainty you are encountering and provides insights into how best to help the person experiencing Alzheimer’s.  One of the best resources around that is also very readable is Harvard Medical School’s report, Alzheimer’s Disease: A guide to diagnosis, treatment, and caregiving.  This publication details the symptoms of the disease, the impact on the brain and its structure, progression pathways, and, most importantly, incorporates a special section on Caregiving: Day-to-day challenges and beyond.  Understanding the decisions that need to be made, the options available and their impacts, makes it easier to make sound decisions amid the uncertainty and disruption surrounding the role of carer for an Alzheimer’s sufferer.
  • Gaining support from relatives and friends: typically, there is a tendency to “go it alone”, however, the role of carer for an Alzheimer’s sufferer is incredibly personally taxing.  Harvard Health describes caring for someone with Alzheimer’s as “one of the toughest jobs in the world “ and that your own life will be “dramatically altered” in this carer role.  It is vital that you “share the load” with relatives and friends where possible, e.g., with tasks such as visiting the person who is experiencing Alzheimer, talking through decisions, or sharing the financial burden.
  • Drawing on professionals and networks: It is important to draw on the collective knowledge of expert medical professionals such as the family doctor and appropriate specialist services such as a geriatrician or gerontologist. There are also support networks such as Alzheimer’s Association that provides support groups and professional information informed by research.  There are also carer support groups, such as Arafmi, for people caring for those suffering from a mental illness or “psychosocial disability”.
  • Exercise: physical exercise can reduce stress, enhance capacity to deal with stressors and provide the opportunity to “clear the head” and /or think more clearly about decisions to be made and options that can be explored.
  • Take time out: taking time for yourself such as a weekend or week away.  This is more manageable if you have already shared your situation with family and friends and drawn on their support.  It would also enable you to be more mindful about your own life and needs and options going forward. 
  • Developing mindfulness practices: mindfulness has a wide range of benefits that can assist in your role of carer.  For example, mindfulness can help you build resilience; manage uncertainty; develop calmness; deal constructively with difficult emotions such as anger, resentment, and frustration; and improve your psychological health overall.

Reflection

Alzheimer’s is an incredibly draining illness both for the sufferer and the carer. It takes its toll emotionally, physically, cognitively, and financially. It is vitally important for carers to be very conscious about the need for self-care and to be committed to being proactive about mindfulness practice.  As carers grow in mindfulness, they are better able to manage the multiple stressors involved and to achieve a level of equanimity even amid the disruption, uncertainty and turbulence involved in caring for someone with Alzheimer’s.  There are numerous resources available to assist carers and help them to make sound decisions and take wise action. 

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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.

Using Imagery to Handle Difficult Situations

Diana Winston in the last MARC meditation podcast of 2020 provided a guided meditation on Handling Difficult Situations with Wisdom and Compassion.  She uses imagery for the guided meditation – a process she has used previously for a kindness meditation.  However, the focal image differs in the two meditations – the current meditation involves picturing a wise, compassionate person while the previous one involved the image of a “kindness pond”.  At the outset of the difficult situation meditation, Diana encourages you to envisage the mediation as an “inner oasis”, a refuge in times of stress.

Guided meditation on handling difficult situations

Difficult situations can be many and varied – e.g., a close relative suffering from dementia, conflict in the family, falling out with a partner or friend, personal illness or chronic pain, serious financial loss or job loss.  The starting point is to accept what is – not disowning it but being prepared to be with  what is happening without judgment, recrimination, or resentment.

Diana suggests that you begin the meditation with a couple of deep breaths – using the exhale phase to release any build-up of tension (this could involve multiple deep breaths if your tension is very high).  The grounding phase of the meditation focuses strongly on posture and the sensation of being supported – by the chair, the floor, and the ground.  This initial postural focus enables you to become grounded in stillness and silence.

Moving beyond the initial focus, you can re-focus on your bodily sensations and your emotions. Diana leads you in a simple body scan looking for particular points of tension such as in your back, arms, or shoulders, so that you can progressively release what is holding you back. 

Once you have achieved some level of groundedness in stillness and silence, you can focus on an anchor of your choice.  It could be observing your breathing, listening to sounds internal and/or external to your space, or paying attention to the sensation in your feet or when your fingers from each hand are touching.  The anchor serves as a home base whenever distracting thoughts intervene and capture your attention.

Introducing imagery into your guided meditation

Diana suggests that you focus on the image of a person you consider the wisest and most compassionate person you know (or know of).  It could be a current or past mentor, a health professional, or the Dalai Lama – the choice is yours.   

Once you have a person in mind, you think about what advice they would give you in relation to your current difficulty – “what would they suggest that you do or say?”   For example, when I did this meditation what came to me was the need to listen more and  interrupt less as a way to help another person who was experiencing considerable difficulties on a health and work front.  Deep listening is perhaps the kindest think you can do for a person in difficulty – it is a way to develop empathy and compassion.

The final stage of the meditation involves asking your imagined wise and compassionate person for a gift.  In my case, for example, I asked for patience, kindness, and sensitivity to the needs of others who are experiencing difficult situations.

Reflection

Imagery for people who are visuals can be a powerful way into profound meditation.  We can all enhance our perception and capacity for imagination by developing our visual intelligence.  One of the challenges in this meditation is to avoid becoming embroiled in re-living the difficult situation rather than maintaining attention and focus on achieving wise and compassionate action.

As we grow in mindfulness through meditation, we will become better able to draw on a range of mindfulness practices to deal with difficult situations and approach them with both wisdom (through in-depth understanding) and compassion towards ourselves.  The benefits of doing so include realising peace and tranquility amid the turbulence, accessing our creativity to achieve wise action, and extending empathy and compassionate action to others in need.

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Image by Franz Bachinger 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.

Resonance and the Art of Leveraging Energy through Meditation

Yesterday Ginny Whitelaw conducted a global Zoom launch for her new book, Resonate: Zen and the Way of Making a Difference.  Ginny contends that resonance is the “lynchpin” between our inner and outer world, it connects inner energy with outer energy.  She explained that energy is everywhere, everything is in a state of vibration.  If we can achieve integration of mind and body by developing awareness through meditation, we are capable of vibrating with many energies that enable us to create change in our world – personal, inter-personal and social change.

Resonance as alignment and amplification

Resonance involves “vibrating with” – achieving alignment with, and amplification of, energy.  Ginny pointed out that resonance is a “fact” – there are measurable, characteristic ways in which vibration occurs when energies come together.  For example, she provided an experiential exercise where participants in the Zoom meeting could experience in their body, the vibrations from the music of a large church organ.  When the notes were deep, people felt the vibrations in the lower part of their bodies, e.g. in their feet; in contrast, when the notes were high, the vibration was felt higher in the body.  She reinforced this experience with a final exercise that involved making sounds such as “oh”, “om” and “ng”, while progressively experiencing the different sounds in the relevant Chakra level of the body, e.g. the deep “oh” sound aligned with the “root chakra”, while the “ng” sound was experienced in the “crown chakra”.

Ginny explained that energy vibrations and rhythms surround us in daily life.  The vibrations of sound waves, the movement of a swing, and the differential impact of small and big waves are some of the ways that we can perceive energy and resonance in action.   According to Ginny, “energy creates form” and “form shapes energy”, e.g. when the flow of water down a rockface gouges out a clear channel for the water to follow over time.  So too, energy perceived through the senses can change our neurons, changing our form within us and shaping our energy output.

Leveraging energy through mindful meditation

Ginny pointed out that through breath meditation, employing deep breathing, we can slow our thoughts and calm our body.  The integration of the mind-body connection through different forms of meditation and other mindfulness practices, enables us to develop calm energy which impacts those around us.  She views meditation as improving our own resonant instrument, taming the dissipated energy of the ego, fears, and impulses.  Meditation heightens our sensitivity and enables us to overcome habituated responses.  Our life experiences influence our perceptions and emotions as we become sensitised to negative triggers that evoke difficult emotions that serve to misdirect our focus and energy.  Meditation helps us to tame the energy of difficult emotions, and to understand their message and wisdom so that we can redirect their energy and take appropriate action.

During the online launch, Ginny provided a three-step meditation process designed to change the “inner dialogue” and release energy (as if we are overcoming a “cramp” or energy blockage):

  1. Breathe deeply and lengthen your exhale beyond that of the inhale.
  2. Envisage someone in your group or team experiencing difficulty and direct kind thoughts and positive energy towards them.
  3. Focus on something in the room that you love to look at or experience and then “tune into” why you like that particular object.  Progressively let your heart expand to take in your whole room or external environment.

Ginny maintains that as our inner reality changes through meditation, our outer experience changes. We become more open to what is around us and better able to use our gifts to help others – achieving greater flow in our lives through alignment with our life purpose.   We can more readily tune into the wavelength of others and respond more appropriately and creatively.  Our inner energy flow and mind-body alignment shape the way we interact with the world and bring about personal, interpersonal, and social change.

Ginny highlights the need for leaders to develop leadership agility by adopting different energy patterns.  She maintains that leadership is about resonance, a skill developed by deep listening to others.   Listening, in turn, requires being in the moment, fully present, and consciously attuned to the other person and the source and direction of their energy.  This capacity for attunement is developed through meditation and mindfulness practices. 

Reflection

The challenge for us is to achieve what Ginny calls “the foundational flip” – the capacity to  overcome self-absorption and direct our energy outwards for the good of others.  As we grow in mindfulness through meditation and other mindfulness practices, we can become more attuned to the energy that surrounds us, more flexible and adaptable in leading others and more focused and energised to achieve our life purpose and make a positive difference in the lives of others.

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Image by Okan Caliskan 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.