Mindfulness and Resilience in Challenging Times

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

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

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

Mindfulness as ballast for stability

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

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

Mindfulness as awareness

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

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

Reflection

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

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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.

Reduce Emotional Inflammation with Reconnection to Nature

Tami Simon recently interviewed psychiatrist Dr. Lise Van Susteren on Emotional Inflammation as part of the Insights at the Edge podcast series.  Lise drew on her newly published book co-authored with Stacey Colino, Emotional Inflammation: Discover Your Triggers and Reclaim Your Equilibrium During Anxious Times.  While the book was written before the onset of the Coronavirus, it is made even more relevant in these times of the global dislocation caused by the pandemic.  Lise maintains that emotional inflammation existing before the outbreak of the Coronavirus has been aggravated by the virus and its flow-on effects such as anxiety and grief and the unnatural states of social isolation and social distancing.

Prior to the onset of the Coronavirus, people were experiencing emotional inflammation as a result of our global and local environments impacted by climate change, gun violence, racial and refugee discrimination, economic disparity and turbulent economic conditions.  Lise acknowledged that the pre-existent emotional inflammation has been exacerbated by the advent of the Coronavirus.

She described out current conditions as a “fraught inflamed time” and encouraged us to be kind to ourselves and others as we work our way through the many challenges confronting us on a daily basis.  Lise maintained that individuals will deal with the challenges in different ways, e.g. some will keep themselves busy and get engaged with community work such as The Care Army, while others will use the time to retreat, read and reflect and/or listen to encouraging and inspiring podcasts.

Loss of connection to nature

I have previously discussed the impact of  the “nature-deficit disorder” and the loss of connection to nature and its healing powers.  Lise, who is a renowned climate change activist, argues that much of our emotional inflammation is caused by a loss of harmony with nature and its natural energy flows.  We have not only devastated our ecosystems (and the “immune system of the environment”) but also lost our capacity to be attuned to nature and its tranquillity and timelessness.

We have become time-poor, impatient, intolerant and stressed by the pressures that surround us and, increasingly, by the technologically paced character of our lives.  We refer to “slow mail” and “running out of time” on a consistent basis as our communications have increased in speed, simultaneously with increased expectations about response times and constant exposure to information overload – we are drowning in information and unrealistic expectations.

Lise is a firm believer that our ecology impacts our biology and she bases her assertions on sound scientific evidence.  She is at pains to point out that climate change has a devastating effect on our physical and mental health, a perspective reinforced by the American Psychiatric Association (APA).  Our physical and mental health is intimately linked to our connectedness to others and to nature.  Connection is a deeply felt need and frustration of this connection leads to physical and mental illness, including depression, ill-health and anxiety.

Reflection

Emotional inflammation is strongly associated with disconnection from nature.  Reconnection with, and respect for, nature can bring many health benefits and reduce the enervating effects of this “fraught inflamed time”.   Mindfulness practices involving breathing can help us to become better attuned to nature and more at peace with ourselves and others.  Nature is a rich source of healing and time spent being mindful in nature can assist us to develop the equanimity and creativity we need to navigate the unprecedented challenges of our time.  As we grow in mindfulness through meditation on nature, mindfulness practices and reflection on our way of living, we can begin to realise the critical role that nature plays in our health and wellbeing.

Peter Doherty, Nobel Prize winner for his work on infectious diseases, suggests, like Lise, that there are opportunities to be taken, and real lessons to be learned, from the current challenges of the Coronavirus:

We need to take this opportunity to rethink how we live in the world, what’s of value to us and start to look at what is really important. (Interview quoted in the Australian Financial Review, 9-10 May 2020, p.37).

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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.

Self-Compassion in Times of Uncertainty and the Coronavirus

There are many people offering ways to manage anxiety and fear in these times of uncertainty brought on by the global Coronavirus.  Psychologist Rick Hanson, for example,  provides multiple online mindfulness resources including the Wise Brain Bulletin.  In the latest issue (Volume 14.2), Kristin Neff and Chris Germer offer 10 self-compassion practices for self-management during this time of the pandemic.  Self-compassion is about being compassionate towards ourselves despite our mistakes, deficiencies and perceived weaknesses.  It takes time and effort to build self-compassion, particularly if we are used to negative self-talk, berating ourselves for our mistakes or constantly comparing ourselves to others (and coming up short in our own estimation).

Elsewhere, Kristin provides a video explanation of the concept of self-compassion, discusses the three components of self-compassion and offers exercises on how to develop each of these.  She also offers a range of guided meditations and exercises on the website for the  Center for Mindful Self-Compassion.   Kristin and Chris are co-developers of the Mindful Self-Compassion (MSP) Program designed for those who want to explore more fully the richness of this mindfulness approach.  They are very well qualified to teach mindfulness and compassion (for ourselves and others).

Additional Approaches to developing self-compassion

There are multiple resources and exercises available to help you build self-compassion.  Some that are very accessible and easy to use are:

  • Compassionate body scan: a 20-minute progressive body scan that focuses attention on different parts of the body and treats each part of the body with kind awareness and tension release.  The guided body scan is offered in separate audio recordings by both Kristin and Chris.
  • Mood tracking: an essential element in building the self-awareness necessary for developing self-compassion and improved mental health.  There are many mood tracker apps that help you identify your triggers and enable you to gain control over your emotional responses.  Steve Scott provides a review of the 14 best mood tracker apps available today.  These apps provide a ready means of tracking stimuli and your responses in terms of moods/feelings.

Reflection

Self-compassion is the antidote to negative self-evaluation, just as gratitude and savouring what we have reduces competitive comparison and envy.  As we grow in mindfulness and self-compassion through meditation, mindfulness practices/exercises and reflection on the triggers that precipitate our strong emotional responses, we can progressively develop self-intimacy and the self-regulation necessary to identify our negative triggers and control our responses.

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Image by Stephen Cruickshank 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.

Strategies for Couples to Cope While Working at Home during Quarantine

In a previous post I discussed Rick Hanson’s ideas about the intrapersonal and interpersonal challenges facing couples working from home during the quarantine conditions brought on by the Coronavirus.  In his podcast, Coping with Quarantine, Rick also explored strategies for couples to cope with these challenges.  His suggested strategies focused strongly on connection, contribution, control (inner and outer) and compassion.

Strategies for couples to cope with the challenges of working together at home during social isolation

  • Connection with others: the fundamental principle underpinning physical distancing is avoidance rather than contact and connection.  However, this does not prevent us from connecting with each other as a couple, with our family and friends or with colleagues.  All of the remote communication strategies are available to us – online video calls, telephone, social media and email.  There can be a tendency to let the physical distancing principles impact the rest of our behaviour.  However, now is the time to reconnect with others who are also feeling socially isolated.  As a couple, connection can take the form of increased hugs, considerateness, words of love and appreciation and thoughtful touch – all of which builds the relationship. It also involves avoiding the temptation to escalate an argument or conflict to prove you are right or to assuage your pride.  Fundamental to connection with your partner is listening for understanding, not interrupting but being open and vulnerable to the thoughts and feelings of your partner.  As Rick points out, listening provides you with the time to deeply connect with the other person and enables them to experience calm and clarity.  He reiterates Dan Siegel’s view that deep listening enables the communicator to “feel felt by the other person”.
  • Connection to nature:  we are connected to nature on multiple levels and it is possible through mindfulness practices, including mantra meditation, to experience this connection at a deep level.  When we experience our deep connection to nature, we can feel inspired, energised, positive and calm.  The very act of breathing and walking in nature regenerates our physical systems, clears our mind and helps us to reduce the power of our negative emotions.  Nature has its own healing capacity which we can tap into in multiple ways – if only we would stop long enough to let it happen.  
  • Contribution: there are so many people in need as a result of the pandemic.  There are also endless ways to contribute and help others, to draw on our creativity and resourcefulness.  For example, despite the lockdown in the Northern Territory in Australia, Arnhem Land artists are offering a series of free online concerts to lift people’s spirits and reinforce their connection to the land and the resilience of nature.  Thirty of Australia’s top singing stars have also collaborated to provide an online concert from their homes, Music From The Home Front, that is dedicated to people who are in the frontline of the fight against the Coronavirus.  Another exemplar of contribution in adversity is Nkosi Johnson who was born with HIV in South Africa and died at the age of 12.  In his short life, he dedicated himself to fighting, locally and globally, for the rights of HIV affected people in South Africa and beyond.  Nkosi is quoted as saying, “Do all you can with what you have in the time you have in the place you are”.
  • Controlling yourself and your environment: in times of crisis it is important to develop a sense of control over our difficult emotions and our immediate environment.  There is a growing pool of advice on managing anxiety and achieving mental and emotional balance during these times of uncertainty and social isolation.  In times of uncertainty we can achieve a sense of agency by controlling aspects of our immediate environment – whether that be tidying or renewing our garden, removing clutter from our workspace, developing new skills or getting our finances and accounts in order.
  • Compassionate thoughts and action: in the section above on contribution, I stressed the importance of finding ways to help and to take compassionate action.  However, action is not always possible because of our personal circumstances, including being confined to home as a high-risk person.  This is particularly where loving kindness meditation can be used to experience compassion towards others who are suffering and/or experiencing grief.  Everyday there are stories of individuals and families experiencing heart-breaking situations brought on by the Coronavirus.  We can keep these people in our thoughts and prayers and feel with them.

Reflection

Creating connection, making a contribution, achieving self-control and control over our immediate environment and offering compassion and loving kindness are ways forward for individuals and couples restricted to working from home.  Meditation, reflection and mindfulness practices will help us to grow in mindfulness and to develop the necessary self-awareness, awareness of others, self-regulation and presence of mind and body to bring these positive aspects into our lives as individuals and couples.

Chris James captures the essence of connection to nature in the songlet Tall Trees on his Enchant album:

Tall trees

Warm fire

Strong wind

Deep water

I feel it in my body

I feel it in my soul

Image by Andreas Danang Aprillianto 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.

Challenges for Couple Relationships During Quarantine and Working from Home

Rick Hanson, in one of his Being Well Podcasts, spoke of Coping with Quarantine.   His focus in this discussion was on the intrapersonal and interpersonal challenges of physical distancing and restrictions on movement.   In the podcast, he identified the challenges and highlighted the fact that the pandemic and associated quarantine conditions have contributed to an increased divorce rate in China since the pandemic outbreak.  Rick spoke of the interpersonal challenges brought on by the confinement conditions and the mental and emotional pressures experienced by couples working from home.

Challenges of social isolation for couples working from home

The unusual conditions for a couple working from home in the context of other social constrictions creates increase emotional pressure for individuals in a relationship as well as for the relationship itself.  Rick describes some of these challenges as follows:

  • Heightened emotional activation: both individuals in a relationship who are working from home will be experiencing heightened emotions in the form of anxiety, fear and frustration as a result of the Coronavirus and associated restrictions on location and movement.   Couples typically experience daily aggravations with some of the comments and actions of their partner.  These aggravations can be intensified in the situation of limited physical space in the home environment and restrictions on movement.  The home environment can become a place of continuous annoyance, conflict and anger rather than a haven of peace and contentment.  Married couples in this situation can experience suffocation and/or staleness and need to draw on considerable internal resources to increase their tolerance and maintain their relationship.
  • Loss of social support: physical distancing can separate us from people we usually associate with and from whom we draw support and reinforcement.  Normally, we gain validation and confirmation of our competence and self-worth through these external relationships.  The change to a working from home environment means that we have lost the daily “water cooler chat” and with it the exchange of information, including sharing of our thoughts and feelings.  The loss of various forms of social reinforcement can cause us to challenge our self-concept and self-worth – difficult feelings compounded by feeling inadequate working from a home environment where we lack the personal capability for remote communications or the working space and technology to take advantage of the positive aspects of remote working.
  • Loss of structure: it is surprising how many people report in the current situation that they “don’t know what day it is”.  This is due, in part, to a loss of structure in their day.  The loss of regular, repetitive activities results in a loss of anchors to our days that serve to remind us what day it is.  We no longer get dressed for work, take the train or car at set times, play our social tennis on Monday nights, watch the footy together on Friday nights, visit our extended bayside family or the local market on weekends or undertake any other activity that serves to structure our day or week.  Rick suggests that these structures normally “prop us up” and their absence can leave a sense of “groundlessness”. 
  • Loss of familiar role:  in the work environment, we can feel competent and in control.  When forced to work from home in a more complex and difficult environment, we can feel overwhelmed by all the challenges and be ill at ease for much of the time.  For some people, this can be temporary as they develop the skills to master their circumstances; for others, being able to adapt becomes a real issue and aggravates the feelings of frustration and reduced self-esteem.  The intense sense of ill-ease and associated stress can debilitate people and hinder them from seeing a way forward and acquiring the necessary skills to capitalise on the current situation and personal conditions.
  • Loss of freedoms: with the restrictions on movement and need for social isolation, people can experience a loss of the fundamental right to “freedom of association”.  Along with this, may be the experience of a lack of privacy where both partners are working from home, especially where for many years one partner went to work every day for an extended period.   Introverts may experience a loss of access to their “cave” where they would normally retreat to recover from extroverted activity, including interactions with their partner.   One or both partners in a relationship may feel that their other partner is constantly “under their feet” – a complaint frequently voiced by people where one partner usually works from home and the other partner has recently retired from their job in the city or away from the home.

Reflection

Quarantine as a result of the Coronavirus and enforced working from home conditions can place increased stress on couples and their relationship.  The current environment also offers an opportunity to develop our inner resources through meditations (including mantra meditations), mindfulness practices and reflection on our resultant emotions and responses.  As we grow in mindfulness, we can develop a deeper understanding of what we are experiencing, keep issues and aggravations in perspective, develop tolerance, build our skills and draw on our innate resourcefulness and resilience.

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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.