reflection

My Brother Pat: Compassion-in-Action

My brother Pat Passfield died at Sinnamon Village Aged Care on the 27January 2022 aged 81. Pat joined the Jacob’s Court community in June 2012, having arrived in a wheelchair after brain surgery. However, “Positive Pat” as he was often called, was determined to be up and about and walking again. So, in January 2013, he began a virtual walk around Australia to improve his health and fitness and to raise funds for charities, including the Wesley Mission who ran Sinnamon Village.

Throughout his early and mid-life, Pat had been a very accomplished athlete – excelling in golf, tennis and squash. Having played A1 Squash, he went on to represent Queensland at Masters level for 5 years and was immensely proud to tell anyone that the Queensland team won the Australian Championship in each of those five years that he played for them. Pat learned early in life to savour his achievements and this contributed in no small measure to his positive attitude, resilience and capacity to bounce back from setbacks.

Pat brought the same determination and discipline to his virtual walking for charity as he did to his sporting endeavours. He was incredibly determined that his kilometres covered were accurately recorded and he knew where he was on any virtual walk. He would even study the towns that he would go through virtually so that he had a clear sense of travelling to a destination. This was borne out beautifully in a video that shows Spencer Howson (612 ABC Breakfast Radio Show) on Pat’s virtual arrival in Cairns – with pictures of Pat crossing the finishing line at Sinnamon Village. He used this particular virtual tour to raise sponsorship funds for Diabetes Australia and frequently mentioned how his walking endeavours resulted in his overcoming his own type 2 diabetes.

Pat started off his virtual walking trips with a mobility walker and eventually a walking stick, and in the early stages was doing 4 kilometres a week, which he gradually extended to 10 kilometres a week and then to 12 to 14 kilometres per day. Pat would start his day with early morning walks (5.30 am) along the corridors of Sinnamon Village and then progress to collecting and distributing the mail to residents, taking shopping trips for himself and other residents to Coles (a few hundred metres away) and walking the village dog. He would also take trips by bus to other nearby shopping centres to meet the needs of residents.

Pat constantly expressed gratitude for those who had helped him recover his health and achieve what he had achieved in terms of raising funds for charity. He was a living/walking example of the positive power of gratitude. He was especially grateful to the medical professionals at Sinnamon Village – doctors, nurses, hydro therapists, physiotherapists and staff who provided day care and therapy – and often referred to how they had provided guidance and support. He was grateful, too, to his many sponsors including Coles, Athlete’s Foot and the Jindalee Hotel (where he built up a strong relationship through his frequent visits for seafood lunches and the very welcome steak). Pat frequently expressed gratitude for the little things through micro-gestures – e.g. when I visited him in hospital two weeks before his death, he thanked me a least three times over the course of an hour for “coming all this way” to see him (a 30 minute journey by car).

Pat was not reticent to approach politicians for support of his charitable works. Jess Pugh, MP for Mount Ommaney, recalls that Pat “beat a path to her door” to seek funding for a special project – a MOTOMED Exercise Machine for wheelchair-bound residents of Youngcare Sinnamon Village. Jess was able to report that with assistance Pat was successful in gaining a grant from the Gambling Community Benefit Fund to purchase the machine. My sister recalls that shortly after the election of Milton Dick as Federal Member for Oxley, Pat was on his doorstep encouraging him to visit a “very special place”, Sinnamon Village. When Milton did turn up at the Village, Pat gave him a guided tour of the complex, pointing out its special features. Milton subsequently gave a speech in Federal Parliament about Pat’s “outstanding contribution” to community life and mentioned that the Shadow Minister for Ageing and Mental Health had given Pat a Certificate of Appreciation in recognition for his services to the community. Milton subsequently became a friend of Pat and was very saddened by his death, reaching out to my sister to express his condolences. Pat will be acknowledged further in the future for his contribution of thousands of dollars to the charities he supported. His virtual walking and related fund-raising activities gave increased visibility to the plight of the aged and people with disabilities, especially youth.

Pat was forever grateful to Sinnamon Village, CEO and staff, for their support of his charitable activities and his virtual walking. Their efforts reinforce the value of providing agency to people in aged care (that research has shown to be extremely positive in terms of mental and physical health outcomes). Through his developed and supported sense of agency Pat went on to become a Resident Representative, to improve the health quality of meals in the Village, to engage residents in his gardening activities (by having them care for seedlings) and to successfully agitate for a level crossing outside the Village to enable residents to cross a multi-lane, busy road on their way to shopping or eating out. In his last days, Pat’s doctor urged him to return to hospital. Pat’s response was, “If I am going to die, I am not going to die in hospital, I want to die here [Sinnamon Village]”.

Pat demonstrated that focusing on a life purpose can build resilience in the face of setbacks and ill-health, stimulate happiness and joy, facilitate the realisation of personal capacity and creativity and enable the development of compassionate action. He showed by his life in aged care that each of us, despite our physical and mental limitations, can make a contribution to others and the broader community – we each have a unique set of skills, experiences and knowledge that we can use in the service of others. Pat drew on his salesman’s skills (he had sold forklifts very successfully in his earlier life) and his sport’s determination and resilience to engage others in his charity projects – people with power, influence, visibility and resources.

Pat’s influence extended throughout and beyond Sinnamon Village, partly influenced by his extroverted character. Because of his love of gardening and his “green fingers” he had been given responsibility for an acre of vegetable and herb gardens which he tended with considerable loving care. He was very proud of the fact that staff would frequently visit “his” garden to gather tomatoes, herbs and leafy vegetables for their lunches. He also built a relationship with the nearby Creative Garden Early Learning Centre at Sinnamon Park. The relationship had reciprocal benefits – Pat established a children’s garden which the children from the Early Learning Centre would tend weekly and make their own and they, in turn, provided concerts for the residents of the Village.

As we reflect on our life and the lives of others and grow in mindfulness – awareness of the present moment and its potentiality – we come to appreciate all we have in life, develop an increased sense of our life purpose and capacity to contribute to the welfare of others and build resilience in the face of challenging times.

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Image by Larisa Koshkina 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.

Identifying Our Blind Spots Through Observation and Reflection

Kelly Boys, author of The Blind Spot Effect: How to Stop Missing What’s Right in Front of You, highlights the fact that blind spots have multiple dimensions, including cognitive (the way we think) and behavioural (what we actually do in response to stimuli). In an earlier post I explored these dimensions in more detail and shared Kelly’s approach to identifying our core blind spot involving a meditative exercise that focuses on our bodily sensations and the underlying cognitive message that we are giving ourselves.

Our blind spots can impact every facet of our lives, including our relationships, work endeavours, sport activities, exercise routines and our diet and nutrition. Through mindfulness and employing observation and reflection we can gradually recognise our blind spots and work to overcome them. This is a life-time pursuit that needs to be worked at consistently and persistently. Our blind spots are often manifest in our reactivity to stimuli whatever form they take. Underlying our reactivity can be negative self-talk, prior adverse experiences, assumptions or resentment. Tara Brach offers a simple S.T.O.P. practice that can be used, particularly when we are anxious or agitated, to overcome our habitual behaviour (whether fight, flight or freeze) in a particular situation.

In a recent post, I compared playing tennis to day-to-day life emphasising the uncertainty, the mental and emotional challenges and the constant need for adaption that they have in common.

Reflection

Being a “tennis tragic”, I have been watching the Australian Open Tennis Championship, particularly the matches played by Ash Barty, World Number 1 Australian tennis player. In the process, I have been able to observe the behaviour of players and reflect on their mental attitudes, especially when they were challenged by falling behind in the score. Some players became despondent and were able to regroup, others let out their frustrations in a show of anger (e.g. by smashing racquets), while others succumbed to the weight of expectations – their own and that of others especially the World Press.

While watching tennis matches during the Australian Open I was able to reflect on my own tennis game and, despite having played tennis for more than 60 years, I learned two key things through observation and reflection that will enable me to improve my social tennis games and enjoy them more, even while aging. One had to do with a behavioural blind spot and the other with a cognitive blind spot.

My first revelation involved a behavioural blind spot that related to how I had my hands placed on my racquet as I waited for a tennis serve from my opponent. Having just learned the technical aspects of a two-handed backhand, after 60 years of using a single-handed backhand, I was curious as to how two-handed backhand players prepared to receive serves in excess of 180 kph. It surprised me that they could be prepared to use a single-handed forehand or a two-handed backhand with little loss of flow in transition. Through observation, I learned that when receiving a serve they held the racquet differently to what I had been taught when using a single-handed backhand. It made me realise that instead of having the left hand loosely supporting the right hand like I have been doing, they were already prepared to play a two-handed backhand by having a firm grip with their left hand in the right position on the racquet.

From this I learned why I was having trouble accessing my two-handed backhand when I was waiting for a serve. With my usual way of preparing for a tennis serve, I had firstly to move from holding the tennis racquet loosely with my left hand to achieving a firmer grip higher on the racquet (above my right hand) – all of which took too much time and impeded my readiness to receive a serve. The new stance for me will be uncomfortable for a time. This experience reinforces the point that we can have behavioural blind spots in any aspect of our lives, even something as simple as how we hold a tennis racquet.

My second revelation involved a cognitive blind spot in relation to the “slice tennis shot”. When I learned to play tennis the slice tennis shot was part of your tennis armoury, but not your primary shot. I have often used the slice tennis shot when out of position or when I have difficulty handling the power of an opponent’s shot. However, I always viewed it as an inferior tennis shot – one played from a position of weakness.

However, after watching Ash Barty’s dominance using the “slice shot” as a primary tennis stroke, I have had to change my mindset and elevate the slice to at least an equal part of my tennis armoury along with a flat or top-spin forehand. This has been a mental block for me in the past. But now I have realised that the move from an Eastern forehand grip to a Western grip (sometimes extreme) has meant that a lot of players are unable to effectively play or handle the slice tennis shot. The reasons are explained by Jon Crim in his overview of the Western grip. This means that times have changed yet again and that the slice tennis shot (mainly through the success of Ash) has now achieved a status equal to that of the top-spin forehand. While the top-spin forehand gives the tennis player an advantage in net clearance and depth of shot, it has the inbuilt disadvantage of making it more difficult to play the slice shot which tends to go lower over the net and stay quite low on impact, as well as having a “shooting” effect.

As we grow in mindfulness through meditation, observation and reflection we can develop curiosity about our blind spots, enhanced self-awareness and the capacity to overcome our habituated responses. The insights gained can open up the opportunity for more joy and success in our relationships, work endeavours and sporting activities. As Kelly points out, unless we observe and reflect on our thoughts and behaviour, we can miss what is right in front of us because of our blind spots.

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Image by Bessi 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 75^th 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 75^th 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:

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.
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.
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.
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).
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.
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!).
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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Image by Tonny Nijkrake 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.

Reflecting on Our Past Year and Planning Our Future

Allyson Pimentel, meditation teacher with UCLA’s mindfulness education and research center, offered a guided meditation podcast on the theme, Mindfulness and End of Year Reflections, as part of the weekly meditation podcasts conducted in collaboration with the Hammer Museum. In the podcast, Allyson drew on the work of Amanda Gorman, appointed the first US National Youth Poet Laureate in 2017.

Amanda also wrote and delivered the Presidential inauguration poem, The Hill We Climb, for the inauguration of President Joe Biden. In her poem, Amanda encourages us to acknowledge the past – the pains, divisions and the victories over challenges. At the same time, she exhorts us to see the light in our past difficulties – despite the grief, hurt and tiredness – and to recognize the growth, the hope and persistence we displayed. In looking to the future, Amanda encourages us to “rebuild, reconcile and recover” and reminds us that “to put our future first, we must first put our differences aside”.

In the introduction to her guided meditation, Allyson draws on Amanda’s latest book of poems, Call Us What We Carry, to inspire reflection and forward planning. In particular, she focuses on the poem, What We Carry, which in Allyson’s words “captures the essence of mindfulness”. The poem grounds us in the dampness of the earth and reminds us that even what is grimy, mired and marred can be a gift and a source of wonder (a perspective we experienced as children sitting on the ground or the grass or playing on the river’s edge). Amanda reassures us that even if we are not clear about “what we have left behind”, we are enough “for what we have left” in our life.

Guided meditation as an end of year reflection

At the outset, Allyson encourages us to become grounded in the present moment – being conscious of whatever we bring to the meditation including our aches and pains, reticence or excitement, readiness or unease. She acknowledges at the outset that there are times when stability of presence and its associated calm and quietness are not readily accessible – but still encourages us to try to relax and focus.

The next stage of the guided meditation involves focusing on the sounds both within us and around us. Within us, it could be the sound of our outbreath, ringing in our ears, or the rumbling of a hungry stomach or upset microbiome. The sounds surrounding us could be traffic noise, birds singing, the rustling of trees, the cough of a family member, music from our neighbour or footsteps on the stairs to our meditation place. Allyson encourages us to tune into the sounds without interpretation or any effort to control or edit them.

Next, we are encouraged to place an upturned palm on our lap – symbolic of openness to all that we have experienced in the past year. Allyson draws on the words of Amanda’s poem to suggest that our palms are “open but unemptied”. We can focus on the past year with its achievements, challenges and set-backs – looking clearly at the things we have done that we are proud of and those we wished we hadn’t been engaged in. We are challenged to look at both our successes and failures, our compassion towards others as well as our unkind words and actions.

As we reflect over our past words and actions, Allyson encourages us to turn our palm downwards on our lap and draw on the warmth and reassurance of our body. This is symbolic of receiving self-love and kindness towards ourself as well as forgiveness. We can tune into the bodily sensations flowing from this sensory experience of acceptance and support.

Finally, Allyson encourages us to think about “how we wish to walk into tomorrow” – to decide how we are going to turn up in the world. This decision can be informed by what we were dissatisfied in relation to our words and actions in the past.

Reflection

At the outset of the podcast, Alyson reminds us that mindfulness and the Hammer Museum have a common goal “to bring the light of awareness” to every aspect of our lives, including our experiences of art, poetry, music, disillusionment, joy, relationships, inspiration and wonder. She expresses the hope that as we grow in mindfulness through meditation and reflection, we can live with more justice, a sense of openness and spaciousness, and a feeling of being strongly grounded and in control of our emotions, however difficult.

Amanda Gorman offers both enlightenment and hope and the firm belief that we can rise to the occasion of positively shaping the future for the generations to come – a future that is not built on division but on our connectedness and interdependence. Diana Winston encourages us to bring intention to our New Year resolution, while Leo Babauta suggests that focusing on a single resolve, such as daily mindfulness practice, can have flow-on effects to many facets of our lives.

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Image by Sasin Tipchai 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.

How to Overcome being Imprisoned by Self-Neglect

Edith Eger in her book The Gift: 12 Lessons to Save Your Life, discusses the “the prison of self-neglect”. Habituated behaviours that underlie self-neglect can arise through adverse childhood experiences, an abusive relationship or a deficient developmental environment. Edith suggests that self-neglect often arises because of unmet childhood needs – specifically the need for “attention, affection and approval”. Our own needs are neglected in order to fill the gap left by unfulfilled childhood needs. So we pursue the “A’s” (mentioned above) at the expense of our present needs. An aspect of self-neglect is the avoidance of expressing strong emotions for fear of causing discomfort to others.

Factors leading to self-neglect

We might have had parents who offered conditional love – on condition that we met their high standards in sport, academic or other achievements. Their expectations about our performance can create a dependency whereby we are forever seeking approval or acceptance. We might have suffered neglect as a child through the conscious choice of parents or their own adverse circumstances. This can lead to our continuously seeking attention. In one of my workshops, one participant proved to be continually disruptive through constant challenge to anything other participants said. It turned out she was seeking attention and approval because she was denied this as a very young child – being expected to contribute meaningfully to adult conversation when still very young.

Sometimes self-neglect can arise as a result of the role we played as a child or young adult. Family circumstances may have led to our being the “responsible one”, “the carer” or “the earner”. These roles may have been necessary at the time but the unspoken expectation that comes with the role can continue into adulthood. Edith recounts the story of a client who was imprisoned by the self-expectations that arose as a result of a childhood role as the “reliable one”. This led to continual self-neglect in pursuit of other people’s needs – often unexpressed but assumed. The result was personal burnout as well as depriving others of the opportunity to develop independence. Sometimes creating dependence on ourselves fulfills our desire to be needed. This was something that Gabor Maté discussed as contributing to his need to be a workaholic medical practitioner.

Gabor maintains that underlying many addictions is an unmet need arising from early childhood. The addiction, whatever form it takes, is an ineffectual way to address the pain arising from parental neglect, abuse or inattention. His “compassionate inquiry” approach is designed to unearth the early triggering event(s), the resultant negative self-message and the reward sought through the addictive behaviour.

Overcoming the imprisonment of self-neglect

The fundamental rule to freeing ourselves from the prison of self-neglect, is to begin to put ourselves back into the picture, to have self and our needs as part of the equation when trying to decide how to spend our energy and time. Edith suggests that there are a number of ways to do this:

Savour the things and people in our life that bring us joy. We can start small with a few minutes each morning spent appreciating the little things in our life – noticing a new leaf or flower on an indoor plant, reflecting on a picture or painting that generates positive feelings, or valuing a person who has shown us kindness, thoughtfulness or generosity. Savouring what is good in our life can extend to appreciating the development of our children, accomplishments and rewards, the wonders of our subconscious mind, the capacity to think and create and our relationships (even our relatives). We can actively seek to let joy into our lives.
Appreciating nature – nature has a healing power and enables us to cultivate all our senses and develop our sense of wonder and awe. In nature, we can be lost in the beauty, the sounds, the textures and the smells that surround us. We can actually find ourselves in this process of being lost in something immense and awe-inspiring that is beyond ourselves.
Edith herself adopted an affirmation that expresses something of her uniqueness and what she has been able to contribute to the world. We can all find the words to reflect the positive things we have contributed to others and what makes us a truly unique person. In the process, we can value the people who helped make us who we are – our parents and their positive traits, our mentors and their wisdom, and our teachers who willingly shared their knowledge and insights.
Reflect on an occasion where you were asked for something or to do something. Ask yourself what were your thoughts and feelings at the time. What was driving your choices? How much of looking after yourself was reflected in your response. How could you have responded in a way that did not involve self-neglect, e.g. expressing your true feelings. Are there habituated behaviours that you engage in that continually overlook your own needs?
Explore the balance in your life. Edith suggests that we keep a record (for a short period) of how we spend our day in terms of how we allocate time to work, play and love. Does work absorb all our time and energy at the expense of our needs for nurturing, relaxation and time to ourselves. How often do we allow ourselves to become absorbed in a hobby, creation or charitable activities or just enjoy social activities with friends or family.

Reflection

With the busyness of life, it is so easy to lose ourselves through self-neglect. There are often hidden forces underpinning this neglect, so self-exploration is important to unearth what drives our behaviour. As we grow in mindfulness through observation and reflection, we can gain the necessary self-awareness and insight to understand ourselves and develop the courage to make changes to the way we live our life.

Edith maintains that we do not change until we are ready to make the change and often this is driven by a need to change habits that no longer serve us in a positive way. Any changes we make to our behaviour, no matter how small, need to be reinforced by savouring our achievement. From Edith’s perspective, change involves the process of “finding the real you”.

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Image by Perez Vöcking 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.

Expressing Emotions or Being Imprisoned by Avoidance

Edith Eger In her book, The Gift: 12 Lessons to Save Your Life, discusses the “the imprisonment of avoidance” – the refusal to express challenging emotions. She maintains that avoiding feelings through suppression leads to depression – the opposite involves release through expression. We can supress our feelings for many reasons, e.g. to avoid the pain and hurt of recollection or to protect others from seeing us as vulnerable and suffering.

If we are suffering from past hurts or trauma we can try to shield loved ones from the discomfort that comes with the expression of strong feelings. In the process, we are not being honest and we are also depriving them of the opportunity to express empathy and love. We can also unconsciously train our children to avoid the expression of feelings when they are hurt or upset. We can try to diminish their feelings out of our own discomfort or sense of sadness. We might say, “Don’t cry, there will be other opportunities to go to parties”, “You’ll forget about this tomorrow”, “Look how many friends you do have who let you play”, or “Let’s get some ice cream and make the pain go away!” (we can try to substitute something pleasurable to avoid the expression of pain and hurt, thus setting in place habituated avoidance behaviour).

Edith suggests that sometimes we suppress our feelings by trying to convince ourselves that we are happy and joyful when this is patently not true. We might even resort to affirmations to hide our true feelings. This form of subterfuge only acerbates our feelings because it denies our reality – the depth and breadth of our true feelings. Edith encourages us “to feel so you can heal” because “you can’t heal what you don’t feel”. Sometimes our underlying feelings can be mired in resentment and can be unearthed through a guided reflection.

There is a real cost to ourselves in avoidance. Despite our very best efforts, emotions are embodied – they manifest in our bodies as physical tension/pain and/or result in emotional or physical illness. By not living our truth or accepting the reality of how we are feeling, we undermine our own integrity and personal integration. Edith provides a detailed and graphic example of the impact of unexpressed feelings on a women who experienced incomprehensible violence by a family member. Her life was lived in fear and loneliness because she never owned up to her feelings of rage, anger and deep fear of the perpetrator.

There may be times in conversation with a friend that we withhold a true expression of our feelings about some matter relevant to our relationship with them. Edith suggests that we can revisit the conversation mentally, work out what we should have said and then approach the relevant person at a suitable time and in a neutral place to express our real feelings. We could even start by practising with restaurant waitresses and expressing our honest feelings about a meal (rather than hiding our true feelings because we do not want to hurt or embarrass them).

Facing up to our feelings and naming them provides a real release. Edith suggests that we can practise this by stopping ourselves at any time during the day and naming our emotion, whether positive or challenging, in the present moment. This is not only a form of mindfulness practice but is also a way to increase self-awareness and develop honesty about our feelings both to ourselves and others.

Edith explains that sometimes this challenge to express rather than supress feelings appears overwhelming. She writes about her inability to face the Auschwitz Museum for fear of the pain of recollection of her parent’s murder and her own torture and starvation as a prisoner in the concentration camp. It took her a lot of courage after 10 years to visit the Museum and she describes in detail what she felt when confronted with images of emaciated people, the cattle trains and arrival platform. She found herself cringing and curled herself up into a tight ball in a dark corner of the Museum – overwhelmed by grief, pain, anguish and anger. However, revisiting the trauma and owning the depth of her feelings provided a new level of release to enable her to be even more productive and helpful in her ongoing work as a trauma consultant – she had finally gained release from the imprisonment of avoidance.

Reflection

Edith’s own life experience, which she shares so freely in her books, bears out how difficult it is to free ourselves from the imprisonment of avoidance. It may take many years of progressive inner work, and trying out various ways of overcoming our entrapment, to achieve some degree of freedom and realise ease and joy. However, suppression leads to ongoing suffering and depression.

As we grow in mindfulness, we become increasingly self-aware of the different ways we avoid expressing our true emotions, develop the courage to own up to these emotions and achieve the resilience required to break free of the imprisonment of avoidance. _________________________________

Image source: 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.

Meditation on the Power of the Present Moment

Allyson Pimentel, UCLA meditation trainer, provided a guided meditation podcast focused on the power of the present moment. Her meditation, titled Mindfulness and Lineage explores the present moment as the encapsulation of all that has happened in our past along with the potentiality to shape our future. The present moment provides us with the opportunity to reflect on our words and actions, to engage in reflection-in action and to envisage our future. It enables us to begin to appreciate our ancestors and all that has gone before us while looking forward to what we ourselves can contribute to future generations.

When we think of the people who have gone before us, our ancestors, and realise that we are today the inheritors of their efforts, sacrifices, challenges and perspectives, we can begin to feel gratitude for all the positive things that we have inherited. The SBS TV documentary, Who Do You Think You Are?, explores the ancestry of well-known Australians from sport, politics, music, film, stage and television. Invariably, the exploration highlights incredible courage and resilience of forbears and their vision to create a better future for those who were to come after them. They often endured unbelievably harsh living conditions, undertook dangerous and arduous journeys and lived with uncertainty as the reality of daily life.

When we reflect on the past and the people who have preceded us we have a lot to be grateful for – our freedom, innovations, insights, discoveries, technologies (including medical processes and medications). We acquired knowledge through our predecessors trial and error endeavours and risk-taking. We have come to better understand our bodies, minds and spirit through their explorations, including neuroscience research. The inheritance from our forbears is endless, enduring and engaging. If we reflect on our lineage and explore our family history, we come to appreciate even more our connectedness to people, places and history. We can be grateful for the mindfulness tradition which had its origins in Buddhism but has broadened from a religious base and, in Western countries, morphed into a secular tradition informed by neuroscience.

Guided meditation

Allyson focuses initially on our bodies, encouraging us to be really grounded our body in the way it takes up space, its textures, height and width, weight, lightness and heaviness and interactions with its external world through the senses of sight, sound, smell, taste and touch. She reminds us that mindfulness involves being fully in the present moment and apprehending the present with its potency and potentiality through curiosity, openness and willingness to be with what is – accepting our here-and-now experience, including our limitations (physical and mental), our lived experience shaping our perceptions and habituated behaviour, and our emergent self-awareness.

Allyson encourages us firstly to explore the back of our body – our spine running down the length of our back as well as the back of our head, neck, buttocks, legs, arms, and heels. She suggests that this process can activate our conscious link with the past, with what has come before us but is now behind us. As we breath in and out gently, we can express appreciation for our lineage – what we have inherited in our world that contributes to our health, happiness and overall wellbeing. We can value our inherited natural environment and the connectedness to nature that we enjoy.

The next stage of the guided meditation involves focusing on the front of our body – our eyes, face, jaw, chest, stomach, thighs, calves, feet and toes. This process helps us to focus on the future – on the fact that our present moment is shaping our future. This is not only as a result of the immediate benefits of meditation but also the way we begin to develop our world view, heighten our perception, enhance our self-awareness and clarify our life purpose.

Reflection

We take so much for granted in our lives. This guided meditation on our lineage opens our minds to the people who have gone before us and what they have made possible for us. It builds our sense of appreciation and gratitude and enables us to deepen our self-awareness through understanding our origins and its influence on our daily lives. The meditation also develops an openness to the potentiality of our future. As we grow in mindfulness through meditation and reflection we gain increasing insight into our inner landscape and our outer environment and the forces that have shaped us and continue to influence our life and our individual paths.

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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.

Barriers to Overcoming the Anxiety Habit Loop

In previous posts I have discussed Judson Brewer’s concept of the habit loop underpinning anxiety, addiction and craving and his mindfulness processes for overcoming anxiety. Central to his process for overcoming anxiety, is understanding the trigger-behaviour-reward process, the need to honestly and openly explore the realised rewards and costs of a particular behaviour and the willingness to update the reward value in our mind in the light of this learning. In this post on barriers to using Judson’s process to overcome anxiety, I will explore further some of the ideas presented in his book, Unwinding Anxiety: Train Your Brain to Heal Your Mind. I will also link this discussion to other ideas on barriers to mindfulness that I have written about earlier.

Barriers to overcoming the anxiety habit loop

Below are some of the barriers I have identified in reading Judson’s book but supplemented by my earlier discussions:

Obsession with the news – we can feast on the news as if our lives depended on it. At every opportunity, we might be seen accessing our mobile phones to find out the latest news. We can do this while waiting, instead of using this down-time to build our awareness. The problem is that the news is typically dominated by adverse events and people’s suffering as well as portents of disaster. It is often unnerving, adds to anxiety and causes disquiet. If we become obsessed with the news, we are not creating the space for stillness and calm that would enable us to be mindful about our habituated behaviour and its real rewards (outcomes).
Closed worldview – pursuing the news is what Judson describes as “deprivation curiosity” where our motivation is to address a deficit in our knowledge where the reward is discovery of the up-to-date information. However, this process constitutes a closed system because closure is achieved once the void (missing information) is filled. We can also adopt a closed worldview by trying to protect ourselves from disconcerting or uncomfortable information, and related feelings, about our habituated behaviour and its impact on our wellbeing and the welfare of others. Judson argues that what we need to pursue is “interest curiosity” where the process of curiosity is reward in itself because it is open-ended, never dries up and exposes us to the rewards of joy, wonder and awe. He suggests that interest curiosity feels better when we compare it to “the scratchy, closed-down itch of deprivation”.
Review and regret approach – this habituated behaviour constitutes another closed circuit in that it leads us to self-flagellation and negative self-appraisal whenever we revert to our bad habit or make a mistake. Judson suggests that what is needed here is “forgiveness and moving on and up”. This reflective approach opens the way to real learning and sustained habit change. We can beat up on ourself for mistakes but this only feeds the anxiety habit cycle and contributes to depression. In contrast, If we adopt a growth mindset, we can see each experience, and attempt to overcome our anxiety habit loop, as an opportunity to learn and grow. Our actions serve to give us feedback about outcomes, both intended and unintended – and this is the way we learn.
Lacking persistence – in this era of the desire for immediate satisfaction, it is easy to lose heart and give up before our goal is realised, even if we have made some progress along the way to reducing our anxiety level. We can overlook the fact that our habituated behaviour has been developed over many years and, in some instances, has resulted from a traumatic event or adverse childhood experience. It will take a concerted effort over an extended period of time to overcome an anxiety habit loop. Judson suggests that it will take “short moments, many times” and a willingness to persist with the process of “kind curiosity” to unearth our anxiety habit loop and the underpinning reward system.
Unchanged reward value – we can mindlessly accept the existing reward value that keeps our anxiety habit loop locked in thus creating a barrier to change. Alternatively, we can actively seek to update our reward value with disenchanting information (which we typically ignore). We tend to see only the positive aspects of a habituated behaviour (e.g. avoidance of discomfort, pain, embarrassment or hurtful self-disclosure). Judson likens this barrier to a “chocolate experiment” where people failed to realise when eating more and more chocolate turned an otherwise pleasurable experience into one that caused displeasure. We can either not notice or ignore the “turning point” and fail to develop a real updated, assessment of a reward value. This often occurs with people whose underlying anxiety drives a habit of procrastination.
Focus on reasoning rather than feeling – Judson argues that thinking and rationalisation will only go so far in terms of sustainable habit change. While as humans we need thinking to problem solve, be creative and plan, rational argument has little impact on entrenched habits. A more holistic approach of sustained personal inquiry is required to unearth not only our thoughts but emotions and bodily sensations that inform us about what is happening in the moment when we resort to our habituated responses. Focusing on our feelings in the moment gives us a way to understand the drivers behind habit formation and maintenance, and enables us to develop the requisite insight to update our “reward value” of the habituated behaviour.

Ways to overcome the barriers to unwinding anxiety

In his Unwinding Anxiety book, Judson discusses a one-week silent retreat that he and a colleague provided for members of the US women’s Olympic water-polo team (who were back to back gold medal winners). He explained that a real breakthrough for members of the team in developing holistic, interest curiosity was achieved by having participants repeat the sound “hmm” as a mantra. This sound when repeated tends to engender openness, wonder and awe while clearing the mind of its tendency to engage in worry and negative self-judgment. Judson suggests that this practice can be employed whenever we become stuck in our meditation attempts, experience panic or encounter internal barriers to overcoming our anxiety habit loop. It enables us to tap into bodily sensations, thoughts and emotions.

Judson also provides a process for experiencing a closed versus an open mindset. This entails recalling in full colour and richness an anxious event followed by recalling a joyful event. He explains that this process of observing bodily sensations generated by the different events forms part of the first day of his Unwinding Anxiety app.

Another source of encouragement to maintain persistence and adopt an open, learning mindset is provided by Lulu & Mischka in their mantra meditation, Metamorphosis. The words of this mantra effectively describe the process of the sustained effort and open mindset required to achieve transformative change and encourages us to “not give up” but “trust the process” and be open to breaking with our old ways. If we sing the mantra along with Lulu & Mischka, we can reinforce our desire to persist until we overcome our anxiety habit.

Reflection

Clearly the unwinding anxiety process proposed by Judson has application in many arenas, including in sports. This got me thinking about an issue I am having with my tennis game when playing social tennis. I have played tennis since I was about 12 years old (and probably earlier but I can’t think back that far). I have used a single-handed backhand all my life but as I get older, my wrists and arms are becoming weaker (despite my occasional efforts to strengthen them with exercises). So, for my 75^th birthday, I requested three tennis lessons from a coach to learn how to do a double-handed backhand. By the end of the third half hour lesson, I could manage a rally with the coach using my newly “acquired” double-handed backhand. The problem is that I am experiencing an emotional blockage that is stopping me from using the new stroke at social tennis – I keep reverting to my single-handed backhand.

When I read about the habit loop and the need to change/update the reward value (in my mind) attributed to a particular behaviour in order to change the habit, I realised that what was keeping my old habit (single-handed backhand) in place was the failure to update the reward value of this behaviour. I still seemed to be assuming that it was a reliable stroke preventing me from making mistakes and enabling me to keep the ball in play or win a rally. The reality is that my single-handed backhand is no longer reliable and I do make lots of mistakes with it. So I need to update the reward value that I attribute to this stroke and accept that in the earlier stages of a changeover to the new double-handed stroke, I will probably make more mistakes. However, the bigger, better offer (BBO) is a stronger, double-handed stroke capable of winning a rally. By being unwilling to use my double-handed backhand, I am adopting a closed mindset and depriving myself of the opportunity to learn through doing and reflecting on the outcomes.

As we grow in mindfulness through reflection, kind curiosity and mantra meditations, we can develop the persistence and courage to explore our anxiety habit loop and its reward value. With a sustained concerted effort, we can begin to overcome our anxiety habit loop as we update our reward value and develop substitute rewards that are bigger and better than what we currently rely on, consciously or unconsciously.

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Image by Rudy and Peter Skitterians 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.

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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Image by Rudy and Peter Skitterians 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.

On the Frontline During COVID – Self Caring for the Carers

Professor Cynda Hylton Rushton and Rheanna Hoffmann recently engaged in a moving video podcast conversation that highlighted the scars and distress of what it means to be a frontline nurse during the COVID pandemic. They covered not only the impact on nurses physical and mental health but also explored strategies that could be adopted by nurses to manage their distress. Cynda will be a key presenter at the free, online Healing Healthcare Summit in early February 2022.

Cynda is incredibly well-informed about nurses experiences during the pandemic, being a nurse herself and working with nurses to develop what she calls “moral resilience” – the ability of an individual to “restore or sustain” integrity in the face of the onslaught of challenges to their inner harmony and capacity to align their words and actions with their values and deep commitments.

Cynda, whose focus includes clinical ethics and contemplative practice, brings to the conversation penetrating insight and deep caring and compassion – characteristics that are manifested in her faculty work with the clinicians training program, Being with Dying. Cynda is the author of Moral Resilience: Transforming Moral Suffering in Healthcare.

Rheanna is an emergency nurse who is also a meditation practitioner and teacher with extensive experience in mindfulness and its benefits. During the worst of the pandemic in the US, she volunteered to work in New York City. Her personal recollections of this experience can be found in an interview where she shares an intimate insight into what happened for herself and others during the overwhelming crisis. Her presentation is part of the Mindful Healthcare Speaker Series which is readily available as a “resource for challenging times”.

In her discussion with Cynda, Rheanna provided an expose of her emergency nursing experience during COVID that is raw and vulnerable but manifests her openness and courage. I have previously reported on Rheanna’s interview about death and the dying process with Frank Ostaseski, Founder of the Zen Hospice Project. Rheanna herself is the Founder of The Whole Practitioner designed to help nurses “to rediscover health, balance and their core values” after experiencing burnout, exhaustion and deeply personal frustration.

The distress of frontline COVID nurses

Rheanna recounted in telling detail the nature and extent of distress experienced by COVID nurses, especially those who were engaged in emergency wards. She spoke emotively about the following experiences and sensations:

Reaching the limit of effectiveness of personal resources – whether that be yoga, friends or colleagues
Experiencing isolation and loneliness – tendency to withdraw physically and mentally to deal with the overwhelm
Feeling incredibly bare and vulnerable – the challenge of people dying and grief (that of relatives/friends and your own grief)
Physical exhaustion – tired beyond belief and suffering from lack of sleep, resulting from replaying adverse incidences
Feeling chronic hopelessness and helplessness – the challenges were beyond the capacity of individuals and the health system itself; exposure to personal limitations in the face of so much death and suffering. Associated with this sense of helplessness are nightmares, flashbacks, randomly crying and insomnia.
Separation from self – the natural consequence of traumatic experiences.
Loss of a sense of balance – impacting how time, health and relationships are valued or devalued (because of lack of time allocated to them)
Burnout – on physical, psychological and moral levels. Rheanna described this as “acute burnout” reducing the energy for self-care and potentially leading to thoughts of suicide.

Rheanna pointed out that nurses, including herself, were normally able to “compartmentalise” their adverse experiences and do so in a way that was healthy, However, the adverse experiences from the pandemic were “unrelenting”, leading to chronic distress. Part of the frustration was the inability of frontline nurses to help others at times when they were feeling so “fragile”.

Self-caring strategies for frontline COVID nurses

Cynda offered several self-care strategies for COVID nurses during her conversation with Rheanna. Some covered ways of addressing negative self-talk while others focused on adopting a changed perspective and mindset or instituting a mindfulness practice:

Mindfulness practice: Cynda offered a mindfulness practice that could be used by COVID nurses experiencing distress and burnout. This focused initially on the breath with the out-breath being viewed as a release of stress. In the exercise, the exhale stage was lengthened to accentuate and support release. Participants were encouraged to rest in the gap between the in-breath and out-breath and, where possible, extend this gap between breaths. A slow body scan was the next step with emphasis on identifying and releasing points of tension. Participants were encouraged to focus on an anchor of choice to stop their minds addressing their extended to-do list or diverting into worrying. Cynda suggested that nurse participants become conscious of how many miles their feet have travelled in pursuit of their daily caring and the level of support that their feet have provided. Lastly, she encouraged the nurses to employ statements such as:
- May I trust the wisdom of this moment consciously and fully.
- May I have the courage, honesty and openness to see things clearly and without judgment.
- May I be willing to let go of what impedes me rather than helps me.
- May I encounter a wise mentor to assist me to deal with these challenges.
Confronting your own limitations: Rheanna pointed out the sense of guilt and shame that she experienced that were driven , in part, by her self-talk – “you could have done more”, “if only you had acted faster”, “if you had paid attention more fully you could have saved more people”, “if only you had been able to convince people to make different decisions”, etc. Our minds are very creative when it comes to self-denigration and negative self-evaluations. It is important to acknowledge that no one could have handled the challenges for nursing presented by the pandemic and not experience their debilitating effects. Cynda suggests that nurses need to “turn towards their limitations” and do so “with as much compassion “ as they extend to others. There is scope here for loving-kindness meditation for oneself.
Changing your perspective: Cynda stated that the tendency in these crisis situations is to think that you are carrying the load by yourself because there is a natural tendency to turn inwards to cope with what is happening. She argues that what is required is a change in perspective. For example, she asked Rheanna to think about “Who else is carrying the load of the pandemic? “Who has your back? (e.g. friends, family, colleagues local and abroad & mentors).
Separate effort from outcomes: Cynda maintained that a form of self-care is to acknowledge that the health outcomes are often beyond the control of a nurse. She stated that In her own work she does the best she can in the circumstances to meet an identified need but recognises that the specific outcomes are not in her control – there are too many intervening aspects impacting the final outcome. Cynda maintains that freeing yourself from expectations and outcomes is crucial for a nurses’ welfare. In the pandemic, COVID nurses such as Rheanna attempted to “fix unsolvable problems”. Nurses’ health outcomes were not the result of lack of effort or smarts but because the pandemic situation exceeded the capacity of individuals and the health system itself.
Savour achievements – Cynda reinforces the view that the brain has a natural negative bias and is more likely to “mull over” what did not go well rather than “honour what we are able to do in the moment”, given the circumstances thrust upon us. She stated that nurses need to focus on how they made a difference in people’s lives, e.g., holding someone’s hands as they were dying, gasping for breath or having a tube inserted to enable them to breathe. This thought expressed kindly by Cynda precipitated a chain reaction from Rheanna who began to identify numerous moments when she “deeply showed up with people” and , in the process, rediscovered “what it means to be a nurse” and gained insight into the very core of her being and who she was. The other aspect that Rheanna savoured was her deep connection with people who were suffering – in spite of what was happening around her independently of her best efforts.

Reflection

Much of what Cynda proposed as strategies to help nurses deal with the extraordinary level of stress of frontline work during the pandemic can be incredibly useful for all of us to manage stress and resultant distress in our daily lives. As we grow in mindfulness through meditation, reflection and other mindfulness practices we can reshape our perspective and expectations, savour the positive in our lives (including being alive), confront our grief and limitations and achieve the freedom of separating outcomes from effort in our chosen endeavours.

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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.