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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Image by Jill Wellington 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 Cope with Uncertainty

Recently, Diana Winston offered a meditation podcast on the topic, Dealing with Uncertainty.  This was at a time of heightened uncertainty generated by the California wildfires that were threatening people’s lives and homes.  Uncertainty arises when we do not know what will happen in the future, we have a sense of being out of control and we fear that the future holds potentially damaging outcomes for us physically, emotionally, financially or socially.  Diana emphasised that uncertainty is an integral aspect of the world we live in today – in our increasingly global environment and resultant interdependence, many things are uncontrollable and beyond our capacity to influence.

Diana reminds us that we cannot deny the uncertainty of our reality, but we can learn to manage its impact on our lives – on our thinking, feelings, behaviour and relationships.  Our anxiety in the face of this ever-encroaching uncertainty is exacerbated by our brain’s negative bias – often fearing the worst to enable us to prepare for fight or flight.  We tend to anticipate negative outcomes from many activities such as a medical diagnosis and we begin to worry in anticipation of this unwelcome outcome.  Diana maintains that meditation can provide a place of refuge when we experience uncertainty and the associated fear and anxiety – a secure retreat away from the waves of uncertainty that besiege us.

Meditation as an anchor in a turbulent sea

Diana offers several steps in her guided mediation for dealing with anxiety (MARC, UCLA).  The meditation practice is designed to engender a sense of solace when uncertainty seems overwhelming:

  • Adopt a comfortable position and allow your body to begin to experience relaxation.
  • Focus attention on your body beginning with your breath as it courses through you.  You can ground this attention by focusing on the expansion and contraction of your chest or abdomen.
  • Feel the sensation of your breath – coolness, energy flow, evenness.
  • Choose an anchor – e.g. your breath, sounds in the room or a bodily sensation such as tingling in your fingers when they are pressed together, or the feel of your feet placed firmly on the floor.  You can then return to your anchor whenever you become unfocused or distracted by thoughts or sensations such as an itch or pain in a part of your body.
  • Notice any wandering off task and name what is happening e.g. lost in my thoughts; feeling anxious.  Once you have named what is happening, return to your anchor.
  • Notice any sensation of discomfort or disturbing thought – give it some space and pay attention to it with kindness.  You can change your posture if this helps or, alternatively, accept what is happening and plan to take action later, e.g. put some dermatitis cream on an itch.
  • Express appreciation for your safety, protection and wellness.
  • Extend your sense of gratitude to people engaged in making others safe and protecting them from harm, e.g. volunteers, the police and firefighters.
  • Focus on the groundedness of your body, take a deep breath and return to awareness of your surroundings.

Reflection

Meditation can help us to grow in mindfulness – awareness of our external reality and internal reactions such as fear and anxiety in the face of uncertainty.  Meditation provides a refuge and a source of solace in the face of life’s uncertainty.  The anchor we develop through meditation can serve us well throughout our daily lives, at work or at home.  Mindfulness can help us scare away the darkness of uncertainty so that we can achieve what the singer, Passenger, suggests:

Feel, feel like you still have a choice
If we all light up, we can scare away the dark.

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Image by Jerzy Górecki 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.

Meditation: A Refuge in Difficult Times

Following the mass shootings in the US, Diana Winston provided a meditation podcast on the topic, Finding Refuge in Difficult Times.   Diana suggests that we could turn to meditation in these difficult times when we are confronted with senseless violence, international conflict over trade and territories and increased levels of uncertainty and vulnerability.  Mindfulness meditation can help us to develop many positive aspects in our lives including gratitude, compassion, calmness and clarity.  Diana maintains that in difficult times meditation practice can serve as a refuge for us – a place of quiet, equanimity and loving kindness.  Meditation in this context is not escapism but genuine facing of reality to restore our equilibrium and develop resourcefulness to meet the challenges that confront us daily.

Meditation as a refuge

Diana provides a meditation that is designed to achieve a sense of equanimity in difficult times. It addresses today’s challenges and their impact on our thoughts and emotions and, at the same time, provides a means to become grounded, resourceful and open-hearted.  There are four main elements to the meditation provided by Diana through MARC (Mindful Awareness Research Center) at UCLA:

  • Becoming Grounded – this is particularly important given that we can become unhinged, buffeted and disturbed by difficult times experienced in the world at large.  Tlhe concept of grounding evokes the image of solid earth underfoot and certainty and support when moving forward.  The meditation thus begins with ensuring we have our feet firmly planted on the floor so that we can feel the support of the earth by picturing the solid earth below us.  Out attention then moves to the firmness and uprightness of our back against the chair.  This feeling of solidity reinforces our sense of groundedness.  This, in turn, can be strengthened by focusing attention on the solid contact of our body with the seat of the chair. 
  • Breathing – breath is our life force and we take around 20,000 breaths a day.  It is a good thing that we do this unconsciously, without having to think or be focused.  However, focusing on our breath, paying attention to the act of breathing, is an important way of becoming grounded in life.  This stage of the meditation involves focusing on our in-breath and out-breath and the space in between.  It does not involve controlling our breath but just paying attention to what is happening naturally for us, despite the absence of conscious effort.   You can feel energy tingling in your fingers if you join them together while paying attention to your breath and this can serve as an anchor throughout the day whenever you feel the need to re-establish a sense of equilibrium and equanimity.  Accessing your boundless, inner energy resources in this way can build your ongoing resourcefulness and resilience.
  • Acceptanceaccepting what is and what we are experiencing.  This means owning our thoughts and feelings and acknowledging that reactions such as anxiety, concern, fear, uncertainty or doubt are normal, given the difficult world we live in.  It does not involve passivity, however, but noticing our reactions, not denying them nor indulging them.  It means handling our natural responses non-judgmentally and seeking to accept what is happening for us.  Diana suggests that we can even express this as a conscious desire such as, “May I accept what is”.
  • Offering compassion – this involves being empathetic towards people who are suffering – for example, as a result of a major adverse event.  Compassionate action in this situation can involve loving kindness meditation embracing all who are affected by a significant adverse event – extending to family, friends, colleagues, emergency responders and the community at large.  We can express the desire that all who are directly affected are protected from inner and outer harm; develop good health; find contentment and happiness; and experience the ease of wellness.

As we grow in mindfulness through meditation and grounding ourselves, we can learn to accept what is, access our inner resources and build our resourcefulness and resilience to face the difficult challenges of daily living in a complex and conflicted world.

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Image by O12 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.

Accessing Our Inner Resources to Cope With Trauma

Mindfulness through “resourcing meditation” can help us to cope with trauma.  It does not replace the need for therapeutic assistance but complements therapy and facilitates the process of dealing with deeply held fear or grief.

The causes of trauma

Trauma can be experienced by anyone at any stage of life.  The associated experience of profound psychological distress can result from a natural disaster such as a cyclone or earthquake; a personal life event such as the death of a parent. life partner or a child; being involved in a serious car or transport accident; the experience of going to war or being a prisoner of war; experiencing a vicious relationship break-up; being a person displaced by war; experiencing a toxic work environment over an extended period; being a refugee attacked by pirates when trying to flee a war-torn country by boat (the experience of Anh Do).

People in helping professions can experience vicarious trauma by virtue of supporting others who have had a traumatic experience. So midwives in a hospital can experience trauma when a mother and/or baby dies; professionals providing access to legal aid can be overcome by constant exposure to the recounting of traumatic experiences by clients; police, ambulance drivers and paramedics can experience vicarious trauma as a result of the work they do with victims of crime or serious car accidents; and police and their life partners, too, can experience trauma vicariously as a result of the death of a colleague through violence.

The effects of trauma

Just as the causes of trauma can be many and varied, so too are the effects experienced by people who have been traumatised.  Some people experience Post Traumatic Stress Disorder (PTSD).  This usually occurs when a person experiences an event that is personally life-threatening to themselves or others and is more likely in situations where a pre-existing mental illness is present, and/or a series of traumatic events are involved, such as sexual abuse.  People who have PTSD will experience “feelings of intense fear, helplessness or horror” and tend to replay the traumatic event(s) over and over, so that their intense anxiety condition becomes locked in.

The spectrum of responses to the experience of trauma is very wide – from numbness and inertia to aggression and violence.  People who experience trauma can become withdrawn and avoid interactions; experience de-sensitisation to the people and situations they have to deal with; experience on-going depression; become cynical or distrustful in their interactions; or experience a profound and enduring sadness.  They may question their self-worth and accomplishments; experience difficulty in relaxing and sleeping; or be overcome by a deep sense of grief (where someone significant to them has died).

The psychological effects of a physical injury, car accident or injury as a child can easily be overlooked.  In their Guide, How Trauma Affects the Brain,  the Lanier Law Group provides a comprehensive discussion of the psychological effects of such traumatic events and discusses various modalities for healing from trauma.  Their Guide also covers PTSD after an injury and following service in combat areas.

Accessing our internal resources

In a previous post, I wrote about how to use the R.A.I.N. meditation process to deal with fear and anxiety.  However, in cases of trauma and intense grief, we may not be able to plumb the depths of our feelings because the experience would be too painful and/or cause flashbacks to the traumatic event(s).

Tara Brach, in the course on the Power of Awareness, described how to access internal resources to cope initially with the psychological pain experienced with trauma.  Drawing on her own experience with trauma victims and sound research in the area, she suggests a number of ways to resource ourselves:

  • Physical grounding – this involves getting in touch with the feeling of our feet on the ground and our buttocks on the chair.  The physical sensation of contact with the ground or chair is important because it enables us to link the sense of safety and security through sitting or standing with our psychological experience.
  • Breathing deeply and slowly – this could begin with lengthening our in-breath and out-breath and move to mindful breathing, which includes paying attention to the space between.
  • Touch – touching our heart or stomach with some loving gesture that brings warmth to relax our body.
  • Talking to ourselves – we can use comforting and supportive words while engaged in conversation with ourselves.
  • Envisaging our allies – there may be relatives or friends in our life who provide very strong emotional support and constant affirmation of our self-worth.  There are others such as members of a support group for a chronic illness or for loss of a child or loved one.  Bringing these people to mind together with the feelings of kindness and encouragement they engender, can build our inner resources to cope with trauma.
  • Revisiting a place of peace or relaxation – we can do this physically or just by visioning what it was like to be in our favourite place.  It could be by the bay or at the seaside, in the mountains or on the deck in our home-anywhere that gives us strength, renews our spirit and intensifies our feelings of security.

Whatever process we use for inner resourcing, it is important to get in touch with what positive effects we are feeling in our body, as well as in our minds.  Tara Brach, in the Power of Awareness course, encourages us to use resourcing meditations based on the above listed pathways to tap into, and strengthen, our inner resources.   She argues that these meditations are a true refuge, unlike the false refuges of drugs or alcohol.

Being able to deal with trauma through the R.A.I.N. meditation process (plumbing the depths of our fear or grief) may take months of resourcing ourselves before we can confront the depths of our emotions, but Tara’s own counselling experience with people who have suffered trauma (including PTSD) confirms that it is possible to emerge from the depths to live a balanced and happy life.

As we grow in mindfulness through resourcing meditations, we strengthen our inner resources to cope with the profound psychological effects of a trauma and build up our capacity to deal with the resultant debilitating emotions.

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

Image source: courtesy of Maialisa on Pixabay

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.