suffering – Grow Mindfulness

Mindfulness Meditation – Being With Things As They Are

Allyson Pimentel presented a guided meditation on “Mindfulness” for the MARC, UCLA meditation podcast series. In the meditation, she described mindfulness as paying attention in the present moment with an attitude of acceptance and kindness and a “willingness to be with things as they are”. She suggested that mindfulness can be either formal (as with the UCLA guided meditations) or informal (occurring throughout our day as we focus on the present moment).

Mindfulness then entails paying attention in a kind way to things as they are occurring in our life in the present moment – not wishing them to be different or to go away. In this regard, Allyson maintained that mindfulness meditation can serve as a refuge – a safe place to nourish, restore and renew ourselves in challenging times. We can feel overwhelmed by external events (such as storms and severe weather events) or internal experiences (such as challenging emotions, deprecating thoughts or painful bodily sensations). Mindfulness meditation offers the opportunity to regain our equilibrium when faced with these challenges.

Allyson likens mindfulness meditation to a “wildlife reserve” where our own “animal bodies” are protected, kept safe and nurtured so that we can cultivate the “beauty” of kindness, gratitude, generosity and wisdom. Mindfulness meditation, then, can be a place of quiet restoration, renewal of our sense of wonder and gratitude and a means to mind-body balance.

Guided mindfulness meditation

Allyson progresses through the meditation by focusing in turn on bodily sensations, challenging emotions, disturbing thoughts and the ease and calmness of our breath:

Bodily sensations – we are asked to focus on a part of our body where we feel tightness and to be with this bodily sensation in all its dimensions (such as soreness, pain, tension). Allyson invites us to soften this part of our body and allow some degree of ease to permeate our bodily sensation. This involves a process of recognition and acceptance of what we are experiencing in the moment, rather than rejection or fighting against the sensations. After focusing on a particular bodily part and accompanying tight sensation, we are encouraged to undertake a process of progressive body scan and relaxation.
Challenging emotions – we now focus on any challenging emotion such as resentment, anger, frustration or annoyance. This involves being with the emotion, not attempting to deny it. It requires an openness to what is – in all its amplitude and disturbance. Again the process involves recognition and softening towards what we are experiencing, not hardening our hearts.
Disturbing thoughts – we might be simultaneously experiencing disturbing thoughts such as negative self-evaluation and self-censure. As we get in touch with these thoughts and their impacts on our body and emotions, we can learn to diffuse them by accepting their presence and being with their intensity, while acknowledging that “we are not our thoughts”.
Breathing – finally, we can take refuge in our breath which is ever present to us. We can focus on our breath wherever we experience it in our body, e.g., our chest, abdomen or nose. This involves acceptance of the nature of our breath, not trying to control it. As we tune into and listen to our breath, we can experience ease and freedom.

Reflection

At the end of the guided meditation, Allyson invited us to observe any aspect of our body that still feels tense or tight and to be with the sensation. At the time, I had a tightness in my right ankle from a bit of swelling there. The act of focusing and softening eased the sensation of tightness and pain.

As we grow in mindfulness through meditation and informal mindfulness practices throughout our day, we can access the well of ease, experience a refuge from challenges we are encountering and restore our equilibrium and sense of balance.

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Image by Dominik Rheinheimer from Pixabay

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

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

The Final Stages of the Hero’s Journey for the Frontline Midwife

In a previous post, I discussed the story of Anna Kent as a midwife volunteering in South Sudan in terms of the first 8 stages of the Hero’s Journey. What I will discuss now is her Sudan story expressed in terms of the final stages of the hero’s journey (Stage 9-12). I’ll be drawing again on her book, Frontline Midwife: My Story of Survival and Keeping Others Safe, in which she tells her story in graphic detail.

The final four stages of the hero’s journey – stages 9 to 12

The final four stages of her hero’s journey in South Sudan were deeply formative and life-changing and enabled Anna to develop a new perspective, skills and determination to help others in need wherever they were in the world:

9. Reward – there is no doubt that Anna emerged a stronger person as a result of overcoming personal challenges, including self-doubts and questioning of her obsession with volunteering. The reward, too, that she experienced involved saving the lives of mothers, children and babies. However, she had to deal with the sense of guilt she felt for the death of baby Mariam. James tried to reassure her that she was not responsible for the death of the baby – in his words, “it was everyone in the world’s fault”. She accepted intellectually that “every aid worker has a patient they carry in their conscience”. Emotionally, though it was a continuous challenge to overcome the sense of guilt which pervaded her nightmares as she relived the traumatic event. Unfortunately, our brains carry a negative bias – we see the negative much more strongly than the positive. For a time, Anna found that her negative thoughts overwhelmed her rewarding thoughts – her personal satisfaction that she had saved many lives who otherwise would have died without her skilled and brave intervention.

10. The Road Back – this is both a physical journey and a metaphorical one. On the physical level, it involves returning to her “ordinary world” – life with her boyfriend Jack in their comfy home in Nottingham. The metaphorical aspect relates to being comfortable with her new self in an environment that is starkly different on every dimension to the one she was leaving in South Sudan. It also meant dealing with the grief of leaving her mentor, James, her colleagues and the Sudanese people who she grew to love and admire for their courage, gentleness and stoicism. Her short recreation spells during her volunteering in South Sudan forewarned her of the pending difficulty of the “road back”. She found on her brief recreation trips that she could not share with Jack the horrors and traumas she had experienced and realised that she was totally lacking in libido. Friends would ask about the exciting bits of her story but all she could share were her stories about snakes, not the reality of the poverty, harshness, and deprivation of the basic rights of women in South Sudan. She found that she and Jack had so little to talk about, and their time together involved lots of silence as Anna tried to come to grips with crossing the threshold back into her former life.

11. Resurrection – on her return home Anna broke off her relationship with Jack and moved to her parent’s home. This created significant stress for her as she was unable to talk to her parents about her Sudan experiences or her reasons for breaking up with Jack – both these topics were too raw and traumatic. In speaking with James her mentor, she shared her angst and he informed her that he had experienced similar dislocation and disorientation on his return from volunteering abroad. James suggested that he made the mistake of “trying to be the person I once was when that person has gone”. Anna recognised that everything changes with overseas service in a different culture and land where deprivation is rife – your values and perspectives change and you see “luxuries” and waste with new, intolerant eyes. The way home for her involved a dying to the old person she once was and becoming a new, stronger, values-driven person.

12. Return with the Elixir – another phase in Anna’s transition to her new persona began with entering a share house with two other nurses. What she found was the ability to party together and share their experiences in a way that was cathartic. Out of this period came a very strong resolution by Anna to build on her newly acquired midwife capabilities. She enrolled in a midwifery degree at Nottingham University and had a very rewarding and enlightening work experience in Ethiopia as a student midwife. She felt stronger and better prepared for subsequent volunteering missions involving Haiti following the earthquake in 2010 and Bangladesh working with Rohingya refugees – and these experiences entailed different journeys with new challenges and companions (as discussed in her book).

Reflection

Throughout her hero’s journey in Sudan and beyond, Anna had to face her traumas which had “many heads” and in the process develop her resilience. An experienced volunteer nurse, Anita, had told her “you’re gonna have to work out how to sit with these painful feelings without reacting to them”. Like James, Anita suggested that meditation would be helpful as well as focusing on what has been achieved, not what her inner critic perceived as a “failure”. James even suggested that Anna meditate for “an hour every day” and often encouraged her to be in the moment and experience what was before her – e.g., children playing with kites made from sticks, and the earth glowing from the setting sun.

Anna demonstrated that as we grow in mindfulness through meditation (no matter how difficult we find it) and other mindfulness practices such as being in the moment, we can learn to regulate our emotions, deepen our self-awareness and develop resilience.

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Image by Steve Buissinne from Pixabay

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

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

Mindfulness on the Path of a Hero’s Journey

Anna Kent has provided a thought-provoking memoir in her book, Frontline Midwife: My Story of Survival and Keeping Others Safe. The “frontline” theme of her memoir enriches our understanding of this concept. Anna’s story recounts how she undertook nine months service with Doctors Without Borders (Médecins Sans Frontières, MSF) in South Sudan – where the population had suffered civil war for fifty years, with ongoing outbreaks of conflict despite a peace settlement.

Anna whose background was as a nurse in a hospital Emergency Department (ED) in the UK found herself as an accidental midwife. There was no one else available to do the task because there were no trained midwives in South Sudan at the time because of the civil war and its impacts. As I read her “heart-wrenching tale”, I recalled Joseph Campbell’s book, The Hero’s Journey.

Anna’s story is told with unassumed humility, raw emotion, and acknowledgement of her fears, frailties and vulnerability. As nurses tend to do, she provides graphic descriptions of the medical challenges she confronts and provides a warning at the front of the book in terms of potential triggers for people who have experienced birth-related injuries, maternal death, loss of a baby or gender-based violence.

The first eight stages of the hero’s journey – a structured view

As you read Anna’s memoir, you can begin to map Joseph Campbell’s twelve stages of the hero’s journey throughout her account. I have attempted to link her story to the first eight stages in this blog post:

Ordinary world – Before her journey, Anna enjoyed a comfortable life with her kind and musically talented boyfriend, Jack, and a home in Nottingham which included “an airy, high-ceilinged bedroom”. Her normal professional world was that of a highly qualified ED nurse at the Queen’s Medical Centre, Nottingham, where she coordinated a major trauma unit. To prepare herself for her work in South Sudan, she undertook a number of voluntary shifts in the maternity unit while on leave, completed a diploma in tropical nursing and volunteered for a brief placement at a Zambian Hospital in a rural district. Additionally, she completed a pre-departure course conducted in Germany by Doctors Without Borders (MSF).
Call to adventure: Ever since an early age in her childhood, Anna felt the call to do something about the suffering and pain she saw every day on TV and in the newspapers. She felt a strong urge to help alleviate the overwhelming suffering she observed, especially that experienced by children like herself. As an adult, she experienced “complicated reasons” for wanting to volunteer and help those in need of relief from pain and suffering.
Refusal of the call: As she was packing for her trip, Anna was almost overcome by her fears and uncertainty. She felt ill-prepared for what lay ahead and concerned about leaving her boyfriend and all the comforts of her everyday existence. She could acutely feel the tug to stay and not take the perilous journey involved in work in South Sudan. She also wondered about her comfy life, “Why isn’t this enough for me?”
Meeting the mentor: At Loki, in north-west Kenya, Anna underwent a week-long training that included how to survive a kidnapping, emergency evacuation, and working in isolation. She was informed that there was no internet access because computers melted in the heat and was warned about landmines, poisonous snakes and scorpions. She was told about her onsite mentor who she would meet on arrival in Tam, South Sudan. All she knew about him was that he was over sixty years old and “eccentric”.
Crossing the threshold: Anna crossed the threshold in more ways than one. She flew to Tam in a rambling, old aid plane which was the main transport for people and supplies to this remote area of South Sudan. The flight itself involved being thrown into the reality of war-torn Sudan with bandaged passengers and a woman covered in a bundle of rags lying on a stretcher on the floor of the plane. She was dying and had an IV line connected to her arm and attached via string to the seat’s edge. The French nurse attending to her indicated that the woman would be delivered to the MSF Hospital in Leer, the State’s capital. Anna was very aware that back in the UK, this woman would have had the best of care including drips and monitors and would not have had to suffer the indignity of travelling on the floor’s plane. She was informed that Tam itself suffers from a drastic shortage of pain relievers, antibiotics and other medical necessities. After offloading the dying woman and other passengers in need of urgent medical attention, the plane flew onto Tam where Anna would be working. Her plane eventually lands roughly on the mud landing strip that reflected the terrain – hot, barren and forbidding.
Tests, Allies, Enemies: The heat and oppressive conditions are the enemy. Anna meets her mentor, James, a very experienced nurse and she took an immediate dislike to him. His joviality in the face of unmitigated horrors does not ring true and she can’t make him out. This uncertain relationship with someone whom she will have to depend on, added to her discomfiture. She identified an ally in another female nurse who supports her in the early days of her volunteer work in Tam. However, she is horrified by her sleeping conditions – she is in a tent with James nearby in another tent, both located within the dirt compound that is also traversed by poisonous snakes and scorpions. On top of this are the conditions for patients, many of whom walk many miles to attend the clinic even when seriously ill. The waiting room is effectively the “Waiting Tree” where patients huddle under the limited protection provided by a tree within the dirt compound. The stream of patients is endless (Anna and James treat 1,000 patients in a month) and the diversity and complexity of illnesses is scarry. The makeshift wards are overrun with some patients having to lie on mattresses in the dirt compound. There are continuous life and death decisions determining who will be airlifted to the hospital in Leer, given the restricted availability and limited capacity of the aid plane, and the resources at the hospital itself.
Approach to the inmost cave: The death of a young boy became a crisis point for Anna. Her inner conflict intensified, doubts about her own capability in such trying conditions resurfaced, and she experienced emotional turmoil and overwhelm at the sight of unmitigated suffering, pain and death. She was tense about what further trauma lay ahead. Her salvation came in the form of lengthy, tent-to-tent conversations at night with James , her mentor. Unburdening herself with him and talking through what she was experiencing in an open and honest way changed their relationship. It helped her deal with her emotional crisis These conversations enabled her to reflect on her challenging experiences as they occurred and voice her worst fears. He offered her reassurance and emotional support. James introduced her to the power of mindfulness for dealing with turbulent emotions. Anna came to value his advice, his philosophy of life and his positive psychology.
Ordeal: The ultimate ordeal for Anna and the medical team arrived in the form a 16 year old pregnant girl who was in deep distress and agonising pain. Anna played a major role in successfully delivering premature triplets and helping to save the young girl’s life as she was in acute danger of dying from excessive bleeding resulting from “postpartum haemorrhage”. This experience gave Anna the ultimate high so that she felt like a “hero” and suddenly understood why she had volunteered for such physically and emotionally draining work. She believed at the time that the high from this event would enable her to ride out the lows. The image of the young mother walking home with her triplets in a basket on her head reminded Anna of what was possible in saving others and to value her own contribution.

Reflection

Anna’s story lends itself to mindful reading which according to Mirabai Bush “moves the reader into a calm awareness, allowing for a profound experience and understanding”. It requires full attention, avoidance of distractions and openness to thoughts and feelings as they emerge throughout the reading process. This story is rich in self-disclosure, replete with expression of emotions and immersive in its description of the context and physical environment. Anna encourages us to join her on her hero’s journey into the challenging unknown and land of profound suffering.

Her efforts to grow in mindfulness through micro-practices increased her self-awareness and emotional regulation and enabled her to deal more effectively with the challenges that she had to meet on a daily basis.

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Image by Eszter Hornyai 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.

Ways to Manage Ourself During Difficult Times

The Mindful Awareness Research Center (MARC) at UCLA offers weekly guided meditation podcasts on a wide range of topics and issues. In one of the recent meditation podcasts Diana Winston, Director of Mindfulness Education at MARC focused on “Practices in Difficult Times” – providing several mindfulness practices designed to help us achieve calmness, manage our challenging emotions and express compassion to ourselves and to others who are suffering.

Diana highlighted the fact that challenging events such as the mass shootings in America and the war in Ukraine can generate “emotional inflammation” in us – we can feel strong emotions of anger, grief, rage or sadness. We might feel overwhelmed by others’ inconceivable pain and loss and our own emotional response. We might be confused and continually ask ourselves, “Why the children?”, “Why Ukraine?” or “When will this emotional and physical devastation stop?”

Diana draws on mindfulness practices to help us deal with these challenging times and the emotions they elicit in us. She reminds us that mindfulness involves placing our attention fully on the present moment while being open and curious and accepting what is in our present internal and external reality.

Three mindfulness practices for difficult times

The three mindfulness practices offered by Diana are described, in turn, in the following discussion:

Calming Practices: Here we are encouraged to tap into the body’s own capacity to generate calm and ease. The primary aim is to achieve groundedness in a way that is conducive to our present needs. We could start by taking a couple of deep breaths and releasing them slowly to let go of the tension within us. There is the option to find a place of ease in our body and focus in on it, e.g., our arms beside our body, our relaxed legs or our fingers joined and pulsating with energy. Diana particularly stressed the power of “feeling the support of the earth” through our feet on the floor or the ground. Our breath with its natural rhythm can provide a basis for experiencing calm and ease (unless, of course, focusing on our breath acts as a trauma stimulus). If attention to our breath is calming, there are many ways to access a relaxed state through mindful breathing practices. We could adopt “micro-practices” such as the 4-7-8 breathing practice often used in yoga, the breathing in time practices (using our breath as a musical instrument) or we could pay attention to the internal physical sensations of our breathing – e.g., the rising and falling of our abdomen or the feeling of air moving in and out of our nose. Diana suggests another alternative is to pay full attention to the sounds in the room or what is being generated externally (especially if we are in a natural setting with the sounds of birds, waves, or wind). Sound can also be used as a calming mindfulness practice as we listen to and sing mantra meditations provided by people like Lulu & Mischka (such as their Rainbow Light song as part of their peaceful Horizon album).
Holding strong emotions: Normally, people tend to suppress challenging emotions, deny them, or deflect their attention from them by numbing themselves with some form of addictive behaviour such as drinking excessive alcohol, overeating, taking illegal drugs or over-spending while shopping compulsively. Mindfulness experts and psychologists remind us that we need to face up to our emotions or they will cause disruptions in our lives through some form of mental and/or physical illness. Diana encourages us in this guided meditation to pay attention to our challenging emotions and observe how they are manifesting in our body, e.g. tightness in the chest, pain in the arms or neck, headaches, overall stiffness or fibromyalgia (non-specific whole-body pain). Holding on to these strong emotions enables us to deal with them directly and use the healing power of our mind and body to dissipate them. If we experience overwhelm while confronting our strong emotions, we can return to our meditation anchor which could be our breath, external sounds, bodily sensations or music.
Compassion practice: Diana explains that compassion practice in this context involves ourselves as well as others who may be experiencing suffering and loss. She encourages us to treat ourselves with kindness and compassion as we struggle to deal with our challenging emotions and our misguided attempts to ignore them or numb them. She suggests, then, that we extend loving kindness to others in the world who are experiencing pain, devastation, grief and anger. Diana offers a possible expression of compassion for others in the form of a statement of desire, “May you be freed from pain and suffering and find contentment and ease”.

Reflection

We have a deep well of ease in our bodies that we can access at any time, if only we can let go of our damaging thoughts. As we grow in mindfulness through calming practices, facing our challenging emotions and practising compassion towards ourselves and others, we can gain the insight, courage and capacity to manage ourselves during difficult times. Mindfulness enables us to achieve emotional regulation, self-awareness and the creative drive to be the best we can be. Challenging emotions, left unchecked or ignored, can undermine our endeavours at home or at work.

Over time we can develop a regular mindfulness practice that suits our make-up and that we can undertake on a daily basis (e.g., Tai Chi, mantra meditations, chanting or yoga). This core mindfulness practice can be supplemented by micro-practices that we engage in throughout the day (e.g., when washing our hands, during waiting times, or when boiling the jug). The compound effect of these core and micro-practices is a calm state of mind, enhanced patience and conscious presence.

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Image by ChiemSeherin 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.

Gaining Support in Difficult Times through Mindfulness

Allyson Pimentel offers a meditation podcast on the topic of “Mindfulness as Support”. In the guided meditation, presented as a teacher at the Mindful Awareness Research Center (MARC), Allyson reminds us of the power of mindfulness to provide a refuge in challenging times, whether the source of difficulty is at home or at work. She suggests that mindfulness, being in the present moment and accepting what is, enables us to navigate troubled waters by helping us to access our inner peace and equanimity and providing the opportunity to experience a wider perspective than a total focus on the present troubles or pain.

Mindfulness as nourishment for carers

Carers have a particularly challenging time as they not only have to deal with their own difficulties but also the suffering and difficulties of others such as Alzheimer’s Disease experienced by a loved on. There is not only the challenge of seeing someone else suffer but also the need to manage the emotional contamination of another’s pain and personal distress.

Allyson reminds us that mindfulness enables us to broaden our perspective beyond the immediate, perceived suffering to other things that are good in our lives and that of others. We can pay attention to the broader environment of sounds and laughter, open our minds to all that we have received in life and that another person has received. This “wider aperture” brings with it appreciation that beyond immediate difficulties and suffering is relief. Allyson likens it to going from the centre of a dark wood to coming to the edge where light streams in and lush green plains open before us.

Extending beyond ourselves

In the guided meditation, Allyson encourages us to think about others beyond our immediate sphere who might be experiencing suffering and personal difficulties, whether that involves pandemic-induced illness, addiction, loss of job or home, disconnection from family and friends, mental illness, or financial difficulties. She suggests that we try to encompass others by focusing on them and their needs and wishing them peace, tranquility, and ease. We can also envisage them offering us empathetic support in return.

Mindfulness as support for business owners

The Smiling Mind organisation reminds us that small business owners can gain support from mindfulness particularly in these difficult times of the pandemic and associated economic difficulties. Small business owners have to deal with the daily challenges of managing their cash flow, engaging and retaining staff, dealing with business uncertainties and political changes, managing multiple demands on their time and skills and establishing a work-life balance. On top of this is the ever-present challenge of maintaining quality relationships at home with partners and children while their minds are full of business-related information and endless to-do lists.

Mindfulness enables small business owners to manage stress more effectively, achieve increased self-awareness and awareness of others, build their powers of concentration and cultivate their creativity. It provides a refuge from daily turbulent waves and a place to recuperate and restore perspective. Mindfulness also helps small business owners to develop resilience, to improve their deep listening skills and their relationships, and to realise much-needed, regenerative sleep.

Smiling Mind, in association with MYOB, offers a free mindfulness app with a special Small Business Program within the “At Work” section of the app. They also have specific blog posts dedicated to how mindfulness can support business owners manage their day-to-day challenges.

Mindfulness as support for people with addictions

In a previous post I discussed how mindfulness through growing self-awareness can break down the “trigger-reward” cycle involved in addiction. I also discussed the barriers to undertake and sustain mindfulness practice to overcome addiction and offered a four-step mindfulness practice to overcome these barriers. In cases of serious addiction, mindfulness can support and reinforce therapies offered by professionals such as psychiatrists, psychotherapists, and psychologists. Just as with trauma healing, people with addictions may need the support of professionals to overcome self-destructive behaviours.

The COVID-19 pandemic while providing some people with relief from time and work pressures and the unsustainable pace of life, has also led to increased alcohol and drug addiction, especially amongst older people such as “Baby-Boomers”. In an interview podcast, Stanford psychiatrist Anna Lembke discussed the adverse impact of the pandemic on mental health as well as increased levels of addiction. She explained that pandemic-related isolation is compounding difficulties for people with mental health issues and addiction and this is in addition to other new life stressors generated by the pandemic, e.g., uncertainties concerning employment and personal health, fear of infection of themselves and loved ones, financial difficulties, the breaking down of established life patterns and thwarting of future plans.

In recognition of the pandemic-induced growth in addiction of all forms, organisations such as ARK Behavioral Health provide a range of services as well as Covid-19 Mental Health and Addiction Resources. Their insight into the adverse impact of alcohol abuse on immunity and vulnerability to COVID-19 infection is illuminating. The pandemic resources provided are comprehensive as are the levels of care that ARK Behavioral Health professionals provide.

DetoxRehabs.net is a resource centre that provides accurate, supportive information and a directory of treatment facilities and rehabilitation services and programs. They also help addicted people and their impacted loved ones to develop awareness about mental health issues through their mental health guide. The AddictionResources.Net provides similar resources and a Guide to Drug and Alcohol Detox Programs.

Reflection

Destructive emotions such as anger and resentment and related behaviours such as addiction can be injurious to the mental health and happiness of anyone as well as to that of their partners and children. As people grow in mindfulness through regular mindfulness practices, they can experience support to address destructive emotions and addictive behaviours. Mindfulness develops self-awareness and emotion regulation and cultivates conscious choice and wise action. Mindfulness can also provide support and reinforcement for situations where professional help is required to overcome addiction or heal from trauma.

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Image by Rebecca Tregear 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.

Forgiveness: A Reflection

In a previous post I discussed an important topic, Don’t Wait to Forgive, based on the book by Frank Ostaseski, The Five Invitations. Forgiveness is something that we tend to put off because it is too self-revealing and painful. Frank suggests that we have to face up to who we really are and not who we project ourselves to be. We have to look in the mirror, not into an internally fabricated image that shows ourselves in the best possible light. The honesty required is disarming and can be disturbing. Experience and research suggest that some principles can help us along the way:

Be grounded and relaxed – Forgiveness is a difficult pursuit at the best of times. However, if you are agitated or highly distracted, it is extremely difficult to focus on forgiving yourself or someone else. The starting point is to become grounded and relaxed. Grounding in the present moment can involve tapping into your breath, your bodily sensations or the sounds around you. I find sometimes that sounds can themselves be distracting because I am always trying to interpret them. I like using a particular body sensation as a means of grounding, e.g. the sensation of fingers on both hands touching. I find that I can use this practice anywhere, whether waiting for something or someone, or beginning a meditation. It can quickly induce relaxation and focus for me. Each person will have their preferred approach to grounding and relaxation – for some people, it may involve a full body scan to identify and release tension.
Manage distractions – Distractions are a natural, human frailty – they pull us away from our focus. However, they can be more persistent and intensive when we are trying to focus on forgiveness because of the level of discomfort that we may feel when dealing with our shame. Having a “home” or anchor such as our breath can enable us to restore our focus. Persistence in returning to our focus builds our “attention muscle” over time – a necessary strength if we are to progress in our goal of developing forgiveness.
Start small – Self-intimacy around our need for forgiveness (for the multiple ways in which we have hurt others) can be overwhelming if we take on too much at once. When you think about it, our need for forgiveness can be pervasive – impacting every facet of our interactions in close relationships, with work colleagues or with strangers in the street or shops. We can think of times when we have interrupted someone, ignored people, been harsh towards them or spoken ill of them. There are times when we have taken out our frustration or anger on someone who is not the trigger for our difficult emotions. We can begin by focusing on a small, recent incident where we have caused hurt or harm to someone and gradually build to more confronting issues, situations or emotions. Mitra Manesh in her guided meditation podcast on forgiveness suggests that a simple way to start might be to bring a particular person to mind and mentally say, “For all the pain and suffering I may have caused you, I ask for your forgiveness”. This kind of catch-all statement avoids going into all the detail of an interaction. Sometimes we can become distracted by what Diana Winston describes as “being lost in the story” – we can end up recalling blow by blow what happened, indulging in blame and self-righteousness. Forgiveness is not a process of justifying our words or actions.
Forgiveness is healing for ourselves – We have to bring loving kindness to our forgiveness practice whatever form it takes – loving kindness for our self as well as for the person we are forgiving. The process is not designed to “beat up on” our self but to face up to the reality of what we have said or done or omitted to do that has been hurtful for someone else. It’s releasing that negative, built-up energy that is stored in difficult emotions and is physically, mentally and emotionally harmful to our self. It is recognising that holding onto regret, anger, resentment or guilt can be toxic to our overall wellness. However, like giving up smoking, it takes time, persistence and frequent revisiting of our motivation.

As we grow in mindfulness and self-awareness through meditation, reflection and daily mindfulness practices, we can learn to face up to our real self and our past and seek forgiveness. However challenging this may be, we need to begin the journey for our own welfare and that of others we interact with. Diana Winston in her forgiveness meditation podcast reminds us that mindfulness involves “being in the present moment with openness and curiosity” together with a “willingness to be with what is” – it entails honest self-exploration. She cites Lily Tomlin who maintains that forgiveness involves “giving up all hope for a better past” – seeing our past with clear sight and honesty.

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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.

Living in the Light of the Lessons from Death and Dying

Frank Ostaseski in an interview with Rheanna Hoffmann about death and the process of dying, mentioned his book based on his experiences of being with a thousand people as they died. His book, The Five Invitations: Discover What Death Can Teach Us About Living Life Fully, provides five principles or guides for living life with integrity, meaningfully and in alignment with our true purpose. Frank was the co-founder and director of a thousand-bed hospice, so his book is based on lived experiences and real stories of how people faced death, as well as the distillation of the “wisdom of death” from these deeply personal and moving experiences.

Frank maintains that death is the “silent teacher”, imparting understanding and wisdom about how we should live. He expounds his ideas and principles in a number of recorded podcast interviews, including What Can Death Teach Us About Living Mindfully. His recoded talk at Google focused on his book through the theme, Inviting the Wisdom of Death Into Life. A succinct explanation of the principles in his book, which he describes as “invitations to living”, is provided in his 26-minute edited interview with Steve Heilig of Palouse Mindfulness.

The five invitations to living learned from the dying

Frank emphasises that these invitations to living have been taught to him by the dying and by compassionately helping many hundreds of people with the process of dying. Understanding the following five principles and putting them into practice enables us to live life fully and mindfully:

Don’t wait – we assume that life will go on as it always has, that our health, wealth and relationships will persist into the future. If nothing else, the Coronavirus should disabuse us of this belief and the associated perceptions. There is a tendency to put off changing the way we live because of this belief in continuity. However, living is precarious, nothing is certain. We can become absorbed in the busyness of life and put off any change – avoiding the need to slow down and really experience life and relationships. We can spend so much of the day planning our next activity or sequence of events. Frank maintains that we are reticent to fully “step into life” – “waiting for the next moment in life, we miss the present”. Frank urges us not to wait till our death to find out the lessons of dying.
Welcome everything, push nothing away – whether it’s grief, loneliness, boredom or suffering, there is a lesson to learn if we don’t push away the feelings, emotions and thoughts that pervade our life. Frank suggests that we should welcome grief and fear and difficult feelings because these “moments” of discomfort are pivotal in our life for developing sustainable personal change, if we fully face them. He spoke of the grief he experienced working with the dying and how he adopted meditation, bodywork (the touch of a practitioner on a source of physical pain in his body) and holding and rocking newly born babies (a life-affirming activity) as a way to face the full emotional, physical and mental experience of grief – it’s as if he ritually experienced the life cycle of birth, living and dying as a way to manage his overwhelming grief.
Bring your whole self to the experience – Frank made the point that in his work with the dying, the part of him that was most helpful was his vulnerability and helplessness because it acted as an “empathetic bridge to their experience”. These “weaknesses” became his strengths and enabled him to be fully present to them, to be-with-them. He has stated previously that authentic presence and compassionate listening are healing and supportive of people’s transition in both the challenges of living and of the dying process. He asserts that none of us is perfect but that we can bring our whole self to whatever we are experiencing – leaving no part of our self out of the interaction.
Find a place of rest in the middle of things – we can find a place to rest amidst the turmoil and tenuousness of life and despite overwhelming emotions that beset us. The “place of rest” could be a breathing exercise, a ritual, mindfulness practice or reconnecting with nature. Finding such a “place” is critical as a self-care approach for healthcare professional, particularly in these challenging times. Rheanna Hoffmann, who volunteered to work in the Emergency Department of a New York Hospital during the height of the Coronavirus, stated that this principle, explained in Franks’ book, helped her deal with the exhaustion, grief and overwhelm she experienced in helping suffering and dying patients while working under unimaginably difficult conditions. Frank also recounts the story of how he helped a woman to find a place of rest who was dying and experiencing extreme difficulty breathing, a struggle to breathe exacerbated by fear. He asked her, “Would you like to struggle a little less?” He then helped her to put her attention to the gap/pause in her breathing and began to pace her by breathing in and out with her. He reports that “fear left her face” and she died peacefully. Frank pointed out that none of the conditions had changed for her (including difficulty with breathing), only her relationship to her experience of dying.
Cultivate a don’t know mind – this is not designed to encourage ignorance. Frank quoted a Zen saying, “Ignorance is not just ‘not knowing something’ but the right thing”. Ignorance is knowing the wrong thing and insisting on its truth and universality. The principle is not about accumulating information (the “what”) but cultivating a mind that is “open, receptive and full of wonder” – a mind that is curious and pursues the truth and understanding in everything. Frank suggested that we should talk with our children about death and, in the process, learn from them (not tell them). He recounts his experience as a Director of a pre-school when he organised for the children involved to go and collect dead things in the woods nearby. He marvels at the insight of the children and their perceptiveness. They had been discussing the theme of endings becoming beginnings, e.g. a caterpillar becoming a butterfly, when a four-year old girl said, “I think the leaves on the trees are very, very generous – they fall and make room for new leaves”. Frank maintains that a “don’t know mind” is fluid and flexible and “infused with a deep interest to know” and to know what is true right now.

Reflection

Frank’s approach to fully facing all that life presents (both discomfort and joy) is in alignment with Jon Kabat-Zinn’s concept of Full Catastrophe Living and Frank’s personal process for handling his grief accords with Deepak Chopra’s recommendation that we adopt a ritual to symbolise our release from the stranglehold of grief.

Frank epitomises in his life and work what he advocates through his talks and video podcasts. He pursues a life that is meaningful and purposeful. For example, in addition to his book and public presentations sharing his knowledge and experience of the dying process and its lessons, he has established a creative approach to educating end-of-life carers through the Metta Institute. His words and actions manifest a life of integrity, compassion and wisdom.

Steve Heilig, the person who interviewed Frank in one of the video podcasts mentioned above, has also found a way to live a life full of meaning and purpose. One of his many mindfulness endeavours has been to collect resources and permissions from leading mindfulness practitioners, including Jon Kabat-Zinn, to enable him to provide a free, 8-week, online course in Mindfulness-Based Stress Reduction (MBSR).

As we grow in mindfulness, by employing the five principles that Frank espouses, we can live our lives more fully and expansively and truly aligned to our energy and purpose. We can find our expansiveness and spaciousness which Frank evidenced with people who were dying – their capacity to find the personal resources to face their fear and death despite their belief that the challenge was beyond them. We can also become a calming presence to others who are experiencing difficulties as we progressively overcome our own reactivity. If we develop the discipline of the daily practice of meditation, we can live in the light of the lessons of dying and death.

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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.

Healing Grief through Compassion and Love

Frank Ostaseski was recently interviewed during the 2020 Mindfulness & Compassion Global Summit by Rheanna Hoffmann on the topic, Grief and the Healing Power of Love and Compassion. With so many deaths worldwide from the Coronavirus (410,000 at the time of writing), the issue of grief and its manifestations becomes increasingly prevalent. Frank is the cofounder of the Zen Hospice Project (now called The Zen Caregiving Project) and founder of the Metta Institute designed to provide creative education in the art of “mindful and compassionate end-of-life care”.

Healthcare professionals may not have lost loved ones through the virus, but they can experience grief too with the loss of patients that they have been caring for – this is in addition to other stressors that challenge their resilience. In his interview responses, Frank explained the nature of grief and the power of compassion and love to heal people who have experienced profound grief.

The nature of grief

Frank who has supported more than 1,000 people in the process of dying maintains that grief is not a single point but a process – an evolving process of “loss, losing and loosening”. There is the initial shock of the loss that can result in physical collapse and total disorientation. Shock impacts people differentially – some people may experience numbness, there is no “one way”. Beyond the initial shock of the loss, is a process of “losing”, where in the midst of other things an overwhelming sense of loss returns accompanied by strong emotional and physical symptoms. “Losing” can persist for many years and eventually become an intermittent event. In the meantime, the process of “loosening” commences with progressive release of the hold that grief has over a person.

People grieve in different ways – some withdraw and have a strong desire to be alone with their grief, others experience tears and crying uncontrollably, while still others may take out their grief by aggression and violence (such as is occurring in the riots in America in relation to the Black Lives Matter movement). Grief and our response may be aggravated in challenging times such as the pandemic where everyone is experiencing a form of “emotional inflammation”.

Frank maintains that grief has many faces, e.g. anger, rage, sadness, depression, fear and even regret. He also suggests that grief results not just from the sense of loss of a loved one but also from the associated lost opportunities – a young life cut off in their prime, a missed opportunity to reconcile with a loved one, a lost chance to say goodbye or to be physically present with someone as they were dying. For people exposed to dying and death as a result of the Coronavirus, there can be a collective grief brought on by the lost opportunity to save lives, as well as the lost opportunity of the lives lost.

Healing grief through love and compassion

The starting point for being able to show compassion towards the people experiencing grief is having an understanding of the nature of grief and its many forms of expression. It is important not to add to the stress of people who are grieving by communicating expectations of how their grief should be expressed. Grieving is a very personal process and requires compassionate attending and listening, not the projection of personal preference.

Pema Chödrön discusses ”compassionate abiding” in our own grief and suffering as the pathway to expressing compassion for others. Frank suggests that we need to “metabolize” our own fear and suffering by facing it fully, experiencing it in our body, mind and heart and converting it to compassion for others. He maintains that when we can explore our own experience through self-observation and self-inquiry we can “build an empathetic bridge to other people’s experience”. Otherwise we can be working out of our own distress and needs rather than the needs of others who are grieving. Without this level of self-intimacy we can appear dishonest or disingenuous to others we are trying to help in their grief.

Frank explained that he has difficulty expressing self-compassion but has developed a number of processes that enable him to express compassion for others. Each night before going to sleep, he focuses on the suffering of others – those who might be suffering through loneliness, those experiencing grief or those who are caring for others who are dying. Through this process he feels love and warmth towards others and the emergence of his “innate compassion” that is broad and deep enough to absorb or dissolve his own experience of suffering. In the morning, with his hand on his heart, he asks himself, “What would love have me do today?”

Reflection

Self-intimacy is a key to genuine compassion towards others who are grieving. Compassion and love help to heal grief because they involve abiding fully with someone who is experiencing grief, not trying to fix them. Our very presence, uncontaminated by unrealistic expectations of the other person, can be a source of healing just as “listening generously” can be. As we grow in mindfulness, we can develop self-intimacy, calmness and peace and be better able to be present to and compassionate towards others.

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Image by Gordon Johnson 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.

Building Resilience through Compassion Towards Others

In a previous post, I discussed Pema Chödrön’s ideas of developing resilience through self-compassion by “compassionate abiding” in our own pain and suffering during these challenging times of the pandemic. This entails abiding in, or dropping into, the full depth of our painful experience through our bodily sensations and conscious breathing. As we undertake slow, conscious breathing we hold our suffering with self-kindness and warmth. Lulu & Mischka in their mantra meditation, Warriors of Light, remind us to “breathe into our hearts” because breath is our chariot enabling us to face the unknown and stand on our own.

In her interview podcast with Tami Simon of Sounds True, Pema extended the concept of compassionate abiding by moving beyond self-compassion to compassion towards others. She maintained that embracing the pain and suffering of others particularly in these times, when everyone is suffering in one form or another, contributes to our resilience – we realise we are not alone and we are able to move beyond self-absorption and “panic storylines” to extending kindness to others.

Pain and suffering: a doorway to compassion for others

In these challenging times of the Coronavirus, we can be very sure that there are millions of people around the world who are experiencing suffering like we are. People are experiencing all forms of loss – of loved ones, their jobs, their business incomes, their health, their financial security or their homes. They may have become physically disconnected from their workplaces, their family and their friends, even stranded in a foreign country because of international travel restrictions. They could be healthcare professionals working on the frontline and/or living away from their families for a number of months to protect their loved ones from cross-infection. We can be very confident that there are people around the world who are feeling pain and suffering like we are.

Pema argues that abiding with compassion in our own pain and suffering is the doorway opening us to compassion towards others. In experiencing fully our own suffering, not denying its intensity or pervasiveness, we develop a deep sense of connection with others who are also suffering at this time. Pema spoke of the principle of Tonglen, a Tibetan word meaning “taking in and sending out” – taking in our own experience of pain and suffering and sending out desire for relief for others. She suggests that once we become grounded in our own suffering (this may take 10-20 minutes), we can take in the suffering of others. On our in-breath we can imagine others who are experiencing similar pain and suffering and on our out-breath, wish them relief and insight to enable them to move beyond their own discomfort, distress, grief or loneliness. Connectedness and resilience lie in this mutual experiencing.

Pema maintains that we do not have to confine this compassion towards others to a time of extreme challenge, we can use our pain and suffering as the doorway to compassion and connectedness at other times. We may be experiencing distress because a family member is suffering from Alzheimer’s or feeling panic and anxiety because someone we are carer for is experiencing the black dog of depression. At these times, we can drop into conscious breathing, embracing our distress and anxiety with kindness, and gradually move beyond this abiding self-compassion to compassion towards others who are experiencing the intensity of our own emotions.

Reflection

I think that Pema’s profound insight into compassionate abiding opens the way to develop self-compassion, compassion towards others and personal resilience. As we grow in mindfulness through conscious breathing and extending relief to others, we can move beyond our self-destructive narratives, restore our inner equilibrium and peace, and develop the resilience to not only survive these challenging times but also be able to extend help and support to others.

Compassion towards others can be expressed in many ways even in these times of social distancing – the virtual choir of women physicians singing “Rise Again” is but one example of many where people are moving beyond their own overwhelming challenges and distress to reach out to others.

Pema provides multiple resources including her many books, her free e-book titled, 5 Teachings of Pema Chödrön and her online course, Freedom to Love, which expands on the principles and practice of compassionate abiding.

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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.