Tag: truth

Finding Strength in Vulnerability

Kylie Orr in her novel, The Eleventh Floor, has her lead character, Gracie, comment after experiencing the impact of deceit in a relationship, “I was committed to loving up close, to being open, vulnerable”.  While Gracie acknowledged that “there is danger in that”, she was willing to take the risk inherent in vulnerability because “a life held together by lies fell apart so easily”.   Being vulnerable exposes us to the possibility of being harmed by someone else emotionally, intellectually or physically – it   involves showing our true self with our emotional weaknesses, character faults and physical defects.

Vulnerability, however, is a source of strength.  It underpins perseverance and resilience, facilitates sustainable relationships, enriches our contribution to community, and enables the writing of an entertaining and enlightening memoir.  To access the strength in vulnerability we have to face up to being vulnerable – we need to name our feelings (e.g., fear of rejection) so that we can tame them.

Perseverance and resilience

Contrary to the Alpha Male depiction of power, dominance and the trappings of success, Lance Alfred (legally deaf NBA player) contends that perseverance and resilience in the face of adversity require a totally different orientation.  He maintains that there is real strength in vulnerability – owning up to our feelings, being authentic, having self-awareness and self-intimacy (acknowledging our own thoughts, actions and consequences), forgiving others, moving beyond other people’s expectations to be our true self, accepting our inadequacies and mistakes and overcoming the fear of failure.  

When we fear failure we can be trapped by inertia – unable to move forward beyond the current challenge.  In her novel The Brightest Star, Gail Tsukiyama describes a time when Chinese-American actress, Anna May Wong, was making her stage debut In The Circle of Chalk and was terrified that her speaking voice and singing were not up to the expected standard (after spending so much time acting in silent movies).  The critics were having a field day about her voice but she acknowledged this weakness and “went on the offensive”, hiring a voice coach.  Despite the criticisms of the critics, the show had a “successful run”.  

Sustainable intimate relationships

We can hide our fear of being vulnerable in a relationship in multiple ways including excessive criticism of the other person, aggression (anger), withdrawal (silent treatment), overcontrolling or projecting our own weaknesses or fears onto the other person.  These defence mechanisms only serve to push the other person away, to wound them and disable them.  While they provide protection for our ego and self-concept, they create a barrier to a sustainable intimate relationship.

Tara Brach provides a meditation which enables us to explore the ways that we create separation or distance in a relationship by resorting to defence mechanisms to ward off vulnerability.  In the meditation, we are asked how we are impacting our relationships(s) by avoiding vulnerability.  The challenging questions relate to self-protection, projection, judging, withholding, distrusting or engaging in “superior conceit”.  Tara points out the power of being vulnerable (overcoming our natural defence mechanisms) in terms of building closeness and sustainable relationships. 

Enriching our contribution to community

Tara tells a number of stories where being vulnerable led to someone else finding strength to manage a disturbing or embarrassing circumstance.  One of the features of the Creative Meetups hosted by The Health Story Collaborative is the vulnerability shared by participants in the monthly, online meetings.  Participants are people experiencing chronic illness or disability or are in a caring role.  They willingly share their pain, difficulties in coping, inability to think clearly, physical weaknesses, anxiety or depression or lack of energy. 

The level of openness and trust enables individuals to express their vulnerability without fear of being taken advantage of, or being consciously harmed by anyone else present.  Vulnerability, enhanced by the culture of sharing and collaboration, builds closeness and healing.  There is the implicit recognition that being vulnerable is integral to the human condition.

Developing a memorable memoir

In the Art of Memoir, Mary Karr, stresses the need for authenticity – revealing our real self, not the projected self or the deemed “virtuous self”.  She highlights the importance of being vulnerable rather than self-protective.  She sees the memoir as a personal unfolding that is sometimes painful – an honest exploration of our “inner landscape”, not just a recording of external events.  Mary suggests that as we are developing our draft memoir with recalled stories “what burbles up onto the page is what is exclusively yours, both as a writer and a human being”.  She maintains that we have to trust the power of truth enough to “keep unveiling yourself”, despite the shame in the revelations, and, in the process, the memoir will structure itself and you will show up ”warts and all” – leaving a memorable impression that highlights your contribution to relationships and community.

Reflection

Being vulnerable is difficult as self-protection is our natural fall-back position.  As we grow in mindfulness through writing, reflection and meditation, we can begin to draw back the veil that hides our imperfections and inadequacies.  With the inherent growth in self-awareness and self-intimacy, we can become more real and more invested in telling the truth about ourselves. This is a progressive inner journey – a slow unveiling of our true inner self.   By letting go of shame and expectations (our own and that of others), we can develop authentic connections, friendships and intimate relationships.

I wrote the following poem as a reflection on the negative impact of defensiveness on relationships and the power of vulnerability to create intimacy by removing our constructed barriers.

Sustaining a Relationship

Deceit destroys a relationship.
Closeness is beyond us, as we retreat behind the wall.
Facing up to who we are can be painful.

Without vulnerability, our relationships are shallow.
We hide behind our self-projected mask.
We engage our defence mechanisms.
We fence off our inner landscape.

Sustainability lies in vulnerability.
Openness to ourselves and others.
No longer the frightened child.
Now exposed to risk and reward.
Intimacy is in our hands, if we reveal who we truly are.

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Image by John Hain 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 and the resources to support the blog.

Understanding the Pain Beneath Trauma and Addiction

Dr. Gabor Maté encourages us to look beyond trauma and addiction to the unfulfilled needs and pain that lie beneath.   He maintains that the traumatic events and adverse childhood experiences are not the trauma but the catalyst for the trauma that is created within an individual.  This traumatised inner landscape reflects the pain of unfulfilled needs experienced by the individual and manifested in addictive behaviours, that are often self-destructive.  The internal trauma involves disassociation from one’s true self and distortion of internal and external perception.

Gabor offers compassionate inquiry as a way to help a client access their inner pain and distorted self-beliefs.  His approach is confronting but compassionate, penetrating but respectful, persistent but with a healing intent.  He is intent on helping an individual come to his own truth and to understand the connection between their trauma experiences and their addictive behaviour.   He makes the point that addiction is not just about drugs but people can be addicted to anything – to work, sex, “the need to please”, money, food, shopping, or anything else that holds them captive in compulsive behaviour that is injurious to the individual physically, mentally or intellectually.

One way we can understand the pain that lies beneath other people’s addiction and our own is to hear Gabor talk about examples and/or see him work with someone in his compassionate way.  By observing him unravel the threads that link a traumatic event or developmental experience to the self-talk that underlies addictive behaviour is enlightening and a motivation for compassion for others and self-compassion.

The negative self-stories that lie beneath addictive behaviour

We are very impressionable in early childhood and are forever trying to make meaning out of events in our life and experiences that flow from these.  Gabor states that children are basically “narcissists in the developmental sense” – everything is personal to them.   When parents, for example, are unhappy, fearful or sad because bad things are happening, then the child thinks “it must be about me” and develops low self-belief and negative self-talk accordingly.

Gabor talks about his own addiction to his work as a family medical practitioner as a way of fulfilling an unmet need.  His adverse childhood experiences during the Holocaust led him to believe that he “was not wanted in the world”.  His workaholic behaviour, negatively impacting his family and his clients, was designed to enable him to feel as though he was wanted and needed.  However, the continuous positive reinforcement of his role led to entrenchment of his addiction to work.  Beneath the workaholic behavior was an attempt to address the self-talk that reflected the pain of an unfulfilled need – the need to be wanted and protected (a basic attachment need).

In his interview podcast with Joe Polish, Gabor explored what Joe described as his sex addiction earlier on his life.  He had been molested in childhood over two years and his parents, who themselves were traumatised at the time, did not protect him.  His negative self-talk then was  around “I am only valued for my body” – thus leading to addiction to sex to fulfill his unmet need to be wanted and needed.  Gabor stated that acknowledging and confronting this unmet need is painful but essential for healing.  Addiction is often an escape to avoid facing up to a deep pain that seems bottomless.

Developmental trauma and worldview

In the interview with Joe Polish, Gabor maintained that there is another form of trauma that is not derived from a specific traumatic event.  He described developmental trauma as a disconnection from self that arises through a defective developmental childhood, resulting in a distorted worldview.  He instanced the different developmental traumas that can arise with parents who fail (for whatever reason) to provide a balanced environment for a developing child.  If, for example, the father was highly competitive, aggressive, domineering and “raging” at times, the child learned that the world “is a horrible place” and the way to survive is to be aggressive, grandiose and defensive. 

If, on the other hand, a child experienced an early childhood environment where she was bullied by her peers and informed by her mother that she should get out there and face them for “there is no room for cowardice”.  In Gabor’s interpretation, the message would be “to suck it up” – put up with whatever is happening, even if it is abusive and bullying.  Gabor commented that this worldview would lead to passive behaviour, even where someone is abusive and aggressively invading your personal space.

So our early developmental experiences can lead to aggressivity or passivity, depending on the nature of these experiences.  In both the early childhood experiences described above, there was an unmet need for protection and warmth.  The pain of this deficit was hidden beneath the individual’s distorted worldviews and consequent “habituated behavioural patterns”.

Reflection

Gabor maintains that “recovery” from trauma and addiction involves “reconnection with yourself” – being in touch with your feelings, intuition and insight.  It also involves replacing distorted perceptions of the world and self with compassionate understanding of the fragility and complexity of the human condition.

When I think of my early childhood, I recall the 18 months I spent in an orphanage separated from my younger sister and parents when I was four years old, as well as the 12 months boarding 100 kilometres from home when I was seven years old.  My negative self-talk, in line with Gabor’s experience, would have been “I am not wanted by my mother” (even though she was suffering serious illness at the time and could not take care of me while my father was on army duty overseas).  These early adverse childhood experiences may have translated, after completing secondary school, to my pursuit of study for the priesthood  – a very strong desire of my mother.  Thus I could have been trying to fulfill that unmet need to be valued by my mother – and during the five years of my religious life I certainly gained reinforcement of how much my mother valued me in that role.  I left the religious life more than 50 years ago because I decided “it was not for me”.

On reflection, I can see that my distorted perspective of what I perceived as a lack of care and concern for me by my mother was derived from my narcissistic orientation as a child (in reality, my mother was incredibly thoughtful, kind, generous and courageous – at the time of my separation she was not only very seriously ill, but grieving for the death of my four month old brother that occurred just before I was sent to the orphanage).

As we grow in mindfulness through reflection and meditation, we can gain insight into the antecedents for our behaviours and come to understand the source of our negative self-talk.  We can also renew our sense of wonder and awe, not only about nature but human life as well.

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Image by Carina Chen 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.

Compassionate Inquiry as a Healing Mode for Trauma and Addiction

Compassionate Inquiry is a psychotherapy method developed by Dr. Gabor Maté to help people suffering from the effects of trauma and addiction to experience “deep healing and transformation”.   Gabor is a world authority on trauma and addiction and has developed his method after many years in family medical practice, covering the whole range of human experience from obstetrics to palliative care.  He found through his counselling sessions conducted each day after his clinic hours that trauma underlay many of the numerous physical and mental illnesses he encountered in his medical consultations.  Gabor intensified his research in related fields and explored his own addictive behaviour and its trauma-induced origins.

Gabor acknowledges that his early efforts at therapy were inadequate because he had not been trained in the area.  However, he persisted because there were very few people offering a psychotherapy approach to addiction and trauma – even psychologists, in the main, trained in the medical model, adopted a symptomatic approach and related medication treatment.  They did not explore the root cause of the addictive behaviour or the distorting impacts of various traumas experienced by people, especially in early childhood.

Compassionate inquiry to heal addiction and trauma

Gabor learned through his early experience that healing lay in enabling the client “to experience the truth of themselves within themselves”.   So what he attempts to achieve is not just an intellectual exercise – it involves engaging the whole person, their distorted perceptions, thoughts, and feelings.  He maintains that his approach is compassionate even though he interrupts people, challenges assumptions, and explores aspects that are painful for the client.  He believes that it is not his role to make the person feel good but to help them to genuinely face their pain and the truth about themselves. 

Gabor stated that often therapists are dealing with their own trauma and addiction issues (as he was in his early stages) and are not able to be totally present to the client nor able to control their responses to what the person is saying or doing – their help is not offered unconditionally.  He suggests that therapists need to work on themselves to ensure that they do not contaminate their interaction with their client/patient because of their own unresolved issues.  He stated that therapists who display anger or other challenging emotions undermine the healing process for the other person.

Paying attention to the cues

There is one very important aspect to paying attention to the cues provided by the client’s words, actions and non-verbals – and that is the issue of consent.  Gabor seeks consent to explore behaviour in-depth with the person he is working with but he also checks that he has consent to continue when the going becomes challenging.  He argues that the person will give some cues if they are too uncomfortable and these should be used to confirm ongoing consent.  In a podcast conversation for Banyen Books, Gabor said that he exceeded the consent boundaries in his earlier days as a therapist when he would drop into therapy mode with his family members – who outright rejected his approach given that they had not given consent. He soon realised that they wanted him as a spouse, parent, friend or supporter – not as their therapist.

The other key aspect of paying attention to cues is that they give the therapist insight into what is really going on for the client.  Gabor illustrates how “unconscious metaphors” (such as the sun revolving around the moon) can indicate that the balance of dependence and inter-dependence is distorted in a relationship between daughter and mother.  The daughter might be “carrying” the mother, thus creating a traumatic experience of missing out on maternal support in the early stages of development.   Gabor maintains that metaphors a person uses are instructive, even if employed unconsciously.  He uses this cue to explore the meaning of the metaphor for the client and the underlying thought processes and emotional component. 

His compassionate inquiry approach is designed to get at the “basic human need” that lies unfulfilled in the person he is working with.  He argues that no matter what the words or behaviour of the individual (e.g. aggressive or obnoxious) there is a ‘real human being underneath”.  He uses the words of Marshall Rosenberg when he describes addiction as “the tragic communication of a need”.   The challenge is to enable the client/patient to go inside themselves and confront the uncomfortable and painful truth that they are futilely pursuing an unmet, and unacknowledged, need deriving from adverse childhood experiences or adult traumatic events.   Gabor spontaneously illustrates his compassionate inquiry approach in a podcast interview with Tim Ferriss.

Gabor makes the point that his approach does not involve having people tell detailed stories about their traumatic events or adverse childhood experiences, he consciously chooses to focus instead on the impacts of these events/experiences in terms of the person’s distorted perceptions, false self-beliefs and/or addictive behaviour.  He sees his task as staying present to the person and their “here and now” experience so that he can “mirror back to them their true selves”.  Gabor’s compassionate inquiry approach is supported by Bessel van der Kolk, a global authority on trauma, who has used attachment research and neuroscience to develop innovative treatments for adults and children who have suffered from traumatic events.  Bessel contends that his research demonstrates that to change the way we feel we need “to become aware of our inner experience” and then learn to “befriend what is going on inside ourselves”.

Training in compassionate inquiry

Gabor maintains that compassionate inquiry requires an “unconditional determination to understand a person”.   He offers several training courses for people who want to develop the requisite skills and personal wholeness to be able to offer compassionate inquiry in their therapeutic/consulting practice.  He indicated that experience with these courses shows that participants gain insight into themselves as much as learning about the compassionate inquiry method.  Gabor often uses inquiry into the experiences of individual participants themselves to illustrate his perspective and process.  He offers a one year, online course in compassionate inquiry over 12 months, as well as an add-on certification process for those who want more advanced training.

An alternative to the online training is paid access over a 1-year period to Gabor’s recorded seminars based on a weekend workshop conducted in Vancouver in 2018.  The four videos involved cover more than 9 hours of training by Gabor.  Free access to Gabor’s perspective and methodology can also be gained by exploring his YouTube Channel, which includes his interviews and his TED Talk.  Gabor’s website also provides additional resources.

Reflection

With his compassionate inquiry approach, Gabor provides a methodology that a skilled facilitator with adequate training and immersion in his approach, could employ to help people who seek assistance with addiction and/or the effects of trauma.  Compassionate inquiry practitioners are available in multiple locations around the world.  Gabor also offers CI Circles facilitated by a certified CI practitioner for anyone who wants to learn more about CI concepts and practices and to engage in self-inquiry.  The Circles involve self-reflective journalling and a willingness to  share insights and disclose present moment experiences, somatic and otherwise.

As we grow in mindfulness and associated self-awareness through reflection, meditation and guided inquiry methods, we are better placed to help ourselves deal with the impact of traumatic events from our past life and to assist others with similar needs.

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Image by John Hain 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 Set Boundaries for Mental Health and Freedom

Tami Simon of Sounds True interviewed Terri Cole about the nature of personal boundaries, their importance and how to establish and maintain them.  Terri is the author of the book, Boundary Boss: The Essential Guide to Talk True, Be Seen, and (finally) Live Free.  In writing the book Terri drew on her own personal experiences, especially as a child, and her work with clients as a psychotherapist.  She found that her own “need to please” created “dysfunctional boundaries” and observed that many of her client’s problems stemmed from the inability to establish “healthy boundaries”.

Our “boundary blueprint”

Terri maintains that we each have a “boundary blueprint”, imprinted by the key influencers in our life, including our parents.  She suggests that over time we model ourselves on the behaviour and responses of our parents and key influencers, so that we can end up with an approach to setting boundaries that is ineffectual and even mentally harmful.  Once we have been able to master the skill of establishing boundaries, we can free ourselves from the hold of habituated responses – which are often designed to avoid conflict, gain approval or maintain the “peace”.  As Terri points out, our habituated responses typically involve not being truthful about our own desires and needs.

Becoming a “boundary boss”

The concept of “boundary boss” is not a harsh or unkind approach as the name might suggest but essentially entails being kind to ourselves and others through telling the truth (while leaving room to negotiate about desires and needs).  Terri maintains that we all have a “boundary bill of rights” but often fail to understand those rights or know how to assert them.  She makes herself incredibly vulnerable by telling stories about her own experience and dysfunctional boundaries, including her failure to assert her wishes with clinicians when  diagnosed with cancer.

Terri maintains that becoming a “boundary boss” rests on five key pillars – (1) self-awareness, (2) self-knowledge, (3) self-acceptance, (4) self-compassion, and (5) self-mastery (incorporating self-love as well as “self-celebration”).  Throughout her book, she offers exercises and powerful reflections to help the reader build these pillars and move progressively towards “speaking their truth”.   Terri cautions, though, that the transformation involves one step at a time, not quantum leaps.   It initially involves a very honest exploration of the boundaries we have in place in our relationships – and an understanding of where are boundaries are “loose or “rigid”.  Her book is very much about self-exploration to determine a better way to respond to our interpersonal challenges.

Speaking truthfully

At the heart of establishing and enforcing boundaries is speaking truthfully from an enlightened self-knowledge.  It means having the courage to present ourselves as we are, not as we think people want us to be.  Terri stresses that it also entails having the courage to acknowledge other people’s rights and their right to decline or say “no”, as well as developing the skill to say “no” ourselves in appropriate circumstances.  She even offers very clear guidelines on how to say “no” and how to modify your response depending on the interpersonal context (e.g., interacting with a stranger versus with an intimate partner).

Terri suggests that many of the occasions where we do not speak our truth result in resentment or anger, e.g., where we feel that some things in our relationship are not equitable, or that we are being taken for granted or where our emotional needs are not being met.  These strong emotions can be indicative of our failure to establish our boundaries.   Terri suggests that if we want to look at improving our relationships, we need first to look at ourselves-in-relationship and how we are presenting ourselves.  As she asserts, “change begins with us’, with understanding our inner landscape and acting on our insights.

Reflection

Terri’s book is penetrating and exposing – it exposes our behaviour patterns and our behaviour drivers.  She does this kindly by first sharing her own transparency and vulnerability.  However, Terri does not leave us exposed but offers ways to develop the skills to understand ourselves and assert our desires and needs in a kind and compassionate way.

She offers practical, conversational starters to help us move beyond our habituated behaviour.  It is difficult to hear her speak or read her book without feeling exposed but, at the same time, feeling highly supported to begin the journey of personal transformation by becoming our own “boundary boss”.

As we grow in mindfulness through meditation, reflection, and self-knowledge exercises, we can progressively develop the necessary self-awareness, self-mastery, self-acceptance, self-compassion and self-forgiveness, to establish our boundaries and have the courage to assert them in a mindful and kind way.

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Image by John Hain 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.

Moving from Separation to Connection

Allyson Pimentel, a teacher at the Mindful Awareness Research Centre (MARC), provided a guided meditation podcast on the theme, From Separation to Connection, Silence to Speaking Truth, Stillness to Action. Allyson’s emphasis was on the power of meditation to increase our sense of connection, build our capacity to speak truthfully with courage and to take compassionate action.  Her meditation focus was on developing groundedness and stability through breath and formed part of the weekly, mindfulness awareness podcasts provided by MARC, UCLA.

Allyson explained that we are all connected in so many ways.  This sense of connection is heightened by the global pandemic and global social activity to redress injustice and inequality, epitomised by the Black Lives Matter movement.  This movement against violence towards black people has reverberated around the world with protest marches in many countries to show solidarity with those fighting against injustice. 

Sports teams are conducting public rituals to show solidarity and those who continue to promote hate and racism are being excluded from media forums that would otherwise give voice to their divisive comments.   Allyson noted that division and violence on racial grounds derives from a distorted sense of “separateness”, not recognizing our underlying connection to all other humans.  A  focus on separateness can breed “superior conceit”, a need to demonstrate that someone is “better than” another person.

Allyson’s professional work is focused on bringing mindfulness to bear on mental health issues and treatment.   She discussed mindfulness as paying attention to the present moment with kindness, curiosity and a sense of connection.  She stressed that breath meditation can help us to develop a strong sense of stability, self-compassion and compassion towards others.  She encouraged people participating in her presentation on Zoom to focus on one other individual participating in the global mindfulness awareness meditation and notice their face, their name, and their “place” and wish them protection, safety from harm, wellness and ease.  This process can deepen our sense of connection.

A breath meditation

During her Zoom drop-in session, Allyson offered a 20 minute breath meditation.  Her process involved a strong focus on our in-breath and out-breath and the space in between.  Allyson began the meditation by having all participants take a deep in-breath and let out an elongated out-breath while picturing their connection with others in the session doing the same thing – to create a sense of connection by breathing “as one”.   She suggested that people view the in-breath as self-compassion and the out-breath as compassion towards others, alternating between receiving and giving.

After this initial exercise during the guided meditation, Allyson encouraged participants to focus on their bodily sensations to become grounded fully in the moment – sensing their feet on the floor or ground and feeling the pressure of their body against their chair.   She suggested that if mental or emotional distractions intervened, returning to our bodily sensations is a way to refocus back on the breath.  A way to regain focus is to feel the breath moving the body (e.g. the in and out sensation of the diaphragm) and to feel the breath moving through the body – while recognising that many people around the world are experiencing constricted breathing through illness and/or inequity.

Allyson maintains that breath meditation and entering into silence fortifies us, provides stability and groundedness and enables us “to act for the good of others and to speak truth from our power”.  She suggests that meditation practice builds the personal resources to “speak wisely, truly and compassionately” in the face of unconscionable inequity.

Reflection

During the meditation session, Allyson quoted the One Breath poem written by Mark Arthur – a very moving reflection on connectedness and “collective social suffering”.  Mark exhorts us not to turn away but to turn towards the “deep, deep wound” as a way to express self-compassion. Then with loving kindness, “speak and act from the heart” with awareness that there is no separation between them and us, only connection through birth, breathing, living and death.

The space that lies between our in-breath and out-breath can be a place of rest and tranquillity and a source of spaciousness.  As we grow in mindfulness through breath meditation and exploring our connectedness to all human beings, we can access this spaciousness and learn to extend our thoughts and actions compassionately towards others.

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Image by John Hain 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.

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:

  1. 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.
  2. 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.  
  3. 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.
  4. 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.
  5. 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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Image by mostafa meraji from Pixabay

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

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