Zen Hospice Project – Grow Mindfulness

Death, Dying and Grief

The Death, Love and Wisdom Summit was offered free from 12-16 October 2023 by Lions Roar and is now offered as an paid, upgrade option. The Summit brought together 16 key leaders and teachers in the field of caring for the dying, handling grief and facing the reality of our own death. The offerings included lessons learned from the dying, meditations and transformative processes. Many of the presenters are also accomplished authors in how to deal with the end-of-life transition, our own death and that of others close to us. Keynote addresses were provided by Joan Halifax, PhD, and Frank Ostaseski, Co-Founder of the Zen Hospice Project.

A perspective on death, dying and grief based on personal experience and academic research

The Summit provided a range of perspectives on end-of-life issues and offered insights from various hospice settings and research undertaken by the presenters. Dr. Joanne Cacciatore, a bereaved mother and tenured Professor, spoke about traumatic grief arising from an unexpected event with catastrophic consequences. She detailed the spiritual, emotional and somatic/physical symptoms of traumatic grief. Joanne talked about the “grief umbrella” with each spoke representing a different feeling, e.g., anxiety, regret, anger, guilt, despair, or abandonment. She explained, too, that grief can manifest in many forms on the physical level as inflammation and inhibited immune response, breathing and sleep disruption, trembling and headaches, or unpredictable, bottomless pain.

Having experienced the death of Cheyenne (her fourth child who was still-born) and the associated totally, debilitating traumatic grief, Joanne established the MISS (Mothers in Sympathy and Support) Foundation that provides a wide range of support for those “grieving the death, or the impending death, of a child” – offering advocacy, counselling, research, education for caregivers and resources. This initiative was motivated by the lack of support available for her own grieving process, the lack of understanding and empathy of the medical community who viewed grief as “pathological” and what she describes as “the social constraints on grief”.

In a YouTube interview, Bearing the Unbearable, Joanne cites research that shows that social constraints are the “greatest predictor of poor psychological and physical outcomes” of the grieving process. These constraints are reflected in implicit and explicit messaging such as “move on”, “don’t talk about it”, “get over it” or “go back to work”. Another aspect of negative social influence is what Joanne describes as “toxic positivity” where people are encouraged to always choose happiness or joy (rather than face the reality and pain of the challenging emotions of grief).

Selah Model of Grief

Joanne promotes the Selah model of grief – which involves “fully inhabiting grief” by “being with” our grief, surrendering to our grief and transforming our grief into compassionate action. In her video interview, Joanne indicated that she was able to be with her grief through frequent crying and commented that her 3 year old daughter showed more grief wisdom than many medical practitioners when she said. “It’s okay to cry Mummy because babies are not supposed to die”.

Joanne likened embracing grief to the progressive undertaking of a new yoga pose – where initially you have to reduce the time spent in the pose because of the pain experienced when challenging the muscles with a new position, but persistent practice gradually builds capacity to hold the pose longer and more capably.

Human-Animal Connection in the grieving process

Based on her own grieving experience and research from her studies, Joanne also advocated for the human-animal connection as a means of healing for grieving families after seeing the effect a horse rescued from abuse had on a grieving client. After a fortuitous meeting with Dr. Rich Gorman, who was studying the idea of “therapeutic spaces” and the mutual therapeutic effects of bringing together humans and animals, Joanne established the Selah Carefarm, which today is home to more than 50 rescued animals and also a mixed “community” of support for grieving families and individuals who travel from all around the world to be part of the mutuality of the Carefarm.

The healing processes for grief

Joanne is the author of Bearing the Unbearable: Love, Loss and Heartbreaking, and she maintains that where there is love, grief is inevitable in the event of the loss of a loved one. In the book, Joanne offers a process for creating the space ‘to integrate and honour our grief”. Her follow-up book, Grieving is Loving: Compassionate Words for Bearing the Unbearable, provides quotations from the previous book together with new prose and poems from Joanne.

Joanne encourages movement as part of the healing process for grief, e.g., dance, bare-foot hiking, running and yoga. She maintains that there is a need to transform the energy of grief and this can be achieved through movement and creative outlets such as art and writing. Joanne is a strong advocate, and daily practitioner, of meditating and expressing gratitude. She offers more advice on How to Navigate the Path of Grief in a recent podcast interview.

Reflection

The Death, Love and Wisdom Summit provides a wide range of resources for dealing with grief. The advice given by the experienced teachers and grief counsellors is very practical and readily implementable.

The Summit presentations reinforced the view that as we grow in mindfulness through meditation and other mindfulness practices, we can build our resilience and our compassion, and increase our ability to manage the challenging emotions and physical impairment that accompanies the grieving process.

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Image by 3345408 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.

Cultivating Curiosity and Openness

Frank Ostaseski in his presentations during the Healing Healthcare Summit focused on openness and curiosity. In the process, he revisited two of the key lessons of living and dying that he had previously written about – (1) welcome everything, push nothing away and (2) cultivate a don’t know mind.

Openness – welcome everything

Frank suggests that we need to be able to meet whatever our life circumstances bring our way and do so in a way that we are open to the full range of thoughts and emotions involved. He reminds us that life is a series of constant changes, e.g. loss of a job, death of a close family member, change In financial circumstances or location. He encourages us to meet these changes as if welcoming a familiar person at our front door. He draws on James Baldwin’s insightful comment for his rationale – “Nothing can be changed, if it is not first faced”.

Frank reminds us that denial or ignoring unpleasant experiences does not create freedom, only servitude. He encourages “fearless receptivity” – awareness of fear without imprisonment by it. He maintains that mindfulness involves moment to moment awareness of everything we are experiencing – bodily sensations, thoughts and emotions. In this openness lies true freedom – because we are fully aware of what is happening to us and conscious of our habituated responses and yet able to regulate our emotions and explore alternative ways of responding.

Frank suggests that sometimes mindfulness practices involving “precise attention” to a single thing, e.g. a word or our breathing can create something of a struggle or tension in our minds and somewhat defeat the purpose of the practice. He contends that the practice of “open boundless awareness”, sometimes called “natural awareness”, can be more liberating when we feel constrained by a focused meditation practice. He offers awareness of the sky and its vastness as an example. He also provides a mini-practice that can help to engender this sense of boundlessness.

In the mini-practice, Frank encourages us first to become grounded and relaxed so that we can focus on the meditation. He then encourages us to take in the space above us, to our left, then to our right, followed by the space below and in front of us. An alternative to this, is to focus on the sounds that surround us, progressively shifting our focus onto the soundscape in the directions that Frank mentions above. Frank suggests that we treat distracting thoughts like birds flying past, not landing or hovering above.

Becoming more curious and less critical

This topic was the theme of his second presentation during the Summit and aligns with his exhortation to “cultivate a don’t know mind”. Frank argues that mindfulness is not about searching for some future enlightenment goal but becoming “up close and personal” with ourselves. He contends that our aim is to become “intimate” with ourselves and every aspect of our lives, pleasant and unpleasant. He explains that this is the path to true liberation and reinforces the view that “the path is right beneath your feet”.

In cultivating intimacy with ourselves we will become aware of parts of ourselves that we do not like. In Frank’s view, the inherent challenge is to be able to “tolerate intimacy” – be able to fully face up to who we are really, warts and all. In his podcast interview with Whit Missildine, Frank addressed the question, “What if you witnessed a thousand deaths?” – a question that was based on his personal experience as End-of-Life Teacher, Founding Director of the Zen Hospice Project and Director of the Metta Institute. Frank maintained that the ways we define ourselves will be stripped away in the process of dying and death. He contends that throughout life we live a delusion about ourselves – we project an image that is not our real self, but our imagined or idealised self. He has witnessed numerous people expressing regret as they lay dying – regrets about what they have done of failed to do. In dying, we are confronted with who we really are.

Frank maintains that when people are dying they have no interest in, or energy for, maintaining an illusion of who they are and cease to be concerned about what others think about them. He suggests that it behoves us during life to express remorse rather than regret – because remorse confronts the unpleasant side of ourselves and motivates us to avoid similar actions or omissions in the future. As we grow in intimacy with ourselves through meditation, we can progressively strip away the illusions about who we are through a process of loving kindness and forgiveness towards ourselves, avoiding harsh self-criticism.

Frank argues that In developing intimacy with ourselves, we become acutely aware that we are not separate but connected to everyone. He maintains that in this deep learning about ourselves, we develop a “deep sense of belonging” – an acute recognition of our interdependence and a strong desire to move beyond our limiting self-centredness. He suggests that a simple practice is to just “pause” throughout our day, taking a break from the busyness of life, and to focus on our experience as it is occurring. Frank contends that “mindfulness emerges from a relaxed heart and mind”.

Reflection

Frank has learned so much through observing the process of dying and death and willingly shares the lessons he has learned. He explains that he learns from the dying as they learn from him – there is a reciprocity about his engagement with them. He is humbled and amazed by what he learns and yet he recognises that he still harbours a fear of death because of its uncertainty. Frank has detailed his lessons learned in his book, The Five Invitations: Discovering What Death Can Teach Us About Living Fully.

Regrets are a natural response in the event of someone dying who is close to us (or not as close as they should have been). I can certainly acknowledge that I had regrets on the recent death of my brother Pat. However, as Frank suggests, remorse is a better option. With remorse we can revisit what we have said and done or failed to say and do, give ourselves forgiveness and express the intention to do better in the future. We can reflect on our individual regrets and ask ourselves:

What will I do more of in the future?
What will I do less of?
What will I stop doing?
What will I start doing?

As we grow in mindfulness through reflection, meditation and other mindfulness practices, we can develop intimacy with ourselves, recognise our connectedness, deepen our connection with others and learn the profound lessons from death and dying.

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Image by Tommy_Rau 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.

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.