Improve COPD with Yoga

July 11, 2016February 23, 2021 psyjdc 3 Comments

By John M. de Castro, Ph.D.

“I am 63 years old. Ten years ago I was diagnosed with emphysema. Emphysema is a progressive disease that increasingly damages the lung structure and impairs the lung function. However, I am pleased to say that my lung function has essentially remained unchanged from the day I was first tested. Credit for this “miracle” primarily goes to nine years of almost daily practice of yoga.” – Vijai Sharma

Chronic obstructive pulmonary diseases (COPD) are progressive lung diseases that obstruct airflow. The two main types of COPD are chronic bronchitis and emphysema. COPD is very serious being the third leading cause of death in the United States, over 140,000 deaths per year. More than 11 million people have been diagnosed with COPD, but an estimated 24 million may have the disease without even knowing it. COPD causes serious long-term disability and early death. Symptoms develop slowly. Over time, COPD can interfere with the performance of routine tasks and is thus a major cause of disability in the United States. The most common cause of COPD is smoking. COPD also occurs with miners and is called black lung disease which has symptoms and progression very similar to cigarette smoking. COPD is not contagious. Most of the time, treatment can ease symptoms and slow progression. At this time the number of people dying from COPD is growing.

COPD has no cure yet. However, lifestyle changes and treatments can help you feel better, stay more active, and slow the progress of the disease. COPD treatments include lifestyle changes, medicine, bronchodilators, steroids, pulmonary rehabilitation, oxygen therapy, and surgery. They all attempt to relieve symptoms, slow the progress of the disease, improve exercise tolerance, prevent and treat complications, and improve overall health. Yoga practice would seem to be a useful lifestyle change that could improve COPD symptoms as it has been shown to improve exercise tolerance and overall health and includes breathing exercises.

In today’s Research News article “A randomized controlled study on assessment of health status, depression, and anxiety in coal miners with chronic obstructive pulmonary disease following yoga training.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1269208726436384/?type=3&theater

or below or view the full text of the study at:

http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2016;volume=9;issue=2;spage=137;epage=144;aulast=Ranjita

Ranjita and colleagues recruited adult non-smoking coal miners who had been diagnosed with COPD. They were randomly assigned to a yoga practice or a wait-list control condition. yoga training consisted of a set of integrated yoga practices adapted for COPD. Yoga was practiced for 90 min daily, 6 days/week for 12 weeks. The control group simply continued conventional therapy. The miners were assessed before and after the 12-weeks of treatment for COPD effects on health and well-being, depression, and anxiety. They found that yoga practice, compared to the wait-list control condition, had a significant, 23%, improvement in overall health, 26% reduction in depression, and a 16% reduction in anxiety. These are impressive findings and suggest that yoga practice is an effective means to improve the symptoms of chronic obstructive pulmonary diseases (COPD).

There are a number of ways that yoga practice may improve COPD symptoms. Firstly, it is a mild exercise involving breathing exercises that may directly assist lung function. Secondly, yoga practice is known to reduce the psychological and physiological responses to stress, making the miners less reactive to their stressful disease. Thirdly, yoga practice has been shown to generally improve emotion regulation and reduce depression and anxiety. And finally, by promotion of present moment awareness, yoga practice may reduce the worry and catastrophizing that is characteristic of sufferers from chronic diseases. It remains for future research to pinpoint the mechanism(s) for the effectiveness of yoga practice in treating the symptoms of COPD.

Regardless, improve COPD with yoga.

“We found that yoga can be a simple, cost-effective method that can help improve quality of life in patients with COPD” – Randeep Guleria

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

Study Summary

Ranjita R, Badhai S, Hankey A, Nagendra HR. A randomized controlled study on assessment of health status, depression, and anxiety in coal miners with chronic obstructive pulmonary disease following yoga training. Int J Yoga 2016;9:137-44

Abstract
Context: Psychological comorbidities are prevalent in coal miners with chronic obstructive pulmonary disease (COPD) and contribute to the severity of the disease reducing their health status. Yoga has been shown to alleviate depression and anxiety associated with other chronic diseases but in COPD not been fully investigated.
Aim: This study aimed to evaluate the role of yoga on health status, depression, and anxiety in coal miners with COPD.
Materials and Methods: This was a randomized trial with two study arms (yoga and control), which enrolled 81 coal miners, ranging from 36 to 60 years with stage II and III stable COPD. Both groups were either on conventional treatment or combination of conventional care with yoga program for 12 weeks.
Results: Data were collected through standardized questionnaires; COPD Assessment Test, Beck Depression Inventory and State and Trait Anxiety Inventory at the beginning and the end of the intervention. The yoga group showed statistically significant (P < 0.001) improvements on all scales within the group, all significantly different (P < 0.001) from changes observed in the controls. No significant prepost changes were observed in the control group (P > 0.05).
Conclusion: Yoga program led to greater improvement in physical and mental health status than did conventional care. Yoga seems to be a safe, feasible, and effective treatment for patients with COPD. There is a need to conduct more comprehensive, high-quality, evidence-based studies to shed light on the current understanding of the efficacy of yoga in these chronic conditions and identify unanswered questions.

http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2016;volume=9;issue=2;spage=137;epage=144;aulast=Ranjita

The Noble Eightfold Path with Relationships

July 10, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“When we have closer intimate relationships, maybe a marital relationship or lover relationship where sexuality is involved, then we assume we want more from each other. And, there’s the rub. This is where the Buddhist idea of true love helps. True love is where you want the happiness of the beloved; it’s not that you want something from the beloved. You just want to give to the beloved. Shantideva said, “All the joy the world contains has come through wishing happiness for others. All the misery the world contains has come through wanting happiness for oneself.” – Robert Thurman

Probably the best place to practice the Eightfold Path is not on the meditation mat or in a cloistered environment but in the midst of the chaos of everyday life. There are wonderful opportunities to practice presented to us all the time embedded in the complexities of the modern world. In fact, the whole idea of practicing on the mat is to learn things that will apply to our everyday existence. What better place is there, then, than the real environment to practice them.

In previous essays, we discussed driving an automobile and the work environment as excellent venues for practice. In today’s essay we’ll discuss practicing in the midst of our relationships with significant others. This is an excellent context in which to practice the Buddha’s Eightfold Path. It is filled with emotions, desires, sex, conflicts, suffering, compassion, and memories. In other words, our relationships have all the ingredients to practice and to put to the test all the principles of mindfulness and the Eightfold Path for the cessation of suffering; Right View, Right Intentions, Right Speech, Right Actions, Right Livelihood, Right Effort, Right Mindfulness, and Right Concentration.

There are many wonderful opportunities in relationships to practice the Right View idea of impermanence. Indeed, our relationships are constantly changing. One day is full of love, understanding and kindness and the next filled with conflict, resentment, and anger. No matter how bad or good the relationships are or the daily interactions between partners, they are sure to change. Sexual relations are a wonderful example of impermanence, with desires and feeling changing dramatically from moment to moment, but none of it can be held onto for more than a moment. They come and they go. They’re impermanent. This exemplifies the Right View idea of transitoriness. We all grow and develop and change throughout our lifetime and these changes can be challenging for relationships. There’s an old story about relationships that upon marriage, the woman believes that the man will change, but he doesn’t, while the man believes that the woman will never change, but she does! Adapting and coping with these changes requires that we understand impermanence, the Right View.

We can also practice the Right View idea of interconnectedness. Relationships are cooperative ventures. How interconnected the couple is, is on display. Relationships require consideration of the needs and aspirations of both partners by both partners. Acting alone would is a sure formula for chaos and conflict in a relationship. You affect your partner and your partner affects you, which affects your partner, which, in turn, affects you and so on. If there are children involved this interconnectedness becomes magnified. Keep in mind “If you want to be happy effectively, then think about other people’s happiness and you will be. Think about your own happiness only, and you will always be dissatisfied because you will never have enough.” – Robert Thurman. Understanding and adapting to the dynamic interplay between partners requires that we recognize, adapt to, and work with this interconnectedness, the Right View.

In relationships we can also view and practice the Right View idea of no permanent self. This thing called self that you think of a permanent and static actually changes moment to moment in reaction to what transpires in relationships. How you view yourself and your beliefs about the supposed self can change in a flash depending upon what your partner says and does. You may think of yourself as a kind and loving person, but your partner treats you like a selfish and cruel person. This can change this idea of the self. A little mindful reflection regarding this reveals that this thing that we call the self was never permanent in the first place but changing and evolving, coming and going, just like everything else. The highly emotionally charged cauldron of relationships amplifies this and makes it clearer and clearer. This is a tremendous learning experience. Coming to grips with this requires that we develop the Right View of no permanent self.

It is hard to find a better context than relationships to develop the Right View idea of suffering and unsatisfactoriness, and their roots. In relationships we want everything to be exactly as we want it to be, and when it isn’t we suffer. We want our partners to understand us, we want sex to fulfill our fantasies, we want to always be agreed with, we want more excitement and less dull chores, we want our partners to acquiesce to all our decisions, we want to have space, we don’t want to deal with our in-laws, we want our partners to unconditionally love us, etc. When these things don’t happen, we suffer. In other words, you can learn, if you are observant of what is happening in relationships, that your suffering is caused by your lack of acceptance of how things really are in your relationship. So, relationships constitute wonderful laboratories to practice Right View. You can learn to accept things as they are, to see things without judgment, to view the relationship, your partner, and children just as they are, as individual human being with their own desires and needs. When you view them this way, the love grows, and the incredible wonder of life and loving begins to reveal itself. You can learn to understand that the way you act with them has consequences, affecting yourself and the rest of the family, in other words, you practice and develop Right View.

You can readily practice Right Intentions in relationships and this can lead to Right Actions. Intentions are a key. They become your moral compass. These intentions include the happiness of our partner. “True love is where you want the happiness of the beloved; it’s not that you want something from the beloved.” – Robert Thurman. They tend to lead you in the right direction even though you may at times stumble. But, it is often difficult or impossible to predict all of the consequences of your actions. Sometimes, even with the Right Intentions you can cause your partner to suffer. For example, you may want to provide a high standard of living for your partner and family and work long hours to do so. But, this may cause your partner to be lonely and unhappy or your children to feel neglected. You need to try to not only to have Right Intentions, but to discern how even the best of intentions can sometime produce harmful outcomes. The truly Right Intentions do not produce harm, only good. You have to sometimes balance the good you’re doing with the harm produced by the same actions. This requires Right View. This is where relationships can be such a great practice as you can learn what works and what doesn’t and become better at discerning what are the wholesome Right Actions from those that produce more harm than good.

Right Intentions also includes the abandonment of unwholesome desires. If you relate to your partner with anger, impatience, selfishness, resentment you are likely to harm them and yourself. The harm may not be major or direct, but indirect by affecting partner and children in negative ways. Perhaps your anger at your partner overdrawing a checking account causes you to lash out at your children. Perhaps, your selfishness causes you to neglect you partners requests or needs eliciting frustration or anger in your partner, or simply cause them to suffer. But sometimes you can produce direct harm to your partner. This can occur when anger and alcohol result in physical or psychological abuse or when your sexual desires cause you to force yourself on an unwilling partner.

On the other hand, if you practice Right Intentions with sincere intentions to create good and happiness, relieve suffering, you will treat your partner with tolerance and understanding, with kindness and good will. When our partners are treated with respect, compassion, and helpfulness or when a partner’s anger or frustration are reacted to with patience, kindness, and tolerance, harm and suffering have likely been prevented. A considerate sexual relationship, where the intentions are to love and satisfy your partner, the relationship will become more satisfying for both of you, particularly if your partner has the same Right Intentions. The happiness and love produced carries into everything that you do affecting how you treat you children, your friends, your coworkers, and everyone that you meet. It is good to reflect on the ripples of good that may have been created by the Right Actions producing positive consequences, which produce more positive consequences, producing more positive consequences, etc. well into the future. So, if you form Right Intentions and aspire to create good and happiness you’ll be a better partner and will produce more harmony and good will in in all of your interactions and more importantly will be moving yourself along the eightfold path.

There are many opportunities to practice Right Speech in relationships. This can include non-verbal communications such as facial expressions, body postures, etc., perhaps even holding hands or loving glances. But, predominantly Right Speech is verbal. You may have a bad habit of often reacting to a mistake with reflexive emotional expletives. This can occur in response to something as simple as dropping a glass of wine. This can also include gestures. These can occur reflexively or even without awareness but do no good and create harm in yourself and sometimes aggravate your partner. Keep in mind the advice “Have a fast ear and a slow tongue.” ~Mark Ward. Right Speech also involves refraining from gossip. Couples often gossip or repeat rumors about family and friends. This can hurt others in unpredictable and sometimes unknown ways. In addition, Right Speech is truthful speech. In communicating with your partner only speak things that you know are absolutely true. Even “little white lies” have a cumulative effect eroding trust and understanding, while always speaking the truth promotes trust, understanding, and harmony. Right Speech takes practice. We have years of training and daily multiple examples of wrong speech. So, be patient and practice. Slowly the effects and benefits will become apparent.

The notion of Right Livelihood mandates that the couple’s occupations not only earns a living but also creates greater happiness, wisdom, and well-being, and relieves suffering. Conversely, they should not produce harm. Some occupations can be clearly seen as creating harm such as manufacturing, selling, or delivering weapons, cigarettes, or harmful drugs, human trafficking, or driving animals to slaughter. Some occupations clearly seem to create greater good and happiness, such as teacher, aid worker, nurse, etc. But, most occupations are a little more difficult to tell. Sometimes harm is produced indirectly, such as by damaging the environment, or resulting in layoffs from a competitor, or by producing goods or services that can be misused or used by others to create harm. Although rarely having direct effects upon relationships, engaging in Right Livelihood can do so indirectly. Feeling good about what you do for work can spill over bringing those good feelings home. Also, developing the discernment required to understand the impact of your occupations is a useful skill for understanding the impact of your actions upon your partner.

Relationships also present a great context to practice Right Effort. It takes substantial effort to interact mindfully. If you act automatically as most people do most of the time, there is little or no mindfulness and little or no effort. When you first get up in the morning you have to set the intention to engage in your daily activities in such a way as to lessen suffering in yourself and your partner, to act with kindness, compassion, patience, and courtesy, to drop fear, anger, hatred, selfishness, and to bring to our interactions with our partner the intention to promote well-being and happiness. Right Effort is working the “Middle Way.” That is not trying too hard and getting stressed about interacting and loving properly, and also not being lackadaisical, but rather to try, but relax. Don’t beat yourself up when you’re not relating to your partner mindfully, but congratulate yourself when you do. The “Middle Way” is where effort should be targeted.

Acting mindlessly is probably the norm. Most people perform their routine daily activities while their minds are elsewhere, ruminating about the past, planning for the future, or off in fantasy and daydreams. This provides you with a terrific opportunity to practice Right Mindfulness. Jon Kabat-Zinn defined mindfulness as “paying attention on purpose, in the present moment, and nonjudgmentally, to the unfolding of experience moment to moment.” What better opportunity to practice this than while your interacting with your partner? Right Mindfulness precludes focusing on social media or engaging in other distractions when with your partner. Right Mindfulness makes you acutely aware of what is happening and how you’re feeling during every moment together. Awareness of how you’re feeling and what’s producing those feelings, and how you’re reacting to them makes you better able to interact effectively without emotional outbursts that are non-productive and can hurt your partner. Right Mindfulness is not just part of the eightfold path it is a prerequisite for the practice of the seven other components of the path. So, relating mindfully is a fundamental practice and relationships are great situations for practice.

Right Concentration is the practice of focusing the mind solely on one object or a specific unchanging set of objects. This is developed during contemplative practice such as meditation. It is essential to effectively interacting with you partner. Our world is replete with distractions and interruptions. But, to truly be attentive and listening mindfully to our partner we must concentrate. Right Concentration in relationships includes making the effort to be there for your partner and deeply listen to them. There are very few more important things that you can do in relationships than to simply give your partner your full presence, your full attention, your full mindfulness. Improvement in attentional ability is a consequence of practicing Right Concentration. The ability to concentrate and screen out intrusive sounds, sights, speech and thoughts allow you to focus on your partner, producing a higher quality relationship. In addition, it is thought that Right Concentration requires Right Effort, Right Intentions, and Right Mindfulness and these can also be practiced and developed. So, interacting with our beloved is a wonderful situation for the practice of Right Concentration, benefiting each partner.

Negotiating the eightfold path in relationships is not easy. But, remember that it is a practice. Over time you’ll better and better at it, but nowhere near perfect. Frequently the discursive mind takes over or your emotions will get the better of you. But, by continuing the practice you’ll slowly progress. you’ll become a better partner and have a more relaxed, loving, and happier relationship. Keep in mind the teaching that actions that lead to greater harmony and happiness should be practiced, while those that lead to unsatisfactoriness and unhappiness should be let go. One of the keys in the practice is mindfully observing your partner and yourself. This allows you to discern the improvements even when they’re small and subtle. Over time, these small improvements add up. Without doubt, practicing the eightfold path lead to a terrific, happy, satisfying, loving relationship.

“Being deeply loved by someone gives you strength, while loving someone deeply gives you courage.” ~Lao Tzu

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

Relieve Test Anxiety with Mindfulness

July 9, 2016 psyjdc 2 Comments

By John M. de Castro, Ph.D.

“In mindfulness-based therapy, the person focuses on the bodily sensations that arise when he or she is anxious. Instead of avoiding or withdrawing from these feelings, he or she remains present and fully experiences the symptoms of anxiety. Instead of avoiding distressing thoughts, he or she opens up to them in an effort to realize and acknowledge that they are not literally true. Although it may seem counter-intuitive, fully realizing the experience of anxiety enables anxious people to release their over identification with negative thoughts. The person practices responding to disruptive thoughts, and letting these thoughts go.” – George Hofmann

It’s a normal human response to become anxious while being evaluated by others. In fact, the vast majority of students report that the stress and anxiety associated with being evaluated is greater than that produced by anything else in their lives. The majority of students are able to cope with the anxiety and perform on tests in spite of it. But, for a minority of students, somewhere around 16%-20%, the anxiety level is so high that it causes them to “freeze” on tests and markedly impair their performance. It is estimated that they perform 12 points lower, more than one letter grade, on average than students lower in anxiety. Counselling centers in colleges and universities report that evaluation anxiety is the most common complaint that they treat among students.

It has been demonstrated repeatedly that mindfulness counteracts anxiety and mindfulness training is an effective treatment for a variety of forms of anxiety. In today’s Research News article “Mindfulness Based Stress Reduction for Academic Evaluation Anxiety: A Naturalistic Longitudinal Study.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1267815219909068/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4867855/

Dundas and colleagues examine the effectiveness of an 8-week Mindfulness Based Stress Reduction (MBSR) program for the treatment of test anxiety in college students. MBSR involves training in three mindfulness practices; meditation, body scan, and yoga. Students were tested for anxiety levels, self-esteem, and self-efficacy before, during, and after MBSR training and before their first test after training and later follow-up. The students’ anxiety levels were compared to a group of untreated students.

They found significant improvements with moderate effect sizes in evaluation, state, and trait anxiety levels, self-esteem, and self-efficacy following MBSR treatment. The students showed improvements in both the cognitive and emotional components of evaluation anxiety. The improvement in anxiety levels continued following the end of treatment such that at the long-term follow-up point, as much as two years later, evaluation anxiety levels were significantly lower than they were after the completion of treatment. Hence, MBSR treatment significantly reduced evaluation anxiety and improved self-esteem and self-efficacy in college students and the students continued improving afterwards.

These are impressive results. But, given the demonstrated efficacy of MBSR for the treatment of anxiety and the reduction of stress, they are not surprising. Mindfulness training and MBSR in particular have been shown to significantly reduce the psychological and physiological responses to stress. A reduction in the students’ responses to the stress of evaluation should reduce anxiety. Since this would be expected, in turn, to improve performance, this may result in further improvement as confidence levels rise. The fact that the students reported improved self-efficacy after MBSR supports the idea that they also improved in confidence. So, mindfulness treatment might well produce an upward spiral of improved anxiety levels and performance.

So, relieve test anxiety with mindfulness.

“”Mindfulness also allows us to become more aware of the stream of thoughts and feelings that we experience and to see how we can become entangled in that stream in ways that are not helpful. Most of us have issues that we find hard to let go and mindfulness can help us deal with them more productively. We can ask: ‘Is trying to solve this by brooding about it helpful, or am I just getting caught up in my thoughts?’” – Marc Williams

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are aalso available on Google+ https://plus.google.com/106784388191201299496/posts

Study Summary

Dundas, I., Thorsheim, T., Hjeltnes, A., & Binder, P. E. (2016). Mindfulness Based Stress Reduction for Academic Evaluation Anxiety: A Naturalistic Longitudinal Study. Journal of College Student Psychotherapy, 30(2), 114–131. http://doi.org/10.1080/87568225.2016.1140988

ABSTRACT

Mindfulness based stress reduction (MBSR) for academic evaluation anxiety and self-confidence in 70 help-seeking bachelor’s and master’s students was examined. A repeated measures analysis of covariance on the 46 students who completed pretreatment and posttreatment measures (median age = 24 years, 83% women) showed that evaluation anxiety and self-confidence improved. A growth curve analysis with all 70 original participants showed reductions in both cognitive and emotional components of evaluation anxiety, and that reduction continued postintervention. Although more research is needed, this study indicates that MBSR may reduce evaluation anxiety.

Lower Physical Aggression with Mindfulness

July 8, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“Mindfulness recognizes anger, is aware of its presence, accepts and allows it to be there. Mindfulness is like a big brother who does not suppress his younger brother’s suffering. He simply says, “Dear brother, I’m here for you.” You take your younger brother in your arms and you comfort him.” – Thich Nhat Hahn

The human tendency to lash out with aggression when threatened was adaptive for the evolution of the species. It helped promote the survival of the individual, the family, and the tribe. In the modern world, however, this trait has become more of a problem than an asset. It results in individual violence and aggression such as physical abuse, fights, road rage, and even murders, and in societal violence such as warfare. It may even be the basis for the horrors of terrorism and mass murder. Obviously there is a need in modern society to control these violent and aggressive urges.

Mindfulness training has been shown to reduce aggression and hostility. This suggests that mindfulness may be an antidote to violent and aggressive urges. So, it would make sense to further investigate the relationship between mindfulness and aggression. In today’s Research News article “Physical Aggression and Mindfulness among College Students: Evidence from China and the United States.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1267113226645934/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4881105/

Gao and colleagues used psychometric measures of mindfulness and aggression in three samples of freshman college students from the United States and China and investigated the relationships between the students’ trait levels of mindfulness and their aggressive tendencies.

They found a strong negative relationship between mindfulness and aggressiveness such that the higher the levels of mindfulness the lower the levels of all four types of aggression measured, including hostility, verbal aggressiveness, physical aggressiveness, and anger. This was true for all three samples for both American and Chinese students. In other words, mindfulness was significantly related to low aggressiveness regardless of culture. This relationship may have resulted from the documented ability of mindfulness to improve emotion regulation, including improved control over anger, and fear. By being better able to control their emotions highly mindful people would be less likely to respond to them with aggression.

These results are correlational. There was no manipulation of mindfulness. So, a causal relationship between mindfulness and aggressiveness cannot be concluded. A randomize controlled clinical trial is needed to establish if increasing mindfulness decreases aggressiveness. In addition, the sample were typical college freshman and who are not particularly aggressive groups. It will be important to establish in the future if mindfulness can help control aggression in highly aggressive populations such as violent offenders.

Regardless the results are clear and suggest that aggression can be lowered with mindfulness.

“Anger is always a signal. Mindfulness helps reveal what it signals. Sometimes it is a signal that something in the external world needs to be addressed. Sometimes it is a signal that something is off internally. If nothing else, anger is a signal that someone is suffering. Probably it is you. Sit still in the midst of your anger and find your freedom.” – Gil Fronsdal

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

Study Summary

Gao, Y., Shi, L., Smith, K. C., Kingree, J. B., & Thompson, M. (2016). Physical Aggression and Mindfulness among College Students: Evidence from China and the United States. International Journal of Environmental Research and Public Health, 13(5), 480. http://doi.org/10.3390/ijerph13050480

Abstract

Background: The link between trait mindfulness and several dimensions of aggression (verbal, anger and hostility) has been documented, while the link between physical aggression and trait mindfulness remains less clear. Method: We used two datasets: one United States sample from 300 freshmen males from Clemson University, South Carolina and a Chinese sample of 1516 freshmen students from Shanghai University of Finance and Economics. Multiple regressions were conducted to examine the association between mindfulness (measured by Mindful Attention and Awareness Scale (MAAS)) and each of the four subscales of aggression. Results: Among the Clemson sample (N = 286), the mindfulness scale had a significant negative association with each of the four subscales of aggression: Hostility: β = −0.62, p < 0.001; Verbal: β = −0.37, p < 0.001; Physical: β = −0.29, p < 0.001; Anger: β = −0.44, p < 0.001. Among the Shanghai male subsample, the mindfulness scale had a significant negative association with each of the four subscales of aggression: Hostility: β = −0.57, p < 0.001; Verbal: β = −0.37, p < 0.001; Physical: β = −0.35, p < 0.001; Anger: β = −0.58, p < 0.001. Among the Shanghai female subsample (N = 512), the mindfulness scale had a significant negative association with each of the four subscales of aggression: Hostility: β = −0.62, p < 0.001; Verbal: β = −0.41, p < 0.001; Physical: β = −0.52, p < 0.001; and Anger: β = −0.64, p < 0.001. Discussion: Our study documents the negative association between mindfulness and physical aggression in two non-clinical samples. Future studies could explore whether mindfulness training lowers physical aggression among younger adults.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4881105/

Improve Reading with Dyslexia and ADHD with Mindfulness

July 7, 2016April 28, 2020 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“Mindfulness has its roots in meditation and blends numerous approaches such as yoga. Meditation enables the individual to reprocess internal experiences with more awareness, neutrality and acceptance. It focuses on the breath to develop concentration and take control of attention. This is particularly helpful for people with specific learning difficulties who often report difficulties with concentration and attention.”

Reading skills have always been important but in the modern world they are essential. So, difficulties with reading can be a major obstacle in school, work, and life in general. Unfortunately, difficulties with reading are all too common. It has been estimated that 20% of the children in school struggle with reading. There are a number of problems that are responsible for these struggles, but the most common ones are dyslexia and attention deficit hyperactivity disorder (ADHD).

Dyslexia is the most common form of language based disability. It literally means “poor language” and affects around 15% of the population. “Dyslexia is a neurological learning disability, characterized by difficulties with word recognition, by poor spelling, and limited decoding abilities. These difficulties typically result from a deficit in the phonological component of language that is often unexpected in relation to other cognitive abilities and the provision of effective classroom instruction. Secondary consequences may include problems in reading comprehension and reduced reading experience that can impede the growth of vocabulary and background knowledge.” – (International Dyslexia Association)

ADHD, on the other hand, also produces reading difficulties but in an entirely different way. It is a brain disorder marked by an ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development. About 6% of school aged children exhibit ADHD with about 25% of these students have other serious learning problems with oral expression, listening skills, reading comprehension, and/or math and about 50% have listening comprehension problems. Hence, ADHD appears to affect reading primarily by inattention and impulsivity.

Mindfulness training may be helpful with the reading problems of children with dyslexia and ADHD. It has been shown to affect many of the symptoms of these disorders, improving attention and cognitive processes, reducing impulsivity, and generally improving ADHD symptoms. So, it would be expected that mindfulness training might be helpful with the reading problems of students with dyslexia and ADHD. In today’s Research News article “Mindful Reading: Mindfulness Meditation Helps Keep Readers with Dyslexia and ADHD on the Lexical Track.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1266348443389079/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4862243/

Tarrasch and colleagues recruited adult college students with either dyslexia or ADHD and measured their reading, attention, mindfulness, emotional well-being, and sleep disturbance. They were then provided with an 8-week Mindfulness Based Stress Reduction (MBSR) program which involves meditation, body scan, and yoga practices. They were re-measured at the conclusion of MBSR training.

They found that following the MBSR training there was a 19% decrease in reading errors and a significant improvement in sustained attention. There was an increase in lexical reading, indicating a greater reliance after MBSR on previously learned words and a reduction in reliance on phonetic reading, sounding out words. They also found significant decreases in impulsivity, perceived-stress, rumination, depression, state-anxiety, and sleep-disturbances and an increase in mindfulness. In addition, they found that the greater the increase in mindfulness the greater the improvement in reading and the greater the decrease in impulsivity the greater the improvement in reading.

Hence it appears that MBSR training improves reading, emotional well-being, and sleep disturbance in students. It appears that the training improves mindfulness which improves attention and reduces impulsivity and these in turn, improve reading. These are exciting results that mindfulness training can be of assistance with dyslexia and ADHD produced reading problems in college students. This suggests that mindfulness training earlier in schools may not only help students overall, but also help students with dyslexia and ADHD in their academic progress. This is a ripe area for future research.

So, improve reading with dyslexia and ADHD with mindfulness.

“Mindfulness is a skill that allows one to be less reactionary. Its primary force is teaching self regulation. Mindfulness (meditation) is a way of paying attention, “bringing one’s complete attention to the present experience on a moment-to-moment basis”. This skill gives the person with ADHD (attention deficit hyperactivity disorder) tools for moment to moment self regulation of emotional, cognitive and behavior responses, essential for effective Executive Functioning.” – Ann Farris

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

Study Summary

Tarrasch, R., Berman, Z., & Friedmann, N. (2016). Mindful Reading: Mindfulness Meditation Helps Keep Readers with Dyslexia and ADHD on the Lexical Track. Frontiers in Psychology, 7, 578. http://doi.org/10.3389/fpsyg.2016.00578

Abstract

This study explored the effects of a Mindfulness-Based Stress Reduction (MBSR) intervention on reading, attention, and psychological well-being among people with developmental dyslexia and/or attention deficits. Various types of dyslexia exist, characterized by different error types. We examined a question that has not been tested so far: which types of errors (and dyslexias) are affected by MBSR training. To do so, we tested, using an extensive battery of reading tests, whether each participant had dyslexia, and which errors types s/he makes, and then compared the rate of each error type before and after the MBSR workshop. We used a similar approach to attention disorders: we evaluated the participants’ sustained, selective, executive, and orienting of attention to assess whether they had attention-disorders, and if so, which functions were impaired. We then evaluated the effect of MBSR on each of the attention functions. Psychological measures including mindfulness, stress, reflection and rumination, life satisfaction, depression, anxiety, and sleep-disturbances were also evaluated. Nineteen Hebrew-readers completed a 2-month mindfulness workshop. The results showed that whereas reading errors of letter-migrations within and between words and vowelletter errors did not decrease following the workshop, most participants made fewer reading errors in general following the workshop, with a significant reduction of 19% from their original number of errors. This decrease mainly resulted from a decrease in errors that occur due to reading via the sublexical rather than the lexical route. It seems, therefore, that mindfulness helped reading by keeping the readers on the lexical route. This improvement in reading probably resulted from improved sustained attention: the reduction in sublexical reading was significant for the dyslexic participants who also had attention deficits, and there were significant correlations between reduced reading errors and decreases in impulsivity. Following the meditation workshop, the rate of commission errors decreased, indicating decreased impulsivity, and the variation in RTs in the CPT task decreased, indicating improved sustained attention. Significant improvements were obtained in participants’ mindfulness, perceived-stress, rumination, depression, state-anxiety, and sleep-disturbances. Correlations were also obtained between reading improvement and increased mindfulness following the workshop. Thus, whereas mindfulness training did not affect specific types of errors and did not improve dyslexia, it did affect the reading of adults with developmental dyslexia and ADHD, by helping them to stay on the straight path of the lexical route while reading. Thus, the reading improvement induced by mindfulness sheds light on the intricate relation between attention and reading. Mindfulness reduced impulsivity and improved sustained attention, and this, in turn, improved reading of adults with developmental dyslexia and ADHD, by helping them to read via the straight path of the lexical route.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4862243/

Reduce Falls in the Elderly with Tai Chi

July 6, 2016 psyjdc 4 Comments

By John M. de Castro, Ph.D.

“Tai Chi is a sophisticated form of whole body Neuromuscular/skeletal movement re-education. With good use, the body moves easily – with balance and coordination; both mental and physical. Initially developed as a martial art, it has now become more widely practiced as an exercise for health and well-being. Its use of natural rotational, as well as linear movements, have placed this well above other falls training methods.” – Mark Peters

The process of aging affects every aspect of the physical and cognitive domains. Every system in the body deteriorates including motor function with a decline in strength, flexibility, and balance. Impaired balance is a particular problem as it can lead to falls. In the U.S. one third of people over 65 fall each year and 2.5 million are treated in emergency rooms for injuries produced by falls. About 1% of falls result in deaths making it the leading cause of death due to injury among the elderly. Falls, with or without injury, also carry a heavy quality of life impact. A growing number of older adults fear falling and, as a result, limit their activities and social engagements. This can result in further physical decline, depression, social isolation, and feelings of helplessness. It is obviously important to investigate methods to improve balance and decrease the number of fall in the elderly.

Tai Chi training is designed to enhance and regulate the functional activities of the body through regulated breathing, mindful concentration, and gentle movements. It includes balance training and has been shown to improve balance and coordination. Because it is not strenuous, involving slow gentle movements, and is safe, having no appreciable side effects, it is appropriate for an elderly population. So, it would seem that tai chi practice would be well suited to improving balance and coordination in seniors and thereby reduce the likelihood of falls.

In today’s Research News article “Implementing an Evidence-Based Fall Prevention Program in an Outpatient Clinical Setting.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1265719523451971/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707656/

Li and colleagues recruited a large group (379) of seniors (> 65 years of age) who were deemed at risk for falls by their primary care physicians. They delivered a tai chi program that was designed to optimize balance for two one-hour sessions per week for 24 weeks. During the 24 weeks of the program 119 participants reported 261 falls. There was a significant reduction in the number of falls over the 6-month course of the program. For the month prior to the training the participants reported 0.5 falls per month while that number fell to 0.13 during the program. By the end of the program the fall rate declined to 0.05 per month.

Hence, they found clear evidence that tai chi practice reduces the incidence of falls in an at-risk population of elderly. These are excellent and important findings. It should be kept in mind, however, that the study did not include a control comparison condition. So, the results could be due to subject expectancy (placebo) effects. But, with this caveat, the results are very encouraging.

The marked reduction in falls suggests that seniors who practice tai chi will be a substantially less risk of injury from falling. This should not only improve health but also relieve a degree of the fear of falling. This should improve the quality of life and reduce consequent psychological problems. Hence, the practice should be of great benefit to the elderly. In addition, the safe and gentle exercise nature of tai chi practice make it well suited to the elderly. It can also be delivered very inexpensively as it can be taught in large groups and after training practiced at home or in a group without an instructor.

So, reduce falls in the elderly with tai chi.

“problems arise as the elderly become increasing frail, their senses and muscles degrade, and their ability to react to a slip is delayed enough that they can’t stop themselves from falling. Understanding the process helps inform the treatments . . . traditional interventions such as exercise and new glasses are effective. The Chinese martial art of tai chi is considered particularly helpful in improving balance and reducing falls.“ – Thurmon Lockhart

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

Study Summary

Li, F., Harmer, P., Stock, R., Fitzgerald, K., Stevens, J., Gladieux, M., … Voit, J. (2013). Implementing an Evidence-Based Fall Prevention Program in an Outpatient Clinical Setting. Journal of the American Geriatrics Society, 61(12), 2142–2149. http://doi.org/10.1111/jgs.12509

Abstract

Objectives: Few evidence-based fall prevention programs have been evaluated for adoption in clinical settings. This study investigated the dissemination potential of a Tai Ji Quan-based program, previously shown efficacious for reducing risk of falls in older adults, through outpatient clinical settings.

Design: A single-group pre-post design in which participants attended a twice weekly Tai Ji Quan training program for 24 weeks.

Setting: Communities in Lane County, Oregon.

Participants: Referral patients (N = 379) aged 65 and older living independently.

Measurements: Using the RE-AIM framework, the primary outcome was the proportion of participating healthcare providers who made referrals. Secondary outcomes were the proportion of referred patients agreeing to participate and enrolling in the program, and measures of program implementation, maintenance, and effectiveness (on measures of falls, balance, gait, physical performance, and balance efficacy).

Results: Of the 252 providers invited to participate, 157 made referrals (62% adoption rate). Of 564 patients referred, 379 (67% reach) enrolled in the program, which was successfully implemented in senior/community centers with good fidelity. Of the total number of participants, 283 completed the program (75% retention) and 212 of these attended ≥75% of the total (48) sessions. Participants reported a reduction in falls with an incidence rate of 0.13 falls per person-month and showed significant improvement from baseline in all outcome measures. A 3-month post-intervention follow-up indicated encouraging levels of program maintenance among providers, patients, and community centers.

Conclusion: A protocol to refer patients at increased risk of falling to a Tai Ji Quan-based program was successfully implemented among healthcare providers. The evidence-based program appears readily scalable and exportable with potential for substantial clinical and public health impact.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707656/

Improve Low Back Pain with Yoga

July 5, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“Achy back? Give yoga a go. Multiple studies have shown the power of the ancient practice, which emphasizes stretching, strength, and flexibility, to relieve back soreness. In fact, several studies have found that yoga can even trump usual care for back pain when it comes to improving back function.” – Annie Hauser

Acute pain in all forms is a signal that there is something wrong that needs immediate attention. Chronic pain, on the other hand signals the presence of physical issues that are more difficult to address. Chronic pain is particularly difficult as it is not only a torment but is highly disruptive to the sufferer’s life, decreasing the ability to engage in everyday activities and lowering the quality of life. One source of chronic pain, low back pain, is ubiquitous. It is estimated that 80% of the population will experience back pain sometime during their lives. It is the leading cause of disability worldwide and affects between 6% to 15% of the population.

There are varied treatments for low back pain including chiropractic care, acupuncture, biofeedback, physical therapy, cognitive behavioral therapy, massage, surgery, opiate pain killing drugs, steroid injections, and muscle relaxant drugs. The therapies are sometimes effective particularly for acute back pain. But, for chronic conditions the treatments are less effective and often require continuing treatment for years. Obviously, there is a need for effective treatments for low back pain that are low cost and don’t have troublesome side effects.

Mindfulness training has shown promise in the treatment of a variety of pain conditions, including low back pain. Yoga practice is both a physical and a mindfulness training that under supervised conditions is effective for a variety of physical and psychological conditions, especially musculoskeletal problems including low back pain. There have been a variety of studies of the application of yoga for low back pain but they are highly variable in technique, postures employed, included components of practice, patient groups, and follow-up. So, there is a need for a rigorous review and summarization of these studies to ascertain the overall effectiveness of yoga practice for low back pain.

In today’s Research News article “Yoga as a treatment for chronic low back pain: A systematic review of the literature.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1265126300177960/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4878447/

Chang and colleagues review and summarize the published research on the application of yoga practice for low back pain. They found that the literature provides documented, scientific, controlled evidence that supports the conclusion that yoga practice when properly administered reduces pain and disability in patients with chronic low back pain. In addition, since postures once learned can be practiced at home, yoga provides a more cost effective long-term for back pain than physical therapy, spinal manipulation, physical therapy, and acupuncture.

These results are very promising and suggest that yoga practice is an excellent treatment for low back pain. Yoga, however, is not without risks. Back pain can be exacerbated and even disc herniation is possible. So, it is important that, at least in its initial stages, yoga practice be administered and supervised by a knowledgeable certified professional. It is important to also recognize that yoga practice has many psychological, physical, and spiritual benefits beyond relief of low back pain. So, yoga should not be evaluated with only one physical issue in mind, but should be looked upon as not only relieving symptoms but also having holistic benefits, improving the practitioner’s health and well-being.

So, improve low back pain with yoga.

“An estimated 84 percent of people may experience low back pain. If you’ve ever felt it yourself, you know that the most basic, daily movements can be challenging. Suddenly sitting, standing, and bending seem like advanced yoga postures. Back pain is actually one of the most common reasons that people visit the doctor. Fortunately, new studies are supporting yoga’s efficacy and many individuals are turning to the practice for help.” – Jennifer Carter Avgerinos

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

Study Summary

Chang, D. G., Holt, J. A., Sklar, M., & Groessl, E. J. (2016). Yoga as a treatment for chronic low back pain: A systematic review of the literature. Journal of Orthopedics & Rheumatology, 3(1), 1–8.

Abstract

Objectives: Chronic low back pain (CLBP) affects millions of people worldwide, and appears to be increasing in prevalence. It is associated not only with pain, but also with increased disability, psychological symptoms, and reduced quality of life. There are various treatment options for CLBP, but no single therapy stands out as being the most effective. In the past 10 years, yoga interventions have been studied as a CLBP treatment approach. The objective of this paper is to review the current literature supporting the efficacy of yoga for CLBP.

Methods: A literature search through the beginning of 2015 was conducted in Pub Med for randomized control trials addressing treatment of CLBP with yoga.

Results: In this review we evaluate the use of yoga as a treatment for CLBP. Specifically we evaluate how yoga impacts physical functioning and disability, pain, and associated psychological symptoms. We also evaluate possible mediators of the effect of yoga and the safety of yoga.

Discussion: With few exceptions, previous studies and the recent randomized control trials (RCTs) indicate that yoga can reduce pain and disability, can be practiced safely, and is well received by participants. Some studies also indicate that yoga may improve psychological symptoms, but these effects are currently not as well established.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4878447/

Mindful Independence Day!

July 4, 2016July 4, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“If today is a celebration of freedom, I think we as a nation, as a people, have squandered an opportunity. We have sought outer freedoms and ignored inner freedoms. We have pursued these freedoms with scandal, exploitation, and domination. Today, instead, I urge you to consider inner freedom.” – Arnie Kozak

Virtually every country in the world sets aside one day each year to celebrate its independence. In the U.S. that day is July 4^th. On this day the country’s citizens celebrate their freedom and independence and the fight that achieved it. It’s a pleasant holiday filled with patriotism, flags, parades, picnics, and fireworks displays. Although the founding of the great American democracy is something to celebrate, a mindful look at it produces a recognition that there are significant limitations on independence and freedom. We are nowhere near as free and independent as we think we are.

Independence from what? It’s certainly not from the imposition of government on the individual. July 4^th only celebrates the changeover from government by the British monarchy to government by a more local political system. It’s certainly not independence from the imposition of laws and restrictions on the individual’s freedom. Perhaps there was a change of a few laws and regulations, but actually only a small number. It’s certainly not even the production of self-determination. In fact, the U.S. democracy was crafted and established by a few elite individuals and not by each individual in the country. In addition, democracy is rule by the majority, with the will of a significant number of people ignored. What we appear to be celebrating is the replacement of one system of control with another, perhaps better, system of control, but nevertheless a system of control; hardly independence.

Mindful reflection quickly produces an understanding that we’re never really independent. It’s certainly not even complete independence from another country. To this day the U.S. and the U.K. are very much dependent upon one another for trade of goods, ideas, culture, and mutual security. They’re locked together by treaties, cultural similarities, and close economic ties. The current political system that we’re celebrating is itself a recognition of how dependent upon one another we are. The system functions to set down the rules by which our relationships with one another are conducted. It’s there to insure orderly cooperation supposedly for the benefit of all participants.

Mindful reflection reveals that were not only dependent upon each other but we’re also dependent upon our environment, animate and inanimate. We’re dependent upon the air we breathe that is in turn dependent upon all other living organisms. We’re dependent upon the water we drink that is in turn dependent on global weather systems and solar evaporative power. We’re dependent upon the food we drink that is in turn dependent upon air, water, soil, and sun, and the farmers who grow it. In fact, we are so dependent upon everything and everybody that it may be more appropriate to be celebrating Dependence Day.

Well maybe then on July 4^th we’re celebrating freedom and liberty. But, is any individual truly free. As the French philosopher Jean-Jacques Rousseau said “Man is born free: and everywhere else he is in chains. One thinks himself the master of others, and still remains a greater slave than they.” Regardless of the political independence each individual’s behavior is highly regulated by law and regulation. Our freedoms are actually very limited. They are bounded not only by law but also the practicalities of earning a living, maintaining a residence, having a family, and limitations on resources. Our freedom is also highly constrained by the laws of physics, chemistry, and biology. After all, we can’t fly, become taller, change our eye color, stay underwater for protracted periods, stay awake continuously, or withstand cold or heat outside of a fairly small range, and we’re not faster than a speeding bullet. How much freedom do we actually have in any particular day?

Independence Day, though, does celebrate acquiring many soft freedoms. The freedoms to think and express our opinions and ideas, to worship as we please, to vote for whoever we like, to associate with whomever we choose, to live wherever we like, etc. Although there are bounds to many of these freedoms by the requirements of public safety, economics, cultural norms, and the practicalities of existence, these are very important and significant freedoms. Perhaps that is what we’re really celebrating, these soft freedoms that were provided by our Constitution as a result of the War for Independence.

Regardless, Independence Day should be celebrated mindfully. It is often spent with family and friends and the pleasure of these interactions can be amplified by doing it mindfully; by being truly present for them and deeply listening to them rather than thinking about our next response. By being mindful we can see them with compassion and understanding. Being in, and focusing on, the present moment we can enjoy these interactions, we can enjoy the picnics and parades, we can enjoy the fireworks, rather than thinking about where we would rather be or where we’re going next. We can find happiness precisely where we are.

But are we truly free. A bit of mindful reflection reveals that we find existence very unsatisfactory. In fact, unsatisfactoriness is everywhere. We’re not satisfied with things as they are and want them to be different. We’re not satisfied with where we live and want to have a nicer home. We’re not satisfied with our appearance and want to lose weight. We’re not satisfied with what people think of us and want to be universally liked. We’re not satisfied with how we’re treated by our spouses and want them to be more understanding. We’re not satisfied with our children and want them to be obedient, respectful, straight “A” students and star athletes. We’re not satisfied with our health and want to have fewer aches and pains. We’re not satisfied with our jobs and want to make more money, have more time off and be appreciated by our bosses and coworkers. Even on the very short-term, things are not satisfactory. We want the car ahead of us to be moving faster, we want time to pass quickly so that we can be done with work for the day, we want to stop ruminating about past indiscretions, we want to finish a meal quickly so we can get back to the TV, etc. In other words, we’re not free from our desires. In fact, we’re slaves to them. We’re not happy with the way things are. In fact, we seem to want everything to be different. So, we can’t be truly free as long as we’re slaves to our desires.

True freedom can only be produced when we are liberated from our incessant needs and wants. That is not to say that we shouldn’t have desires, but rather that we will not be controlled by them. True freedom comes from equanimity. It comes when we’re able to desire something, seek it out, but be OK whether we get it or not. It comes when we not only accept the way things are but enjoy each second for what it is, a precious moment in a limited lifetime. It comes when what other people do and say is seen as a reflection of them and not of us and comes when we look at them with compassion and understanding. In other words, we can want ourselves, things, people, and circumstances to be different but we accept them as they are and appreciate and enjoy life and each experience as a gift.

This sounds wonderful, but is it achievable? It sure doesn’t seem so as ourselves and the people we know haven’t achieved it. Is it possible to actually get to this state of complete freedom? It is, but it takes effort and discipline. There have been many instances throughout history and there are many exemplars present right now of people who have achieved complete equanimity. Jesus is a wonderful example. He worked hard and suffered to make his world a better place but in the end accepted what was. The Buddha, Christian mystics, Sufi masters, Zen masters, Gandhi, and a host of everyday people have all achieved true liberation. So, it is possible.

We do not, however, have to be aiming only at complete liberation. It is far better to work to simply improve on our current state and thereby become more and more liberated. We can do this by engaging in mindfulness practices such as meditation, yoga, tai chi, contemplative prayer, etc. we can learn to focus more and more on the present moment. We can learn to appreciate what is. We can learn to enjoy every moment. Just by improving a little we can become happier and happier, more accepting, and more liberated from our desires. We can achieve greater equanimity and with it greater freedom. But, we get there slowly and incrementally, building toward our complete liberation. Now wouldn’t that be a reason to celebrate Independence Day.
“Happy 4th of July. Celebrate your freedom mindfully- express love and gratitude for all situations, people, places and things you encounter today. This practice of loving what is, is a mindful behavior. When we celebrate our freedom as a country, we bring love to the abundance we are free to encounter today. Take each situation you encounter as an opportunity to express your love, gratitude – any kindness will do – that is freedom!” – Regina Huelsenbeck

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are aalso available on Google+ https://plus.google.com/106784388191201299496/posts

Relieve Depression with Mindfulness and Spirituality

July 3, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“Mindfulness is a valuable practice for improving the cognitive symptoms of depression, such as distorted thinking and distractibility. It helps individuals recognize these more subtle symptoms, realize that thoughts are not facts and refocus their attention to the present” – Margarita Tartakovsky

Depression is epidemic. Major depressive disorder affects approximately 14.8 million American adults, or about 6.7 percent of the U.S. population age 18 and older in a given year. Depression is more prevalent in women than in men. It also affects children with one in 33 children and one in eight adolescents having clinical depression. It is so serious that it can be fatal as about 2/3 of suicides are caused by depression. It makes lives miserable, not only the patients but also associates and loved ones, interferes with the conduct of normal everyday activities, and can come back repeatedly. Even after complete remission, 42% have a reoccurrence.

The first line treatment is antidepressant drugs. But, depression can be difficult to treat. Of patients treated initially with drugs only about a third attained remission and even after repeated and varied treatments including drugs, therapy, exercise etc. only about two thirds of patients attain remission. This leaves a third of all patients treated still in deep depression. These patients are deemed to have treatment-resistant depression. Being depressed and not responding to treatment is a terribly difficult situation. The patients are suffering and nothing appears to work to relieve their intense depression. Suicide becomes a real possibility. So, it is imperative that other treatments be identified that can be applied when the typical treatments fail.

Mindfulness training has been shown to be effective for depression alone or in combination with drug therapy. Although there are a number of mindfulness treatments that are effective, Mindfulness-Based Stress Reduction (MBSR) has been found to be effective for a myriad of physical and psychological problems including depression. MBSR, like all mindfulness trainings has physical, psychological, emotional, and spiritual components and spirituality has been shown to be associated with reduced depression. But, MBSR is even more complex as it contains yoga and body scan in addition to meditation. Because of the complexity and the variety of effects of these practices it is difficult to know which components are effective in promoting well-being and which are not.

In today’s Research News article “Decreased Symptoms of Depression After Mindfulness-Based Stress Reduction: Potential Moderating Effects of Religiosity, Spirituality, Trait Mindfulness, Sex, and Age”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1263767500313840/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4365440/

Greeson and colleagues investigate the influences of the mindfulness and spiritual aspects of Mindfulness-Based Stress Reduction (MBSR) on depression in adults. Participants completed measurement scales of anxiety, depression, mindfulness, spirituality, and religious participation both before and after 8-weeks of MBSR training. They found, as has been previously demonstrated, that following MBSR training depression was significantly reduced. They also found that the higher the level of mindfulness after treatment the lower the level of depression. This was also true for the levels of spirituality, the higher they were the lower the depression. Finally, they employed a sophisticated statistical procedure, Hierarchical multiple regression analysis, to demonstrate that mindfulness and spirituality act independently to reduce depression.

These findings are interesting and suggest that the complex and multifaceted Mindfulness-Based Stress Reduction (MBSR) program reduces depression both by increasing mindfulness and by increasing spirituality. Since there is no training in spirituality or direct effort to influence spirituality in MBSR training, it would appear to be an indirect effect of MBSR. The results suggest that it is not the result of increased mindfulness, but arises nonetheless as an added bonus of the training. MBSR is an outgrowth of ancient practices of meditation, yoga, and body scan that were initially employed for spiritual purposes. So, I guess that it should come as no surprise that even when employed in a secular practice, that they still increase spirituality. It should also come as no surprise that spirituality would be associated with reduced depression as spirituality gives meaning and purpose to life which is incompatible with depression.

So, relieve depression with mindfulness and spirituality.

“Meditation has penetrated our culture in a way that would have been inconceivable 20 years ago when I started to investigate it [as a potential treatment] for mood disorders. It resonates with people’s desires to find a way of slowing down and returning to an inner psychological reality that is not as easily perturbed.” – Zindel Segal

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

Improve Romantic Relationships with Mindfulness

July 2, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“We are vulnerable creatures, we humans. In the act of exposing our heart and hopes, we also expose our fears and fragility. But we need not be slaves to the past, or to the external love object, be it bear or spouse. We can deliberately develop a more secure sense of attachment, training our mind to become a place of security, safety, and warm fuzzy reassurance simply by paying attention to now, not then.” – Cheryl Fraser

The great sage Thich Nhat Hahn stated that “If you love someone, the greatest gift you can give them is your presence.” This is a beautiful thought that applies to all loving relationships and suggests that we should be in the present moment and completely attentive to our loved ones when we are with them. When any two people interact paying real-time attention to the other is rare. Most of the time, the individual’s mind is elsewhere, perhaps thinking of the next thing to be said, perhaps thinking about what the individual wants from the other, or perhaps reviewing a past interaction. We are all so into ourselves that we fail to truly pay complete attention to the other, even a loved one. But, if we do, it has a major impact.

Being present for another implies that we are being mindful, paying attention non-judgmentally, to what is transpiring in the present moment. To our partner this conveys a caring and respect that is a true reflection of love. Our partner will generally respond very positively to this mindful attention, amplifying the moment and building the emotional connection that is the glue of a romantic relationship. Indeed, mindful individuals are rated as more attractive and mindfulness training appears to help with sexual difficulties. So, mindfulness should be related to relationship quality, both for the individual and the romantic partner.

In today’s Research News article “Mindful Mates: A Pilot Study of the Relational Effects of Mindfulness-Based Stress Reduction on Participants and Their Partners.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1263164117040845/?type=3&theater

or below.

Khaddouma and colleagues examined the relationship between mindfulness and romantic relationships and the effect of increasing mindfulness in one individual on both partners. They recruited adult heterosexual couples who were in a committed relationship (80% married), ranging in age from 18 to 64. One member of each pair received training for 8-weeks in Mindfulness Based Stress Reduction (MBSR) program while the other did not. MBSR involves training in meditation, body scan and yoga. Couples were measured for mindfulness and relationship satisfaction, both before and after MBSR training.

They found that MBSR training significantly increased mindfulness and relationship satisfaction in the MBSR enrolled participants but not their non-enrolled partners. All facets of mindfulness increased including, observing, describing, acting with awareness, non-judging, and non-reacting. They also found that the greater the increase in the acting with awareness mindfulness facet of the enrolled participant the greater the increase in relationship satisfaction for both members of the couple. In addition, the greater the increase in the non-reacting mindfulness facet of the enrolled participant the greater the increase in relationship satisfaction of their non-enrolled partner.

These results are very promising and suggest that Mindfulness Based Stress Reduction (MBSR) training improves mindfulness and relationship satisfaction in the participant. Significantly, the MBSR training and its effects on the participant appeared to spill over and effect their romantic partner’s satisfaction with the relationship, particularly as a result of increases in acting with awareness and non-reactivity. Acting with awareness appears to be the most highly related to improvements in relationship satisfaction for both members of the dyad, while non-reactivity also affects the non-enrolled partner.

This suggests that “increases in abilities to attend to activities of the moment with purposeful attention (rather than behaving reflexively or automatically) over the course of MBSR are positively associated with increases in both partners’ relationship satisfaction.” In addition, the enrolled participant’s “ability to avoid getting caught up and carried away by thoughts and feelings” appears to make the relationship better for the partner. So, MBSR training changes the mindfulness of the participants, changing how they act and react in the relationship and this improves the relationship for both members. Being mindful makes romantic relationships better.

So, improve romantic relationships with mindfulness.

CMCS – Center for Mindfulness and Contemplative Studies

“If, in the midst of a fight with your partner, you can label your angry thoughts and hurt feelings as “just my rejection script,” or if you can notice your blood pressure rising and your face getting redder, then you have a greater degree of choice about how to behave. Rather than feeling compelled to scream and attack or vigorously defend your position, you can instead choose to take a break, connect with your love for your partner, or try to understand his/her point of view. As a result, you should have reduced stress and more loving, connected relationships.” – Melanie Greenberg

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

Study Summary

Khaddouma, A., Coop Gordon, K. and Strand, E. B. (2016), Mindful Mates: A Pilot Study of the Relational Effects of Mindfulness-Based Stress Reduction on Participants and Their Partners. Family Process. doi: 10.1111/famp.12226

Abstract

Very little is currently known about how increases in dispositional mindfulness through mindfulness training affect the quality of participants’ romantic relationships, and no previous studies have examined how increases in specific facets of mindfulness differentially contribute to relationship health. Additionally, even less is known about how an individual’s development of mindfulness skills affects the relationship satisfaction of his or her romantic partner. Thus, the purpose of this pilot study was to examine associations between changes in facets of mindfulness and relationship satisfaction among participants enrolled in a Mindfulness-Based Stress Reduction (MBSR) course and their nonenrolled romantic partners. Twenty MBSR participants and their nonenrolled partners (n = 40) completed measures of mindfulness and relationship satisfaction pre- and post-enrolled partners’ completion of an MBSR course. Results indicated that enrolled participants significantly improved on all facets of mindfulness and relationship satisfaction, while nonenrolled partners did not significantly increase on any facet of mindfulness or relationship satisfaction. Moreover, enrolled participants’ increases in Acting with Awareness were positively associated with increases in their own and their nonenrolled partners’ relationship satisfaction, whereas increases in enrolled participants’ Nonreactivity were positively associated with increases in their nonenrolled partners’ (but not their own) relationship satisfaction. These results suggest that increasing levels of mindfulness (particularly specific aspects of mindfulness) may have positive effects on couples’ relationship satisfaction and highlight mindfulness training as a promising tool for education and intervention efforts aimed at promoting relational health.