Reset the Default Mode Network with Meditation

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“I was trying to daydream, but my mind kept wandering.” – Steven Wright

 

We spend a tremendous amount of our time with our minds wandering and not on the task or the environment at hand. We daydream, plan for the future, review the past, ruminate on our failures, exalt in our successes. In fact we spend almost half of our waking hours off task with our mind wandering. You’d think that if we spend so much time doing this it must be enjoyable. But, in fact research has shown that when our mind is wandering we are actually unhappier than when we are paying attention to what is at hand.

 

A system of the brain known as the Default Mode Network (DMN) becomes active during wind wandering and relatively quiet during focused on task behavior. It is involved when we are engaged in internally focused tasks such as recalling deeply personal memories, daydreaming, sleeping, imagining the future and trying to take the perspective of others. The DMN involves neural structures including the medial prefrontal cortex, anterior and posterior cingulate cortices, precuneus, inferior parietal cortex, and lateral temporal cortex. These areas of the DMN are functionally connected, such that they are simultaneously active during mind wandering.

 

In today’s Research News article “The default mode network as a biomarker for monitoring the therapeutic effects of meditation”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1131158196908105/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4460295/

Simon and colleagues review the literature on the DMN and note that its malfunction is associated with psychiatric disorders and returns to normal upon successful treatment of the disorders. The DMN activity is also affected by meditation which has also been shown to produces improvements in psychiatric disorders. So there would appear to be a common thread here; DMN activity.

 

They find that the DMN is abnormally active in a number of psychiatric disorders including schizophrenia, anxiety, depression, autism, attention deficit hyperactivity disorder, and Alzheimer’s disease. In addition, successful treatments of these disorders are associated with a return to normal activity in the DMN. For example when a schizophrenic patient responds favorably to antipsychotic medication, DMN activity is normalized.

 

Meditation training is devoted to improving present moment awareness and decreasing mind wandering. As a result meditation training reduces the activity of the DMN. In addition, meditation has been shown to be beneficial for the treatment of schizophrenia, depression, anxiety disorders, attention deficit hyperactivity disorder, addictions, alcoholism, and mild cognitive impairments.

 

As a result of these findings Simon and colleagues conclude that the state of the DMN may be an excellent indicator of the psychiatric health of the individual and it can also be an indicator of therapeutic improvement. In addition, it is a metric of the effectiveness of meditation for the treatment of disease. Hence, it is postulated that the DMN may be the common thread linking, psychiatric disorders, to therapeutic effectiveness, and to mindfulness training. If this is true it could lead to more effective diagnosis and treatment of mental illnesses with meditation.

 

Needless to say the Default Mode Network (DMN) may be much more important than just the seat of mind wandering. It may be a crucial for mental health.

 

So, reset the default mode network with meditation and improve psychiatric health.

 

“Remember that breath walking – as with any meditation technique – should not be pursued with a grim determination to ‘get it right.’ The point is to cultivate openness, relaxation and awareness, which can include awareness of your undisciplined, wandering mind.” – Andrew Weil

 

CMCS – Center for Mindfulness and Contemplative Studies

 

When Nothing Else Works for Depression Mindfulness Can!

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“When I see new patients with treatment-resistant depression, I tell them that if they want to borrow some of my optimism, they’re welcome to it. . .Despite how it feels, lots of people have been through this and lots of people get better.” – Ian Cook

 

Major Depression is the most common mental illness affecting over 6% of the population. 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 of the depression. After repeated and varied treatments including drugs, therapy, exercise etc. only about two thirds of patients attained remission. This leaves a third of all patients treated without success. 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. In today’s Research News article “Transcranial Magnetic Stimulation, and Depression Specific Yoga and Mindfulness Based Cognitive Therapy in Management of Treatment Resistant Depression: Review and Some Data on Efficacy”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1130698403620751/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609854/

Pradhan and colleagues review the research literature on alternative treatments for treatment-resistant depression; ketamine, transcranial magnetic stimulation, and yoga and mindfulness interventions.

 

They report that infusion of the drug Ketamine, a glutamate receptor (NMDA) antagonist, has been shown to be effective quickly for treatment-resistant depression. Unfortunately its effects last only about a week and it has some troubling side effects. Another treatment, repetitive transcranial magnetic stimulation (rTMS) stimulates the human cortex through external magnetic stimulation and can be applied non-invasively. It appears to be effective for the relief of treatment-resistant depression in about half of the patients and it has very few and mild side effects. But treatments must be provided on a daily basis in a doctor’s office. So, it is very inconvenient and thereby often impossible for the patients.

 

Contemplative practices such as meditation and yoga are low cost and generally safe with few if any side effects. They have been shown to be effective for depression and to prevent relapse (see http://contemplative-studies.org/wp/index.php/category/research-news/depression/). A combination of cognitive behavioral therapy with mindfulness and meditation techniques, Mindfulness Based Cognitive Therapy (MBCT) has been demonstrated to be effective for depression even after drugs have failed to relieve the depression (see http://contemplative-studies.org/wp/index.php/2015/07/17/dealing-with-major-depression-when-drugs-fail/).

Pradhan and colleagues perform a pilot study of a combination of MBCT and yoga they term Depression Specific Y-MBCT (DepS Y-MBCT) applied to treatment-resistant depression patients, one third of whom had suicidal tendencies. Of the 32 participants, 27 achieved remission from depression that was maintained for at least two months. These are exciting findings. A low cost and safe therapeutic technique combining mindfulness, yoga, and cognitive behavioral therapy produced and 85% remission rate for patients who did not respond to other treatments. Of course, these results need to be repeated in a randomized clinical trial. But, these results certainly justify the effort.

It is interesting that a disease like depression that is thought to be organically based in defective brain chemistry can be treated by a behavioral treatment. But, yoga and meditation have been found to alter the structure, connectivity, and chemistry of the brain. So, it may not be so mysterious how a behavioral treatment might be effective for a primarily physiological disorder. The mind and body are one. Treating the mind can also treat the body. This is one of the major messages of the alternative medical treatment movement.

 

So, apply mindfulness when nothing else works for depression.

 

“Start living right here, in each present moment. When we stop dwelling on the past or worrying about the future, we’re open to rich sources of information we’ve been missing out on—information that can keep us out of the downward spiral and poised for a richer life.” ― Mark Williams

 

CMCS – Center for Mindfulness and Contemplative Studies

 

The Power of Retreat 5 – Meditation and Spirituality

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“Meditation is the discovery that the point of life is always arrived at in the immediate moment.” – Alan Watts

 

In a prior essay ‘The Power of Retreat 4 – the Container of Silence’ (https://www.facebook.com/ContemplativeStudiesCenter/insights/?section=navPosts), the effects of the container in which retreat is conducted were explored. But, the point of retreat is not the container, it is what transpires within it. Meditation and contemplation are the primary practices of the retreat. The amount varies with different types of retreats. The one we just returned from the amount of meditation varied between 3 to 4+ hours per day occurring in 6 to 8 periods beginning at 7:30 in the morning through 9:30 in the evening. The retreat not only allows for deep meditative experiences that build over the course of the retreat, but it also allows for time for contemplation. Just sitting or walking while reflecting on our environment, immediate experience, or the insights occurring in meditation is as important as the meditation itself.

 

The specific type of meditation practiced can vary with different retreats (see links below for explanations of meditation techniques). But, all practices emphasize quieting the mind, reducing the internal conversation and chatter, in order to better see and understand the operation of the mind. The amount of meditation is important as it is a ‘practice’ and over time the mind gets quieter. When the mind quiets all sorts of things can emerge, some expected, some a complete surprise, some sublime, but some very uncomfortable and upsetting. Be forewarned, meditation can produce wrenching experiences. We’ve seen many people spontaneously break out in tears at any moment. Most deal with it effectively, confronting and experiencing troubling experiences and the attached strong emotions. This is actually a very good thing as it can help to heal inner wounds that may have festered for decades. But, some participants are overwhelmed and need assistance or need to leave the retreat. Don’t be put off, these are important experiences and may constitute breakthrough moments, leading to self-transformation.

 

The intent of meditation is not to elicit thinking or emotions, even though thinking and emotions occur frequently during meditation. The intent is to allow inner silence to prevail. At the retreat we attended we all wore tags stating “I am observing silence.” This can be viewed very practically as a message to everyone around who may not be participating in the retreat, that we’re not open to conversation, or even everyday niceties. But, it’s true meaning is deeper. It suggests that we are observing silence itself, the silence within that is ever present and the foundation upon which all experiences emerge. It is a wonderful experience to be deeply immersed in the silence.

 

A powerful component of retreat is the commitment and intention that the participants bring. Most people coming to a retreat are very committed. The investment of money and especially a week’s time is a concrete expression of that commitment. The week taken away from work and everyday activities is dear to many. It could have been used to take a cruise, tour a foreign country, go to a beach or theme park, visit friends and family, etc. So, the choice to go on retreat instead is meaningful. This commitment provides the motivation for the individual to focus on the work of the retreat and particularly on their intention. Most come with an intention to work on self-understanding, which may paradoxically include a loss of self! In addition, the fact that there is a group of committed individuals with a shared intention present energizes the retreat.

 

For many the intention is for spiritual development. Some come to retreat with a specific intention to experience spiritual awakening or to experience a union with God. But, even those who come for personal development reasons often migrate toward spiritual development. This is a natural outgrowth of meditation. It is impossible to look deeply inside, particularly at the silence and emptiness and not be spiritually affected, to not glimpse the deeper aspects of existence. In fact, it is common in retreat for people to have awakening experiences. These frequently occur not in the meditation itself but during the contemplative time. That’s frequently where the fruits of meditation ripen. Additionally, the supportive environment of retreat can promote awakenings as the individual knows that these unusual experiences will be accepted and understood, whereas in everyday life they are not.

 

Silent meditation retreat is an opportunity to move away from our everyday lives. Some may see this as an opportunity to escape them but the power of retreat is not to escape our lives but to provide perspective on them. Yes, work, chores etc. must be done. But, by putting perspective on their true importance we become less stressed and anxious about them and don’t ruminate about unfinished tasks. Rather, we can begin to live our life with balance, making sure that we take care of what constitutes the to do list of our happiness and growth. It has been pointed out that absolutely no one, on their death bed, wishes that they had spent more time at work. Retreat can provide this same kind of perspective. We come away from retreat with a clear realization that we must give higher priorities and more time to our emotional and spiritual lives. We must invest the precious time of our lives in rest and contemplation. We must devote ourselves more to others and especially, to caring for ourselves. We can see how important our relationships, family and friends are to our inner reality. Retreat can provide this perspective for us and is part of its life-altering power.

 

We highly recommend retreat, especially silent retreat, for those who wish for personal or spiritual development. But, be prepared. It is often not the pleasant relaxing time off that many envision. It can be emotional and spiritual dynamite that needs to be approached with caution.

 

“As gold purified in a furnace loses its impurities and achieves its own true nature, the mind gets rid of the impurities of the attributes of delusion, attachment and purity through meditation and attains Reality. – Adi Shankara”

 

CMCS – Center for Mindfulness and Contemplative Studies

 

MEDITATION PRACTICE

The following links to the CMCS Blog http://contemplative-studies.org/wp/ review the methods and consequences of meditation.

 

Beginning Meditation 1 – Preliminaries

http://contemplative-studies.org/wp/index.php/2015/07/20/beginning-meditation-1-preliminaries/

 

Beginning Meditation 1 – Preliminaries 2

http://contemplative-studies.org/wp/index.php/2015/07/21/beginning-meditation-1-preliminaries-2/

 

Beginning Meditation – Getting Started 1 – Positions

http://contemplative-studies.org/wp/index.php/2015/07/22/beginning-meditation-getting-started-1-positions/

 

Beginning Meditation – Getting Started 2 – Breath Following 1

http://contemplative-studies.org/wp/index.php/2015/07/23/208/

 

Beginning Meditation – Getting Started 3 – Breath Following 2

http://contemplative-studies.org/wp/index.php/2015/07/24/beginning-meditation-getting-started-3-breath-following-2/

 

Beginning Meditation – Getting Started 4 – Open Monitoring Meditation

http://contemplative-studies.org/wp/index.php/2015/07/25/beginning-meditation-getting-started-4-open-monitoring-meditation/

 

Meditation Techniques – Loving Kindness Meditation

http://contemplative-studies.org/wp/index.php/2015/07/26/meditation-techniques-loving-kindness-meditation/

 

Meditation Techniques – Body Scan Meditation

http://contemplative-studies.org/wp/index.php/2015/07/27/meditation-techniques-body-scan-meditation/

 

What to Look for in Meditation

http://contemplative-studies.org/wp/index.php/2015/07/28/what-to-look-for-in-meditation/

The Power of Retreat 4 – the Container of Silence

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“Speak only if it improves upon the silence.” ― Mahatma Gandhi

“silence is the language of god, all else is poor translation.” ― Rumi

 

We spent all of last week at a silent meditation retreat. It is a powerful experience that I highly recommend. First off it is liberating from the mundane chores. Everything is provided. You don’t have to shop, cook, or clean dishes. You don’t need to clean or even make your bed. In addition, your day’s schedule is pretty much set out for you. Our teacher commented that it’s a ‘lazy man’s nirvana!’ This frees up the mind from planning and the mundane duties of daily life, allowing for more focus, more self-exploration, and less doing and more being.

 

The full experience requires refraining from communicating with everyone around through speech, writing, gestures, or non-verbals; removing access to media and the internet; turning off smart phones; and completely removing reading materials, and access to TV, computers, etc. At first glance the container of silence in the retreat may seem a bit intimidating. For an individual accustomed to the modern world this can seem daunting, as a friend commented ‘it sounds awful.’ To many, particularly first timers, this can initially be very disorienting. But we adjust within a day or two and enter the flow of retreat. The disquiet notwithstanding this container of silence is foundational. It is responsible for many of the extremely positive benefits of retreat. It sets that stage for deeper explorations and understandings. All the negatives are soon eclipsed by the obvious benefits.

 

One of the simple things we learn is how little communications is actually necessary. By doing without it we come to understand that much of it is small talk, automated social responses, serving our own egoic agendas, and self-generated distractions. It also highlights what communications are really important, from simply dealing with the logistics of life, like where and when shall we meet for lunch to the truly important emotional communications that sustain us and the ones we love. This sets the stage for what we do after retreat in focusing our communications more on those that truly matter.

 

The silence has some interesting effects on our senses. We become much more aware of and sensitive to sensory experiences. Food tastes and odors are amplified and meals become savored, appreciated and eaten slowly. This is in contrast to our normal distracted forms of eating while conversing, listening to music, reading, watching TV, texting etc. We become much more aware of not only our senses but also our internal states of hunger, fullness, and satiety. Sounds that we usually ignore become vibrant and salient. The silence reduces many of the noises that often pollute out sensory environment, so bird chirps, footsteps, trees rustling in the wind, a cough, a car driving past, are not only noticed but deeply experienced. Our thoughts even become clearer, unencumbered by the din of external speech. All of this serves to heighten our awareness of the present moment, making us more aware of what actually constitutes the experiences that form the stream in which we live our lives.

 

The container of silence makes us much more aware of our thoughts and clearer on their content. This is an important benefit that helps to make the retreat work. By being better tuned into the incessant chatterbox that constitutes our internal speech, what a friend calls ‘her crazy roommate’, we are often shocked by their repetitiveness and vacuous quality. This is a lesson that is strongly reinforced in meditation. In addition, everyday our minds and energies are dominated by the demands of our lives, from work, family, friends, chores, or simply the to do list. The immediacy of the demands somehow gives them an importance that is unwarranted. Moving away from these demands in retreat provides perspective on their true place in the grand scheme of our lives. We begin to see that most of these demands are really not that important after all. We begin to see that other things that have been relegated to back stage and neglected are actually much more important. So, the container of silence allows us to both see the triviality of many of our thoughts producing a highlighting of the truly important ones.

 

The container of silence also heightens and makes us much more aware of our emotions. There is little to distract us from our bodily sensations that are an essential component of our emotions. There is little going on to blame them on. So we have to confront their internal origins. I became very aware of my frustration while having to wait for my partner as she meticulously prepared to depart for the dining hall for a meal. Where previously I would blame her for my upset, the environment of the retreat allowed me to see how I was making myself upset. It allowed me to see that I felt the way I did because I wanted things to be different than they were. The insight burst forth that trying to oppose what is, was the source of unhappiness. When I simply accepted it, I felt much better and learned to use the time to look deeply at my own inner world. As an added bonus it made a wonderful relationship that much better.

 

In this context of silence, it is impossible to escape from oneself. Under normal conditions we can avoid troubling thoughts and memories by distracting ourselves with media or conversation. In a silent retreat that is impossible. Thus one has to confront one’s inner self without opportunity for escape. This is an opportunity that is rarely present in life. This is an opportunity to grow and develop psychologically. This is an opportunity to understand ourselves and our minds. What a phenomenal opportunity to become fully integrated human beings. This is an opportunity not to be missed.

 

Of course this is an idealized version of the reality of the retreat container of silence. It is never this clear or this easy. It has many challenges and some are derailed and leave retreat early. But those that persevere are richly rewarded.

 

In the next essay, The Power of Retreat 5 – Meditation and Spirituality, we will look closely at the real goals of the silent retreat.

 

“Silence is only frightening to people who are compulsively verbalizing.” ― William S. Burroughs

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Retreat for Longevity

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meditation retreat Conklin2

 

“People seek out retreats for themselves in the country, at the seaside, on the mountains…but nowhere can a person find a retreat more full of peace than one’s own soul.  Make use then of this retirement continually and regenerate thyself.” – Marcus Aurelius

 

The genes govern cellular processes in our bodies. One of the most fundamental of these processes is cell replication. Our bodies are constantly turning over cells. Dying cells or damaged are replaced by new cells. The cells turn over at different rates but most cells in the body are lost and replaced between every few days to every few months. Needless to say were constantly renewing ourselves.

 

As we age the tail of the DNA molecule called the telomere shortens. When it gets very short cells have a more and more difficult time reproducing and become more likely to produce defective cells. On a cellular basis this is what produces aging. There is an enzyme in the body called telomerase that helps to prevent shortening of the telomere. So, processes that increase telomerase activity tend to slow the aging process. Contemplative practice has been shown to increase telomerase activity thus helping to prevent cellular aging (see http://contemplative-studies.org/wp/index.php/2015/07/17/aging-healthily-yoga-and-cellular-aging/).

 

It is thought that this protection of telomeres could protect the body’s cells from aging and deterioration and be the basis for the increased longevity in contemplative practitioners. So, it is important to further investigate the effects of contemplative practices on telomeres and telomerase. In today’s Research News article “Telomere lengthening after three weeks of an intensive insight meditation retreat.”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1125997047424220/?type=3&theater

Conklin and colleagues measured telomere length in individuals participating in an intensive insight meditation retreat both before and after three weeks of retreat. They compared the telomere lengths to a group of individuals with a comparable amount of meditation experience but who were not participating in the retreat. They found that after three weeks of retreat the telomeres had significantly lengthened in the retreat group but not in the controls.

 

These findings are interesting and potentially important as they suggest that engagement in a meditation retreat can actually lead to improvement in cellular aging. It should be noted that this was not due to the fact that the participants were experienced meditators as the controls were comparably experienced in meditation. The only thing different was participation in the retreat.

 

This raises the question as to how participation in retreat might be producing a lengthening of telomeres. The authors raise the possibilities that the retreat facilitates “the participant’s cultivation of adaptive mental qualities, which mitigate psychological stress and counter stress-related telomere shortening.” Although this cannot be ruled out as a reasonable explanation, it should be noted that in the retreat the individual is removed from their normal life stresses and this may be the key to the retreat’s effectiveness. It is known that stress decreases telomere length and, if persistent, also reduces longevity. So, the break provided by the retreat may be responsible for lowering stress which in turn lengthens telomeres. It would have been interesting if the researchers had included a three-week vacation group that simply rested without intensive meditation to determine if it were the meditation retreat itself that was effective or simply the rest. Future research will be required to answer this question.

Regardless of the explanation it is clear that participating in a meditation retreat results in a lengthening of a marker of cellular aging, telomeres, and may thereby promote longevity.

 

So, retreat for longevity.

 

“In order to understand the world, one has to turn away from it on occasion.” ― Albert Camus

Regulate Emotions with Mindfulness

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“If your emotional abilities aren’t in hand, if you don’t have self-awareness, if you are not able to manage your distressing emotions, if you can’t have empathy and have effective relationships, then no matter how smart you are, you are not going to get very far.” – Daniel Goleman

 

We are very emotional creatures. Without emotion, life is flat and uninteresting. Emotions provide the spice of life. We are constantly having or reacting to emotions. We often go to great lengths in an attempt to create or keep positive emotions and conversely to avoid, mitigate, or get rid of negative emotions. They are so important to us that they affect mostly everything that we do and say and can even be determinants of life or death. Anger, fear, and hate can lead to murderous consequences. Anxiety and depression can lead to suicide. At the same time love, joy, and happiness can make life worth living. Our emotions also affect us physically with positive emotions associated with health, well-being, and longevity and negative emotions associated with stress, disease, and shorter life spans.

 

The importance of emotions is only surpassed by our ignorance of them. Our rational side tries to downplay their significance and as a result research studies of emotions are fairly sparse and often ridiculed by politicians. So there is a great need for research on the nature of emotions, their effects, how they are regulated or not, and what factors affect them. One important factor is mindfulness. It has been shown to affect our ability to regulate emotions (see http://contemplative-studies.org/wp/index.php/category/research-news/emotions/). Research has demonstrated that people either spontaneously high in mindfulness or trained in mindfulness are better able to be completely in touch with their emotions and feel them completely, while being able to respond to them more appropriately and adaptively. In other words, mindful people are better able to experience yet control emotions.

 

In today’s Research News article “Mindfulness and emotion regulation in older and young adults.”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1125417244148867/?type=3&theater

Prakash and colleagues delve into mindfulness, emotion regulation and dysregulation, and overall well-being in younger (mean 23 years of age) and older (mean 65 years of age) adults. They found that older adults were significantly higher in mindfulness and lower in emotional difficulties (dysregulation). They further found that people who were high in mindfulness were lower in emotional difficulties (dysregulation). This may have been due to the fact that people high in mindfulness were less likely to use suppression or thought avoidance to regulate emotions. As a result, mindful people tended to regulate emotions by confronting them rather than avoiding them. This was substantiated by the finding that high mindfulness was associated with higher emotional clarity. Finally, they found that age made a difference. The younger group had a much stronger tendency to use suppression and thought avoidance than the older group and the influence of these strategies on emotion dysregulation was stronger in the younger group.

 

These results help to clarify how mindfulness may help us avoid emotional difficulties and why older adults appear to have less emotional troubles. The key appears to be the type of strategy used to deal with emotions. Younger people tend to try to suppress the emotion or avoid thinking about it and as a result don’t experience fully, confront, or regulate emotions as well as older adults. But, younger people benefit greatly from mindfulness, reducing the maladaptive suppression and avoidance strategies, and thereby reducing the dysregulation of emotions. Older adults, on the other hand are more mindful and tend not to avoid emotions but to confront them with clarity and thereby are better able to deal with them.

 

So, regulate emotions with mindfulness.

 

“Mindfulness is the aware, balanced acceptance of the present experience. It isn’t more complicated than that. It is opening to or receiving the present moment, pleasant or unpleasant, just as it is, without either clinging to it or rejecting it.” – Sylvia Boorstein

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Up to your Neck in Pain – Try Yoga

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“For many people, managing pain involves using prescription medicine in combination with complementary techniques like physical therapy, acupuncture, yoga and massage. I appreciate this because I truly believe medical care should address the person as a whole – their mind, body, and spirit.” – Naomi Judd

 

We all have to deal with pain. It’s inevitable, but hopefully mild and short lived. But, for many, pain is a constant in their lives. The most common forms of chronic pain are back and neck pain. Indeed, back pain is the number one cause of disability worldwide. In addition, neck pain is the number three cause of chronic pain; affecting more than a quarter of Americans. People who experience chronic back and neck pain are limited in their daily activities and may compensate in order to walk, run, sit, etc. and the compensatory postures can produce further sometimes different problems.

 

There are a myriad of causes for chronic back and neck pain, including something as simple as improper positioning while sleeping, or even sitting or standing with bad posture. It can also occur due to injuries, accidents, heavy lifting or other spinal issues. These types of pain are not only a problem for the individual but are also costly for society as they constitute the largest category of medical insurance claims.

 

Just as there are many different causes there are also a plethora of treatments for back and neck pain. The most common is the use of drugs, including over –the-counter pain relievers and at times opiates. These are helpful but have limited effectiveness. Sometimes the pain can lead to surgical interventions that can be costly and are not always effective. So, alternative treatments such as acupuncture have also been used with some success. Yoga is another promising alternative treatment for back and neck pain. Many forms of yoga focus on the proper alignment of the spine, which could directly address the source of back and neck pain for many individuals.

 

We’ve seen in previous posts that yoga can be effective for the relief of chronic low-back pain

http://contemplative-studies.org/wp/index.php/2015/11/23/treat-back-pain-with-yoga/. Indeed, Mindfulness Based Stress Reduction (MBSR) which includes yoga practice is effective for low back pain (see http://contemplative-studies.org/wp/index.php/2015/10/17/control-low-back-pain-with-mindfulness/).In today’s Research News article “Effectiveness of Iyengar yoga in treating spinal (back and neck) pain: A systematic review”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1124994394191152/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4278133/

Crow and colleagues review the published randomized controlled trials (RCTs) of the application of yoga for the relief of back and neck pain. They found that yoga produced clinically significant improvements in pain intensity. There was clear and strong evidence for effectiveness on the short term. Only three trials had long-term follow-up but were supportive that yoga has sustained effectiveness.

 

Yoga has many positive benefits for the physical and psychological well-being of the individual and can even provide spiritual benefits. It is generally safe when taught by well-trained yoga instructors, but can still have some adverse effects and practice needs to be tempered with moderation and caution. The present review, hiowever, provides strong support for its use in treating chronic back and neck pain.

 

So, practice yoga and relieve chronic back and neck pain

 

“The practices of Yoga equip us with tools for transcending this suffering – and for transcending our moments of happiness, too. Even moments of elation, contentment, and joy carry the future pain of their termination, after all.”  – Sharon Gannon & David Life

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Quit Smoking Mindfully

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“Giving up smoking is the easiest thing in the world. I know because I’ve done it thousands of times.” – Mark Twain

 

“Tobacco use remains the single largest preventable cause of death and disease in the United States. Cigarette smoking kills more than 480,000 Americans each year, with more than 41,000 of these deaths from exposure to secondhand smoke. In addition, smoking-related illness in the United States costs more than $300 billion a year. In 2013, an estimated 17.8% (42.1 million) U.S. adults were current cigarette smokers.”  (Centers for Disease Control and Prevention).

 

Nicotine is one of the most addictive substances known. But, its addictiveness is not just due to its pharmacological properties. Addiction to smoking also involves learned or conditioned factors, genetics, and social and environmental factors. This makes it easy to become addicted and very difficult to stop. To some extent this is why there still are high rates of smoking even though mostly everyone understands that it has very negative effects on health and longevity.

 

There are a wide variety of methods and strategies to quit smoking which are to some extent effective. According to the National Institutes of Health, about 40% of smokers who want to quit make a serious attempt to do so each year, but fewer than 5% actually succeed. Most people require three or four failed attempts before being successful. One problem is that after quitting if a single cigarette is smoked, going back to regular smoking is almost assured. As John Polito wrote “nicotine dependency recovery is one of the few challenges in life where being 99% successful all but assures 100% defeat.”

 

So, better methods to quit which can not only promote quitting but also prevent relapse are badly needed. In today’s Research News article “Randomized trial comparing mindfulness training for smokers to a matched control”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1124440280913230/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4121076/

Davis and colleagues compared the efficacy of a mindfulness training for smokers (MTS) program to the American Lung Association’s Freedom from Smoking (FFS) program. The MTS program included meditation, group support, and instruction on mindful management of smoking triggers, urges, addictive thoughts and emotions. They applied these programs to quitting smoking with low socioeconomic status smokers, a very difficult segment of the population to treat. Both groups used nicotine patches for the first two weeks of treatment.

 

They found that at four weeks after the end of treatment 35% of the mindfulness training group and 34% of the FFS group were smoking abstinent. But at 24 weeks 25% of the mindfulness group were still abstinent compared to 18% for the FFS group. This suggests that mindfulness may be helpful in maintaining abstinence after successful quitting of smoking. The mindfulness training group not surprisingly had higher mindfulness scores. Importantly, they showed lower urges to smoke after quitting. In addition, the mindfulness training group showed a lower tendency to avoid experiences. It is important to note that mindfulness training had these effects in a low socioeconomic status group which have traditionally been found to be difficult to treat.

 

These are exciting results and suggest that mindfulness training may be an important addition to programs for smoking cessation. It appears that mindfulness may be effective by reducing urges to smoke. Mindfulness training increases focus of an acceptance of the present moment. After the physiological symptoms of smoking withdrawal are over the most difficult issues that tend to produce relapse are learned environmental and social triggers to smoke. It is possible that mindfulness training allows the individual to be better at understanding and accepting these triggers and not avoid experiences but confront them. This may then decrease the urge to smoke and improve abstinence.

 

Regardless of the mechanism, mindfulness training appears to be a beneficial addition to smoking cessation programs. Of course, further research is needed.

 

So, quit smoking mindfully.

 

“Smoking sucks! The one thing I would say to my kid is, ‘It’s not just that it’s bad for you. Do you want to spend the rest of your life fighting a stupid addiction to a stupid thing that doesn’t even really give you a good buzz?’” – Katherine Heigl

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Decrease Suicidality with Mindfulness

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“Killing yourself is a major commitment, it takes a kind of courage. Most people just lead lives of cowardly desperation. It’s kinda half suicide where you just dull yourself with substances.” – Robert Crumb

 

Suicide is the 10th leading cause of death in the US for all ages. It is much more prevalent with males who account for 79% of suicides. Every day, approximately 105 Americans die by suicide. Worldwide over 800,000 people die by suicide every year. (Suicide Awareness Voices of Education). Yet compared with other life threatening conditions there has been scant research on how to identify potential suicide attempters and reduce suicidality.

 

Depression and other mood disorders are the number-one risk factor for suicide, but alcohol and drug abuse – even without depression – are a close second. In fact, research has shown that the strongest predictor of suicide is alcoholism, not a psychiatric diagnosis. People with substance use disorders are about six times more likely to commit suicide than the general population. To make matter worse people with substance abuse are often incarcerated. In prison suicidality is even higher than outside. It is not the primary effects of the substances that promote suicide as the likelihood of suicide does not decline after complete withdrawal from the drugs or alcohol.

 

So there is a great need to study suicidality especially in conjunction with substance use disorders to identify predictors and potential methods to prevent actual suicide attempts. In today’s Research News article “Trait Mindfulness, Reasons for Living and General Symptom Severity as Predictors of Suicide Probability in Males with Substance Abuse or Dependence”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1123964037627521/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434430/

Mohammadkhani and colleagues studied incarcerated and outpatient substance abusers and measured mindfulness, psychiatric symptoms, reasons for living, and suicide probability. These groups were indeed high risk as 36% of the outpatients and 42% of the incarcerated participants had attempted suicide. They found that the strongest single predictor of suicide probability was the severity of the individuals’ psychiatric symptoms and the second was fear of social disapproval. Importantly, they found that the higher the level of mindfulness, the lower the probability of suicide.

 

These findings are interesting and suggest that mindfulness training might be an effective intervention to lower suicidality and the risk of attempting suicide in the high risk population of substance abusers. Of course, a randomized clinical trial is needed to establish effectiveness.

 

The findings also raise interesting questions as to why mindfulness might be an antidote to suicidality. There are a number of known effects of mindfulness that might account for its negative association with suicidality. Mindfulness has been shown to decrease psychiatric symptoms and depression, the leading causes of suicide attempts. Indeed, they found that high mindfulness was associated with lower levels of psychiatric symptoms. Mindfulness also improves emotion regulation allowing the individual to respond more adaptively to sometimes overwhelming emotions. In addition, it is known to reduce physiological and psychological responses to stress which might lower stress’ ability to prompt a suicide attempt. In addition, suicide is often associated with hopelessness about the future. Mindfulness by increasing focus on the present moment lowers worry and rumination about the future and may thereby reduce the likelihood of a suicide attempt. Finally, mindfulness is known to help prevent relapse after successful withdrawal from addiction and this may make the individual more hopeful about the future.

 

Regardless of the reasons, mindfulness appears to be able to buffer the individual against the forces that can promote and prompt suicide.

 

“Suicide is a serious thing. And if you know anyone who is suicidal, you need to get them help. No one should be in pain. Everyone should love themselves.” – Gerard Way

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Lower Disordered Eating with Genuine Religion and Spirituality

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“Eating disorders are like a gun that’s formed by genetics, loaded by a culture and family ideals, and triggered by unbearable distress.” – Aimee Liu

 

Around 30 million people in the United States of all ages and genders suffer from an eating disorder; either anorexia nervosa, bulimia, or binge eating disorder.  95% of those who have eating disorders are between the ages of 12 and 26. Eating disorders are not just troubling psychological problems, they can be deadly, having the highest mortality rate of any mental illness. Indeed, the mortality rate associated with anorexia nervosa is 12 times higher than the death rate associated with all causes of death for females 15-24 years old

 

Anorexia Nervosa is particular troubling as it is often fatal as sufferers literally starve themselves to death. It occurs in about 1% to 4% of women in the U.S. In binge eating disorder (BED), the initiation of eating frequently results in the ingestion of wildly excessive amounts. It is called disinhibited eating as there appears to be no restraints (inhibitions) that stop food intake. Once eating starts it goes on without anything holding it back. “Binge eating disorder is the most common eating disorder in the United States, affecting 3.5% of women, 2% of men, and up to 1.6% of adolescents.” – National Eating Disorders Association. Bulimia Nervosa is characterized by a cycle of binge eating followed by some form of purge, often induced vomiting. It is estimated that up to 4% of females in the United States will have bulimia during their lifetime. Tragically around 4% of the sufferers will die.

 

Disordered eating is difficult to deal with in part because it is frequently paired with other disorders. In fact, around 50% of people with eating disorders meet the criteria for clinical depression. Eating disorders are also difficult to treat because eating is necessary and cannot be simply stopped as in smoking cessation or abstaining from drugs or alcohol. One must learn to eat appropriately not stop. So, it is important to find methods that can help prevent and treat eating disorders. Contemplative practices, mindfulness, and mindful eating have shown promise for treating eating disorders (see http://contemplative-studies.org/wp/index.php/category/research-news/eating/).

 

In today’s Research News article “Religiosity, spirituality in relation to disordered eating and body image concerns: A systematic review”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1123497741007484/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4536728/

Akrawi and colleagues review the literature on the relationship between religiosity and eating disorders. They defined religiosity “as a system of organized beliefs, practices, rituals and symbols designed to facilitate closeness to the transcendent” and spirituality “as the personal quest for understanding answers to ultimate questions about life, meaning, and a relationship with the transcendent.” They found that an extrinsic orientation to religion and spirituality where faith was superficial and religion was “pursued for social reasons, and seen as a way of achieving status, acceptance and security,” was associated with higher levels of disordered eating. Conversely, they found that an intrinsic orientation to religion and spirituality where faith was deep and devout and religion was associated “with deeply internalized beliefs manifested through strong religious observance and commitment,” was associated with lower levels of disordered eating. So sincere spirituality but not superficial spirituality is related to low incidence of eating disorders.

 

Eating disorders are often driven by social concerns, particularly about how one appears to others. So, it is not surprising that superficial faith that is also pursued for social reasons would be associated with high levels of eating disorders. The individuals’ high reliance on the opinions of others is their downfall. On the other hand a deep and devout religious orientation is associated with the idea that the body is a temple of God and must be treated as a sacred object. So, it is not surprising that devout faith is associated with lower levels of eating disorders. The individual looks to a higher power for solutions to their problems.

 

It is not known what the causal connections might be. It is possible that the kinds of people who are sincerely religious are also the kinds of people who are resistant to eating disorders rather than spirituality being the cause of lower rates of eating disorders. But the results are promising and suggest that devout engagement in religion and spirituality may be of assistance in resisting the development of an eating disorder.

 

So, lower disordered eating with genuine religion and spirituality

 

“Most women in our culture, then, are disordered when it comes to issues of self-worth, self-entitlement, self-nourishment, and comfort with their own bodies; eating disorders, far from being ‘bizarre’ and anomalous, are utterly continuous with a dominant element of the experience of being female in this culture.” – Susan Bordo

 

CMCS – Center for Mindfulness and Contemplative Studies