Unscientific Soccer? Health Psychology and Social Justice, May 2012

In my April Health Psychology and Social Justice post, I made mention of a research project I am launching. This study will seek to investigate the bio-psycho-social benefits of an existing Iyengar Yoga class as a palliative intervention for cancer patients. Although I do not have cancer (that I know of), I attend this class regularly and have been trying to learn these ancient healing practices experientially. This is because I believe that it is vitally important that, as a Western trained psychologist, I am careful when I utilize culturally different healing practices so as not to pull them too far from their roots.

What happens when we are disrespectful to the cultural roots of a healing practice? First, we deny the experience of people who believe healing to emanate from a culturally learned perspective. We also create risk that, from our own cultural perspective, we might downplay or misunderstand a potentially beneficial intervention for ourselves when we become ill.

As a thought exercise, I would ask that readers entertain the possibility that one of your “doctors” is a Yoga Instructor – someone who believes from their own rigorous training that the path to health is primarily through practices called Ayurveda and Yoga, among others. You have seen this path work well for friends or family or even yourself.

Then imagine your Yoga Instructor seeks to inject into your Yoga practice a healing method called Psychology, which comes from a completely different culture — one that applies a belief system known as the Scientific Method to the treatment of health. You have no personal experience with Psychology, the Scientific Method, or their benefits. Furthermore, when explained, the Scientific Method does not seem to fit with your understanding of Ayurveda and Yoga and the benefits they provide.

If you find yourself resisting the injection of Psychology into your Yoga, the thought experiment may just have worked in the way I imagine. This is because Psychology (and likely Yoga for that matter) are cultural perspectives that rest on assumptions of normality. In Psychology, there is an example is the empirical validation of statements as such:

Cognitive Behavioral Therapy + Pharmacotherapy = the gold standard intervention for depression.

This assumption comes out of the sometimes curious, always statistically-manipulated Western system of disconfirming a hypothesis: that the above interventions do not have an effect significantly worse for a group of treated individuals than is the case for a group of untreated individuals. Here we call the results of these examinations Scientific, and adherence to this doctrine leads us to believe that there is such a thing as a universal gold standard for treating problems like depression.

Traditionally, Psychology adheres to a doctrine that closely resembles the Scientific Method in the way that it treats depression. Yoga, while it may also work to treat depression, does not.

So maybe you see the dilemma. I find that there is a sports metaphor available: examining Yoga as a bio-psycho-social palliative intervention for cancer would be like seeing Soccer for the first time and insisting that the players don helmets and shoulder pads, or else they are not playing Football.

Or, in this metaphor, perhaps Soccer is just plain Unscientific.

 

 

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Investing in the therapy relationship, April 2012

For me, part of the idea of building a therapeutic relationship is sharing what I’ve learned and continue to learn. This does not mean that I make a therapy session about me — quite the contrary. But when a client is looking to remedy an unquiet mind or an uneasy interpersonal relationship, I will often share my related subjective experiences. To me, that’s what relating is — sharing what we have in common with another.

It’s a tricky thing to do as a therapist. Self-disclosure is often frowned upon in a therapist’s training, and by clients who are there with a therapist because they are struggling and need the focus to be on themselves. When I disclose my subjective expeience, it is usually within these two parameters: 1) I believe that what I’m about to disclose will be helpful to the client; and 2) what I disclose is ideally ”teachable” and “learnable” rather than a simple statement of relating for relating’s sake.

Recently, one of my yoga instructors taught a Sanskrit meditation to a class I was in. This is a touching example of a teachable, learnable, relatable moment for me. I’ve since shared this with a number of clients. Try it yourself. Say these words out loud, and let me know what you think:

Maitri (Friendliness) Meditation

May (I) (your full name) be well, happy, and peaceful.

May no harm come to (me).

May no problems come to (me).

May no difficulties come to (me).

May (I) always be successful.

 

May (I) (your full name) also always have

The patience, courage and determination

To meet and overcome

The problems, difficulties and failures in life.

 

Repeat these verses seven times:

  1. For yourself
  2. For your parents (using their full names)
  3. For your family
  4. For your friends
  5. For your casual acquaintances
  6. For your enemies
  7. For all sentient beings

The basis of this meditation is called cittaprasadanam, which is a four-fold remedy to keep the mind serene and pure. It is embodied by the practices of:

  1. Maitri (friendliness)
  2. Karuna (compassion)
  3. Mudita (joy in the success of others)
  4. Upeksam (indifference to attachment to pleasure or pain, virtue or vice. To no always seek pleasure and avoid pain at all costs)
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The Trifecta of Health

With so many articles and news stories published each and every day proclaiming the dire health of the individuals in our society, I am reminded how quickly we forget that taking care ourselves is often in our own power.  In the majority of our lives, maintaining health involves consistently making decisions for our benefit, not our detriment. There are 3 simple daily choices we have direct control over that evidence shows impact our overall well-being.

Sleep
We tend to be a sleep deprived nation, opting to work long hours and pursue recreational activities (late night tv shows anyone) that sacrifice sleep. Most adults require 7-8 hours of sleep per night, although there are no hard and fast rules regarding how much sleep is necessary. The goal with sleep is to know yourself, and focus on getting an adequate amount of sleep that fits your individual needs on a nightly basis.
Diet
There are so many potential factors to consider with diet that it is easy to get lost in the details. There are 2 primary areas of dietary focus that seem to have the most impact: food choice and consumption quantity. Michael Pollan, an author and journalist advocating for health and nutrition said it best: Eat food that is food. Period. Pretty simple, right? Food choices are a fundamental aspect of health. We have a plethora of options of what to consume, and often we make some pretty poor decisions. One way to think about food choices is to consider what you are about to put in your mouth: if it was not hunted, fished, picked, grown, or harvested in the form sitting directly in front of you, chances are that it is not food, but rather a food-like product. Be wary of consuming too many food-like products instead of real food. The second area of focus is quantity of food. Too often we ignore listening to our bodily ques and eat way past the point of fullness. Listen to your body. When your body signals that you are full, stop.
Exercise
Research time and time again points to the advantage of living an active lifestyle. For those Colorado readers, we have a pretty intense take on what this means pursuing many types of extreme sport. For most of us, focusing on 30 minutes of mobility with increased heart rate several times per week has long lasting impacts on overall health (mental and physical) well-being, and sense of vitality. I once heard (can’t recall where) that if you can limit sitting, sleeping, working, taking care of household responsibilities, and watching TV to just 23.5 hours a day, you are probably heading in the right direction with exercise.

Taking care of ourselves needn’t be a difficult, arduous task. With daily attention in each of the above mentioned areas, health and vitality can be sustained.

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Health psychology and social justice

One of the most satisfying aspects of practicing mindfulness based health psychology is that we see results. We are proud to be practicing from a growing body of bio-psycho-social research that repeatedly demonstrates the potential and cost effectiveness of mindfulness and acceptance based intervention in successful treatment of health problems. The Complementary and Alternative Medicine (CAM) movement has begun to legitimize the utilization of so-called alternative healing practices alongside alopathic medical intervention.

We’re looking to add to that body of research, with the added challenge of doing so from a social justice model.

Allow me to explain a little further. In psychology, mindfulness-based interventions are alternatives to traditional cognitive-behavioral therapy models. They are based in Eastern philosophical and healing practices that have centuries of tradition behind them. In short, mindfulness and acceptance represent a distinct cultural perspective.

As mindfulness-based interventions are currently being integrated into Western medicine and psychology (which also represent a distinct cultural perspective), there has been little attention paid as to how to integrate culturally different healing practices.

I believe this integrative process needs to be done with sensitivity, respect and a sense of justice for each of the cultural perspectives that are involved. Unfortunately this has not always been the case.

I invite you to check back in the weeks to come to see how I go about studying and utilizing Eastern healing practices, including Iyengar Yoga, so as to preserve its cultural roots and to facilitate a successful cross-cultural adoption into the Western integrative health system.

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Investing in the therapy relationship

One of the best investments I ever made was in going to therapy. I was in my late twenties; I was disillusioned with my career, my mood state, and my relationships, among other things. I needed a safe place where I could describe this experience out loud.

I didn’t know why or how this would work. My mind was littered with Hollywood and literary depictions of the therapy relationship and I didn’t much enjoy imagining the stereotypes: stuffy,  stodgy men in tweed sitting in judging silence… New Age cornballs pleading that their patients simply understand, ‘it’s NOT YOUR FAULT’… antagonistic know-it-alls who poke and prod simply because they like to poke and prod.

I tried out a couple therapy relationships on for size to see if they worked. One man was a bit too polished – I can’t see Dr. Drew on TV now without thinking of him. The next one felt like his attention was divided, and I found an easy out when he no-showed for our regular appointment in the basement of his home. Maybe it was them, maybe it was me — probably a bit of both. Neither relationship worked. Then there was “Dr. R.”

Probably one of the easiest connections for me to make with him was our ethnic similarity. We both came from Irish and Sicilian ancestry, so there was no need to explain the way I talk with my hands or speak with a certain emphasis and inflection. He was adept at building our relationship, helping me to feel understood, expressing my disillusion as if he was experiencing it. He challenged me on my dedication to the process we had undertaken, asking me repeatedly, ‘what’s gonna get you off the dime?’ He personalized and softened our interactions, asking me why I so formally referred to him as ‘Doctor,’ when his first name would do just fine. He shook my hand after each session, acknowledging my apparent need to add some sort of punctuation to the end of our hour.

Three-and-a-half years later, I was in the place I needed to be: healing, moving forward, now ‘off the dime.’ I embarked on a career change – out of magazine publishing and into psychology with Dr. R’s blessing and encouragement. I started to become who I am still becoming: a person who sees an art to relationship, that fickle, often frustrating — and always temporary — way of being in the world. Our strengths and our most problematic ways of being are almost always best understood in relation to the people around us. I find the meaning of my life lies in relating effectively to the people who are in my life.

Sometimes this means examining how we end relationships – one of the primary tasks of the therapy relationship, which is built to end.

Dr. R helped me access and know these simple truths. As a psychologist today, I often hear his voice in mine as I relate to colleagues, clients, friends and family, relating to them all – and myself – as I do. This is one investment that has paid off.

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You Only Have Moments To Live

‘Oh, I’ve had my moments, and if I had to do it all over again, I’d have many more of them. In fact, I’d try not to have anything else, just moments, one after another, instead of living so many years ahead of my day.’ ~ Nadine Stair

I love this quote by Nadine Stair exemplifying much of the human experience. When not multi-tasking or rushing through our day we are planning for the future or reliving previous events, often wondering if we could have lived them better, or should have said this or done that. Of course there are daily tasks that need accomplishing. But this doesn’t mean we have to be disconnected from the only moment you have to live: this current moment, right here, right now.

Here are some tips for living in the current moment:

  • Focus on your senses. Pay attention to sights typically taken for granted. Search for smells.
  • Take 3 long, deep breaths with intention.
  • Notice where your body is making contact with the chair you are sitting. Bring awareness to how your body feels in those spots.
  • Fully engage yourself in your current activity. When you are drinking coffee, drink coffee. When you are typing, type. When you are thinking, think. Planning, plan.
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The New Home of MindBodyHealth!

Welcome to the new home page of MindBodyHealth! We hope to bring you a fresh look and cleaner design with our new site. We are also afforded the opportunity to blog more regularly about current topics, trends and ideas regarding health, wellness, and mental health concerns and look forward to better connection to our visitors through this process. Please allow the next few weeks as we undergo a few changes on our site and look to optimize content and layout.

In the meantime, we encourage you to live well!

 

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