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Buddhist inspired resources for physicians and other health care professionals.

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“When the Bee Collects Honey …

Jan 26th, 2013 by

It does not spoil the beauty or scent of the flower. So let the sage settle in herself and wander as she wills.” — from the Dhammapada, spoken by the Buddha.

Just like the path towards health: finding those things in life that make the body and mind strong and healthy do not usually require going to extravagant lengths, seeking out “famous” healers, doctors or shamans. The same is true for expensive, “rare” supplements. What is needed is right at our fingertips, all around us, simple and unassuming. Fresh air, clean water, simple food, exercise, loving relationships. Become rooted in these and the path towards improving health opens before us.

Posted in Uncategorized | No Comments »

Buddhists’ Delight

Jun 17th, 2012 by

Opinion

Buddhists’ Delight

By JAMES ATLAS

Published: June 16, 2012
WHY was I in a tent in northern Vermont? Much less a tent in the woods at a Buddhist meditation center, reading Sakyong Mipham’s “Turning the Mind Into an Ally” by the light from my smartphone?

Andrew Bannecker

If you really want to hear about it (to borrow a phrase from Holden Caulfield), I was on retreat. Perhaps I should say, I was in retreat, from a frenetic Manhattan life, hoping to find the balance and harmony that have formed the basis of the Buddhist tradition ever since Siddhartha Gautama discovered enlightenment around 2,500 years ago while sitting under a Bodhi tree in Northern India.

The fundamental insight of the Buddha (the Awakened One) is this: life consists of suffering, and suffering is caused by attachment to the self, which is in turn attached to the things of this world. Only by liberating ourselves from the tyranny of perpetual wanting can we be truly free.

Not that I am ready to renounce this world, or its things. “I am still expecting something exciting,” Edmund Wilson confided in his journal when he was in his mid-60s: “drinks, animated conversation, gaiety: an uninhibited exchange of ideas.” So do I. But I need a respite from those things, too.

I wasn’t eager to end like the Buddhist couple who went on a retreat in Arizona and turned up, one dead, one nearly dead from dehydration, in a remote cave. But I am far from alone in my choice of spiritual nourishment. The Vermont retreat was so oversubscribed that people slept on futons in the Shrine Room. (I was lucky to get a tent.) Dr. Paul D. Numrich, a professor of world religions and interreligious relations, conjectured that there may be as many Buddhists as Muslims in the United States by now.

Professor Numrich’s claim is startling, but statistics (some, anyway) support it: Buddhism is the fourth largest religion in the United States. More Americans convert to Buddhism than to Mormonism. (Think about it, Mitt.)

Many converts are what Thomas A. Tweed, in “The American Encounter With Buddhism,” refers to as “nightstand Buddhists” — mostly Catholics, Jews (yeah, I know, “Juddhists”) and refugees from other religions who keep a stack of Pema Chödrön books beside their beds.

So who are these — dare I coin the term? — Newddhists? Burned-out BlackBerry addicts attracted to its emphasis on quieting the “monkey mind”? Casual acolytes rattled by the fiscal and identity crises of a nation that even Jeb Bush suggests is “in decline”? Placard-carrying doomsayers out of a New Yorker cartoon? Uncertain times make us susceptible to collective catastrophic thinking — the conditions in which religious movements flourish.

Or perhaps Buddhism speaks to our current mind-body obsession. Dr. Andrew Weil, in his new book, “Spontaneous Happiness,” establishes a relationship between Buddhist practice and “the developing integrative model of mental health.” This connection is well documented: at the Laboratory for Affective Neuroscience at the University of Wisconsin, researchers found that Buddhist meditation practice can change the structure of our brains — which, we now know from numerous clinical studies, can change our physiology. The Mindful Awareness Research Center at U.C.L.A. is collecting data in the new field of “mindfulness-based cognitive therapy” that shows a positive correlation between the therapy and what a center co-director, Dr. Daniel Siegel, calls mindsight. He writes of developing an ability to focus on our internal world that “we can use to re-sculpt our neural pathways, stimulating the growth of areas that are crucial to mental health.”

I felt this happening during my four-day retreat. Each day, we sat for hours as bees hummed beyond the screened windows of the meditation room, a converted barn. It was hard to concentrate at first, as anyone who has tried meditating knows: it requires toleration for the repetitive, inane — often boring — thoughts that float through the self-observing consciousness. (Buddhists use the word “mindfulness” to describe this process; it sometimes felt more like mindlessness.) But after a while, when the brass bowl was struck and we settled into silence, I found myself enveloped, if only for a few moments, in the calm emptiness of no-thought. At such moments the seven-hour drive from New York seemed worth it.

During the lectures, there was talk of “feelings,” “loving kindness” and “the inherent goodness of who we are” — tempered by good-natured skepticism. (“Feel free to resume struggling with things,” a teacher concluded after a long “sitting.”) But it wasn’t all about looking inward. There was also talk of issues I thought we had left behind. “What’s affecting the world is the unhealthy state of mind — culture, environment and society,” a teacher reminded us: “violence, horror, bias, ecological catastrophe, the entire range of human pain.” In Tibet, he noted, monasteries aren’t sealed off from the life around them but function as community centers. The resistance to Chinese oppression has come largely from monks, who demonstrate and even immolate themselves in protest.

Engaged Buddhism — a concept new to me — has a tradition in the West. Allen Ginsberg and Jack Kerouac, among its early American proponents, didn’t just cultivate their gardens. Kerouac’s Buddha-worshiping “Dharma Bums” were precursors of the sexual revolution (their tantric “yabyum” rituals sound like fun); Ginsberg, a co-founder with Anne Waldman of the Jack Kerouac School of Disembodied Poetics at Naropa University in Boulder, Colo., the first accredited Buddhist-inspired college in the United States, faced down the police at the 1968 Democratic National Convention in Chicago by using meditation as an instrument of passive resistance.

Reading “Buddhism in the Modern World,” a collection of essays edited by David L. McMahan, I was struck by the pragmatic tone of the contributors, their preoccupation with what Mr. McMahan identified as “globalization, gender issues, and the ways in which Buddhism has confronted modernity, science, popular culture and national politics.” Their goal is to make Buddhism active.

As I drove out of the parking lot on the last day, ready — sort of — to return to what passes for civilization, I wondered whether I would be able to hold on to any of what I had learned — or if I even knew what I had learned, or had learned anything at all. Perhaps it was simply the lesson of acceptance — and the possibility of modest self-transformation. A teacher had said: “Don’t fix yourself up first, then go forth: the two are inseparable.” To enact, or “transmit,” change in the world, we need to begin with ourselves and “learn how to have a skillful, successful, well-organized, productive life.” That was a lot to ask from a four-day retreat, but at least it was a start.

My phone pinged. I could check it later.

James Atlas is the author of “My Life in the Middle Ages: A Survivor’s Tale.”

Posted in Uncategorized | No Comments »

Meditative movement as a category of exercise: implications for research.

Jan 19th, 2012 by

J Phys Act Health. 2009 Mar;6(2):230-8.
Larkey L, Jahnke R, Etnier J, Gonzalez J.

College of Nursing and Healthcare Innovation, Arizona State University, Arizona Cancer Center, Phoenix, AZ 85004, USA.

Meditative Movement (MM) is proposed as a new category of exercise defined by (a) some form of movement or body positioning, (b) a focus on breathing, and (c) a cleared or calm state of mind with a goal of (d) deep states of relaxation.

Two forms of exercise meeting this definition, Qigong and Tai Chi, are reviewed to examine health benefits found in the research literature, recap elements that should be assessed in MM research, and suggest where aspects of MM intersect with, and are distinguished from, conventional forms of exercise.

Relevant dimensions of the key elements of MM, such as frequency, duration, type of movement, degree of exertion, description of breathing, and achievement of relaxed state are recommended to be clearly described and measured to consistently define the category across studies and clarify how MM may affect health outcomes in similar, and perhaps different, ways than conventional exercise.

If these suggested standards are used, we will gain a better understanding of which elements are necessary for achieving targeted outcomes. Over time, as MM is studied as a category of exercise, research may progress more efficiently to define the domains of physiological and psychological benefit.

PMID:
19420401

Posted in Exercise | No Comments »

Complementary use of tai chi chih augments escitalopram treatment of geriatric depression: a randomized controlled trial.

Jan 19th, 2012 by

Am J Geriatr Psychiatry. 2011 Oct;19(10):839-50. doi: 10.1097/JGP.0b013e31820ee9ef.
Lavretsky H, Alstein LL, Olmstead RE, Ercoli LM, Riparetti-Brown M, Cyr NS, Irwin MR.

Department of Psychiatry and Biobehavioral Sciences and the Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, USA. hlavrets@ucla.edu

Nearly two-thirds of elderly patients treated for depression fail to achieve symptomatic remission and functional recovery with first-line pharmacotherapy. In this study, we ask whether a mind-body exercise, Tai Chi Chih (TCC), added to escitalopram will augment the treatment of geriatric depression designed to achieve symptomatic remission and improvements in health functioning and cognitive performance.

One hundred twelve older adults with major depression age 60 years and older were recruited and treated with escitalopram for approximately 4 weeks. Seventy-three partial responders to escitalopram continued to receive escitalopram daily and were randomly assigned to 10 weeks of adjunct use of either 1) TCC for 2 hours per week or 2) health education (HE) for 2 hours per week. All participants underwent evaluations of depression, anxiety, resilience, health-related quality of life, cognition, and inflammation at baseline and during 14-week follow-up.

RESULTS:

Subjects in the escitalopram and TCC condition were more likely to show greater reduction of depressive symptoms and to achieve a depression remission as compared with those receiving escitalopram and HE. Subjects in the escitalopram and TCC condition also showed significantly greater improvements in 36-Item Short Form Health Survey physical functioning and cognitive tests and a decline in the inflammatory marker, C-reactive protein, compared with the control group.

CONCLUSION:

Complementary use of a mind-body exercise, such as TCC, may provide additional improvements of clinical outcomes in the pharmacologic treatment of geriatric depression.

PMID:
21358389

Posted in Aging, Mental health, specific medical conditions | No Comments »

Effects of mindfulness training on body awareness to sexual stimuli: implications for female sexual dysfunction.

Jan 14th, 2012 by

Psychosom Med. 2011 Nov-Dec;73(9):817-25. Epub 2011 Nov 2.
Silverstein RG, Brown AC, Roth HD, Britton WB.

Contemplative Studies Initiative, Brown University, Providence, RI 02906, USA.

OBJECTIVES:

Treatments of female sexual dysfunction have been largely unsuccessful because they do not address the psychological factors that underlie female sexuality. Negative self-evaluative processes interfere with the ability to attend and register physiological changes (interoceptive awareness). This study explores the effect of mindfulness meditation training on interoceptive awareness and the three categories of known barriers to healthy sexual functioning: attention, self-judgment, and clinical symptoms.

METHODS:

Forty-four college students (30 women) participated in either a 12-week course containing a “meditation laboratory” or an active control course with similar content or laboratory format. Interoceptive awareness was measured by reaction time in rating physiological response to sexual stimuli. Psychological barriers were assessed with self-reported measures of mindfulness and psychological well-being.

RESULTS:

Women who participated in the meditation training became significantly faster at registering their physiological responses (interoceptive awareness) to sexual stimuli compared with active controls (F(1,28) = 5.45, p = .03, ?(p)(2) = 0.15). Female meditators also improved their scores on attention (t = 4.42, df = 11, p = .001), self-judgment, (t = 3.1, df = 11, p = .01), and symptoms of anxiety (t = -3.17, df = 11, p = .009) and depression (t = -2.13, df = 11, p < .05). Improvements in interoceptive awareness were correlated with improvements in the psychological barriers to healthy sexual functioning (r = -0.44 for attention, r = -0.42 for self-judgment, and r = 0.49 for anxiety; all p < .05).

CONCLUSIONS:

Mindfulness-based improvements in interoceptive awareness highlight the potential of mindfulness training as a treatment of female sexual dysfunction.

PMID: 22048839

Posted in specific medical conditions, Women's Health | No Comments »

A 30-Year Follow-up Study in Nuns in a Secluded Order

Dec 19th, 2011 by

Timio M, Saronio P, Venanzi S, Gentili S, Verdura C, Timio F.

Division of Nephrology and Dialysis, Teaching Hospital, Foligno, Italy.

The powerful effect of psychosocial and acculturating influences on population blood pressure trends seems to be confirmed, through longitudinal observations, in the nuns in a secluded order. After initial observations had been made on culture, body form, blood pressure, diet, and other variables in 144 nuns and 138 lay women, included as a control group, a 30-year follow-up study was undertaken. Most striking were opposite trends noted between the two groups in blood pressure trend. During the follow-up period, blood pressure remained remarkably stable among the nuns. None showed an increase in diastolic blood pressure over 90 mm Hg. By contrast, the control women showed the expected increase in blood pressure with age. This resulted in a gradually greater difference (delta>30/15 mm Hg) in systolic and diastolic blood pressure between the two groups, which was statistically significant. In addition, cardiovascular morbidity and mortality, expressed as the outcome of fatal and nonfatal events, were different in the two groups. They were significantly more common in the lay women than in the nuns. Comparisons between survival curves were statistically significant (p = 0.0043 for fatal events; p = 0.0056 for nonfatal events) between the two groups. In conclusion, it seems reasonable to attribute much of the difference in blood pressure and cardiovascular events, to the different burden in psychosocial factor and to the preserved peaceful lifestyle of the nuns.

Posted in specific medical conditions | No Comments »

Compassionate End-of-Life Care Program

Sep 21st, 2011 by

Compassionate End-of-Life Care, a specialized 3-day contemplative skills training retreat for professional health care workers and trained volunteers offered by Rigpa’s Spiritual Care Program. 
The Spiritual Care Program, an international education, care, and outreach program of Rigpa, integrates the widom practices of Buddhism, and particularly Tibetan Buddhism, and with modern systems of care.
This training intensive introduces core elements of mindfulness and contemplative care with practices and experiential methods that enable caregivers to bring presence, compassion and authenticity to their communication and work with others.
What:  Compassionate End-of-Life Care
When:  October 14th – 16th, 2011
Where: Center for Wisdom & Compassion, Berne, NY
Topics & Objectives include:
•    Cultivating presence through mindfulness meditation practice
•    Self-care and preventing burn-out
•    Methods for cultivating Contemplative Listening
•    Responding to the needs of terminally ill and their families
•    Healing relationships and finding meaning
•    Creating a peaceful & sacred environment to transform dying
Price: $250
CEU’s are available.
For more information about the program or download our flyer: http://www.spcare.org/images/stories/flyers/CEoL_Berne_2011_e-version.pdf
Have questions?  Email usa@spcare.org or go to http://www.spcare.org/en/edu/events-usa/114-compassion-eol-tgi-2011.html

Posted in Compassion, Hospice | No Comments »

The effects of running and meditation on beta-endorphin, corticotropin-releasing hormone and cortisol in plasma, and on mood.

Aug 24th, 2011 by

Biol Psychol. 1995 Jun;40(3):251-65.
Harte JL, Eifert GH, Smith R.

School of Behavioral Sciences, James Cook University of North Queensland, Townsville, Australia.

Abstract

The relations between three hormones of the hypothalamic-pituitary-adrenocortical (HPA) axis, beta-endorphin (beta-EP), corticotropin-releasing hormone (CRH) and cortisol, and mood change were examined in 11 elite runners and 12 highly trained mediators matched in age, sex, and personality. Despite metabolic differences between running and meditation, we predicted that mood change after these activities would be similar when associated with similar hormonal change. Compared to pre-test and control values, mood was elevated after both activities but not significantly different between the two groups at post-test. There were significant elevations of beta-EP and CRH after running and of CRH after meditation, but no significant differences in CRH increases between groups. CRH was correlated with positive mood changes after running and mediation. Cortisol levels were generally high but erratic in both groups. We conclude that positive affect is associated with plasma CRH immunoreactivity which itself is significantly associated with circulating beta-EP supporting a role for CRH in the release of beta-EP. Increased CRH immunoreactivity following meditation indicates, however, that physical exercise is not an essential requirement for CRH release.

Posted in Exercise | No Comments »

Biofeedback and relaxation techniques improves running economy in sub-elite long distance runners

May 11th, 2011 by

Med Sci Sports Exerc. 1999 May;31(5):717-22.
Caird SJ, McKenzie AD, Sleivert GG.
School of Physical Education, University of Otago, Dunedin, New Zealand.

The purpose of this investigation was to determine whether a psychophysiological intervention of biofeedback and relaxation could decrease the submaximal oxygen consumption (VO2submax) during treadmill running and improve running economy for a group of trained long distance runners.

METHODS:

Before and after a 6-wk control phase, seven long distance runners were tested for running economy, peak oxygen consumption (VO2peak), peak running velocity, and stretch-shortening cycle efficiency. These runners then participated in a 6-wk training program in which they learned and practiced relaxation techniques and ran on the treadmill at a velocity eliciting 70% of peak running velocity for 10 min while biofeedback of heart rate (HR), ventilation (VE), and VO2 was presented to them.

RESULTS:

Data indicated that participants were able to lower their VO2, HR, and VE at lactate threshold by 7.3%, 2.5%, and 9.2%, respectively, using relaxation techniques (P<0.05). Post-tests of lactate threshold, VO2peak, peak running velocity, and stretch-shortening cycle efficiency showed that these changes did not occur as a result of a training effect.

CONCLUSION:

It was concluded that the improvements in running economy occurred as a result of the psychophysiological intervention.

PMID:
10331893

Posted in Exercise | No Comments »

Stress reactivity to and recovery from a standardised exercise bout: a study of 31 runners practising relaxation techniques

May 11th, 2011 by

Br J Sports Med. 2000 Aug;34(4):268-72.
Solberg EE, Ingjer F, Holen A, Sundgot-Borgen J, Nilsson S, Holme I.
Department of Medicine, Ullevål University Hospital, Oslo, Norway. erik.solberg@ioks.uio.no

OBJECTIVE:

To compare the efficacy in runners of two relaxation techniques with regard to exercise reactivity and recovery after exercise.

METHODS:

Thirty one adult male runners were studied prospectively for six months in three groups practising either meditation (n = 11) or autogenic training (n = 11) or serving as controls (n = 10). Before and after the six months relaxation intervention, indicators of reactivity to exercise and metabolism after exercise (blood lactate concentration, heart rate (HR), and oxygen consumption (VO2)), were tested immediately after and 10 minutes after exercise. Resting HR was also assessed weekly at home during the trial. State anxiety was measured before and after the intervention.

RESULTS:

After the relaxation training, blood lactate concentration after exercise was significantly (p<0.01) decreased in the meditation group compared with the control group. No difference was observed in lactate responses between the autogenic training group and the control group. There were no significant differences among the groups with regard to HR, VO2, or levels of anxiety.

CONCLUSION:

Meditation training may reduce the lactate response to a standardised exercise bout.

PMID:
10953899

Posted in Exercise | No Comments »

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  • Recent Posts

    • “When the Bee Collects Honey …
    • Buddhists’ Delight
    • Meditative movement as a category of exercise: implications for research.
    • Complementary use of tai chi chih augments escitalopram treatment of geriatric depression: a randomized controlled trial.
    • Effects of mindfulness training on body awareness to sexual stimuli: implications for female sexual dysfunction.
    • A 30-Year Follow-up Study in Nuns in a Secluded Order
    • Compassionate End-of-Life Care Program
    • The effects of running and meditation on beta-endorphin, corticotropin-releasing hormone and cortisol in plasma, and on mood.
    • Biofeedback and relaxation techniques improves running economy in sub-elite long distance runners
    • Stress reactivity to and recovery from a standardised exercise bout: a study of 31 runners practising relaxation techniques

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