'Good' cholesterol dementia risk
Too little of one type of cholesterol has been linked by research to memory loss and Alzheimer's disease.
UK and French scientists studied 3,673 civil servants, revealing low levels of "good" cholesterol were associated with poor memory.
Doctors might be able to uncover high-risk patients using blood tests, they said in a US heart journal.
But other experts said the study did not yet support larger diet trials aiming to boost levels.
The relationship between levels of HDL, or "good", and LDL, or "bad" types of cholesterol is thought to be important in the development of other serious conditions such as heart disease and stroke.
Higher levels of HDL, in particular, are believed to protect against damage to blood supply caused by the narrowing of the arteries.
There is also evidence that "good" cholesterol can influence the laying down of the beta-amyloid "plaques" that are a distinctive feature in the brains of Alzheimer's patients.
|
Dr Archarna Singh-Manoux
Study author |
Regular exercise and eating less saturated fat, while eating more "healthy" fats such as olive oils, can boost levels.
The researchers, from University College London and the INSERM institute in France, used data from the Whitehall II trial - a collection of thousands of civil servants, to see what influence it might have over memory within a five-year period.
They took blood samples at the start of the study, and gauged word recall with a simple test. That was repeated again at the end of the study.
The researchers found that people with low levels of HDL were 53% more likely to suffer memory loss compared with the people with the highest levels of HDL.
People with impaired memory have a much greater risk of going on to develop dementia later in life.
Early sign
Dr Archarna Singh-Manoux, who led the study, said: "Memory problems are key in the diagnosis of dementia.
"This suggests that low HDL cholesterol might also be a risk factor for dementia."
She said that doctors should be encouraged to monitor HDL levels in order to predict dementia risk.
However, an editorial in the same journal, Arteriosclerosis, Thrombosis, and Vascular Biology, by Dr Anatol Kontush and Dr John Chapman, from INSERM and the Universite Pierre and Marie Curie in Paris, said that the study did not prove that low HDL could cause memory loss, or high HDL protect against it.
"Unfortunate results in large interventional trials with dietary antioxidants suggest that we should remain cautious when proposing therapeutic intervention," they wrote.
Dr Susanne Sorenson, from the Alzheimer's Society, said HDL cholesterol was believed to transport harmful cholesterol from the arteries back to the liver to be degraded.
"This study shows that if there is not enough HDL to transport cholesterol and other lipids around the body, it can not only increase your risk of heart disease but also affect your memory and may increase your risk of getting Alzheimer's disease.
"We know that controlling cholesterol in midlife is important if you are to reduce your risk of developing vascular dementia later and this may also be important for the development of Alzheimer's disease."In the world of time, complications always appear. Character likes slowness and desires us to wait.
Waiting is not provisional time, servant to another moment yet to come -- it is time in itself. It has its own elegance and disciplines. We wait so that we can catch up with ourselves, so that the rhythm can take shape before we start to dance; we wait because we can imagine far ahead of our ability to embody. A person arriving at a traditional Japanese monastery is turned away at first. It takes three days to get in. During that time, at best, we sit alone in a room, meditating; at worst, we stand in the snow. This is not a time to act, but to allow the world to act. During such days only inner events take place and so, invisibly, a transition occurs, as we move from outside the community to inside it. Afterwards, our actions and our appearance do not necessarily change, but everything has been shifted into the realm of the sacred.
When we are blocked, when circumstances are not ripe, we have to find some way of acknowledging that we are waiting, that we are pregnant and not merely asleep. Pausing like this is at the heart of meditation practice. When we attend closely to our lives, though it seems that nothing is happening, in the subterranean currents, reconciliation is setting off, invisible until the moment of its arrival. This waiting is not an effort at working a problem through, nor is it getting out of the way -- it is being in the way just a little, just enough to allow the universe to work the problem through.
There is a moment when Jesus shows his mastery of such timing. In the story, a crowd has caught a woman sleeping with a man not her husband. They are angry and want to stone her to death. It is not clear why they ask Jesus to speak; perhaps they want his blessing on the murder, perhaps there is some unconscious doubt in them. Jesus does intervene but not straightway -- preaching to an angry mob is a ticklish business. At first he distracts: he draws on the ground with a stick. We are not told what he draws; it is the action itself that is important. This is an inventive gesture: it offers no answer, yet keeps the question in suspension. The crowd becomes unsure whether this is his response or not: a gap opens in their certainty. Time passes, and the moment becomes less fixed. Then, when Jesus speaks, the reproof in his words is indirect and points to the quest for knowledge. "let him who is without sin cast the first stone." The men in the crowd are turned inwards and so walk away, each into his own destiny. Like other good solutions in desperate moments, this one came from nowhere, unpremeditated, given by grace.
In the inner life, readiness is one of the most important things. It is like a horse -- the whole body has to turn toward the stream before she will drink. Our animal selves have to be aligned with the change. We have to be faithful to our lives -- eat the cornflakes, write the memo, change the diapers, take the kids to the beach -- and faithful also to that one small thing, which is the know in the current of time, which brings awareness to our waiting. Our integrity is to observe these periods of waiting, the way in certain religious traditions the faithful observe fast days.
The forces of sleep and oblivion are so great that one conscious thing has to be in our lives every day: we need to touch the talisman that keeps us turned toward awareness. Meditation serves our integrity when it is with us daily. Then, when the horse lowers its head and begins to drink, everything will be changed. We can go through life ignoring the existence of that water, but once we have tasted it, we begin to orient our lives toward it.
Waiting in the dark allows us to rest until a solution comes out of the empty world. When we are impeded, we don't despair utterly, our waiting has a dynamic quality. Developing character can be odd work, since it often goes against our normal thoughts of advantage. A strange and successful example involves a friend who had a brilliant but capricious Zen teacher. Suddenly, after many years of training, he had had enough; furious with his teacher, he could no longer bear even to be in the same room with him. Some marriages are like this.
So the man went away and became a leader in his field, all the while working quietly on his spiritual life. Once a year he would go and, in the Asian fashion, bow to his old teacher. He was still angry and disappointed, and this action was the only thing he could find to do with the problem. Year after year he would bow and the teacher would be polite and the matter would rest there. This went on for seven years. Then the student came as before, but this time, inexplicably, his heart was light. It was as if a debt had been paid. It was like that for the teacher too. They laughed and embraced. Their relationship became simple.
This story has an elegant sparseness. Sometimes we can work at a relationship too hard or in the wrong way. Sometimes we have to be patient, to trust the universe to sort out what is beyond our power. But the student did not just leave the matter to fate. He saw that this issue was not an incidental thing, not just a flaw in the road, but the road itself. It contained the problem of the flaws we always find in our mentors, the problem of the self-centered rage in the student that wants acknowledgment more than it wants life or truth, the problem of where to stand in relation to tradition, the problem of love between the generations, and the problem of how wisdom gets passed down. He saw that whatever his teacher's role, he had a task too. In the eventuality, he was true to both sides of the situation. He didn't betray his anger, which had its own kind of integrity, and he didn't ignore the claim of the relationship, which was deep. He found an action, a spontaneous ritual that indicated to everyone involved -- the universe, the teacher, and the student himself -- that the issue was still in play, struggling to find its true form and to give off light.
This kind of ceremonial waiting both requires and develops strength of character. It is different from the pauses of earlier stages of the journey because it includes an awareness that holds even anger in a larger context of connection.
The Knot in the current of Time
-- From
The Light Inside the Dark
Zen, Soul, and the Spiritual Life
by John Tarrant
**
cross posted to Alive on All Channels
The 11 Best Foods You Aren’t Eating
Nutritionist and author Jonny Bowden has created several lists of healthful foods people should be eating but aren’t. But some of his favorites, like purslane, guava and goji berries, aren’t always available at regular grocery stores. I asked Dr. Bowden, author of “The 150 Healthiest Foods on Earth,” to update his list with some favorite foods that are easy to find but don’t always find their way into our shopping carts. Here’s his advice.
- Beets: Think of beets as red spinach, Dr. Bowden
said, because they are a rich source of folate as well as natural red
pigments that may be cancer fighters.
How to eat: Fresh, raw and grated to make a salad. Heating decreases the antioxidant power. - Cabbage: Loaded with nutrients like sulforaphane, a chemical said to boost cancer-fighting enzymes.
How to eat: Asian-style slaw or as a crunchy topping on burgers and sandwiches. - Swiss chard: A leafy green vegetable packed with carotenoids that protect aging eyes.
How to eat it: Chop and saute in olive oil. - Cinnamon: Helps control blood sugar and cholesterol.
How to eat it: Sprinkle on coffee or oatmeal. - Pomegranate juice: Lowers blood pressure and loaded with vitamin C and other antioxidants.
How to eat: Just drink it. - Dried plums: Okay, so they are really prunes, but packed with cancer-fighting antioxidants.
How to eat: Wrapped in prosciutto and baked. - Pumpkin seeds: The most nutritious part of the
pumpkin and packed with magnesium; high levels of the mineral are
associated with lower risk for early death.
How to eat: Roasted as a snack, or sprinkled on salad. - Sardines: Dr. Bowden calls them “health food in a
can.'’ They are high in omega-3’s, contain virtually no mercury and are
loaded with calcium. They also contain iron, magnesium, phosphorus,
potassium, zinc, copper and manganese as well as a full complement of B
vitamins.
How to eat: Choose sardines packed in olive or sardine oil. Eat plain, mixed with salad, on toast, or mashed with dijon mustard and onions as a spread. - Turmeric: The “superstar of spices,'’ it has anti-inflammatory and anti-cancer properties.
How to eat: Mix with scrambled eggs or in any vegetable dish. - Frozen blueberries: Even though freezing can
degrade some of the nutrients in fruits and vegetables, frozen
blueberries are available year-round and don’t spoil; associated with
better memory in animal studies.
How to eat: Blended with yogurt or chocolate soy milk and sprinkled with crushed almonds. - Canned pumpkin: A low-calorie vegetable that is high in fiber and immune-stimulating vitamin A; fills you up on very few calories.
How to eat: Mix with a little butter, cinnamon and nutmeg.
You can find more details and recipes on the Men’s Health Web site, which published the original version of the list last year.
In my own house, I only have two of these items — pumpkin seeds, which I often roast and put on salads, and frozen blueberries, which I mix with milk, yogurt and other fruits for morning smoothies. How about you? Have any of these foods found their way into your shopping cart?
Can Lifestyle Changes Bring Out the Best in Genes?
A new pilot study shows that eating right, exercising and reducing stress may help keep chronic diseases at bay by switching on beneficial genes, including tumor-fighters, and silencing those that trigger malignancies and other ills.
"We found that simple changes have a powerful impact on gene expression," Dean Ornish, founder and president of the Preventive Medicine Research Institute and clinical professor at the University of California, San Francisco (U.C.S.F.), said during a news conference. "People say, 'Oh, it's all in my genes, what can I do?' That's what I call genetic nihilism. This may be an antidote to that. Genes may be our predisposition, but they are not our fate."
Ornish, who has built a reputation on advocating healthy living, and U.C.S.F. colleagues report in the journal Proceedings of the National Academy of Sciences USA that they found the activity of more than 500 genes in the normal tissue of 30 men with low-risk prostate cancer changed after the patients began exercising regularly and eating diets heavy in fruit, veggies and whole grain (supplemented with soy, fish oil, the mineral selenium and vitamins C and E) and low in red meat and fats.
In addition to downing healthier fare, the men also walked or worked out at least 30 minutes six days a week; did an hour of daily stress-reducing yoga-type stretching, breathing and meditation; and participated in one-hour weekly group support sessions.
The subjects had all opted to skip conventional surgical or radiation treatment in favor of a "watchful waiting" approach. The researchers say it is too early to tell whether the lifestyle changes kept the cancer cells in check. But they say the study indicates that exercising, improving nutrition and limiting stress may prompt "profound" differences in the behavior of genes. Among them: some genes believed to be tumor suppressors turned on or became more active, whereas certain disease-promoting ones, including oncogenes (in the so-called RAS family that are implicated in both prostate and breast cancer), were down-regulated or switched off.
The findings were based on changes in levels of RNA (molecules that carry instructions from DNA or genetic material) in samples of noncancerous prostate tissue taken before and three months after the men started the study.
"It is absolutely intriguing this lifestyle change can have as much effect as the most powerful drugs available to us now," U.C.S.F. geneticist Christopher Haqq said during the news conference. "We medical oncologists are always looking for drugs that can do this. It is delightful to find that diet and lifestyle can have profound effects and be complementary to drug therapies—with fewer side effects."
Ornish, who has done extensive research showing that nutritional and other lifestyle changes may prevent and even reverse chronic diseases, says that perhaps the most surprising element of this study was how swiftly the benefits appeared.
"People say, 'Why bother?' But when they see that in just three months these changes can make a difference, they may change their minds," he said. "It is not really so much about risk-factor reduction or preventing something bad from happening. These changes can occur so quickly you don't have to wait years to see the benefits."
Ornish said the findings show that comprehensive lifestyle changes may benefit the general population as well as those with prostate cancer.
What's the origin of The Head Trip? From internal evidence, it seems to have been in the works for some time...
The genesis of The Head Trip was an accident I had at 21, when I fell out of a tree and busted my neck on a street in Montreal. The hardest part of the recovery was psychological; when I returned to my studies I found I couldn’t write essays the way I once could. My style of processing had changed. My thinking went from being very linear and progressive to more lateral and associative. I don’t know how much of this interpretation is a flabby split-brain gloss on a problem I had long ago, but I can say that at the time I knew nothing about neurobiology, I only knew I couldn’t direct my attention the way I once could; the mental objects I did retrieve were often two preoccupations over from my main concern. It was like fishing for trout and hooking clams. My roommate tells me I used to bawl at my desk and moan about leaving “my brains on the road.” Eventually I developed a technique of color-coding my notes by tangent, so that when I veered off into 10 different tangents a day at the end of the week I could still string all the, say, purple tangents together into something like a coherent theme.
After this transformation I became more attuned to inner experience. This was augmented by several years of tedious seasonal tree-planting work, where there was literally nothing to do for weeks on end but plant saplings, swat black flies and endure the shifting rhythms of my own shallow stream of consciousness. I became obsessed with how writers described the texture of everyday awareness, whether it was Edgar Allen Poe describing his sleep onset visions, David Foster Wallace on the fugue state of athletic absorption, or Annie Dillard talking about the unselfconscious moment. I began to collect these descriptions, with the vague idea that one day I would put together a taxonomy of elemental states of mind. A separate interest in the biological function of sleep led me into the fantastically variegated world of sleep and dreaming consciousness. In 2004 I started writing The Head Trip.
**
Is it fair to say that a chief point of the book is to displace the mind/body (or, psychology/chemistry) distinction? On the one hand, almost all the science you describe is pretty nascent; on the other hand, it also seems as if they tend to point quite clearly to a reciprocal relationship between thoughts and chemicals.
The chief point of the book is to re-empower the mind. The mind -- in the form of expectations, beliefs and, most optimistically, intention -- is a more-than-epiphenomenal driver of actual physical change in the body and brain. You can learn to create your own special effects. You have agency. As I write in the book, “this is both supremely hopeful and utterly depressing, since it means in nurturing, enlightened environments we may be able to cultivate whole new standards of mental health, but in violent, regressive environments we risk spawning awful new permutations of mental affliction. Technology -- that great onrushing field within which our minds are shaped -- compounds all of this, for better and for worse.”
As far as the actual relationship between mind and body, that, thankfully, is still a mystery, despite the exaggerated claims of the neuro-reductos, whom I love, and the exaggerated claims of the quantum mysticos, whom I love.
I guess the two other chief points of the book are: 1. to wake people up to the deliriously varied terrain of their nighttime lives, and 2. to help people look beyond black and white waking rationality, which turns out to be just one capacity on a very bright and colorful palette. Different states of consciousness seem to privilege different styles of knowledge.
**
It turns out sleep is more interesting than we usually expect -- and that it even has a history! What are some key misconceptions about sleep?
I would like to spiel about dreaming for a moment if you don’t mind. The writer Rodger Kamenetz tipped me off to a great Borges quote. Borges once wrote: “Lately I've been rereading psychology books, and I have felt singularly defrauded. All of them discuss the mechanisms of dreams or the subjects of dreams, but they do not mention, as I had hoped, that which is so astonishing, so strange -- the fact of dreaming.”
The fact of dreaming. When you wake up in a dream and actually take a look around -- it’s bananas. It’s the absolute craziest goddamn thing in all of human life. Every night we beam down into an elaborate virtual world where we can pound the walls with our oven-mitt fists and sniff giant daisies and have elliptical conversations with archetypal bus drivers. From inside a dream there is nothing vague or washed out about the experience -- dreams are totally real, as real as getting off the plane in Lagos and ordering a beer from some guy at the side of the road. You are at this place -- you’re IN it! At the time it’s every bit as solid and real as waking. Except… and this is what’s so cool… except when you’re self-consciously aware inside the dream you can then squeeze up real close to the walls with your little magnifying glass and look for suture marks. You can conduct experiments. You come to realize that there is a set of laws operating in the dream world that is every bit as real as the laws of physics in the waking world. What are these laws? And why aren’t there as many scientists down here with their slide rules and theories as there are out there? We spend our lives in two worlds and yet we only pay attention to one of them -- the other is seen as an embarrassing curiosity, a forum for banality-rehearsal and botched sex.
People protest: “but it’s not real, stop living in fantasy.” All experience is real. On the personal side, dreams reveal all kinds of junk about the self. On the scientific side, our dreams represent an unparalleled opportunity to examine the dynamics of consciousness. I mean think about it: without sensory input to dilute everything, you get consciousness in a pure culture. And it so happens that this pure culture -- The Dream -- runs like an underground creek beneath the waking world, muddying the ground in all kinds of interesting ways.
And that’s just the conventional science. Who knows what else we may discover digging around in the dream world. For those interested in the wooly world of mind-matter speculation, the epistemological rabbit hole goes very deep indeed.
This is going to sound hyperbolic but I really believe we’re at are at the dawn of a new age of scientific exploration. The external world is mapped; now the explorers are turning inward. The galleons have left port. They’re approaching a huge mysterious continent. They won’t be the first to arrive. There are paths already cut in the forest, where shamans and monks and others have set up outposts and launched their own expeditions into the interior.
It’s a thrilling story, a lurid epic in the making, and yet almost no one has any idea it’s happening.
As far as our misconceptions about sleep, I would say the biggest one is this idea that we lose consciousness when the lights go out. This couldn’t be further from the truth. At night consciousness just turns inside out. Instead of moving through a world constructed from sensory input, we move through a world constructed from memory and imagination. We do lose certain self-reflective properties, and -- critically -- our short-term memories are compromised so we don’t remember many of our experiences. But when you wake people up in the night most of them report some kind of mental activity -- either the strange snap-shot narratives of sleep onset, the fully immersive dreams of REM, or the low-level “mentation” of deep sleep. Even in the emptiest bliss-saturated realms of slow wave sleep the experiencing self remains. Consciousness is 24-hours.
***
One of your key images is the "wheel of consciousness" " (at least, that's what it's called in the illustrations and the title; early on you write that "the brain is a wheel, and consciousness is a pliant membrane pressed into the rim.")
***
The view from Lori Mehmen’s front door on Tuesday evening. (via Associated Press)
What a picture.
When
the weather turned violent and stormy on Tuesday evening, Lori Mehmen,
who lives in the small farming town of Orchard in northeastern Iowa,
looked out her front door and saw a funnel cloud bearing down — and
evidently had the presence of mind to grab her digital camera and
capture this shot before taking cover. The local paper, The Mitchell
County Press-News, posted the photo on Wednesday and The Associated Press picked it up today.
***
Your Brain Lies to You
FALSE beliefs are everywhere. Eighteen percent of Americans think the sun revolves around the earth, one poll has found. Thus it seems slightly less egregious that, according to another poll, 10 percent of us think that Senator Barack Obama, a Christian, is instead a Muslim. The Obama campaign has created a Web site to dispel misinformation. But this effort may be more difficult than it seems, thanks to the quirky way in which our brains store memories — and mislead us along the way.
The brain does not simply gather and stockpile information as a computer’s hard drive does. Facts are stored first in the hippocampus, a structure deep in the brain about the size and shape of a fat man’s curled pinkie finger. But the information does not rest there. Every time we recall it, our brain writes it down again, and during this re-storage, it is also reprocessed. In time, the fact is gradually transferred to the cerebral cortex and is separated from the context in which it was originally learned. For example, you know that the capital of California is Sacramento, but you probably don’t remember how you learned it.
This phenomenon, known as source amnesia, can also lead people to forget whether a statement is true. Even when a lie is presented with a disclaimer, people often later remember it as true.
With time, this misremembering only gets worse. A false statement from a noncredible source that is at first not believed can gain credibility during the months it takes to reprocess memories from short-term hippocampal storage to longer-term cortical storage. As the source is forgotten, the message and its implications gain strength. This could explain why, during the 2004 presidential campaign, it took some weeks for the Swift Boat Veterans for Truth campaign against Senator John Kerry to have an effect on his standing in the polls.
Even if they do not understand the neuroscience behind source amnesia, campaign strategists can exploit it to spread misinformation. They know that if their message is initially memorable, its impression will persist long after it is debunked. In repeating a falsehood, someone may back it up with an opening line like “I think I read somewhere” or even with a reference to a specific source.
In one study, a group of Stanford students was exposed repeatedly to an unsubstantiated claim taken from a Web site that Coca-Cola is an effective paint thinner. Students who read the statement five times were nearly one-third more likely than those who read it only twice to attribute it to Consumer Reports (rather than The National Enquirer, their other choice), giving it a gloss of credibility.
Adding to this innate tendency to mold information we recall is the way our brains fit facts into established mental frameworks. We tend to remember news that accords with our worldview, and discount statements that contradict it.
In another Stanford study, 48 students, half of whom said they favored capital punishment and half of whom said they opposed it, were presented with two pieces of evidence, one supporting and one contradicting the claim that capital punishment deters crime. Both groups were more convinced by the evidence that supported their initial position.
Psychologists have suggested that legends propagate by striking an emotional chord. In the same way, ideas can spread by emotional selection, rather than by their factual merits, encouraging the persistence of falsehoods about Coke — or about a presidential candidate.
Journalists and campaign workers may think they are acting to counter misinformation by pointing out that it is not true. But by repeating a false rumor, they may inadvertently make it stronger. In its concerted effort to “stop the smears,” the Obama campaign may want to keep this in mind. Rather than emphasize that Mr. Obama is not a Muslim, for instance, it may be more effective to stress that he embraced Christianity as a young man.
Consumers of news, for their part, are prone to selectively accept and remember statements that reinforce beliefs they already hold. In a replication of the study of students’ impressions of evidence about the death penalty, researchers found that even when subjects were given a specific instruction to be objective, they were still inclined to reject evidence that disagreed with their beliefs.
In the same study, however, when subjects were asked to imagine their reaction if the evidence had pointed to the opposite conclusion, they were more open-minded to information that contradicted their beliefs. Apparently, it pays for consumers of controversial news to take a moment and consider that the opposite interpretation may be true.
In 1919, Justice Oliver Wendell Holmes of the Supreme Court wrote that “the best test of truth is the power of the thought to get itself accepted in the competition of the market.” Holmes erroneously assumed that ideas are more likely to spread if they are honest. Our brains do not naturally obey this admirable dictum, but by better understanding the mechanisms of memory perhaps we can move closer to Holmes’s ideal.
"In a world of fugitives, those taking the opposite direction will always be said to be running away."
-T.S. Eliot
**
"Do not confine your children to your own learning, for they were born in another time."
--Hebrew proverb
**
A plant in the courtyard isn't medicine, but a plant on the other side of the mountain is.
--Old Hindu dictum
The Healing Path
**
"The idea of therapeutic relaxation, which has become such a watchword in holistic medicine, doesn't tell the whole story. It's a little like putting a piece of toast in an unplugged toaster: the toast may relax a little in the darkness of the slot, but it won't change. It has to be plugged in for this mysterious transformation called toast to happen. What provides the power is a powerful motivation: "I really , really want to get better." Absent this, you'll see NADA in the way of healing.
From this standpoint, the Helper is less the provider of the cure than an awakener, instigator, and even provocateur of the patient's own slumbering inner powers."
--The Healing Path
**
"Because what cures a patient is so often not what a practitioner knows, but who the practitioner is, real and prolonged contact with him or her can be crucial."
--The Healing path
**
Pressed to describe what the healer had done for him, and what he now tries to do for others, May once explained, "A lot of Healing is breaking habits. It's changing the personal story. My story was, "I'll never walk again, I'll be in pain, I'll be in and out of a wheelchair my whole life."
Then Jack came along. His story was that we were created in the image of God and that everything we need is within us. It was his guidance that enabled me to shift."
--The Healing Path
**
"The Japanese shamanic healer Ikuko Osumi states that one of the main causes of illness is "the accumulation of tiredness due to the overuse of nerves and body functioning, resulting from unwise ways of living and working."
--The Healing Path
**
"God's timing isn't our timing. He can use things for our teaching if we allow it ......"
".....Faith to me is not attachment to life, just wishing to be saved, but the gratitude to god (sic) who saved my spirit. I had begun to live a real life" .... They embraced a perspective, particularly prevalent in Japanese culture, calledwabi sabi: "an existential sense of unavoidable death and its positive acceptance."
--The Healing Path
**
Fata volentem ducunt, trahunt no lentem
"Whoever is willing, the fates will lead; those who are not, the fates will drag along...."
--The Healing Path
**
"We would rather be ruined than changed;
We would rather die in our dread
Than climb the cross of the moment
And let our illusions die.
-W.H. Auden
Please check ALIVE ON ALL CHANNELS, my other blog on blogger, as EfM and Spirit Buddies take a little break for the summer.
I am posting an article I put up on ALIVE -- it appeared in the May issue of HARPERS and I have thought a lot about it . Wendell Berry brings his writerly talents to the subject of 'limitlessness' and finitude. It is well worth your time to read the article, even though it's fairly long. For those who have been studying theological reflection, the article is one big TR.
I'm going to work on some posts on HEALING. Watch for them in July.
The photo here is one of many at "The Sky, From Above -- The Big Picture."
Hell Hath No Limits
The following is from Harpers Magazine, May '08 issue. The article is long, but do read the entire thought process to the end. It's well worth your time.
It strikes me that Wendell Barry encapsulates the forces in our world that are making thinking artists, humanists and people of faith not just uneasy and unhappy, but grief stricken. The thinking behind the policies put into action by our 21st century power brokers is flawed thinking that runs counter to our ethical and religious traditions. It falls to the artists , humanists and people of faith to speak and write about this modern deal-making with our contemporary devils.
This is not done simply to protest or to object but to constantly re-articulate the vision behind our deepest beliefs about ourselves, our fellows and our world.****
Excerpts Harpers.org May '08
FAUSTIAN ECONOMICS
Hell hath no limits
by Wendell Berry
The general reaction to the apparent end of the era of cheap fossil fuel, as to other readily foreseeable curtailments, has been to delay any sort of reckoning. The strategies of delay, so far, have been a sort of willed oblivion, or visions of large profits to the manufacturers of such :"biofuels" as ethanol from corn or switchgrass, or the familiar unscientific faith that "science will find an answer." The dominant response, in short, is a dogged belief that what we call the American Way of Life will prove somehow indestructible. We will keep on consuming, spending, wasting, and driving, as before, at any cost to anything and everybody but ourselves.This belief was always indefensible -- the real names of global warming are Waste and Greed --- and by now it is manifestly foolish. But foolishness on this scale looks disturbingly like a sort of national insanity. We seem to have come to a collective delusion of grandeur, insisting that all of us are "free" to be as conspicuously greedy and wasteful as the most corrupt of kings and queens. (Perhaps by devoting more and more of our already abused cropland to fuel production we will at last cure ourselves of obesity and become fashionably skeletal, hungry , but -- thank God! -- still driving.)
The problem with us is not only prodigal extravagance but also an assumed limitlessness. We have obscured the issue by refusing to see that limitlessness is a godly trait. We have insistently, and with relief, defined ourselves a animals or as " higher animals." but to define ourselves as animals, given our specifically human powers and desires, is to define ourselves a limitless animals -- which of course is a contradiction in terms. Any definition is a limit, which is why the God of Exodus refuses to define Himself : "I am that I am."
***
In keeping with our unrestrained consumptiveness, the commonly accepted basis of our economy is the supposed possibility of limitless growth, limitless wants, limitless wealth, limitless natural resources, limitless energy , and limitless debt. the idea of a limitless economy implies and requires a doctrine of general human limitlessness: all are entitled to pursue without limit whatever they conceive as desirable, -- a license that classifies the most exalted Christian capitalist with the lowliest pornographer.This fantasy of limitlessness perhaps arose from the coincidence of the Industrial Revolution with the suddenly exploitable resources of the New World -- though how the supposed limitlessness of resources can be reconciled with their exhaustion is not clear. Or perhaps it comes from the contrary apprehension of the world's "smallness," made possible by modern astronomy and high-speed transportation. Fear of the smallness of our world and its life may lead to a kind of claustrophobia and thence, with apparent reasonableness, to a desire for the "freedom" of limitlessness. But this desire, paradoxically, reduces everything. The life of this world is small to those who think it is, and the desire to enlarge it makes it smaller, and can reduce it finally to nothing.
However it came about, this credo of limitlessness clearly implies a principled wish not only for limitless possessions but also for limitless knowledge, limitless science, limitless technology, and limitless progress. And, necessarily, it must lead to limitless violence, waste, war, and destruction. That it should finally produce a crowning cult of political limitlessness is only a matter of mad logic.
***
The normalization of the doctrine of limitlessness has produced a sort of moral minimalism: the desire to be efficient at any cost, to be unencumbered by complexity. The minimization of neighborliness, respect, reverence, responsibility, accountability, and self-subordination -- this is the culture of which our present leaders and heroes are the spoiled children.Our national faith so far has been: "There's always more." Our true religion is a sort of autistic industrialism. People of intelligence and ability seem now to be genuinely embarrassed by any solution to any problem that does not involve high technology, a great expenditure of energy, or a big machine. Thus an X marked on a paper ballot no longer fulfills our idea of voting. One problem with this state of affairs is that the work now most needing to be done -- that of neighborliness and caretaking -- cannot be done by remote control and the greatest power on the largest scale. A second problem is that the economic fantasy of limitlessness in a limited world calls fearfully into question the value of our monetary wealth, which does not reliably stand for the real wealth of land, resources, and workmanship but instead wastes and depletes it.
That human limitlessness is a fantasy means, obviously, that its life expectancy is limited. There is now a growing perception, and not just among a few experts, that we are entering a time of inescapable limits. We are not likely to be granted another world to plunder in compensation for our pillage of this one. Nor are we likely to believe much longer in our ability to outsmart, by means of science and technology, our economic stupidity. The hope that we can cure the ills of industrialism by the homeopathy of more technology seems at last to be losing status. We are, in short, coming under pressure to understand ourselves as limited creatures in a limited world.
This constraint, however, is not the condemnation it may seem. On the contrary, it returns us to our real condition and to our human heritage, from which our self-definition as limitless animals has far too long cut us off. Every cultural and religious tradition that I know about, while fully acknowledging our animal nature, defines us specifically as humans -- that is, as animals (if the word still applies) capable of living not only within natural limits but also within cultural limits, self-imposed. As earthly creatures, we live, because we must, within natural limits, which we may describe by such names as "earth" or "ecosystem" or "watershed" or "place." But as humans, we may elect to respond to this necessary placement by the self-restraints implied in neighborliness, stewardship, thrift, temperance, generosity, care, kindness, friendship, loyalty, and love.
In our limitless selfishness, we have tried to define "freedom," for example, as an escape from all restraint. But, as my friend Bert Hornback has explained in his book The Wisdom in Words, "free" is etymologically related to "friend." These words come from the same Indo-European root, which carries the sense of "dear" or "beloved." We set our friends free by our love for them, with the implied restraints of faithfulness or loyalty. And this suggests that our "identity" is located not in the impulse ofselfhood but in deliberately maintained connections.
***
Thinking of our predicament has sent me back again to Christopher Marlowe's Tragical History of Doctor Faustus. This is a play of the Renaissance; Faustus, a man of learning, longs to possess "all Nature's treasury, " to "Ransack the ocean.../ And search all corners of thenewfound world..." To assuage his thirst for knowledge and power, he deeds his soul to Lucifer, receiving in compensation for twenty-four years the services of the sub-devilMephistophilis , nominally Faustus's slave but in fact his master. having the subject of limitlessness in mind, I was astonished on this reading to come uponMephistophilis's description of hell. When Faustus asks, "How comes it then that thou art out of hell?" Mephistophilis replies, "Why, this is hell, nor am I out of it." And a few pages later he explains:Hell hath no limits, nor is circumscribed
In one self place, but where we {the damned} are is hell,
And where hell is must we ever be.For those who reject heaven, hell is everywhere, and thus is limitless. For them, even the thought of heaven is hell.
If is only appropriate, then, that Mephistophilis rejects any conventional limit: "Tut, Faustus, marriage is but a ceremonial toy. If thou lovest me, think no more of it." Continuing this theme, for Faustus's pleasure the devils present a sort of pageant of the seven deadly sins, three of which -- Pride, Wrath, and Gluttony -- describe themselves as orphans, disdaining the restraints of parental or filial love.
Seventy or so years later, and with the issue of the human definition more than ever in doubt, John Milton is Book VII of Paradise Lost returns again to a consideration of our urge to know. To Adam's request to be told the story of creation, the "affable Archangel" Raphael agrees, "to answer thy desire/Of knowledge within bounds [my emphasis] ...," explaining that
Knowledge is as food, and needs no less
Her temperance over appetite, to know
In measure what the mind may well contain;
Oppresses else with surfeit, and soon turns
Wisdom to folly, as nourishment to wind.Raphael is saying, with angelic circumlocution, that knowledge without wisdom, limitless knowledge, is not worth a fart; he is not a humorless archangel. But he also is saying that knowledge without measure, knowledge that the human mind cannot appropriately use, is mortally dangerous.
I am well aware of what I risk in bringing this language of religion into what is normally a scientific discussion. I do so because I doubt that we can define our present problems adequately, let alone solve them, without some recourse to our cultural heritage. We are, after all, trying now to deal with the failure of scientists, technicians, and politicians to "think up" a version of human continuance that is economically probably and ecologically responsible, or perhaps even imaginable. If we go back into our tradition, we are going to find a concern with religion, which at a minimum shatters the selfish context of the individual life, and thus forces a consideration of what human beings are and ought to be.
This concern persists at least as late as our Declaration of Independence, which holds as "self-evident, that all men are created equal; that they are endowed by their Creator with certain unalienable rights...." Thus among our political roots, we have still our old preoccupation with our definition as humans, which in the Declaration is wisely assigned to our Creator; our rights and the rights of all humans are not granted by any human government but are innate, belonging to us by birth. This insistence comes not from the fear of death or even extinction but from the ancient fear that in order to survive we might become inhuman or monstrous.
***
And so our cultural tradition is in large part the record of our continuing effort to understand ourselves as beings specifically human: to say that, as humans, we must do certain things and we must not do certain things. We must have limits or we will cease to exist as humans; perhaps we will cease to exist, period. At times, for example, some of us humans have thought that human beings, properly so called, did not make war against civilian populations, or hold prisoners without a fair trial, or use torture for any reason.Some of us would-be humans have thought too that we should not be free at anybody else's expense. And yet in the phrase "free market," the word "free" has come to mean unlimited economic power for some, with the necessary consequence of economic powerlessness for others. Several years ago, after I had spoken at a meeting, two earnest and obviously troubled young veterinarians approached me with a question: How could they practice veterinary medicine without serious economic damage to the farmers who were their clients? Underlying their question was the fact that for a long time veterinary help for a sheep or a pig has been likely to cost more than the animal is worth. I had to answer that, in my opinion, so long as their practice relied heavily on selling patented drugs, they had no choice, since the market for medicinal drugs was entirely controlled by the drug companies, whereas most farmers had no control at all over the market for agricultural products. My questioners were asking in effect if a predatory economy can have a beneficent result. The answer too often is No. And that is because there is an absolute discontinuity between the economy of the seller of medicines and the economy of the buyer, as there is in the health industry as a whole. The drug industry is interested in the survival of patients, we have to suppose, because surviving patients will continue to consume drugs.
****
It is this economy of community destruction that, wittingly or unwittingly, most scientists and technicians have served for the past two hundred years. These scientists and technicians have justified themselves by the proposition that they are the vanguard of progress, enlarging human knowledge and power, and thus they have romanticized both themselves and the predatory enterprises that they have served.As a consequence, our great need now is for sciences and technologies of limits, of domesticity, of what Wes Jackson of the Land Institute in Salina, Kansas, has called "homecoming." These would be specifically human sciences and technologies, working, as the best humans always have worked, within self-imposed limits. The limits would be the accepted contexts of places, communities, and neighborhoods, both natural and human.
I know that the idea of such limitations will horrify some people, maybe most people, for we have long encouraged ourselves to feel at home on "the cutting edges" of knowledge and power or on some "frontier" of human experience. But I know too that we are talking now in the presence of much evidence that improvement by outward expansion may no longer be a good idea, if it ever was. It was not a good idea for the farmers who "leveraged" secure acreage to buy more during the 1970s. It has proved tragically to be a bad idea in a number of recent wars. It is is a good idea in the form of corporate gigantism, then we must ask, For whom? Faustus, who wants all knowledge and all the world for himself, is a man supremely lonely and finally doomed. I don't think Marlowe was kidding. I don't think Satan is kidding when he says in Paradise Lost, "Myself am Hell."
***
If the idea of appropriate limitation seems unacceptable to us, that may be because, like Marlowe's Faustus and Milton's Satan, we confuse limits with confinement. But that, as I think Marlowe and Milton and others were trying to tell us, is a great and potentially a fatal mistake. Satan's fault, as Milton understood it and perhaps with some sympathy, was precisely that he could not tolerate his proper limitation; he could not subordinate himself to anything whatever. Faustus's error was his unwillingness to remain "Faustus, and a man." In our age of the world it is not rare to find writers, critics, and teachers of literature, as well as scientists and technicians, who regard Satan's and Faustus's defiance as salutary and heroic.On the contrary, our human and earthly limits, properly understood, are not confinements but rather inducements to formal elaboration and elegance, to fullness of relationship and meaning. Perhaps our most serious cultural loss in recent centuries is the knowledge that some things, though limited, are inexhaustible. For example, an ecosystem, even that of a working forest or farm, so long as it remains ecologically intact, is inexhaustible. A small place, as I know from my own experience can provide opportunities of work and learning, and a fund of beauty, solace, and pleasure -- in addition to its difficulties -- that cannot be exhausted in a life time or in generations.
***
To recover from our disease of limitlessness, we will have to give up the idea that we have a right to be godlike animals, that we are potentially omniscient and omnipotent, ready to discover "the secret of the universe." We will have to start over, with a different and much older premise: the naturalness and, for creatures of limited intelligence, the necessity, of limits. We must learn again to ask how we can make the most of what we are, what we have, what we have been given. If we always have a theoretically better substitute available from somebody or someplace else, we will never make the most of anything. It is hard to make the most of one life. If we each had two lives, we would not make much of either. Or as one of my best teachers said of people in general: "They'll never be worth a damn as long as they've got two choices."To deal with the problems, which after all are inescapable, of living with limited intelligence in a limited world, I suggest that we may have to remove some of the emphasis we have lately placed on science and technology and have a new look at the arts. For an art does not propose to enlarge itself by limitless extension but rather to enrich itself within bounds that are accepted prior to the work.
It is the artists, not the scientists, who have dealt unremittingly with the problem of limits. A painting, however large, must finally be bounded by a frame or a wall. A composer or playwright must reckon, at a minimum, with the capacity of an audience to sit still and pay attention. A story, once begun, must end somewhere within the limits of the writer's and the reader's memory. And of course the arts characteristically impose limits that are artificial: the five acts of a play, or the fourteen lines of a sonnet. Within these limits artists achieve elaborations of pattern, of sustaining relationships of parts with one another and with the whole, that may be astonishingly complex. And probably most of us can name a painting, a piece of music, a poem or play or story that still grows in meaning and remains fresh after many years of familiarity.
We know by now that a natural ecosystem survives by the same sort of formal intricacy, ever-changing, inexhaustible, and no doubt finally unknowable. We know further that if we want to make our economic landscapes sustainably and abundantly productive, we must do so by maintaining in them a living formal complexity something like that of natural ecosystems. We can do this only by raising to the highest level our mastery of the arts of agriculture, animal husbandry, forestry, and , ultimately, the art of living.
It is true that insofar as scientific experiments must be conducted within carefully observed limits, scientists also are artists. But in science one experiment, whether it succeeds or fails, is logically followed by another in a theoretically infinite progression. According to the underlying myth of modern science, this progression is always replacing the smaller knowledge of the past with the larger knowledge of the present, which will be replaced by the yet larger knowledge of the future.
In the arts, by contrast, no limitless sequence of works is ever implied or looked for. No work of art is necessarily followed by a second work that is necessarily better. Given the methodologies of science, the law of gravity and the genome were bound to be discovered by somebody; the identity of the discoverer is incidental to the fact. But it appears that in the arts there are no second chances. We must assume that we had one chance each for The Divine Comedy and King Lear. If Dante and Shakespeare had died before they wrote those poems, nobody ever would have written them.
***
The same is true of our arts of land use, our economic arts, which are our arts of living. With these it is once-for-all. We will have no chance to redo our experiments with bad agriculture leading to soil loss. The Appalachian mountains and forests we have destroyed for coal are gone forever. It is now and forevermore too late to use thriftily the first half of the world's supply of petroleum. In the art of living we can only start again with what remains.And so, in confronting the phenomenon of "peak oil," we are really confronting the end of our customary delusion of "more." Whichever way we turn, from now on, we are going to find a limit beyond which there will be no more. To hit these limits at top speed is not a rational choice. To start slowing down, with the idea of avoiding catastrophe, is a rational choice, and a viable one if we can recover the necessary political sanity. Of course it makes sense to consider alternative energy sources, provided they make sense. But also we will have to re-examine the economic structures of our lives, and conform them to the tolerances and limits of our earthly places. Where there is no more, our one choice is to make the most and the best of what we have.
****
"It was T.S. Eliot who said once that the only lesson we can hope to learn is humility. "Humility," Eliot said, "is endless."
-Roger Housden
**
"The poet Ellery Akers speaks to the longing (for the perfect, the finished) in us in a poem called "Advice from an Angel":
I know it's in your nature to want air, ozone.
To float; to be free. But stick with what you know:
you'd be surprised at the effect of sheer blundering and doggedness. To evaporate is nothing:
to sprint, to travel. It's weight
that divides the known and unknown worlds.
It's your boots
that impress us, your squads of boulders...
In his ninth elegy of the Duino Elegies, Rilke says,
Praise the world
to the angel,
not the unsayable."
-Roger Housden
***
WHAT THE LIVING DO
-by Marie Howe
Johnny, the kitchen sink has been clogged for days,
some utensil probably fell down there.
And the Drano won't work but smells dangerous, and
the crusty dishes have piled up
waiting for the plumber I still haven't called. This is
the everyday we spoke of.
It's winter again: the sky's a deep headstrong blue, and
the sunlight pours through
the open living room windows because the heat's on too
high in here, and I can't turn it off.
For weeks now, driving, or dropping a bag of groceries
in the street, the bag breaking,
I've been thinking: This is what the living do. And
yesterday, hurrying along those
wobbly bricks in the Cambridge sidewalk, spilling my
coffee down my wrist and sleeve,
I thought it again, and again later, when buying a
hairbrush: This is it.
Parking. Slamming the car door shut in the cold. What
you called that yearning.
What you finally gave up. We want the spring to come
and the winter to pass. We want
whoever to call or not call, a letter, a kiss -- we want
more and more and then more of it.
but there are moments, walking, when I catch a
glimpse of myself in the window glass,
say, the window of the corner video store, and I'm
gripped by a cherishing so deep
for my own blowing hair, chapped face, and unbuttoned
coat that I'm speechless:
I am living, I remember you.
**
Something I saw on my mother's nightstand, July 29, 1988
"More things are wrought by prayer than this world dreams of.
Wherefore let thy voice rise like a fountain for me night and day.
For what are men better than sheep or goats
that nourish a blind life within the brain
If knowing God they lift not hands of prayer
Both for themselves and those who call them friend?
For so the whole round earth is everyway
Bound by gold chains about the feet of God.
When moral difficulties are taken so seriously where they torment and enslave man, because they do not leave him open to the freeing activity of obedience, it is there that his total godlessness is revealed."
**
Well! Not too many people knew my mother, and fewer still understood her.
My mother's mind was a testament to the weighty , the dogged, the unwillingness to capitulate in the face of unbeatable odds.
She was herself entirely, for which I salute her and remember her tenderly despite the fact that she could be (and frequently was) hell on wheels.
**
Lotus Therapy
The patient sat with his eyes closed, submerged in the rhythm of his own breathing, and after a while noticed that he was thinking about his troubled relationship with his father.
“I was able to be there, present for the pain,” he said, when the meditation session ended. “To just let it be what it was, without thinking it through.”
The therapist nodded.
“Acceptance is what it was,” he continued. “Just letting it be. Not trying to change anything.”
“That’s it,” the therapist said. “That’s it, and that’s big.”
This exercise in focused awareness and mental catch-and-release of emotions has become perhaps the most popular new psychotherapy technique of the past decade. Mindfulness meditation, as it is called, is rooted in the teachings of a fifth-century B.C. Indian prince, Siddhartha Gautama, later known as the Buddha. It is catching the attention of talk therapists of all stripes, including academic researchers, Freudian analysts in private practice and skeptics who see all the hallmarks of another fad.
For years, psychotherapists have worked to relieve suffering by reframing the content of patients’ thoughts, directly altering behavior or helping people gain insight into the subconscious sources of their despair and anxiety. The promise of mindfulness meditation is that it can help patients endure flash floods of emotion during the therapeutic process — and ultimately alter reactions to daily experience at a level that words cannot reach. “The interest in this has just taken off,” said Zindel Segal, a psychologist at the Center of Addiction and Mental Health in Toronto, where the above group therapy session was taped. “And I think a big part of it is that more and more therapists are practicing some form of contemplation themselves and want to bring that into therapy.”
At workshops and conferences across the country, students, counselors and psychologists in private practice throng lectures on mindfulness. The National Institutes of Health is financing more than 50 studies testing mindfulness techniques, up from 3 in 2000, to help relieve stress, soothe addictive cravings, improve attention, lift despair and reduce hot flashes.
Some proponents say Buddha’s arrival in psychotherapy signals a broader opening in the culture at large — a way to access deeper healing, a hidden path revealed.
Yet so far, the evidence that mindfulness meditation helps relieve psychiatric symptoms is thin, and in some cases, it may make people worse, some studies suggest. Many researchers now worry that the enthusiasm for Buddhist practice will run so far ahead of the science that this promising psychological tool could turn into another fad.
“I’m very open to the possibility that this approach could be effective, and it certainly should be studied,” said Scott Lilienfeld, a psychology professor at Emory. “What concerns me is the hype, the talk about changing the world, this allure of the guru that the field of psychotherapy has a tendency to cultivate.”
Buddhist meditation came to psychotherapy from mainstream academic medicine. In the 1970s, a graduate student in molecular biology, Jon Kabat-Zinn, intrigued by Buddhist ideas, adapted a version of its meditative practice that could be easily learned and studied. It was by design a secular version, extracted like a gemstone from the many-layered foundation of Buddhist teaching, which has sprouted a wide variety of sects and spiritual practices and attracted 350 million adherents worldwide.
In transcendental meditation and other types of meditation, practitioners seek to transcend or “lose” themselves. The goal of mindfulness meditation was different, to foster an awareness of every sensation as it unfolds in the moment.
Dr. Kabat-Zinn taught the practice to people suffering from chronic pain at the University of Massachusetts medical school. In the 1980s he published a series of studies demonstrating that two-hour courses, given once a week for eight weeks, reduced chronic pain more effectively than treatment as usual.
Word spread, discreetly at first. “I think that back then, other researchers had to be very careful when they talked about this, because they didn’t want to be seen as New Age weirdos,” Dr. Kabat-Zinn, now a professor emeritus of medicine at the University of Massachusetts, said in an interview. “So they didn’t call it mindfulness or meditation. “After a while, we put enough studies out there that people became more comfortable with it.”
One person who noticed early on was Marsha Linehan, a psychologist at the University of Washington who was trying to treat deeply troubled patients with histories of suicidal behavior. “Trying to treat these patients with some change-based behavior therapy just made them worse, not better,” Dr. Linehan said in an interview. “With the really hard stuff, you need something else, something that allows people to tolerate these very strong emotions.”
In the 1990s, Dr. Linehan published a series of studies finding that a therapy that incorporated Zen Buddhist mindfulness, “radical acceptance,” practiced by therapist and patient significantly cut the risk of hospitalization and suicide attempts in the high-risk patients.
Finally, in 2000, a group of researchers including Dr. Segal in Toronto, J. Mark G. Williams at the University of Wales and John D. Teasdale at the Medical Research Council in England published a study that found that eight weekly sessions of mindfulness halved the rate of relapse in people with three or more episodes of depression.
With Dr. Kabat-Zinn, they wrote a popular book, “The Mindful Way Through Depression.” Psychotherapists’ curiosity about mindfulness, once tentative, turned into “this feeding frenzy, of sorts, that we have going on now,” Dr. Kabat-Zinn said.
Mindfulness meditation is easy to describe. Sit in a comfortable position, eyes closed, preferably with the back upright and unsupported. Relax and take note of body sensations, sounds and moods. Notice them without judgment. Let the mind settle into the rhythm of breathing. If it wanders (and it will), gently redirect attention to the breath. Stay with it for at least 10 minutes.
After mastering control of attention, some therapists say, a person can turn, mentally, to face a threatening or troubling thought — about, say, a strained relationship with a parent — and learn simply to endure the anger or sadness and let it pass, without lapsing into rumination or trying to change the feeling, a move that often backfires.
One woman, a doctor who had been in therapy for years to manage bouts of disabling anxiety, recently began seeing Gaea Logan, a therapist in Austin, Tex., who incorporates mindfulness meditation into her practice. This patient had plenty to worry about, including a mentally ill child, a divorce and what she described as a “harsh internal voice,” Ms. Logan said.
After practicing mindfulness meditation, she continued to feel anxious at times but told Ms. Logan, “I can stop and observe my feelings and thoughts and have compassion for myself.”
Steven Hayes, a psychologist at the University of Nevada at Reno, has developed a talk therapy called Acceptance Commitment Therapy, or ACT, based on a similar, Buddha-like effort to move beyond language to change fundamental psychological processes.
“It’s a shift from having our mental health defined by the content of our thoughts,” Dr. Hayes said, “to having it defined by our relationship to that content — and changing that relationship by sitting with, noticing and becoming disentangled from our definition of ourselves.”
For all these hopeful signs, the science behind mindfulness is in its infancy. The Agency for Healthcare Research and Quality, which researches health practices, last year published a comprehensive review of meditation studies, including T.M., Zen and mindfulness practice, for a wide variety of physical and mental problems. The study found that over all, the research was too sketchy to draw conclusions.
A recent review by Canadian researchers, focusing specifically on mindfulness meditation, concluded that it did “not have a reliable effect on depression and anxiety.”
Therapists who incorporate mindfulness practices do not agree when the meditation is most useful, either. Some say Buddhist meditation is most useful for patients with moderate emotional problems. Others, like Dr. Linehan, insist that patients in severe mental distress are the best candidates for mindfulness.
A case in point is mindfulness-based therapy to prevent a relapse into depression. The treatment significantly reduced the risk of relapse in people who have had three or more episodes of depression. But it may have had the opposite effect on people who had one or two previous episodes, two studies suggest.
The mindfulness treatment “may be contraindicated for this group of patients,” S. Helen Ma and Dr. Teasdale of the Medical Research Council concluded in a 2004 study of the therapy.
Since mindfulness meditation may have different effects on different mental struggles, the challenge for its proponents will be to specify where it is most effective — and soon, given how popular the practice is becoming.
The question, said Linda Barnes, an associate professor of family medicine and pediatrics at the Boston University School of Medicine, is not whether mindfulness meditation will become a sophisticated therapeutic technique or lapse into self-help cliché.
“The answer to that question is yes to both,” Dr. Barnes said.
The real issue, most researchers agree, is whether the science will keep pace and help people distinguish the mindful variety from the mindless.
A variety of meditative practices have been studied by Western researchers for their effects on mental and physical health.
Tai Chi
An active exercise, sometimes called moving meditation, involving extremely slow, continuous movement and extreme concentration. The movements are to balance the vital energy of the body but have no religious significance.
Studies are mixed, some finding it can reduce blood pressure in patients, and others finding no effect. There is some evidence that it can help elderly people improve balance.
Transcendental Meditation
Meditators sit comfortably, eyes closed, and breathe naturally. They repeat and concentrate on the mantra, a word or sound chosen by the instructor to achieve state of deep, transcendent absorption. Practitioners “lose” themselves, untouched by day-to-day concerns. Studies suggest it can reduce blood pressure in some patients.
Mindfulness Meditation
Practitioners find a comfortable position, close the eyes and focus first on breathing, passively observing it. If a stray thought or emotion enters the mind, they allow it to pass and return attention to the breath. The aim is to achieve focused awareness on what is happening moment to moment.
Studies find that it can help manage chronic pain. The findings are mixed on substance abuse. Two trials suggest that it can cut the rate of relapse in people who have had three or more bouts of depression.
Yoga
Enhanced awareness through breathing techniques and specific postures. Schools vary widely, aiming to achieve total absorption in the present and a release from ordinary thoughts. Studies are mixed, but evidence shows it can reduce stress.
***
Well, a couple of points. #1, the practices on which these techniques are based are ancient, so, like TCM and Ayurveda and other forms of Traditional medical practice, there is sufficient empirical evidence as to the workability of these forms.
That
they haven't been validated by Western scientific methods is beside the
point. I understand that western science demands certain protocols,
however, it goes back to a point made decades ago by Ken Wilber, which
is, that people without experience in meditation are not really
qualified to judge/teach it, because the experience of the meditator is
crucial to it's transmission to another.
Part of the trouble that psychotherapy has in the west is that it can't figure out what part of it is science and what part of it is art.
Still, we need all the help that we can get, in 'this modern world.' In many ways, we are loathe to admit that the ancients may have had an edge on modern people, as far as wisdom goes -- an an understanding of the cost of a troubled heart. Perhaps we also suffer a lack of a real community to help people to mend from the rigors of life.
***