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Showing posts with label Mental Health. Show all posts
Showing posts with label Mental Health. Show all posts

Friday, January 15, 2010

Opening the Hand of Thought


Kosho Uchiyama

(1912-1998)


The world we live in is not something that exists independently of our thoughts and ideas. Our world and these thoughts and ideas appear to us as a unified whole. Depending on what our thoughts and ideas are, our world may appear to us in completely different ways. These thoughts and feelings constitute our psychological condition. Moreover, our psychological condition is at the same time our physiological condition. When something breaks down inside of us physically, our minds no longer remain clear. And if our minds are not clear, then the eyes with which we see the whole world take on a gloomy appearance. On the other hand, when we feel healthy our minds brighten, and so consequently our outlook on everything becomes brighter.

Furthermore, our physiological conditions are tremendously influenced by the environment in which we live. The changes and conditions of climate and weather both affect us. This cause and effect relationship is particularly easy to see when you lead a life as unvaried and devoid of distractions as the sesshins at Antaiji.

The essential matter here is the attitude of just striving to wake up regardless of the conditions you are in. It is not about arriving at some state where all thoughts have disappeared. To calmly sit amidst these cause and effect relationships without being carried away by them is shikantaza.

Like the weather, there are all sorts of conditions in our personal lives: clear days, cloudy days, rainy ones, and stormy ones. These are all waves produced by the power of nature and are not things over which we have control. No matter how much we fight against these waves, there is no way we can make a cloudy day clear up. Cloudy days are cloudy; clear days are clear. It is only natural that thoughts come and go and that psychological and physiological conditions fluctuate accordingly. All of this is the very reality and manifestation of life. Seeing all of this as the scenery of life, without being pulled apart by it—this is the stability of human life, this is settling down in our life.

In The Record of Linji, Linji Yixuan (Rinzai) says:

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The true practitioner of the Way completely transcends all things. Even if heaven and earth were to tumble down, I would have no misgivings. Even if all the Buddhas in the ten directions were to appear before me, I would not rejoice. Even if the three hells were to appear before me, I would have no fear. Why is this so? Because there is nothing I dislike.

For Rinzai, the appearance of all the buddhas in the past, present, and future was not something to rejoice over, nor was the appearance of the three hells something of which to be afraid. Of course, not being afraid of the appearance of some hell doesn’t mean that for Rinzai hell had no existence. For him, hell was a kind of scenery that was different from the scenery of the Buddhas. The point is that whether some hell, all the buddhas, or anything appeared before him, Rinzai saw all of these as the scenery of his life. For us this is nothing but the scenery of our zazen.

I hope that people who practice zazen will continue regular sesshins and daily zazen for at least ten years. It’s a tremendous thing to be able to give oneself to this kind of practice and not be caught up in distractions. Our deepest mental suffering will come up during these years of zazen, and we will be able to continue our practice only if we have the stability to see this suffering as the scenery of our life and not be carried away by it. Working through these ten years, we develop a posture of living out the reality of our true self.

If we lead this sort of life and sit zazen, at whatever age, there is no doubt that we will come to have a commanding view of who we are. When we live this way, not only zazen, but daily life itself, is such that we cannot find the value of our existence in what other people say or in things that we want. It is a life that is unbearable unless we discover the value of our existence within ourselves.

What is essential is for us to live out the reality of our true self whether we are doing one period of zazen, a five-day sesshin, or practicing for ten years or more.

The Activity of the Reality of Life

All of us, regardless of whether we realize it or not, are living out the self as the whole universe. Since this is such a critical point, I’ll repeat it here. Usually we make the idea of the small individual self the center of our world and become firmly convinced that this small individual self is our whole self, but this is not our true self.

The reality of life goes beyond my idea of myself as a small individual. Fundamentally, our self is living out nondual life that pervades all living things. This self is universal existence, everything that exists. On the other hand, we usually lose sight of the reality of the life of universal self, clouding it over with thoughts originating from our small individual selves.

When we let go of our thoughts, this reality of life becomes pure and clear. Living out this reality of life as it is – that is, waking up and practicing beyond thinking – is zazen. At this very point our basic attitude in practicing zazen becomes determined. The attitude of the practitioner in practicing zazen as a Mahayana Buddhist teaching never means to attempt to artificially create some new self by means of practice.

Nor should it be aiming at decreasing delusion and finally eliminating it altogether. We practice zazen, neither aiming at having a special mystical experience nor trying to gain greater enlightenment. Zazen as true Mahayana teaching is always the whole self just truly being the whole self, life truly being life.

We all have eyes to see, but if we close them and say that the world is in darkness, how can we say that we are living out the true reality of life? If we open our eyes we see the sun is shining brilliantly. In the same way, when we live open-eyed and awake to life, we discover that we are living in the vigorous light of life. All the ideas of our small self are clouds that make the light of the universal self foggy and dull. Doing zazen, we let go of these ideas and open our eyes to the clarity of the vital life of universal self.

We discover the attitude of zazen as true Buddhism when we believe that the truth of this small self as an individual entity is universal self and actually practice the reality of life in zazen. This zazen is referred to as the activity of the reality of life.

Kosho Uchiyama (1912-1998)

Excerpted from Opening the Hand of Thought – Foundations of Zen Buddhist Practice

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Uchiyama Roshi begins with a powerful line that stops us right at the very beginning of this reading. To live the reality of true fluidity existing between ourselves and the world is a profound existence in anyone’s life and practice. Our practice starts right where we are each day; acknowledging the impact of internal and external weather, we begin each day with the material of daily life that changes with each day. Breaking through the bubble of limitation, our small sense of self, is available to us in each moment.

This awareness begins to subtly influence our actions in daily life. Even if this awareness comes without the big enlightenment experience some people have felt, living the reality of our self being the expression of Universal Self starts to change how we see ourselves and “others” here. We feel the joy and suffering of all beings around us as our own joy and suffering. Our actions naturally trend towards alleviating suffering and having compassion for all living beings.

To study the way is to study the self.

To study the self is to forget the self.

To forget the self is to be
enlightened by all things.

To be enlightened by all
things is to remove the barriers

between one's self and others.

Dogen

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Friday, January 1, 2010

Lotus Therapy

By BENEDICT CAREY

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.

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Friday, November 6, 2009

Tao Chapter 4

If you overly esteem talented individuals,
people will become overly competitive.
If you overvalue possessions,
people will begin to steal.

Do not display your treasures
or people will become envious.

The Master leads by
emptying people's minds,
filling their bellies,
weakening their ambitions,
and making them become strong.
Preferring simplicity and freedom from desires,
avoiding the pitfalls of knowledge and wrong action.

For those who practice not-doing,
everything will fall into place.

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