Are some physical ailments “all in our heads?” The mind is a powerful organ, capable of creating reality for us. In the world of health, the mind can be a powerful healing tool, or a powerful hindrance to true cure.
As a Buddhist tenet suggests, all suffering is present in the mind: pain, itching and discomfort especially. The mind, when stressed, has the ability to produce a number of physical symptoms, pain being one of them, but also skin ailments, digestive concerns, weight gain, hypertension and virtually any other complaint take up significant residence in the mind. Is your eczema expressing an anger that you’ve been holding in? Is your inability to lose weight a need to shield yourself from the world? Our homeopathy professor holds that the our symptoms are outer expressions of an inner, emotional state and, in controlling our minds and dealing with repressed emotions, we can resolve the physical as well.
In 1955, the doctor Henry K. Beecher named this tendency of the mind the “Placebo Effect.” According to Beecher, 35% of patients got better when given a sugar pill, indicating that, when the mind believed it was being treated, it spontaneously resolved symptoms based solely on its own expectations. This effect was so pronounced that, to this day, clinical trials are all but tossed out if they are not controlled for the placebo effect by giving one group a sugar pill.
It’s unfortunate that in modern healthcare this healing power of the mind is dismissed as “placebo” and not exploited further. After all, harnessing the power of the mind is cost-effective and side effect-free. There are many ways to enhance the Placebo, or as some of my supervisors like to term it, the “Meaning Response,” such as good patient rapport, a healing intention and therapeutic setting. However, when we talk about placebo, we’re really just talking about tapping into the mind-body connection, harnessing the mind’s powerful ability to influence the physical body. Giving patients a sugar pill is only one part of it.
Seeing patients at the Robert Schad Naturopathic Clinic made it clear to me how much of an obstacle to cure mindset can be. Often times patients’ core beliefs prevent them from getting better, especially if mental and emotional issues are at the root of their physical concerns. In many cases there is an ingrained belief of benefit to being unwell, or an unconscious fear of getting better. I find that identifying this fear helps untangle some of the mental obstacles to cure and helps patients approach healing with a renewed enlightenment.
Tapping into these unconscious beliefs is difficult, however. If approached from the wrong angle, the topic can seem insulting or belittling from the patients’ perspective. There are books such as “Messages from the Body” or Louise Hay’s “Heal Your Life”, that attribute emotional afflictions to physical ones in a dictionary-like layout, however the emotions behind a complaint are individualized and therefore such mind-body exercises are best explored on an individual level.
In the book Fat is a Feminist Issue, a comprehensive self-help book for compulsive eating and negative body image, there is a useful visualization that helps individuals access the feelings and beliefs that are preventing them from getting well. This book focusses on disordered eating and weight loss, however I’ve used the same visualization for a variety of complaints, including depression, circulatory problems, chronic infections and skin issues. The visualization consists of asking the individual to observe themselves as they are and then imagine that their condition is getting worse, then better. The visual dramatization often allows the individual to access the deep-held feelings, both positive and negative, that accompany both the worsening of and the alleviation of their complaint.
To truly access the deeper-held feelings, this meditation should be performed repeatedly. Those who attempt the visualization commonly realize:
1) There are positive aspects to having the condition: the condition protects them in some way, the condition benefits them in some way.
2) There are negative aspects to recovering: There is something threatening about the person they could become or the life they could lead without being burdened by the condition. There is something frightening about moving forward.
For stubborn conditions that do not respond to treatment, or conditions that commonly relapse, it becomes clear that, unless the mental-emotional reasons for having the condition or avoiding remission are addressed, cure is impossible.
This visualization is best done lying down and relaxed. It can be done with a trusted healthcare practitioner or alone as a meditation exercise. The party scene can be substituted for another scene that may be more relevant for you and words pertaining to your specific condition can be substituted as well. The dots (…) indicate a pause in the narrative.
“Fat/Thin Fantasy” from Fat is a Feminist Issue by Susie Orbach
I’d like you to close your eyes, get as comfortable as you can, follow your breathing, in and out, in and out, and relax…
I’d like you to imagine that you are at a party…. This can be either a real party or an imaginary one… It might be a dancing party, a talking party, a small intimate party… Set the scene and take notice of your thoughts…. feelings… and body sensations… What are you wearing?… How do you feel in those clothes?…. What is your posture like?… Try and feel yourself in your body…. Now notice your behaviour at this party…. Are you an observer?… Are you actively mixing with other people?…. do you feel withdrawn?….
As you observe yourself at this party, I’d like you to imagine that (your condition is worsening)… How do you feel?… Try to be aware of your feelings…. and thoughts….observe any negative feelings about (having your condition worsened)… observe any positive feelings about (feeling this way)… what are you wearing?…. How is your body positioned?…. What is going on at the party and how are you interacting with the other people there?…. Now, imagine that (your condition) is communicating with the people at the party…. What is it saying to others?… is there a way in which it helps you to (have this condition) in this situation?… Does (having the condition) allow you to do or say certain things or act in particular ways?…
Now imagine that (your condition) is slowly vanishing, fading away and, in this visualization, you are completely healthy…. can you see yourself?…. can you feel your body (without the condition)?… notice what you are wearing…. what do your clothes say about you?… notice your body position…. you posture…. what do you see from the perspective of being completely healthy?… do you view the party, other people, with different eyes?… how do the people at the party view you?…. How do you feel?…. pay attention to any feelings that arise… positive feelings…. and negative feelings… are you sure of yourself?…. do you feel vulnerable?… are you you?…How are you getting on with the others at the party?… Are there differences in the way that you interact with others?…. Is there anything scary of unpleasant about (having this condition)?…
Now I’d like to you to imagine that you are back to the body you have now…. does the atmosphere change?… can you contact any feelings of relief about being back in your present body?… Allow yourself time to experience whatever feelings are coming up… notice your responses to other people… how you feel about yourself… watch these feelings without judgement, as an observer….
Now, look back over this entire visualization exercise…. see what new information came up for you about yourself… When you are ready, come back into the room and open your eyes…
Reference:
Orbach, Susie (1978). Fat is a Feminist Issue. Galahad Books: New York, NY.
I recently came across this Ted Talk, by Shawn Anchor, recommended by a fellow student. The insightful, well-delivered, entertaining talk is important in the field of naturopathic medicine because it stresses the importance of positivity for living a life of health and happiness.
Shawn expresses the idea that only 10% of our inner happiness is due to external factors: our job, possessions, education, etc, while the other 90% is attributed to how we perceive those circumstances. We live in a society where we focus on reaching goals, thinking that once we reach those goals we will be happier: “When I lose 20 pounds, I’ll feel happy with myself,” “When I get that raise, I’ll like my job,” or “If I get into that school, then I’ll feel great.” It reminded me of a story our Mindfulness Based Stress Reduction teacher told us on Tuesday night:
Therewas once a fisherman, sleeping in his boat. He had caught all his fish for the day and so he was enjoying the sunny afternoon by taking a well-deserved nap, when along came a businessman.
“What are you doing?” Asked the businessman.
“I’m resting.” Replied the fisherman, “I’ve caught all my fish for the day.”
“Why don’t you go out and catch more?” Asked the businessman.
“Why would I do that?” Wondered the fisherman.
“Well, if you went out and caught more fish, you’d make more money.” Stated the businessman, as if it were the most obvious thing in the world.
“What would I do with more money?” Inquired the fisherman.
“You could buy a bigger boat.”
“And what would I do with a bigger boat?”
“Well,” replied the businessman, “You could catch even more fish, then. Then you could make even more money, buy a fleet of boats, employ other fishermen, catch even more fish and make even more money.” He finished, seeming pleased with his insightful advice.
“And what would I do then?” Asked the fisherman, who by now was very confused.
“Well,” exhaled the businessman, on a role now, “then you could really enjoy life!”
The fisherman looked at his beautiful surroundings, the afternoon sun dancing on the calm waters of the harbour; his humble but comfortable boat serving as the perfect place to rest. He looked back up at the businessman, who by now was looking quite triumphant, and replied,
“And what the heck do you think I’m already doing?”
Like the fisherman, being content with your life’s present circumstances is the key to increased enjoyment and satisfaction. According to Shawn Anchor, becoming more positive isn’t hard: he proposes a way to increase your satisfaction and overall happiness by spending only 2 minutes a day for 21 days in a row.
He suggests a list of activities that one might engage in, including exercise, meditation or journalling. One of the activities that stood out for me is expressing daily gratitude by taking 2 minutes at the end of each day to journal 3 things you have been thankful for in the past 24 hours. According to Shawn, this simple task is enough to set the brain on a different path, one that leads to increased happiness.
I often find that, in my life, I spend my time focusing on my goals and aspirations for the future. While this striving for future goals is what I’ve been taught to do in order to experience successes in my life, it results in my inability to pay attention to and enjoy my life in the present. Changing my lens of focus to the life blessings I have now allows me to marinate in the present. I find that, while it may takes some time to shift my gaze to the things I already have, rather than the things I’d like to have, once I got started, it was hard to stop at just listing three things. I felt like I wasn’t doing my life justice by excluding the numerous gifts I’m given on a daily basis.
I also like the idea of putting these pieces of gratitude on small pieces of paper and storing them in a glass jar in a visible place. At the end of the month, or during a bad day, I open my jar and pull out a few pieces of gratitude, reminding myself how charmed my life actually is, and thus rewiring my brain to truly appreciate and enjoy it.
I am currently reading the book Full Catastrophe Living by Jon Kabat-Zinn, the founder of Mindfulness Based Stress Reduction, MBSR, a mindful meditation program that I am currently taking, and I came across this paragraph that I thought was worth sharing with all of you:
“You probably won’t be surprised to learn that the word health itself means ‘whole’. Whole implies integration, an interconnectedness of all parts of a system or organism, a completeness. The nature of wholeness is that it is always present.
One of the reasons I chose to do my undergrad at Queen’s University (in Kingston, Ontario) was the beauty of its campus. The ivy-covered limestone buildings filled with me a romantic vision of what a student’s life should be. I imaged myself strolling to class among these majestic white castles or languidly reclining on the deep green lawns, ivy covered limestone surrounding me, as I perused my latest textbook.
What does space mean to you? Is it a necessity? A status symbol? A burden?
A friend and I recently went to see a documentary at the Toronto Hot Docs festival called Tiny: A Story About Living Small. The doc follows a young couple who embark on the project of building their own tiny house, measuring roughly 100 square metres, in order to secure their footing in an increasingly growing movement of downsizing living spaces in favour of simplicity.
With the growing rates of obesity in our society, combined with the tendency for most people who successfully lose weight to gain it back only a short while later, it’s obvious that something is flawed in our society’s general weight-loss strategy.
As we often hear in our classes, one of the biggest risk factors for a variety of chronic, debilitating diseases, from diabetes to ADHD, is low socioeconomic status. Sadly, even in a country like Canada, in the year 2012, we see that socioeconomic status continues to be a vicious cycle that entraps its victims in a web of dis-empowerment when it comes to issues concerning health.
This post was written in the summer of 2012. Although I hate Mayor Rob Ford, I have to hand it to the man; he must really have a strong sense of self to not get himself down over the very open disdain most Torontonians hold for him. I wonder if my ego would take that kind of repeated assault over and over again, especially that whole business with his weight-loss.
I was always kind of a chubby kid and, when society started make me conscious of the fact that this was not the way to be I decided to exercise and, essentially, begin dieting. This has led to a life where I rarely get through a day without at least having the notion weight sail through my mind’s seas. This seems kind of depressing when expressed, but it’s a concern that I work to push through, taking from it what serves to make me healthy and striving to leave behind the parts of it that lead to obsession and self-loathing. Many of us deal with similar mental struggles; young women are brought up in a society where nothing less than perfection is accepted. We have many emotional battles to fight.
Just the other day I was sitting in a Yorkville cafe, near my work, being kept company by my (closed) USMLE Step 1 review book and being kept entertained by watching passersby through the window. Yorkville is an interesting place to people-watch because everyone who struts by looks like they’re trying to find their way to a fashion runway, but got lost and then walked into Holt Renfrew, and then into Starbucks and now they’re back to looking for the runway they’re supposed to be walking down. Everyone is wearing an outfit that probably costs more than my student debt and, most of all, it seems that everyone is skinny.
That day, however, I contemplated my surroundings while sipping my coffee and I thought, while observing a fashionably, particularly stick-like woman, we’re told that that’s the body that all women should live in, regardless of profession, personality or personal health history. We live our lives obsessing over how to squish our own shapes into the size of clothes that woman wears, giving little thought to the organs, tissues and vis medicatrix naturae, or life force, that actually lies inside each of us. As I marinated in this little personal revelation, I took another sip of coffee and admitted, She looks nice, fashionable and healthy and maybe that body shape is good for her. However, there are many shapes of beautiful and I don’t think that shape is good for me.
I leaned back in my chair and felt the contentedness of having released part of a great mental burden.
Fast forward to a few days later: I give my class a speaking and writing assignment partly to kill time, to foster creativity and to improve their language skills, especially writing, which is always abysmal. I have each group generate a list of 10, random, unrelated words and then hand the list over to the other group, who must create a short story using all the words. As a class activity, it actually worked out quite well.
However, one of the groups, headed by a stronger student, who has a rather witty, yet dark sense of humour, created a story featuring, you guess it, me, their teacher. Sometimes I enjoy the limelight of teaching, other times I shy away from it, passing the buck onto the students, which actually works to their favour. Most of the time, however, I appreciate working with other people and getting to know these interesting students from a variety of different countries.
This incident, however, made me want to revert back to a student hiding in the back of the classroom. The gist of their story was that I, Talia, am invited to a party but can’t go because I need a new dress and I can’t find a beautiful dress to fit me because I’m too fat. Urgh. On the outside, I figure it must be a joke, an attempt at being funny. They just didn’t realize what a loaded word fat is for me. I laugh it off, correct some grammar mistakes and make a joke about it. I know deep down that most jokes resemble some form of truth and on the inside my emotions resemble some kind of amusement park ride, beginning at shock then surging between anger, down to hurt and even lower to despair.
It’s not the first time someone else has openly criticized my body. Each incident, while stinging at the first impact, can usually be cooled off with some deep breaths, body work and a few self-loving affirmations. However, it does deepen the contempt I have for how women are viewed in society.
From being lectured by a professional exerciser and dieter for Women’s Health Week at CCNM (she was supposed to discuss body image and the media and instead focused on the existential importance of jumping on a trampoline and limiting grains to rid the body of that “unsightly” stomach pooch) to being the recipient of comments about people who eat healthy but don’t look it, it’s no small wonder that the word weight has set up permanent neural synapses in my brain and, most likely, the brain of every other woman who has ever lived in society. Why is it our job to please those around us by conforming to the correct societal ideal of the times? Is it not enough to be fit, happy and healthy?
So while I wait for the next person to deliver a blow to my apparently fragile ego by pretending they know something about me by judging by the size of my behind, I will be sitting in a cafe, philosophizing about body image and maybe, just maybe, feeling a little bit of extra sympathy for Rob Ford.
October 19, 2012 ends another successful midterm week at CCNM. Not including our NPLEX 1 board exam, which was written in August, our first midterm week of 3rd year ticks a grand total of 61 CCNM exams off our growing lists.
Are some physical ailments “all in our heads?” The mind is a powerful organ, capable of creating reality for us. In the world of health, the mind can be a powerful healing tool, or a powerful hindrance to true cure.
