O'Grady Psychology Associates

Psychotherapy, Marriage Counseling, Neuropsychological Assessment

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The Present Moment and Transformation

Mindfulness and transformation.Research reported in the respected journal Science, in an article titled “Just think: The challenges of the disengaged mind” by Timothy D. Wilson et al. (345, 75 [2014]), presented results summarizing 11 studies where participants were first given an electric shock; all participants admitted that the shock was unpleasant, and said they would pay to avoid it. Researchers then asked the subjects to sit in the empty room and entertain themselves with their thoughts without cellphones, iPads, or other distractions. There were only two rules: you can’t get out of your chair, and you can’t fall asleep. Participants did have the option to press a button and receive a shock again.

The mind is its own place, and in it self

Can make a Heav’n of Hell, a Hell of Heav’n.

 John Milton, Paradise Lost

 Very much to the researchers’ surprise, the study found that 70% of the men and 25% of the women chose to shock themselves instead of just sitting there with their thoughts—remember, for no more than 15 minutes.

Researchers ran the test in a lab with college students, but also with older subjects (recruited from churches, farmer’s markets, etc.) in their homes, and they tried to replicate the study with a wider sample of people minus the electric shock. They found that these folks also had difficulty sitting still for 15 minutes alone to entertain themselves with their thoughts. Over half the people admitted to cheating by using their phones. The majority said that hated the experience—it was boring.

What is going on here? Why is it so hard to entertain ourselves with our thoughts that people will actually resort to painfully shocking themselves just for something to do? Why not just stay in the moment and wait it out? Partly, reflecting back and looking ahead are just human nature, something our big brains allow us to do and a big reason for our evolutionary success. Because we can think ahead and formulate goals, or review the past and learn from it, we can accomplish stunning achievements like writing novels, building bridges, and curing diseases (not to mention more ordinary but still essential accomplishments like saving for retirement). But that’s not the whole story.

While being past- or future-minded can have benefits, it’s clear that mindfulness—staying in the present moment—offers essential benefits as well. The present moment is the only one that truly exists. It’s only in the present moment that we can feel peace, fulfillment, and harmony. And it’s only in the present that we’re free to choose. That’s why people meditate and why so many religious traditions include some kind of mindfulness exercise.

But researchers in the study found that even subjects who had experience with meditation and mindfulness found it only slightly easier to sit still without distraction. I’ve found this in my own practice. When I explain mindfulness to my psychotherapy clients, they understand the concept and its value on an intellectual level, and may even experience a sense of pleasurable release during some meditations. Even though my clients have come to me for help in dealing with life’s burdens, and even though they get good results from meditating, it’s still not easy for them to practice mindfulness regularly.

So, what comes up for people when they sit alone with their thoughts? We experience restlessness, discomfort, boredom, and irritation. Sitting in stillness, letting moments come and go and staying with the quiet space, gives room to encounter the self. We come face to face with our anger, our envy, our jealousy and our pride. Those feelings are unpleasant and it is easy to want to be quickly rid of them. Switching the channel in our mind to a diversion such as a show, a game, or a piece of chocolate cake takes us temporarily away from the difficult emotion. We don’t want to feel like a jealous person, for example, because that gives way to other feelings such as guilt—which makes us feel worse. Our self-concept takes a beating when we give it time in the quiet moments.

But if we are to enlarge our Self and be fully alive, we have to face the darker sides. As Goethe writes in “The Holy Longing”:

 And so long as you haven’t experienced this: to die and so to grow,

you are only a troubled guest on the dark earth.

To be at home on earth, learn to sit with yourself in the present moment.

 

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How Wisdom Emerges from Body-Scan Meditation

 

 In mindfulness practice we use the Body Scan as a way to develop attention and focus on the body without judgment.Mindfulness Meditation: Using the Body Scan as a Focus

Body-scan meditation focuses deliberate attention on the body without judgment or wanting anything to come from it. This isn’t a traditional relaxation method; people may feel peaceful, but they can also feel antsy, impatient, irritated, and hungry. That’s the point: You can experience these feelings, thoughts, and sensations without needing to take them further. Just notice, and then move on to the next part of the body.

With physical pain, for example, our thoughts might go something like this: “My back hurts, that muscle ache could be a spasm or what if it is bone cancer, maybe I should have an MRI, or maybe I need to go to a chiropractor, but that could mean I have to go three times a week, how will I get off work? My wife is going to be mad at me for spending the money, but then, damn that! If I’m hurting, then I need to get out of pain. She has no business keeping me out of the doctor’s office. I deserve to spend money on me sometimes. Just like when I was a kid, and my mother didn’t take seriously the pain in my arm, and it was broken! I went for weeks before she took me to the doctor… ”

The thoughts go on like that. Before you know it, you’re fuming; your body is more tense than when you began. You feel irritation not only at your wife, but your mother, the medical system, the ACA, and your insurance company. You probably feel sorry for yourself. All that strong emotion gets internalized into your pores, your muscles and sinews, and your heart. Your focus on your body ended ten minutes into the 45-minute practice: all you can think about is getting up and googling “back pain.”

A mindful alternative might go like this: “My back aches, oh, okay. It hurts now, that is how it is right now.” And then you rejoin your yourself, and think, “Noticing my right shoulder…noticing the feelings present there…I bring my attention to my right arm, noticing what is there to be felt…” At the end of the body scan, you open your eyes and realize that you have stayed with the practice for most of the 45 minutes. Your mind wandered, but you didn’t end up becoming angry with your partner, your mother, the medical system, and your poor luck.

Living with all our emotions can be difficult. It’s not uncommon for feelings to be transformed into physical sensations that can very possibly develop into an illness. You didn’t cause the illness, but being in prolonged or frequent physical and emotional turmoil puts the autonomic nervous system (ANS) into a constant state of over-arousal, a kind of hyper-drive that leads to difficulty sleeping, tense muscles, fretting, and worry.

In his poem fragment “Eternity,” William Blake wrote about the elusiveness of joy:

He who binds to himself a joy

Does the winged life destroy

He who kisses the joy as it flies

Lives in eternity’s sunrise.

Happiness studies show that no one is happy all the time. In the same way, wisdom is not always with us. We have moments where it all comes together, and then it disperses again. Focusing on the body with awareness is a way to allow wisdom to emerge without trying.

How does wisdom enter in? In the second, alternative, body scan you notice the pain in your back, move on, and finish the practice. You’re more rested because you didn’t get attached to any one thought. Then sometime later in the day, you do a kindness to yourself. You think, “I’m feeling some ache in my back; I’ll listen to my body over the next day and see if I should pursue it further. But for now, I’ll take care to not overdo the wedding, and to come inside and rest.”

That is wisdom. It’s not Socrates, or Jesus, or Buddha; it’s your own wisdom that emerges because of your kindness to yourself, and because you didn’t let yourself go down the rabbit hole of your thoughts.

Below is a thirty-minute Body Scan Mindfulness Meditation. It is one of the first meditations used in Dr. Kabat-Zinn’s Mindfulness-based Stress Reduction class (MBSR) and is also a core meditation used in Mindfulness-based Cognitive Therapy (MBCT). It is best done laying down, with your eyes closed.

Body Scan Mindfulness Meditation

 

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Seeing How Childhood Patterns Affect Marriage

 

Couples Therapy and Family of Origin
Learning about Relationships by Watching Parents

When Mark and Judy came to see me for couples therapy, Judy felt frustrated by her husband’s constant angry mood. They rarely talked anymore, and she felt that any time she brought up a stress, the conversation quickly became a quid pro quo—who had the hardest day? Mark felt low-level irritability and frustration about his life as a parent, provider, and worker. He didn’t feel in control over his life, but rather, at its mercy. ”When do you relax? What do you do?” I asked. He answered, “I veg.”

“How do you veg?” I asked.

“I turn my back on my wife and small kids and look at my laptop, surfing the web, reading this or that,” he replied. Turning his back was Mark’s signal to his family not to bother him, his way of carving some space for himself in his small house. But did it work?

“It works for moments, maybe; they leave me alone, at least.”

But in turning away, Mark was missing the opportunity to turn toward anything enriching. The web gives ample opportunity to veg, plenty of material to inspire reverie, but the end result is not Whitman’s loafing that invites the soul. It is diffuse and at the end of the evening, empty. A one-click purchase was often the only way my client felt like he actually got something for himself.

 Spillover Stress: How it Damages a Relationship

And the next day would be just like the one before, full of stress and angry feelings. The psychological term “spillover” describes how stress can bleed into other aspects of life, especially in relationships. When someone is stressed because of the demands of daily life, they will carry that stress home, like a heavy briefcase they can’t put down. If someone is disconnected from himself or herself because the demands of life feel so heavy, they lose connection to their inner self, the soul.

Using Reverie and Daydreams as an Alternative to Surfing the Web

Returning to my client, I invited him to consider the benefits of reverie. To daydream, to muse with no clear focus, to allow the mind to wander with its spirals and twists—that can be a wonderful thing. “Loaf and invite the soul,” wrote Walt Whitman in Leaves of Grass. We need moments in the day with no one—not even ourselves—looking over our shoulders and monitoring our productivity. We need time where we can let ourselves slip into that pleasant, non-productive time with nothing to do but allowing thoughts, feelings, and images to freely enter and leave our minds.

So why not put the briefcase down, take the weight and the ache away? In Mark’s case, as we explored his feelings more deeply, he revealed guilt: Guilt about taking time for himself. Guilt about not being 100 percent there for his wife and kids. In therapy, we explored some reasons for this.

 Going Deeper Within the Context of Couples Therapy

Through his boyhood and teenage years, Mark was what therapists call a “parentified child.” His mother suffered from a degenerative disease. His father worked to support the family on a meager budget, despite working two jobs. Mark had to care for his mother, feed her, and stay home while the other kids were out playing.

He got the message that taking anything for himself when his poor mother had nothing—no mobility, no joy, and no friends—was selfish. He carried this guilt into adulthood without realizing that now, as a parent himself, he was recreating his childhood pattern and taking care of everyone but himself.

While at first glance Mark and his wife Judy’s marriage looked like that of a typically bickering couple, it wasn’t that simple. Just teach them some communication skills, give some homework, and let them go on their merry way? NO. Unless the two understood Mark’s guilt and the reasons behind it, no real, lasting change could be made in their marriage. They would fall back into old patterns six months or less after completing couples therapy.

In Mark’s case, Judy listened quietly at first then interjected, “But I do give you space—I tell you go see your friends one evening after work, go the gym…” Mark had heard her say this countless times since their daughters were born. The conversation was an old one and never changed. When people have the same fight over and over, they become bitter and hopeless. Thoughts of divorce enter along with feelings of self-pity. “Another partner would not treat me this way,” each might think.

 Stepping Out of Gridlock Takes Patience and Time

To step out of a gridlocked conflict such as this one takes patience and time. Couples counseling creates a space for partners to explore some of the not-so-obvious dynamics of their relationship with empathy, putting grudges aside long enough to really see your spouse in a different light. It provides an opportunity to see patterns on many levels: communication with your partner, your relationship to your parents, and how those layers interact with each other to create difficulties in loving.

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Being Playful Gives Freedom from the Restrictions we Put on Ourselves

Finding your playfulness again
Learning to Play

Gerald Heard visited Georgia O’Keeffe at Ghost Ranch in 1937. He had an interest in Eastern religions and metaphysics. One morning, O’Keeffe found Heard’s footprints around the tree where he had been dancing as well as a cryptic inscription he had etched into the earth at the base of the tree. “Gerald’s Tree was one of many dead cedars out in the bare, red hills of Ghost Ranch. From the footmarks around the tree, I guessed he must have been dancing around the tree before I started to paint it. So I always thought of it as Gerald’s Tree. “ Georgia O’Keeffe.

O’Keeffe painted two versions of the tree, indicating its importance to her. On a visit to Ghost Ranch, I heard this story and was captivated.

David took this photograph in 2008. The tree has not changed in the years since O’Keefe painted it. That this twisted tree, would be the subject of several paintings fascinates me. To see color in dirt takes a willing eye. It is easier to see beauty in vivid flowers or lush forests. The desert makes you work to see it’s unique beauty.

Over the years, I have made many trips to theSouthwestt. One of my favorite pieces of writing is from the novel, Song of the Lark by Willa Cather. This takes place after an intense period of her life as an opera star. She goes to the desert to rest and recuperate.

I sat down in the middle of the garden, where snakes could scarcely approach unseen, and leaned my back against a warm yellow pumpkin. There were some ground-cherry bushes growing along the furrows, full of fruit. I turned back the papery triangular sheaths that protected the berries and ate a few. All about me giant grasshoppers, twice as big as any I had ever seen, were doing acrobatic feats among the dried vines. The gophers scurried up and down the ploughed ground. There in the sheltered draw-bottom the wind did not blow very hard, but I could hear it singing its humming tune up on the level, and I could see the tall grasses wave. The earth was warm under me, and warm as I crumbled it through my fingers. Queer little red bugs came out and moved in slow squadrons around me. Their backs were polished vermilion, with black spots. I kept as still as I could. Nothing happened. I did not expect anything to happen. I was something that lay under the sun and felt it, like the pumpkins, and I did not want to be anything more. I was entirely happy. Perhaps we feel like that when we die and become a part of something entire, whether it is sun and air, or goodness and knowledge. At any rate, that is happiness; to be dissolved into something complete and great. When it comes to one, it comes as naturally as sleep. 1918

Sitting down in the dirt, or the grass, and letting the sounds and small movements of the tiniest creatures catch your attention is a way to play. Play comes naturally to children. They can play by dancing round the mulberry bush, or by laying down in the tall grass and watching the clouds move across the sky, creating castles and animals in their mind. Or watching a line of ants as they carry their burdens along their well-worn tiny paths, letting imagination carry them away.

Think of the ways you play

Wake up early, dance around the base of a tree and find a communion with nature. Being spontaneous, playful, and indeed silly gives freedom from the restrictions we put on ourselves. Think of the ways you play. Write down the most vivid times you played in the last five years. What do they have in common? What do you feel as you remember them? Then think back on some of your earliest memories of playing when you were small. Do these experiences have anything in common?

Being mindful and playing are ways to find the ever-elusive joy we often let slide by for more routine tasks of life. Give in to the urge to dance in the early morning, or in the starlight and watch as you come alive again.

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How Mindfulness Can Reduce Stress

Mindfulness-Based Stress Reduction

DSC_0231 2 In 1979, Dr. Jon Kabat-Zinn founded the Stress Reduction Clinic at the University of Massachusetts Medical School—the oldest academic medical center-based stress reduction program in the west. In response to inquiries about the clinic’s eight-week course, Dr. Kabat-Zinn wrote Full Catastrophe Living (1990), a the seminal book on mindfulness practice that has spawned numerous offspring, including mindfulness-based cognitive therapy (MBCT), dialectical behavior therapy (DBT), and acceptance and commitment therapy (ACT.) Mindfulness practices have made their way into schools, prisons, business, hospitals, and health clubs. Psychologists and researchers have explored combining cognitive therapy and mindfulness to help depression, anxiety, and medical problems. Given the ubiquitousness of the practice, it is important to understand what it is, and what it is not.

I have always considered the title of Dr. Kabat-Zinn’s book unfortunate. The title suggests that life is catastrophic, but the book is really about living well with the ordinary stresses of life. In his introduction, Dr. Kabat-Zinn tells the reader why he choose the title:

I keep coming back to one line from the movie of Nikos Kazantzakis’ novel Zorba the Greek. Zorba’s young companion turns to him and inquires, “Zorba, have you ever been married?” to which Zorba replies, “Am I not a man? Of course I’ve been married. Wife, house, kids, everything…. the full catastrophe!”

But despite Zorba’s responsibilities and multiple roles, he lived his life with gusto, very much in the moment. “’Just now I’m thinking of the chicken and the pilaff sprinkled with cinnamon,’” he tells the narrator. “’Everything in good time. In front of us now is the pilaff; let our minds become pilaff. Tomorrow the lignite will be in front of us; our minds must become lignite! No half-measures, you know.” Whether considering the pleasurable dinner or the difficult work, Zorba gave his mind to what was in front of him, never just being a spectator of his life.

We all have stress. As Michael Baime, director of the Penn Program for Mindfulness at the University of Pennsylvania Health System, put it recently:

“Stress doesn’t go away, ever. That’s why we call it stress management rather than stress elimination…in practicing mindfulness you create a world where you experience depth, meaning and connectedness. You see joy and sadness more fully and settle more deeply into an authentic way of being.”

Learning to Live With Stress

There are no avoiding daily hassles, relationship conflict, money worries, and health concerns. Yet by living side by side with our stress, we come to know ourselves more deeply. In mindfulness practice we learn to sit with uncomfortable feelings in a non-judgmental way and thereby develop the ability to tolerate the difficulties of life with more equanimity. The practice of observing our thoughts without getting wrapped up in them gives us the ability to bring insight to thoughts, feelings, and perceptions. By bringing our focus back to our breathing each time we notice our minds wandering, we learn to stop ruminating and obsessing, which will eventually help in reducing symptoms of anxiety and depression.