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Buddhist Psychology
& CBT
:beyond mindfulness
Dr P J Saju, Consultant Medical Psychotherapist,
South West Yorkshire NHS Trust
Wakefield 29 June 2021
26/06/2021 P J SAJU 1
Welcome…
• Warm welcome to the session!
• Please mute your mike and switch off your camera
• Above will improve connectivity and reduce distractions
• Please use chat box for comments, questions
• You can unmute and switch on camera when you speak
• If you don’t understand everything, let it be …
• and revisit handouts and further reading later !
26/06/2021 P J SAJU 2
declarations
26/06/2021 P J SAJU 3
I am not a Buddhist .
I never had a Guru-
a personal teacher.
Buddhist ideas has
influenced me
as a therapist
Gratitude to others
( books, talks, ideas,
pictures, few slides)
Feel free to
distribute the
presentation
Apologies for any
errors
Dedication
06-03-1970
24-06-2021
4
Aims
1) Four noble truths
2) Three marks of existence
3) Dependent origination
10-minute Pause / Break
1) Taming negative mental states
2) Developing positive qualities
3) The Noble eight-fold path
26/06/2021 P J SAJU 5
Buddha : Life in Brief
• Buddha – A prince from Sakya clan born 2500 years ago
• As a young man did not witness suffering
• 4 sights : the old, the sick, the dead and the monk
• 17 year : marries Yashodara
• 28 year : leaves home in search of answers –the noble quest
• 28-34 year: 6 years of extreme ascetism, starvation & near death
• 34 year: sitting under the Bodhi tree, resolutely meditating; battle
with Mara, the tempter. Enlightenment/ awakening to reality as it is .
26/06/2021 P J SAJU 6
Buddha in the context of Hinduism
Unlike Hinduism, in Buddhism
• no belief in a creator god , prayers or rituals
• no belief in caste & class distinctions
• no belief in a fixed personal identity ( atman) in this life or afterlife.
• Nothing in life is permanent or eternal- everything changes
Buddha remained mostly silent to metaphysical questions
• All I teach is about is about Dukkha, its cause & the way to end it.
• Thoughts, emotions & actions have future consequences ( fruits of karma)
• We have the potential for awakening and liberation, to varying degrees
• Taught for 45 years, died at age 80
• After his death, theory and practice elaborated by different schools
• Spread to various countries, accommodating to local culture
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Middle Way as a Different Path
1) A way between extremes of self mortification and senseless seeking of
pleasure. ( but different from compromise or ‘golden mean’)
2) ‘’ not approaching either of these extremes, it gives vision, gives
knowledge and leads to peace, to direct knowledge, nibbana. And what is
the Middle way? It is the Noble Eightfold Path’’
3) ‘’As Buddhist thought and practice developed, the concept was applied to
any dualism, or diametrically opposed pair (subject/object, samsara/nirvana,
part/whole). The Middle Way is similarly fluid and full of possibilities, for
Buddhist thought and for our lives.’’ (tricycle.org)
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First Noble Truth : Dukkha is Omnipresent
(sorrow/ anguish/ pain/ suffering exists )
‘Birth is Dukkha, Ageing is Dukkha, Death is Dukkha;
Pain, Sorrow, Lamentation, Grief and Despair are Dukkha;
Contact with the unpleasant is Dukkha;
Separation from pleasant is Dukkha;
Every wish unfulfilled is Dukkha;
In short, Five Aggregates of attachment (individuality) are Dukkha ’
1. Dukkha of pain
2. Dukkha of change for the worse *
3. Dukkha of existence / pervasive conditioning **
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Fire Sermon
by Buddha
Dukkha of
pervasive
conditioning
Not only sense pleasures and adverse
changes but human existence as such is
on fire.
‘’I say it is burning with the fire of
passion, the fire of hatred, with fire of
ignorance, it is burning because of birth,
ageing, dying, because of grief, sorrow,
suffering, lamentation and despair.’’
26/06/2021 P J SAJU 15
2nd Noble Truth: Arising of Dukkha
(samudaya satya)
Dukkha arises from craving* ( as an immediate cause)-
‘’This is the arising: it is craving (tanha) which is repetitive, wallowing in
pleasure and lust, obsessively indulging in this and that, now here, now
there, finding ever fresh delight : craving for stimulation, craving for
existence, craving for non existence ‘’
• Craving : Tanha ( Pali), Trishna ( Sanskrit) –
(unquenchable thirst, raging fire, greed and unbound desire)
Craving and attachment to ideas, objects, constructs, self constructs
common source of suffering ( Gehart. p28 )
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1. Craving
for sensory
pleasures-
Kama
tanha
DRIVE FOR PLEASURE
Addictions
Compulsive Sex
Food- comfort eating
Exercise, body building
Gambling , gaming, shopping, adventure sports,
risk taking
26/06/2021 P J SAJU 18
2. Craving for
existence-
bhava tanha
To become
the person
we believe
we
ought to be
INSATIABLE DRIVE FOR SELF ESTEEM & PERFECTION
I am not good enough / I need more/ I am entitled to get more
Desire to be admired, loved, successful, praised by all
Wealth, possessions
Power, control over others
Relationships, connections
Beauty, body image enhancement
Intelligence , qualifications, values, opinions
Achievements, success
Spititual progress
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3. Craving
for Non
Existence
– vibhava
tanha
To avoid, block out and annihilate our painful
experiences ‘’I don’t like this, I hate this, I don’t want
this’’
• Drugs and addictions to avoid, block out pain
• Self harm to release pain, anger, boredom, frustration
• Avoidance in anxiety disorders, ocd, ptsd etc
• Emotional avoidance of guilt and shame
• Dissociation and depersonalization
• Self hatred & Suicide
Craving : strong like and desire to get X, Y &Z
Aversion: strong dislike and desire to get rid of X, Y& Z
Craving and Aversion are 2 sides of the same coin
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3rd Noble truth : Cessation of Dukkha
( nirodha)
• If the cause is eradicated, there will be no effect.
• If the cause is transformed, outcome will be different
‘’It is the complete stopping of Tanha ( craving) , so that no passion
remains, leaving it, being released from it, giving no place to it.’’
‘’It is the complete separation from, and destruction of this very
craving, its forsaking, renunciation. The liberation therefrom, and non
attachment there to’’
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4th Noble Truth : the eight fold path
If we have the knowledge, skills and willingness to practice, we can overcome dukkha.
The way is the noble eightfold path
• Right* understanding
• Right intent
• Right effort
• Right mindfulness
• Right concentration
• Right speech
• Right action
• Right livelihood
(*Right, Perfected, Wholesome, Wise, Noble, Harmonious, Skillful, Balanced)
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If craving is the immediate cause,
what are the distant causes ?
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Root cause of
craving :
Ignorance
Ignorance of Four Noble truths
( sorrow, arising, cessation, the way)
Ignorance about 3 marks of existence
Ignorance of Dependant Origination
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Distal cause of craving : Ignorance
1. Ignorance of Four Noble truths
2. Ignorance about 3 marks of existence
3. Ignorance of Dependant Origination
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3 Marks of existence
1. Impermanence ( anicca, anitya) ~ Unstable~ Unpredictable
2. Non Self ( anatta, anatman)~
3. Suffering / Sorrow ( Dukkha)
Suffering = Poor understanding of self +/-
Poor understanding of the world
We suffer when we try to hold onto impermanent phenomena and/or
wrong notion of self.
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Four distortions of perception
1. Sensing no change in the changing
2. Sensing pleasure in suffering
3. Assuming ‘self’ where there is no self
4. Seeing unlovely as lovely
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Reflecting on Gross Impermanence
• What has changed in your life in past 10 years
• What has changed in your life in past 5 years
• What has changed in your life in the past one year
• Construct a life line with positive and negative events
• Construct a 3 generation genogram
• Reflect on losses, deaths, births , changes in relationships
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Reflect on Subtle Impermanence
• How have you changed as an individual ?
• in your body ?
• In your beliefs ?
• In your likes and dislikes?
• In your emotional responses to the same?
• When was the last time you thought about ageing, illness and death?
26/06/2021 P J SAJU 29
Dalai Lama reflecting on Impermanence
( How to see yourself as you really are , Dalai Lama (2006)
• it is certain that I will die, death cant be avoided
• I should practice now to reduce my attachment to passing fancies
• My mind, body, possessions and life are impermanent, because they
are produced by causes and conditions.
• The very conditions, that produced my mind, body. possessions and
life also makes them disintegrate moment by moment
• By mistaking what disintegrates moment to moment for something
constant, I bring pain upon myself
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Second mark
of Existence
Not Self
( Anatta-
Anatman)
Wrong notion of self
Phenomenal personality is in constant state of
flux- it is a dynamic, fluid process rather than a
rigid static permanent structure.
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Conditioned/ Compounded Self
Conditioned nature of existence-
1. things do exist, but they exist dependent upon other things,
2. they exist only for a limited period of time
Buddha’s last words about dying
All compounded things are subject to change, they do not last, strive
diligently for your salvation !
26/06/2021 P J SAJU 32
‘’non-self’’ as interdependent self
• Nagasena’s chariot analogy : self as multicomponent ( coming
together of various components wheels, pole, yoke, spokes, frame ,
conventionally named as a chariot ) = Empty of independent
essence
Flame analogy of continuity ( identity as a process)
• the flame comes to being because of different conditions
• the flame at the start, middle and end : the flame is not the same, but
not entirely different either
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Conditional origin of fire
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Illusion of Self
Delusion of Self
• Self as a story fabricator, narrator
( e.g confabulation in Korsakoff disorder)
• Self as a discrepancy monitor
( internal commentator; ‘you should…’)
• Self as a malware ghost program
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Five Aggregates ( Skandha) of Person;
but there is no soul/ essence.
1. Living body ( rupa) that makes sensory contact (sparsha, phassa)
2. Feeling tone ( vedana): pleasant, unpleasant or neutral
3. Perception( samjna) that puts a label on things experienced
4. Formations( samskara) cognitive- volitional base, storying, intentions
5. Consciousness ( vinjana) Awareness
There is no cartesian split between body and mind. The components act
interdependendly , but does not have ‘’master self’’, like a programmed
driverless car. ‘’I’’ think, but that does not mean I exist, ‘’ I’’ feel that does
not mean I exist. You exist as a temporary combination, subject to change
26/06/2021 P J SAJU 37
Self as a process
situation : ‘’I ‘’see a friend and decide to greet him
First, there is the physical being (Rupa 1), with five sense organs
interacting with external world. This interaction generates basic
sensations ( Vedana 2), With perception (Samjna 3) the object
becomes recognisable as friend.
Thoughts, mental activities, intentions (Samskara 4) and awareness (
Vijnana 5) interact and greeting occurs
26/06/2021 P J SAJU 38
"Thus, monks, any form, ... feeling, ... perception, ... fabrications, ...
consciousness whatsoever that is past, future, or present;
internal or external; blatant or subtle; common or sublime;
far or near: every consciousness is to be seen as it actually is
with right discernment as: 'This is not mine. This is not my self.
This is not what I am.'
"Seeing thus, the well-instructed disciple of the noble ones grows
disenchanted with form, disenchanted with feeling, disenchanted
with perception, disenchanted with fabrications, disenchanted
with consciousness. Disenchanted, he becomes dispassionate.
Through dispassion, he is fully released. With full release,
there is the knowledge, 'Fully released.' He discerns that
'Birth is ended, the holy life fulfilled, the task done.
26/06/2021 P J SAJU 39
Challenging the Illusion of Independent self
cognitive humanistic therapy : Richard Nelson Jones
• What do you think is the contribution of each of the following causes and
conditions in the ‘ construction of your self’
• Biology, genetic inheritance
• Family of origin
• Formal education
• Friendships across life span
• Groups you were part of
• Significant events in your life
• Culture, race, sexual identity
• What are the dangers of not recognizing the interdependence of ones ‘
self’
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Third Mark of
Existence:
Dukkha
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Dependent Origination
• All things are inter related and interdependent
• All things exist in relation to each other
• All things exist dependent on determinants
• All things have no enduring existence
Reference : Dependent Origination by PA Payutto
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Comparison with
Systemic Family Therapy
• Circular causality
• Systemic formulation
• Interactions
• Patterns of interactions
• Deconstructing identities
• Processes
• Positioning theory
• Social constructionism
26/06/2021 P J SAJU 43
Simplified Model : Binge Drinking
Past influence &
Poor Insight
Senses & Contact
Feeling
Craving Clinging
suffering begins & ends
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Contemplating Selflessness & Emptiness
things are existent, not existent, both, neither
‘There is case where one is tormented when something permanent within
oneself is not found’ ( Buddha) ; ‘This idea that I may not be, I may not have
is frightening to the uninstructed worldling’ ( Buddha )
‘’In these practices, if you do not rely on your lama’s personal instruction,
but meditate as you please, this is a great source of delusion, and since these
practices can not be understood through written word alone, I will not
elaborate upon them here’’ ( Parting from the four attachments by
Gorampa, Sonam Senge 1429-1489)
‘’But still I cannot claim full understanding of emptiness.’’
( How to see yourself as you really are , Dalai Lama (2006)
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Paean of Joy:
Buddha’s first words after enlightenment
Oh housebuilder ( craving), thou are seen,
thou shall not built no house (self) for me again
All thy rafters ( defilements) are broken
the ridgepole ( ignorance) is shattered
The mind attains unconditioned
Achieved is the end of craving !
Dhammapada verse 153, 154
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Break
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Dhammapada for Cognitive Therapists 1
From X* arises grief,
From X* arises fear.
To one who is free from X* , there is no grief,
How then, there can be fear?
(X* = distorted desire, affection, pleasure seeking , attachment ,
lustfulness verse 212- 216)
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Dhammapada for Cognitive Therapists 2
Let the wise man guard his thought, which is difficult to perceive,
which is extremely subtle, which wanders at will. Thought which is well
guarded is the bearer of happiness ( verse 36)
You yourself must strive, the blessed ones are ( only) preachers.
Those who enter the path and practice meditation are released from
the bondage of Mara*( Demon, Death, Sin) -verse 276.
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Three Poisons : Greed , Hate and Delusion
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Curbing Greed and Craving
cognitive humanistic therapy : Richard Nelson Jones
• I must get what I want now
• I must always be happy, loved, successful
• Others must see how successful I am
• I must be better than my peers
• I must have prestige and success
• ------------------------------------------------
1. Reality ( truth) : Do I really need it, when is enough is enough
2. Fears : What do I really fear? losing love , respect, fear of destitution, being inferior)
3. Consequences: Where will this take me, effect on self, friends and relationships
4. Intent :What is the right thing do?
5. Action: How do I make a start ?
26/06/2021 P J SAJU 54
Overcoming Anger , Aversion and Hatred-
RAGE model – True Strength by Russel Kolts
Recognise the situation, thoughts and feelings that provoked anger
Reduce arousal by soothing exercises, shifting attention
Refrain from engaging habitual anger behaviour
Acknowledge your threat system is activated now
Accept and endure this activation, even if difficult
Give yourself permission to experience, without judging
Generate compassionate alternative responses
Endure the discomfort of change
Enact compassionate alternative behaviour
Experience your compassion in action
26/06/2021 P J SAJU 55
Overcoming Ignorance by Therapy
• Reflection on selflessness, conditional origin ( Behaviour Therapy)
• Reflecting on process/ mindfulness ( MBCT)
• Learning from consequences of action ( chain analysis in DBT)
• Reaffirming life values ( ACT)
• Radical Acceptance ( DBT)
• Self Compassion ( compassionate mind, Christine Neff)
• Compassion for others ( Paul Gilbert. CFT )
• Equanimity / Serenity ( Existential therapies)
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Two Arrows
P
J
SAJU
1. Pain
2. Suffering
26/06/2021 57
Becoming aware of
suffering we create in our lives
Be gentle with the following questions, the object is not to give
yourself a hard time. It is to see suffering clearly, by sitting with the
pain
• What does my suffering look like
• How do I create more suffering in my life
• What have I gained from creating more suffering in my life
• What has creating more suffering in my life cost me?
• What do I need to do to lessen the suffering in my life
• Eight step recovery (2013) by Valerie Mason John &Paramabhandu Groves
26/06/2021 P J SAJU 58
Usefulness of Dukkha
• Universal reality of Dukkha (normalisation)
• Transience of life motivates to make good use of life
• Right view, right understanding helps
• Universal suffering generates universal compassion
• Transformative power of sorrow and suffering
• Appreciate things as they are- get most out of the moment
• insight + remedial action lead to growth (Post traumatic growth)
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Middle way or Third way ?
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5 options when faced with negative thoughts
Vitakkasaṇṭhāna Sutta
1. Replace the bad thought with a skilled thought
2. Reflect on the consequences", "ponder on the disadvantages" "examine
the dangers or "scrutinize the drawbacks" of such thoughts
3. Withdrawing attention: "should not attend“, "not give attention", "be
without attention and reflection", "pay no mind and pay no
attention", or even "forget" such thoughts.
4. “Stilling the thought-formation", "removal of the (thought) source of
those unskillful thoughts", "appeasing the whole intentional thought
process“
5. Using will power to "subdue and beat down the (evil) mind by the (good)
mind", ’just as one man may do physical violence to another man’.
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Noble Eightfold Path:
a comprehensive plan
Right Understanding
Right Intent
Right effort
Right mindfulness
Right concentration
Right Speech
Right Action
Right Livelihood
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Eightfold path in the Clinic
• Right/ Good understanding : we add to our suffering, we can learn to
reduce it , pain is inevitable, nature of self is change, we can change
• Right intent & effort: Aspirations vs Intentions vs Committed action,
are you ready, what stops you, how can you overcome hindrances
• Skilful / Right Speech : What is your purpose/ intent/ goal of
communication? Is it for connection and intimacy or negative criticism? is
his true, kind, necessary and helpful? It is wise to be silent sometimes.
• Right / Wise Action : explore intentions, motivations of your actions, is
this led by greed or hatred, altruism , values , good for all - Sarvodaya
• Harmonious/ Right livelihood: is your livelihood ethical, beneficial, non
harmful, non exploitative, consistent with your values
• Right / Good concentration, mindfulness : balance of calm and analytical
practice, focus on present, non judgemental acceptance, curiosity
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Visualizations :
• Body like a mountain – strong, firm and present
• Heart like an ocean- deep
• Mind like the sky, big, wide, open
• Self like earth, sky or water which can take a lot of neglect & abuse
• Breath like an anchor , let my thoughts be steady
• Safe place, Perfect nurturer who is compassionate
• Breathing in pain, breathing out kindness ( or vice versa)
• Breathing out light, soothing suffering of others
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Middle Way : Practice Safely
Samantha meditation / right concentration aims at calming mind
Vipassana ( insight) meditation : essential to experience moment to
moment changes in mood, thoughts and action tendencies ( deeper
realization of impermanence and selflessness. But could be de stabilizing for
vulnerable people, example the idea of no fixed self, changing self, or
dissolution and death.
Meditating about death and changes in body after death ( 10/ 40
meditation objects)are aimed at destroying self cherishment associated with
craving and impermanence. Use only with guidance for advanced
practitioners.
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Four foundations of mindfulness
• Mindfulness of body ( breathing, body scan, walking , daily activities)
• Mindfulness of feelings ( pleasant, unpleasant, neutral)
• Mindfulness of mental states ( name, origin, cessation)
• Mindfulness of thoughts (observe- label- let it go- observe)
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Mindfulness of thoughts
Label and Let it go
hindrance how it shows up
Craving I want a…./ I want another
I got to get/ have…/ I cant live without
I want a bigger/ better…
Ill will I hate it when….They are the problem.. I want them to change
sloth and torpor I don’t know/ I do not care/ it does not matter
restlessness and worry I am worried about…/
sceptical doubt what’s the point/ does anything matter? / its all hopeless
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Easily adaptable techniques
for practice
• Journal / Reflective writing
• Reflect on new experiences (e.g behavioural experiments )
• Non judgemental Reflections/ Socratic method
• Behavioural chain analysis
• Mindfulness in small doses ( 5 -10 minutes)
• Values, life goal exploration
• developing Inner strengths
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Cultivating Virtues ( Perfections)
How are you developing this now ?
Generosity
Patience
Concentration
Wisdom
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The journey
Self
preoccupation
Empty
False self
Selfless interest
in others
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Alfred Adler : Superiority or Social Interest
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Adler’s way : Social interest & Generosity
• The self bound individual forgets that self would be safeguarded
better and automatically the more he prepares for the welfare of
mankind, and that in this respect, no limits are set for him ( Adler
cited in Ansbacher & Ansbacher, 1956/ 1964)
• People who strive for success rather than personal
superiority maintain a sense of self, of course, but they see daily
problems from the view of society’s development rather than from a
strictly personal vantage point. Their sense of personal worth is tied
closely to their contributions to human society. Social progress is
more important to them than personal credit. (Adler, 1956)
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Compassion Focused Therapy (Paul Gilbert)
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The Buddha Within
"inside a casting mold there is perfectly formed Buddha;
the ignorant see the filth of the mold but the wise know that the Buddha is within."
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Additional Slides
( time permitting )
Divine abodes
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Developing
Four
Immeasurables
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Change key words, as necessary in practice
May I be happy and free from suffering.
May I keep myself free from
enmity, afflictions, anxiety
and live in happiness and peace
• May I be able to make progress to be peaceful / joyful, loving,
• May I be safe, free from pain, harm, illness, danger
• May I be healthy and whole, healthy, healed
• May I be kind & peaceful with my suffering
• May I be free from all suffering
26/06/2021 P J SAJU 82
how to like your enemy ?
boundless heart by Alan Wallace
• Hostility you feel is often in response to a deed or pattern of behaviour. But then
you extend it and attach actions to the person. ‘’ this person is so insensitive ,
abusive!’’ (Watch out for generalizations, categorizations, labelling)
• Behaviour is temporary, it arises upon causes and conditions. Do not equate a
person with their afflictions. Causes and conditions can alter peoples qualities,
but we freeze them in time, then our hostility feels justified.
• Crucial issue is to separate not only behaviour, but even the disposition and
mental states from the person. Do people change> were you the same person
when you were 5, 10, 15 , 20 years .
• 20 years ago, this person was not your enemy, 20 years from now this person will
be just a memory for you, why should your mind be convoluted with suffering? It
is just causes and conditions that com together, and will pass in turn
26/06/2021 P J SAJU 83
Gratitude and Forgiveness
gratitude forgiveness
26/06/2021 P J SAJU 84
Equanimity:
evenminded
upeksha/
upekka
Curious
Calm
Clear minded
Open
Stable
Neutral
Interested
Affection
Fairness
Not hooked by:
Attachment,
Attraction,
Idealisation
Devaluation
Aversion,
Hatred ,
Indifference
26/06/2021 P J SAJU 85
Equanimity
for eight worldly preoccupations
26/06/2021 P J SAJU 86
Equanimity: remember all is impermanent
26/06/2021 P J SAJU 87
Meditation on Equanimity
May I be balanced and at peace
May I learn to see arising and passing of nature with equanimity and balance
May I bring compassion and equanimity to events in the world
May I find balance , equanimity and peace. (Kornfield 1993, p 331)
May we accept all things as they are
May we be undisturbed by comings and goings of events( Salzberg, 1995)
• extend to offer equanimity to others, relative, friend
26/06/2021 P J SAJU 88
Embracing impermanence
to show us suffering can end
We change, situations change, cravings change, distress change
‘’This is a moment of craving
Craving is energy arising and ceasing
I don’t have to identify with this energy,
I don’t have to take action
I trust this sensation will pass’’
• Addction: urge surfing ; DBT: distress tolerance
26/06/2021 P J SAJU 89
Skills from DBT
• Self-soothing techniques: smell, vision, breathing
• Relaxation
• The STOP skill, to stop yourself from engaging in impulsive behavior;
• Pros and cons
• Radical acceptance
• Distraction
• Improving the moment ( Imagery, Meaning, Prayer, Relaxation, One
thing in the moment, Vacation, and Encouragement
26/06/2021 P J SAJU 90
a Humanist’s/ Healer’s vows
• I commit myself to disillusioning my mind ( right view)
• I commit myself to calming my mind
• I commit myself to curb greed and craving to be content
• I commit myself to curb anger and aversion to be patient
• I commit myself to goodwill/ lovingkindness
• I commit myself to compassion
• I commit myself to sympathetic joy to counter jealousy and envy
• I commit myself to equanimity to avoid collusion
• I commit myself to generosity to give my time and skills
• I commit myself to help others
26/06/2021 P J SAJU 91
1. References for Beginners in Buddhism
1. Buddhism in Ten by Alexander Simpkins and Annellen Simkins( 2003) Tuttle
2. Buddhism for Beginners Thubten Chodron, 2001, Snow Lion
3. What the Buddha taught Rahula Walpola ( 1957, 1967)
4. An introduction to Buddhist Psychology Padmasiri de Silva ( 1991, 1995)
5. Dhammapada Eknath Easwaran (1986)
6. Many ways to Nirvana by Dalai Lama
7. Is Meditation only for Buddhists Fabrice Midal (2017 )
8. Dependent Origination PA Payutto
9. Path of Purification –( Visuddhimagga) by Bikku Nanamouli ( 1956/ 2010)
Buddhist Publication Society Key reference Text for advanced students
26/06/2021 P J SAJU 92
2. Further reading - For Therapy
1. Cognitive Humanistic Therapy by Richard Nelson Jones ( 2004), Sage
2. Effortless Mindfulness by Lisa Dale Miller ( 2014) Routledge
3. Integrating CBT and third wave therapies by Fiona Kennedy & David
Pearson ( 2021) Routledge
4. Space in Mind Ed: J Crooke & D Fontana ( 1990) Element
5. Eight step recovery by Valerie Mason- John & Paramabhandu Groves
(2013) Windhorse
6. Mindfulness and acceptance in couple and family therapy Diane Gehart
( 2012) Springer
Reference
• New Horizons in Buddhist Psychology by MGT Kwee
26/06/2021 P J SAJU 93
You, friends, strangers and enemies
• Do you like your self ?
• Do you focus on your deficits and weakness
• Do you compare yourself with others often
• Do you hate your self
• Are you kind to your self
• Are you kind to others
• Do you often feel jealous and envy
• Do you feel happy and satisfied when others win
• Do you judge others as good or bad often
26/06/2021 P J SAJU 94

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Buddhist Psychology and CBT

  • 1. Buddhist Psychology & CBT :beyond mindfulness Dr P J Saju, Consultant Medical Psychotherapist, South West Yorkshire NHS Trust Wakefield 29 June 2021 26/06/2021 P J SAJU 1
  • 2. Welcome… • Warm welcome to the session! • Please mute your mike and switch off your camera • Above will improve connectivity and reduce distractions • Please use chat box for comments, questions • You can unmute and switch on camera when you speak • If you don’t understand everything, let it be … • and revisit handouts and further reading later ! 26/06/2021 P J SAJU 2
  • 3. declarations 26/06/2021 P J SAJU 3 I am not a Buddhist . I never had a Guru- a personal teacher. Buddhist ideas has influenced me as a therapist Gratitude to others ( books, talks, ideas, pictures, few slides) Feel free to distribute the presentation Apologies for any errors
  • 5. Aims 1) Four noble truths 2) Three marks of existence 3) Dependent origination 10-minute Pause / Break 1) Taming negative mental states 2) Developing positive qualities 3) The Noble eight-fold path 26/06/2021 P J SAJU 5
  • 6. Buddha : Life in Brief • Buddha – A prince from Sakya clan born 2500 years ago • As a young man did not witness suffering • 4 sights : the old, the sick, the dead and the monk • 17 year : marries Yashodara • 28 year : leaves home in search of answers –the noble quest • 28-34 year: 6 years of extreme ascetism, starvation & near death • 34 year: sitting under the Bodhi tree, resolutely meditating; battle with Mara, the tempter. Enlightenment/ awakening to reality as it is . 26/06/2021 P J SAJU 6
  • 7. Buddha in the context of Hinduism Unlike Hinduism, in Buddhism • no belief in a creator god , prayers or rituals • no belief in caste & class distinctions • no belief in a fixed personal identity ( atman) in this life or afterlife. • Nothing in life is permanent or eternal- everything changes Buddha remained mostly silent to metaphysical questions • All I teach is about is about Dukkha, its cause & the way to end it. • Thoughts, emotions & actions have future consequences ( fruits of karma) • We have the potential for awakening and liberation, to varying degrees • Taught for 45 years, died at age 80 • After his death, theory and practice elaborated by different schools • Spread to various countries, accommodating to local culture 26/06/2021 P J SAJU 7
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  • 10. Middle Way as a Different Path 1) A way between extremes of self mortification and senseless seeking of pleasure. ( but different from compromise or ‘golden mean’) 2) ‘’ not approaching either of these extremes, it gives vision, gives knowledge and leads to peace, to direct knowledge, nibbana. And what is the Middle way? It is the Noble Eightfold Path’’ 3) ‘’As Buddhist thought and practice developed, the concept was applied to any dualism, or diametrically opposed pair (subject/object, samsara/nirvana, part/whole). The Middle Way is similarly fluid and full of possibilities, for Buddhist thought and for our lives.’’ (tricycle.org) 26/06/2021 P J SAJU 10
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  • 13. First Noble Truth : Dukkha is Omnipresent (sorrow/ anguish/ pain/ suffering exists ) ‘Birth is Dukkha, Ageing is Dukkha, Death is Dukkha; Pain, Sorrow, Lamentation, Grief and Despair are Dukkha; Contact with the unpleasant is Dukkha; Separation from pleasant is Dukkha; Every wish unfulfilled is Dukkha; In short, Five Aggregates of attachment (individuality) are Dukkha ’ 1. Dukkha of pain 2. Dukkha of change for the worse * 3. Dukkha of existence / pervasive conditioning ** 26/06/2021 P J SAJU 13
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  • 15. Fire Sermon by Buddha Dukkha of pervasive conditioning Not only sense pleasures and adverse changes but human existence as such is on fire. ‘’I say it is burning with the fire of passion, the fire of hatred, with fire of ignorance, it is burning because of birth, ageing, dying, because of grief, sorrow, suffering, lamentation and despair.’’ 26/06/2021 P J SAJU 15
  • 16. 2nd Noble Truth: Arising of Dukkha (samudaya satya) Dukkha arises from craving* ( as an immediate cause)- ‘’This is the arising: it is craving (tanha) which is repetitive, wallowing in pleasure and lust, obsessively indulging in this and that, now here, now there, finding ever fresh delight : craving for stimulation, craving for existence, craving for non existence ‘’ • Craving : Tanha ( Pali), Trishna ( Sanskrit) – (unquenchable thirst, raging fire, greed and unbound desire) Craving and attachment to ideas, objects, constructs, self constructs common source of suffering ( Gehart. p28 ) 26/06/2021 P J SAJU 16
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  • 18. 1. Craving for sensory pleasures- Kama tanha DRIVE FOR PLEASURE Addictions Compulsive Sex Food- comfort eating Exercise, body building Gambling , gaming, shopping, adventure sports, risk taking 26/06/2021 P J SAJU 18
  • 19. 2. Craving for existence- bhava tanha To become the person we believe we ought to be INSATIABLE DRIVE FOR SELF ESTEEM & PERFECTION I am not good enough / I need more/ I am entitled to get more Desire to be admired, loved, successful, praised by all Wealth, possessions Power, control over others Relationships, connections Beauty, body image enhancement Intelligence , qualifications, values, opinions Achievements, success Spititual progress 26/06/2021 P J SAJU 19
  • 20. 3. Craving for Non Existence – vibhava tanha To avoid, block out and annihilate our painful experiences ‘’I don’t like this, I hate this, I don’t want this’’ • Drugs and addictions to avoid, block out pain • Self harm to release pain, anger, boredom, frustration • Avoidance in anxiety disorders, ocd, ptsd etc • Emotional avoidance of guilt and shame • Dissociation and depersonalization • Self hatred & Suicide Craving : strong like and desire to get X, Y &Z Aversion: strong dislike and desire to get rid of X, Y& Z Craving and Aversion are 2 sides of the same coin 26/06/2021 P J SAJU 20
  • 21. 3rd Noble truth : Cessation of Dukkha ( nirodha) • If the cause is eradicated, there will be no effect. • If the cause is transformed, outcome will be different ‘’It is the complete stopping of Tanha ( craving) , so that no passion remains, leaving it, being released from it, giving no place to it.’’ ‘’It is the complete separation from, and destruction of this very craving, its forsaking, renunciation. The liberation therefrom, and non attachment there to’’ 26/06/2021 P J SAJU 21
  • 22. 4th Noble Truth : the eight fold path If we have the knowledge, skills and willingness to practice, we can overcome dukkha. The way is the noble eightfold path • Right* understanding • Right intent • Right effort • Right mindfulness • Right concentration • Right speech • Right action • Right livelihood (*Right, Perfected, Wholesome, Wise, Noble, Harmonious, Skillful, Balanced) 26/06/2021 P J SAJU 22
  • 23. If craving is the immediate cause, what are the distant causes ? 26/06/2021 P J SAJU 23
  • 24. Root cause of craving : Ignorance Ignorance of Four Noble truths ( sorrow, arising, cessation, the way) Ignorance about 3 marks of existence Ignorance of Dependant Origination 26/06/2021 P J SAJU 24
  • 25. Distal cause of craving : Ignorance 1. Ignorance of Four Noble truths 2. Ignorance about 3 marks of existence 3. Ignorance of Dependant Origination 26/06/2021 P J SAJU 25
  • 26. 3 Marks of existence 1. Impermanence ( anicca, anitya) ~ Unstable~ Unpredictable 2. Non Self ( anatta, anatman)~ 3. Suffering / Sorrow ( Dukkha) Suffering = Poor understanding of self +/- Poor understanding of the world We suffer when we try to hold onto impermanent phenomena and/or wrong notion of self. 26/06/2021 P J SAJU 26
  • 27. Four distortions of perception 1. Sensing no change in the changing 2. Sensing pleasure in suffering 3. Assuming ‘self’ where there is no self 4. Seeing unlovely as lovely 26/06/2021 P J SAJU 27
  • 28. Reflecting on Gross Impermanence • What has changed in your life in past 10 years • What has changed in your life in past 5 years • What has changed in your life in the past one year • Construct a life line with positive and negative events • Construct a 3 generation genogram • Reflect on losses, deaths, births , changes in relationships 26/06/2021 P J SAJU 28
  • 29. Reflect on Subtle Impermanence • How have you changed as an individual ? • in your body ? • In your beliefs ? • In your likes and dislikes? • In your emotional responses to the same? • When was the last time you thought about ageing, illness and death? 26/06/2021 P J SAJU 29
  • 30. Dalai Lama reflecting on Impermanence ( How to see yourself as you really are , Dalai Lama (2006) • it is certain that I will die, death cant be avoided • I should practice now to reduce my attachment to passing fancies • My mind, body, possessions and life are impermanent, because they are produced by causes and conditions. • The very conditions, that produced my mind, body. possessions and life also makes them disintegrate moment by moment • By mistaking what disintegrates moment to moment for something constant, I bring pain upon myself 26/06/2021 P J SAJU 30
  • 31. Second mark of Existence Not Self ( Anatta- Anatman) Wrong notion of self Phenomenal personality is in constant state of flux- it is a dynamic, fluid process rather than a rigid static permanent structure. 26/06/2021 P J SAJU 31
  • 32. Conditioned/ Compounded Self Conditioned nature of existence- 1. things do exist, but they exist dependent upon other things, 2. they exist only for a limited period of time Buddha’s last words about dying All compounded things are subject to change, they do not last, strive diligently for your salvation ! 26/06/2021 P J SAJU 32
  • 33. ‘’non-self’’ as interdependent self • Nagasena’s chariot analogy : self as multicomponent ( coming together of various components wheels, pole, yoke, spokes, frame , conventionally named as a chariot ) = Empty of independent essence Flame analogy of continuity ( identity as a process) • the flame comes to being because of different conditions • the flame at the start, middle and end : the flame is not the same, but not entirely different either 26/06/2021 P J SAJU 33
  • 34. Conditional origin of fire 26/06/2021 P J SAJU 34
  • 35. Illusion of Self Delusion of Self • Self as a story fabricator, narrator ( e.g confabulation in Korsakoff disorder) • Self as a discrepancy monitor ( internal commentator; ‘you should…’) • Self as a malware ghost program 26/06/2021 P J SAJU 35
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  • 37. Five Aggregates ( Skandha) of Person; but there is no soul/ essence. 1. Living body ( rupa) that makes sensory contact (sparsha, phassa) 2. Feeling tone ( vedana): pleasant, unpleasant or neutral 3. Perception( samjna) that puts a label on things experienced 4. Formations( samskara) cognitive- volitional base, storying, intentions 5. Consciousness ( vinjana) Awareness There is no cartesian split between body and mind. The components act interdependendly , but does not have ‘’master self’’, like a programmed driverless car. ‘’I’’ think, but that does not mean I exist, ‘’ I’’ feel that does not mean I exist. You exist as a temporary combination, subject to change 26/06/2021 P J SAJU 37
  • 38. Self as a process situation : ‘’I ‘’see a friend and decide to greet him First, there is the physical being (Rupa 1), with five sense organs interacting with external world. This interaction generates basic sensations ( Vedana 2), With perception (Samjna 3) the object becomes recognisable as friend. Thoughts, mental activities, intentions (Samskara 4) and awareness ( Vijnana 5) interact and greeting occurs 26/06/2021 P J SAJU 38
  • 39. "Thus, monks, any form, ... feeling, ... perception, ... fabrications, ... consciousness whatsoever that is past, future, or present; internal or external; blatant or subtle; common or sublime; far or near: every consciousness is to be seen as it actually is with right discernment as: 'This is not mine. This is not my self. This is not what I am.' "Seeing thus, the well-instructed disciple of the noble ones grows disenchanted with form, disenchanted with feeling, disenchanted with perception, disenchanted with fabrications, disenchanted with consciousness. Disenchanted, he becomes dispassionate. Through dispassion, he is fully released. With full release, there is the knowledge, 'Fully released.' He discerns that 'Birth is ended, the holy life fulfilled, the task done. 26/06/2021 P J SAJU 39
  • 40. Challenging the Illusion of Independent self cognitive humanistic therapy : Richard Nelson Jones • What do you think is the contribution of each of the following causes and conditions in the ‘ construction of your self’ • Biology, genetic inheritance • Family of origin • Formal education • Friendships across life span • Groups you were part of • Significant events in your life • Culture, race, sexual identity • What are the dangers of not recognizing the interdependence of ones ‘ self’ 26/06/2021 P J SAJU 40
  • 42. Dependent Origination • All things are inter related and interdependent • All things exist in relation to each other • All things exist dependent on determinants • All things have no enduring existence Reference : Dependent Origination by PA Payutto 26/06/2021 P J SAJU 42
  • 43. Comparison with Systemic Family Therapy • Circular causality • Systemic formulation • Interactions • Patterns of interactions • Deconstructing identities • Processes • Positioning theory • Social constructionism 26/06/2021 P J SAJU 43
  • 44. Simplified Model : Binge Drinking Past influence & Poor Insight Senses & Contact Feeling Craving Clinging suffering begins & ends 26/06/2021 P J SAJU 44
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  • 47. Contemplating Selflessness & Emptiness things are existent, not existent, both, neither ‘There is case where one is tormented when something permanent within oneself is not found’ ( Buddha) ; ‘This idea that I may not be, I may not have is frightening to the uninstructed worldling’ ( Buddha ) ‘’In these practices, if you do not rely on your lama’s personal instruction, but meditate as you please, this is a great source of delusion, and since these practices can not be understood through written word alone, I will not elaborate upon them here’’ ( Parting from the four attachments by Gorampa, Sonam Senge 1429-1489) ‘’But still I cannot claim full understanding of emptiness.’’ ( How to see yourself as you really are , Dalai Lama (2006) 26/06/2021 P J SAJU 47
  • 48. Paean of Joy: Buddha’s first words after enlightenment Oh housebuilder ( craving), thou are seen, thou shall not built no house (self) for me again All thy rafters ( defilements) are broken the ridgepole ( ignorance) is shattered The mind attains unconditioned Achieved is the end of craving ! Dhammapada verse 153, 154 26/06/2021 P J SAJU 48
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  • 51. Dhammapada for Cognitive Therapists 1 From X* arises grief, From X* arises fear. To one who is free from X* , there is no grief, How then, there can be fear? (X* = distorted desire, affection, pleasure seeking , attachment , lustfulness verse 212- 216) 26/06/2021 P J SAJU 51
  • 52. Dhammapada for Cognitive Therapists 2 Let the wise man guard his thought, which is difficult to perceive, which is extremely subtle, which wanders at will. Thought which is well guarded is the bearer of happiness ( verse 36) You yourself must strive, the blessed ones are ( only) preachers. Those who enter the path and practice meditation are released from the bondage of Mara*( Demon, Death, Sin) -verse 276. 26/06/2021 P J SAJU 52
  • 53. Three Poisons : Greed , Hate and Delusion 26/06/2021 P J SAJU 53
  • 54. Curbing Greed and Craving cognitive humanistic therapy : Richard Nelson Jones • I must get what I want now • I must always be happy, loved, successful • Others must see how successful I am • I must be better than my peers • I must have prestige and success • ------------------------------------------------ 1. Reality ( truth) : Do I really need it, when is enough is enough 2. Fears : What do I really fear? losing love , respect, fear of destitution, being inferior) 3. Consequences: Where will this take me, effect on self, friends and relationships 4. Intent :What is the right thing do? 5. Action: How do I make a start ? 26/06/2021 P J SAJU 54
  • 55. Overcoming Anger , Aversion and Hatred- RAGE model – True Strength by Russel Kolts Recognise the situation, thoughts and feelings that provoked anger Reduce arousal by soothing exercises, shifting attention Refrain from engaging habitual anger behaviour Acknowledge your threat system is activated now Accept and endure this activation, even if difficult Give yourself permission to experience, without judging Generate compassionate alternative responses Endure the discomfort of change Enact compassionate alternative behaviour Experience your compassion in action 26/06/2021 P J SAJU 55
  • 56. Overcoming Ignorance by Therapy • Reflection on selflessness, conditional origin ( Behaviour Therapy) • Reflecting on process/ mindfulness ( MBCT) • Learning from consequences of action ( chain analysis in DBT) • Reaffirming life values ( ACT) • Radical Acceptance ( DBT) • Self Compassion ( compassionate mind, Christine Neff) • Compassion for others ( Paul Gilbert. CFT ) • Equanimity / Serenity ( Existential therapies) 26/06/2021 P J SAJU 56
  • 57. Two Arrows P J SAJU 1. Pain 2. Suffering 26/06/2021 57
  • 58. Becoming aware of suffering we create in our lives Be gentle with the following questions, the object is not to give yourself a hard time. It is to see suffering clearly, by sitting with the pain • What does my suffering look like • How do I create more suffering in my life • What have I gained from creating more suffering in my life • What has creating more suffering in my life cost me? • What do I need to do to lessen the suffering in my life • Eight step recovery (2013) by Valerie Mason John &Paramabhandu Groves 26/06/2021 P J SAJU 58
  • 59. Usefulness of Dukkha • Universal reality of Dukkha (normalisation) • Transience of life motivates to make good use of life • Right view, right understanding helps • Universal suffering generates universal compassion • Transformative power of sorrow and suffering • Appreciate things as they are- get most out of the moment • insight + remedial action lead to growth (Post traumatic growth) 26/06/2021 P J SAJU 59
  • 60. Middle way or Third way ? 26/06/2021 P J SAJU 60
  • 61. 5 options when faced with negative thoughts Vitakkasaṇṭhāna Sutta 1. Replace the bad thought with a skilled thought 2. Reflect on the consequences", "ponder on the disadvantages" "examine the dangers or "scrutinize the drawbacks" of such thoughts 3. Withdrawing attention: "should not attend“, "not give attention", "be without attention and reflection", "pay no mind and pay no attention", or even "forget" such thoughts. 4. “Stilling the thought-formation", "removal of the (thought) source of those unskillful thoughts", "appeasing the whole intentional thought process“ 5. Using will power to "subdue and beat down the (evil) mind by the (good) mind", ’just as one man may do physical violence to another man’. 26/06/2021 P J SAJU 61
  • 62. Noble Eightfold Path: a comprehensive plan Right Understanding Right Intent Right effort Right mindfulness Right concentration Right Speech Right Action Right Livelihood 26/06/2021 P J SAJU 62
  • 63. Eightfold path in the Clinic • Right/ Good understanding : we add to our suffering, we can learn to reduce it , pain is inevitable, nature of self is change, we can change • Right intent & effort: Aspirations vs Intentions vs Committed action, are you ready, what stops you, how can you overcome hindrances • Skilful / Right Speech : What is your purpose/ intent/ goal of communication? Is it for connection and intimacy or negative criticism? is his true, kind, necessary and helpful? It is wise to be silent sometimes. • Right / Wise Action : explore intentions, motivations of your actions, is this led by greed or hatred, altruism , values , good for all - Sarvodaya • Harmonious/ Right livelihood: is your livelihood ethical, beneficial, non harmful, non exploitative, consistent with your values • Right / Good concentration, mindfulness : balance of calm and analytical practice, focus on present, non judgemental acceptance, curiosity 26/06/2021 P J SAJU 63
  • 64. Visualizations : • Body like a mountain – strong, firm and present • Heart like an ocean- deep • Mind like the sky, big, wide, open • Self like earth, sky or water which can take a lot of neglect & abuse • Breath like an anchor , let my thoughts be steady • Safe place, Perfect nurturer who is compassionate • Breathing in pain, breathing out kindness ( or vice versa) • Breathing out light, soothing suffering of others 26/06/2021 P J SAJU 64
  • 65. Middle Way : Practice Safely Samantha meditation / right concentration aims at calming mind Vipassana ( insight) meditation : essential to experience moment to moment changes in mood, thoughts and action tendencies ( deeper realization of impermanence and selflessness. But could be de stabilizing for vulnerable people, example the idea of no fixed self, changing self, or dissolution and death. Meditating about death and changes in body after death ( 10/ 40 meditation objects)are aimed at destroying self cherishment associated with craving and impermanence. Use only with guidance for advanced practitioners. 26/06/2021 P J SAJU 65
  • 66. Four foundations of mindfulness • Mindfulness of body ( breathing, body scan, walking , daily activities) • Mindfulness of feelings ( pleasant, unpleasant, neutral) • Mindfulness of mental states ( name, origin, cessation) • Mindfulness of thoughts (observe- label- let it go- observe) 26/06/2021 P J SAJU 66
  • 67. Mindfulness of thoughts Label and Let it go hindrance how it shows up Craving I want a…./ I want another I got to get/ have…/ I cant live without I want a bigger/ better… Ill will I hate it when….They are the problem.. I want them to change sloth and torpor I don’t know/ I do not care/ it does not matter restlessness and worry I am worried about…/ sceptical doubt what’s the point/ does anything matter? / its all hopeless 26/06/2021 P J SAJU 67
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  • 69. Easily adaptable techniques for practice • Journal / Reflective writing • Reflect on new experiences (e.g behavioural experiments ) • Non judgemental Reflections/ Socratic method • Behavioural chain analysis • Mindfulness in small doses ( 5 -10 minutes) • Values, life goal exploration • developing Inner strengths 26/06/2021 P J SAJU 69
  • 70. Cultivating Virtues ( Perfections) How are you developing this now ? Generosity Patience Concentration Wisdom 26/06/2021 P J SAJU 70
  • 71. The journey Self preoccupation Empty False self Selfless interest in others 26/06/2021 P J SAJU 71
  • 72. Alfred Adler : Superiority or Social Interest 26/06/2021 P J SAJU 72
  • 73. Adler’s way : Social interest & Generosity • The self bound individual forgets that self would be safeguarded better and automatically the more he prepares for the welfare of mankind, and that in this respect, no limits are set for him ( Adler cited in Ansbacher & Ansbacher, 1956/ 1964) • People who strive for success rather than personal superiority maintain a sense of self, of course, but they see daily problems from the view of society’s development rather than from a strictly personal vantage point. Their sense of personal worth is tied closely to their contributions to human society. Social progress is more important to them than personal credit. (Adler, 1956) 26/06/2021 P J SAJU 73
  • 74. Compassion Focused Therapy (Paul Gilbert) 26/06/2021 P J SAJU 74
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  • 76. The Buddha Within "inside a casting mold there is perfectly formed Buddha; the ignorant see the filth of the mold but the wise know that the Buddha is within." 26/06/2021 P J SAJU 76
  • 77. Additional Slides ( time permitting ) Divine abodes 26/06/2021 P J SAJU 77
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  • 82. Change key words, as necessary in practice May I be happy and free from suffering. May I keep myself free from enmity, afflictions, anxiety and live in happiness and peace • May I be able to make progress to be peaceful / joyful, loving, • May I be safe, free from pain, harm, illness, danger • May I be healthy and whole, healthy, healed • May I be kind & peaceful with my suffering • May I be free from all suffering 26/06/2021 P J SAJU 82
  • 83. how to like your enemy ? boundless heart by Alan Wallace • Hostility you feel is often in response to a deed or pattern of behaviour. But then you extend it and attach actions to the person. ‘’ this person is so insensitive , abusive!’’ (Watch out for generalizations, categorizations, labelling) • Behaviour is temporary, it arises upon causes and conditions. Do not equate a person with their afflictions. Causes and conditions can alter peoples qualities, but we freeze them in time, then our hostility feels justified. • Crucial issue is to separate not only behaviour, but even the disposition and mental states from the person. Do people change> were you the same person when you were 5, 10, 15 , 20 years . • 20 years ago, this person was not your enemy, 20 years from now this person will be just a memory for you, why should your mind be convoluted with suffering? It is just causes and conditions that com together, and will pass in turn 26/06/2021 P J SAJU 83
  • 84. Gratitude and Forgiveness gratitude forgiveness 26/06/2021 P J SAJU 84
  • 85. Equanimity: evenminded upeksha/ upekka Curious Calm Clear minded Open Stable Neutral Interested Affection Fairness Not hooked by: Attachment, Attraction, Idealisation Devaluation Aversion, Hatred , Indifference 26/06/2021 P J SAJU 85
  • 86. Equanimity for eight worldly preoccupations 26/06/2021 P J SAJU 86
  • 87. Equanimity: remember all is impermanent 26/06/2021 P J SAJU 87
  • 88. Meditation on Equanimity May I be balanced and at peace May I learn to see arising and passing of nature with equanimity and balance May I bring compassion and equanimity to events in the world May I find balance , equanimity and peace. (Kornfield 1993, p 331) May we accept all things as they are May we be undisturbed by comings and goings of events( Salzberg, 1995) • extend to offer equanimity to others, relative, friend 26/06/2021 P J SAJU 88
  • 89. Embracing impermanence to show us suffering can end We change, situations change, cravings change, distress change ‘’This is a moment of craving Craving is energy arising and ceasing I don’t have to identify with this energy, I don’t have to take action I trust this sensation will pass’’ • Addction: urge surfing ; DBT: distress tolerance 26/06/2021 P J SAJU 89
  • 90. Skills from DBT • Self-soothing techniques: smell, vision, breathing • Relaxation • The STOP skill, to stop yourself from engaging in impulsive behavior; • Pros and cons • Radical acceptance • Distraction • Improving the moment ( Imagery, Meaning, Prayer, Relaxation, One thing in the moment, Vacation, and Encouragement 26/06/2021 P J SAJU 90
  • 91. a Humanist’s/ Healer’s vows • I commit myself to disillusioning my mind ( right view) • I commit myself to calming my mind • I commit myself to curb greed and craving to be content • I commit myself to curb anger and aversion to be patient • I commit myself to goodwill/ lovingkindness • I commit myself to compassion • I commit myself to sympathetic joy to counter jealousy and envy • I commit myself to equanimity to avoid collusion • I commit myself to generosity to give my time and skills • I commit myself to help others 26/06/2021 P J SAJU 91
  • 92. 1. References for Beginners in Buddhism 1. Buddhism in Ten by Alexander Simpkins and Annellen Simkins( 2003) Tuttle 2. Buddhism for Beginners Thubten Chodron, 2001, Snow Lion 3. What the Buddha taught Rahula Walpola ( 1957, 1967) 4. An introduction to Buddhist Psychology Padmasiri de Silva ( 1991, 1995) 5. Dhammapada Eknath Easwaran (1986) 6. Many ways to Nirvana by Dalai Lama 7. Is Meditation only for Buddhists Fabrice Midal (2017 ) 8. Dependent Origination PA Payutto 9. Path of Purification –( Visuddhimagga) by Bikku Nanamouli ( 1956/ 2010) Buddhist Publication Society Key reference Text for advanced students 26/06/2021 P J SAJU 92
  • 93. 2. Further reading - For Therapy 1. Cognitive Humanistic Therapy by Richard Nelson Jones ( 2004), Sage 2. Effortless Mindfulness by Lisa Dale Miller ( 2014) Routledge 3. Integrating CBT and third wave therapies by Fiona Kennedy & David Pearson ( 2021) Routledge 4. Space in Mind Ed: J Crooke & D Fontana ( 1990) Element 5. Eight step recovery by Valerie Mason- John & Paramabhandu Groves (2013) Windhorse 6. Mindfulness and acceptance in couple and family therapy Diane Gehart ( 2012) Springer Reference • New Horizons in Buddhist Psychology by MGT Kwee 26/06/2021 P J SAJU 93
  • 94. You, friends, strangers and enemies • Do you like your self ? • Do you focus on your deficits and weakness • Do you compare yourself with others often • Do you hate your self • Are you kind to your self • Are you kind to others • Do you often feel jealous and envy • Do you feel happy and satisfied when others win • Do you judge others as good or bad often 26/06/2021 P J SAJU 94

Editor's Notes

  1. My favourite cousin hospitalised for 51 days and died at the age of 51
  2. What is the Middle Way? (tricycle.org)
  3. Like big umbrella word (labels), such as Depression or Anxiety, There are many shades to the phenomenological experience of Dukkha. Search for a single word translation is unwise !
  4. Dukkha of change * Happy feelings do not last, leave us dissatisfied, all pleasurable activity if pursued continuously eventually becomes uncomfortable Dukkha all pervasive conditioning ** our aggregates are under control of afflictions- ignorance and karma. The polluted are empty because not being permanent, unitary and independent self.
  5. Sarvam dukkam ( all is suffering)
  6. craving and Karma are the causes of Dukkha, because they are its root, due to them Dukkha constantly exists( ( karma – intentional actions originating in ones minds, by the virtuous , non virtuous and neutral intentions ) Craving plus karma are conditions , as they act as the cooperative conditions giving rise to Dukkha craving and Karma are origins ( samudaya) because they repeatedly produce all the diverse forms of Dukkha- things are not permanent, but change ‘’Due to sensuous craving, conditioned through craving, impelled by craving, entirely moved by craving ‘’( Majjima Nikaya . 13
  7. Please note distal cause is not the ‘ original first cause’ . In Buddhism there is no first cause, causes and conditions emerge in interaction
  8. here are 4 perversions which may be either of perception saññā-vipallāsa of consciousness citta v or of views ditthi-v And which are these four? To regard what is impermanent anicca as permanent; what is painful dukkha as pleasant or happiness-yielding; what is without a self anattā as a self; what is impure ugly: asubha as pure or beautiful A. IV, 49. - See Manual of Insight, by Ledi Sayadaw WHEEL 31/32. p.5. Of the perversions, the following are eliminated by the 1st path-knowledge sotāpatti the perversions of perception, consciousness and views, that the impermanent is permanent and what is not a self is a self; further, the perversion of views that the painful is pleasant, and the impure is pure. By the 3rd path-knowledge anāgāmitā are eliminated: the perversions of perception and consciousness that the impure is pure. By the 4th path-knowledge arahatta are eliminated the perversions of perception and consciousness that the painful is pleasant; Vis.M XXII, 68.
  9. ( my summary: seeing impermanent as permanent causes dissatisfaction/ pain/ suffering ) Farbrice Midal : death is always present within us, it is due to our ignorance that we believe it to be the end of life. In actual fact, we are called upon at every momentto dies; every day of our lives, we are required to abandon things. (
  10. Selflessness does not mean the opposite of selfish, it means not self 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 this (Dogen) Honey Smell of a flower
  11. The Buddha asked the monks, “If people carried off the grass, sticks, branches, and leaves in this Jeta Grove, or burned them, or did what they liked with them, would you think: ‘People are carrying us off or burning us or doing what they like with us’?” “No, venerable sir. “Why not?” “Because that is neither our self nor what belongs to our self.” “So too, bhikkhus, whatever is not yours, abandon it; when you have abandoned it that will lead to your welfare and happiness for a long time. If the five khandhas were to be burnt, destroyed, thrown away, would you be concerned.” “No, venerable sir. “Why not?” “Because that is neither our self nor what belongs to our self.”
  12. Buddha’s Map by Doug Kraft
  13. Twelve Nidanas, Buddhist philosophy (indianetzone.com)
  14. attachments to things in this life giving up the samsaric existence entirely attachment to self to bodhichitta- attachment to the four extremes +++++++++++++++++++++++ things are existent, not existent, both, neither
  15. House-builder [craving], you are seen! You will not build a house again! All the rafters [defilements] are broken, The ridgepole [ignorance] destroyed; The mind, gone to the Unconstructed [Nibbana], Has reached the end of craving!
  16. Kedar Nath Dwivedi Purification of mind by Vipassana Meditation In Space in Mind (Eds John Crook & David Fontana, 1990, Element)
  17. Desire for permanence causes grief Desire for safety causes fear
  18. The Three Poisons In Buddhism (learnreligions.com) these three creatures are known as lobha (greed), moha (ignorance) and dosa (hatred).
  19. Summary from Buddhaghosha ( purification of mind) Review the dangers of hate and advantages of patience First of all, maitri should be developed toward self Then recall others who gifted you with kind words, love, endearments and virtue, perhaps a teacher or preceptor- visualise them and wish ’ may this person be happy and free from suffering ‘’ Then loved friends Then people who are neutral to you Then people who are hostile to you Then all people
  20. does not mean absence of emotions, but ability to stay composed and clrar minded in the face of stress, misfortune, difficult people and situations , life presents , not detachment, but a balanced attachment. Able to think about root causes of situations and not surface manifestations. Thus they are able to curb negative tendencies to anger, aversion, greed and craving. life is a process of continuous change