This human being is a guest house. Every morning a new arrival.
Still, treat each guest honourably He may be clearing you out for some new delight.
A joy, a depression, a meanness, some momentary awareness comes as an
unexpected visitor.
The dark thought, the shame, the malice. Meet them at the door laughing, and invite
them in.
Welcome and entertain them all! Even if they’re a crowd of sorrows, who violently sweep
your house empty of its furniture.
Be grateful for whoever comes, because each has been sent as a guide from beyond.
The Guest House by Rumi
Meditation as Medication
Mastering the art of
Mindfulness
Daryush Parvinbenam M. Ed,
M.A., LPCCS,
R.S.V.P Conference
Sept 29, 2010
Title of this presentation
(Disclaimer)
This presentation does not suggest mindfulness
practices should immediately replace current medication.
A wholistic model of treatment as oppose to current
medical model should be considered.
Medication issues should be negotiated with the
prescribing physician prior to discontinuation or change
of medication.
At least initially, in many cases combination of
medication and alternative therapies seems to be the
best possible option toward recovery for many people.
Personal introduction to
mindfulness
Personal interest since adolescence.
Application of mindfulness practices to trauma treatment,
attachment disorder, and different forms of affect regulation
problems.
Impact of mindfulness practices on brain.
Neurobiological studies with Buddhist monks.
Therapeutic application of the mindfulness practices to
psychotherapy.
May be secret of survival for many ancient cultures.
Definition
Definition of Mindfulness
In simple terms, meditation is a mind-
cleansing or emptying process
At a deeper level, meditation is a focused
concentration in order to increase
awareness of one’s experience.
Definition of Mindfulness
It is a purposeful, non-
judgemental, present oriented
way of paying attention to a
chosen experience.
History and origin
Different forms of mindfulness practices is
integrated within spiritual practices of
different cultures (India, Egypt, China,
Persia, Arabia, etc) that go back
thousands of years ago.
It is impossible to attribute one culture or
spiritual tradition as the sole founder of
mindfulness practices.
Mindfulness in Modern Times
Mindfulness in Modern Times
Becoming more main stream, and acceptable as a
way of personal development, and growth.
Application to Business, health care, medicine,
mental health, pain management, and personal
wellbeing.
The “Third Wave” in the evolution of behavior and
cognitive therapy.
Practice
Let’ get to know palm of your
hand
Benefits
Common healing factors of the
mindfulness practices
These practices create connections on all
levels of human experience:
– Neurobiological integration (Biological)
– Intrapersonal (Self)
– Interpersonal (Others) within a socially
meaningful context
– Transcendent (Universe, Divine essence,
God, higher power, Etc)
Studies of long-term effect of
medication
Numerous fMRI studies with long term
meditators
Psychotherapy studies
Attachment studies
Trauma studies
Positive effects of long-term
meditation
Monk under fMRI.
– Significant difference in left prefrontal cortex
activation compared to right prefrontal cortex.
– Difference as high as 3 standard deviations
above the “norm”. There is a strong relation
between activity of increased activity of left
prefrontal cortex and positive affects such as
joy and compassion.
What happens to the brain during
mindfulness meditation
What does the scan suggests?
The scan suggests the body and the mind can not be
separated so easily. When you do something with your
mind, the function of your body/brain changes.
Functional brain scanning has demonstrated that mental
events do not just affect what you think and how you
feel. They affect the functioning of your body, in
particular, the functioning of brain. In other words doing
something different with mind, affects more than
thoughts. It literally changes the function and
metabolism of brain.
So it doesn’t seem so surprising that events that affect
our inner world have any impact on our physical body.
Neurotransmitters and meditation
Meditation has been linked with increase
production of:
– Serotonin that is related to modulation of
affect and behavior.
– Melatonin that is related to regulation of sleep,
and may have anti-carcinogen and immune
system enhancing effect.
Positive effects of long-term
meditation
These studies suggest Mindfulness
practices tend to:
– enhance natural Neuro-plasticity of the brain.
– change structure and function of the brain be
create neuro-pathways among different
regions of the brain.
– form new synaptic connections within different
regions of the brain.
– improve integrative function of the brain.
Mindfulness practices promote
neural integration among
different regions of the brain.
Meditation for the Masses (Kabat-Zinn)
Decrease in anxiety
Mood change
Pre-frontal cortex activation
Immune response
Application of Mindfulness based
therapies
Coping with Stress
Anxiety/O.C.D
Psychological Trauma
Depression (particularly relapse
prevention)
Eating disorders
Panic disorder
Chronic pain
Borderline and other Personality Disorders
Substance abuse
Anger management
Disorders of impulse control
Neural plasticity
Immune modulation
Anti-inflammatory
Enhancing immune function
Behavior/lifestyle change
Improvements in sleep
Rumination
General wellbeing
Ivanovski B, Malhi G.
Mindfulness creates space
around our pain, allowing us to
work with it without being
overwhelmed.
Myths about Meditation
I can only meditate in the right conditions.
Have to do it for a long period of time to have benefit.
Will touch the supernatural which will make my life all-
happy.
I must conquer myself for this process to work.
The guy next to me prevents my meditation.
Benefits only come after years of practice.
Meditation is a process that one practices for a couple of
months until mastered.
Meditation is about a special state separate from this
world.
Practice
Breath and affirmation
Breath and affirmation
Combination of breath and affirmation (Mantra)
1- Breath in and repeat a relaxing/comforting word (
example: relax, peace, ease, etc).
2- Hold your breath for one or two second. Stay aware
of what happens to your body or what comes up
during this one or two seconds.
3- Breath out, and repeat a word that is usually
associated with stress (example: tension, stress,
apprehension, fear, etc).
Doing time, Doing Vipassana.
Method and technique
Basics of meditation
Meditation is a practice of concentrated
focus upon a sound, object, visualization,
breath, movement, or attention itself in
order to increase awareness of the
present moment, and to reduce stress,
promote relaxation, and health and
growth.
Observation
In Observation:
We simply practice noticing what’s going on within
and around us, starting with our breathing.
Then gradually expanding our practice to consciously
noticing our emotions, our thoughts, our beliefs, our
choices, our behaviors, the consequences of our
choices and behaviors.
Observation
As we sit, or stand or walk, we simply
notice: “sitting” “standing”, “walking”.
As we just enjoy breathing mindfully,
we just notice: “breathing”.
Mindfulness and breath
Breathing is universal.
Breathing provides a ready focus for the
mind.
The breath is the doorway to the “here and
now”.
Mindfulness and breath
Using the breath we learn to ground ourselves in
the present moment.
Accepting what is happening in us and around
us, whatever it is, we learn to open to
experience, without judgement.
Teaches us ways to connect with our emotional
experience without becoming overwhelmed.
Mindfulness and Breath
Learning to watch our thought patterns
come and go, we see about how our mind
works.
Whenever your mind becomes scattered,
use your breath as the means to take hold
of your mind again.......Breath is a tool.
Breath itself is mindfulness.
Right Attitude
Some Attitudes of Mindfulness
Non-striving
Patience
Beginner’s mind
Trust
Letting go
Acceptance
Openness
Curiosity
Kabat-Zinn (1990)
Attitudes of Mindfulness
Non-striving
Getting to your goals will happen naturally
and more successfully if you allow this
process to unfold.
Patience
To be patient is completely open to each
moment. Accepting is in its fullness, as
things can only unfold in their own time.
Attitudes of Mindfulness
Beginner’s mind
Take a stance of not-knowing, to see if
your perceptions are affected by your own
beliefs and values.
What are you seeing?
What else is possible?
Right now in this life, what is the
figure and what is the ground?
Attitudes of Mindfulness
Trust
Trust your own insight and wisdom,
knowing that what are perceived as
mistakes may happen, but this is okay.
Attitudes of Mindfulness
Letting go
Sometimes our minds seem determined in
holding onto certain beliefs, thoughts.
However, instead of judging these we can
simply let them be and stop from trying to
repress, deny, or focus on them.
Attitudes of Mindfulness
Acceptance
Staying in the present. Spending time
regretting the past and focusing on the
future “what ifs?” will only lead to more
tension and little energy.
Attitudes of Mindfulness
Non-judging
Judgment can dominate our minds, causing
tension and chaos in our beings.
Effectively handling stress will require our
awareness of our automatic judgments, so to
see through our own prejudices and fears.
Assume the stance of an impartial witness.
References and suggested
Bibliography
Ivanovski B, Malhi G. The psychological and neurophysiological
concomitants of mindfulness forms of meditation. Acta Neuropsychiatrica
2007;19:76-91.
Kabat-Zinn, J. (1990). Full Catastrophe Living: Using the Wisdom of Your
Body and Mind to Face Stress, Pain, and Illness. Delta.
Kabat-Zinn, J. (1994) Wherever you go, there you are: Mindfulness
meditation in everyday life. New York: Hyperion.
Kabat-Zinn, J. (2005). Coming to our senses: Healing ourselves and the
world through mindfulness.
Langer, E. J. (1993). A mindful education. Educational Psychologist, 28(1),
43-50.
Langer, E. J. (1997). The power of mindful learning Addison Wesley
Longman.
Langer, E. J. (2000). Mindful learning. Current Directions in Psychological
Science, 9(6), 220-223
Zylowka, et al. (2008). Mindfulness meditation training in adults and
adolescents with ADHD. Journal of Attention Disorders, 11, 737-746.

Meditation as Medication

  • 1.
    This human beingis a guest house. Every morning a new arrival. Still, treat each guest honourably He may be clearing you out for some new delight. A joy, a depression, a meanness, some momentary awareness comes as an unexpected visitor. The dark thought, the shame, the malice. Meet them at the door laughing, and invite them in. Welcome and entertain them all! Even if they’re a crowd of sorrows, who violently sweep your house empty of its furniture. Be grateful for whoever comes, because each has been sent as a guide from beyond. The Guest House by Rumi
  • 2.
    Meditation as Medication Masteringthe art of Mindfulness Daryush Parvinbenam M. Ed, M.A., LPCCS, R.S.V.P Conference Sept 29, 2010
  • 3.
    Title of thispresentation (Disclaimer) This presentation does not suggest mindfulness practices should immediately replace current medication. A wholistic model of treatment as oppose to current medical model should be considered. Medication issues should be negotiated with the prescribing physician prior to discontinuation or change of medication. At least initially, in many cases combination of medication and alternative therapies seems to be the best possible option toward recovery for many people.
  • 4.
    Personal introduction to mindfulness Personalinterest since adolescence. Application of mindfulness practices to trauma treatment, attachment disorder, and different forms of affect regulation problems. Impact of mindfulness practices on brain. Neurobiological studies with Buddhist monks. Therapeutic application of the mindfulness practices to psychotherapy. May be secret of survival for many ancient cultures.
  • 5.
  • 6.
    Definition of Mindfulness Insimple terms, meditation is a mind- cleansing or emptying process At a deeper level, meditation is a focused concentration in order to increase awareness of one’s experience.
  • 7.
    Definition of Mindfulness Itis a purposeful, non- judgemental, present oriented way of paying attention to a chosen experience.
  • 9.
    History and origin Differentforms of mindfulness practices is integrated within spiritual practices of different cultures (India, Egypt, China, Persia, Arabia, etc) that go back thousands of years ago. It is impossible to attribute one culture or spiritual tradition as the sole founder of mindfulness practices.
  • 10.
  • 11.
    Mindfulness in ModernTimes Becoming more main stream, and acceptable as a way of personal development, and growth. Application to Business, health care, medicine, mental health, pain management, and personal wellbeing. The “Third Wave” in the evolution of behavior and cognitive therapy.
  • 12.
    Practice Let’ get toknow palm of your hand
  • 13.
  • 14.
    Common healing factorsof the mindfulness practices These practices create connections on all levels of human experience: – Neurobiological integration (Biological) – Intrapersonal (Self) – Interpersonal (Others) within a socially meaningful context – Transcendent (Universe, Divine essence, God, higher power, Etc)
  • 15.
    Studies of long-termeffect of medication Numerous fMRI studies with long term meditators Psychotherapy studies Attachment studies Trauma studies
  • 18.
    Positive effects oflong-term meditation Monk under fMRI. – Significant difference in left prefrontal cortex activation compared to right prefrontal cortex. – Difference as high as 3 standard deviations above the “norm”. There is a strong relation between activity of increased activity of left prefrontal cortex and positive affects such as joy and compassion.
  • 19.
    What happens tothe brain during mindfulness meditation
  • 20.
    What does thescan suggests? The scan suggests the body and the mind can not be separated so easily. When you do something with your mind, the function of your body/brain changes. Functional brain scanning has demonstrated that mental events do not just affect what you think and how you feel. They affect the functioning of your body, in particular, the functioning of brain. In other words doing something different with mind, affects more than thoughts. It literally changes the function and metabolism of brain. So it doesn’t seem so surprising that events that affect our inner world have any impact on our physical body.
  • 21.
    Neurotransmitters and meditation Meditationhas been linked with increase production of: – Serotonin that is related to modulation of affect and behavior. – Melatonin that is related to regulation of sleep, and may have anti-carcinogen and immune system enhancing effect.
  • 22.
    Positive effects oflong-term meditation These studies suggest Mindfulness practices tend to: – enhance natural Neuro-plasticity of the brain. – change structure and function of the brain be create neuro-pathways among different regions of the brain. – form new synaptic connections within different regions of the brain. – improve integrative function of the brain.
  • 23.
    Mindfulness practices promote neuralintegration among different regions of the brain.
  • 25.
    Meditation for theMasses (Kabat-Zinn) Decrease in anxiety Mood change Pre-frontal cortex activation Immune response
  • 26.
    Application of Mindfulnessbased therapies Coping with Stress Anxiety/O.C.D Psychological Trauma Depression (particularly relapse prevention) Eating disorders Panic disorder Chronic pain Borderline and other Personality Disorders Substance abuse Anger management Disorders of impulse control Neural plasticity Immune modulation Anti-inflammatory Enhancing immune function Behavior/lifestyle change Improvements in sleep Rumination General wellbeing Ivanovski B, Malhi G.
  • 27.
    Mindfulness creates space aroundour pain, allowing us to work with it without being overwhelmed.
  • 28.
    Myths about Meditation Ican only meditate in the right conditions. Have to do it for a long period of time to have benefit. Will touch the supernatural which will make my life all- happy. I must conquer myself for this process to work. The guy next to me prevents my meditation. Benefits only come after years of practice. Meditation is a process that one practices for a couple of months until mastered. Meditation is about a special state separate from this world.
  • 29.
  • 30.
    Breath and affirmation Combinationof breath and affirmation (Mantra) 1- Breath in and repeat a relaxing/comforting word ( example: relax, peace, ease, etc). 2- Hold your breath for one or two second. Stay aware of what happens to your body or what comes up during this one or two seconds. 3- Breath out, and repeat a word that is usually associated with stress (example: tension, stress, apprehension, fear, etc).
  • 31.
  • 32.
  • 33.
    Basics of meditation Meditationis a practice of concentrated focus upon a sound, object, visualization, breath, movement, or attention itself in order to increase awareness of the present moment, and to reduce stress, promote relaxation, and health and growth.
  • 34.
    Observation In Observation: We simplypractice noticing what’s going on within and around us, starting with our breathing. Then gradually expanding our practice to consciously noticing our emotions, our thoughts, our beliefs, our choices, our behaviors, the consequences of our choices and behaviors.
  • 35.
    Observation As we sit,or stand or walk, we simply notice: “sitting” “standing”, “walking”. As we just enjoy breathing mindfully, we just notice: “breathing”.
  • 36.
    Mindfulness and breath Breathingis universal. Breathing provides a ready focus for the mind. The breath is the doorway to the “here and now”.
  • 37.
    Mindfulness and breath Usingthe breath we learn to ground ourselves in the present moment. Accepting what is happening in us and around us, whatever it is, we learn to open to experience, without judgement. Teaches us ways to connect with our emotional experience without becoming overwhelmed.
  • 38.
    Mindfulness and Breath Learningto watch our thought patterns come and go, we see about how our mind works. Whenever your mind becomes scattered, use your breath as the means to take hold of your mind again.......Breath is a tool. Breath itself is mindfulness.
  • 39.
  • 40.
    Some Attitudes ofMindfulness Non-striving Patience Beginner’s mind Trust Letting go Acceptance Openness Curiosity Kabat-Zinn (1990)
  • 41.
    Attitudes of Mindfulness Non-striving Gettingto your goals will happen naturally and more successfully if you allow this process to unfold. Patience To be patient is completely open to each moment. Accepting is in its fullness, as things can only unfold in their own time.
  • 42.
    Attitudes of Mindfulness Beginner’smind Take a stance of not-knowing, to see if your perceptions are affected by your own beliefs and values.
  • 43.
    What are youseeing? What else is possible? Right now in this life, what is the figure and what is the ground?
  • 44.
    Attitudes of Mindfulness Trust Trustyour own insight and wisdom, knowing that what are perceived as mistakes may happen, but this is okay.
  • 45.
    Attitudes of Mindfulness Lettinggo Sometimes our minds seem determined in holding onto certain beliefs, thoughts. However, instead of judging these we can simply let them be and stop from trying to repress, deny, or focus on them.
  • 46.
    Attitudes of Mindfulness Acceptance Stayingin the present. Spending time regretting the past and focusing on the future “what ifs?” will only lead to more tension and little energy.
  • 47.
    Attitudes of Mindfulness Non-judging Judgmentcan dominate our minds, causing tension and chaos in our beings. Effectively handling stress will require our awareness of our automatic judgments, so to see through our own prejudices and fears. Assume the stance of an impartial witness.
  • 48.
    References and suggested Bibliography IvanovskiB, Malhi G. The psychological and neurophysiological concomitants of mindfulness forms of meditation. Acta Neuropsychiatrica 2007;19:76-91. Kabat-Zinn, J. (1990). Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. Delta. Kabat-Zinn, J. (1994) Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion. Kabat-Zinn, J. (2005). Coming to our senses: Healing ourselves and the world through mindfulness. Langer, E. J. (1993). A mindful education. Educational Psychologist, 28(1), 43-50. Langer, E. J. (1997). The power of mindful learning Addison Wesley Longman. Langer, E. J. (2000). Mindful learning. Current Directions in Psychological Science, 9(6), 220-223 Zylowka, et al. (2008). Mindfulness meditation training in adults and adolescents with ADHD. Journal of Attention Disorders, 11, 737-746.