The document provides 10 ways to change your brain for the better. It discusses intervening in three domains: the world, body, and mind. The mind offers the most influence where changes are with you wherever you go. Key physical interventions discussed are providing a complete array of nutrients, optimizing serotonin levels, and increasing the GABA/glutamic acid ratio in the brain. Specific recommendations are made for supplements and dietary changes to impact these domains.
Is the Meticore weight loss safe to take?Mohamed662457
Meticore has been taken by thousands of folks with no reported side effects.
The only side effect is having to spend money on new tight-fitting sexy clothing, or cancel your gym membership!
And Meticore is a lot safer than starvation diets or hours of high-intensity cardio at the gym because you are restoring your body's core temperature rather than disrupting it further.
Check this link: http://bit.ly/3rfR62H
Addressing low core temperature is the single most important thing you can do right now for a turbo-charged metabolism and long-lasting results now and into old age.
Meticore is safer than your daily multivitamin.
Check this link: http://bit.ly/3rfR62H
It has natural ingredients and they're extremely high quality, manufactured at an FDA-inspected, state-of-the-art facility, it's on the latest equipment and then on top of that they're put through additional third-party inspections and quality control so you can rest assured that Meticore is safe.
Check this link: http://bit.ly/3rfR62H
The document advertises the Slimax 3-in-1 Box Diet Program which contains SliMor+Acai capsules to help lose up to 20 pounds in a month, 4-in-1 Spices to add healthy spice to meals, and Colonex capsules for cleansing and detoxifying. The program claims to provide weight loss, increased energy, and an overall improved sense of wellness through the combination of these three natural products.
The document provides an overview of various foods and dietary concepts that promote health and well-being. It discusses macronutrients like proteins, fats, and carbohydrates, as well as micronutrients found in fruits and vegetables. Specific foods highlighted include berries, citrus fruits, nuts, seeds, fatty fish, herbs and spices. The document emphasizes choosing whole, organic, unprocessed foods and avoiding unhealthy additives.
Meticore is a diet pill that promotes weight loss by increasing core body temperature, which boosts metabolism. As people age, their ability to maintain an efficient core temperature decreases, slowing metabolism. Meticore contains six natural ingredients that increase core temperature and supercharge metabolism to facilitate faster and more consistent weight loss. It works best when combined with healthy lifestyle choices but is not a miracle pill that can negate poor diet or lack of exercise. By raising core temperature, Meticore aims to reverse age-related slowing of metabolism.
The ketogenic diet or as like some people prefer to call it; the
Keto diet or low carb diet is about consuming a lot of protein
and fats but fewer carbs. This diet makes the body send the
fats that we consume to the liver, which the latter transform it
into energy to keep the body strong and active for a long time
without feeling tired quickly.
The Tropical Secret For Healthy Weight LossHathiyaniMayur
This document contains terms and conditions for a report on successful weight loss. It notes that while the publisher has tried to be accurate, the contents may not be fully accurate due to the changing nature of information. It advises readers to use their own judgment and seek professional advice. The document also contains a table of contents that lists 10 chapters on weight loss topics like using walks and fruits high in vitamin C to lose weight.
100 Weight loss tips is the book of loss weight and become fit and healthy.
No exercise no diet and no skipping breakfast only taking few eazy steps.
custom kito diet and healthy smoothie diet to loss weight faster than other.
Must try soup diet also.
Also try japanese tonic to loss weight in just 48 hour.
Many More simple & Easy tips to loss weight in comfort zone.
Is the Meticore weight loss safe to take?Mohamed662457
Meticore has been taken by thousands of folks with no reported side effects.
The only side effect is having to spend money on new tight-fitting sexy clothing, or cancel your gym membership!
And Meticore is a lot safer than starvation diets or hours of high-intensity cardio at the gym because you are restoring your body's core temperature rather than disrupting it further.
Check this link: http://bit.ly/3rfR62H
Addressing low core temperature is the single most important thing you can do right now for a turbo-charged metabolism and long-lasting results now and into old age.
Meticore is safer than your daily multivitamin.
Check this link: http://bit.ly/3rfR62H
It has natural ingredients and they're extremely high quality, manufactured at an FDA-inspected, state-of-the-art facility, it's on the latest equipment and then on top of that they're put through additional third-party inspections and quality control so you can rest assured that Meticore is safe.
Check this link: http://bit.ly/3rfR62H
The document advertises the Slimax 3-in-1 Box Diet Program which contains SliMor+Acai capsules to help lose up to 20 pounds in a month, 4-in-1 Spices to add healthy spice to meals, and Colonex capsules for cleansing and detoxifying. The program claims to provide weight loss, increased energy, and an overall improved sense of wellness through the combination of these three natural products.
The document provides an overview of various foods and dietary concepts that promote health and well-being. It discusses macronutrients like proteins, fats, and carbohydrates, as well as micronutrients found in fruits and vegetables. Specific foods highlighted include berries, citrus fruits, nuts, seeds, fatty fish, herbs and spices. The document emphasizes choosing whole, organic, unprocessed foods and avoiding unhealthy additives.
Meticore is a diet pill that promotes weight loss by increasing core body temperature, which boosts metabolism. As people age, their ability to maintain an efficient core temperature decreases, slowing metabolism. Meticore contains six natural ingredients that increase core temperature and supercharge metabolism to facilitate faster and more consistent weight loss. It works best when combined with healthy lifestyle choices but is not a miracle pill that can negate poor diet or lack of exercise. By raising core temperature, Meticore aims to reverse age-related slowing of metabolism.
The ketogenic diet or as like some people prefer to call it; the
Keto diet or low carb diet is about consuming a lot of protein
and fats but fewer carbs. This diet makes the body send the
fats that we consume to the liver, which the latter transform it
into energy to keep the body strong and active for a long time
without feeling tired quickly.
The Tropical Secret For Healthy Weight LossHathiyaniMayur
This document contains terms and conditions for a report on successful weight loss. It notes that while the publisher has tried to be accurate, the contents may not be fully accurate due to the changing nature of information. It advises readers to use their own judgment and seek professional advice. The document also contains a table of contents that lists 10 chapters on weight loss topics like using walks and fruits high in vitamin C to lose weight.
100 Weight loss tips is the book of loss weight and become fit and healthy.
No exercise no diet and no skipping breakfast only taking few eazy steps.
custom kito diet and healthy smoothie diet to loss weight faster than other.
Must try soup diet also.
Also try japanese tonic to loss weight in just 48 hour.
Many More simple & Easy tips to loss weight in comfort zone.
GC180 XT and begin burning fats today! To take this supplement you wish to fallow three easy steps. Begin by taking one capsule within the morning regarding half-hour before breakfast, followed by taking another capsule half-hour before dinner, and then repeat these steps daily.like >>>>>>>>>>>>>>> ……. http://droz-garciniacambogia.org/My-GC180-XT-Scam-Review/
Have you been fighting the weight loss battle and miserably losing at it? This is all too common. And, despite the truth, magazines and celebrities blame an inability to shed the extra weight on your motivation levels. Meticore weight loss supplement provides a great solution to lose weight rapidly but sometimes you have to exercise patience.
he ViSalus Sciences® Body by Vi™ - 90 Day Challenge
The ViSalus Sciences® Body by Vi™ Challenge is geared to help you reach your goals, no matter what they are. From simply losing a few pounds, to getting fit and toned, we have the tools, the products, and the community of supportive people to celebrate your success. The Body by Vi™ program is easy, fun, and guarantees results.
The Body by Vi™ Challenge is not another fad diet. The program is based on nutrition that helps you burn fat and keep lean muscle, boosts your metabolism and helps control hunger. The patented ingredients and formulas help you achieve your goals, on your terms with guaranteed results. Included in our program are nutrition guides, fitness tips and plans, and downloadable tracking tools.ViSalus Body by Vi™ Challenge Prizes and Rewards
Sure, the body you’ve always wanted is a prize worth celebrating, but we didn’t stop there… By sharing your success with the Body by Vi™ Challenge, you can win all kinds of fabulous prizes!
Anybody can get their personal Body by Vi™ product for FREE simply be getting 3 friends to join you on the challenge.
The document summarizes the Body by Vi program from ViSalus Sciences, which provides shakes, supplements and online tools to help with weight loss and healthy living. It notes high obesity and poor diet statistics in the US and costs of other popular programs, then outlines the Body by Vi program which includes shakes, supplements, customized meal plans, exercise videos and an online community for support at a lower daily cost than alternatives. The program aims to help people transform their health in 90 days with proper diet, exercise and community support.
Belly fat falls in the category of body fats referred to as stubborn fats. If you
have ever had belly fat before, then you will agree that you can accumulate it
without knowing.
Discover 7 day lose weight meticore-supplement-really-workAkram abu shams
Losing weight isn’t always easy. There are so many different factors that impact one’s ability to lose weight and keep it off in the long-term. While proper diet and exercise are a must, some find that adding a supplement to their daily routine makes it much easier to achieve their weight loss goals. lose weight.
Exipure is a natural weight loss supplement that aims to help users burn fat safely and effectively.
According to the manufacturers of this formula, brown adipose tissue (BAT) is the actual cause of belly fat.
Brown adipose tissue (BAT) burns calories 300 times faster than standard fat.
This implies that lean people have a burning furnace inside them, which others don’t.
Exipure is the only diet pill in the world with a mix of eight exotic nutrients and plant extracts, which target low brown adipose tissue levels.
This document discusses remedies and strategies for controlling blood sugar levels, including diet, exercise, weight loss, fiber intake, and alcohol consumption. It also discusses blood sugar testing options like glucose monitors, lab work, and A1C tests. The document then discusses berberine supplements, including what berberine is, how the Insulin Herb supplement works, its ingredients, advantages like aiding weight loss and diabetes, and frequently asked questions about dosage and benefits.
Ketogenic diet or as some people prefer to call it; The Keto diet or low-carb...IbtissamMaher
The ketogenic diet or as like some people prefer to call it; the
Keto diet or low carb diet is about consuming a lot of protein
and fats but fewer carbs. This diet makes the body send the
fats that we consume to the liver, which the latter transform it
into energy to keep the body strong and active for a long time
without feeling tired quickly.
The Okinawa Flat Belly Tonic is based on a formula inspired by ancient Japan’s Okinawa region. It’s a known fact that the Okinawa region didn’t have a single obese person in the entirety of the place
The document summarizes the business and products of Immunotec, a nutritional supplement company. It describes Immunotec's focus on research and science-backed products like Immunocal, which is proven to raise glutathione levels and enhance the immune system. It also outlines Immunotec's business opportunity in network marketing and provides an overview of starting a distributor business with their products.
Jan Hanson - Nutritional Neurochemistry - Esalen Institute, December 2010shellkeane
The document discusses optimizing brain chemistry through nutrition and supplements. It recommends eating a healthy diet high in protein and vegetables, and taking a multi-vitamin and fish oil supplement as foundations. It emphasizes improving gut health through probiotics, reducing food allergens like gluten and dairy, and addressing any gut pathogens. The document then discusses increasing specific inhibitory and excitatory neurotransmitters like serotonin, dopamine, GABA and taurine through amino acid supplements, vitamins, herbs and other natural products.
Brain Food: How to Eat Right to Think RightGaia Clinic
Your brain runs your life and is the greatest asset you possess. Yet many people spend more time and money considering whether they are nourishing their skin and hair properly than nourishing their brain. In this lecture, Medical Doctor, Tracy Thomson explains why learning to feed your brain can effectively increase your productivity, enhance your relationships (including your sex life) and generally make you happier on a daily basis!
Lord Palmerston, the premier of England, was petitioned by Scottish clergy to appoint a day of prayer and fasting to prevent a cholera outbreak. However, Lord Palmerston replied that the clergy should focus on sanitation measures like cleaning streets and houses, promoting public health, and ensuring good nutrition for the poor. These preventive measures, he argued, would eliminate the need for fasting and prayer, as God would not listen to prayers when basic preventive steps were ignored.
The document discusses the importance of proper nutrition, exercise, sleep, and stress reduction for aging well. It claims that 70-90% of aging is related to lifestyle choices and notes several key nutrients often missing from modern diets, including glyconutrients, phytoestrogens, antioxidants, vitamins, and minerals. It promotes specific supplement products like Ambrotose and antioxidants to provide these missing nutrients and support health, longevity, and reducing biological markers of aging.
Bernice Tomasso is a nutrition major and exercise/wellness minor at Arizona State University. Her email is bgtomass@asu.edu. The document provides information on maintaining a healthy lifestyle through diet and exercise. It discusses the importance of listening to your body, consuming a balanced diet for energy, and exercising regularly. Unhealthy diets like very low calorie or low carbohydrate diets are not recommended as they can disrupt metabolism and often lead to weight regain. The document emphasizes finding a sustainable approach to health, not just short-term dieting.
Gut Brain Axiom that you should know.pptxRuchi reddy
The document discusses the importance of gut health and the gut-brain connection. It notes that a healthy gut contains trillions of beneficial bacteria that aid in digestion, immunity, and brain function. An unhealthy gut, known as dysbiosis, can result from factors like antibiotics, stress, poor diet, and more and may lead to issues like depression, illness, and weight gain. Maintaining a healthy gut requires supporting the beneficial bacteria through foods, probiotics, prebiotics, and limiting stress, antibiotics, and other disruptors.
This presentation discusses how modern diets and lifestyles have contributed to increased rates of disease compared to traditional diets. It argues that processed foods, sugars, and industrial seed oils have disrupted human nutrition and health. The presentation suggests eliminating processed foods and increasing nutrient-dense animal foods, healthy fats, and fermented foods to improve well-being. It also frames many common behaviors and foods as forms of addiction that impair freedom and independence. Overall, the document promotes rethinking modern diets and lifestyles in order to liberate human health, the environment, and society from corporate control through nutrition and self-sufficiency.
Eating Meat to Lose Weight: Weight Loss Tips from Downsize Fitness Downsize Fitness
This document discusses the importance of protein in our diets and provides strategies for incorporating more protein. The three main points are:
1) Protein is a macronutrient that makes up 18-20% of our body weight and is essential for many bodily processes. It must be replenished daily through food sources.
2) Complete protein sources like meat, eggs, dairy, and some plants contain all eight essential amino acids and should be included in meals daily.
3) Planning meals with lean protein and preparing portions in advance makes it easier to incorporate sufficient protein throughout the day in meals and snacks. Strategies like batch cooking and meal prepping are recommended.
GC180 XT and begin burning fats today! To take this supplement you wish to fallow three easy steps. Begin by taking one capsule within the morning regarding half-hour before breakfast, followed by taking another capsule half-hour before dinner, and then repeat these steps daily.like >>>>>>>>>>>>>>> ……. http://droz-garciniacambogia.org/My-GC180-XT-Scam-Review/
Have you been fighting the weight loss battle and miserably losing at it? This is all too common. And, despite the truth, magazines and celebrities blame an inability to shed the extra weight on your motivation levels. Meticore weight loss supplement provides a great solution to lose weight rapidly but sometimes you have to exercise patience.
he ViSalus Sciences® Body by Vi™ - 90 Day Challenge
The ViSalus Sciences® Body by Vi™ Challenge is geared to help you reach your goals, no matter what they are. From simply losing a few pounds, to getting fit and toned, we have the tools, the products, and the community of supportive people to celebrate your success. The Body by Vi™ program is easy, fun, and guarantees results.
The Body by Vi™ Challenge is not another fad diet. The program is based on nutrition that helps you burn fat and keep lean muscle, boosts your metabolism and helps control hunger. The patented ingredients and formulas help you achieve your goals, on your terms with guaranteed results. Included in our program are nutrition guides, fitness tips and plans, and downloadable tracking tools.ViSalus Body by Vi™ Challenge Prizes and Rewards
Sure, the body you’ve always wanted is a prize worth celebrating, but we didn’t stop there… By sharing your success with the Body by Vi™ Challenge, you can win all kinds of fabulous prizes!
Anybody can get their personal Body by Vi™ product for FREE simply be getting 3 friends to join you on the challenge.
The document summarizes the Body by Vi program from ViSalus Sciences, which provides shakes, supplements and online tools to help with weight loss and healthy living. It notes high obesity and poor diet statistics in the US and costs of other popular programs, then outlines the Body by Vi program which includes shakes, supplements, customized meal plans, exercise videos and an online community for support at a lower daily cost than alternatives. The program aims to help people transform their health in 90 days with proper diet, exercise and community support.
Belly fat falls in the category of body fats referred to as stubborn fats. If you
have ever had belly fat before, then you will agree that you can accumulate it
without knowing.
Discover 7 day lose weight meticore-supplement-really-workAkram abu shams
Losing weight isn’t always easy. There are so many different factors that impact one’s ability to lose weight and keep it off in the long-term. While proper diet and exercise are a must, some find that adding a supplement to their daily routine makes it much easier to achieve their weight loss goals. lose weight.
Exipure is a natural weight loss supplement that aims to help users burn fat safely and effectively.
According to the manufacturers of this formula, brown adipose tissue (BAT) is the actual cause of belly fat.
Brown adipose tissue (BAT) burns calories 300 times faster than standard fat.
This implies that lean people have a burning furnace inside them, which others don’t.
Exipure is the only diet pill in the world with a mix of eight exotic nutrients and plant extracts, which target low brown adipose tissue levels.
This document discusses remedies and strategies for controlling blood sugar levels, including diet, exercise, weight loss, fiber intake, and alcohol consumption. It also discusses blood sugar testing options like glucose monitors, lab work, and A1C tests. The document then discusses berberine supplements, including what berberine is, how the Insulin Herb supplement works, its ingredients, advantages like aiding weight loss and diabetes, and frequently asked questions about dosage and benefits.
Ketogenic diet or as some people prefer to call it; The Keto diet or low-carb...IbtissamMaher
The ketogenic diet or as like some people prefer to call it; the
Keto diet or low carb diet is about consuming a lot of protein
and fats but fewer carbs. This diet makes the body send the
fats that we consume to the liver, which the latter transform it
into energy to keep the body strong and active for a long time
without feeling tired quickly.
The Okinawa Flat Belly Tonic is based on a formula inspired by ancient Japan’s Okinawa region. It’s a known fact that the Okinawa region didn’t have a single obese person in the entirety of the place
The document summarizes the business and products of Immunotec, a nutritional supplement company. It describes Immunotec's focus on research and science-backed products like Immunocal, which is proven to raise glutathione levels and enhance the immune system. It also outlines Immunotec's business opportunity in network marketing and provides an overview of starting a distributor business with their products.
Jan Hanson - Nutritional Neurochemistry - Esalen Institute, December 2010shellkeane
The document discusses optimizing brain chemistry through nutrition and supplements. It recommends eating a healthy diet high in protein and vegetables, and taking a multi-vitamin and fish oil supplement as foundations. It emphasizes improving gut health through probiotics, reducing food allergens like gluten and dairy, and addressing any gut pathogens. The document then discusses increasing specific inhibitory and excitatory neurotransmitters like serotonin, dopamine, GABA and taurine through amino acid supplements, vitamins, herbs and other natural products.
Brain Food: How to Eat Right to Think RightGaia Clinic
Your brain runs your life and is the greatest asset you possess. Yet many people spend more time and money considering whether they are nourishing their skin and hair properly than nourishing their brain. In this lecture, Medical Doctor, Tracy Thomson explains why learning to feed your brain can effectively increase your productivity, enhance your relationships (including your sex life) and generally make you happier on a daily basis!
Lord Palmerston, the premier of England, was petitioned by Scottish clergy to appoint a day of prayer and fasting to prevent a cholera outbreak. However, Lord Palmerston replied that the clergy should focus on sanitation measures like cleaning streets and houses, promoting public health, and ensuring good nutrition for the poor. These preventive measures, he argued, would eliminate the need for fasting and prayer, as God would not listen to prayers when basic preventive steps were ignored.
The document discusses the importance of proper nutrition, exercise, sleep, and stress reduction for aging well. It claims that 70-90% of aging is related to lifestyle choices and notes several key nutrients often missing from modern diets, including glyconutrients, phytoestrogens, antioxidants, vitamins, and minerals. It promotes specific supplement products like Ambrotose and antioxidants to provide these missing nutrients and support health, longevity, and reducing biological markers of aging.
Bernice Tomasso is a nutrition major and exercise/wellness minor at Arizona State University. Her email is bgtomass@asu.edu. The document provides information on maintaining a healthy lifestyle through diet and exercise. It discusses the importance of listening to your body, consuming a balanced diet for energy, and exercising regularly. Unhealthy diets like very low calorie or low carbohydrate diets are not recommended as they can disrupt metabolism and often lead to weight regain. The document emphasizes finding a sustainable approach to health, not just short-term dieting.
Gut Brain Axiom that you should know.pptxRuchi reddy
The document discusses the importance of gut health and the gut-brain connection. It notes that a healthy gut contains trillions of beneficial bacteria that aid in digestion, immunity, and brain function. An unhealthy gut, known as dysbiosis, can result from factors like antibiotics, stress, poor diet, and more and may lead to issues like depression, illness, and weight gain. Maintaining a healthy gut requires supporting the beneficial bacteria through foods, probiotics, prebiotics, and limiting stress, antibiotics, and other disruptors.
This presentation discusses how modern diets and lifestyles have contributed to increased rates of disease compared to traditional diets. It argues that processed foods, sugars, and industrial seed oils have disrupted human nutrition and health. The presentation suggests eliminating processed foods and increasing nutrient-dense animal foods, healthy fats, and fermented foods to improve well-being. It also frames many common behaviors and foods as forms of addiction that impair freedom and independence. Overall, the document promotes rethinking modern diets and lifestyles in order to liberate human health, the environment, and society from corporate control through nutrition and self-sufficiency.
Eating Meat to Lose Weight: Weight Loss Tips from Downsize Fitness Downsize Fitness
This document discusses the importance of protein in our diets and provides strategies for incorporating more protein. The three main points are:
1) Protein is a macronutrient that makes up 18-20% of our body weight and is essential for many bodily processes. It must be replenished daily through food sources.
2) Complete protein sources like meat, eggs, dairy, and some plants contain all eight essential amino acids and should be included in meals daily.
3) Planning meals with lean protein and preparing portions in advance makes it easier to incorporate sufficient protein throughout the day in meals and snacks. Strategies like batch cooking and meal prepping are recommended.
This document provides information about natural health and the typical American diet. It discusses the digestive system and how foods are broken down and absorbed. The five main body systems discussed are the digestive system, lymphatic system, circulatory system, colon, and liver. It contrasts the typical American diet of processed foods with more natural foods and explains how different ingredients can affect the body. The document promotes increasing fruit and vegetable intake to support the digestive and other body systems. It also discusses pH balance, cleansing the body of toxins, and provides information on various Isotonix supplements.
Gut Brain Axiom meeting for good mood .pptxRuchi reddy
The document discusses the connection between the gut and brain, known as the gut-brain axis. It explains that the gut contains trillions of microbes that play an important role in health, immunity, and brain function. When the gut microbiome is imbalanced or disrupted, it can lead to issues like low energy, brain fog, depression, and more. A healthy gut contains a diversity of bacteria that help the body maintain homeostasis. The gut and brain communicate bidirectionally through the nervous system and hormones. Daily habits like eating fiber, probiotics, hydration and limited snacking can support a healthy gut microbiome.
The gut plays a crucial role in health and disease. It contains a complex microbiome of over 3 trillion bacteria that support digestion and immunity. The gut also contains a second brain that is responsible for producing 95% of the body's serotonin. When the gut is unhealthy, due to poor diet and lifestyle habits, it can lead to issues like malnutrition, food allergies, inflammation and ultimately various diseases. Taking care of gut health through diet and lifestyle is important for preventing and treating disease.
Aaron Wolowiec delivered this presentation in partnership with nutritionist Sinead Urwin during the ASAE 2020 Great Ideas Conference in Salt Lake City, UT on Tuesday, Mar. 3, 2020.
Red foods provide energy and protect against illness. Orange foods boost brain function and fight infections with vitamin C. Yellow foods promote happiness and positive moods. Green foods aid relaxation, control emotions, and support bone and tooth health. Purple foods enhance creativity and longevity. Fast food is highly processed and contains additives that are addictive but nutritionally empty, leading to health issues like obesity. Coca-Cola and other sodas are very harmful due to high sugar, caffeine, and chemicals that damage teeth and the digestive system.
A happy gut does not only helps in improving your immune system but also has a positive effect on your mood swings and brain. C.A.R.E. of your gut is important - Cleanse, Activate, Restore and Enhance. So what is your gut telling you? Cause, in the end, your gut feeling is always right. True. Here is everything you need to know about a healthy gut...
This document provides a summary of various nutrition-related websites and resources. It lists Dietitians Canada, Eating as an Athlete, the National Eating Disorders Site, Moving and Choosing, Health Canada, Nutrition Gr. 9 Personal Health Unit, and Meat Glue Shocking Video as relevant links. It then discusses defining nutrition, why nutrition is important to study, obesity rates in Canada, health risks of obesity, understanding BMI, fat distribution and health risks, the six categories of nutrients, essential nutrients, calorie needs, healthy weight loss, dangers of extreme dieting, and components of a healthy diet.
"Doctors Choice" - Nature's magic for optimum Health and Wellness.
Are you suffering from one or more of the following?Pain, Viral Infections, Fungal Infections, Bacterial Infections,Tumours, Cancer, Leukaemia,Inflammation,Arthritis, Diabetes, Stroke, Heart Disease, Sclerosis,Allergies,Depression,Alzheimer's & Dementia, Parkinson's Disease, Xango helps to improve: Sexual Performance, Asthma, Blood Clots, High Cholesterol, Menstrual problems, Menopause, Joint Problems, Gum disease, Migraines & Headaches, Carpal Tunnel, Fibromyalgia, HIV…Do you want to improve your love life, endurance and libido? Be more energetic and less restless, no more midday fatigue and headache's or regular killing miggraine's? Xango ONE product, all-in-one help to restoration of health , pure fruit juice from the Queen of Fruits - Mangosteen.
The document discusses the many health benefits of eating avocados, including their high nutrient content, ability to increase absorption of other nutrients when eaten with other foods, potential benefits for weight loss and cancer prevention, and more. Several studies are referenced that show avocado consumers tend to be healthier with lower weight and better cholesterol levels. However, the document notes that correlation does not necessarily prove causation from avocados alone.
Similar to Your Best Brain - A Benefit for Wellspring Institute (20)
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...rightmanforbloodline
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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Your Best Brain - A Benefit for Wellspring Institute
1. Your Best Brain:
Ten Great Ways
To Change Your Brain for the Better
Jan Hanson, L.Ac. And Rick Hanson, Ph.D.
September 25, 2010
The Wellspring Institute
For Neuroscience and Contemplative Wisdom
www.WiseBrain.org
www.JanHealth.com janhealth@comcast.net
www.RickHanson.net drrh@comcast.net 1
3. Domains of Intervention
!! We can intervene in three domains:
!! World (including relationships)
!! Body
!! Mind
!! All three are important. And they work together.
!! We have limited influence over world and body.
!! In the mind:
!! Much more influence
!! Changes are with us wherever we go 3
4. Great questioning, great enlightenment;
little questioning, little enlightenment;
no questioning, no enlightenment.
Dogen
4
6. Your Brain: The Technical Specs
!! Size:
!! 3 pounds of tofu-like tissue
!! 1.1 trillion brain cells
!! 100 billion “gray matter" neurons
!! Activity:
!! Always on 24/7/365 - Instant access to information on demand
!! 20-25% of blood flow, oxygen, and glucose
!! Speed:
!! Neurons firing around 5 to 50 times a second (or faster)
!! Signals crossing your brain in a tenth of a second
!! Connectivity:
!! Typical neuron makes ~ 5000 connections with other neurons:
~ 500 trillion synapses
6
8. Your Brain: The Technical Specs
!! Size:
!! 3 pounds of tofu-like tissue
!! 1.1 trillion brain cells
!! 100 billion “gray matter" neurons
!! Activity:
!! Always on 24/7/365 - Instant access to information on demand
!! 20-25% of blood flow, oxygen, and glucose
!! Speed:
!! Neurons firing around 5 to 50 times a second (or faster)
!! Signals crossing your brain in a tenth of a second
!! Connectivity:
!! Typical neuron makes ~ 5000 connections with other neurons:
~ 500 trillion synapses
8
9. Key Physical Interventions for the Brain
!! Provide a complete array of nutrients.
!! Get the gut right.
!! Optimize serotonin.
!! Increase GABA/glutamic acid ratio.
!! Enhance excitatory neurotransmitters.
9
11. Perspectives on Natural Methods
!! Potential benefits:
!! Often highly effective
!! Minimal side effects (pure molecules that the body knows
how to metabolize)
!! Readily available
!! But use wisely:
!! Gather information.
!! Don’t do on your own with psychotropic meds.
!! Start with low doses.
!! If something does not feel good, stop.
!! Make sure other co-factors are adequate (e.g., B-6, iron).
!! Consider further testing (e.g., amino acids). 11
12. Key Functions of Nutrients
!! Build tissue
!! Act as substrate for metabolic processes
!! Act as co-factors for enzymes that facilitate metabolic
steps
!! Act as anti-oxidants
12
13. Nutrients from Food - 1
!! Protein:
!! 3 servings a day, the size of the palm of your
hand
!! Animal protein: well absorbed, hypoallergenic
!! Nuts and seeds
!! Protein powder
!! Vegetarians: consider an amino acid supplement
!! Vegetables and fruits:
!! Vegetables: at least several cups a day
!! Primary source of carbohydrates
!! Fruit: eat whole fruit; be mindful of sugar content
13
14. Nutrients from Food - 2
!! Grains:
!! Not so much
!! Whole grains, not made into flour
!! Gluten-free (gluten = wheat, oats, rye, barley,
spelt, kamut)
!! Oils:
!! Primary oil is olive
!! No trans-fats
!! Be mindful of saturated fats
14
15. Nutrients from Food - 3
!! Dairy:
!! Try to eliminate cow dairy -- a major allergen
!! Goat and sheep products are best
!! Substitute with almond milk, coconut milk, etc.
!! Go paleolithic!
!! Eat like the hunter-gatherers did -- that is your
evolutionary heritage.
!! Animal protein, vegetables, fruit, eggs, nuts,
healthy oils.
15
16. Nutrition From Food - 4
!! Eat No Sugar and little refined flour . . .
!! If you must, eat as little sugar as possible.
!! The average American eats 158 lbs per year.
!! Sugar raises and disregulates blood sugar.
!! Sugar raises insulin and puts you on the road to
diabetes.
!! High insulin is inflammatory.
!! Increased risk of Alzheimer’s disease and
depression with diabetes
!! Decreases cognitive performance 16
17. Supplement B-Vitamins
!! Start with a good multi-vitamin/mineral supplement,
with high B-vitamins (10x d.v.; 800 mcg folic acid)
!! Folate, B-12, and B-6 cut brain shrinkage in half in
older mildly cognitively impaired adults with high
homocysteine. (Smith, D., et al., 2010)
!! Low folate predisposes people to depression.
!! Folic acid + SSRI almost doubles success rate over
SSRI alone.
17
18. Supplement Minerals
!! The multi should have the DV or more of zinc,
copper, selenium, manganese, molybdenum,
chromium, iodine.
!! Typically add calcium and magnesium:
!! At least 400 mg. magnesium.
!! Women should consume at least 1000 mg. calcium.
!! Iron:
!! A critical brain nutrient, but toxic if you get too much
!! Carnivorous men usually shouldn’t add iron.
!! Menstruating women usually do need iron.
!! It’s best to test for iron with an iron panel or serum ferritin.
A blood count helps, but can miss low iron. 18
!! If you have fatigue and/or depression, test.
19. Supplement Essential Fatty Acids
!! Much DHA (decosahexaenoic acid) in the brain
!! DHA & EPA (ecosipentanoic acid) are important
regulators of inflammation.
!! EPA & DHA negatively correlate with depression
(DHA has more data)
!! EPA: anti-inflammatory; DHA: brain structure.
!! May be preventive for Parkinson’s and Alzeheimer’s.
19
!! Fish oil: 500 mg. each of EPA and DHA
20. Supplement Vitamin D
!! Co-factor in synthesis of serotonin, dopamine, and
norepinephrine
!! Low levels of D are implicated in depression.
!! Major support for the immune system
!! May be helpful in preventing dementia and
Parkinson’s disease
!! Made in the skin from unprotected sunlight
!! Get 10 - 15 minutes sun mid-day; do not burn.
!! Goal for D: 50 - 60 ng./ml. The correct test is “25-
OH-vitamin D.”
!! If you cannot test, try 2000 I.U./day.
20
21. About Supplements
Most supplements are available at health food stores.
Some products might be hard to find. If so, you can get
them at my website, www.JanHealth.com.
If you want to check the formulas of vitamin, mineral, or
amino acid products at health food stores, etc., you
can compare them to products on my website.
For comparisons, look on my site at the Twice Daily
Multi, and BAM or All Basic Plus amino acid mixes.
21
23. The GI Tract and the Brain
!! The road to health is paved with good intestines.
!! Our gastrointestinal (GI) tract has a huge effect on our brain.
!! We can have a huge effect on our GI tract.
!! Key issues: cytokines, malabsorption, dysbiosis
!! GI tract effects on the brain via the immune system:
!! 60 - 70% of the immune system is in the GI tract.
!! When the GI tract is inflamed, it sends messengers called
cytokines throughout the body - including the brain -
causing inflammation and trouble.
!! By activating a particular enzyme, cytokines deplete the
brain of serotonin.
!! Cytokines stimulate hypothalamic-pituitary stress pathway,
resulting in higher stress hormones, including cortisol.
23
24. GI Malabsorption
!! When the intestines are inflamed,
malabsorption of nutrients occurs.
!! Malabsorption decreases amino acids, iron,
folic acid, and fats. (And probably all
nutrients).
!! We need these nutrients for brain health.
24
25. Increase Beneficial Microflora
!! There are trillions of bacteria in the intestines.
!! Beneficial bacteria protect intestinal walls, help build
vitamins, and decrease inflammation and bad microbes.
!! Pathogenic bacteria cause inflammation.
!! Increase beneficial bacteria:
!! Supplement probiotics:
!! Lactobacillus GG (Culturelle)
!! Saccharomyces boulardii (Florastor)
!! Biffido-biffidus (particularly for kids)
!! Lactobacillus paracasei, casei, plantarum, rhamnosus, and
salivarius
!! Eat a low sugar, low refined flour, high fiber diet.
!! Bad bugs like sugar; good bugs like fiber. 25
26. Decrease Pathogenic Microbes
!! Get rid of bad bugs: parasites, yeast overgrowth, and
bacterial overgrowth.
!! You may need to test to identify pathogens. A
comprehensive stool test is offered by integrative
practitioners.
!! My favorite test is one that uses DNA to identify and quantify
microbes -- it is very accurate.
!! Treat microbes as appropriate. If possible use natural
products. Parasites usually require prescription
medication, and perhaps a long treatment.
26
27. Eliminate Food Allergens
!! Food allergens cause inflammation and reactivity all
over the body.
!! No down side, except giving up your favorite foods
!! Dramatic effects on mood and energy
!! Particularly noticeable in children
!! The worst offenders are gluten and dairy, then soy.
!! Gluten: wheat, oats, rye, barley, spelt, kamut
!! Dairy: cow is usually worse than goat and sheep.
!! Test:
!! Try a couple weeks off.
!! Or you can do an IgG antibody test (through integrative
practitioners). 27
29. Working with Neurotransmitters
!! Two core functions of neurotransmitters:
!! Calming down - Inhibitory
!! Energizing up - Excitatory
!! You can supplement neurotransmitters or
their co-factors - in a context of overall health.
!! Individual differences:
!! More benefit from inhibitory neurotransmitters
29
33. Serotonin Effects
!! Serotonin is the key neurotransmitter for
“happy and relaxed.”
!! Serotonin is a neuro-modulator of GABA
that increases its effects, and also helps
decrease overactive norepinephrine,
dopamine, adrenaline, and cortisol.
!! Major effect on depression and anxiety
33
34. Serotonin Production and Supplementation
!! Tryptophan (with iron) -> 5-hydroxytryptophan
(5-HTP) (with P-5-P) -> serotonin
l----> melatonin
!! Options for increasing serotonin:
!! 5-HTP, 50 - 200 mg./day; empty morning stomach
!! Tryptophan: 500 - 1500 mg./day; before bed (great for sleep)
!! Stop if it doesn’t feel good.
34
35. Serotonin and “Prozac Poop-Out”
!! Serotonin is eliminated from the synapse through
re-uptake, which SSRI’s prevent, or through
degradation by monoamine oxidase (MAO).
!! A theory: when the uptake of serotonin is inhibited,
it leaves more serotonin available for breakdown by
MAO. This could increase MAO action over time,
thus depleting available serotonin.
!! Possibly: add a little (50 mg.) 5-HTP. Be very
careful -- if it feels at all wrong, stop.
35
36. St. John’s Wort
!! Neurochemistry:
!! Many pathways of action due to molecular complexity
!! Uptake inhibitor of serotonin and probably dopamine and
norepinephrine; mild MAO inhibitor
!! If the drug companies could make this, they would!
!! Dosing: 300 mg. 3 times per day
!! Concerns about decreasing the effectiveness of other
medications:
!! Do not use with protease inhibitors for HIV.
!! Unproven concern with birth control pills, but be mindful
36
38. GABA and Glutamic Acid: Overview
!! GABA and glutamic acid (GA) have a dance in the
brain. GABA is Yin (inhibitory) and Glutamic Acid is
Yang (excitatory).
!! Too much GA feels like a monosodium glutamate
(MSG) overdose.
!! High GA and/or low GABA are associated with:
!! Anxiety, depression, bipolar disorder
!! Migraines, seizures
!! Parkinson’s disease
!! Schizophrenia
38
39. Supplement Magnesium
!! Supplementing magnesium increases GABA.
!! Studies on migraines, seizures, pre-enclampsia
found magnesium to be effective.
!! Take 400 - 1000 mg. magnesium.
!! Magnesium citrate will likely be a laxative.
!! Magnesium glycinate is not usually a laxative.
39
40. Supplement Vitamin B-6
!! Glutamic acid --> GABA
!! Vitamin B-6 as Pyridoxal-5-Phosphate
(P-5-P) is the key nutritional co-factor that shifts the
balance in the direction of GABA.
!! Take 50 mg./day of P-5-P on an empty stomach.
!! Many don’t make P-5-P from pyridoxine effectively.
!! Often deficient in women on birth control pills.
40
41. Supplement Taurine
!! Taurine binds to GABA receptors, thus stimulating
GABA-like activity.
!! It stimulates enzymes that make GABA, and inhibits
enzymes that break it down.
!! It’s typically a benign amino acid, also depleted
during breastfeeding.
!! Consider 1000 mg./day (maybe more).
41
42. Supplement Melatonin
!! Melatonin blocks the main glutamate receptor.
!! Get good sleep. Take the time. Sleep is perhaps the
most restorative activity for the brain.
!! For sleep, use 1 - 3 mg. melatonin before bed, or a
smaller amount for middle-of-the-night waking. Try
sublingual preparations.!
42
43. Supplement Theanine
!! Theanine is an amino acid found in green tea and
added to soft drinks in Japan (!).
!! It is “antagonistic” to glutamic acid.
!! Consider 100 - 200 mg./day. !
43
44. Supplement GABA
!! Theoretically, GABA does not cross the blood-brain
barrier, but many people do report a calming effect.
!! Possibly there is a “leaky brain syndrome” allowing
GABA to get through.
!! Several studies show efficacy of GABA with anxiety.
!! Consider 250 - 750 mg./day on an empty stomach.
44
45. Supplement Progesterone
!! For women only . . .
!! Progesterone stimulates GABA receptors, triggering
a GABA-like effect.
!! Approaching menopause, progesterone decreases
before estrogen does, so supplementing
progesterone may be helpful.
!! Consider Pro-Gest cream, during the second half of
your cycle.
45
46. Possible Daily Supplements for Enhancing
GABA/Glutamic Acid Ratio
!! Magnesium: 400 - 1000 mg. citrate (lax.) or glycinate (non-lax.)
!! Vitamin B6 as P-5-P: 50 mg. on an empty stomach
!! Taurine: 1000 mg. (or more) on an empty stomach (in a.m.)
!! Melatonin 1-3 mg.
!! Theanine: 100 – 200 mg.
!! GABA: 250 - 750 mg.
!! Progesterone cream (women only)
46
!! Tryptophan or 5-HTP to enhance serotonin --> modulates GABA
48. Increasing Amino Acids in General
!! When fatigue is an issue, even chronic fatigue, a
complete amino acid blend can be very useful.
!! Taken on an empty stomach, it strongly (albeit temporarily)
boosts amino acids levels.
!! The theory is, it primes the pump and gets the body and
brain going.
!! Use a free amino acid balanced blend:
!! Take 30 minutes before food in the morning.
!! 3 - 10 grams
!! Can modify with amino acid testing
!! Make sure vitamin and mineral co-factors are present.
48
49. Enhance Dopamine, Norepinephrine
!! Increase dopamine and norepinephrine, which
support attention, energy, and mood.
!! Phenylalanine (with iron) -> tyrosine (with P-5-P) ->
dopamine -> norepinephrine.
!! Tyrosine also builds thyroid hormone.
!! On a foundation of good serotonin, supplement:
!! 500-1000 mg./day of L-Phenylalaine or L-Tyrosine (empty
stomach in the morning)
!! 50 mg./day of P-5-P (empty stomach in the morning)
!! Supplement iron as indicated by testing. 49
50. Enhance Acetylcholine -1
!! Phosphatidylserine:
!! A structural component of a neuron’s membrane
!! Enhances acetylcholine release
!! Calms stress pathways in the brain, reducing cortisol
!! Many studies show decreased cognitive decline with aging
!! 100 - 300 mg./day
!! Acetyl-L-Carnitine:
!! Enhances acetylcholine
!! Studies show decreased cognitive decline with aging and
decreased progression of Alzheimer’s disease.
!! 500 - 1000 mg./day
50
51. Enhance Acetylcholine - 2
!! Alpha GPC (glycerylphosphorylcholine) stimulates
manufacture of new acetylcholine by providing a
supply of choline for neurons.
!! Stimulates release of GABA
!! Benefits shown for memory, stroke, Alzheimer’s, and
vascular dementia.
!! Try 300 - 600 mg. (By prescription in Europe)
51
52. Enhance Acetylcholine -3
!! Huperzine A. is extracted from Chinese club moss. It
helps prevent breakdown of acetylcholine.
!! Some studies have shown effectiveness with
Alzheimer’s disease; one study showed improved
memory in adolescents.
!! 50 - 200 mg./day. Start slow. Although studies say no
side effects, I have seen them.
52
53. Bonus #6: Hormones
!! Check thyroid if fatigue is a factor.
!! TSH should ideally be under 2.00, but certainly under 3.00.
!! Estrogen does many good things for the brain:
!! Improves mood
!! Supports memory
!! Helps prevent dementia
!! Menopausal women should test estrogen levels
and consider supplementation.
!! Always bioidentical
!! Always transdermal -- patch, cream, or spray 53
54. Key Mental Interventions for the Brain
!! Spacious awareness
!! Taking in the good
!! Loved and loving
!! Restorative relaxation
!! Natural happiness
54
56. Fact #1
As your brain changes, your mind changes.
56
57. Fact #2
As your mind changes, your brain changes.
Immaterial mental activity maps to material neural activity.
This produces temporary changes in your brain and lasting ones.
Temporary changes include:
!! Alterations in brainwaves (= changes in the firing patterns of
synchronized neurons)
!! Increased or decreased use of oxygen and glucose
!! Ebbs and flows of neurochemicals
57
59. Mind Changes Brain in Lasting Ways
!! What flows through the mind sculpts your brain.
Immaterial experience leaves material traces behind.
!! Increased blood/nutrient flow to active regions
!! Altered epigenetics (gene expression)
!! “Neurons that fire together wire together.”
!! Increasing excitability of active neurons
!! Strengthening existing synapses
!! Building new synapses; thickening cortex
!! Neuronal “pruning” - “use it or lose it” 59
60. Lazar, et al. 2005.
Meditation
experience is
associated
with increased
cortical thickness.
Neuroreport, 16,
1893-1897.
60
61. Fact #3
You can use your mind
to change your brain
to change your mind for the better.
This is self-directed neuroplasticity.
How to do this, in skillful ways? 61
63. The Power of Mindfulness
!! Attention is like a spotlight, illuminating what it rests upon.
!! Because neuroplasticity is heightened for what’s in the
field of focused awareness, attention is also like a vacuum
cleaner, sucking its contents into the brain.
!! Directing attention skillfully is therefore a fundamental way
to shape the brain - and one’s life over time.
The education of attention
would be an education par excellence.
William James 63
64. Dual Modes
“Doing” “Being”
Mainly representational Mainly sensory
Much verbal activity Little verbal activity
Abstract Concrete
Future- or past-focused Now-focused
Recursive contents of mind Transient contents of mind
Goal-directed Nothing to do, nowhere to go
Sense of craving Sense of peace
Personal, self-oriented perspective Impersonal, 3rd person perspective
Firm beliefs Uncertainty, not-knowing
Evaluative Nonjudgmental
Lost in thought, mind wandering Mindful presence
Tightly connected experiences Loosely connected experiences
Focal view Panoramic view
Prominent self-as-object Minimal or no self-as-object
Prominent self-as-subject Minimal or no self-as-subject 64
65. Increased Medial PFC Activation
Related to Self-Referencing Thought
Gusnard D. A., et.al. 2001. PNAS, 98:4259-4264
65
66. Self-Focused (blue) and Open Awareness (red) Conditions
(following 8 weeks of MT)
66
Farb, et al. 2007. Social Cognitive Affective Neuroscience, 2:313-322
67. Dual Modes
“Doing” “Being”
Mainly representational Mainly sensory
Much verbal activity Little verbal activity
Abstract Concrete
Future- or past-focused Now-focused
Recursive contents of mind Transient contents of mind
Goal-directed Nothing to do, nowhere to go
Sense of craving Sense of peace
Personal, self-oriented perspective Impersonal, 3rd person perspective
Firm beliefs Uncertainty, not-knowing
Evaluative Nonjudgmental
Lost in thought, mind wandering Mindful presence
Tightly connected experiences Loosely connected experiences
Focal view Panoramic view
Prominent self-as-object Minimal or no self-as-object
Prominent self-as-subject Minimal or no self-as-subject 67
68. Ways to Activate “Doing” Mode
!! Enter the “default mode” of the brain; run mini-movies
in the mental simulator
!! Sense a threat or opportunity; “crave” or “cling”
!! Focus on a task; solve a problem; plan
!! Think with language
!! Reflect about future or past
!! Take life personally
68
69. Ways to Activate “Being” Mode
!! Relax
!! Focus on bare sensations and perceptions
!! Sense the body as a whole
!! Take a panoramic, “bird’s-eye” view
!! Engage “don’t-know mind”; release judgments!
!! Don’t try to connect mental contents together
!! Let experience flow, staying here now!
!! Relax the sense of “I, me, and mine”
69
70. Whole Body Awareness
!! Sense the breath in one area (e.g., chest, upper lip)
!! Sense the breath as a whole: one gestalt, percept
!! Sense the body as a whole, a whole body breathing
!! Sense experience as a whole: sensations, sounds,
thoughts . . . all arising together as one unified thing
!! It’s natural for this sense of the whole to be present
for a second or two, then crumble; just open up to it
again and again. 70
71. Panoramic Awareness
!! Recall a bird’s-eye view (e.g., mountain, airplane)
!! Be aware of sounds coming and going in an open space of
awareness, without any edges: boundless
!! Open to other contents of mind, coming and going like clouds
moving across the sky.
!! Pleasant or unpleasant, no matter: just more clouds
!! No cloud ever harms or taints the sky.
Trust in awareness, in being awake, !
71
rather than in transient and unstable conditions.!
!Ajahn Sumedho
73. Mindfulness, Virtue, Wisdom
!! Mindfulness, virtue, and wisdom are identified in
both Western psychology and the contemplative
traditions as key pillars of mental health.
!! These map to three core functions of the nervous
system: receiving/learning, regulating, and
prioritizing. And map to the three phases of
psychological healing and personal growth:
!! Be mindful of, release, replace.
!! Let be, let go, let in.
!! Mindfulness is vital, but not enough by itself. 73
74. “What a long strange trip it’s been”
!! ~ 4+ billion years of earth
!! 3.5 billion years of life
!! 650 million years of multi-celled organisms
!! 600 million years of nervous system
!! ~ 80 million years of mammals
!! ~ 60 million years of primates
!! ~ 6 million years ago: last common ancestor with chimpanzees,
our closest relative among the “great apes” (gorillas,
orangutans, chimpanzees, bonobos, humans)
!! 2.5 million years of tool-making (starting with brains 1/3 our size)
!! ~ 150,000 years of homo sapiens
!! ~ 50,000 years of modern humans
!! ~ 5000 years of blue, green, hazel eyes
74
75. Three Stages of Brain Evolution
!! Reptilian:
!! Brainstem, cerebellum, hypothalamus
!! Reactive and reflexive
!! Avoid hazards
!! Mammalian:
!! Limbic system, cingulate, early cortex
!! Memory, emotion, social behavior
!! Approach rewards
!! Human:
!! Massive cerebral cortex
!! Abstract thought, language, cooperative planning, empathy
!! Attach to “us” 75
77. Three Goal-Directed Systems
Evolved in the Brain
!! Avoid “sticks,” threats, penalties, pain
!! Approach “carrots,” opportunities, rewards, pleasure
!! Attach to “us,” proximity, bonds, feeling close
!! Although the three branches of the vagus nerve
loosely map to the three systems, the essence of
each is its aim, not its neuropsychology.
!! Each system can draw on the other two for its ends.
77
78. Negativity Bias: Causes in Evolution
!! “Sticks” - Predators, natural hazards, social
aggression, pain (physical and psychological)
!! “Carrots” - Food, sex, shelter, social support,
pleasure (physical and psychological)
!! During evolution, avoiding “sticks” usually had more
impact on survival than approaching “carrots.”
!! Urgency - Usually, sticks must be dealt with immediately,
while carrots allow a longer approach.
!! Impact - Sticks usually determine mortality, carrots not; if you
fail to get a carrot today, you’ll likely have a chance at a
carrot tomorrow; but if you fail to avoid a stick today - whap! 78
-
no more carrots forever.
79. Negativity Bias:
Physiology and Neuropsychology
!! Physiology:
!! Greater bodily arousal to negative stimuli
!! Pain is produced anywhere; pleasure is circumscribed.
!! Neuropsychology:
!! Separate, low-level systems for negative and positive stimuli
!! Right hemisphere specialized for negative stimuli
!! Greater brainwave responses to negative stimuli
!! ~ 65% of amygdala sifts for negative stimuli
!! The amygdala-hippocampus system flags negative
experiences prominently in memory: like Velcro for negative
experiences but Teflon for positive ones.
!! More negative “basic” emotions than positive ones 79
80. A Major Result of the Negativity Bias:
Threat Reactivity
!! Two mistakes:
!! Thinking there is a tiger in the bushes when there isn’t one.
!! Thinking there is no tiger in the bushes when there is one.
!! We evolved to make the first mistake a hundred times
to avoid making the second mistake even once.
!! This evolutionary tendency is intensified by
temperament, personal history, culture, and politics.
!! Threat reactivity affects individuals, couples, families,
organizations, nations, and the world as a whole. 80
81. Results of Threat Reactivity
(Personal, Organizational, National)
!! Our initial appraisals are mistaken:
!! Overestimating threats
!! Underestimating opportunities
!! Underestimating inner and outer resources
!! We update these appraisals with information that
confirms them; we ignore, devalue, or alter
information that doesn’t.
!! Thus we end up with views of ourselves, others, and
the world that are ignorant, selective, and distorted. 81
82. Costs of Threat Reactivity
(Personal, Organizational, National)
!! Feeling threatened feels bad, and triggers stress consequences.
!! We over-invest in threat protection.
!! The boy who cried tiger: flooding with paper tigers makes it
harder to see the real ones.
!! Acting while feeling threatened leads to over-reactions, makes
others feel threatened, and creates vicious cycles.
!! The Approach system is inhibited, so we don’t pursue
opportunities, play small, or give up too soon.
!! In the Attach system, we bond tighter to “us,” with more fear and
82
anger toward “them.”
83. A Poignant Truth
Mother Nature is tilted toward producing gene copies.
But tilted against personal quality of life.
And at the societal level, we have caveman/cavewoman
brains armed with nuclear weapons.
What shall we do?
83
85. How to Take in the Good
1. Look for positive facts, and let them become positive
experiences.
2. Savor the positive experience:
!! Sustain it for 10-20-30 seconds.
!! Feel it in your body and emotions.
!! Intensify it.
3. Sense and intend that the positive experience is
soaking into your brain and body - registering deeply
in emotional memory. 85
86. Just having positive experiences is not enough. !
They pass through the brain like water through a
sieve, while negative experiences are caught.!
We need to engage positive experiences actively to
weave them into the brain.
86
87. Targets of TIG
!! Bodily states - healthy arousal; PNS; vitality
!! Emotions - both feelings and mood
!! Views - expectations; object relations; perspectives
on self, world, past and future
!! Behaviors - reportoire; inclinations
87
88. Kinds of “Good” to Take in
!! The small pleasures of ordinary life
!! The satisfaction of attaining goals or recognizing accomplishments -
especially small, everyday ones
!! Feeling grateful, contented, and fulfilled
!! Things are alright; nothing is wrong; there is no threat
!! Feeling safe and strong
!! The peace and relief of forgiveness
!! Being included, valued, liked, respected, loved by others
!! The good feelings that come from being kind, fair, generous
!! Feeling loving
!! Recognizing your positive character traits
!! Spiritual or existential realizations 88
89. The Fourth Step of TIG
!! When you are having a positive experience:
!! Sense the current positive experience sinking down into old pain,
and soothing and replacing it.
!! When you are having a negative experience:
!! Bring to mind a positive experience that is its antidote.
!! In both cases, have the positive experience be big and strong, in
the forefront of awareness, while the negative experience is
small and in the background.
!! You are not resisting negative experiences or getting attached
to positive ones. You are being kind to yourself and cultivating
positive resources in your mind.
89
90. Psychological Antidotes
Approaching Opportunities
!! Satisfaction, fulfillment --> Frustration, disappointment
!! Gladness, gratitude --> Sadness, discontentment, “blues”
Affiliating with “Us”
!! Attunement, inclusion --> Not seen, rejected, left out
!! Recognition, acknowledgement --> Inadequacy, shame
!! Friendship, love --> Abandonment, feeling unloved or unlovable
Avoiding Threats
!! Strength, efficacy --> Weakness, helplessness, pessimism
!! Safety, security --> Alarm, anxiety
!! Compassion for oneself and others --> Resentment, anger
90
91. Resources for Taking in the Good
!! Intention; willing to feel good
!! Identified target experience
!! Openness to the experience; embodiment
!! Mindfulness of the steps of TIG to sustain them
!! Working through obstructions (e.g., distractibility,
counter experiences, painful associations when
accessing an embodied experience)
91
92. Why It’s Good to Take in the Good - 1
!! In general, adds positive contents to implicit memory
!! Internalizes psychological growth (e.g., it usually feels
good and goes well to speak from my heart)
!! Associates rewards to good steps; boosts motivation
!! Brings in missing “supplies” (e.g., love, worth) to help
remedy deficits and heal painful experiences
!! Encourages prosocial experiences and actions
92
93. The good life, as I conceive it, is a happy life.
I do not mean that if you are good you will be happy;
I mean that if you are happy you will be good.
Bertrand Russell
93
94. Why It’s Good to Take in the Good - 2
!! Reduces threat reactivity (by taking in resources,
opportunities fulfilled, and reasonable safety)
!! Counteracts “learned helplessness” (by taking in
assertiveness, efficacy, internal locus of control)
!! Reduces suffering due to alarm signals from
endlessly disturbed equilibria by taking in their also
endless re-balancing
!! Implicitly: Rights the internal injustice of the negativity
bias; embodies self-attunement, -nurturance, and - 94
advocacy (vital if a person hasn’t received these)
95. Benefits of Positive Emotions
!! The benefits of positive emotions are a proxy for
many of the benefits of TIG.
!! Emotions organize the brain as a whole, so positive
ones have far-reaching benefits, including:
!! Promote exploratory, “approach” behaviors
!! Lift mood; increase optimism, resilience
!! Counteract trauma
!! Strengthen immune and protect cardiovascular systems
!! Overall: “broaden and build”
!! Create positive cycles
95
97. Love and the Brain
!! Social capabilities have been a primary driver of brain evolution.
!! Reptiles and fish avoid and approach. Mammals and birds
attach as well - especially primates and humans.
!! Mammals and birds have bigger brains than reptiles and fish.
!! The more social the primate species, the bigger the cortex.
!! Since the first hominids began making tools ~ 2.5 million years
ago, the brain has roughly tripled in size, much of its build-out
devoted to social functions (e.g., cooperative planning, empathy,
language). The growing brain needed a longer childhood, which
required greater pair bonding and band cohesion. 97
98. All sentient beings developed through natural
selection in such a way that pleasant
sensations serve as their guide, and
especially the pleasure derived from
sociability and from loving our families.
Charles Darwin
98
99. If one going down into a river,
swollen and swiftly flowing,
is carried away by the current --
how can one help others across?
The Buddha
99
100. Self-Compassion
!! Compassion is the wish that a being not suffer, combined with
sympathetic concern. Self-compassion simply applies that to
oneself. It is not self-pity, complaining, or wallowing in pain.
!! Studies show that self-compassion buffers stress and increases
resilience and self-worth.
!! But self-compassion is hard for many people, due to feelings of
unworthiness, self-criticism, or “internalized oppression.” To
encourage the neural substrates of self-compassion:
!! Get the sense of being cared about by someone else.
!! Bring to mind someone you naturally feel compassion for
!! Sink into the experience of compassion in your body
!! Then shift the compassion to yourself, perhaps with phrases like:
“May I not suffer. May the pain of this moment pass.” 100
101. “Anthem”
Ring the bells that still can ring!
Forget your perfect offering!
There is a crack in everything!
That’s how the light gets in!
That’s how the light gets in
Leonard Cohen
101
102. Neural Substrates of Empathy
!! Three simulating systems:
!! Actions: “mirror” systems; temporal-parietal
junction
!! Feelings: resonating emotionally; insula
!! Thoughts: “theory of mind”; prefrontal cortex
!! These systems interact with each other
through association and active inquiry
!! Automatic, continual re-creation of traces of
others’ experience 102
103. Empathy Skills
!! Show up
!! Pay attention.
!! Be open.
!! Drop aversion (judgments, distaste, fear, anger, withdrawal).
!! Track actions
!! What would it feel like in your own body?
!! Perhaps mirror appropriately
!! Track emotions
!! Tune into face and eyes.
!! What would you be feeling? In your own body?
!! Track thoughts
!! Sense beneath the surface.
!! Investigate actively. 103
104. If we could read the secret history
of our enemies,
we should find in each [person's] life
sorrow and suffering enough
to disarm any hostility.
Henry Wadsworth Longfellow
104
105. In the cherry blossom’s shade
there is no thing
as a stranger
Issa
105
106. If there is anything I have learned about [people], it is that
there is a deeper spirit of altruism than is ever evident.
Just as the rivers we see are minor compared to the
underground streams, so, too, the idealism that is visible is
minor compared to what people carry in their hearts
unreleased or scarcely released.
(Hu)mankind is waiting and longing for those who can
accomplish the task of untying what is knotted, and
bringing these underground waters to the surface.
106
Albert Schweitzer
109. Negative Experiences Can Have Benefits
!! There’s a place for negative emotions:
!! Anxiety alerts us to inner and outer threats
!! Sorrow opens the heart
!! Remorse helps us steer a virtuous course
!! Anger highlights mistreatment; energizes to handle it
!! Negative experiences can:
!! Increase tolerance for stress, emotional pain
!! Build grit, resilience, confidence
!! Increase compassion and tolerance for others
But is there really any shortage of negative experiences? 109
110. Health Consequences of Chronic Stress
!! Physical:
!! Weakened immune system
!! Inhibits GI system; reduced nutrient absorption
!! Reduced, dysregulated reproductive hormones
!! Increased vulnerabilities in cardiovascular system
!! Disturbed nervous system
!! Mental:
!! Lowers mood; increases pessimism
!! Increases anxiety and irritability
!! Increases learned helplessness (especially if no escape)
!! Often reduces approach behaviors (less for women)
!! Primes aversion (SNS-HPAA negativity bias) 110
111. One Neural Consequence of Negative Experiences
!! Amygdala (“alarm bell”) initiates stress response
!! Hippocampus:
!! Forms and retrieves contextual memories
!! Inhibits the amygdala
!! Inhibits cortisol production
!! Cortisol:
!! Stimulates and sensitizes the amygdala
!! Inhibits and can shrink the hippocampus
!! Consequently, chronic negative experiences:
!! Sensitize the amygdala alarm bell
!! Weaken the hippocampus: this reduces memory capacities and the
inhibition of amygdala and cortisol production.
!! Thus creating vicious cycles in the NS, behavior, and mind
111
113. One Neural Consequence of Negative Experiences
!! Amygdala (“alarm bell”) initiates stress response
!! Hippocampus:
!! Forms and retrieves contextual memories
!! Inhibits the amygdala
!! Inhibits cortisol production
!! Cortisol:
!! Stimulates and sensitizes the amygdala
!! Inhibits and can shrink the hippocampus
!! Consequently, chronic negative experiences:
!! Sensitize the amygdala alarm bell
!! Weaken the hippocampus: this reduces memory capacities and the
inhibition of amygdala and cortisol production.
!! Thus creating vicious cycles in the NS, behavior, and mind
113
114. Feeling as Safe as You Reasonably Can
!! Connecting with others; finding allies; internalizing
self-encouraging, -nurturing, -soothing, -coaching
resources
!! Feeling strong
!! Waking up from Threat Level Orange:
!! Recognizing real threats
!! Not getting alarmed at paper tigers
!! Seeing opportunities clearly
!! Recognizing all your inner and outer resources for dealing
with threats and fulfilling opportunities
114
115. A Serenity Prayer
May I find the serenity to accept the things that cannot be changed,
the courage to change the things which should be changed,
and the wisdom to distinguish the one from the other.
Living one day at a time,
Enjoying one moment at a time,
Accepting hardship as a pathway to peace,
Taking this imperfect world as it is,
Not as I would have it,
Trusting in my refuges,
May I be reasonably happy in this life,
And supremely happy forever some day.
Adapted from the Serenity Prayer, by Reinhold Niebuhr (1892-1971)! 115
116. Cooling the Fires
!! Regard stressful activation as an affliction.
!! Lots of methods for stimulating the parasympathetic nervous
system to down-regulate the SNS:
!! Big exhalation
!! Relaxing the body
!! Yawning
!! Fiddling the lips
!! Get in the habit of rapidly activating a damping cascade when
the body activates.
!! Regard bodily activation as just another compounded,
“meaningless,” and impermanent phenomenon; don’t react to it.
116
117. If you let go a little, you will have a little happiness.!
If you let go a lot, you will have a lot of happiness.!
If you let go completely, you will be completely happy.!
Ajahn Chah!
117
119. Reverse Engineering the Brain
What is the nature of the brain when a person is:
!! In peak states of productivity or “flow?”
!! Experiencing inner peace?
!! Self-actualizing?
!! Enlightened (or close to it)?
119
120. Three Motivational Systems
!! Avoid “sticks,” threats, penalties, pain
!! Approach “carrots,” opportunities, rewards, pleasure
!! Attach to “us,” for proximity, bonds, feeling close
!! Reptiles and fish avoid and approach. Mammals and birds
also attach - especially primates and humans. Attaching is
a breakthrough, co-evolving with emotion.
!! Although the three branches of the vagus nerve loosely
map to the three systems, the essence of each is its aim,
not its neuropsychology. Each system can draw on
another system for its ends.
120
121. Home Base of the Human Brain
When not threatened, ill, in pain, hungry, upset, or
chemically disturbed, most people settle into being:
!! Calm (the Avoid system)
!! Contented (the Approach system)
!! Caring (the Attach system)
!! Creative - synergy of all three systems
This is the brain in its natural, responsive mode. 121
123. To Survive, We Leave Home . . .
!! Avoid: When we feel threatened or harmed
!! Approach: When we can’t attain important goals
!! Attach: When we feel isolated, disconnected,
unseen, unappreciated, unloved
This is the brain in its reactive mode of functioning
- a kind of inner homelessness.
123
125. Reactive Dysfunctions in Each System
!! Approach - Addiction; over-drinking, -eating, -
gambling; compulsion; hoarding; driving for goals at
great cost; spiritual materialism
!! Avoid - Anxiety disorders; PTSD; panic, terror;
rage; violence
!! Attach - Borderline, narcissistic, antisocial PD;
symbiosis; folie a deux; “looking for love in all the
wrong places”
125
128. Ways to “Take the Fruit as the Path”
General factors: See clearly. Have compassion for yourself. Take life less
personally. Take in the good. Deepen equanimity.
Approach system
!! Be glad.
!! Appreciate your resources.
!! Give over to your best purposes.
Attach system
!! Sense the suffering in others.
!! Be kind.
!! Act with unilateral virtue.
Avoid system
!! Cool the fires.
!! Recognize paper tigers. 128
!! Tolerate risking the dreaded experience.
130. Great Books
See www.RickHanson.net for other great books.
!! Austin, J. 2009. Selfless Insight: Zen and the Meditative Transformations of
Consciousness. MIT Press.
!! Begley. S. 2007. Train Your Mind, Change Your Brain: How a New Science
Reveals Our Extraordinary Potential to Transform Ourselves. Ballantine.
!! Hanson, R. 2009 (with R. Mendius). Buddha’s Brain: The Practical Neuroscience
of Happiness, Love, and Wisdom. New Harbinger.
!! Johnson, S. 2005. Mind Wide Open: Your Brain and the Neuroscience of
Everyday Life. Scribner.
!! Kornfield, J. 2009. The Wise Heart: A Guide to the Uiniversal Teachings of
Buddhist Psychology. Bantam.
!! LeDoux, J. 2003. Synaptic Self: How Our Brains Become Who We Are. Penguin
!! Sapolsky, R. 2004. Why Zebras Don’t Get Ulcers. Holt.
!! Siegel, D. 2007. The Mindful Brain: Reflection and Attunement in the Cultivation
of Well-Being. W. W. Norton & Co.
!! Thompson, E. 2007. Mind in Life: Biology, Phenomenology, and the Sciences of
Mind. Belknap Press. 130
131. Key Papers - 1
See www.RickHanson.net for other scientific papers.
!! Atmanspacher, H. & Graben, P. 2007. Contextual emergence of mental states
from neurodynamics. Chaos & Complexity Letters, 2:151-168.
!! Baumeister, R., Bratlavsky, E., Finkenauer, C. & Vohs, K. 2001. Bad is stronger
than good. Review of General Psychology, 5:323-370.
!! Braver, T. & Cohen, J. 2000. On the control of control: The role of dopamine in
regulating prefrontal function and working memory; in Control of Cognitive
Processes: Attention and Performance XVIII. Monsel, S. & Driver, J. (eds.). MIT
Press.
!! Carter, O.L., Callistemon, C., Ungerer, Y., Liu, G.B., & Pettigrew, J.D. 2005.
Meditation skills of Buddhist monks yield clues to brain's regulation of attention.
Current Biology. 15:412-413.
131
132. Key Papers - 2
!! Davidson, R.J. 2004. Well-being and affective style: neural substrates and
biobehavioural correlates. Philosophical Transactions of the Royal Society.
359:1395-1411.
!! Farb, N.A.S., Segal, Z.V., Mayberg, H., Bean, J., McKeon, D., Fatima, Z., and
Anderson, A.K. 2007. Attending to the present: Mindfulness meditation reveals
distinct neural modes of self-reflection. SCAN, 2, 313-322.
!! Gillihan, S.J. & Farah, M.J. 2005. Is self special? A critical review of evidence
from experimental psychology and cognitive neuroscience. Psychological
Bulletin, 131:76-97.
!! Hagmann, P., Cammoun, L., Gigandet, X., Meuli, R., Honey, C.J., Wedeen, V.J.,
& Sporns, O. 2008. Mapping the structural core of human cerebral cortex. PLoS
Biology. 6:1479-1493.
!! Hanson, R. 2008. Seven facts about the brain that incline the mind to joy. In
Measuring the immeasurable: The scientific case for spirituality. Sounds True. 132
133. Key Papers - 3
!! Lazar, S., Kerr, C., Wasserman, R., Gray, J., Greve, D., Treadway, M.,
McGarvey, M., Quinn, B., Dusek, J., Benson, H., Rauch, S., Moore, C., & Fischl,
B. 2005. Meditation experience is associated with increased cortical thickness.
Neuroreport. 16:1893-1897.
!! Lewis, M.D. & Todd, R.M. 2007. The self-regulating brain: Cortical-subcortical
feedback and the development of intelligent action. Cognitive Development,
22:406-430.
!! Lieberman, M.D. & Eisenberger, N.I. 2009. Pains and pleasures of social life.
Science. 323:890-891.
!! Lutz, A., Greischar, L., Rawlings, N., Ricard, M. and Davidson, R. 2004. Long-
term meditators self-induce high-amplitude gamma synchrony during mental
practice. PNAS. 101:16369-16373.
!! Lutz, A., Slager, H.A., Dunne, J.D., & Davidson, R. J. 2008. Attention regulation
and monitoring in meditation. Trends in Cognitive Sciences. 12:163-169. 133
134. Key Papers - 4
!! Rozin, P. & Royzman, E.B. 2001. Negativity bias, negativity dominance, and
contagion. Personality and Social Psychology Review, 5:296-320.
!! Takahashi, H., Kato, M., Matsuura, M., Mobbs, D., Suhara, T., & Okubo, Y.
2009. When your gain is my pain and your pain is my gain: Neural correlates of
envy and schadenfreude. Science, 323:937-939.
!! Tang, Y.-Y., Ma, Y., Wang, J., Fan, Y., Feng, S., Lu, Q., Yu, Q., Sui, D.,
Rothbart, M.K., Fan, M., & Posner, M. 2007. Short-term meditation training
improves attention and self-regulation. PNAS, 104:17152-17156.
!! Thompson, E. & Varela F.J. 2001. Radical embodiment: Neural dynamics and
consciousness. Trends in Cognitive Sciences, 5:418-425.
!! Walsh, R. & Shapiro, S. L. 2006. The meeting of meditative disciplines and
Western psychology: A mutually enriching dialogue. American Psychologist,
61:227-239.
134