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Mindfulness Matters

A Newsletter from the UVA Mindfulness Center

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Monthly Musings

Thanksgiving

Next Thursday is Thanksgiving, an opportunity to express thanks for all that we have.  Often it is easy to do this.  At other times, especially if we are dealing with disappointment or hardship, it may be more difficult.  Our minds inherently focus more on what is not going well rather than what is, an attribute that is often referred to as negativity bias.  This may well be an evolutionary adaptation from our ancestors who needed to be vigilant and anticipate the worst in order to survive.  Although most of the time now we are not actually in danger, our minds can hold on to thoughts about negative events as if we are. In response, we can both acknowledge our circumstances and still choose to focus on something positive, something we are thankful or grateful for instead.   One way to do this is by practicing brief gratitude meditation.  We can start by closing our eyes and bringing attention to the region of the heart, on the center left side of the chest, then breathing in a little deeper and longer than usual, noticing the flow of air into and out of the lungs.   We can then bring to mind someone or something or some place that we really appreciate or are grateful for, holding this image in the mind while we continue to breath in and out slowly and deeply.
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The Difference Between Pain and Suffering

This does not mean we can’t act to change things that are painful. Rather, we can notice discomfort, evaluate options that might make it better, and choose a response, all without getting caught up in continuing to want things to be different than they are.  In situations where we experience pain or discomfort, it is easy to start thinking about how bad our situation is, how it may be unfair, or how it might not get better.  If we are not paying attention, we may just go over and over these thoughts, increasing our suffering.  However, when we do notice these thoughts, we can acknowledge them and then let them go.  This is what we practice over and over again while meditating- choosing an anchor for the attention such as the breath, noticing when thoughts arise, as soon as we notice them arising, letting them go, returning the attention to our anchor. I had the opportunity to practice this recently.  On a routine visit to my dermatologist, I was diagnosed with a malignant melanoma.  I was scheduled for an excision with a skin flap to close the wound.  If the melanoma could be completely removed and there was no spread to lymph nodes the likelihood of cure would be high. 
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Thinking

Meditation can help us increase our capacity to choose what thoughts we pay attention to.  The mind is a thought generator and, if it is not actively engaged in a task, will nearly continuously produce thoughts.  These aren’t thoughts we actively choose to think, they just arise, and we may spend much or our time caught up in them, even if we would prefer not to.  In attention-focused meditation, we select an object to pay attention to, such as the breath, and then notice when the mind wanders, including when thoughts arise. As soon as we become aware of a thought we have a choice. We can either stay lost in the thinking or we can let it go and bring our attention back to our breathing. As we do this over and over again, we may find that there are longer periods of time between thoughts. We also may notice thoughts more quickly when they do arise, and we may be able to let them go more easily.  One of the outcomes of doing this is that, as we let thoughts go, we may feel less stressed and more relaxed.   Engaging in attention focused meditation is also practice for dealing with thoughts that arise when we are not meditating. 
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Rising

The Olympics recently ended, and there were many amazing performances.  One of the things that inspired me the most was Simone Biles comeback from the “twisties” that derailed her in Tokyo in 2021.  Because of the sudden onset of difficulty with spatial awareness she experienced then, she only won one medal instead of the four or five that were expected.  She has since spoken openly about her experience, and how she needed to address her own history of trauma in order to be able to perform at the highest level again.  I think there are lessons for many of us in how she responded.  When faced with obstacles that may be manifestations of our own internal issues it is often easiest to turn away or to blame factors outside our control.  Rather than do this, Simone undertook difficult inner work, seeking to better understand the factors leading her to be unable to perform.  She engaged a therapist for help and guidance, and has stated that she doesn’t feel she could have returned to high level competition without doing this. Sometimes it is in our mindfulness practice when we become aware that something is amiss, and it is important to understand that this can happen.
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Mindful Exercise

Many of us try to exercise regularly to maintain fitness and for the general health benefits. Exercise can also be a great opportunity to practice mindfulness. If we choose to do this, it is important to do it in a safe environment, like a gym or a pool, and if outside somewhere where there is not a lot of traffic or other activities that we need to be aware of.  I have been running regularly for many years, and when I go on a run I practice mindfulness for a period of time, usually not the whole run, as often as I can.   There is a lot that we can pay attention to while we exercise.  We can notice all that is happening in the body- where we feel the exercise, and we can be aware of our breathing.  If we choose to, we can notice sight.  If we are exercising outside, walking, running or biking, we can notice our surroundings.  We can also notice our thoughts.   Are thoughts arising about how well we are doing, or how much we are enjoying the experience?  Or are thoughts arising about how hard the workout is, and perhaps how much we are not enjoying it? 
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Acceptance Is a Choice

 I was reading a column this week by Amy Dickinson (“Ask Amy”) in which she responded to a letter from a woman who was having difficulty being around her son-in-law.  In the letter, the writer stated “While I am visiting, I find his behavior so unpleasant that I find excuses to retire early.  Is there any way for me to understand my son-in-law’s behavior and make peace with it?”  Part of Amy’s response was ”Peace” (or acceptance) is a choice”.  (The Daily Progress 6/23/24). I agree with her that acceptance is a choice.  Acceptance is one of the foundational attitudes that underlies mindfulness practice.  In this context, it means seeing things as they actually are in the present.  We can cultivate acceptance by taking each moment as it comes and being with it fully, as it is. We try not to impose our ideas about what we should be feeling or thinking or seeing on our experience but just remind ourselves to be receptive and open to whatever we are feeling, thinking, or seeing, and to accept it because it is here right now.
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News and Notes

Space Is Still Available in the Mindful Eating Course Beginning in January  The Mindful Eating course will be offered again on Mondays from January 13 – March 3 from 5:30…

Research Update

Mindfulness Apps for College Students Can Improve Mental Health  Stress, anxiety and depression among college students are important mental health issues.   These investigators conducted a literature review and metanalysis of…

News and Notes

In-Person Silent Retreat for Current and Past Mindfulness Course Participants  All current and past participants in Mindfulness Center courses are invited to attend an in-person silent retreat that will be…

Research Update

Telehealth Mindfulness-Based Interventions for Chronic Pain  Mindfulness-based interventions (MBIs) are evidence-based treatments for chronic pain but implementing them on a large scale is challenging.  These investigators conducted a randomized trial…

News and Notes

Registration is currently open for two fall Mindfulness Center courses.  The six-week virtual Introduction to Mindfulness for Healthcare Employees course begins next week, with the first class on Wednesday, September…

Research Update

Telehealth Mindfulness-Based Interventions Improve Pain and Function among Veterans with Chronic Pain Mindfulness-based interventions (MBIs) are considered to be evidence-based treatments for chronic pain.  The purpose of this study was…