Category: Monthly Musings

Just for Now

As I read and understand more about this new “normal” I am awestruck at the concept of impermanence. This exact time last year, I was on a plane for Quebec, Canada.  In just 2 hours, I landed in the beautiful city of Montreal, where I found myself wandering around this French-Canadian wonderland in large crowds of people.  We were dancing, singing, and enjoying the outdoor movie creations. It was a creative celebration of Old Montreal’s history through “Cite Memoire” with original footage of the city shown on the sides of buildings while sharing headsets in both English and French. There were open air markets, beautiful museums, delicious croissants with wild caught salmon in crowded cafes.  There were people everywhere, touching, talking, singing, laughing.

Breathing Deeply

There is so much going on now that it’s easy to feel overwhelmed.  The coronavirus pandemic is continuing to worsen in parts of the world, with cases still going up around the US.  Even Virginia, which had been bucking the trend with decreased numbers, has experienced an increase again.  Schools are due to open soon, yet conditions are such that it’s impossible to know what a “safe” return might look like. The economy is shrinking and the unemployment rate remains high.  The unrest following the murder of George Floyd has largely subsided, but the need to address 400 years of racial injustice remains as urgent as ever.

Mindfulness and Implicit Bias

Black Lives Matter.  George Floyd’s tragic murder under the knee of a Minneapolis policeman has again brought the issue of systemic racism to the forefront, not just in the US but around the world.  This event, along with the recent killings of Breonna Taylor, Ahmoud Arbery and Rayshard Brooks, as well as the racial inequities in the impact of COVID-19, have highlighted the racial injustice, structural inequalities, and systematic biases that Blacks in this country face every day.  The widespread protests that have resulted, including individuals from many different backgrounds, seem to indicate that there now may be greater understanding of how our assumptions and actions may be influenced towards others even when we claim, often with great sincerity, that we are not racist, or not even biased.  Yet there continues to be ample evidence that systematic racial bias is widespread.  Why is this?  Why, even when we have the intention of truly viewing and treating everyone equally, with respect and compassion, is it so hard to do?  And how can mindfulness help us in this pursuit?

Uncertainty

This is a very uncertain time.   There is uncertainty about the spread of COVID-19, and about how safe it will be as social distancing restrictions are relaxed and we can begin to move about more.  There is uncertainty about work and personal finances as well as the larger economy.  There is uncertainty about childcare and remote learning and when schools might open for in-person classes again. The list goes on and on. How do we find peace the midst of so much uncertainty?  This is a real challenge for many of us.  One thing we can do is to focus on the present moment.  Regardless of whatever else is going on, if we are able to bring our attention back to our present moment experience we can get out of the stream of thoughts regarding all the things over which we have no control.  In those moments when we are not thinking, we may find some calm.

Finding Balance in the Disruption

Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.  Victor Frankl Essentially, everything in my life, my family, friends and co-workers is different.  In the matter of just a few weeks, an unknown, little but mighty, virus has caused major disruption in our daily routines, customs and lives, most likely forever.  I was curious about the dictionary’s definition of disruption.  “Disruption”: is a noun “a major disturbance, something that changes your plans or interrupts some event or process”.  Wow, so major and so many! Social distancing Working from home Husband working from home Kids running around at home Schooling now from home Schools closed Colleges closed

Mindfulness and COVID-19

These are some of the most trying times many of us have ever confronted.  There is so much uncertainty about what is to come, and we have less opportunity for social support than in other crises.  Some are already ill, others know someone who is, and many are caring for those who have COVID-19.  In these circumstances, it can be easy to feel frightened and overwhelmed.  Having a regular mindfulness practice can be helpful.  Practicing intentionally bringing your attention to your present moment experience may provide a refuge, a place of calm in the midst of chaos.  You can do this using free meditation recordings that can be downloaded from the Mindfulness Center website https://med.virginia.edu/mindfulness-center/continue-your-practice/audio-recordings/ . A number of brief mindfulness practices can also be helpful at times like these. 

Creating Awareness

I found myself chuckling as I read this prologue in my mindfulness exercise last week.  I’m a teacher of MBSR, Mindfulness Based Stress Reduction, and I teach awareness.  However, my life gets filled up with professional duties and personal responsibilities. During these times, I can find myself reacting more when operating in the fast lane, rather than showing up, pausing, and being present. Days can turn into weeks, weeks into months and before I know it, 6 months to a year have gone by.  I wonder, where did the time go?  When I think back over these months, I can’t tell you what I did most of that time. I can tell you what I didn’t do.  I didn’t write that thank you note.  I didn’t make the effort to get together with friends.  I didn’t get that garden planted, visit my brother, or plan to go barn dancing or play music.   I also know this can be a sign of “burnout”. 

Trauma and Mindfulness

Almost all of us have suffered trauma during our lives—that is, a time or times when we were unable to effectively meet a threat, whether physical and/or emotional, and were not supported by others. Sometimes such experiences result in the development of post-traumatic stress disorder (PTSD). Symptoms of PTSD include the fight, flight or freeze responses in which a person reacts to a situation reminiscent of the original traumatic event by leaving, shouting, or going numb. Often, however, trauma results in symptoms that are not as severe, such as an increase in anxiety when one returns to the site of a near-serious accident.  The complex relationship between trauma and mindfulness has become better understood over the last several years.  Mindfulness can be helpful in dealing with trauma. The practice of mindfulness can increase awareness of the effects of trauma and may lead to the recognition of additional choices in how to respond effectively. 

Stopping to Practice Compassion

I’ve been talking to medical students this week about empathy and compassion before they begin their clinical rotations.  One of the points I’ve made is that humans’ brains are wired so that helping others who are experiencing difficulty activates areas associated with feeling positive emotions.  This contributes to why practicing compassion, being aware of another person’s suffering and having the desire to alleviate it, is protective of burnout for those in the helping professions. Another important point is understanding the difference between empathy and empathic awareness.  Empathy, feeling what another person is feeling, arises spontaneously as a result of similar areas of the brain being stimulated whether we are experiencing an emotion ourselves or witnessing someone else who is experiencing it.  Empathic awareness, being aware of the feelings we are experiencing in the presence of another, is different than empathy.

Thanksgiving and President Lincoln

Thanksgiving will once again be here soon. It is a time that promotes pausing to take stock of those things we appreciate and are grateful for.  Like many people, I learned the origin story of the pilgrims’ Thanksgiving in grade school.  However, I only recently discovered that Thanksgiving was not established as a national holiday until Abraham Lincoln did so in 1863, in the middle of the Civil War.  Even in that time of hardship and sacrifice for many, Lincoln believed there were reasons to give thanks,  and he also acknowledged “all those who have become widows, orphans, mourners or sufferers in the lamentable civil strife in which we are unavoidably engaged”