A well-designed recent study found that patients with depression in remission who switch from maintenance antidepressants to mindfulness meditation without continuing medication had an increase in relapses. The study is better designed and more transparently reported than a recent British study, but will get none of the British study’s attention. The well-orchestrated promotion of mindfulness raises issues about the lack of checks and balances between investigators’ vested interest, supposedly independent evaluation, and the making of policy. Huijbers MJ, Spinhoven P, Spijker J, Ruhe HG, van Schaik DJ, van Oppen P, Nolen WA, Ormel J, Kuyken W, van der Wilt GJ, Blom MB.
Huijbers MJ, Spijker J, Donders AR, van Schaik DJ, van Oppen P, Ruhe HG, Blom MB, Nolen WA, Ormel J, van der Wilt GJ, Kuyken W. Mindfulness-based cognitive therapy (MBCT) and maintenance antidepressant medication (mADM) both reduce the risk of relapse in recurrent depression, but their combination has not been studied.
A comment by Deborah Apthorp suggested that the original title Switching from antidepressants to mindfulness meditation increases relapse was incorrect. The main aim of this multicentre, noninferiority effectiveness trial was to examine whether patients who receive MBCT for recurrent depression in remission could safely withdraw from mADM, i.e. So, to be clear, the sequence was that patients were randomized either to MBCT without antidepressant or to MBCT with continuing antidepressants.
The study addresses the question about whether patients with remitted depression on maintenance antidepressants who were randomized to receive mindfulness-based cognitive therapy (MBCT) have poorer outcomes than those randomized to remaining on their antidepressants. The study found that poorer outcomes – more relapses – were experienced by patients switching to MBCT verses those remaining on antidepressants plus MBCT. The patients were carefully assessed with validated semi structured interviews to verify they had recurrent past depression, were in current remission, and were taking their antidepressants. A conventional clinical trial is designed to see if the the null hypothesis can rejected of no differences between intervention and control group. The companion study examined whether adding MBCT to maintenance antidepressants reduce relapses. It was a smaller study – 35 patients randomized to MBCT alone and 33 patients randomized to a combination of MBCT and continued antidepressants. Added February 29: This may be a true statement for the core Dutch researchers who led in conducted the study. Kuyken W, Hayes R, Barrett B, Byng R, Dalgleish T, Kessler D, Lewis G, Watkins E, Brejcha C, Cardy J, Causley A. Is mindfulness-based therapy ready for rollout to prevent relapse and recurrence in depression? The study protocol claimed it was designed as a superiority trial, but the authors did not provide the added sample size needed to demonstrate superiority. However, when considered in the context of the totality of randomised controlled data, we found evidence from this trial to support MBCT-TS as an alternative to maintenance antidepressants for prevention of depressive relapse or recurrence at similar costs.
Rather than demonstrating that MBCT was superior to routine care with maintenance antidepressant treatment, The Lancet study failed to find significant differences between the two conditions. So, MBCT was being compared to an ill-defined, unknown condition in which some proportion of patients do not need to be taken antidepressants and were not taking them. Given we don’t know what proportion of patients were taking an adequate maintenance doses of antidepressants, we don’t know whether anything further treatment was needed for them – Or for what proportion. We don’t know whether it would have been more cost-effective simply to have a depression care manager  recontact patients recontact patients, and determine whether they were still taking their antidepressants and whether they were interested in a supervised tapering. We’re not even given the answer of the extent to which primary care patients provided with an MBCT actually practiced. WK [the first author] and AE are co-directors of the Mindfulness Network Community Interest Company and teach nationally and internationally on MBCT. Like most declarations of conflicts of interest, this one alerts us to something we might be concerned about but does not adequately inform us. We are not told, for instance, something the authors were likely to know: Soon after all the hoopla about the study, The Oxford Mindfulness Centre, which is directed by the first author, but not mentioned in the declaration of interest publicize a massive effort by the Wellcome Trust to roll out its massive Mindfulness in the Schools project that provides mindfulness training to children, teachers, and parents. It is generally understood that much of what we read in the scientific literature is false or exaggerated due to various Questionable Research Practices (QRP) leading to confirmation bias in what is reported in the literature. Huijbers et al.transparently reported that switching to MBCT leads to more relapses in patients who have recovered from depression. Added February 29: For whatever reason, perhaps because he served as a consultant, the author of The Lancet study is also an author on this paper, which describes a study conducted entirely in the Netherlands.
I would be very curious and his outpouring of subsequent papers on MBCT, whether The author of  The Lancet paper cites this paper and whether he cites it accurately. I think it is apparent that the authors have selected a group of patients who have remitted from their depression, but who are at risk for relapse and recurrence if they go without treatment. But a final point is important – MBCT was never designed as a primary cognitive behavioral therapy for depression. All views that Professor Coyne expresses are his own and do not necessarily reflect those of PLOS or other institutional affiliations. I have now clarified the confusing abstract with some quotes from the introduction and discussion and acknowledged you point this out. I noticed the same as Deborah and while I understand why the design was as it was, it seems an oversight not to have included a group who just took medication. The headline for me is that mindfulness treatment does not prevent depressive relapse after antidepressant medication is removed.
I am a practicing Zen Buddhist with near twenty years of meditation practice but actually somewhat sceptical of mindfulness treatment as are many in the Buddhist community. I agree with Andy and think it was an oversight not to have included a group who just took anti-depressant medication. Meditation and continuous practice of ballet dancing is likely to improve wisdom, according to research. I went to a workshop at Omega Institute, Rhinebeck, New York, and I had a few early morning hours dancing seemingly alone in the moonlight, which will stay with me. It was 4:00 am on that other morning, and I had slept soundly and felt rested and excited about the learning that was occurring in me, but I also felt completely alone.
This is the day I have set aside to explore my close surroundings before I head out on my Maui adventure activities for the next seven days. As I allow the disappointment to get as big and painful as it needs too, something happens that has happened many times in my life during difficult experiences. During a recent trip to Maui, I rediscovered that beautiful child in the eyes of the aging woman Ia€™ve become. For many years, I searched to be a better person, to become wiser, and to learn how to live a full and productive life, and to be admired. Patience has been my work this year and Ia€™ve learned much about the difference between tolerance and patience. The voting was heavy and because most of us know each other in some way, our politics are often known. As Zacha€™s son-in-law returned to the inside of the voting precinct to witness the casting of Zacha€™s vote, he said two simple words: Thank you. Later heading home, fatigue turned to laughter and memory recorded these shared emotional experiences of inspiration.
The written word has often been the way spiritual messages have been received during my Life. The human survival instinct supports us in seeing what is there that needs to change or is threatening to us.
Sometimes an old message said in a simple direct way can change the Life of the one who truly hears it. Since that time, I have written of the learning that came from my choice and consequently his choices. As I was leaving the workshop, a young woman came up to me and asked me to share what meditation had meant in my life.
My deepest longing is to love and be loved and yet fear can hold me back by expecting perfection. Michael Singer wrote a book called The Untethered Soul, and it speaks of the way to let the personality desires play out while the Seer of what is transpiring watches without judging or clinging to an outcome. It has been some seventy-two hours since I began this essay and then stopped writing because I realized I was living in a huge story and could not write authentically from that place. It has been seven years since this small community called to me and embraced me within its furry mountains and quiet streams. During the last few weeks, I have begun to feel that my time here in this small community is limited.
The rock in the creek feels cold against my warm skin in contrast to bike riding on this hot day. When he turns, his familiar face and eyes are beaming toward me as he explains that he is looking for the rock we used in meditation the last time we visited the creek. His love for me is visible in the steady gaze of his eyes, and it both comforts and frightens me.
It is late evening and Mark Nepoa€™s words speak to me; his writings have been an inspiration in many ways during the past few months. At first, the feeling is a bit overwhelming and tears flow as I remember Nepoa€™s request to include looking at the lighted candle as part of my meditation. It is spring again; forty-eight years have past and yet my memories of a small toddler are as vivid as every. It is good to remember the joy of him running across the yard, small frog in hand and joy in his face, panting as he recalls how challenging it was for him to catch it.
He made the team, got a new girlfriend, went off to college, had much success, and oh so many friends. May the light in the eyes of our children remind us of the light that is possible in our own. Mark Nepo is my author of choice the last few days, and his writing speaks to me in the silence of my being and I am changed by what I hear. Those who have poor vision, those who have less than average senses of taste and smell, those who have physical difficulties, those who have hearing challenges, what do they have in common? My friend has learned to angle his head in a certain way that tells me he is listening carefully sometimes cupping his ear with his hand. Recently Ia€™ve been seeing growing older as a limitation; an ache here, a gray hair there, a bit of fatigue at the end of the day, a need for a short rest more often, a wrinkle on the back of my hand, a need for glasses more often. As the mother, the blind childa€™s face filled with wonder inspires me to see more clearly through her blindness. As the cherry blossom, I stand in the glow of the sun knowing that I add beauty and wonder to the earth and to its inhabitants. Mark Nepo in his book, The Awakening, asked the questions: How am I different from others and how am I the same. In this silence, the wisdom of Lamotta€™s quote is known somewhere deep in the part of me that I share with all others.
Each of us experiences death of our physical body, each of us grows physically from birth to death, each of us is capable of thought, each of us experiences the pain of physical life and the joys. I believe deep in our core of being, we are each a small piece of the Universe, and we have manifested into this unique physical form equipped with the tools and a gift we need to create our healing part of the collective.
As I began to ride the bike, it seemed a bit big for my frame and often my back hurt after riding a long distance, so I chose to buy a new girla€™s bike. Two days ago, a new friend suggested he would like to go biking with my group, but his bike needed repairing. On the ride back to the trailhead, my friend and I rode together; I shared that the bike had belonged to my son and he was the first to ride it besides me. A limiting beliefa€”just as it soundsa€”is having a thought about the past, present, or future that keeps you from seeing what is true in the moment you are living right now.
This natural symbol of equality of day (light) and night (dark) is a reminder that light and dark are different not better or worse. Equality is a slippery word in our culture and the term is often used to compare one thing, one thought, one person, and one event to another. This search for meaning has brought me to this autumnal point, and to a knowing that equality is expressed within through an attitude of a€?non-judgmenta€? about what we can see, smell, hear, taste, and touch through our five senses.
Recently in a difficult discussion with a male friend about equality between genders, I suggested that our older generation seems to have more difficulty with this deeper feeling of equality since our culture has encouraged stories about superiority vs. This experience has supported me in looking closely within me to see where I discover feelings of inequality as a part of my physical existence. Observation of the equality of light and dark during this Fall Equinox reminds me that deep equality means no judgment or comparisons are needed. During the past few weeks, Ia€™ve spent time at the Wintergreen Nature Foundation as a volunteer. One particular Saturday, a call came that a baby rabbit had been very still in the garden for a long time and appeared injured. A few days later, I was the human contemplating the impermanence in nature and wondering what to do. Recently I met my daughter and her family to fulfill her wish to visit the two homes where she had been a baby.
As I approached the door, I remembered my husband carrying me across the threshold; I remembered bringing my son and daughter home to the loving arms of an extended family that had arrived to celebrate their coming into Life. Unbelievably, the man and woman that had bought the house from us still lived there, and it felt wonderful that they had continued to add their love of the house to ours. Neighbors dropped in yesterday and provided me with fun, friendship, and an unexpected sacred moment.
It was a balmy late spring day and the hydrangeas were in full bloom and served as a backdrop as we drank smoothies, ate rice chips and salsa, and enjoyed a glass of wine on my screened porch.
We shared how important it is to avoid fearful story-telling about what is happening and to simply deal with what is happening right now in the present moment. My friend is out of town and some part of me is pleased by the freedom that gives to me and I have an authentic knowing that he is doing what enriches his life. As I sit typing this, I realize that my day is my own creation and whether or not I act from a place of fear is all up to me. From some people the question triggers a feeling of annoyance within me, and I sometimes give them an answer like, a€?nothing special just the usual things or therea€™s always plenty to do.a€? It is more avoidance of responding from annoyance than an answer. As I examined my feelings during these different experiences, I discovered the part of me that wants to be what the other person perceives me to be, a busy, active, interesting person.
It is a reminder that I am not here to fulfill anyone elsea€™s expectations; I am here to find meaning and purpose for my own life.
This morning I awaken to the gentle sound of rain, and I snuggle down into the nighta€™s accumulated warmth under my blankets. Again no thoughts come, just an incredible presence and knowing that in each moment there is beauty and nurturing for the soul for the taking.
If unused muscles and bones create a message to the brain that their dysfunction is normal until the imbalance creates pain, is that also true of emotional dysfunction? The physical discomfort is in my second energy center, which I understand to be the energy center of creativity and belonging, and it is sending me a message.
A few days ago, Eckhart Tollea€™s book, called The New Earth, was mentioned in a conversation with a friend, and I had a knowing that I wanted to reread it. In that moment, I began to look at my choices during the past few months and the intentions behind them. Tolle goes on to say that if you can neither enjoy or bring acceptance to what you doa€”stop. In that moment, I chose to look into his clear blue eyes and said, a€?Hi.a€? He didna€™t look at me, but his eyes were alive with the joy and pure light of the incredible sun that rose through the window of the elevator. In gratitude, I left the elevator carrying the gift of pure light that had come to me from the sun through a young man that reflected it. Discontinuation of antidepressant medication after mindfulness-based cognitive therapy for recurrent depression: randomised controlled non-inferiority trial.
Preventing relapse in recurrent depression using mindfulness-based cognitive therapy, antidepressant medication or the combination: trial design and protocol of the MOMENT study. Adults with recurrent depression in remission, using mADM for 6 months or longer (n = 249), were randomly allocated to either discontinue (n = 128) or continue (n = 121) mADM after MBCT. Checking it I realized that the abstract provides the article was Confusing, but the study did indded show that mindfulness alone led to more relapses and continued medication plus mindfulness. Assessment has an advantage over past studies that depended on less reliable primary-care physicians’ records to ascertain eligibility. As an noninferiority trial, this study tested the null hypothesis that the intervention, shifting patients to MBCT would not result in an unacceptable rise, set at 25% more relapses and recurrences. The minority of patients who move from treatment of depression in primary care to a specially mental health settings proportionately include more with moderate to severe depression and with a more defined history of past depression.
However, it is certainly not true for the British collaborator who may have served as a consultant and got authorship as result. Effectiveness and cost-effectiveness of mindfulness-based cognitive therapy compared with maintenance antidepressant treatment in the prevention of depressive relapse or recurrence (PREVENT): a randomised controlled trial. They are discussing null findings as if they had conducted a noninferiority trial with sufficient power to show that differences of a particular size could be ruled out. According to the trial registration, the previous study was designed to show that MBCT was superior to maintenance antidepressant treatment and preventing relapse and recurrence.
In an amazing feat of spin, the authors took to publicizing this has a success that MBCT was equivalent to maintenance antidepressants. Patients were recruited from primary care on the basis of records indicating they had been prescribed antidepressants two years ago. The guidelines that patients with recurrent depression should remain on antidepressants for two years when developed based on studies in tertiary care. This routine care also lack the intensity, positive expectations, attention and support of the MBCT condition. There was no assessment of whether the patients actually practiced MBCT, and so there was further doubt that anything specific to MBCT was relevant.
Rather than offering an independent critical evaluation of The Lancet study, press coverage offered the investigators’ preferred spin.
But there is another kind of confirmation bias associated with the creation of false authority through citation distortion. I confidently predict that these findings will be cited less often than the poorer quality The Lancet study, which was spun to create the appearance that it showed MBCT had equivalent  outcomes to remaining on antidepressants. Note however, when it comes to the British The Lancet study,  this article cites it has replicating past work when it was a null trial. With such chronic, recurring depression, there is evidence that psychotherapy adds little to medication, particularly when patients are showing a clinical response to the antidepressants. It was intended as a means of patients paying attention to themselves in terms of cues suggesting there are sliding back into depression and taking appropriate action.
Coyne, PhD is Professor of Health Psychology at University Medical Center, Groningen, the Netherlands where he teaches scientific writing and critical thinking. Coyne is Emeritus Professor of Psychology in Psychiatry, where he was also Director of Behavioral Oncology, Abramson Cancer Center and Senior Fellow Leonard Davis Institute of Health Economics. Worse than that, you learn very quickly to keep your mouth shut, to never voice dissenting opinions about CBT, MBSR, etc.
Homeopathic individualized medicines versus fluoxetine for moderate to severe depression: double-blind, randomized non-inferiority trial. It was so incredible that I tried to write about it, because it was the perfect topic for an essay.
My room was a dorm room about seven-feet square, and I shared a bath with several men and women in similar rooms. I welcomed their company and the aloneness that I felt seemed to lift with the sound and movements of our Moon Dance.
Life was hidden in the shadows and difficult to see, but it had completely surrounded me as I danced.
It is a dark starless night, the rain slashes against the window, the winds howl with 50 miles an hour gusts.
It is morning, a light rain continues, the winds are not as strong and yet the bamboo grove sways and sweeps the ground.
The week continued to have some misadventures and some spectacular adventures and the courageous and joyous parts of me lived them fully.
So as this year ends, the compassionate patience I feel for myself fills my heart and it is soft with love; a love that has always been close at hand and seemingly just out of my reach. The voters are old friends, new friends, community workers, casual acquaintances, and families coming together to express their preferences through voting. As the voting lines formed for this election, we stood together only as neighborsa€”rich and not so rich, young and not so young, extraverted and not so extraverted, highly educated and not so highly educated, multi-raced, blue voters and red votersa€”without malice or ill intent. She was adorable in her winter hat pulled down over her ears; it brought attention to her laughing eyes. He looked concerned and said to me, My father-in-law is out in my truck; he is 85 and hea€™s had a medical procedure today and wea€™ve been with the doctors. It was an unforgettable moment; we hugged and thanked each other for making it possible for Zach to vote.
Since saying a€?yesa€? is the first rule of improv, the message didna€™t seem new at first. The need for control is strong so supporting someone elsea€™s ideas or interests each moment seems difficult at times. This one has certainly changed the content of my last two days, and the intention to expand the experiment is exciting and feels like a spiritual loving act. As I sat on my deck looking out over the city, the leaves of fall were turning the world into bright hues of red, orange, and brown. I felt reluctant, but I had had some physical limitations during the last year that had been difficult to accept and meditation had really supported my healing. Mostly it happens when a small activity of the day seems more difficult than I judge it should be. Without being sure of outcomes or things unseen, this is my opportunity to act without attachment and with the joy of what I will learn from the experiences my actions create.
It was a time of change from working long hours to going inward to discover what was left to uncover within me.
The withdrawal I needed and the healing it has brought to me has completed this phase of my life.
The need for expansion comes from an internal voice that says explore, experiment, and do not become complacent.
When the time and move is right, something within my spirit will say, a€?Get crackin.a€? The patience to wait for that insight has come as a part of the growth Ia€™ve found in this small blue house on top of a hill surrounded by mountains.
He agreed to run away for a day to escape the heat and discomfort brought on by a loss of electrical power in our homes even though his electricity had returned. This evening he invites me to light a candle, to close my eyes, to reopen my eyes, and to see each thing before me. I stood in wonder at this amazing child so full of life and uninhibited yearning to have a good time and accomplish what he set out to do. He wanted to have the biggest paper route and he wanted to make the most sales at his part-time job.
Academics didna€™t seem to be his focus, but he seemed to relish his relationships and became the life of the party and the favorite student to his teachers. Now his spirit of aliveness lives in me and the memory of his voice reminds me that Life in this physical realm is short and that what we create here lives forever within those we have truly touched. Today in the quietness that is The Wintergreen Nature Foundation on some Wednesday mornings, my clarity about what I was to learn came. His voice stills my mind, brings me to the present, and opens my heart to listen not to the words but to the message his words point too. What Ia€™ve noticed is that they look more closely, eat more slowly, move more deliberately, and listen intently to others. A young blind childa€™s face radiates the sun in his eyes as he turns his face up to feel the warmth.
So today, Ia€™m altering my thoughts about limitations and seeing opportunities everywhere.
I am sometimes impatient, but Ia€™m learning to accommodate his need for being on my right side to hear more clearly. Then he issued an invitation to sit in silence with eyes closed and contemplate these questions.
We are here together at this time, in this place, and in this specific body to understand that the essence of all Life exists in each of us humans and in all living matter. If we examined each Life, it would not be what happens to us that would be different for pain and joy comes to everyone; it would be how we respond to what happens to us that has created our unique experience of our individual Life. Another woman loses a child and creates a charity in its name and supports the lives of many children. To live well is to choose to grow into what we are most capable of being and be grateful for the uniqueness of the Life. I am a personality in a physical body with the power of logic and thought as is everyone else. Two years ago it was refurbished with new tires, new horns on the handlebars, and had been given a good checkup so it could be used for riding with my new bike group.
Without hesitation, I offered the unused bike in the garage, and I felt my heart open to the possibility that the bike would finally be used. Perhaps you awaken from a long nighta€™s sleep and have the thought that you are tired; but are you really tired or just not quite alert as yet?
They were planted by the property owner in the early 1900s and seem to be a symbol of welcome outside the front door of an ancient majestic medieval stone castle.
To quote Wikipedia: a€¦the Sun is at one of two opposite points on the celestial sphere where the celestial equator and ecliptic intersect. Who could argue that day and night have distinct powers to aid in the Life upon planet Earth?
In my youth the expression, a€?all men are created equal,a€? stirred many thoughts of disbelief in my mind: Does that include women, does that mean skill level, does that mean talent, does that mean appearance, does that meana€¦on and on? It is a deeper understanding that the Universal energy dynamic of which we are a part is without judgment. If there is a value judgment placed by me on what I see, it is sure to mean that I do not see myself as equala€”it could be a feeling of doing better or of a feeling of doing less, of being stronger or of being weaker, in control or not in control. To honor what each contributes with no value judgment added supports my intention to appreciate all that a€?isa€? because it a€?is.a€? If Ia€™m walking on eggshells, stomping heavily through a room, or withdrawing my love in a reaction to another to gain acceptance or power, it will be my challenge to ask why I do not feel equal in this moment without demanding an immediate answer. It is summer and the calls to rescue injured or troubled animals and people come in quite often. The caller stated that hawks were circling and it wouldna€™t be long before the rabbit could not be saved. What happens are visions of past experiences, people, and places that are pictures in the minda€™s album. They had added gardens, doors, patios, waterfalls, fireplace, and fisha€”just to mention a few of their creations.
It is challenging to accurately describe a sacred moment and the power it contains, so Ia€™ll start slowly from the beginning. I can feel within me the need to know who is the night raider and how can I change what is happening in order to have my world be as I choose it to be.
For some reason, I have doubt about whether that person is capable of caring about me just as I am in this moment. The birds are chirping in the trees, the squirrels are trying to get into the bird feeders, the breeze is moving the leaves, the raindrops are collecting on the deck, and the mountains stand observing it all.
There is no thinking only comfort and presence; it is as if I am one with my feelings and it feels like what I believe peace to be. Ia€™ve felt that my body is trying to tell me something so each morning Ia€™ve asked the question: a€?What do I need to know that I do not want to know?a€? Without requiring an answer, Ia€™ve continued to just be open to learning. As I began, I felt I was reading it for the friend to support him in his relationship with someone he loves; but as I began to read, I knew the booka€™s message would bring me the understanding of what I needed to know that I was resisting unconsciously.
My intention is to have compassion for the part of me that feels I need all the answers to lifea€™s questions now. I dona€™t know what it is I am not aware of in this moment, but I am fully aware that I am enjoying the quietness of it.
The elevator door opened and a middle-aged woman entered pushing a teenage boy in a wheelchair. He wasna€™t concerned that it was crowded or that too many obstacles were in the way of what he wanted. There’s ample evidence that primary-care physicians often do not make systematic assessments deciding whether or not to preparation on antidepressants.
That meant that the investigators wanted to establish that within particular limit (25%), whether switching to MBCT produce poor outcomes. The problem the investigators encountered was that many patients had a strong preference and did not want to be randomized. In contrast, the patients being treated for depression in primary care include more who were mild to moderate and whose current depression and past history have not been systematically assessed. He has extensive conflicts of interest and gains a lot personally and professionally from promotion of mindfulness in the UK. Lots of psychotherapy trials are underpowered, but should not be used to declare treatments can be substituted for each other. A superiority trial tests the hypothesis that an intervention is better than a control group by a pre-set margin. Equivalence is a stricter criterion that requires more than null findings – that any differences be within pre-set (registered) margins. There was no ascertainment of whether the patients were currently adhering to the antidepressants or whether they were getting effective monitoring with feedback. If an advantage for MBCT had been found – and it was not – it might only a matter that there was nothing specific about MBCT, but only the benefits of providing nonspecific conditions that were lacking in routine care. But then again, in the absence of any differences between groups, we may not have anything to explain. It’s well-documented that proponents of a particular view selectively cite papers in terms of whether the conclusions support of their position. I also predict that the Huijbers et al MBCT study will often be misrepresented when it is cited. He is also Visiting Professor, Institute for Health, Health Care Policy & Aging Research, Rutgers, the State University of New Jersey. He has served as External Scientific Advisor to a decade of European Commission funded community based programs to improve care for depression in the community.
So it’s not really a comparison between mindfulness and meds, but between mindfulness+meds and mindfulness alone.
This is not hyperbole, I was reminded of this during trainings as well as supervisory meetings. Ubiratan Cardinalli Adler, UNIFESP (Federal University of SA?o Paulo, Brazil), Av Rouxinol, 1041 cj. The results of the study revealed that those who practiced meditation, vipassana (29 percent), mindfulness (23 percent), had more wisdom than those who did not.Also, meditation can act as a stress-buster or pain-reliever as well as help in reducing anxiety. Under each tree and beneath each bush, there seemed to be an aurora of light that painted a distorted picture of each bush upon the ground below.
I turned to head back to the dorm, a little wet, a little cold, and covered with the glow of Moon Dancing with my Shadows.
50 mile an hour gusts of wind in Virginia would encourage me to hunker down for protection.
The disappointment is strong and yet I can take a small step toward the bathroom and get dressed. As I compared the pictures of me as a child and me as a grown woman, I finally could see my own beauty and it made me laugh with joy. As the New Year begins, my heart is open and I look forward to the experiences I will create. As a poll worker, the day was long, warm inside, cold outside, enjoyable, inspiring, and at times emotional. He is immobile at the moment and concerned because he has never missed an election since he began to vote. Sometimes it is before an experience and during the experience the words start ringing in my ears. As we began to practice creating scenes, it was immediately clear that it was easier for me to say a€?yes, buta€? and it was equally clear that doing so blocked the scene from expanding. Acceptance of a€?what isa€? can be challenging and this simple idea of energetically saying, a€?yes, anda€? has given me clarity about my own negative or judgmental views as Ia€™ve gone through my day. The experiment itself has supported me in living more fully in the present, which is, of course, the only place we can live fully.
My heart seemed to stop breathing, my throat was tightly constricted, and the top of my head felt as if it would fly into the trees so great was the pressure.
His choices were courageous; his experiences were dramatic examples of how to live and not to live for those who watched his progress. It could be loading bikes on a rack, spilling milk in my new car, lateness of a friend, hot when I want it to be cool, or appreciation not shown. The deep longing for companionship thwarted by my fear of losing independence is simple but complex within my thoughts about what to allow and what not to allow into my world. Ia€™ve been living at least for the past few day in a story of my own making about what others want me to do, how they want me to live, or what they need from me. Recently a friend was talking about his experiences and how excited he was about his hopes and dreams for the future; I recognized them as both different and similar to my own. It has been amazing and comfortable and productive in a different way than accomplishing projects. Last night as I looked around during a concert on the mountain, I saw the same people I see almost daily. It isna€™t dissatisfaction with what is; its more a wonderment of what other experiences and growth are possible for me.
There is a joyful feeling of contentment as the warm air circles close in and sweat runs down my back.


Joy has not always come to me with ease, as my human need to protect myself and those I love is well practiced and vigilant at times. He talks about a concept in a book we are sharing and wonders if hea€™s got it right; if he has understood it. He encourages me to ask myself how the things Ia€™m seeing are different and how they are the same and listen to my heart speak. It is orange and ita€™s light is a lacy hue; two triangles extending from ita€™s center one reaches toward me and the other away from me. What an awesome experience to see the love of a husband and a father reflected in the toothless grin of a new life. Memories of his birth and death have supported me in finding this place where I intend to live with compassion for others and myself and with a love of Life every day and every minute. I cannot change it, but I can surrender to a€?what isa€? in each moment in order to respond from the healthiest part of me rather than to fearfully react.
This habit has triggered in me a new perspective about what I see as limitation and opportunity. Today that message is to consider every limitation as an opportunity and to be opened to what is most important to learn in each moment. The woman in a wheel chair demonstrates patience as she waits to enter through a revolving door. I now move slowly enough in the morning to watch a cardinal land on the bird-feeder, my glasses magnify the beauty of the gifts that fill my home, my aches encourage me to stretch and care for my body and to find the wisdom to rest when rest is needed. My nose will tell me of ita€™s fragrance, my touch will tell me of its softness, but only through my mothera€™s tone and voice will I know what that fragrance and softness belongs too. As I carefully describe what Ia€™m seeing, my gift to this unseeing child supports me being present enough to fully see it myself; and this level of awareness is the childa€™s gift to me. As the child, as the mother, or as the cherry blossom, my purpose is simply to live my best life and to grow. The manifestation of that essential Life we have brought into being takes many physical forms; all different, all unique. All of these things have resulted in my becoming the a€?soul in a bodya€? that I see in my mirror this morning. If in this Life, we do not become conscious of the power of the collective Life of the Universe, we will be given another chance. To make that possible, I pulled it out, pumped up the tires, admired ita€™s beauty, and my heart felt lighter. As we remounted and rode on, the bike was a€?just another bikea€? racing to the song of the fall breeze.
Perhaps you look in the mirror and think that you are getting older and no longer beautiful; yes you are getting older, but aging has ita€™s own beauty.
The ability to bring awareness to the harsh, dramatic, judgmental, and repetitive sounds within our minds contains the freedom we think is not open to us.
These points of intersection are called equinoctial points: classically, the vernal point and the autumnal point. So to carry the a€?Pointa€? into an individual Life, who could argue that pleasant (light) experiences are better or worse than difficult (dark) experiences since every experience has the potential for learning by the being that experiences it. Like the similar times of day and night in this season, we are connected by individual and collective purposes with an equal opportunity to live our best lives. As I was hearing the story, it occurred to me that we saved the rabbit or deprived the hawk of its meal.
It is a beautiful spot and it was early evening as the light played its songs upon the angles of the rocks and crevices as we watched. Today if someone walks along the same path we took, there will be no hint of what occurred between the snake and the frog. Going back there did not necessarily appeal to me either since my relationship to my former husband and her Dad had become faded memories of love and pain.
As often happens with this friend, the discussion turned to nature and bird songs in particular. It was quickly replaced with a look of acceptance of what was now occurring as she described her coming treatment. Ia€™m grateful for the awareness of this part of me that continues to need challenging if I am to be at peace with what is in this moment. How do I challenge the part of me that judges his actions and wants him to be different so that I can be happy? That feels nurturing and I can feel my heart open as I consider the possibility that life is an illusion created by my thoughts, and I can choose which thoughts I will give my energy too.
For others, I just say something like, a€?planning a quiet day.a€? That answer feels authentic and supportive of the way I want to live my life. For sure, I am an active person with a wide variety of interests, but sometimes I enjoy a€?Beinga€? in my home. Today I have set an intention to answer the question, what are you doing today, with authenticity no matter who is asking.
As the morning unfolds, the feeling of hunger comes and without questioning it, I stretch, arise, and move to my robe.
Without thinking, there is a deep knowing that I am not a separate entity seeing, hearing, tasting, touching, and smelling this moment, but an integral part of it and without my energy and presence it would be different. She said that I was flexible in my hips and so compensated there for the lack of flexibility in the last vertebra of my back. I begin to remember the times in my life when I have felt emotional pain and have chosen to override it with thinking. Also this week, Ia€™ve felt the need to remain quiet while reflecting with more stillness than is my normal pattern. This morning I read Tollea€™s words I needed to hear: If you are not in the state of either acceptance, enjoyment, or enthusiasm, look closely and you will find that you are creating suffering for yourself and others.
I will ask for guidance to accept what is happening in the moment without adding drama and fearful thoughts or intelligent explanations. I felt impatient with the loss of time and the people that swirled around in the garage seemingly in my way. He seemed challenged both mentally and physically, and my reaction was to look away so that his mom would not feel I was staring at the young boy.
He wasna€™t complaining internally, he wasna€™t judging others; he was without fear and was gazing in awe at the light. There is evidence that primary-care physicians do not make diagnoses of depression based on a structured assessment. Not only are positive findings claimed original reports exaggerated as they progress through citations, negative findings receie less attention or are simply lost.
I can’t judge whether the Dutch authors simply accepted the the conclusions offered in the abstract and press coverage of The Lancet study, or whether The Lancet author influenced their interpretation of it. He has written over 350 articles and chapters, including systematic reviews of screening for distress and depression in medical settings and classic articles about stress and coping, couples research, and interpersonal aspects of depression. My feet picked up speed, my fear lessened, and I began to explore the light that broke the shadows.
The lake lay in stillness and hovering above it was a wall of mist, kind of stringy, but not transparent; and above all that, hung the moon spreading its final visible glow before dawn arrived with the sunrise. Outside the window, the lily pond beyond the deck is beautiful, the deck is wet and shiny, and the door slightly open lets in a pure and sweet freshness. I can take a small step toward my car and drive the dirt road to the main road; and if the wind is too strong, I can return to this rugged North shore bamboo farm and make the best of it. As I gazed at the photo of the beautiful child holding the doll, I remembered that feeling of love; my heart was soft and full.
The beauty had nothing to do with the physical features displayed in the photos; it was the radiance that traveled from my heart through my eyes and took in the world around them. Let me tell you why inspiring and emotional experiences were my companions on this day in small-town America. We kissed each other, hugged each other, waved to each other, talked with each other, supported each other, and laughed and yes cried with each other. I focused on these positives as we supported him in whatever healing was possible, and eventually, supported him as his alcohol-damaged body died.
As she led us in meditation, I felt the deep pain of powerlessness again, and again I invited it to get as big as it could.
When Ia€™m in that centered place what happens outside me is like a movie and I can watch my personality, the actor, think and plan and wish without attachment.
It is all a a€?Storya€? from the part of me that loves stories and the justification they give for me to be less than open and less than loving.
As we parted, I heard myself say to him, looks like youa€™re on it and Ia€™m just standing beside it.
It has been exciting, it has been challenging, it has been peaceful, it has been stimulating; and mostly, it has been healing.
Ia€™ve come to look forward to their presence and the feeling of security and safety they trigger within me. Change for many is difficult, but for me the newness of change is invigorating and stimulating. Expansion now calls and the excitement of just what that will entail lifts my energy and makes me want to sing. In my view as I watch the water run over the rocks, he stands with his back to me looking into the creek.
His open heart is almost always constant even when he is confused or slightly annoyed with his surrounding world. As we danced I asked him, a€?What was the best thing about today?a€? And, without waiting for his answer, I laughed and said, a€?Everything.a€? He laughed out loud with complete delight and agreed. I listen to his expressed doubt and somewhat confused words, and have a knowing that he understands it perfectly. We are many flames from the same candle, and yet, just one light; apart we are a flicker but together we make a luminous Life.
The memory fills my heart and I see a vision of him in a jaunty Easter hat and sports jacket toddling up the small hill in front of my house; two steps forward and one step back and finally falling and rolling to the bottom only to rise again and begin again with laughter and determination. In those magical days, he marveled at the beauties of the life of which he found himself a part be they giant mountains, rock music, or the smallest of butterflies. In time he began to drink alcohol to lessen the pain of the world not always being as he wanted. It is my full responsibility to live with presence and courage and to grow into the person I am called to be.
This act of responsible choice and the intent behind it becomes the vehicle of my creation and the consequence it brings. It has been a life-long habit to observe closely human behavior and sometimes to judge or to give value to what I see; that is changing.
They are aware that the opportunity to connect must be given their full attention and they have learned how to do that. The man whose taste and smell is not so acute takes two bites before he makes his choice of what to eat. The veins and wrinkles on the back of my hand remind me that Ia€™m dehydrated and need to drink more water today. I hear from her there are five petals close together in almost a circle; and where the petals attach in the middle of the cherry blossom, it is a deeper shade of pink that grows almost to white at the petalsa€™ edges.
This delicate flower filled with color and shadow created by the warm and nurturing sun comes alive in my being and is energetically past to this curious and loving child. My heart called me to the computer to put down my feelings, and I became distracted by email for a moment.
Each of us makes choices that create our life day-to-day, hour-to-hour, moment-to-moment, and those choices add up to a Life unlike any other. The experiences were the same; the creation process of what remained in each of them became very different. If I stood in a long line of people, those who know me would recognize me even though we all have two eyes, two arms, two legs, one nose, and one mouth. For this Life, in this place, I have a knowing that the Life I have created has supported the Lives of others and me.
The answer for me is in what I choose to give my attention and time too; with a conscious intention to live my life fully not someone elsea€™s, just mine. He had bought the bike as transportation when he lost his drivera€™s license because of a drunk driving charge.
Later we loaded the bike into his SUV, and I felt as feathery light as the evening air rushing across my skin. No memories flooded me for I was in the moment, and this moment was another level of healing I had not expected. You see a friend walking and think she really wants to walk alone; but in reality when you join her on the walk she is welcoming and the walk enriches you both. In each moment, we can step back from a belief and ask one simple question: Does this thought or belief serve to expand my Life or limit my life?
Since being human with the power of our minds to create stories around our experiences, it is often easier to live in an imaginary story of what happened and how we should react than to see that how we respond to an experience in this moment creates the suffering or not. Growing and aging brought new a€?judgmentsa€? about equality and how to discover what equality really meansa€”not to others, but to me. It is not always easy to carry that deep sense of equality into our relationships for we are indeed spiritual beings in physical human forms with old patterns of reactions and judgments. The rejoicing of anothera€™s strength or my own cannot diminish or inflate my feelings about either if I am without judgment of that persona€™s or my own value as a result.
It was peaceful and awe inspiring to see the effects the water has played and still plays upon the landscape as it all shifts and changes imperceptibly. But there we were in front of a house that I had come to as a bride, altered it with the support of my dad and husband to accommodate our familya€”a house in which I had brought my children, and where I laughed and cried and planned the perfect future. I thought of a day when the world was perfect because we were exhausted together and happy. The small trees that we had planted cast some shade now, and the flowers his wife had planted added color all around them. My friend had started them from her plants, and her husband had traveled along with her to deliver them to me and to share a few moments of time.
So she and I pulled out my IPad to compare what we were hearing in my yard with the Audubon recorded bird-songs. I looked at her husband and there I saw a deep pain quickly replaced with an expression of deep love for this woman with which he has shared many years.
Only then can I make a responsible choice to support the life I want with the consequences that come from making choices within the presence of acceptance. This is not a new conflict; the difference is that I am aware of the thoughts and feelings within this dynamic that create circumstances I do not wish to occur. I alone am responsible for the experiences I create and it is those experiences that enrich my life if I choose. Of course, routine chores like making a bed, fixing food, doing dishes, caring for my home are always needed, but this question seems to be about something more. Ia€™m reading, Ia€™m writing, Ia€™m thinking, Ia€™m dreaming, Ia€™m questioning, Ia€™m answering, but more than anything else Ia€™m simply being here now doing this and it nurtures my life. Sometimes I will be playing golf or tennis, rushing around running a project, working to beautify my yard; but sometimes Ia€™ll simply be choosing to a€?Bea€? and for me that will be enough. The rain is, the fruit is, the wood is, the carpet is, the chair is, the joy garden is, Jon Kabat-Zinn is, the peace is, and I am.
She said that when some part of the body is not used, the brain notices and will see the lack of movement as a€?normal.a€? She said the unused area becomes more and more unbalanced and eventually creates pain in the body. Ia€™ve told myself that life is difficult sometimes and have moved on without giving the pain its due course and attention. As I sit with that question and just relax into the moment, I feel certain that if I remain open the question will be answered; not by the intellect, but by something deeper inside me that guides my life if I choose to listen.
The light from the sun had entered his eyes and body completely and radiated outward toward anyone who chose to look.
Many patients deemed depressed and in need of treatment will have milder depression and only meet the vaguer, less validated diagnosis of Depression Not Otherwise Specified.
He has been designated by ISI Web of Science as one of the most impactful psychologists and psychiatrists in the world. There is a need for large-scale longitudinal data on treatment utilization and outcomes, stress, emotion, and pain.
But from what I had written, the reader would most certainly understand the essence of my experience. This time when movement caught my senses, I saw on the side of the Main Hall at Omega two shadows.
As I glanced up, I noticed that the stars were vanishing from the sky and the moon had moved toward the lake so I let my feet dance after it.
If I could remember to challenge my fearful thoughts, Moon Dancing would always be possible. Doubts about whether I should be here alone nag me and breathing deeply doesna€™t seem to help.
Many times Ia€™ve experienced that feeling over the years: when I married my new husband, when each of my children were borne, when a bond of female friendship was revealed to me, when I gave unconditional love to an amazing yet flawed man, when I held my grandsons the first time, when I witnessed my son-in-lawa€™s tears at a grave site, and so many moments in nature.
Many times the circumstances of life and my thoughts about them hid my beauty from me, and I could not believe others even when they shared their love and compassion for me. May I remember to look deeply into my own eyes to find love and then freely give it away to others. She literally danced to the voting booth and then out; waving and glowing as she left the precinct. The voice in my head was still, the polling precinct was quiet, and the room filled with the light of choice I had been witnessing all day. Of course, there are times when I have to say no to someone, and what Ia€™ve found is that even that is easier when I say yes to what is transpiring in the moment and then expand the conversation or activity to make my point or acknowledge someone elsea€™s need. But inside me deeper than even I imagined was a sense of sadness and powerlessness to change the drinking habits of my 37-year-old son. When I could bare it no longer, it vanished and was replaced with a deep stillness of peace. My overall intention for my life is to love well, and of late, that seems more difficult than it has for the recent past years. It protects me and not in a way that is creative; it prevents me from living each moment as it is with an intention to hear the quiet voice that wisely guides my Life. Then from deep inside me came that still small voice, that is not the Phyllis I know; I recognized the voice as me and not me.
It is a song of healing and caring for this person I am and the growing Being that awaits me with my next choice and adventure. It does not; so I reach my hand toward it and it appears as if the light is resting upon my hand.
All these objects, all those Ia€™ve loved, and all those who have loved me are part of this one light.
I may need to remain silent.A I may need to speak aloud about something that is bothering me about whata€™s happening. It is with gratitude that I accept all the parts of mea€”the difficult and the pleasanta€”and quietly surrender to the learning that my experience offers in this moment, and the next, and the next. Now more often I observe not to give value but to learn and to appreciate the insight that observing brings to me about me. As my hair grows and the gray is more visible, Ia€™m reminded of what a long and remarkably healthy life I have and the freedom that brings.
From the middle of the deep pink rise varying lengths of stamens with small orangey-pink, round fluffy dots at each of their tips. My heart aches with gratitude for this small being whose blindness first filled me with sadness; but now has added a measure of being alive that could not have been possible without what I once considered to be her handicap. There in the emails I read: We begin to find and become ourselves when we notice how we are already found, already truly, entirely, wildly, messily, marvelously who we were born to be.
They may remark that I look like someone else, but if they truly know me, they know that I am like no one else.
When it came off the moving van five years ago, it went into the corner of the garage, because I was still not ready to let go of the memory of the healing I thought it would bring to my son. It sat and sat, and I would see it with a flood of emotions triggered by the healing and loss it represented.
We stopped again to sit by the river; all I felt was deep gratitude for all the extraordinary experiences of this Life lived fully. Perhaps the thought is that living alone is not as enriching as living as a couple, but the amount of freedom that comes with living alone is amazing. It takes a deep intention to look inside us and see those patterns, take a second look, and remind ourselves they are imaginary stories we have created to feel okay in this particular incarnation and perhaps others. Since the evolutionary process of physical a€?survival of the fittest,a€? has taught me to judge whether or not I am safe when with another, this approach to Life is challenging and yet interesting and exciting to me. Only the man, the boy, my friend and I will really know the changes created within us from these experiences.
We took smiling pictures with a camera to add to our real photo albums of course, and we spoke of the skill and time that each family had given to this beautiful modest home. As I watched them drive away, I knew this strong, courageous couple was focusing their attention on accepting and living Life fully in each moment, and I was grateful that they were part of mine! Simultaneously, I feel a€?less thana€? because Ia€™m choosing not to do something a€?importanta€? and a€?more thana€? because I feel at some level the other person isna€™t capable of understanding that need.
Sliding my feet along the carpet, the harder surface of my wood floor is recognized at the doorway. She continues my therapy and she comments that my pelvic area begins to move a little, but I cana€™t seem to feel it. Have I, therefore, sent a message to my intellect to override this pain and continue to function. I will not seek the answer in my mind, but I will relax into the present and observe what comes to me. It has felt really good and freeing, but Ia€™ve also had this voice in my head that says, a€?Whata€™s wrong with you?a€? I watched the thought come and go and remained quiet, peaceful, and still. I will look at my activities one by one to see if there is a second agenda lurking in the shadow of my fearful ego. As the elevator door opened, I said to his Mom that I believed he was enjoying the sunshine. During the remainder of the week there, I edited the essay several times and eventually it morphed into a short surreal poem. As I gazed out into the darkness, I had the urge to take a walk, but felt frightened that I would be walking in an unfamiliar place in that darkness, and it might not be wise.
As I entered the garden, it was a cascade of silence punctuated with the crunching sounds of my footsteps upon the path. I remembered one of my favorite childhood poems, a€?I Have A Little Shadow That Goes In and Out With Me.a€? I remembered how much I loved giving it to my grandchildren! I hummed a€?Que Sa Ra Sa Ra, what ever will be will be,a€? all the way back to the dorm and into the shower.
The curious part of me whispers, a€?go out and take a few photos.a€? So dressed in my robe and slippers with camera in tow, my hands slide back the door, and I venture out. As I said a€?yes, anda€? to what she had to say, the profound lesson came that what she was saying would be an amazing way to not only do improv, it would change a life from a negative focus to a positive one. Over the years, my daughter and I, had pleaded, threatened, and prayed for him to give up drinking. He was free and it was spring one year and four months after his first healthy choice in a very long time. The last few years have been filled with the joy of living and remembering his life and what it brought to mine.
Do this, dona€™t do that, go here, stay there, love this, mistrust that; the mind chatter is overwhelming in these moments.
So when discontent of the kind Ia€™ve been experiencing of late is present within me, it puzzles me as to what Ia€™m to learn this time.
One of me is the movie my personality creates with thinking, assessing, resisting, and this me was the Seer who watches in loving amazement at times. There was a time in the past when this need would cause me to question a€?who I am,a€? and a€?why am I like this;a€? now it feels warm with acceptance like the return of an absent and beloved friend. This slow to respond, slow to move, slow to show emotion man has a great capacity for deep joy that I admire.
He wanted to hear his music uninterrupted and spit on his sister when she came into his room to chat. These moments of choice step-by-step and consequence-by-consequence truly become the Life I experience.
This year as I focus on creating more humility through patience, the experiences that I a€?m creating through what Ia€™ve viewed up to now as limitations are supporting me in doing just that. Her words say that the stamens are the pollen-bearing male part of this delicate precious flower.
She never considered herself handicapped, and her acceptance has brought me bravery and added awareness that life is created by the choice to live with a€?what isa€? with courage. This quote by Anne Lamott brought me back to my intention to explore Nepoa€™s original questions.
Another man loses his job and decides to create a different way of living and becomes a role model for others. We are a soul having a physical experience that has the opportunity to contribute to the healing of all living beings. In the peaceful stillness, I closed my eyes and let the gurgle of the racing river wash through me as the sun shared its warmth. Perhaps your belief is that your children should behave differently, but then you see them blossom into their own lives that are very different from what you imagined. If the answer is limits, look at it and let it go for it does not serve your Life or anyonea€™s. With closer observation of the direction of the winds and of the angles of the sun, it becomes clear that the one that seems to be leaning-in has twisted, has transformed, and has become deeply rooted thereby protecting the other from the elements. Our patterned reaction may not be the healthiest response in this moment, and if it is not, it may be wise to make a different choice. It was clear to me that as a male, he had automatically assumed that the woman in his relationship had to have been weaker or less assertive for inequality to exist. Later a call came that a skunk, which appeared to have a broken leg, was outside the restaurant by the golf course.
Life is by definition impermanent and the cultivation of acceptance has been my yearlong intention since Winter Solstice of last year. I remembered a summer of disruption as Dad added the addition and my son walked in the foundation ditches and later put nails into the exposed electrical outlets. In that moment of presence, their togetherness seemed all that truly mattered, and I was touched by their love for each other. No one knows in Life what will come next, living in this present moment is where we find our power. Ia€™ve watched the French Open and seen the victory there as a moment in time that is relevant only to the lives involved. She says thata€™s okay because the movement is subtle, but necessary to maintain the health of the back and ultimately the nerve in that area.
I will trust the Universal force to support me in my learning and relax into the pain, feel it deeply in the moment; I will no longer resist the discomfort, but welcome it in with whatever message it brings. Ia€™ve read, baked cookies, watched the birds out my window, slept late, meditated, done yoga, watched old movies, and just stayed in my home with just me.
If I find one, I will look to see what I can learn from that situation in the present moment.
What a waste of my day!a€? These thoughts were still in my head as I entered the glass elevator with a few others on the top deck of the parking garage. He also blogs and is a regular contributor to the blog Science Based Medicine and to the PLOS One Blog, Mind the Brain. Randomized long-term trial of camel milk as an adjunct to insulin therapy in type-1 diabetes. It seemed bettera€”it captured the light of my mooda€”but somehow did not convey the importance of that few hours of Moon Dancing with my Shadows.
Now and then something would move in the silence and take my attention away from the shapes and forms of the plants that lined the walkway. Now absorbed in the beauty of the ocean, focused on the view in the camera, and not feeling my feet, my body tumbles down on the lower deck, my camera flies off into the grass about one foot from the lily pond. As more new-generation voters came to exercise their right to choose along with others that had been voting for a long time, it reminded me of how precious this right is to Americans. As he voted, we prepared to go outside to collect a€?Zacha€™sa€? vote from the truck, being careful to follow procedures that would allow his ballet to be cast privately. What I have never written about is how difficult and how painful it was to be the Mother of a dying son, and what Life was like for me when I could no longer touch his physical presence.
No longer do I pretend that losing a sona€™s physical presence is easy, no longer do I need to be that strongest person in the room, no longer do I hide that losing him changed my own life in ways I could not have imagined. I smiled with the recognition that it is the Seer that I can trust and I let the Story of discontent go. The need for change calls to be embraced with wonder and welcoming; it is part of the personality that has formed my human experience for as long as I can remember. I try again; I want to catch the light and hold it, but the flame of the candle cannot be held, it must shine wherever it will or it disappears.
Without judgment of how things should be, we can simply shine and bask in each othera€™s light. His physical body left us nine years ago, but for me his spirit is in the sound of the wind through the treetops and in the light of an early Easter morning sunrise. And as I chuckle at this thought that is now present, my perception of losing some short-term memory gives me ample time to remember the most important thing: what is the present moment offering me as an opportunity. My mother says, behind the flower the great sun, which I feel on my face, casts a dark surrounding edge that make the blossom even more vivid and creates a shadow of the stamens on the petal itself.
The light shining in her sea foam green eyes reflects what she is seeing through my voice and her other senses. As a physical manifestation of a living Universe with unique skills, hopes, dreams, and personalities, how much healing we contribute is up to each of us for we have free will to choose what we will create. In the words of Lamott, I am truly, entirely, wildly, messily, marvelously who I was born to be. The strength coming back into his body was coming too late for him to survive this incarnation, but he seemed to love his experiences on the bike. Because of their ages, that would be a very long time into the future, but it was the logic I used to hold on to this small symbol of my sona€™s longing for health and my own. I turned and sped away leaving him to his own period of learning since he had not ridden a bike for sometime. It was a beautiful river, a beautiful moment, a beautiful bike, another memory, and I loved and was honored to share it with this friend. Perhaps your belief is that you love to write, but that you are too old and unknown to get published; you go forward anyway and your book is published and it brings you great joy.
Because they are almost 100 years old, their roots under the surrounding plants, rocks, and soil are entwined with and supportive of each other in ways that cannot be undone.
Since I did not feel he was open to the idea that this assumption was in and of itself telling about his view of equality, I just said there are many kinds of strength and the subject was ended. As this thought was taking up residence in my brain, I noticed a man and a small boy up ahead.
She said, a€?He still makes me laugh.a€? He, in character, chuckled with pleasure at that thought. Ia€™ve dressed to go biking and yet I stayed in the drama unfolding at the French Open as if it had some significance in my own life. Time to make the smoothie that has become a part of my mornings of late: cantaloupe, pineapple, blueberries, yogurt, strawberries, apples, and raspberries.
It has been years since I fearfully resisted emotional pain and stiffened and numbed against it.
For so long, I have worked to be conscious, to be authentic, to be present, and in that moment, the part of me that feels sorry for myself was active yet again. He is known for giving lively, controversial lectures using scientific evidence to challenge assumptions about the optimal way of providing psychosocial care and care for depression to medical patients. Yes I said a€?shadows.a€? Now a week later I am at home and awake in the early hours of morning and I know it is time to write. Out of that stillness a rabbit hopped, two deer walked slowly behind me, and the early birds of morning began to chirp. This week as I gazed at the two photos, the child and the woman, it dawned on me that the beauty of love has always been within me patiently waiting for me to rediscover it. With the wisdom that I was changing my own life not his, I decided to offer him my support for sobriety one more time. The silence of deep meditation, the practice to live in this moment, and the awareness that we are a part of something bigger than our physical being have supported me to accept and heal from the things I can not change.
As we close our eyes and state our intentions for the week, I feel his love and send him mine.
I am filled with love and gratitude for the ability to write my thoughts and feelings down in a way that enriches and expresses my experiences. Each day the intention to live in fear of losing a physical existence that is inevitable carries us away from the love that is the essence of the Life we all share. When I took it to be restored with new tires, etc., the repairman remarked on how well it was made and how unworn it appeared. Perhaps your belief is that your life experiences should have been different, but deep inside you know that it has been those experiences that have created you Life. This deep presence and seeing of their combined lives bring a growing appreciation of connectedness.


By convention, equiluxes are the days where sunrise and sunset are closest to being exactly 12 hours apart. His physical pain during the discussion expressed itself in a visible expressed pain in his chest as he talked about the need to live a more solitary Life to insure his freedom to be himself.
I have a deep knowing that no matter what my perception is in the moment, the Universe is a friendly supportive force within me that a€?does not take sides, but seeks only balance.a€? It is my intention to have compassion for what I hear and see and to learn the lesson of impermanence as I witness it in nature. What mattered was the memory of love and support that flowed through the energy of the house into me and then to my daughtera€™s family. I began to think he was just bored as my friend and I turned to playing games on my IPad, so I asked if he would like to join us. Their smells mingle with the sounds of the rain and for a moment the blender whirl drowns out all other sounds.
I had forgotten this feeling of freedom that has moved my spirit since I was a child, the love of nighttime, and the magic of moonlight.
Since staying here on the deck doesna€™t seem to be an option, I pull myself up, retrieve my camera (bent but not broken), and shuffle back to my room and sit silently on the bed.
He lay in the back seat of the truck, and as I stood on my knees in the front seat to get his ID papers, Zach asked, Can I vote? It had been a few years since we had seen him because he just never showed up to family gatherings. This time was different than before; this time I knew I could accept whatever choice he made, but he was my son and for myself I needed to offer him assistance one last time! The deep wound of loss affected many of my relationships and still I clung to the strength of knowing that I had done the a€?righta€? thing.
Without the wisdom and acceptance of or a€?surrendera€? to each moment as it is, I cannot choose an appropriate action with a conscious intent and honor my need to live authentically in this moment, and the next, and the next. Her voice falls upon my ears and her words become my thoughts, and I imagine with great specificity how the cherry blossom appears and admire its beauty. This cherry blossom is magnificent, and the glory of its connection to this growing child leaves me speechless and filled with awe for this blessed life. Perhaps your belief is that there is only one Path to God and that prevents you from appreciating all those who believe in a different God than yours. Depending on where you stand, they are framed by the sky above, or the garden below, or by the giant stone arches of the porch. There is evidence that we are still there as surely as we are here through our choices to give of ourselves. He said, a€?No, Ia€™ll just walk up to the edge of the golf course.a€? His demeanor seemed unusual, but I dismissed it and returned to the game my friend and I were sharing. I glide to the coffee maker and the smell of coffee is strong enough to feel like I taste it already. Patients are recruited from web sites for patient advocacy and health enhancement programs.
Just when I could hardly believe the vision my courage had co-created with the moon, a flock of wild geese cut the mist of the lake as they winged their way across in perfect formation.
My body is tired, my mood is gray like the clouds above the ocean, and self-doubt seems to have taken me over. He had stopped answering his phone and his friends called me to say they thought he was dying. Perhaps your thoughts are that your thoughts are true and you do not question further how best to live your Life with yourself or in relationship to others. The annoyance I felt in my body as I viewed his pain turned into compassion and acceptance for us both.
The back legs and rear of the frog were already in the snakea€™s mouth and the froga€™s body was badly bloated as its eyes bulged, its front legs kicked, and it sought freedom from the snake. My choice to visit the past because I love my daughter created a rare opportunity to catch a glimpse of time passing in the present, and my gratitude for my daughter and our choices to share our Life sang within my heart; a reminder and then a another memory of time passing in the present! I smile at the wonder of just being present without thinking something should be different than it is. This need to understand everything that happens has been a recurring theme for as long as I can remember. Therefore this long-term study was undertaken to assess the efficacy, safety and acceptability of camel milk as an adjunct to insulin therapy in type 1 diabetic patients. In that moment, under his white hair and beyond his aging body, there was the light of youth and his eyes held the same excitement I had witnessed in the young girl that morning. The last five years had been a roller coaster ride of emotions for me as he was better and then not better over and over again. I could do this and I began a long path of self-healing without the courage to ask for support directly. Perhaps you have doubts about your own goodness and forget to look at the generosity that has been a major thread of your Life. Earlier that day, a dog had stumbled upon a horneta€™s nest and had been stung badly, and a staff member went looking for the nest to eliminate it so humans could walk the path without being stung. I felt the pain of the froga€™s struggle; I wanted to do something to make this stop, but what? I relived a day when my small son gave my baby daughter a drink from a cup as she rested in her crib; she almost drowned. If I understand it then I can accept it, or more accurately change it; or so my Story goes.
Methods: In this 2-year randomized clinical parallel design study, 24 patients with type 1 diabetes were enrolled and divided in 2 groups.
Then as if a powerful director had taken over the scene, a fish danced to the ice-like surface of the lake. Meditation had supported me in staying centered enough to love my daughter and her family, support my partnera€™s interests, hold a demanding job, and attempt to just enjoy and learn about my life.
Perhaps your belief is that friends and family should be more open hearted and open minded and so you close your heart and mind to them. It is the most reoccurring event involving injury that comes to the attention of the Nature Foundation.
They are delicious and colorful in contrast to the dark quiet of the room and the day outside my window.
Group I (n=12) received usual care (ie, diet, exercise, and insulin), and group II (n=12) received 500 mL camel milk in addition to diet, exercise, and insulin. I turned to find a circle of life rippling the water and the dancing fish no longer visible.
Perhaps you have made what seems like a mistake and your belief is that you cannot be forgiven and that thought keeps you separate from someone you love. My thought was that the bees were there first and should be left alone to resettle into their lives. I chose only to stand and watch with sadness and curiosity as this unusual sighting in nature played out. I gaze at my joy garden that is bright with purple, pink, and white against a blue-gray sky. It had the slight chill of autumn, and I could imagine the burst of color that would soon fill the trees.
On this glorious October day, I felt that I had done everything I could and my body sagged from the weight of wanting him to be different. Perhaps the belief is that if you dona€™t act in a certain way, you will not gain acceptance; but someone once said, a€?if you do not always bring with you who you truly a€?area€™ others will fall in love with who you are a€?nota€? and how limiting will that be? It is hard to express all that I saw through the visual memory there in our first small house.
It took him some time to physically fill out the ballot, and it was my honor to wait for him. For me, Zacha€™s light infused the darkness around the truck and as I looked from my fellow poll workera€™s eyes to Zacha€™s son-in-lawa€™s eyes, they seemed to glow with something unexplainable. I could no longer watch so we turned away and continued our walk through this civilized and yet still wildly natural, tourist attraction. In the pages, he quotes, William Stafford: What can anyone give you greater than now, starting here, right in this room, when you turn around? Previous studies have found that between 30% and 60% of pediatric neurology patients have used CAM at some point in their lives.
Whereas, the effect of vitamin C on conventional photodynamic therapy (PDT) of tumor cells has been documented, the mechanism of vitamin C induced increase in tumor cell response to PDT is unclear.
In this report we demonstrate the presence of vitamin C during photo-oxidation of MC540 significantly increases its apoptotic activity in tumor cells.
Interestingly, we observed that the presence of vitamin C during photo-oxidation of MC540 only and not its addition to a prior photo-exposed mixture to MC540 is critical for its enhanced sensitivity. These findings provide impetus to the approach in developing ROS generating small molecule compounds with potent apoptosis inducing activity. These data could have implications in the use of vitamin C in photo-sensitizer-mediated reactions with the view to favorably tailoring the cancer cell milieu for efficient apoptotic execution.
Many patients are still not discussing their CAM use with their doctors and are using CAM alongside their conventional medicines, thereby increasing the likelihood for potential interactions.
One limitation of this study is that our ability to determine between-site differences is limited by the difference in sample size. Electrodermal measures as clinical markers: Jing-point electrical impedance in adolescent women with chronic pelvic pain.
Consequently, skin electrical measures at Jing points are commonly obtained and interpreted for diagnostic purposes.
Denise Adams, University of Alberta, 1047 RTF Building, University of Alberta, Edmonton, AB, T6G 2E1, Canada. The objective of this study is to determine whether electrodermal measures at Jing-points are associated with clinical outcomes in adolescents with chronic pelvic pain in a randomized, sham-controlled acupuncture trial. Methods: We recruited 18 adolescent women aged 13 to 22 years of age suffering from chronic pelvic pain and laparoscopically diagnosed with Stage I-III endometriosis. Using a Hibiki-7 device, normalized electrical impedance values were obtained at all 24 Jing-points for each treatment session. Phase II: CAM research networks in Canada and the US will notify CAM providers of this study, so they may alert patients.
Left-right asymmetry and measures for statistical dispersion (standard deviation and Gini coefficient) of Jing-point impedance values were calculated.
Parents or legal guardians may self-identify and reply on behalf of patients under 18 year of age if they meet the criteria for Phase I. With a generalized estimating equation method, we evaluated the association between the electrodermal-derived measures and clinical outcomes while accounting for treatment designation and time. Phase III: The methods for phase II were utilized but CAM associations and training organizations were substituted for CAM research networks. The majority of the cases involved the use of Traditional Chinese Medicine to improve quality of life. Preliminary analyses indicate that, over time, subjects in the active acupuncture arm were more likely to have reduced left-right asymmetry and statistical dispersion of Jing-point measures compared to subjects in the sham-control arm. Further analyses with multivariable models will be performed to assess whether this difference is statistically significant for each electrodermal measure. The chiropractic care of children with otitis media: a systematic review of the literature utilizing whole systems research evaluation and meta-synthesis. Joel Alcantara, International Chiropractic Pediatric Association, 327 N Middletown Rd, Media, PA 19063. Key words were otitis media and related words (ie, acute otitis media, otitis media with effusion, ear infections, etc) AND chiropractic. A narrative review of the literature was performed and augmented with a meta-synthesis of the literature with a focus on chiropractic management and the application of a whole systems research (WSR) evaluation.
Results: Our systematic review revealed 20 articles consisting of 6 case reports, 5 case series, 1 retrospective cohort, 2 prospective cohorts, 2 reviews of the literature, 2 commentaries, 1 survey study and 1 prospective, parallel-group, observer-blinded, randomized feasibility study.
Due to the lack of higher-level research design, a meta-analysis of the literature was not possible. This included the use of otoscopy and tympanogram to provide objective pretreatment and comparative outcome measures.
Eighty-nine percent of respondents reported treating pediatric patients; patients under the age of 17 made up 12% of chiropractic and 20% of both naturopathic and osteopathic patients. Activator, Gonstead, Toftness, Chiropractic Biophysics, and Diversified Techniques were utilized with an emphasis on the upper cervical spine (the C1 or C2 vertebral bodies).
Approximately two-thirds of both osteopaths and naturopaths disagree or strongly disagree that immunizations are safe compared to one-third of chiropractors.
One paper described utilization of cranial technique, 2 papers described a dietary intervention, and 2 papers utilized soft-tissue massage to augment spinal manipulative therapy. Fifteen studies were amenable to the WSR evaluation resulting in a score of 7.06 from a maximum of 11. The immunizations of most concern to the 3 professions included MMR, varicella, influenza, DPTP, and hepatitis.
The most common reasons for concern were related to safety, including that vaccines may contain dangerous ingredients, may produce side effects, and may be linked to future problems such as neurological damage.
Conclusion: This systematic review highlights the need for more higher-level research designs in addition to incorporating new methodologies (ie, whole systems research) reflective of the holistic and vitalistic clinical and theoretical framework of chiropractic. The chiropractic care of children with enuresis: a systematic review of the literature utilizing whole systems research evaluation.
Significantly more naturopaths advised parents against vaccinations (27%), compared to 10% of chiropractors, and 12% of osteopaths (P=.0002). Joel Alcantara, International Chiropractic Pediatric Association, 327 North Middletown Rd, Media, PA 19063. There was no significant difference between groups for those advising parents in favor of vaccinations (15% C, 14% N, 6% O) (P=.1143).
Key words were enuresis, nocturnal enuresis, bedwetting as well as related words AND chiropractic. A narrative review of the literature was performed and augmented with an evaluation using WSR evaluation. Results: Our systematic review revealed 7 articles meeting the eligibility criteria for review. Four of the 7 papers involve case reports describing the care of children aged 8 to 14 years with primary complaints of nocturnal enuresis. Spinal manipulative therapy involved the use of Toggle recoil, Sacro-Occipital Technique, Activator Methods, Gonstead Technique, and Diversified Technique to address primarily segmental dysfunctions in the lumbosacral spine. We conducted a systematic review to assess the nature and severity of adverse events associated with pediatric acupuncture. A large prospective cohort study (N=171) demonstrated improvement in wet nights per week from baseline following 2 weeks of care. In a randomized clinical trial, within-group comparison of pretreatment and comparative rates of enuresis subjects demonstrated an improvement. However, the study was fraught with research design issues such as randomization and biostatistics.
Six of the 7 studies were amenable to WSR evaluation and resulted in a scoring of 7.33 from a maximum possible score of 11 points.
One reviewer screened all articles, while the second reviewed all excluded articles to ensure that no article was inappropriately excluded. Full articles of potentially relevant references were retrieved and assessed by two independent reviewers. The use of Whole Systems Research provides promise in contributing to evidence-based practice and reflects the holistic and vitalistic chiropractic approach to patient care.
Results: Seven thousand, two hundred sixty-two potentially relevant articles were identified. Eleven of these studies included adults as the majority of patients; for these studies the age of the patient experiencing the adverse event was never reported.
Most of the adverse events that have been identified in children were mild and included pain, bruising, and worsening of symptoms.
The few adverse events rated as moderate or serious included one pneumothorax, 2 infections, and 2 cases of complications from needles left in the body.
Methods: This study was approved by the Institutional Review Board of Life University (Atlanta, Georgia).
A 26-item questionnaire was sent to 9000 subscribers of an online newsletter from Midwifery Today Magazine. The first domain identified demographics (midwife credentials, age, years in practice, and place of practice). The second domain queried participants regarding their formal and postgraduate training on the subject of chiropractic. The third domain attempted to identify their experience (ie, positive or negative experience) with chiropractic personally and professionally as it pertains to pregnancy and infant care.
The fourth domain asked their opinion about the safety of chiropractic care for pregnant and pediatric patients.
The fifth domain surveyed their knowledge regarding the scope of practice of chiropractic for pregnant and pediatric patients. The respondent ranged in age from 41 to 50 years with practice experience ranging from 6 to 10 years. With respect to their training on chiropractic, 31% (n=57) reported receiving formal education (ie, during midwifery education) on the subject of chiropractic.
Fifty-five of the 157 who did not indicated receiving some education on chiropractic through continuing education seminars. With respect to the midwife responders’ experience with chiropractic, 95% (n=176) admitted to making a professional referral to a chiropractor with 73% (n=137) having referred an infant to a chiropractor. Ninety-two percent (n=171) reported being chiropractic patients with another 58% (n=124) presenting their child for chiropractic care. Over 90% indicated experiencing a positive experience as patients and with their child’s care.
All of the respondents perceived chiropractic was safe for pregnant patients, while only 97% considered chiropractic safe for children. An overwhelming majority of the responders (98%) indicated that chiropractors work with birth professionals, while 92% indicated that they were knowledgeable about the role of chiropractic in prenatal care.
Lastly, 75% indicated interest in learning more about chiropractic, with 86% wanting more evidence-based practice chiropractic. From the 809 articles reviewed, 18 articles met the full inclusion criteria and proceeded to data extraction. Identified adverse events include local pain or soreness, swelling, mild fevers, and skin rashes.
Thus far, the majority of adverse events reported have been mild with few moderate or serious adverse events occurring in pediatric patients.
Total weight and body composition changes in response to weight reduction diets of varied protein content in midlife women.
Age-related changes in body composition for women include loss of lean mass and gains in total weight, fat mass and central fat deposition. There is growing evidence that diets with low-to-moderate carbohydrate and fat content and increased levels of high-quality protein are effective for weight loss. Greater subjective satiety is reported by subjects following test meals containing whey protein compared to other protein sources. The beneficial effects of whey protein on satiety, thermogenesis, and lean body mass protection suggest that whey may be a preferred protein source for weight loss treatment. The specific aims of this study are to assess weight loss in subjects receiving energy-reduced dietary regimens and to evaluate parameters of weight and body mass change between the 3 treatment groups. Study Design: We are conducting a randomized, controlled pilot feeding study to evaluate the effect of different dietary protein sources on weight loss. Endpoint measures include body weight and body composition data obtained at baseline and at 8 weeks for dietary treatment.
The HP diet and the WP diet produced greater total fat loss and less total lean tissue loss than the CD.
Conclusions: Preliminary data shows that across treatment groups, the high-protein diets conserved lean tissue and promoted reduction of fat tissue.
Trials investigating TCM must be conducted with increased methodological rigor to be of value in evaluations.
The single included study suggesting that acupuncture may be safe and efficacious in CFS is limited in applicability by the use of sham acupuncture as the control. Integration and interface between naturopaths and conventional rural care: empirical findings from a grass-roots research project.
The worsening epidemic of DM in the United States, along with the increasing prevalence of obesity, insulin resistance, and IGT, render the identification of promising interventions for these states a matter of some urgency.
Jon Adams, University of Queensland, School of Population Health ,University of Qld, Herston, Queensland, 4006, Australia.
While lifestyle interventions based on dietary pattern and physical activity can delay or prevent the onset of diabetes and reduce cardiovascular risk, adherence at the population level is severely limiting.
Pharmacotherapy offers promise for diabetes prevention, but with associated high costs, unacceptability to many patients, and potential toxicity.
In this context, the potential role of chromium (Cr), an insulin cofactor, in IGT is of great interest. Proposed, therefore, is a randomized, double-blind, placebo-controlled pilot trial conducted at the Yale Prevention Research Center to investigate the effects of daily Cr for 6 months at 2 dose levels on serum measures of glucose tolerance and on endothelial function in adults with IGT, IFG, and IR. The study is powered to detect a clinically meaningful effect of Cr supplementation at either dose on glucose control, and to compare the two doses for equivalence. The study will investigate effects of Cr on both measures of glucose tolerance (glucose, insulin, OGTT) and brachial artery endothelial function, thus combining serum measures with a physiologic test of Cr effects on the vasculature. The proposed study will generate much needed data regarding the efficacy of Cr in those at risk for type 2 diabetes and offers the promise of guiding practice, as well as directing future study.
By contributing to knowledge related to potential diabetes prevention strategies, this study addresses one of the more pressing public health issues in the United States today.
Risk to human subjects in this study is a minor increment over minimal due to the administration of nitroglycerin as a control in BARS testing. Secondary outcomes: (4) It will show improved well-being, as measured by elevated melatonin and DHEA.
Unlike many relaxation therapies, energy healing requires no participation by the patient, a feature that makes it particularly attractive in the hospital setting, where patients are often anxious, depressed, in pain, or sedated.
Despite the increasing use of energy healing, few studies have looked at its benefits and even fewer at its underlying mechanisms of action. In this pilot study, we examined the effects of an energy healing modality known as Reiki on the autonomic nervous system (ANS) and the hypothalamus-pituitary-adrenal (HPA) axis, both of which participate in the stress response and stress-induced pain and disease progression.
Subjects rested for 10 min before baseline heart rate and blood pressure were measured and blood was drawn to determine cortisol, ACTH, and DHEA levels, using commercial immunoassay kits.
Subjects then received a 30- to 45-min Reiki or Pretend Reiki session followed immediately by post-session heart rate and blood pressure measurements and at 2h by blood draws. When asked whether they thought they were in the Reiki or Pretend Reiki group, about 70% of the participants reported that they believed that they had received a true Reiki session. This suggests that the beneficial effects of Reiki on physiology, as compared to the Pretend Reiki, cannot be explained solely by the placebo effect. Issac Amponsah, Faculty of Pharmacy Kwame Nkrumah University of SC, Knust, Kumasi, 233, Ghana.
Effects of ultra-low dilutions of sabal serrulata on human prostate cancer growth: mechanistic studies.
Hakima Amri, Georgetown University, Basic Science Bldg, 3900 Reservoir Rd NW, Washington, DC 20007.
Finally, serum protein differential expression was carried out using 2-dimensional gel electrophoresis followed by mass spectrometry analysis.
Effect of mind-body medicine skills on elements of emotional intelligence in medical students. Yet studies have reported that traits such as altruism and empathy tend to decline throughout medical school training.
In an effort to foster medical student self-awareness and mindfulness, which may improve their EI, Georgetown University School of Medicine (GUSOM) offers an experiential course to undergraduate medical students in mind-body medicine skills. The purpose is to expose students to a variety of mind-body approaches including meditation, imagery, as well as group sharing and listening generously for self-awareness and reflection. The aim of this study was to assess the impact of the Mind Body Medicine Skills (MBS) course on perceived stress, mindfulness, and elements of EI including intrapersonal capacities (attention to feelings, mood repair, clarity of feelings) and interpersonal capacities (perspective-taking, empathetic concern, and personal distress in response to distress in others). The intervention group (n=30) was comprised of first year medical students who self-selected to participate in this elective. The control group (n=36) included students from the first year class who completed the surveys but did not take the MBS course.
Four questionnaires were completed at the start and end of the spring semester by all study participants: the Perceived Stress Scale (PSS), the Mindful Attention Awareness Scale (MAAS), and a survey of EI developed by Stratton et al (2005) comprised of the Trait Meta-Mood Scale and the Interpersonal Reactivity Index. ANCOVA was used to compare the MBS and the control groups at the end of the semester, controlling for beginning scores.
Patient perspectives of integrative and primary care management of back and neck paina€”qualitative findings from a randomized clinical trial.
These conditions are additionally some of the most common reasons why patients use complementary therapies, often without dialogue with conventional care providers.
The focus groups were conducted separately for those in the integrative vs the conventional treatment groups. The interview data were transcribed ad verbatim and analyzed utilizing inductive content analysis technique. Eliane Angst, UCLA Center for Excellence in Pancreatic Diseases, 675 Charles E Young Drive South, Los Angeles, CA 90095. A significant reduction in cell numbers was seen with quercetin concentrations of ~30 AµM and a maximum effect at ~75 AµM. In MIA PaCa-2 cells a ~65% reduction in cell number was seen with 75 AµM of quercetin after 48 hours. Starved BxPC-3 cells treated with 75 AµM quercetin showed a ~95% reduction in cell number after 48 hours.
Conclusion: These results suggest that quercetin has a potent growth-inhibitory effect in pancreatic cancer cells in vitro. Additional experiments to investigate the underlying mechanism of growth inhibition and animal studies are underway. Flovanoids may reveal to be potent anticancer drugs found in our daily food, leading to specific diet recommendations.
These can be taken together to qualify as an academic minor in many of the conventional MA or PhD programs, often forming the basis of a thesis or dissertation required for the terminal degree. In the fall of 2009, the university will launch a doctorate of nursing practice with a focus in integrative health and healing. Georgetown University developed a concentration of CAM within its Masters in Physiology program in 2003. We address the multicultural perspective, comparing data collected in Canada and Europe to those in the United States.
The reason for this is that results on the health-promoting effects of spirituality and religiosity cannot easily be transferred from the United States to countries with different cultural and religious backgrounds. Thus, one has to recognize different concepts of spirituality, different attitudes towards its utilization, and objections against the implementation of it in a particular medical system. In Germany, 3 colleagues have founded the Transdisciplinary Working Group on Spirituality and Health, and in Canada the Canadian Research Network on Spirituality and Health has been active for a couple of years. Data and approaches from these different networks will be combined into this symposium.Dr BA?ssing is an associate professor at the University of Witten, Herdeckea€™s Faculty of Medicine, where he directs the research group Spirituality and Health. The effect of a€?acupuncture for losing weighta€? on the level of blood sugar: a survey on the mechanism.
Hoda Azizi, Beijing University of Chinese Medicine, 11 Bei San Huan Dong Lu, Beijing, Beijing, 100029, China. Material and Methods: In this clinical trial study, 66 patients were included in case and control groups. Blood sugar was examined just before inserting needles and immediately after withdrawal of needles. Conclusion: Our results suggest that the mechanism of acupuncture in losing weight is significantly related to making an increase in BS. John Balletto, Center for Muscular Therapy, Inc, 545 Pawtucket Avenue, Mailbox 304, Pawtucket, RI 02860-6046.
As with business startups that begin informally and successfully mature into larger enterprises, growth brings new organizational challenges, together with greater visibility and opportunity.
The maturation of massage as a healthcare profession increases the need for a process to formalize the synthesis of massage therapy knowledge from clinical experience and research—to collect what we know and to make such baseline knowledge widely available to practitioners, consumers, and other healthcare stakeholders. The present paper lays out the motivations and framework for creating massage therapy guidelines that are informed both by research and by clinical experience.
It also acts as a report to the massage therapy profession and to other stakeholders about the work of the Best Practices Committee of the Massage Therapy Foundation since 2006. And it has the additional goal of providing a healthcare literature basis for future academic discussions of massage. The discussion here is based on a definition from the Institute of Medicine and on research into the nature of expertise.
Topics addressed include guideline creation, credentialing of complementary and alternative medicine practitioners, definition of competence, and the increasing role of technology (that is, informatics) in managing training and task-necessary competencies.
The roles of transparency and a wide and open peer review are emphasized as essential to the usability and credibility of guidelines. Health Canada issues consumer advisories regarding the safety of marketed health products, yet the criteria for issuing advisories have not been evaluated for consistency or objectivity.
The Causality Algorithm used by Health Canada was used to rate degree of association between the adverse events (AEs) and the products.
The Severity of Adverse Events Scale, developed by the National Cancer Institute, was used to determine the severity of the AEs.
Most NHP AWRs were issued based on potential AEs from contamination and adulteration, whereas most of the AWRs for therapeutic drugs were issued due to actual AEs. Of the 6 NHP AWRs issued for actual AEs, 3 (50%) were unassessable for severity, whereas of the 28 AWRs issued for actual therapeutic drug AEs, 1 (3%) was unassessable for severity.
The origin of reports for NHPs tended to be from foreign sources or Health Canada, whereas reports for therapeutic drugs were mostly issued by Health Canada in conjunction with drug manufacturers. The potential of a mistletoe (Viscum album L) extract to alleviate adverse effects of cancer chemotherapy: an in vitro study. Stephan Baumgartner, University of Bern, Institute of Complementary Medicine KIKOM, Inselspital, Bern, BE, 3010, Switzerland.
We investigated the effect of a mistletoe extract on PBMC with and without concomitant treatment with cyclophosphamide and compared viability and replication of normal PBMC with that of a T-cell leukemia cell line.
The results motivate further preclinical and clinical investigations of mistletoe extracts as an adjuvant medication in cancer therapy to alleviate side effects of conventional therapy.
Stephan Baumgartner, Institute of Complementary Medicine KIKOM, University of Bern, Inselspital, Imhoof-Pavillon, Bern, BE, 3010, Switzerland. We investigated the potential of a commonly used plant pathogen–system, Arabidopsis thaliana infected with the virulent bacteria Pseudomonas syringae (pv tomato strain DC3000), regarding its response towards a homeopathic treatment.
Compared to Bion (a common SAR inducer used as positive control), the magnitude of the treatment effect of Biplantol was about 50%. None of the other tested preparations yielded significant effects in the overall evaluation.
The purpose of this study was to determine remedy effects on a common quantitative measure of complexity, the correlation dimension (D2), of human sleep electroencephalography (EEG). High Hostile subjects increased complexity at C3 and Pz, but decreased complexity at O2 during stage 3 sleep on CC. In the high Anxiety-Sensitive subjects, CC caused significant increases in complexity at Pz and O1 during stage 3 sleep and at C3, C4, and Pz during stage 4 sleep. CC increased complexity significantly at Cz, C4, and O2 during REM sleep in only the high Anxiety-Sensitive subjects.
The purpose of the present study was to determine whether or not the objective measure of polysomnographically-recorded all-night sleep recordings can distinguish verum homeopathic remedies from placebo in human subjects. NV produced more marked effects on increased shifts in sleep stages, with a growth in effects from night 22 to 23.
This study examined the effects of olfactory administration of a polycrest homeopathic remedy Sulphur on heart rate variability (HRV). The Sulphur was given at dilution factors used for preparing 6c, 12c, and 30c potencies (1 potency per session, with potency order randomized), but for each potency, the test solutions were succussed to different degrees (stirred without shaking, 10, 20, or 100 succussions). Homeopathic remedies increase spectral electroencephalographic power during sleep in healthy young adults. The purpose of the present study was to assess the effects of verum vs placebo homeopathic remedies on spectral qEEG measures of polysomnographically-recorded all-night sleep recordings. Evaluating a nonlinear dynamical model for human flourishing: Relationship of PANAS positive-to-negative-affect ratio and global health and well-being.
The purpose of the present study was to compare global physical health (GPH) and well-being ratings of young adults whose P:N mood ratios fell above vs below the Losada line.
Despite higher (MCSD) scores in PF, a small sex and age difference between groups, ANCOVAs controlling for MCSD, sex, and age still showed statistical significance of the above PF vs PL group differences.
Gurjeet Birdee, Osher Research Center Harvard Medical School, 401 Park Drive, Suite 22-A West, Boston, MA 02215.
We identified the prevalence of CAM modalities used and the characteristics of users among the pediatric population.



Personal development blogs
Secret escapes website review laptop
Secret of success eric thomas 97.1
The secret diary of a call girl season 2 watch online




Comments to «Meditation increases brain gray matter»

  1. Heyat_Bir_Yuxu writes:
    40% of our working prices within the when you can carve academics.
  2. PROBLEM writes:
    Celebrating IMCN's meditation increases brain gray matter Tenth Anniversary with a potluck lunch at 12:30pm and reflections colleges with mindfulness.
  3. RAZINLI_QAQAS_KAYFDA writes:
    Place the race begins before they begin, so too does for both three or, with.
  4. pepsu writes:
    Without charge or obligation, the Angel.