MAGAZINE INTERVIEW WITH BETH PATTERSON: “DHARMA THERAPY FOR TRUE WELL-BEING”

I am honored to have been interviewed by Eastern Horizon, the magazine of the Young Buddhist Association of Malaysia (YBAM) (https://ybam.org.my/en/eastern-horizon/e-magazine/) about the inspiration and insights Buddhism brings to my personal life and work as a psychotherapist and grief counselor. I am grateful to YBAM for giving me permission to share this article.

 

Beth Patterson is a Licensed Psychotherapist and Grief Counselor in Oregon, USA. She is also a Clinical Supervisor for crisis workers at CAHOOTS – Crisis Assistance Helping Out on the Streets — a mobile crisis intervention program that provides support for the police departments in Eugene and Springfield, Oregon, providing initial contact and crisis counseling for people who are dealing with homelessness, substance abuse or illness.

Beth’s professional practice is informed by her longtime Buddhist practice and deep belief that we all have the inherent wisdom to use our losses and other life challenges and transitions to grow and heal. As a former attorney and executive in the music industry, Beth also counsels musicians and others in the arts.

She explains to Benny Liow what brought her to Buddhism, the inspiration she had from her Tibetan Buddhist teacher Dzogchen Ponlop Rinpoche, and what is true happiness and well-being, especially the usual material happiness we are familiar with and the kind of happiness taught by the Buddha. She also shared suggestions from her e-book Love without Limit: Reflections of a Buddhist Psychotherapist on how to deal with depression, anxiety, grief and trauma, and in navigating life’s challenges with mindfulness, love and compassion.

Benny: You have been a successful entertainment lawyer and now a counselor and psychotherapist, as well as a Buddhist teacher. What inspired you in Buddhism initially and until now?

Beth: I grew up in the Jewish tradition, which, like Christianity, is a monotheistic religion. I remember questioning at a young age the idea that there was a being more powerful than me, to whom I needed to hand over my power to achieve happiness. From that time on, I believe that we have the inherent power in ourselves to grow and heal. I discovered Buddhism in college, and its tenets validated my beliefs.

I began studying and practicing in the Tibetan Buddhist tradition in the late 1980s, and took refuge with Dzogchen Ponlop Rinpoche in New York City in the early 1990s, and later became his student. I have served in Ponlop Rinpoche’s international organization, Nalandabodhi International, out of my devotion to Rinpoche and the Three Jewels – the Buddha, the Dharma and the Sangha.

I am grateful every day for the support of the Three Jewels: The Buddha as an inspiration that enlightenment is available to all of us, and a reminder of all beings’ inherent Buddha Nature; the Dharma that teaches us how to live well, navigate life’s challenges and be of benefit to all beings; and the Sangha as a supportive community of fellow travelers on the Buddhist path.

The Buddha advised us to reflect daily on birth, old age, sickness and death. How can this lead to happiness and well-being – won’t we become negative towards the beauty of life?

To me, it is just the opposite: Knowing that everything ends, moment by moment, inspires me to appreciate the beauty of life. For example, it is now Autumn where I live in the Pacific Northwest. It is such a poignant time of year. The brilliant leaves and the crisp, clear air remind me that those brilliant leaves will soon fall and the clear crisp air will turn to a season of cold and rain. Actually, change is the good news! If things didn’t change, we’d be stuck in a rut, and there would be no opportunity to transform our lives.

Reflecting on birth, old age, sickness and death connects us to The Four Noble Truths, Buddha’s first teaching after he attained enlightenment under the Bodhi tree in India. As a young, sheltered and wealthy young man, Prince Siddhartha had no understanding of the truth of suffering that comes with birth, old age, sickness and death, let alone their inevitability. was only when he left the palace and went on his journey to find the Truth that he was able to get in touch with the suffering of all beings, including his own. Without the knowledge and experience of suffering, enlightenment is not possible.

Each life transition, and the inevitable changes in life, is also a grief process. Even positive changes can come with a sense of grief – we are letting go of something to attain something more beneficial. For example, when I work with people with addictions, I work with it them with my lens as a grief counselor. People with addictions need to say goodbye to the habits, friends and lifestyle they have had in order to have a healthier one.

As a grief counselor, I have come to realize that allowing ourselves to deeply feel our grief opens us to its universality. Grief counselors are fond of working with grief models, like the five stages of grief espoused by Elisabeth Kübler-Ross. I have come up with my own model of working through grief: We start out asking “Why me?”, then “Why not me?” and then “Yes, everyone.”

Through allowing ourselves to fully experience our grief and express our suffering regarding birth, old age, sickness and death, we can see that there is a way out of that suffering, through working with it as a fact of life, and finding a meaningful way to grow, transforming hopelessness into hope and possibility. Through experiencing our own unique grief, we can tap into its universality, lessening our hopelessness and isolation, and deepening our connection with others and the human condition.

I reflect on impermanence – birth, old age, sickness and death — daily, reminding myself that what is born will die – moment by moment. Contemplating impermanence gives me the impetus to live my life as well as possible, with kindness toward myself and all beings, so that those moments will be good ones.

In your e-book Love without Limit: Reflections of a Buddhist Psychotherapist, you mentioned that happiness is already within each of us, just waiting to be discovered. What is this happiness that the Buddha is referring to, and how is it different or similar to our usual understanding of happiness?

This questions brings to mind a classic American country song, “Looking for Love in All the Wrong Places.” Humans tend to look for happiness by collecting more possessions, seeking praise and love from others and attaining wealth, thinking these external things will bring us true happiness. However, the “happiness” we get from these external things is fleeting at best. True happiness comes from the only thing that lasts, that is, our heart of kindness, our Buddha Nature.

The Zen master Thich Nhat Hanh has said “The present moment is full of joy and happiness. If you are attentive, you will see it.” Each moment is perfect just as it is. The problem is that we often live in the past, dwelling on regrets, or in the future, full of hope and fear. Each moment is perfect, just as it is, and the only way we can experience happiness is in the present moment.

Therapy is not just about talking about the past, as many incorrectly assume. Rather, the psychotherapist’s goal is to work with the client in the here and now, while both therapist and client observe how past experiences inform the present moment. Psychotherapy works best when the past is re-experienced in
the present, in a safe and non- judgmental space. It is not about just talking about the past, but feeling the accompanying body sensations and emotions as fully as possible, and experiencing the energy and dynamics of the relationship between the therapist and client.

As the client-therapist relationship grows, and the client is able to trust the therapist to maintain
a safe environment, the client can re-experience the past more fully, and can then learn from and heal past wounds and transform the present. Many of my clients who have experienced trauma feel so unsafe that experiencing life moment to moment seems impossible for them. They hide behind the stories they have told themselves that they are not worthy of love, or that the traumas they have endured are their fault. As we work to disarm those negative self-beliefs, the client is more able to experience each present moment more fully, heightening their ability to experience true happiness.

In your book, you also mentioned helpful suggestions for dealing with depression, anxiety, grief and trauma, and for navigating life’s challenges with mindfulness, love and compassion. If mindfulness is objective non-judgement, how does one then cultivate love and compassion which tends to be more emotional and subjective?

The love and compassion that mindfulness and Buddhism talk about is limitless and boundless. It is not limited to a choice few, but to all beings. Reciting The Four Immeasurables, the four boundless positive qualities of equanimity (upekkhā), lovingkindness (mettā), compassion (karuṇā), and sympathetic joy (muditā), helps us cultivate non-judgmental, limitless compassion. Equanimity is the foundation for seeing each moment freshly, with non-judgment. This accords with Jon Kabat- Zinn’s definition of mindfulness as “awareness that arises through paying attention, on purpose, in the present moment, non- judgmentally, in the service of self- understanding and wisdom.” With equanimity as the foundation, our emotional and subjective clinging is dissolved, and the boundless states of lovingkindness, compassion and sympathetic joy can flourish, becoming available to ourselves and all beings with exception.

Furthermore, many clients with depression have tunnel vision, just thinking about their own troubles, and that no one suffers like they do. As we begin to let go of our ego- clinging, that tunnel vision opens into a more panoramic view. We then understand that all of us suffer, and can develop lovingkindness and compassion for ourselves and all beings.

In one of your writings, you mentioned that you applied the Four Noble truths, a core Buddhist teaching, to overcome suffering when you had chronic pain. Isn’t the teachings of the Buddha meant more for overcoming mental suffering rather than physical suffering? Can you share your experience with us?

There is a well-worn adage “Pain is inevitable, but suffering is optional.” My chronic pain has offered a valuable opportunity to work to separate my mental suffering from the direct physical sensations of pain. In other words, honing in on the physical sensations, such as burning or throbbing in the location of my pain becomes the object of my meditation. Mental suffering arises when I stray from the direct experience of those feelings into my thoughts about the pain, whether self-pity, fear or myriad other negative thoughts. The Buddha calls this “shooting ourselves with the second arrow.” The first arrow is the pain, which is inevitable, and the second arrow is all the associated negative thoughts, which are optional. Being able to separate my pain from suffering has brought me great relief.

When I bemoan the perceived injustice of having a chronic pain condition, I am shooting myself with a second arrow. My mindfulness practice allows me to notice my thoughts and judgments as they arise, let them go and return to the object of my meditation. When I am experiencing pain, I allow that to be the object of my meditation. As thoughts and judgments arise, I notice them lightly and return to the direct experience of pain. When I work with my pain directly in this way, I am fully in the present moment. My thoughts, judgments and resistance are gone, and so is the suffering that I have added to the pain with those thoughts, judgments and resistance. In that present moment, I am liberated from my suffering.

Many times, our mental suffering arise because of too much self- criticism. How do we balance too much of self-criticism and self-praise so that we can adopt a more equanimous mind state?

The Buddhist path is all about the “middle way.” When Shakyamuni Buddha was asked how to meditate, he responded “not too tight, not too loose, analogizing the experience to tuning a lute – If the strings are too loose, the lute won’t play, and if they are too tight, they will break. The same can be applied to working with self-criticism and self-praise. When we find ourselves in a state of self-criticism, we can go to the opposite extreme of self-praise. The key is to find a middle way, where we are kind to ourselves without going overboard in the other direction to self-praise. That middle way opens us to a sense of spaciousness and gentleness, and as you say, a calm and equanimous state of mind.

The key to creating a more calm and equanimous state of mind is to remember that there is no “I”, and to not take things personally. We suffer when we believe in a solid sense of “I.” This is the fundamental tenet of the first of the Four Noble Truths in Buddhism. Developing an understanding of this First Noble Truth is the key to the experience of freedom and ease. Not taking things personally may take practice, patience and mindfulness in order to let go of our need to be right or defend our position. The result is
a more kind and compassionate relationship, both with ourselves and with others.

It is common for us to think that the “grass is always greener the other side.” How do we navigate between being contented with what we have, and a couldn’t care less attitude of not even wanting to improve or try to be better?

The most common complaint Ihear from depressed clients in my psychotherapy practice can be summed up in two words: “Not enough.” A common plight of human beings is dissatisfaction, and may be expressed as “I’m not good enough”; “My partner isn’t good enough”; “My job isn’t good enough” … and the list goes on and on.

From a Buddhist perspective, the poverty mentality of “not enough” is depicted as a hungry ghost, a being with a tiny mouth, skinny neck, arms and legs, and an enormous stomach. Because the hungry ghost’s mouth and neck are so small, not enough food ever reaches its huge stomach. The hungry ghost is always hungry. Because its arms and legs are so skinny, the hungry ghost is unable to hold on to anything. Nothing can satisfy the hungry ghost.

We are rarely satisfied with who we are and what we have accomplished. As a result, humans are in perpetual motion, seeking fulfillment and satisfaction outside of ourselves, but never finding it until we realize that we are whole and complete as we are. This doesn’t mean that we shouldn’t try to achieve goals that bring us satisfaction and, more importantly, bring benefit to others. For myself, that entailed a major shift, first leaving a high paying job as a corporate entertainment lawyer to work with musicians, often for free, and then changing careers entirely, becoming a Buddhist psychotherapist in my early 50s. I get the most satisfaction from sharing the wisdom I have gained through my life experiences – including the many mistakes I have made along the way.

As a practicing Buddhist and a psychotherapist what would you say is the most important attitude we should cultivate if we wish for well-being and happiness in life? An attitude of gratitude and appreciation for all is the most important attitude for cultivating well-being and happiness. I often suggest that clients write down every day five things they are grateful for that happened that day. Some find this difficult because
of what I call the “yeah buts” – a common refrain from depressed clients. They may say something to the effect of “yeah but, I don’t feel grateful about anything.” I counter with “What about the fact that the sun is shining? Did you hear the beautiful song of that bird outside our window?” It takes practice to observe and take time to appreciate the small joys of life. I believe this is the key to cultivating well-being and happiness in life.

Having a sense of humor also helps us cultivate well-being and happiness. A sense of humor helps us not take things – especially ourselves – so seriously. For example, competitiveness is a habitual tendency (klesha in Sanskrit) of mine. When I see it rear its head, I’m able to step back and laugh at it, saying to myself “oh, hello, klesha. Thanks for showing up, but I don’t need you to stick around.” It really helps! A sense of humor can get us out of our ego-driven tunnel vision and self- centeredness. It helps us see things from a bigger, more panoramic perspective, making problems that seem insurmountable more workable. EH

SELF-COMPASSION TAKES COURAGE

Self-compassion requires looking honestly and courageously at our suffering, and then responding to that suffering with love. We tend to resist looking deeply, and instead create all sorts of strategies for avoiding the experience of suffering.  Without the courage to look and not run away, self-compassion is not possible.

My deep-seated tendency to feel judged affects my ability to truly listen and stay present, especially in difficult conversations.  I become argumentative, get defensive, shut down, feel resentful. I hold tightly to my position, and don’t really hear what the other person is trying to communicate.  Self-compassion and compassion for the other fly out the window.

So, I decided to try something new after a recent difficult conversation, using the self-inquiry tool developed by members of my Buddhist community Nalandabodhi, to deal with interpersonal conflicts.  Among the inquiries are the following:

  • Have I reflected honestly on my feelings, needs, habitual tendencies and styles of communication so as not to create obstacles to constructive and compassionate communication?
  • Have I reflected on how my speech or actions may, even inadvertently, have contributed to the conflict or misunderstanding?
  • Have I taken responsibility for my view, actions and speech, rather than attributing blame to others?
  • Am I willing to value kindness and open-mindedness above vindication or being “right” and to intend a “win-win” rather than “win-lose” outcome?

Reflecting on and responding honestly to these questions was a real eye-opener for me.   In particular, I looked at my tendency to respond defensively when I feel judged.  Looking at this tendency directly and honestly brought me to tears, as I  remembered how often I felt judged and criticized, even as a young child.  I cried for that hurt little girl, holding her with compassion.  In the process of looking honestly and clearly, all the story lines, justifications and defensiveness dissolved.

Self-compassion is not self-indulgence.  Self-indulgence includes holding on to the stories we tell ourselves to justify our actions and reactions.  In contrast, it takes courage to let go of our story lines, and look honestly at our responses.  An  old therapist would often ask me “So what are you going to do about it?” when I complained and said words to the effect “well, that’s because my mother was so judgmental.”  My therapist’s response used to irk me, but I now find it empowering.

In difficult interactions, it’s easy to focus our attention on the other person, attributing all kinds of blame on them, and maybe even try to “fix” them.  When we ignore our own responses, we miss the opportunity to deeply understand our discomfort, and cannot meet our pain with compassion.  Looking deeply at our responses, especially our deeply ingrained negative tendencies and using the tools of self-inquiry takes courage.  It’s the only way out of our suffering and into living fully and authentically.

 

©2021.  Beth S. Patterson.  All rights reserved.

 

 

 

 

 

 

 

 

 

A BUDDHIST APPROACH TO WORKING WITH PAIN:   FROM SUFFERING TO LIBERATION

I have been pondering how to use my Buddhist practice to work with suffering when my chronic pain flares up.   The Buddha’s teachings on The Four Noble Truths came immediately to mind.  These teachings provide a roadmap for living a life free from suffering.  Experiencing my  pain directly, without judgments or resistance, has allowed me to use the Buddha’s roadmap on my journey from suffering to liberation.

 The Four Noble Truths

In his first teaching after attaining liberation, the Buddha taught The Four Noble Truths:  the truth of suffering, the truth of the origin of suffering, the truth of the cessation of suffering, and the truth of the path to liberation from suffering.

The First Noble Truth recognizes the existence of suffering. We humans will do everything we can to resist or deny the existence of suffering.  Paradoxically, resisting or denying the existence of suffering only increases our suffering. Recognizing the existence of suffering, without additional thoughts or denial,  is the first step to letting go of the suffering that accompanies my chronic pain.

The Second Noble Truth, the cause of suffering, is clinging to things – especially ourselves – as real and permanent.   My knee-jerk reaction when my pain flares up is self-pity.  My self-centered thoughts and negative judgments increase my suffering.  When I let go of my thoughts and focus instead on the direct experience of my pain, there is an immediate sense of relief and spaciousness.

Focusing on the pain itself, rather than clinging to it as something unique to myself, leads to the cessation of suffering – The Third Noble Truth.   Working directly with the energy of physical pain has become my path out of the suffering that accompanies my pain. This path is related to the Fourth Noble Truth, the path to liberation from suffering.

“Don’t Shoot the Second Arrow”

The Buddha’s teachings on the “two arrows” has also been extremely helpful for me. When we experience physical or emotional pain, it is like being shot by an arrow.  According to the Buddha, the first arrow is not problem.  After all, we all inevitably experience pain of all kinds in our lives.  The problem is that we then shoot ourselves with a second arrow with our thoughts,  judgments and resistance to the initial pain.  According to Buddhist teachers Jack Kornfield and Donald Rothberg[i]:

According to the Buddha, our reaction [to pain] is equivalent to being shot by a second arrow.  We can call this second arrow suffering. Suffering arises because when we experience pain … we typically react by lashing out, at ourselves and others.  We believe somehow that this will dispel or mitigate the pain.  We act in such a way that a second arrow is shot, at us or others, on account of the pain of the first arrow.  When we act so that the second arrow is shot, we ‘pass on’ the original pain.

When I “lash out” at the perceived injustice of having a chronic pain condition, I am shooting myself with a second arrow.  My mindfulness practice allows me to notice my thoughts and judgments as they arise, let them go and return to the object of my meditation.  When I’m experiencing pain, I allow that to be the object of my meditation.  As thoughts and judgments arise, I notice them lightly and return to the direct experience of pain.

Working Directly with Physical Pain as a Path to Liberation

Here is an exercise for working directly with pain to alleviate the second arrow of suffering that often accompanies it. This exercise can be used for both physical and emotional pain.

  1. Focus on the pain and breathe into it.
  2. Explore the pain with a sense of curiosity:
    • Where  is the pain located?
    • How big is it?
    • What’s its shape?
    • If it had a color, what color would it be?
    • Is it hot or cold?
    • Is it static or does it move or vibrate?
  1. As you explore the pain in this way, notice how it shifts and moves. This is a good reminder that everything is impermanent.
  2. Remember that we all experience pain during our journey on the Four Rivers of Life — birth, old age, sickness and death.

When I work with my pain directly in this way, I am fully in the present moment. My thoughts, judgments and resistance are gone, and so is the suffering that I’ve added to the pain with those thoughts, judgments and resistance. In that present moment, I am liberated from my suffering.   As the old adage goes, “Pain is inevitable; suffering is optional.”

 

Reference:

[i] D. Rothberg & J. Kornfield (2006).  The Engaged Spiritual Life:  A Buddhist Approach to Transforming Ourselves and the World. Boston:  Beacon Press.

 

© 2020 Beth S. Patterson.  All rights reserved.

HEALING PANDEMIC GRIEF:  WHO AM I NOW?

Now that the pandemic has entered a new phase, I am contemplating how to heal pandemic grief.  I am asking myself many questions:  What will my life look like as things get back to “normal”?  Can I really go back to the way things were?  What have I learned from this loss that I can carry forward in my life to be of benefit to myself and others?

As grief educator Ken Doka has said, “Whenever we experience a loss…it helps to recognize that loss and grief have changed us.  We cannot go back to the way we were before. Our situations are different.  We are different as well.”

Instead of pondering what is widely called the “new normal”, perhaps it is more beneficial to contemplate the “new me.”  Indeed, who am I now?

I have been learning so much about myself during this pandemic, spending more time with myself without my usual distractions.  On the one hand, I see my neuroses more clearly, and I don’t always like what I see.  On the flip side, I have learned to be more patient and compassionate with myself, neuroses and all.

I am also seeing more clearly what is important to me now, and what I want to bring forward into my life, both for myself and others, as I move into the post-pandemic world.   As Zen teacher Vanessa Zuisei Goddard says:

What we need is the willingness to look honestly at our wants and our choices and ask ourselves, does this make sense—not just for me, not just for now, but for everyone and for our future?”  What sort of “normal” do we want to return to when the worst of the pandemic is behind us? Stepping forward from this point, what kind of world will we co-create?”

At the beginning of the pandemic, I made all kinds of grand plans: to read those 1000 page dharma books, meditate for three hours a day, and on and on.  After berating myself for a while for not living up to those expectations, I’ve decided to let myself be.  Spending time with my cat purring in my lap, looking at the birds in my backyard, pulling weeds in my garden…This is all practice too, and has been so freeingIntentionally sitting and letting myself be bathed in all of my senses is the best meditation practice of all.

Practices for healing pandemic grief:

There are times when I am afraid that I will drown in profound grief and anxiety, hopelessness and despair.  I’ve also found ways out of these intense emotional states that have lifted me up me when I am afraid of drowning in them.   Here are some practices you can use:

  1.  Connect with gratitude. If you are finding this difficult because of your grief and despair, at the end of the day, write down five things you are grateful for that happened that day.  The little things count most, like hearing a beautiful birdsong, seeing a plant bloom, smelling a delicious meal before tasting it.
  2. Connect with your senses. Intentionally tune in to all of your senses – touch, sight, smell, sound, taste, with whatever you are doing.
  3. Contemplate interconnectedness. We often feel that we are a single identity, alone in the world.  The truth is that we and everything around us is interconnected.
  4. Express your appreciation. We often take the people in our lives  — including ourselves — for granted.  Letting them know you appreciate them opens our hearts to ourselves and to them.  After all, we are all truly interconnected.
  5. Memorialize your self-discoveries and new intentions. Use this time to notice how this time has changed you.  Journal, paint or draw about who you are now, and the world you want to create for yourself and others going forward.

 

© 2020. Beth S. Patterson.  All rights reserved.

 

 

 

 

 

 

BEFRIENDING THE INNER CRITIC

We therapists often advise our clients to ignore or reject the inner critic.  That’s a little like trying to ignore a pebble in our shoe.  What if we can do something productive, like removing the pebble from our shoe?  Ignoring it just doesn’t work. What if we were to actually listen to and befriend the inner critic instead of ignoring it?

My meditation practice has helped me separate myself from my inner critic.  Through increased awareness, I started to pay attention to that loud voice, rather than it simply being background noise. In fact, I named my inner critic “Bertha.”  I have usually told her to go away when her voice gets loud. Nonetheless, in times of stress, Bertha comes around more often, and telling “her” to go away just makes her voice louder.  It’s like that pebble in a shoe that gets more and more irritating until we do something about it.

Be Grateful to Everyone

 Befriending my inner critic has been a transformative and empowering experience.  It started with asking myself: What if Bertha is trying to be helpful but just doesn’t know how to communicate kindly and skillfully?

I am reminded of the Tibetan Buddhist mind-training slogan[a]:  “Be Grateful to Everyone.”  In her seminal book, Start Where You Are:  A Guide to Compassionate Living,[b] Pema Chodron notes that this mind-training slogan is about making peace with the aspects of ourselves we have rejected.  When we meet someone who pushes our buttons, instead of pushing them away, this slogan teaches us to welcome them in, knowing that they are triggering a part of ourselves we don’t like.  Tibetan Buddhist teacher Traleg Rinpoche notes:

If we can shift our focus from our rigid, narrow and habituated points of view, we will empower our ability to embrace situations in a new way so that every situation will start to seem more workable….We should endeavor to think good thoughts about people who have…made our lives quite difficult at time and try to turn those negative situations to our spiritual advantage, so that we become wiser and stronger.[c]

Of course, Bertha is not a real person, but I find this teaching very helpful in working with that part of me that is self-critical.  As a result, I have started listening to my inner critic with compassion and curiosity, like I would with a young child who doesn’t yet have the skills to express her needs.  Instead of immediately rejecting Bertha, I have started exploring what she is trying to communicate.  For example, if Bertha reproaches me for being forgetful or clumsy when I’m stressed out,  I can thank her for encouraging me to slow down and take a breath.  Befriending my inner critic has helped me embrace parts of myself I have rejected, in a way that empowers me rather than causing  harm. I can then actually be grateful to Bertha,  for reminding me to be self-compassionate.

 

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[a] There are 59 slogans for training the mind to cultivate lovingkindness and wisdom, as a way to bring the Buddhist teachings into everyday life.  The Tibetan term is “lojong”, which means mind-training, or heart-training.

[b] Chodron, Pema, Start Where You Are:  A Guide to Compassionate Living. Boston:  Shambhala Publications.

[c] Traleg Rinpoche (2007. The Practice of Lojong:  Cultivating Compassion through Training the Mind. Boston & London:  Shambhala Publications, pp. 96-96.

 

 

(c) 2019 Beth S. Patterson.  All rights reserved.

WAITING FOR A HURRICANE: ANTICIPATORY TRAUMA IS REAL

As I wait for Hurricane Dorian’s arrival and observe the “cone of uncertainty” about where it will land, I’ve been wondering if there’s such a thing as “anticipatory trauma.” So, when the going gets tough I go googling.  My research shows that anticipatory trauma is indeed real.

“One writer has said[i]some people are already experiencing the fallout [of the impact of climate change] – in the form of what’s being called pre-traumatic stress reactions.”

Coincidentally (or not), while writing this article, I  received a link to a Ted Talk by science writer Britt Wray, on how climate change affects our mental health: https://www.ted.com/talks/britt_wray_how_climate_change_affects_your_mental_health

Wray notes that that “we …need our actions and policies [regarding climate change] to reflect an understanding of how our changing environments threaten our mental, social and spiritual well-being.”  Wray says some of the psychological effects of climate change include anxiety, grief, depression, increased PTSD and existential distress.  She also includes pre-traumatic stress in the list.

As a trauma therapist, I have come to understand that the brain acts like a binary computer.  It links different experiences together as if they were the same and creates what I call “knots of association.”  For example, my brain has now linked Hurricane Dorian with Hurricane Irma and all the memories I have of that powerful storm two years ago.

I remind myself that  “This is not that”  as I untie those knots of association. In fact, in remembering that this is not that, I recall positive memories of my volunteer work in a hurricane shelter with those left homeless by Irma’s destruction.  I remember their remarkable resilience, optimism and strength. I learned that their resilience came from caring for each other, rather than isolating themselves in despondency and despair. (See my blog article “Resilience in a Hurricane Shelter” for more of what I learned:  https://bethspatterson.com/resilience/).

I have offered my “mantra” that this is not that to others experiencing anticipatory trauma.  Here are some other tips that may help as we grapple with hurricanes and other environmental disasters:

  • Practice self-compassion. It doesn’t help to judge yourself for your reactions.
  • Focus your attention on your body instead of your thoughts. For example:
    • Inhale deeply through your nose, from your diaphragm to your collar bone. Then exhale slowly through your mouth.  Imagine cool, nourishing air coming in through your nose as you inhale, and warm, stale air leaving as you exhale.
    • Place one hand on your heart center and the other on your solar plexus, Notice the rise and fall of your torso, as you feel the connection between these two chakras or energy centers.
    • When disturbing thoughts and images arise, simply notice them and return your attention to your breath and body.
  • Become an activist to bring attention to climate change or other issues that may have a negative impact on your wellbeing.
  • Volunteer your time to help those impacted by natural disasters.
  • Journal about your feelings. This helps get those swirling thoughts out of your head and so they become more workable.

Most importantly, avoid any tendency to isolate yourself.   You are not alone in feeling distress and anxiety about the “cone of uncertainty” as we await Hurricane Dorian’s arrival.

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[i]S. Colino, “Fearing the Future: Pre-Traumatic Stress Reactions,”  US News, May 24. 2017.

 

© 2019 Beth S. Patterson.  All rights reserved.

DIGITAL DISTRACTION:  HOW WE USE OUR DEVICES TO AVOID DIFFICULT EMOTIONS

Digital distraction is everywhere these days.  I have started paying attention to how I also use my devices to avoid difficult emotions. Checking my emails and surfing the internet consume more hours in my day than I’d like to admit. So, I have started looking more mindfully at my digital device habits.

How We Use Our Devices to Avoid Difficult Emotions

I have noticed that when watching the horrific news of the day, I often pick up my tablet to play a game of Solitaire.   With this mindful view, I now understand that I often play Solitaire to avoid feeling anxious and worried.

Similarly, when I’m taking public transportation, I tend to fritter away my time on my cellphone. As a result, I miss human interactions and the beautiful scenery around me.  I see how digital distraction distances us from others, and from our environment.

I have been weighing whether my digital device use truly connects me to others. Many close friends and family members prefer to “talk” via text, rather than by phone or in person. I have picked up this habit as well. I believe that much of the divisiveness, violence, confusion and lack of empathy in today’s world can be attributed to an over-reliance on social media for connection.

Digital Distraction As a Defense Against Being Hurt

Many of the clients in my therapy practice admit that they surf the internet to avoid difficult emotions, such as anger, fear or anxiety.  For example, “Donna” has a history of complex trauma, primarily due to her mother’s emotional abuse.  As a result,  Donna has used distraction as a coping mechanism throughout her life to avoid painful emotions.

Donna told me that she has long been “disconnected from life” to avoid anxiety and fear. She worries that if she connects with those in her life, they will disappoint and hurt her, like her mother did. Likewise, Donna avoids connecting with herself because when she does she is filled with negative self-judgments.

Due to her anxiety and fears, Donna often stays up until 2am or later, surfing the internet and playing computer games.  She understands that this habit allows her to avoid her fears and other difficult emotions.

How The Emotional Rescue 3-Step Plan Can Help Create Healthy Relationships with Our Devices…And With Others

Donna and I have been working with the book Emotional Rescue:  How to Work with Your Emotions to Transform Hurt and Confusion into Energy that Empowers Youby Dzogchen Ponlop[i]We recently applied Ponlop Rinpoche’s Emotional Rescue 3-Step Plan to Donna’s digital distraction as a way to avoid feeling her emotions at bedtime.  As a result, Donna is beginning to let go of her digital device urge, and instead, has begun reading or knitting to help her relax into sleep.

I offer the Emotional Rescue 3-Step Plan here to help you create a mindful and healthy relationship with your devices and understand the triggers that make you turn to them to avoid difficult emotions.

The first step of the Emotional Rescue 3-Step Plan is Mindful Gap.   When you feel the urge to distract yourself with your devices, simply stop, take a breath and notice the urge without taking action. Breathe and feel what’s going on in your body without judgment.

From this internal focus, expand your awareness to your environment.  This is Clear Seeing,  the second step of the Emotional Rescue Plan.  Take a look and see what your body is telling you when you have the urge to digitally distract yourself.  For example, do you feel a fluttering in your chest or tightening in your stomach when you feel anxious? Do you start fidgeting when you’re bored? Is there a pattern to mindlessly picking up a device when you feel certain emotions?

The third step of the Emotional Rescue 3-Step Plan is Letting Go.  Allow your body to relax. Breathe in compassion for yourself, and breathe out compassion for all others who feel the need to digitally distract themselves to avoid difficult emotions.

Letting go gives you the chance to choose whether or not to pick up a device at that moment.  My aspiration is to choose connection and aliveness over distraction and numbness.

 

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[i]Dzogchen Ponlop (2016). Emotional Rescue:  How to Work with Your Emotions to Transform Hurt and Confusion into Energy that Empowers You.  New York: Tarchin/Perigree.

(c) 2019 Beth S. Patterson.  All rights reserved.

 

PRACTICING COMPASSION AND EQUANIMITY IN THE AGE OF TRUMP

Practicing compassion and equanimity with difficult people in our lives can be challenging.  However doing so greatly increases our capacity to care for all beings, including ourselves.  It also helps release us from getting caught up in negative emotions.

The Tibetan Buddhist practice of tonglen,  translated as  “sending and receiving,” is a powerful compassion practice. In practicing tonglen, we take in others’ suffering, and send them healing and compassion.  Each time you breathe in, you take in others’ pain and suffering. You take it into your heart, where it is transmuted, transformed into compassion. Then you breathe out, and send them healing and love.

Tonglen is practiced in stages:  first for ourselves, then for a loved one, then for a neutral person, then for someone we dislike, and finally for all sentient beings everywhere.  Tonglen can be done as a formal sitting practice or “on the spot”.[b]  For example, I practice tonglen on the spot when I pass a homeless person, instead of looking away.  I breathe in the suffering of that person, and send him or her healing with my out-breath.

Tonglen became a mainstay of my healing from the trauma of witnessing firsthand the horrors of 9/11. It was fairly easy for me to practice compassion for myself, those who died and their loved ones, and all others who witnessed the planes crash, whether in person or on the news. What truly healed me was practicing tonglen and developing compassion for the young hijackers who flew the planes into the World Trade Center.  I saw them as confused young men who abandoned their lovingkindness and basic goodness in the name of religious zealotry.

The transformative power of tonglen lies in directly experiencing that we are all born with basic goodness, and that our suffering, borne of clinging to a solid sense of self, obscures our basic goodness and lovingkindness as we move through life’s challenges.

Practicing equanimity is another transformative practice. It is a powerful way to let go of negativity and an “us versus them” mentality.  Vietnamese Buddhist master Thich Nhat Han says that equanimity involves seeing everyone as equal:  “We shed all discrimination and prejudice, and remove all boundaries between ourselves and others.  In a conflict, even though we are deeply concerned, we remain impartial, able to love and to understand both sides.”[c]

I have recently been practicing compassion and equanimity for Donald Trump. Bear in mind that compassion does not mean approval. Without getting into a political discussion and simply based on my observations, I do not condone Trump’s lies, inflammatory language and divisiveness.

When I find myself getting caught in negativity listening to the news, I take a breath and step back.  I’ve made it a practice to look at Trump’s eyes and practice compassion and equanimity on the spot.  I am then able to see the fear and suffering in his eyes.  Behind his tough guy façade, I see a scared little boy.  Sometimes Trump’s eyes seem eerily empty, a reflection of a person who has been called “an existence without a soul.”[d]

Observing Trump’s pained eyes, I wonder how his soul became so damaged.  As a psychotherapist, it is tempting to diagnose him.  I prefer to try to understand, based on my understanding of trauma and attachment theory, how Trump has become the person he is today.  His mother has been described as emotionally distant and frequently absent.  His father has been described as a “tyrant.”

It is thus no surprise then that Trump is so sensitive to criticism.  His bluster and boastful arrogance are likely a mask to hide his deep insecurity and fear of being seen as weak or unworthy.  As Dr. Justin Frank notes:

One of the things that you do when you’re feeling ignored and abandoned in some way is develop contempt for that part of yourself. You have the hatred of your own weakness and you then become a bully and make other people feel weak, or mock other people to make it clear that you’re the strong one and that you don’t have any needs.[e]

Fear seems to be a driving force in Trump’s life. As Zen teacher Ezra Bayda says:

 “[F]ear makes our life narrow and dark.  It is at the root of all conflict, underlying much of our sorrow.  Fear also…disconnects us from the lovingkindness that is our true nature.”[f]

Understanding Donald Trump in this way helps me practice compassion and equanimity, not only for him, but for all others who have suffered because of difficult upbringings.  May they all discover the “lovingkindness that is [their] true nature.”

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[a]Please note that this article is not intended as a political statement, but rather, an essay about how to work with compassion and equanimity for all beings, including those who challenge our ability to be compassionate.  Also see my blog article “How To Be a Mindful Activist…And not lose your mind: https://bethspatterson.com/mindful-activism/

[b]Pema Chodron, (Summer 2002). “Tonglen on the Spot.” Tricycle.

[c]Thich Nhat Han (1997).  The Heart of the Buddha’s Teaching.  New York: Broadway Books, p. 162.

[d]Dan McAdams (June 2016).  “The Mind of Donald Trump.” The Atlantic, quoting Mark Singer, who interviewed Trump for a profile published as “Trump Solo” in The New Yorker (May 19, 1997).

[e]David Smith.  “Mommy Dearest:  A Psychiatrist Puts Trump on the Couch.” The Guardian. (September 29, 2018).

[f]Ezra Bayda (Spring 2009). “The Three Things We Fear Most.”  Tricycle.