Mindfulness

Photo by Lyra Luu, Schalenbrunnen im Botanischen Garten, Munich, June 2023

I count 47 posts on this blog when I search ‘mindfulness.’ I talk about it almost every day with patients. Of all self-care practices I have acquired over the years, I think this is the most useful. Funny how I did not list it in the stress management post this month? Maybe because I see mindfulness as a way of being more than something I do? It really does bring me peace, for which I am both grateful and proud, as I have trained long to gain its benefits.

If you’re not yet familiar, I recommend starting at www.mindful.org. From their site:

“What is mindfulness?

“Mindfulness is the basic human ability to be fully present, aware of where we are and what we’re doing, and not overly reactive or overwhelmed by what’s going on around us.

“While mindfulness is something we all naturally possess, it’s more readily available to us when we practice on a daily basis.

“Whenever you bring awareness to what you’re directly experiencing via your senses, or to your state of mind via your thoughts and emotions, you’re being mindful. And there’s growing research showing that when you train your brain to be mindful, you’re actually remodeling the physical structure of your brain.”

Ok so, how do I already do mindfulness well?
–I have a strong informal practice. Often and at any given moment, I drop (or rise) easily into awareness of my environment, the people around me and their signals, and my own physical, mental, and emotional sensations. Even when it’s uncomfortable or painful, I can hold it loosely, with openness and curiosity. I wonder how many times a day I say or think, “Huh,” “What is up with that,” and “How fascinating”? This leads me often to novel questions, which I then express to others, engaging in unexpected ways, which is almost always more rewarding that I anticipate.
–My practice helps me be present to others as they need me. When I attend to what is, resisting the pull toward what I want or what I think should be, I can empathize, validate, and reflect with others, rather than go straight to problem solving, which is seldom what people want or need.
–Mindfulness makes me a more sensitive and agile speaker. As words and expressions form in my head and exit my mouth, I monitor their intent and impact in real time. I speak quickly and at times with sharpness and irreverence, but more often with kindness and passion, and rarely without thought to every word. Is that mindfulness or conscientiousness? Probably something mutually entwined?
–I lead by example. People say they feel peaceful around me, that I have a calming effect. I attribute this to my ability to be with whatever is, in the moment, without (or with minimal) judgment, together with others.

How could my mindfulness practice be better?
–I could establish a formal sitting practice. A daily session of breath and awareness, a mental discipline to quiet the monkey mind, to strengthen my parasympathetic nervous system, would likely make me healthier in all domains. I’m just not quite moved yet to commit. But maybe if it helps my writing…
–I could read more of the masters’ works: Jon Kabat-Zinn, Thich Naht Hanh, Sharon Salzberg, Pema Chodron. Then I’d be more knowledgeable, could maybe explain it better to people whom I think could benefit. ..and if it helps my writing…
–Overall I’m pretty satisfied with current state. I faced trials of the last several years with relative equanimity, and the challenges themselves strengthened my practice. I trust myself to know when I need to do more, because I’m mindful enough already to notice.

What’s already good about our collective mindfulness?

Awareness. John Kabat-Zinn developed Mindfulness-Based Stress Reduction (MBSR) as a meditative therapy method for stress management in 1979. I learned nothing about it in medical school or residency. I’d say the first ten years of my career, mind-body medicine was still considered fringy; colleagues would stare blankly or even roll their eyes when I talked about it. Today mindfulness and other techniques of meditation and mind-body practices live in the mainstream, their benefits available to everybody, and fewer people feel self-conscious about participating.

Language. “Be with what is.” “Hold the space.” “Withhold judgment.” “Breathwork.” One could say that mindfulness lingo has infiltrated our general vernacular. Good. These concise phrases can moor us to a mindset of alert and relaxed presence, which makes us calmer, less impulsive, more attuned, and healthier. Words matter; the more we can use them for mutual de-escalation and connection, the better.

Connection. As mindfulness gains awareness and its expressions spread, fellow practitioners can connect more easily in any forum. They become magnets for yet others, and communities form around this attentive way of being which, nourished by strong ties, makes us better leaders by example wherever we go, to whomever we encounter. Jeez, I’m making it sound like a cult.

How could we do better together?

Teach Mindfulness In School. Mindfulness skills are life skills. Learning breath work, body awareness, and mental discipline in iterative, age appropriate ways prepares children and adolescents to tolerate and navigate an ever accelerating world of volatile change and chaos. It would be easy to incorporate skills practice into play, sports, and academics at all stages of brain and social development.

Incorporate Mindfulness Into Leadership Training. Thinking of leaders you admire, what qualities and behaviors make them great? Mine give me their full attention, make me feel seen, heard, and understood. They emote relatably, easily, and appropriately, and also carry themselves with steady, unflappable confidence. They name what is with clarity, desireable and/or not, and hold it peacefully while working consistently for change and improvement. They are honest. Thus they attract and inspire followers rather than coercing them. Healthy mindfulness skills and practice amplify and maximize relational leadership strengths by grounding leaders in self-awareness and self-regulation as foundation for outward action.

Just writing about mindfulness lowers my respiratory rate and helps me attune to myself and my surroundings better. I feel gratitude and peace, confident in my ability to face and manage whatever comes around the corner, satisfied that I have lived the present moment to its fullest. I have very little to regret if I can keep this up.

Honesty

“How am I the asshole here?”

How often do we ask ourselves this question, let alone answer, and do so honestly? I can think of few more uncomfortable exercises. And yet, the world really needs us to do it more, each and all of us. I’m not saying we’re all assholes. I’m saying we all need to get better at owning our shit, and holding one another accountable for doing it.

How am I already honesting well?
–I ask myself the asshole question all the time. It’s humbling, no doubt. And that is the point. I keeps me mostly out of rampant self-righteousness and blame of others for any given conflict. I still tell my at-least-partially justifiable stories of injustices done to me, and I am also forced to admit injustices I perpetrate on others. This practice saves my relationships from impulsive disconnection. Taken too far, I easily fall into shame and self-loathing, but I have learned to mitigate this over the years.
–I practice loving rather than brutal honesty as much as I can. Bad news, difficult feedback, and the like are hard enough to receive, without the messenger also showing up cold and indifferent. I don’t sugar coat; I do my best to show that I see someone’s strengths and contributions as well as the things that need work. I stick to objective facts and my interpretation of them, not as truth but as perception and extrapolation, which can be modifed through questioning and deeper understanding through discussion.
–I scrutinize the stories I tell about other people, and I check in. Especially if I have an acute or disproportionately emotional reaction to something or someone, I call on the tribe, describe the event, and ask for feedback. I consistently get validation of my experience and emotions, as well as a loving challenge to consider alternate perspectives, which always makes me better.

How could I do better?
–Revise my narratives–again. Not just about individual people–my personal biases and judgments–but about groups, society, our nested and overlapping cultures. I think this is about challenging the stereotypes I hold, especially the deepest ones, which I notice more easily and admit more readily now than in the past. I can acknowledge their presence without judgment, as they are not intentionally malicious; I can simply monitor and choose not to act on them.
–Continue to query the origins of my own attitudes, prejudices, and behaviors, especially if they hinder my ability to relate and connect with others. Face them head on; reconcile them with my core values with self-compassion; commit to acting in accordance with the insights gained.
–Seize opportunities to provide honest feedback, especially the positive kind, in real time. For negative feedback, consider thoughtfully (“THINK”) whether providing it will serve the relationship or the person’s goals. Not all feedback is necessary or useful.

How does our culture already do honesty well?

Food labels. As a family with anaphylactic food allergies, we really appreciate this.

Books, film, entertainment. Sometimes it’s just easier and more effective to show than to tell. When we read novels or watch movies depicting the experiences of people very different from ourselves, somehow we are more open to empathizing and understanding than if we attended a lecture or read articles. We are less likely to form and express arguments as to why someone’s experiences are not valid, that they should not feel how they feel, that our biases and stereotypes are, in fact, correct and reliable. In moments of vulnerability on our part, we can see the cracks in our self-delusions. Fiction is one of the most honest forms of communication, if we pay attention. We can challenge our biases indirectly and in the privacy of our own thoughts, shown to us vicariously. How pleasingly ironic.

How could we do better?

Transparency and Fair Process. I’m thinking of policy, government, and organizational leadership here. Too often decisions affecting large groups of people are made without clear rationale or respectful and truly honest communication of goals, purpose, and process. I understand the importance of discretion and ‘need to know’ basis, etc. But too many of our systems operate in the dark at the upper eschelons, fostering suspicion, mistrust, disconnection, backbiting, and overall toxic work and societal envrionments in the long run. Telling people what you can tell them, acknowledging outright that you cannot tell all, and keeping communication as open and honest as possible creates a culture of safety and loyalty worth well more than its weight in rentention, reputation, and productivity, especially when things get hard.

Accountability. All humans make mistakes. Leaders take risks that don’t always reward as anticipated. They let their emotions cloud their judgment in big ways and small, sometimes with severe consequences. OWN IT. People know it anyway, and no matter what happens operationally, leaders who take responsibility for their own actions can stand up straight with self-respect, and likely more respect from others than if they deflect, obfuscate, and scapegoat. Walk the talk of integrity that’s written in all those mission/vision/values statements. Lead by example. This goes for all of us, by the way. Make no mistake, someone is always watching you, gauging their work ethic with yours, adjusting standards of behavior according to the prevailing local norm. Do you part to elevate it as much as possible.

Psychological Safety. This is both the result and the foundation of our ability to be honest, with ourselves and one another. When we can answer the “how am I the asshole” question to ourselves without shame and commit to managing our own inadvertent assholery, then we can better hold space for others to do the same. The Asshole in me sees the Asshole in you, and we can all love us both. I can hold you accountable for your mistakes, actions, and harm done to others, and not throw you away as a person, because I hope you would do the same for me. Again, it starts with our leaders, designated and not.

Any and every effort at consistent and deep honesty is worth the effort. The discomfort, pain, and risk are worth the rewards of self-respect, connection, and stronger families, organizations, communities, and cultures. Consistent honesty frees us from the mental and ethical burden of deception and secrecy, which foster disconnection, loneliness, and conflict.

Honesty builds character. We must strengthen our collective commitment to live as people of character, demand it of ourselves and our leaders, every day, in every encounter.

Reading

Friends, what are you reading these days? 
How have your reading patterns evolved? 
How and what we read in general is very different now from even ten years ago, let alone 20 or 30, no?

What’s good about my reading right now?
–I read no political opinion and very little news anymore. I’m still informed, and my life is much better this way.
–I read on digital devices as well as print now. I have the Everand (formerly Scribd), Kindle, and BookFunnel apps, so I always have a bevy of titles to read wherever I go, all in few ounces of iPhone.
–I can get pretty much any book I want within seconds or days, depending on the format. That’s pretty amazing.
–My reading habits are happily looser now. I allow myself to not finish books that don’t resonate. I let myself skim. This makes me surprisingly fearless about starting any book (who knew one could have that fear?), freed from obligation.
–I consume many more genres than ever; my perspective widens and I learn so much more.

What could be better?
–I want to retain more of what I consume.  Although I may do better than I realize.  I started listening to Master of Change by Brad Stulberg and bought the hardcover halfway through so I could mark it up, really absorb it.  Turns out I had already soaked up the parts that mattered.  Maybe it’s about repetition.  I have listened to my favorite books multiple times, and each time something different stands out, depending on the current state of my life, deepening my relationship with the authors’ concepts and practices.  At least I’ve stopped rushing through audiobooks at 1.2x speed.  1x is fine now, unless I’m cramming for book club, then it could be 2x+.
–Still working on discipline.  I fantasize about reading and writing every day…  And I mean eyeball reading here, which would require me to be still and do nothing else.  Okay blog and book work first; one thing at a time.  Maybe start small—two to three short eyeball sessions a week?
–I need more bookshelves, or to donate the books I don’t want… Likely both.  My books deserve better than to live in random (though neat) piles all over my house.  Goal by 12/31/2023.

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What’s good about our reading as a society?

Access. It boggles me how easily we can obtain any written content.  YAAAYY!  Paywalls not withstanding and with reliable internet service, we could spend our whole lives reading any article from any news outlet, magazine, or blog, and so many sources, on our little handheld computers.  When I want a book, I look first on the public library site.  They often have it in print, large print, downloadable audiobook, and CD audiobook.  If it’s at a far away branch, I can ask to transfer it to my neighborhood and be notified on its arrival.  If all copies are in use, I can place a hold and be notified when it’s available.  If they don’t have it, I look on Everand to see if it’s included in my membership.  If not, the app will show me related books, podcast episodes, and news or magazine articles.  If it’s not there, I can search Bookshop.org or my local indie bookstore sites to see if they have or can order it.  If I still can’t find it, I can go on Amazon.  Once there, I can see availability in print, or on Kindle, Audible, and Whispersync.  In print, Amazon will link to new and used copies from other vendors. I add books to my wish list and receive notifications when they go on sale.  And sometimes a title I want will be included in my Audible membership for a limited time.  There is even an app on my phone that will read me whatever text is currently on my screen.  And the Pocket app lets me save articles to read or reference later.  Ho.ly.Cow.  Amazing.

What could be better?

Read to the end.  How many words/minutes/pixels(!?) do you read before you abandon a news or interest article?  According to Slate, where I saw the graphic above, most online readers get through about half of the articles they open.  Interesting also is that many comment and share without reading to the end.  I did this with the link around ‘very little news’ above.  Mark Manson warns how long the article is by giving a table of contents at the top (It really is quite long, I scrolled to the end and it looks really good, typical Manson).  I’ll read the whole thing; right now I’ gotta get this post published [edited to add: read it through; highly recommend].  I just feel good that the title validates my behavior.  I did fully read the Slate, TIME, and MarketingDive articles I found by searching “how many minutes before american readers abandon an article”.  I generally try to read whole articles before sharing, and if they’re long, I’ll include my favorite excerpts in my Facebook posts so friends don’t have to read the whole thing if they don’t want to.  The analytics on this blog show that readers rarely click all the links I include.  That’s okay, I do it for me as much as for you.  But I think we’d all be better off if we took (and it must be taken) the time to read longer and more in depth.

Vet.  The downside of access to vast information, obviously, is the widely variable quality of that information.  If you’re looking for reliable medical information, stick with WebMD and the big academic medical centers—look for ‘.edu’.  Mayo Clinic, Cleveland Clinic, and the University of San Francisco all publish excellent articles on myriad symptoms and conditions.  For guidelines, go to the US Preventive Services Task Force.  Look at the ‘about’ page on any website; sometimes even then it can be hard to know what a given group’s agenda or funding source.  That’s when I search about the organization itself. I rarely take advice from any site that’s trying to sell a product.
Vetting information of any kind takes time.  Mostly it must be done by reading.  If we’re going to be a truly well-informed citizenry and electorate, however, it must be done. 

From the Iowa City Mom Collective

Share in service of connection.  I still fall into the trap of rage posting, thankfully less now than before.  Let us all be more mindful, yes?  Before sharing on social media, or emailing and text blasting our friends, let us THINK:  What will this accomplish?  How does this make our day/life better?  How am I impacting others by putting this on their consciousness?  I’m not saying we should not commiserate over common grievances.  But let’s gather our information with more depth, process and digest it a while, and then discuss calmly in personal conversation?  Maybe over a healthy meal?

Both individually and collectively, we need to slow down, select our information sources thoughtfully, engage with worthy sources mindfully, manage our impulses better, and make time for deeper, more meaningful and critical understanding of what we read.  The ultimate benefit of this is elevation of our knowledge, our conversations, and thus our connections, locally and at scale. 

Read on, my friends.