Mindfulness and pain management
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Mindfulness and Pain Management. Thomas (Tom)L. Moore LMSW, LLP, CCS May 19, 2014. Learning objectives. e. e. cummings. WHAT DO YOU KNOW?. TURN AND SHARE. “Mindfulness is the miracle by which we master and restore ourselves” Tich Nhat Hunh , 1989 .

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Mindfulness and Pain Management

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Mindfulness and Pain Management

Thomas (Tom)L. Moore

LMSW, LLP, CCS

May 19, 2014


Learning objectives


e. e. cummings


WHAT DO

YOU KNOW?

TURN AND SHARE


“Mindfulness is the miracle by which we master and restore ourselves”

TichNhatHunh, 1989


A refined, systematic, attention-based strategy that focuses on the promotion of present moment awareness, in which thoughts, feelings and/or sensations that arise in the attentional field are to be acknowledged and acceptednon-judgementally

-Jon Kabat-Zinn


“Development of a

particular kind of attention characterized by a nonjudgmental awareness, openness, curiosity, and acceptance of internal and external present experiences, which allows practitioners to act more reflectively than impulsively”

Chiesa, Serretti 2009


Mindfulness Based

Stress Response


Five factors


AUTOPILOT


Why would we want to?

Opens door to suffering


Instead witness

and observe


Imagine

your most

significant

stressor

Can you eliminate?

Or can you surrender to what is?


Mindfulness Based Relapse Prevention

Mindfulness Based Stress Response

Mindfulness Based Cognitive Therapy


Kabat-Zinn, 2003


In other words


What happens

in danger?


Implications


Grief


Teasdale, Segal and Williams, 1995


Adult Institute for Health

and Clinical Excellence, 2003


Decrease in symptom severity

Older adults


STRUGGLE


  • PSYCHOLOGICAL FLEXIBILITY


Healthy Space


MBRP

Marlatt et al., 2004


“Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.”

Victor Frankl


P=problem of

I=immediate

G=gratification

“I’m hungry.”

“I’m having an craving”

“Come on, feed me”

“Give me, give me, more!”


S=step

O=observe

B=breath

E=expand

R=respond


URGE SURFING


“And acceptance is the answer to all

of my problems today. When I am

disturbed, it is because I find some person,

place, thing, or situation-some fact of my

life-unacceptable to me, and I can find no

serenity until I accept that person,

place, thing, or situation as being

exactly the way it is supposed

to be at this moment.”


Attitude to gratitude?

Non-

judging

Kindness

Gentleness

Letting

go


MINDFULNESS

PAIN


BRAIN CIRCUITS

SAME FOR EMOTIONAL AND PHYSICAL PAIN


What are your

beliefs

about Pain?


MINDFULNESS EXAM


I began, early in recovery to feel compassion for other drunks, then for my children, and my ex-husband. This compassion, a feeling accompanied later by love, opened a door to a huge fortress within me which had been forever locked. I began to feel for others, to be able, for brief moments, to put myself in their shoes. New worlds opened up. I began to understand the world about me….

I shall never, nor shall any of us, discover the secrets of the universe. But we can accept their mystery, our part in them and our lives and deaths, as something spiritual beyond our understanding.

(Came to Believe, 1973, p. 119)


If we are painstaking about this phase of our development, we will be amazed before we are half way thought. We are going to know a new freedom and a new happiness . We will not regret the past nor wish to shut the door on it. We will comprehend the word serenity and we will know peace. No matter how far down the scale we have gone, we will see how our experience can benefit others. That feeling of uselessness and self-pity will disappear. We will lose interest in selfish things and gain interest in our fellows. Self-seeking will skip away. Our whole attitude and outlook upon life will change. Fear of people and of economic insecurity will leave us. We will intuitively know how to handle situations that used to baffle us…..Are these extravagant promises? We think now. They are being fulfilled among us-sometimes quickly, sometimes slowly. They will always materialize if we work for them.

Alcoholics Anonymous., 2001, p. 83-83.


I was sitting at an outdoor café in a city I love but thought I would never visit again. Simply sitting, watching, feeling, absorbing the beauty and life all around me. Slowly I became conscious of something building inside me: an infusion of strength.

Little did I know that by year’s end, I would use every bit of it in moving into a completely new place: personally, professionally, and physically.

I experienced it again recently when post-exhaustion relaxation was so complete. I was almost too empty to move. Into those moments of complete openness, I could feel the strength come again.

Sue Schroder, Coping with Cancer,

GR Press7/29/12


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