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Healing Power Ten Steps to Pain Management and Spiritual Evolution Dr. Phil Shapiro Founder and Director Northwest Institute for Healing Power Integrative Medicine Separate tracks Healing principle in health care Community Psychiatry Healing principle in religion Spiritual Seeker

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healing power
Healing Power

Ten Steps to Pain Management

and Spiritual Evolution

Dr. Phil Shapiro

Founder and Director

Northwest Institute for Healing Power

integrative medicine
Integrative Medicine
  • Separate tracks
    • Healing principle in health care
      • Community Psychiatry
    • Healing principle in religion
      • Spiritual Seeker
  • Single track
    • Dr. Herbert Benson
      • Integrative Medicine
      • Mind-Body Medicine
    • Personal, private spiritual experience becomes medically relevant
integrative medicine3
Integrative Medicine
  • Biological high-tech medicine
    • Has great power but alone can be reductionistic, often leading to symptom management without getting to the root causes of disease.
  • Integrative medicine
    • Includes biopsychosocial and spiritual aspects.
      • Look for the root causes of disease and healing here.
integrative medicine4
Integrative Medicine
  • Four evidence based healing universes
    • Biological
        • Traditional Medicine
        • CAM: Complimentary and Alternative Medicine
    • Psychological
    • Social
    • Spiritual
        • Mind-Body Medicine
mind body medicine
Mind-Body Medicine
  • Mind-body Medicine
    • The spiritual aspect of cognitive-behavioral therapy
    • Belief systems impact disease and healing.
    • The mind can be used for:
      • Expansion of healing power
      • Pain control
      • Spiritual evolution
mind body medicine evidence based the data
Mind-Body MedicineEvidence-based: The Data
  • People with an active faith or belief system have better outcomes in medicine, surgery, mental health, and addiction
    • Includes cancer, coronary artery disease, cerebrovascular disease, hypertension, asthma, COPD, infections disease, kidney disease, and more.
    • Lower medication rates
    • Lower length of stay
    • Higher quality of life
    • Much more
mind body medicine evidence based the data7
Mind-Body MedicineEvidence-based: The Data
  • Suggested reading
    • Herbert Benson M.D., Timeless healing
    • Jeff Levin PhD: God, Faith and Health
    • David Larson M.D.
    • Larry Dossey M.D.
    • Dale Mathews M.D.
    • Harold Koenig M.D.
    • James Gordon M.D.
    • Deepok Chopra M.D.
mind medicine evidence based the data
Mind-Medicine Evidence Based: The Data
  • What the data tells us:
    • There is no separation between mind and body.
    • The mind is connected to every cell in the body through electromagnetic and chemical waves.
    • In some yet to be determined way, thoughts have leverage in the inner workings of our cells having to do with disease and healing.
mind body medicine the mechanism
Mind-Body MedicineThe Mechanism
  • Community: support from like-minded people
  • Behavior: good habits such as no smoking, drinking, or drugs; healthy diet
  • Thought: the power of positive thought--faith, hope, belief, optimism, and much more
  • Feeling: the healing power of positive emotion—peace, love, joy, compassion
  • Spiritual practice: expansion of healing power from yoga, meditation, mindfulness, and prayer
mind body medicine principles
Mind-Body Medicine Principles
  • The scientific connection between spirituality and healing has been made.
  • Spiritual belief systems have a role in healing mind, body, and soul.
  • When we activate or intensify our spiritual belief systems, healing power expands.
  • There is healing power on the table.
mind body medicine principles healing power
Mind-Body Medicine PrinciplesHealing Power
  • Healing Power
    • A magnificently intelligent healing power operates every cell in the body.
    • It is incomparably brilliant.
    • We know how to make it grow and shrink.
    • We know where the leverage points are.
    • The key leverage point: how we manage our pain.
mind body medicine principles pain management
Mind-Body Medicine PrinciplesPain Management
  • Skillful pain management
    • To tap into the expanded reservoir of healing power, we must become more skillful pain managers.
    • How we manage our pain determines whether we move forward, backward, or stay stuck in this life.
mind body medicine principles pain management13
Mind-Body Medicine PrinciplesPain Management
  • Pain Management
    • The fear factor: we are afraid of suffering, disease, disability, the unknown, and death.
    • This mental distress slows down healing and makes the pain worse.
    • When disease persists, we can teach people to slow down and relax so they can stay in charge and get their lives back.
mind body medicine principles pain management14
Mind-Body Medicine PrinciplesPain Management
  • Pain Management
    • Often we cannot take disease away but we can always help with pain management.
    • Pain is both physical and psychological.
    • All pain is experienced in the mind and can therefore be modulated by the mind.
      • We can contain and reduce or expand and magnify the pain.
      • We can control pain so pain does not control our lives.
mind body medicine principles spiritual evolution
Mind-Body Medicine Principles Spiritual Evolution
  • Spiritual Evolution
    • If we manage our pain skillfully, healing power expands and we evolve spiritually.
      • Spiritual qualities such as compassion, understanding, forgiveness, patience, peace, love, and joy grow.
      • We feel better.
      • We become better people.
mind body medicine principles16
Mind-Body Medicine Principles
  • When we activate or intensify our spiritual belief systems, we harness the untapped power of the mind for:
      • Expansion of healing power
      • Pain Control
      • Spiritual Evolution
  • This is very good news but there are many barriers.
problems entering the spiritual domain
Problems Entering the Spiritual Domain
  • We don’t work with Spirit.
  • We are not comfortable talking about religion.
  • We have no language or map.
  • We ignore or refer to spiritual counselors.
  • Lack of training.
  • Belief systems are personal, intimate, complex.
  • Many have a traumatic religious history.
  • Fierce feelings and defensiveness.
  • Fear of unravel to the abyss (The Cheeseburger)
  • Enormous variation and level of commitment.
  • There is no time-brief appointments, paper work.
  • How to enter without losing life, limb, or property.
guidelines for approaching belief systems
Guidelines for Approaching Belief Systems
  • Access: we need models that give us safe, efficient, and effective access to the territory of belief systems.
      • Map: how to get there.
      • Language: how to talk to each other and our patients about religion and spirituality.
      • Keys: to enter the territory of belief systems so we can get in and out safely and effectively.
      • An efficient delivery system: so we can help our patients learn how to do this work when we are already too busy.
guidelines for approaching belief systems19
Guidelines for Approaching Belief Systems
  • Universal and inclusive
      • Look for universal or near-universal spiritual healing principles, methods, and qualities.
      • Design models that can work for as many as possible.
      • Include atheist, agnostic, religious, and spiritual persons.
guidelines for approaching belief systems20
Guidelines for Approaching Belief Systems
  • Individualize
      • Stay in religion of origin and expand practice
      • Build your own program
      • Cafeteria of options
  • Root cause and solution
      • Look for root causes and solutions to our deepest suffering.
  • User-friendly
      • Remain user-friendly and non-invasive as possible
guidelines for approaching belief systems21
Guidelines for Approaching Belief Systems
  • Biopsychosocial-spiritual
      • We think of high-tech medicine as real and mind-body principles as touchy-feely. This is reductionistic and wrong.
      • We are biopsychosocial and spiritual beings. A disturbance in any one of there leads to a disturbance in the others.
      • Therefore, comprehensive treatment planning includes biopsychosocial and spiritual interventions.
guidelines for approaching belief systems22
Guidelines for Approaching Belief Systems
  • Self-help and Skills Training
      • There is an explosion of knowledge and models having to do with healing in each of the four domains: biopsychosocial and spiritual.
      • There is no time to do it all: managed care, fifteen minute appointments, paper work and so on.
      • How can we activate healing power in all four domains given the limitation of time and system problems?
      • Good news: it can be done through skills training and self help.
guidelines for approaching belief systems23
Guidelines for Approaching Belief Systems
  • Self-help: much of the healing in the psychosocial-spiritual domain is self-help.
  • Skills training: classes, groups, books, manuals, tapes, CD’s, DVD’s, Internet
  • Self-healing: we can teach people how to increase healing power while in the comfort of their own homes or during the day while performing their routine activities.
  • There are many ways to do this. No one way works for all people.
universal spiritual healing models
Universal Spiritual Healing Models
  • I will present two models
    • Brutal Reality and the Illusion of Safety, Security, and Immortality (1980)
    • Healing Power: Ten Steps to Pain Management and Spiritual Evolution (2005)
personal spiritual history
Personal Spiritual History
  • Before discussing the models, a brief personal history
  • From personal to universal
    • To enter the spiritual domain, we need to learn how to move with facility from our personal religious or spiritual experience to the universal.
    • In that light, I will share with you a very brief history of my religious-spiritual journey as it relates to professional work.
    • As you listen, find yourself and your patients in these stories and models.
personal spiritual history26
Personal Spiritual History
  • Seventh month of fetal life: an early introduction to brutal reality
  • Conservative Judaism
  • The dynamics of unraveling a belief system
    • The Cheeseburger
    • The Chess game: The King goes down.
    • The Abyss: the unknown, the great mystery of life
personal spiritual history27
Personal Spiritual History
  • Whether we stay in our religion of origin or not, belief systems remain monumentally important.
    • The meaning and purpose of life
    • Story and metaphor
    • Cultivation of spiritual qualities
    • Inspiration
    • Protection and guidance
    • Truth
    • Healing
    • Community and service
    • Much more
personal spiritual history28
Personal Spiritual History
  • The Seeker
    • Mining the great religious fields for pearls
    • Studies in Christianity, Hinduism, Buddhism, Judaism, Native American Spirituality, others
    • Review the lives of saints, sages, teachers, masters, gurus
    • The scientific method in metaphysics: direct personal experience
    • Develop a spiritual practice: meditation, mindfulness, affirmations, prayer
the scientific method in metaphysics
The Scientific Method in Metaphysics
  • We can decipher spiritual fiction from fact.
  • How to do this without lab tests or x-rays?
  • We can put profoundly important questions to the test of direct personal experience in the laboratory of life.
    • Does compassionate service to humanity give us peace of mind and strength?
    • Does meditation work?
    • Do higher states of consciousness actually exist?
    • Does the body-temple harbor the God of the universe?
the scientific method in metaphysics30
The Scientific Method in Metaphysics
  • Test a theory by practicing a spiritual method.
  • Assume the agnostic position.
      • Do not accept of reject the theory.
      • Stay open and receptive.
  • The body is the test tube.
  • The experiment is on the life force itself, consciousness, energy, thought, feeling, desire, and behavior.
  • Prove or disprove it to yourself through direct personal experience.
  • If a method or concept works, we keep it and teach it to our patients. If not, discard it.
  • We trust our ability to tell the difference.
brutal reality and the illusion of safety security and immortality
Brutal Reality and the Illusion of Safety, Security, and Immortality
  • Dual Diagnosis process group at Harlem Hospital
  • The emergence of a model
  • Criteria
    • Brutal reality and higher states of consciousness
    • Connect the dots between pain and healing
      • AA meetings and psychotherapy
    • What do you do when you are in pain?
    • Healing power: where is the leverage?
brutal reality and the illusion of safety security and immortality32
Brutal Reality and the Illusion of Safety, Security, and Immortality
  • People
  • Activities
  • Belief System
  • Self-knowledge
  • Brutal Reality
  • The Illusion of Safety, Security, and Immortality
belief systems
Belief Systems
  • Spiritual, religious, political, national, cultural, racial, familial, psychological, personal
  • Mechanism of perpetuation in health or disease
    • Thought repetition with denial and repression of conflicting data
    • The Cheeseburger Effect: a single countervailing thought or action has the potential to unravel an entire belief system, thrusting the individual into the unknown, the abyss. This is equivalent to psychological annihilation or death.
belief systems34
Belief Systems
  • Defense and resistance
    • The Living Room
  • Simple fixed belief systems
  • Eclectic synthetic belief systems
  • The abyss between simple fixed and eclectic synthetic systems
  • Intra-psychic battle for healing
a universal prescription for any problem pain or symptom
A Universal Prescription for Any Problem, Pain or Symptom
  • Tell your patients they can enhance healing when these four domains are active and positive:
    • People
    • Activities
    • Belief System
    • Self-knowledge
  • You can prescribe these with confidence. Each is evidence based.
a quick assessment for the busy practitioner
A Quick Assessment for the Busy Practitioner
  • A quick, efficient, and safe entry into the psychosocial and spiritual domain for the busy practitioner:
    • People: Who is in your life that you can really talk to?
    • Activities: What is your day like?
    • Belief system: Do you have a spiritual activity such as church, prayer, personal system, etc.
    • Self-knowledge: How do you handle emotions such as anger, depression, fear, and guilt?
brutal reality and the illusion of safety security and immortality37
Brutal Reality and the Illusion of Safety, Security, and Immortality

Exercise

  • Describe how the six components weave the fabric of your life.
        • Focus on how you use people, activities, belief system, and self-knowledge to shift from brutal reality to a feeling of safety. You might want to use the handout to help you diagram your story.
  • Describe how the six components drive the lives of patients, family, friends, strangers, and enemies.
mind body medicine herbert benson m d
Mind-Body MedicineHerbert Benson M.D.
  • Conference in Chicago on spirituality and healing in medicine
  • Day one: science
  • Day two: religion
  • Day three: applications
mind body medicine herbert benson m d39
Mind-Body MedicineHerbert Benson M.D.
  • Day one: scientific proof
    • People with an active faith or belief system have better outcomes in medicine, surgery, mental health, and addiction.
mind body medicine herbert benson m d40
Mind-Body MedicineHerbert Benson M.D.
  • Day two: religion
    • Rabbi, priest, Hispanic Pentecostal, Florence Nightingale mystic, Tibetan Buddhist PHD—former secretary of the Dalai Lama, Islamic professor and teacher
    • Each discussed healing principles, methods, and qualities from their great faith traditions.
mind body medicine herbert benson m d41
Mind-Body MedicineHerbert Benson M.D.
  • Day three: application
    • Extract and organize healing principles from the great faith traditions into cognitive behavioral or mind-body medicine practices.
      • Practice these ourselves and teach them to our patients.
cascadia spirituality and healing group
Cascadia: Spirituality and Healing Group
  • Clinic survey
  • Create a group and manual using the criteria described earlier.
  • Two groups:
    • One was consumer run
    • The other is ongoing at the Northwest Institute for Healing Power
  • The Ten Steps
healing power ten steps to pain management and spiritual evolution
Healing Power: Ten Steps to Pain Management and Spiritual Evolution
  • Deconstruct: religion into discrete pieces
  • Eliminate: dogma, ritual, and other non-essentials.
  • Extract: the wisdom of the ages—the elegant essence of religion.
  • Organize: into doable practical steps and tools
      • Ten steps, 12 methods, 100 spiritual qualities
      • Cafeteria of options
  • Any person: atheist, agnostic, religious, spiritual
  • Anywhere, any time: home, work, play
  • Any problem: physical, mental, emotional, spiritual
  • Self-help
  • Self-Healing
healing power ten steps to pain management and spiritual evolution44
Healing Power: Ten Steps to Pain Management and Spiritual Evolution
  • Some advice as you listen
    • Take what you need and leave the rest.
    • Nuke offensive language and substitute your own.
      • The Higher Power as you understand it
      • God, Buddha, Consciousness, Mystery
    • Stay in your own lane.
    • Do not proselytize.
    • Discuss without debate.
    • Reform yourself, not others.
the ten steps
The Ten Steps
  • The Core Drive
  • Duality and Brutal Reality
  • The Compromise
  • Habits
  • Tools Become Barriers
  • The Seeker
  • Soul and Spirit
  • The School of Life
  • Spiritual Practice
  • Spiritual Experience
ten steps
Ten Steps
  • Steps 1-5
    • The evolution of suffering
    • Unskillful pain management
    • Descend
    • Steps 6-10
      • Spirituality and healing
      • Skillful pain management
      • Ascend
ten steps47
Ten Steps
  • Follow the pain
    • Pain management is the swing point between descent and ascent.
    • How you manage your pain determines whether you move forward, backward, or stay stuck in this life.
      • Turn the tables on the pain: use the pain to heal.
step 1 the core drive
Step 1: The Core Drive
  • We want:
      • Unlimited peace, love, joy, and safety
      • No suffering
      • Immortality: more time
  • This is our motivation whether robbing a bank or serving the poor.
step 2 duality and brutal reality
Step 2: Duality and Brutal Reality
  • Life on the physical plane is dual and brutal.
  • Duality
    • The ups and downs of life
    • Pleasure and pain, good and evil, health and disease, success and failure, wealth and poverty, gain and loss, praise and blame, joy and sadness, love and hate, war and peace, and so on
  • Brutal Reality
    • Death, pain and suffering, and the unknown
    • The down side of duality
step 3 the compromise
Step 3: The Compromise
  • There is a collision between the core drive and duality.
  • We can’t get everything we want on the physical plane.
  • We compromise by creating the illusion of safety through relationship and activities.
  • In the compromise, we may feel comfortable and safe.
step 3 the compromise51
Step 3: The Compromise
  • However, suffering is unavoidable.
  • Often we do not accept the inevitable suffering of life.
  • Instead, we make a desperate attempt to eliminate all of our suffering through faulty mechanisms such as the cultivation of bad habits.
step 4 habits
Step 4: Habits
  • We seek eternal love and safety in a world where impermanence and limitation are the rule.
  • In a mighty but misguided effort to eliminate suffering, we develop bad habits.
  • Bad habits have a profound effect on our health and our response to health care interventions.
step 4 habits53
Step 4: Habits

Work

Codependency

Activity

Materialism

Computers/Internet

TV

Food

Shopping

Alcohol

Drugs

Sex

Power

Gambling

Money

Violence

Crime

step 5 tools become barriers
Step 5: Tools Become Barriers
  • We use six tools to achieve the core drive
  • While these tools are useful in helping us find some measure of peace, love, safety, and pain relief, they become problems themselves and add to our suffering.
step 5 tools become barriers55
Step 5: Tools Become Barriers

The six tools are:

  • Mind
  • Emotion
  • Desire
  • Body
  • Activity
  • Ego
step 5 tools in alignment
Step 5: Tools in Alignment
  • Mind: when positive, calm, and focused, it is brilliant at solving problems and shaping meaning.
  • Emotion: a source of self-knowledge
  • Desire: health, prosperity, and love
  • Body: engage life, the doer of all of our activities, the source of our potential liberation and enlightenment
  • Activity: work, recreation, culture, hobbies
  • Ego: establish our place in the world of work and relationships.
tools become barriers the ego
Tools Become BarriersThe Ego
  • The ego is the CEO of physical plane consciousness.
  • It’s job is to satisfy the core drive.
  • To do this, the ego surreptitiously takes over the control rooms of thought, feeling, desire, body and activity.
  • It uses these tools in its desperate search for unlimited peace, love, joy and safety, more time, and no pain.
  • The search is in vain however as the ego runs into the brick wall of limitation and inevitable suffering on the physical plane.
tools become barriers the ego58
Tools Become BarriersThe Ego
  • But the ego does not give up so easily.
  • It counters with an insatiable desire for success, power, money, recognition, and things.
  • The ego’s desperate attempt to achieve the core drive on the physical plane is like driving a car into a ditch.
  • It tries to get out by pressing harder on the accelerator which only serves to heat up the motor, spray mud around, and dig a deeper rut.
  • With the ego in charge, the tools go out of alignment.
step 5 tools out of alignment reactivity
Step 5: Tools out of AlignmentReactivity
  • The six tools out of alignment=reactivity.
    • Mind: restless, relentless, a life of its own
    • Emotion: high emotional reactivity
    • Desire: excessive material desire resulting in attachments and bad habits.
    • Body: heavy, tired, hurts, disability, death
    • Activity: hyperactivity
    • Ego: separation, selfishness, territorial, self-important
step 5 tools become barriers the ego
Step 5: Tools Become BarriersThe Ego
  • The six tools out of alignment:
    • The universal problem: does anyone not have this?
    • Fixation: pin us to the mat of the status quo
    • Root cause: the root cause of much of our suffering
    • Add on: the suffering that we add to the inevitable suffering of life
step 5 tools become barriers getting the tools back in alignment
Step 5: Tools Become BarriersGetting the Tools Back in Alignment
  • We can get the six tools back in alignment by developing a spiritual practice (step 9)
    • This is where the leverage is.
    • We do the work here.
    • Spiritual backbone-spinal column
    • Spiritual chiropractor
    • Day to day, hand to hand combat (9 to 5)
    • Grind it out spiritual work
    • Soul qualities slowly replace the ego.
summary of steps 1 5
Summary of Steps 1-5
  • Two levels of suffering
    • The inevitable suffering of life: steps 1-3
    • The six helpful tools spin out of control: step 5
  • We cannot control duality and brutal reality—the inevitable suffering of life.
summary of steps 1 563
Summary of Steps 1-5
  • However, we can control how we respond.
  • We can intervene at step 5.
  • A comprehensive program must address step 5.
  • The great religions tell us how.
  • This is very good news as we add a lot of suffering to the inevitable suffering of life.
step 6 the seeker
Step 6: The Seeker
  • Step 6: The Seeker
    • The two layers of pain comingle.
    • Our pain deepens.
    • We may develop symptoms that invade functioning.
    • Our suffering leads to a period of questioning.
    • We recognize the need to get help.
    • We become seekers.
step 6 the seeker65
Step 6: The Seeker
  • Our search takes us to spiritual belief systems.
  • World religions delve into the heart of the mystery of life and suffering and emerge with a prescription for our difficulties.
  • We can heal ourselves, religion teaches, if we learn how to manage our pain more skillfully by developing a spiritual practice.
  • But first, we must define the nature of the soul and spirit.
step 7 soul and spirit
Step 7: Soul and Spirit
  • Soul or Higher Self
    • Spiritual qualities: religious traditions point to spiritual qualities as the nature of soul and Spirit and recognize these as the goal of all spiritual work.
    • Spiritual alphabet
    • Periodic table of spiritual elements
step 7 soul and spirit67
Step 7: Soul and Spirit
  • Soul or Higher Self
    • Extract the essence from the texts and stories of the sacred traditions and summarize in one-word qualities
    • Perfume: The Elegant Essence of Religion
    • Call it Love, Truth, Power, Wisdom, Knowledge, Soul, The Buddha, Atman, The Image of God, Higher Self, Spiritual Qualities, or whatever you prefer
spiritual alphabet
Spiritual Alphabet
  • Acceptance
  • Appreciation
  • Balance
  • Beauty
  • belief
  • Changelessness
  • Cheerfulness
  • Clarity
  • Community
  • Compassion
  • Confidence
  • Contentment
  • Courage
  • Creativity
  • Desireless
  • Devotion
  • Endurance
  • Energy
  • Enthusiasm
  • Equality
  • Eternity
  • Even-mindedness
  • Faith
  • Fearlessness
  • Forbearance
  • Forgiveness
  • Freedom
  • Friendship
  • Fun
  • Generosity
  • Gentleness
  • Gratitude
  • Harmony
  • Healing
  • Honesty
  • Hope
  • Humility
  • Humor
  • Immortality
  • Infinity
  • Integrity
  • Interconnected
  • Introspection
  • Intuition
  • Joy
  • Justice
  • Kindness
  • Knowledge
  • Laughter
  • Light
  • Listening
  • Loyalty
spiritual alphabet69
Spiritual Alphabet
  • Mercy
  • Mindfulness
  • Mystery
  • Non-attachment
  • Non-injury
  • Oneness
  • Openness
  • Order
  • patience
  • Peace
  • Perfection
  • Perseverance
  • Play
  • Positive- thought
  • Power
  • Practicality
  • Pure awareness
  • Pure consciousness
  • Purity
  • Receptivity
  • Reverence
  • Rhythm
  • Safety
  • Security
  • Self-control
  • Service
  • Silence
  • Simplicity
  • Sincerity
  • Spaciousness
  • Stillness
  • Strength
  • Success
  • Surrender
  • Sweetness
  • Tenderness
  • Thoughtfulness
  • Tolerance
  • Trust
  • Truthfulness
  • Unconditional love
  • Understanding
  • Unity
  • Usefulness
  • warmth
  • Will
  • wisdom
  • Witness
  • other
step 7 soul and spirit70
Step 7: Soul and Spirit
  • You have an army of 100 spiritual qualities.
  • The jewels of this life
  • The habits of a sage
  • The healers
  • Broker and buffer the pain
  • USA: unconditional, spontaneous, automatic
  • As these slowly grow to USA, the locus of control shifts from outside to inside.
step 7 soul and spirit71
Step 7: Soul and Spirit
  • Spirit or Higher Power
    • Atheist, Agnostic, Spiritual, Religious
      • The God of your understanding
        • Omniscient, Omnipotent, Omnipresent
        • The God of Love
        • Christ, Buddha, Krishna, Rumi, Bal Shem Tov
        • The Infinite Mysterious Unknown
        • Many other concepts, images, aspects
      • Higher states of consciousness
      • Higher or true self
      • Higher meaning and purpose
step 8 the school of life
Step 8: The School of Life
  • Turn the tables on the pain and make it work for you.
  • When pain comes, school is in session:
    • Life is school.
    • Pain is the teacher if we let it be.
    • Lessons have to do with the cultivation of spiritual qualities.
step 9 spiritual practice external
Step 9: Spiritual PracticeExternal
  • Synagogue, church, mosque
  • Rituals
  • Sermons, singing, chanting
  • Organizational work, committees
  • Social gatherings
  • Community service
step 9 spiritual practice internal
Step 9: Spiritual PracticeInternal
  • Affirmations
  • Habits
  • Breathwork
  • Progressive muscle relaxation
  • Contemplation
  • Meditation
  • Prayer
  • Mindfulness
  • Practicing the Presence of God
  • Service
  • Yoga
  • The Transformation of Emotion
spiritual practice step 9
Spiritual PracticeStep 9
  • Recall the purpose of spiritual practice
    • Reduce reactivity
      • Getting the six tools back in alignment
        • Mind: positive, calm, strong
        • Emotion: self-knowledge
        • Desire: contentment, satisfaction
        • Body: a temple housing God/Consciousness
        • Activity: stillness, silence, serenity
        • Ego: replaced by soul qualities
    • Discipline, life long practice
    • Persevere and the reward is great
step 10 spiritual experience
Step 10: Spiritual Experience
  • The Promise: Spiritual Experience
    • Cultivate spiritual qualities
    • Feel better
    • Become a better person
    • Negative → Positive → Stillness → Higher States of Consciousness
    • Conquer the inner world
    • Become master of yourself
step 10 spiritual experience77
Step 10: Spiritual Experience

Expansion of spiritual qualities in four stages:

  • No change is noticeable. Spiritual qualities are expanding but the increase is subtle and imperceptible. Many people quit here.
  • You feel better. There is a tangible experience of ever-expanding peace, love, strength, courage, compassion, and other qualities from the spiritual alphabet.
  • Transformation of consciousness: the peace that surpasses understanding pure love, ecstatic joy, intuitive wisdom, a feeling of oneness with everything, and other wonderful expressions of Spirit.
  • Mastery: a sustained state of superconsciousness.
key principles of the ten steps
Key Principles of the Ten Steps
  • Steps 1-3: We want permanent love and safety in an uncertain world where suffering is inevitable.
  • Steps 4-5: We manage our pain poorly and make it worse.
  • Steps 6-7: The wisdom of the ages found in the world’s great religious traditions offers a solution to this dilemma.
  • Step 8: Religions teach us how to use the inevitable suffering of life to cultivate peace, power, and strength.
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Key Principles of the Ten Steps
  • Step 9: Pain is the route to healing if we develop a spiritual practice.
  • Step 10: Spiritual qualities such as love, compassion, courage, strength, and humility are the healers. They help us broker and buffer the pain of this life.
  • Steps 1-10: Through a series of painful lessons, life teaches us that the peace, love, and joy we seek in the outer world, can and must ultimately be found within.
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Key Principles of the Ten Steps
  • Spiritual work results in a shift in the locus of control from the outer world of people, places, and things to the inner world of peace, power, and strength.
  • Skillful pain management (step 8) and spiritual practice (step 9) lead to the discovery of the soul and Higher Power (step 7) as the peace, love, and joy we crave (step 10) (Universal Wheel).
  • Step 10 is The Core Drive resurrected, but now we understand that getting the peace, love, and joy we crave, necessitates a shift in the locus of control from outside to inside.
the car
The Car
  • Build a car worthy of the spiritual journey.
  • The Car
    • Body of the car: atheist, agnostic, religious, spiritual
    • Universal Wheel: problem, method, quality
    • Traction Devices: the stuff of the religions.
the universal wheel problem method quality
The Universal WheelProblem, Method, Quality
  • The Universal Wheel
    • Problem: any problem of body, mind, or soul.
    • Method: choose any one or combination of the 12 methods.
    • Qualities: choose any one or combination of 100 spiritual qualities in response to your problem.
  • Example:
    • I am anxious.
    • I practice meditation and mindfulness.
    • I cultivate peace of mind.
the universal wheel
The Universal Wheel
  • The Universal Wheel
    • The essence of spiritual work
    • Cannot reduce any further
    • Buddhism
    • Necessary and sufficient
    • Roll the wheel
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The Universal Wheel
  • For many the universal wheel is:
    • enough
    • least invasive, threatening, or toxic.
    • there is no theology here.
    • addresses the root cause of much of our suffering.
  • For others, the universal wheel is not enough.
traction devices
Traction Devices
  • Some people need theological traction devices
    • The stuff of the religions
    • Story, metaphor, language
    • Concepts, images, aspects
    • Rituals
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Traction Devices
  • Omniscient, Omnipotent, Omnipresence
  • The God of Love
  • A personal God as Father, Mother, Friend, Beloved, Teacher, Guide, Protector, Confidant
  • Saints, sages, masters, teachers, and gurus
  • Christ, Buddha, Krishna, Rumi, Bal Shem Tov
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Traction Devices
  • An impersonal God as peace, love, joy, power, wisdom, or other combinations of spiritual qualities
  • Nature, reason, the subconscious
  • Collective unconscious and archetypes
  • The Mystery
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Traction Devices
  • Karma and reincarnation
  • Grace
  • Mystical experiences: eternal peace, pure love, ecstatic joy, intuitive wisdom, protection, guidance, prophetic dreams, many others
  • And more
inclusion and individualization
Inclusion and Individualization
  • One person’s traction device is the next person’s gag reflex.
  • Take what you need and leave the rest.
  • Don’t let language knock you out of the game.
    • Nuke offensive language and substitute your own
  • Inclusion: all of the options cited above are referred to in the ten-step model.
how to use the book overview
How to Use the BookOverview
  • The book is an instruction manual for developing a spiritual practice.
  • There are ten steps, 15 methods, and 100 spiritual qualities.
  • 10 qualities have their own chapter.
  • The first 89 pages set the stage for the rest of the book.
  • Chapter 3-6: The Ten Steps
getting started
Getting Started
  • Chapter 7: eight suggestions p. 50
  • The ego versus the soul p. 27 & 53
    • A battle between the ego and the soul for control over thought, feeling, desire, body, and activity
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Getting Started
  • Ego: tools out of alignment
    • Thought
    • Feeling
    • Desire
    • Body
    • Activity
    • Soul: tools in alignment
    • Thought
    • Feeling
    • Desire
    • Body
    • Activity
the serenity prayer
The Serenity Prayer
  • Will and Surrender p. 59
  • Will: How to develop will power—from spark to bonfire p. 60
  • Surrender: learning to live with what we cannot change p. 67
  • Managing problems with will, surrender, and a combination of both p. 70
a universal method
A Universal Method
  • A ten-step method for working with any pain or problem p. 75
  • Will and grace
  • The mystery of evil and suffering
    • 4 options p. 83
  • The formula for success p. 85
  • Define your Higher Power p. 85
    • Install the image for duality and brutal reality
    • A constant no matter what the world or body does
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A Universal Method
  • One pointed calm concentration p. 87
    • All your heart, mind, might and soul
    • 24/7 for all techniques
  • Stay in the present p. 87
  • Start slow p. 88
  • Continuous practice p. 88
  • Pace yourself p. 88
  • Do your best and leave the rest p. 89
spiritual practice
Spiritual Practice
  • The purpose of spiritual practice
    • Reduce reactivity
    • Getting the six tools back in alignment
      • Mind: positive, calm, focused, resilient
      • Emotion: self-knowledge
      • Desire: contentment, satisfaction
      • Body: a temple housing the actual God of the Universe or higher states of consciousness
      • Activity: stillness, silence, spaciousness, serenity
      • Ego: replaced by soul qualities
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Step 9: Spiritual PracticeInternal
  • Affirmations
  • Habits
  • Breathwork
  • Progressive muscle relaxation
  • Contemplation
  • Meditation
  • Prayer
  • Mindfulness
  • Practicing the Presence of God
  • Service
  • Yoga
  • The Transformation of Emotion
affirmations
Affirmations
  • The power of thought
  • We are always affirming something.
  • Thoughts are like glasses through which you see the world.
  • Framing and reframing
  • The Subconscious
  • Lipstick on a pig
  • Technique p. 99
  • Japa Yoga p. 100
  • Note cars p, 101
  • One word affirmations p. 34 the spiritual alphabet
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Affirmations
  • Creating powerful and effective affirmations
    • Individualize
    • Visualize
    • Feel
    • Intensity
    • Practice
    • Persist
    • Manifest
how to eliminate bad habits
How To Eliminate Bad Habits
  • Habits rule destiny
    • Cocaine addict
    • Householder
    • Spiritual seeker
    • Highly conscious sage
  • Change your habits and you change the course of your life.
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How to Eliminate Bad Habits

The thought manifests as word.

The word manifests as deed.

The deed develops into habit.

And habit hardens into character

So watch the thought and its ways with care,

And let it spring from love

Born out of concern for all beings.

The Buddha

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How to Eliminate Bad Habits
  • The needle of attention
    • Attention feeds the habit
    • Activates the brain groove
    • Releases thought, impulse, fantasy, feeling, desire, and action.
  • Brain groove and neurocircuits
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How to Eliminate Bad Habits
  • The brain is malleable.
  • We can form new brain grooves that hold new good habits:
        • Constructive meaningful activities
        • The habits of a seeker
                  • Twelve spiritual methods
        • The habits of a sage
                  • 100 spiritual qualities
habits
Habits

Assume a virtue if you have it not.

Refrain tonight,

And that shall lend a kind of easiness

To the next abstinence, the next more easy;

For use almost can change the stamp of nature,

And either lodge the devil or throw him out

With wondrous potency

Shakespeare, Hamlet

morning evening and day program
Morning, Evening, and Day Program
  • Morning and evening program
    • Progressive Muscle Relaxation
    • Breath work
    • Contemplation
    • Meditation
    • Prayer
  • Daily activity program
    • Mindfulness
    • Practicing the presence of God
    • Service
    • Yoga
    • The Transformation of Emotion
morning and evening program
Morning and Evening Program
  • Progressive Muscle Relaxation p 121
    • Energize and relax the body
  • Breathwork p. 127
    • Using the breath to heal mind, body, and soul
  • Contemplation p. 133
    • Letting wisdom catch up with you
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Morning and Evening Program
  • Meditation
    • Stop the world
    • Stop the body
    • Stop the senses
    • Stop the mind
    • The Room of Stillness
    • Burn up problems in the Room of Stillness
    • Wait patiently
    • The door of stillness opens
    • The Ocean of Stillness
    • Ecstasy
    • Other worlds
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Morning and Evening Program
  • Prayer p. 153
    • Communion with your Higher Power
    • Will
    • Action
    • Surrender
    • Grace
    • Peace
day program
Day Program
  • Mindfulness p. 163
    • “I am awake”
    • Ordinary consciousness: mindlessness
    • Spiritual consciousness: mindfulness
    • Place the needle of your attention here:
      • Witness
      • School
      • Service
      • Warrior
      • Entertainment
      • Ritual
      • Create your own: focus on any aspect of Spirit
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Day Program
  • Practicing the Presence of God p. 177
    • A personal relationship
    • The sacred meaning of story
    • Phenomenon
    • Have a conversation with God
    • Hide and seek
    • Find and keep
    • If everything is God, how would you behave?
    • If I am Buddha and you are Jesus, what would change?
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Day Program
  • Service p. 191
    • Adding our light to the sum of the light
    • The Bodhisattva’s Vow
    • Love and service in a daily routine
    • Maintaining balance
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Day Program
  • Yoga p. 201
    • Bhakti Yoga: devotion
    • Karma Yoga: service
    • Jnana Yoga: wisdom
    • Raja Yoga: stillness
      • Eight steps of Patanjali
      • Chakras and prana
      • Material consciousness: energy down and out
      • Spiritual consciousness: energy in and up
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Day Program
  • Yoga
    • Raja Yoga
      • Be still and know that I am God.
      • God is stillness.
      • God is in the stillness.
      • Stillness is the doorway between this world and the next.
      • God is beyond the stillness
    • The Yogi in the school of life
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Day Program
  • The Transformation of Emotion p. 213
    • The Guest House: Rumi
    • A technique for converting emotional pain to self-knowledge
      • Let the story unfold
      • Spiritualize the story
deep inner work
Deep Inner Work
  • The two deepest inner program
    • The Transformation of Emotion: Self-knowledge
    • Meditation: stillness
      • These two work together
      • Some cannot do this
change your destiny the cultivation of spiritual qualities
Change Your DestinyThe Cultivation of Spiritual Qualities
  • Perfume Bottle
    • The elegant essence of religion
    • Wake up a Buddha, Christ, or Krishna
spiritual qualities
Spiritual Qualities
  • Love
  • Peace
  • Humility
  • Faith
  • Courage
  • Forgiveness
  • Truth
  • Intuition
  • Oneness
  • Healing
change your destiny a balanced healing program
Change Your DestinyA Balanced Healing Program
  • When you are in pain, check the alignment of the six tools:
    • Thoughts: repetitive, negative, relentless, a life of its own
    • Emotions: highly reactive
    • Desires: attachments and bad habits
    • Body: heavy, hurts, tired, disabled, disease, death
    • Activity: hyperactivity
    • Ego: fear, insecure, worry, doubt
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Change Your DestinyA Balanced Healing Program
  • Develop a spiritual practice
  • Drive your car up the spiritual mountain
  • Roll the Universal Wheel
    • Problem: any problem of body, mind, or soul
    • Method: any one or combination of 15 spriitual methods
        • Horizontal Axis 1-3
        • Vertical Axis 3-15
        • Horizontal → Vertical → Horizontal
    • Quality: cultivate one of a combination of 100 qualities from the spiritual alphabet
change your destiny spiritual evolution
Change Your DestinySpiritual Evolution
  • No matter what the world or your body does, you can respond by cultivating any one or combination of 100 spiritual qualities.
  • When you fill the body temple with love, compassion, understanding, forgiveness, patience, courage, and peace,
    • You feel better.
    • You become a better person.
    • Negative → Positive → Stillness → Higher States of Consciousness
    • Superconsciousness: The door of stillness opens → expansion → ecstasy
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Change Your DestinySpiritual Evolution
  • Service
    • Quiet anonymous acts of gentle humble service to all whom you meet
    • Bring your love to brutal reality. Serve there.
  • Superconsciousness → Service → Superconsciousness → Service →Mastery
  • Mastery
    • Even-minded under all conditions
    • Ocean/Wave: In the deep still ocean no matter how stormy the waves
summary
Summary
  • You do not need a religion or theology.
  • All you need is a spiritual practice.
  • Drive your car up the spiritual mountain and you will
    • Expand healing power
    • Become a more skillful pain manager
    • Evolve spiritually
    • Shift the locus of control from outside to inside
    • Negative → Positive → Stillness → Superconsciousness
    • Quiet anonymous acts of gentle humble service to all humanity
conclusion
Conclusion
    • Healthcare professionals: can teach the ten steps to their patients in hospitals and clinics.
    • The ten-step model supplements the healing practices of all medical specialties.
  • Self-help groups: The model is suited for self-help groups in the community.
  • Individual Study: we do not need a group or teacher. We can do this work at home alone.
group rules
Group Rules
  • We do not promote a particular religion.
  • We do promote your individual approach.
  • We have respect and tolerance for the great variety of ways to understand and practice spirituality.
  • We do not proselytize.
  • We engage in discussion without debate.
  • Take what you need and leave the rest.
  • We avoid giving advice or trying to fix other people’s problems.
  • We are not here to change others.
  • We are here to change ourselves.
exercise finding yourself and your patients in the ten steps
Exercise: Finding Yourself and Your Patients in the Ten Steps
  • Are you satisfied with your spiritual life?
  • What is the next step in your spiritual development?
  • Are you ready to take that step?
  • Are you willing to do some work?
  • What is your core drive?
  • How does step 3, The Compromise, play itself out in your life?
  • What are some examples in your life of how desire led to attachment and a bad habit or two?
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Exercise: Finding Yourself and Your Patients in the Ten Steps
  • Would you like to be able to control your mind but don’t know how?
  • Do you fill your waking life with continuous activity?
  • Do you have built-in periods of retreat and solitude for rest and regeneration?
  • Describe how your ego gets you into trouble.
  • Has your suffering led you to search for meaning and purpose.
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Exercise: Finding Yourself and Your Patients in the Ten Steps
  • What is the meaning and purpose of your life?
  • Describe how your belief system gives you meaning and purpose.
  • What is your concept of soul or higher self?
  • Do you have a Higher Power?
  • What is your concept of Higher Power?
  • If life is school, how would you describe some of the classes you are in at this time? What lessons are you learning?
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Exercise: Finding Yourself and Your Patients in the Ten Steps
  • Do you have a spiritual practice?
  • What spiritual methods do you use?
  • Would you like to expand your practice?
  • Review the list of spiritual qualities. Which of these would you like to grow?
  • Have you had a spiritual or superconscious experience?
  • Discuss pain as a stimulant for the growth of spiritual power.
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Exercise: Finding Yourself and Your Patients in the Ten Steps
  • Build your own car.
      • Universal Wheel: choose a problem, method, and quality.
      • Body of the car: atheist, agnostic, spiritual, religious
      • Traction devices
where do we go from here
Where Do We Go From Here?
  • Healthcare professionals: if not interested of don’t have enough time, refer patients to self-help books or skills trainers.
  • Those who are interested can follow the data from two sources:
    • Scientific studies on spirituality and healing
    • The scientific method in metaphysics: spiritual practice leads to direct personal experience.
        • These two work together.
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Where Do We Go From Here?
  • “Heal Thyself”
    • The Bag Lady
    • Healthcare professionals and consumers, seekers, individuals in crisis, all people
      • Develop a spiritual practice
      • Form study groups
      • Follow the scientific method in metaphysics
change your destiny some final advice
Change Your DestinySome Final Advice
  • Spiritual work is not easy.
  • It takes time to dissolve barriers.
  • Quick fixes are usually not real.
  • However, if you are patient and diligent, the rewards are profound.
  • For most it takes crisis and pain to start a practice but don’t wait.
  • Do your homework now.
  • Begin building your morning, day, and evening program.
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Change Your DestinySome Final Advice
  • Practice one or a combination or spiritual methods every day.
  • Work on cultivating one or a combination or spiritual qualities every day.
  • Even if you are very busy, try to read one or a few pages of sacred text every day.
  • Above all, remain compassionate, patient, and gentle with yourself.
  • Conclusion: The Great Physician prescribes Love p. 330
discussion
Discussion
  • Integration: personal and professional practice
  • Cases
northwest institute for healing power
Northwest Institute ForHealing Power
  • This is a self-help model.
  • You can and must ultimately do the work alone.
  • For those who might want ongoing support and guidance, consider forming a study group.
  • You can also attend classes at the Northwest Institute for Healing Power
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Northwest Institute for Healing Power
  • Classes: Monday evening 6:30-8:00 pm
  • Workshops
  • Personal instruction 1:1
  • Group supervision
  • Northwest Institute for Healing Power
  • Portland, Oregon
  • PhilipShapiro.com
  • PJLPW@comcast.net