Your Body – Healthy.net https://healthy.net Wed, 09 Mar 2022 22:10:43 +0000 en-US hourly 1 https://healthy.net/wp-content/uploads/2019/09/cropped-Healthy_Logo_Solid_Angle-1-1-32x32.png Your Body – Healthy.net https://healthy.net 32 32 165319808 The Wrong Damn Question https://healthy.net/2022/03/06/the-wrong-damn-question/?utm_source=rss&utm_medium=rss&utm_campaign=the-wrong-damn-question Sun, 06 Mar 2022 17:49:29 +0000 https://healthy.net/?p=36696 I used to take the Quiz. You know, the “Am I an Alcoholic?” one — with twenty questions promising to reveal whether or not you should stop what you’re doing and head to a 12-step meeting.

I took it in my twenties and, to my relief, answered “no” to enough questions. I took it again in my thirties and stopped answering around question 5 — “Have you given up hobbies or activities you used to enjoy?” — because I thought that was stupid. Of course I’ve given up hobbies and activities I used to enjoy — I have a toddler.

Maybe you’ve never taken the quiz, or maybe you have. I know my in-box is full of emails from people who are asking themselves the same questions that quiz asked me. And their answers pulse with the same level of unnecessary detail and caveats I used to mutter at my computer screen.

I’m going to offer a completely different alternative. This suggestion is likely to make some very smart and well-meaning heads explode, but it’s a question worth asking if we’re ever going to really change how we view this stuff.

Who cares if you’re an alcoholic?

Honestly. Who cares? What would it mean if I told you that you were? What would it mean if I told you you were not?

Let’s play out each scenario:

Scenario 1: Yes, You Are an Alcoholic

Congratulations, you’ve acquired an unwanted label! Instead of feeling empowered to explore your relationship with alcohol with openness and curiosity, it becomes a thing. It means you possibly have to…what? Seek support? Go to a 12-step meeting? Confess your condition to your friends and family?

And now suddenly changing your relationship with alcohol — which could have been a positive choice you make for yourself — now becomes an impossible chore, a “broken piece” in you that you have to “fix,” a standard for judging yourself and others. Your perspective shifts from How can I take the best care of myself possible, so I can feel connected and alive in my life? to feeling jealous and comparing yourself with others who are “not alcoholics” and “get” to drink “normally.”

Now maybe, you don’t mind taking on the label alcoholic because it gives you a real reason to abstain from drinking. It’s cold, hard proof you can show your friends and family and coworkers when they ask why you’re not having wine with dinner. “Oh, I can’t do that anymore,” you say, as you pull your alcoholic ID card from your wallet and lay it on the table with a satisfied smile, “I am an alcoholic.” Kind of like turning down dessert because you’re diabetic. Because what other reason is passable? You couldn’t possibly just…choose not to drink. Shudder.

I’m making this scenario sound absurd because it is. Most people would rather be diagnosed with a personality disorder than alcoholism. What it really comes down to is this: Do you give yourself permission to make your own choices — choices that are good for you?

Scenario 2: No, You’re Not an Alcoholic

You sigh with relief. Thank God, you think. Now I can go back to drinking my wine without worrying that I’ll soon find myself drinking vodka out of the bottle in my bathtub — just to keep from beating the kids.

Maybe you skip the wine here and there because you remember how great you felt for that month and a half when you gave it up for Lent. Maybe you do a Dry July or a Sober October, and each time, you feel that same surprising sense of optimism and openness to life.

But you go back to alcohol because, well, you’re not an alcoholic. Your spark dims a bit. That pesky anxiety gnaws at you. You’re generally hazy and less motivated. But that’s just life, right? You’re not an alcoholic, so these feelings can’t be related to the margarita you had last night. Alcohol’s only real side effect is a hangover, right?

Besides, you can quit easily — whenever you want. What’s two glasses of wine with dinner, anyway? Life is meant to be lived! C’est la vie and carpe diem! You’ve never suffered any negative consequences from drinking, really. You’re not like the girl whose book you read, who crashed her car and got a DUI and left her daughter unattended during a blackout. Or the person who drank in the mornings, or the one who lost custody of his kids, or the one who lost his job because he called in sick too many days because he was hungover.

It’s not like that.

It’s fine.

You’re fine.

It’s not like you’re an alcoholic.

* * *

See what I mean? The label means too much. Addiction is so stigmatized in our society that we think there are only two types of people when it comes to drinking: alcoholics and everyone else. And if you’re not in the first bucket, drinking is fun! In fact, who would quit unless they had to?

One woman wrote me a letter describing how her mood and outlook improved after a month without wine, and — because feeling so much better surprised her — she was concerned she might be an alcoholic. As if only alcoholics feel better when they don’t drink.

Being an alcoholic or not had no bearing on the anxiety and cravings she felt around dinnertime the first week she didn’t drink. No, those cravings surfaced because alcohol is an addictive substance and a social buffer and she wasn’t using it anymore. She’d become used to life with alcohol and had maybe even become addicted to it. Because it’s addictive.

Here’s the dirty little truth no one likes to admit — everyone feels better in the long run when they don’t drink. Not just alcoholics — everyone. Because putting alcohol into your body isn’t life giving; it’s life sucking. Nobody’s life actually improves because of alcohol, even though most people I know would scoff at that — That’s what you think [*wink, wink* *clink, clink*] — and society tells us otherwise ten ways to Sunday.

Most people have no idea what their bodies feel like without it for an extended period of time. Alcohol is so normalized, so everywhere, so much a part of the fabric of mainstream society that most people will never experience life without it unless they’re forced to.

Weird, right?

Isn’t it completely f@#king bizarre that we don’t question (and, in fact, highly encourage) regular consumption of a drug that’s more harmful and causes more deaths than cocaine, heroin, and meth combined? If someone stopped doing coke for a month and felt better, we wouldn’t sit there and wonder whether they were an addict or could go back to recreational line snorting. Or let’s look at smoking, which we were duped for decades into thinking was actually fine, and even healthy! Now that we know better, nobody questions the decision to stop smoking. Smoking is just so obviously stupid and dangerous.

And yet, alcohol is still cool. Unless you’re an alcoholic. In which case you’d better deal with it…

…quietly…

…over there…

…without ruining the party for everyone else.

# # #

Laura McKowen is the bestselling author of We Are the Luckiest, host of the Tell Me Something True podcast, and founder and CEO of The Luckiest Club, a global web-based sobriety support community. Beloved for her soulful and irreverent writing, Laura has been published in The New York Times, and her work has been featured by The Atlantic, The Wall Street Journal, the Today show, and more. Visit her online at http:/www.lauramckowen.com.  

Excerpted from the book We Are the Luckiest. Copyright ©2020 by Laura McKowen. Printed with permission from New World Library — http://www.newworldlibrary.com.

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Putting Sex Back on the Menopause Menu https://healthy.net/2021/10/30/putting_sex_back_on_the_menopause_menu/?utm_source=rss&utm_medium=rss&utm_campaign=putting_sex_back_on_the_menopause_menu Sat, 30 Oct 2021 23:11:57 +0000 https://healthy.net/?p=36258 Your partner is still keen, but during menopause sex may be the last thing on your mind. You are not alone. Many women find that their desire for sex wanes as they approach menopause. Studies show that up to 75 percent of women feel their sex drive has declined since menopause. That’s not surprising when up to 70 percent report suffering from vaginal dryness. Spontaneity and enjoyment understandably go out the window when penetration is painful.

Many women regard their loss of libido as part of their fading youth. Our libido levels are often a well-kept secret, and not something we consider an acceptable part of social chitchat over cocktails, even with our best friends. There are no standards for a normal level of libido, and there is no such thing as a normal sex drive. What is normal for one couple may be abnormal for another. You can judge your libido only by your own standards. If you are concerned that your sexual desire has diminished, the good news is you can take action to restore it.

Tiredness, lack of energy, and mood swings can put a strain on the most solid relationship. At the same time, falling levels of estrogen can result in the lining of your vagina becoming dry and uncomfortable. When this happens, penetration can become painful and, in extreme cases, the tissue may tear and bleed. If you are also suffering from night sweats, it’s not surprising that you don’t feel very sexy.

Many women suffer in silence, thinking this is an inevitable part of growing older. But it doesn’t have to be this way. There are plenty of things you can do naturally to repair the vaginal lining, encourage the cells to produce mucus again, and rekindle your libido.

Quiz: How’s Your Libido?

  1. Have you lost your sex drive?
  2. Do you have sex less often than you used to?
  3. Do you find sex painful?
  4. Does your vagina feel dry?
  5. Have you stopped looking forward to having sex?
  6. Have you stopped communicating with your partner on an intimate level?
  7. Are you too tired for sex?
  8. Has your enjoyment of sex diminished?
  9. Do you make excuses to avoid sex?

If you answered yes to more than two of these questions, try the following action plan to give your sex life a boost.

Causes of Loss of Libido

Low libido may have multiple causes, not all of which are related to menopausal changes. Excessive weight gain or weight loss, irregular periods, hair loss, or excessive hair growth may all signify hormonal problems that can result in a low sex drive. Other hormone disturbances, like thyroid problems or galactorrhea, a white milky discharge from the nipples, can also cause low libido, as can the hormonal changes at the time of menopause that cause night sweats and insomnia. Childbirth — now more common than it used to be among women approaching the age of menopause — also affects libido with rapid changes in hormone levels and disturbed sleep.

Sometimes women are put off sex because intercourse is too painful. The pain may be due to infection, vaginismus (spasm of the vaginal muscles), an enlarged or displaced uterus, or another hormonal abnormality. Additional causes of low libido include a history of long-term illness, lack of energy, and psychologically distressing past experiences.

Sex can also be off putting if it leads to urinary tract infections (UTIs). When the vaginal tissues are fragile, they can be damaged by pressure from penetration. This can make the urethra vulnerable to infection, especially if you are short of vitamin D and magnesium, two common deficiencies.

Stress, worry in the here and now, and depression often take their toll on sex drive. When you are mentally preoccupied with pressing problems, the body naturally diverts its energy to helping you through the troubled times, and sexual desire may take a back seat.

Herbal Helpers

The good news is that there is no need to accept falling libido levels as an inevitable part of aging. Energy levels often begin to wane prior to menopause, as estrogen levels decline and symptoms of estrogen withdrawal and long-term nutritional deficiencies start to show. Symptoms subside, and libido can be rekindled, once nutrient levels have been replenished and the body is supplied with naturally occurring phytoestrogens (see chapter 3). In addition, a number of traditional medicinal herbs contain active ingredients that can improve mood and raise energy levels and libido.

Maca root, cultivated in Peru, has been used as a safe aid to health for more than two thousand years. It stimulates the hormone-producing glands in the body. A few studies suggest that maca can alleviate sexual dysfunction, reduce vaginal dryness, and improve libido. There are thirteen different types of maca. Each has a different color and active ingredient content. Although most of them apparently work better for men than for women, maca has been shown to help to control menopause symptoms like hot flashes, night sweats, and fluctuating moods. It may also strengthen bones and improve sleep.

Ginseng is considered to be nonaddictive and far safer to use than stimulants, and is used to reduce the effects of stress, improve sexual performance, boost energy levels, enhance memory, and stimulate the immune system. It contains vitamins A and B6 and zinc, which helps the production of thymic hormones, necessary for the functioning of the immune system.

Ginseng is an adaptogen, which means that it has the ability to normalize body functions. For example, it helps to regulate blood sugar levels, which is of particular use in treating diabetes, and lowers blood pressure if it is too high.

St. John’s wort has also been shown to help boost a waning libido. A German study published a few years ago, on a group of 111 women with libido problems before menopause, showed that 60 percent of the participants had regained their libido significantly after a twelve-week course of 900 mg of St. John’s wort per day.

Horny goat weed (Epimedium, also known as barrenwort) has been used in traditional Chinese medicine for centuries. It has been shown to increase sexual interest in both men and women. Another herb, tribulus, thought to increase the production of testosterone in men and increase their sex drive, has also been shown to significantly boost libido in women.

Maryon Stewart is the author of Manage Your Menopause Naturally and 27 other books. A world-renowned healthcare expert, she has helped tens of thousands of women around the world overcome PMS and menopause symptoms without using drugs or hormones. Visit her online at http://www.maryonstewart.com.

Excerpted from the book Manage Your Menopause Naturally. Copyright ©2020 by Maryon Stewart. Printed with permission from New World Library — www.newworldlibrary.com.

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Cooling Hot Flashes https://healthy.net/2021/10/30/cooling_hot_flashes/?utm_source=rss&utm_medium=rss&utm_campaign=cooling_hot_flashes Sat, 30 Oct 2021 23:06:27 +0000 https://healthy.net/?p=36255 Hot flashes and night sweats can be debilitating. More than 80 percent of women are affected by hot flashes at some point. They may start long before you stop menstruating and continue for several years afterward. Experts don’t know for sure what causes them, but it’s thought that a lack of estrogen may affect the hypothalamus — the region of the brain that controls body temperature.

The frequency, duration, and intensity of hot flashes vary from one person to another. You may get several a day or be plagued constantly, day and night. They may last from a few seconds to several minutes. (The average is four minutes.) As well as the sudden rush of heat, you may experience a racing heart, dizziness, anxiety, and irritability.

Night sweats are severe versions of hot flashes that can cause you to wake up drenched in perspiration. You may even have to change your pajamas and sheets.

If you’re woken up this way, night after night, you’re bound to feel exhausted. Worse, because physical contact with a partner can trigger a hot flash, many women avoid it, which can lead to feelings of rejection and relationship problems. Here are some ways to feel better fast.

Cooling Your Hot Flashes

  • Don’t be embarrassed by a hot flash.
  • The moment you feel one coming on, stop what you’re doing. Take several slow, deep breaths and try to relax. This may help reduce the severity of the hot flash.
  • If possible, drink a glass of cold water and sit calmly until it passes.
  • Wear layers that you can easily take off when you feel yourself getting hot. Clothes made of natural fibers, such as cotton, help your skin breathe.
  • Keep your bedroom cool at night and put a fan, wet wipes, and a cold drink by your bed.
  • Use cotton bedlinens and pajamas.
  • Eat small, frequent meals. The heat generated by digesting a large meal can sometimes bring on a hot flash.
  • Exercise regularly. Being in good shape reduces your propensity to sweat and reduces hot flashes.
  • Don’t smoke. Research shows it increases the risk of overheating.
  • Include plenty of phytoestrogens in your diet. (
  • Try scientifically based supplements, like Promensil and Femmenessence MacaPause, which have been shown to reduce or even eliminate hot flashes and night sweats.

Did You Know?

It’s likely the hot surges you experience are the result of your brain trying to kick-start your ovaries into producing estrogen. Ovarian function does not decline in a straight line, which means that estrogen levels — and the severity of hot flashes — can fluctuate.

Maryon Stewart is the author of Manage Your Menopause Naturally and 27 other books. A world-renowned healthcare expert, she has helped tens of thousands of women around the world overcome PMS and menopause symptoms without using drugs or hormones. Visit her online at http://www.maryonstewart.com/book.

Excerpted from the book Manage Your Menopause Naturally. Copyright ©2020 by Maryon Stewart. Printed with permission from New World Library — .http://www.newworldlibrary.com

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Got Menopause Brain Fog? Here’s What to Do. https://healthy.net/2021/07/01/got-menopause-brain-fog-heres-what-to-do/?utm_source=rss&utm_medium=rss&utm_campaign=got-menopause-brain-fog-heres-what-to-do Thu, 01 Jul 2021 22:06:33 +0000 https://healthy.net/?p=35970 An Excerpt from Manage Your Menopause Naturally by Maryon Stewart

Feeling like you are losing your memory at midlife can be very frightening, especially if you think it’s permanent. Many women secretly wonder if these “senior moments” are the beginning of early-onset Alzheimer’s disease or dementia and are truly freaked out.

If you forget what you are saying in midsentence, what you went into a room for, or where you put your car keys, you are not alone. It’s one of the commonest symptoms of menopause. You are not losing your marbles. We all start to forget things as we age, say the experts. Among a group of people asked to memorize a list of seventy-five words read out five times, the average eighteen-year-old scored 54, a forty-five-year-old scored 47, and a sixty-five-year-old scored just 37.

No one knows the reason for sure, but it’s thought most memory problems at this time of life are due to a combination of poor concentration, lack of motivation, tiredness, anxiety, and stress, rather than loss of brain cells. Feeling fuzzy-headed is also thought to be related to the hormonal ups and downs associated with menopause. Nutrition plays a role too: the brain goes into economy mode when it has a low level of nutrients, which makes thinking less clear. And as we grow older, our circulation slows down, and less oxygen reaches our brain cells.

Some parts of the brain particularly involved with verbal memory are rich in estrogen receptors, so there could be a physiological link between hormonal status and brain function, as suggested by research undertaken by Sandra File at Guy’s Hospital in London.

Like our muscles, our brain needs exercise in order to function optimally. Many of us don’t stretch our brains as much as we could. Following a nutrient-dense and phytoestrogen-rich diet, leading an active lifestyle, not smoking, limiting alcohol intake, and keeping your brain well exercised can all help to keep you sharp.

Food for Thought

The brain is dependent on glucose, essential fats, and phospholipids. Several B vitamins are also essential for memory and mental performance. Zinc and magnesium are necessary for neurotransmitter function. It follows that including certain nutrients in your diet can help boost your concentration, attention span, and both short- and long-term memory. Research also suggests that brain-boosting supplements can help improve your memory. Indeed more than three hundred medical studies have been published on memory, most indicating the benefits of taking daily supplements.

An extract made from the leaves of Gingko biloba, commonly known as gingko or the Chinese maidenhair tree, has gained recognition over the past thirty years for helping restore vascular function and memory. Ginkgo improves circulation, which in turn increases blood flow, carrying more nutrients and oxygen to the brain. This helps restore short-term and long-term memory, helping you to think more clearly and concentrate better.

Foods rich in the antioxidant vitamins A, C, and E help mop up free radicals, the rogue molecules that can cause cell damage in the body, including the brain. Good sources include richly colored fruits and vegetables, such as bananas, red peppers, spinach, and oranges.

Oily fish is rich in omega-3 essential fatty acids and folate, which are vital for the functioning of the brain and nervous system. Good sources include sardines, salmon, herring, anchovies, and mackerel.

Eating soy has been shown to improve memory in menopausal women. These research findings have led to speculation that soy may also help maintain cognitive function in older women and reduce the risk of Alzheimer’s disease.

Quiz: How Sharp Is Your Brain?

  • Do you ever forget what you went upstairs for?
  • Do you have trouble remembering telephone numbers?
  • Do you find it hard to concentrate?
  • Do you forget a person’s name the moment after you’ve been introduced?
  • Are you prone to absentminded acts, such as putting milk in the cupboard instead of the refrigerator?
  • Have you ever missed an appointment because you forgot it? Do you have to write arrangements down the minute you make them for fear of forgetting them?
  • Have you ever forgotten the name of someone you know well?
  • Do you frequently lose your car keys?
  • Have you ever forgotten what you were saying midsentence?
  • Have you ever gone to mention something important to someone, but gone completely blank?
  • Have you ever put something in the oven and forgotten to take it out?
  • Have you ever said you would do something for someone, but completely forgotten to do it?

If you answered yes to more than three questions, it’s time to try some memory-boosting foods and supplements, as well as doing some mental exercises.

Staying Sharp

Many studies show that stimulation is the key to good memory and that people who take part in lots of different types of mental activity have better powers of recall. The more active your brain is, the better your memory is likely to be, and the more different ways you use your mind, the easier you’ll find it to remember things. It’s all to do with being active, rather than passive: whether you actively concentrate and focus on things or whether you just let them wash over you.

Try the following exercises to sharpen your mental faculties:

  • Do a mental exercise every day — a crossword, sudoku, word search, or quiz. If you don’t know the solution, look it up, then try to remember it the next day.
  • When doing your finances, ditch the calculator and use your brain instead.
  • Take up new activities — gardening, knitting, or anything involving physical coordination.
  • Memorize your shopping list before going to the store.
  • Engage in games that stretch your brain, such as chess or bridge.

Our memory allows us to learn new things and store millions of facts and figures in words, sound, and picture form. Even if we fed information into our brain every second of our lives, it would find room to store all we needed to recall. We rely on the information retained in our memory to respond to environmental and social stimulation every day of our lives.

Maryon Stewart is the author of Manage Your Menopause Naturally and 27 other books. A world-renowned healthcare expert, she has helped tens of thousands of women around the world overcome PMS and menopause symptoms without using drugs or hormones. Visit her online at http://www.maryonstewart.com/book.

Excerpted from the book Manage Your Menopause Naturally. Copyright ©2020 by Maryon Stewart. Printed with permission from New World Library — http://www.newworldlibrary.com.

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New Epstein-Barr Treatment Shows Promise for CFS & Fibromyalgia https://healthy.net/2020/08/12/new-epstein-barr-treatment-shows-promise-for-cfs-fibromyalgia-fatigue/?utm_source=rss&utm_medium=rss&utm_campaign=new-epstein-barr-treatment-shows-promise-for-cfs-fibromyalgia-fatigue Thu, 13 Aug 2020 00:31:20 +0000 https://healthy.net/?p=34286 new study using sensitive PCR testing found that 24% of people with CFS/ME tested positive for Epstein-Barr virus (EBV) compared to only 4% of healthy people. The testing showed cytomegalovirus (CMV) positive in 3.4% of cases and HHV-6 positive in 1.7% of cases. That compared to 0% positive of either in healthy people. Fifty-eight people were in the CFS group, while 50 were in the healthy control group.

These findings are consistent with a 2017 study by Dr. William Pridgen that suggested taking the anti-EBV medications Famvir and Celebrex for six months can help a subset of people with CFS and fibromyalgia. I’ve also seen this in thousands of people that I’ve treated.

Meanwhile, another recent study shows that an old diuretic called spironolactone (Aldactone) is also active against Epstein-Barr syndrome. Combining it with other antiviral treatments may enhance their effectiveness, although this must be done cautiously, as the diuretic can lower both testosterone and blood volume. And both of these are already low in people with fibromyalgia.

The price of spironolactone treatment is only $0.20 a day. For most healthy people, it’s also quite safe. However, there are concerns using it to treat CFS/FMS:

  • Because it’s a diuretic, spironolactone can dehydrate people. But people with chronic fatigue syndrome and fibromyalgia already tend to be chronically dehydrated. This is because having CFS/FMS lowers your antidiuretic hormone, which leaves you “drinking like a fish and peeing like a racehorse.” Some people I’ve treated have improved with prescription antidiuretic hormone pills (DDAVP or vasopressin, the same medication used for bed wetting). In those needing spironolactone who have low blood pressure or orthostatic intolerance, it can be combined with the DDAVP.
  • Spironolactone lowers testosterone levels, which are already in the lowest 30% of the population in 70% of men and women with CFS and fibromyalgia. Research by Prof. Hillary White of Dartmouth showed that treating women who had fibromyalgia with testosterone, despite normal blood levels, decreased their pain. So testosterone levels need to be monitored and optimized when using this treatment.
  • Anything that kills off a chronic infection can trigger a “Herxheimer reaction,” which is a severe flare up in symptoms. Years ago, a young woman I was treating was put on spironolactone for high testosterone (called polycystic ovarian syndrome). The first dose put her in the emergency room. I assumed it was because of the diuretic effect and her orthostatic intolerance. But now I suspect it was a Herxheimer reaction. So when adding spironolactone, especially combined with other antivirals, it’s important to start with a very low dose.

Bottom Line?

Spironolactone offers another potential tool for treating people whose CFS and fibromyalgia began with an acute viral infection, have the severe form that leaves them housebound, or who have chronic flu-like symptoms. However, it needs to be used cautiously for the reasons noted above. Fortunately, simple measures can prevent these problems.

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A Bigger Yes https://healthy.net/2020/02/09/a-bigger-yes/?utm_source=rss&utm_medium=rss&utm_campaign=a-bigger-yes Sun, 09 Feb 2020 17:36:33 +0000 https://healthy.net/?p=33570 Before Laura McKowen got sober, she had a long, successful career in public relations in the Mad Men-esque drinking culture of the advertising industry, where “liquid lunches were frequent and drinking at your desk in the late afternoon was perfectly normal.” In the five years since she stopped drinking, she has become one of the foremost voices in the modern recovery movement.

In her new memoir We Are the Luckiest: The Surprising Magic of a Sober Life (New World Library, January 7, 2020), McKowen flips the script on how we talk about addiction and encourages readers not to ask, “Is this bad enough that I have to change?” but rather, “Is this good enough for me to stay the same?”

We hope you’ll enjoy this excerpt from the book.

For so long, all I could see was what I would be losing by giving up drinking — love being only one representation of many. Despite all the aphorisms and positive thinking and stories I’d heard from other sober people promising me otherwise, all I could feel was the loss. Augusten Burroughs, in his book This Is How, said that what worked for him in getting sober was to find something he loved more than drinking. I understood that intellectually, and it sounded awfully catchy and inspiring, but it just didn’t feel true for me.

Being in that room with Seane, feeling whatever had been sparking up in me — even in the midst of all the emotional angst and discomfort — I started to get it. For the first time, I could imagine chasing something bigger.

Here’s what is true, for you and for me: the grief and the sadness are real. When you give up something you’ve relied on as heavily as I relied on alcohol, even when that something is actively destroying your life, it is a true loss. You can’t deny that, and more importantly, you don’t have to.

I thought there was something wrong with me for feeling so heartbroken. How could I actively miss a thing that had nearly cost me everything, including Alma?

There was nothing wrong with me, though. Alcohol had been my friend. It had carried me through a lot of pain I might have otherwise not been able to withstand. It had softened experiences that needed to be softened. It had been there for me always, without question. My drinking — and whatever it is you do to feel better — was born of a natural impulse to soothe, to connect, to feel love. And although alcohol hadn’t actually delivered those things, it was absolutely yoked to them in my mind. In my heart and body, too. It was just what I knew.

So of course I was terrified without it. Of course I missed it. The absence of it was terrible. And necessary. Maybe it’s helpful to linger there for a minute, in the terrible and the necessary. To start to see them as the same. Maybe in this way, pain is not such a problem.

When I saw Seane up there, doing what she did, I realized it wasn’t in spite of her pain that she was doing these things but because of it. She knew exactly what it took to walk through the fire. That is what I recognized in her. That was why I believed her.

Because that strength was in me, too.

I had always quashed my pain and cut it off before it could burn all the way through. I drank it away or ate it away or disappeared into another person or work. Being there over those four days, without contact with Jon or Alma or the comforts of home, had given me a taste of what it was like to just let it burn. I felt it. I felt it all over my body. And although it was excruciating most of the time, there were a few moments when I surrendered the fight and simply allowed everything to wash over me. In those moments, I found that right alongside the sharp intensity and unease, there was some small part of me willing to stay, another voice softly saying, I am willing to be here.

Behind all those nos and never-agains is a much bigger yes. It might not seem clear now, but it will be clear soon. Listen to the voice. Listen to your body. This is in you already.

There is a life that is calling you forward, begging you to meet its eye, to glimpse its vision for you. You can get only so far by running away from what you do not want. Eventually you will have to turn toward what you do. You will have to run toward a bigger yes.

Excerpted from the book We Are the Luckiest. Copyright ©2020 by Laura McKowen. Printed with permission from New World Library — http://www.newworldlibrary.com.

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The Healing Power of Plants https://healthy.net/2019/08/26/the-healing-power-of-plants/?utm_source=rss&utm_medium=rss&utm_campaign=the-healing-power-of-plants Mon, 26 Aug 2019 21:02:35 +0000 https://healthy.net/2019/08/26/the-healing-power-of-plants/ Jim Duke, America’s elder statesman of herbs and spices, is a dedicated and strong-willed scientist whose advocacy of natural healing methods has never diminished. Born in Birmingham, Alabama in 1929, Duke earned his doctorate in botany from the University of North Carolina in 1961. Following military service, he undertook postdoctoral activities at Washington University and the Missouri Botanical Garden in St. Louis.


Starting in the 1960s, Duke was an ecologist with the United States Department of Agriculture (USDA), joining Battelle Columbus Laboratories (1965-71) for ecological and ethnobotanical studies in Panama and Colombia. During this formative period, Duke lived with various ethnic groups, pursuing what became a lifelong passion for learning from peoples whose traditions are rich with knowledge of the healing properties of plants. Eventually, Duke became chief of the USDA Medicinal Plant Resources Laboratory.


Duke’s book, The Green Pharmacy (St. Martin’s, 1997), is the standard setter in its field, having sold over one million copies in English. It is now translated into eight languages. Duke has also authored or co-authored 40 other books on herbs, spices and foods, along with 400 articles (half in peer-reviewed journals). He remains a popular lecturer on the subjects of ethnobotany, herbs, medicinal plants, and new crops and their ecology.


In 1995, Duke retired after 30 years with the USDA. Before retiring, he brought his Father Nature’s Farmacy database online at USDA. It is now one of the most frequently consulted databases with the Plant Genome Project at USDA. Duke’s database is especially useful for determining biological activities and healing potentials of food ands herbs.


For further information: www.greenpharmacy.com.

Please tell us how you first fell in love with plants.


There was an old man across the street from me in the Birmingham, Alabama suburbs that had his rabbits to talk to, and every now and then he would walk me through the nearby woods in the foothills. He taught me about chestnuts when we had chestnuts, and watercress. That was when I was about age five, and I think he was about as old and gangly as I am now. We both profited from these mutual walks through the woods. And I have been in love with botany ever since.


All of us learned in grade school that many of the first European explorers set sail across the ocean in search of spices. I personally love spices but I can’t really see risking life and limb to procure them. What’s your take on this?


I have a bad poem on that. It only takes four or five lines. I recited this in ’92 when it was the 500th anniversary of Columbus setting sail. The poem goes like this: “Columbus set sail/looking for black Indians and black pepper/and he took the wrong ocean/and he found red Indians and red pepper/and he changed the cuisine of the world.” As of today, capsicum (red pepper) is one of my ten favorite medicinal spices, and one that is recommended for certain maladies that I have.


What are some of your other favorite spices?


Two years ago, I would have said that garlic is the most important in my garden. Garlic is in more than 20 plots of the 80 plots in my garden. It’s also good for some of my ailments. It’s a constant battle in my mind over which is most important to me. But garlic is so good to eat and so easy to grow, that I can find it in one condition or another in my garden year-round.


Turmeric is another plant which I have in my garden but I’ll need to move it into my greenhouse any day now. Ginger, and cinnamon (which is a shrub), I’ll move them into the greenhouse, too. Those are good medicines. I have a database of 2500 plants, of which I would call 200 of them spices. I understand that my database is one of the most frequently visited at the USDA.


Considering the amount of data on handled by the USDA, that’s quite impressive. Prior to your developing these databases that the USDA now keeps, did such databases exist? Did they have other herb or spice databases that you built on? Or are you the one who started this project?


They had none at the USDA. This started in 1977 or 1978, when the USDA accepted my assignment to a major anticancer program of the National Cancer Institute. At that time, I was sent to lead a small group to look for plants that might have anticancer activity, funded by the National Cancer Institute. So that means that way back in 1978, I started this database. It was primitive but we’ve improved it.


When I’m long gone, that will still be there. [In my own personal database] I’ve got almost three times as much data on some of these same questions as you could ask the USDA database tonight. I can take it proprietary, but if I can’t find a buyer for it, I will dump it all into the USDA database and improve it probably five- or six-fold.


Either way, that’s a wonderful legacy to have created and to pass on to others. You mentioned that, starting in the late 1970s, you were part of a project looking for potentially anticancer herbs. Where did that take you in your travels?


My whole lab traveled a lot. I had at least three trips to China, one trip to Panama (my old stomping grounds), one to Ecuador and one to Syria. And though not all of these were necessarily due to the anticancer program, in my USDA career I’ve been to over 50 countries.


I’ve had a charmed career! My God, I feel sorry for those people who spend their 30 years studying wheat or corn. I’ve landed from helicopters in ganja fields in Jamaica, in opium fields in Laos, and driven into coca fields back in the 1970s, when it wasn’t dangerous. I was involved with the USDA alternative crops program where we would try to convince farmers that if they would phase out the narcotics, they would give them some interesting alternatives that might be remuneratively competitive.


How did that work out?


You may have noticed I used the words, “might be” … Because if we came up with a product that was more competitive, the narcs would just pay more. It was a non-winnable situation. I don’t think the USDA would say that, though. Frankly, I think ganja is a great medicinal plant, much better than the synthetic copycats, which cost much more.


You’ve authored or co-authored many books on herbs, spices and foods. Some are academic treatises and others, like the classic bestseller, The Green Pharmacy, are for general audiences. Looking back on your publishing life, what work or works do you recall as the most satisfying, either because you loved writing them or because of the influence they had on readers?


Every time someone comes to a tour of the garden here, we show them a few of the books that I have on hand. And when they ask, “Which one would you buy if you were only going to buy one?” I always say The Green Pharmacy. It sold over a million copies in English and is now translated into eight languages. It was a turning point for me and I actually retired from the USDA a year early so I could work on that. I think it was one of the best decisions I ever made. That’s why I have the Green Pharmacy Garden, with 300 species of plants, mostly built like the chapters of that book. We have a stone in the middle of a plot, say the Alzheimer’s Plot. There, we’ll see rosemary, sage, periwinkle and some of the plants that are still arguably better than the pharmaceuticals like Aricept.


Tell us more about the Green Pharmacy Garden.


It’s a south-facing slope on my home property here. It will revert, upon my death and my wife’s death, to the Tai Sophia Institute, which is an acupuncture and healing institute at the moment, but it’s liable to become part of a laureate university system all over the world.


The garden on the south slope has four long rows that are sort of like sloped terraces, and in each we have about 20 plots. In each plot, we’ve gathered the best medicinal plants for different ailments. For example, we have a Prostate Plot. We have the best sources of lycopene there – the saw palmetto (which we have to bring in before frost arrives), the stinging nettle, and the African pygeum, proven to help the prostate. That’s just one of the 80 plots in the garden. I can send to those who wish a map of the garden, listing all the species in each plot. It’s sort of like a catalog.


Science marches on and we keep learning new things that might be promising. And frankly, I’m really eager, as is my head gardener, Helen Metzman, to get the latest into them. She is being paid by Tai Sophia. She is hardworking, an artist. She builds beautiful structures out of bamboo and vines to keep the garden a place of beauty as well as a place of education.


What role do you have in the herbal masters program at Tai Sophia? Are you teaching there? Guest lecturing?


I’m glad you asked. My garden is where I teach. We like to call it “Tai South Campus.” It’s roughly one and a half miles, as the crow flies, from the Tai Sophia main campus. The students love to come down here for classes. Instead of my giving them a bunch of slides, we squeeze and tug and defoliate. We have one specimen plant, the jewel weed, that ejaculates its seed into the student’s hand. It’s a hands-on experience.


I recall going on an herb walk a long time ago in Iowa and being told that jewel weed was very helpful for poison ivy.


A long-deceased researcher friend of mine discovered that there is an antihistaminic compound in the jewel weed which explains some of the folklore. But it turns out, wildly and surprisingly to almost anyone, that the active ingredient in jewel weed is lawsone, which is also the active ingredient in the dye called henna. Just two weeks ago in class, one of the students rubbed into one side of my goatee, the reddish roots, or prop roots, of the jewel weed. We didn’t wash it for a few days, and it gave me a light yellow tint to my goatee. It doesn’t really work well on gray hair; henna and lawsone work better on darker hair.


A century or so ago, there was a massive shift in the practice of medicine from plants as the primary healing agents (which had been true since the dawn of humanity) to synthetic pharmaceuticals. What would you say was lost and gained in that shift?


Synthetic pharmaceuticals, your genes have never known. And that’s why these FDA approved synthetic chemicals kill over 100,000 people a year. People have no genetic experience with them. We’ve lost the synergies of the mixtures of the 5000 chemicals in each herb, which your genes have known for thousands of years (if you’re Biblically oriented) or millions of years (if you’re evolutionarily oriented).


Each herb, from turmeric to hot pepper, contains about 5000 biological chemicals, or phytochemicals. All are biologically active. I mean, that’s incredible! It’s chaotic. Your genes know these things that your ancestors ate, and your genes will mine them like menus of active chemicals, and pull out the ones it wants and piss out the ones it doesn’t want. [See the Multiple Activities Menu at http://www.ars-grin.gov/duke/dev/all.html]. That’s what homeostasis is. You and I and most alternative practitioners know about that, but few of the allopaths think about the fact that the synthetics are unknown to your genes. When you take them, it’s going to throw you out of balance. It might help you in some ways, but it might throw you out of balance in other ways. And then you’ll return to the physician to find out what to do for the problems the synthetic caused.


In some other countries, medical physicians prescribe herbs far more than American doctors. For example, German MDs prescribe St. John’s wort for depression more often than prescription medications like Prozac and Paxil. Why is there such a difference?


America is run on a faulty premise, “Better living through chemistry.” And we have been convinced (though I’ve never been convinced) that herbs are dangerous and that synthetic chemistry is the answer to all our problems, when literally it is the genesis of most of our problems.


Tell us about your travels to the rainforests of Central and South America.

Believe it or not, although I’ve been interested in botany and edible plants since the age of five, I didn’t have a major conversion in my life until I moved to Panama in 1965 with my wife and my very young children. And while there, I worked with the Choco Indians and the Kuna Indians in the eastern part of Panama, which is very sparsely populated.


While I was living with these wonderful people, I saw that their children were just as happy and healthy as my children back in the Panama Canal Zone, with the best of American allopathic medicine. And I said to myself, “These Indians are on the right track, if not the righter track.” That was my mid-life conversion to the belief that herbal medicine is better than what we’ve been getting. I truly believe that we are being killed by our medicine. Medicine is the number four killer in the U.S. these days and none of these herbs are doing this killing.


When you take an herb, you get a menu with those 5000 chemicals, which can often help things you weren’t even seeking help for. You take the synthetic medicine and it can help, especially if the diagnosis is correct (and about 50 percent of diagnoses aren’t). But taking any pharmaceutical will upset your body more than if you took an herb. So we’ve gone the wrong direction. And I think those Europeans, who at least tolerate prescribing the herbs, are way ahead of us.


You mentioned something about people visiting your garden and spoke about the Tai Sophia students coming there to learn about the plants. Do you encourage visits by others who are interested?


I like to have groups of between 20 and 30, for a couple of hours. I show them, among my 300 plants in the garden, those that are currently of greatest interest to me. This week, cinnamon is of interest to me, because Avandia [a prescription diabetes medication] is close to being taken off the market, and cinnamon is infinitely better than Avandia. Vioxx has been taken off the market, and I would show them that capsaicin, from the hot pepper, is a better Cox-2 inhibitor than Vioxx was. Vioxx killed 90,000 people within ten years. We’ve gone in the wrong direction. I’ve even had the FDA out here four times, but they were lower echelon people who think more like I do. It’s almost as if the upper echelons are on the payroll of Big Pharma.


It’s nice to know that there is at least someone within the bowels of the bureaucracy with some creative thinking.


The upper echelons of the bureaucracy would not even let us say that prunes are a laxative because it hasn’t been proven to their satisfaction. Let them eat prunes!


That says it all, doesn’t it? Is there anything else you’d like to tell our readers?


Well, I’ve been thinking all day about lycopene, from tomato and an herb that I have in the garden which has a lot more lycopene than tomato.


Lycopene is connected with red color in plants, correct?


Yes. The best source I have here among the plants that have been analyzed is an invasive weed called Russian olive or autumn olive. It’s richer in lycopene than tomato, watermelon, guava and the flower pot marigold. Lycopene could probably help prevent every cancer that’s on the books. Turmeric is probably even better. I would recommend those to anyone with any hormone-related cancer. I would also tell them not to listen to their allopath if they tell them, “Don’t you dare take the antioxidants while we’re shooting you with chemotherapeutics.” That’s controversial, I know, but I certainly think that turmeric could be proven better than any chemotherapeutic out there.


But because the turmeric plant can’t be easily patented like a drug, there’s no financial incentive for a drug company to make the necessary investment to test that hypothesis. In theory, government could fund the studies, but they haven’t. Also, I’m guessing that a study in which a group of cancer patients does not receive chemotherapy probably could not be approved, as things stand now.


It costs $1.7 billion now to prove a single chemical according to FDA specifications. And turmeric, provably, has 5000 chemicals. How much would that cost? And what company, or what country, has that kind of money? FDA and FTC are costing many American lives, making it impossible to attain this simple check. The way they could check it out would be to set up a clinical trial. Is turmeric better? Prove us wrong. Instead, the drug companies compare their drug to another drug, or with a placebo.


Daniel Redwood, DC, the interviewer, is a Professor at Cleveland Chiropractic College-Kansas City, and Editor-in-Chief of Health Insights Today and The Daily HIT.

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A Field Guide to Body Work https://healthy.net/2019/08/26/a-field-guide-to-body-work/?utm_source=rss&utm_medium=rss&utm_campaign=a-field-guide-to-body-work Mon, 26 Aug 2019 21:02:35 +0000 https://healthy.net/2019/08/26/a-field-guide-to-body-work/ A couple of years ago, I was attending a conference in Berkeley and a friend pointed out a man in the crowd. “I wonder who he is,” – she said. “Boy, does he look healthy.” It turned out to be Ken Dychtwald.

Ken first began investigating the relationship between the body and the mind while constructing biofeedback instruments as an undergraduate electrical engineering student. Not long after that, he visited the Esalen institute in Big Sur as a participant in a body work seminar. As part of the course, the group leader made a careful examination of his body and then, without asking him a single question, went on to tell him about his relationship with his mother and father, described his attitudes toward life, love, relationships, movement, change, and performance, and outlined his major personality strengths and weaknesses.

“Everything he said, every observation he made, was entirely correct,” Ken remembers. “I was amazed. How did he do it? How could he possibly know so much about my feelings and experiences by looking at my body? I’d revealed none of my personal life to him.

”There was only one possible explanation—somehow my body was presenting him with information that he was noticing and reading back to me. This simple, yet profound, experience convinced me that I was going to have to put some serious effort into studying the relationship between the body and the mind.”

Ken spent the next ten years in an intense study of body work. These explorations have included the study of yoga, t’ai chi, bioenergetics, acupuncture, physical fitness, and massage. He also obtained a Ph.D. in psychology and, combining all these interests, he wrote the book Bodymind. Many of the concepts explored in our conversation are expanded further in his book.

Ken has served as the co-director of SAGE, a program aimed at helping older people find ways to lead healthful, fulfilled lives. He is now president of the National Association for Humanistic Gerontology and an advisory editor of Medical Self-Care Magazine.

TF: How did you happen to leave college to study at the Esalen Institute?

KD: By the end of my junior year, that was 1970, I’d read every book on awareness, growth, and body work I could find. The authors of many of the best books turned out to be at Esalen. It was clear to me that something new was going on out there that wasn’t happening on my campus. I decided to go right to the source. It was probably the smartest thing I ever did. I spent six months at Esalen, taking dozens of workshops—yoga workshops, encounter workshops, massage workshops, sensitivity workshops, t’ai chi workshops.

You were also saying that Maslow’s book, Toward a Psychology of Being, was a very, important one for you around that time.

Yes. It’s a great book. It provided the whole context within which I was starting to think. It talks about life as being a continuum, with sickness and problems on one end and creativity and vitality, aliveness and brilliance on the other. Maslow suggests that we should experience ourselves as including that whole continuum. We are both the problems and the brilliance. He talks about a kind of growth in which we come to accept both. He calls this kind of acceptance “actualization.” I would recommend that book to anyone interested in body work or personal growth.

Another important book was Will Schutz’s Joy. It spoke of honesty and sensitivity and authenticity. It was a very revolutionary book when it came out in 1967. Since then these ideas have been widely accepted in education and religion and psychology.

Fritz Perls’ books, too Gestalt Therapy Verbatim and In and Out of the Garbage Pail. I really liked his notion of seeing yourself as a whole variety of sometimes disharmonious parts in relation to each other. And working with the separate parts to achieve a more integrated state.

What were the main ideas that the work at Esalen was based on?

I thought of them as realizations. One of the main ones was self-responsibility. I realized that I was responsible for myself to a much, much larger extent than I’d ever imagined. It soon became very clear that I was making choices in the way I breathed and the way I got sick and the way I perceived other people. I learned that I had many more alternatives than I had realized. I began to discover a much greater degree of freedom in my life than anyone had ever led me to believe.

Somehow, up to then, I’d picked up the belief that I wasn’t really empowered in my own right. That I needed to depend on my parents and my teachers and other kinds of “experts.” It was an amazing realization to discover that I was really at the root of my own life. It was pretty shattering, too, because I had to assume responsibility for a lot of situations I’d been blaming on other people and on institutions. On the other hand, I suddenly felt immensely powerful, almost godlike. I realized that if I chose to work on it, I could run a marathon, raise my IQ, learn to control my heartbeat—to do all kinds of things I’d never let myself believe I might be able to do.

What were some other realizations?

Another significant one was seeing the ways in which the mind and body were so intimately involved—like dancing partners. The mind really wasn’t separate from the body. Thinking and feeling and perceiving didn’t take place in some little box behind the eyes, as I’d always believed. My mind was present in every cell in my body. That was why the group leader in that early body work group had been able to read out my whole character. It was all there! I got so I could tell a great deal about a person by seeing them stand or sit or walk.

I learned that stress and emotional tension can become focused in a specific part of the body, and that if this happens over a long period of time it will permanently shape the person’s posture so that every movement will express that pattern. And the parts of the body in which emotions are trapped will be the parts most likely to develop malfunctions. For example, if a person needs to cry, but won’t let himself, he may stop the crying by clinching his jaw. If the jaw is held tightly, over a long period, chronic tension is likely to develop in the tempero-mandibular joint or grinding of the teeth or headaches. Or unexpressed anger, trapped in the abdomen, can lead to a wide variety of disorders.

So illness can come from unexpressed emotions.

Yes, and the opposite is also true. If a person in creative or unusually vital or energetic, it’s not just a matter of genetics or blind luck, it’s a result of choices—conscious or unconscious—that he or she is making every day.

So, the body isn’t just a static object, but a constantly-changing, pliable organism.

Yes. We are constantly in process. Our bodies are constantly being shaped by the choices we do—or don’t—make. We can passively let things go on as they are, or we can choose to make changes. I can notice that certain joints are tight and do yoga to loosen them up. If I’m feeling tense and scattered, I can meditate and actually change the kinds of brain waves I’m generating. If I’m having difficulty in personal relationships, I can get feedback from friends on my personal style of relating to people and try some new alternatives. I create myself with the choices I make every day.

So that’s what you started doing at Esalen.

Yes. I started noticing what kinds of choices made me feel good and what choices made me feel unwell. Later, when I started working as a therapist, I tried to help other people learn how to make similar kinds of choices, to design their own lives healthfully. I found that there was a real hunger for tools and skills of physical and psychological self-care.

Why do you think we are seeing this sudden interest in self-responsibility?

I think that a lot of us, whether we’re psychologists or housewives or shoe salesmen, are discovering that we’re not as healthy and fulfilled as we had dreams of being. A lot of people are discovering that giving all your faith and power to your doctor isn’t going to make you any healthier. The feeling that “I don’t know anything about my health and I don’t want to know,” which has been the predominant attitude in this culture, is really changing. People are realizing that an authoritarian medical system in which patients give over all their power to the doctors and function as though they’re deaf, dumb, and blind just isn’t meeting their needs. People are ready to take back a good deal of that power. People want to take care of themselves. And I think that the various kinds of body work are a big part of that.

What are the main approaches to body work?

One useful way of getting your bearings in the field of body work is to group kinds of body work by the general approach. Let me outline ten general kinds of self-care skills in the field of body work:

    1. developing muscular strength and tone;

    2. developing aerobic fitness;

    3. developing flexibility:

    4. developing relaxation skills;

    5. developing breathing skills;

    6. developing neuromuscular coordination;

    7. using massage to develop sensory awareness and to fulfill our need to be touched;

    8. working on emotions through the body;

    9. using the mind to influence the body;

    10. using the body to center the mind.
    Of course, there’s a great deal of overlap among these ten general approaches.

Developing muscular strength—would that be something like weight lifting?

Yes. That’s one specific way. Pushups, swimming, tennis, basketball, housework, walking, running—any activity that uses the muscles. Anything that makes us really exert ourselves. Muscles that aren’t used get flabby and lose their tone. In addition, it’s important to remember that all the muscles in the body need to be developed in a balanced way. So activities that use a broad range of muscles are the best.

I’d like to ask you, as you go along, to suggest some of the best books for each of the ten approaches.

Sure. For developing muscular strength, the best overall- book is The East-West Exercise Book, by David Smith. General approach number two is developing aerobic fitness, building up the heart as a muscle. It’s a very valuable addition to an exercise program to get a stethoscope and just spend some time listening to your heart. And, of course, monitoring your pulse is an important part of such a program.

In developing an aerobics program, it’s important to remember that you need to perform a vigorous activity such as running, swimming, rowing, or rope jumping—wherein your body is exerting itself to 75 percent of its maximum pulse rate for at least fifteen minutes at least three times a week.

Two other excellent books on improving the health of your heart are Type A Behavior and Your Heart and The American Way of Life Need Not Be Dangerous to Your Health. The best book on aerobics exercise programs is The Aerobics Way, by Kenneth Cooper.

The third category on your list was developing flexibility.

This is where activities like yoga come in. Hatha yoga is a system of postures and exercises designed to gently stretch and tone all the muscles of the body. Yoga works to systematically lengthen, vitalize, and integrate the muscles of the body and to improve circulation and glandular nervous system function. It not only makes you more flexible, but it serves as a means of centering meditation as well.

Four beginning yoga books that many people have found helpful are Richard Hittelman’s Guide to Yoga, The Light of Yoga Society’s Beginner’s Manual, Jess Steam’s Yoga, Youth, and Reincarnation, and Swami Vishnu Devananda’s The Complete Illustrated Book of Yoga. A good introduction for older people is provided in Easy Does It Yoga for People Over 60. My favorite introduction to the philosophies behind doing yoga is Joel Kramer’s The Passionate Mind. And the very best advanced book on yoga is the classic by B. K. S. Iyengar, Light on Yoga (revised edition).

You also list relaxation skills as an approach to body work.

Few people are really good at voluntarily relaxing their bodies. As the stress of modern life increases, it becomes essential that we learn relaxation skills and take the time to practice them regularly. One of the pioneers in relaxation training was Edmund Jacobson. His system is called progressive relaxation. It’s described in his book You Must Relax!—I’ve always thought that was a pretty funny title. Another system of relaxation training is autogenics. It’s well described in Norman Shealy’s book 90 Days to Self-Health. There’s also a good cassette tape, Autogenic Training, by Vera Fryling, and a good anthology of approaches to relaxation is John White and James Fadiman’s Relax. My favorite book on preventing stress is Ken Pelletier’s Mind as Healer, Mind as Slayer.

Another approach you cite is developing breathing skills.

Paying attention to breathing is one of the most underrated approaches to body work. The air we breathe gives us life, yet most of us use only 20 to 30 percent of our lung capacity. We’ve used deep breathing exercises with older people at SAGE, and we’ve found that when people begin to breathe more deeply, their bodies and minds become revitalized. They become more alert and alive. Depression and anxiety often fall away.

Breathing exercises can also help you relax. Working on breathing can be a way to get more deeply in touch with feelings, too. People who are tense and depressed tend to breathe shallowly. A person in a relaxed, joyful state will automatically breathe more deeply.

The best practical book on breathing skills I know of is Breathe Away Your Tension, by Bruno Geba.

Describe what you mean by neuromuscular coordination as an approach to body work.

As we grow up, we learn to walk and to move in certain ways, and then, in early adulthood, our neuromuscular development diminishes and, unless we become dancers or acrobats, we fall into a few familiar patterns of moving our bodies. Many kinds of exercises, like running, involve the repetition of a limited range of movements and therefore leave much to be desired in the way of developing our full neuromuscular capacities. These approaches either encourage us to perform common, everyday movements in new ways or to move in some totally new ways. Improvisational dance and Feldenkrais exercises are two good examples of such approaches.

You can make up your own ways of doing new things with your body, too, like cleaning the house or washing the dishes with your other hand. Or learning to write with your nondominant hand. Or your toes. Or blindfolding yourself and exploring the world using only your other senses. Anything that takes you out of your normal patterns of muscular or sensory activity can be considered valid body work.

These approaches try to get your mind out of a rut. For examples, runners can experiment with adding play, movement, and dance to their regular run. Try running at varying speeds or sideways. Or backward. Of course, there are other sports, like basketball, that require constant improvisation. Aikido, a noncombat form of the martial arts, requires constant improvisation. It’s a good example of high-level training in neuromuscular sophistication. So is playing a musical instrument.

What are some good books in this area?

Two books by Moishe Feldenkrais, Awareness Through Movement and The Case of Norah, and Mabel Ellsworth Todd’s The Thinking Body. A good book on dance is Sweigard’s Human Movement Potential.

Approach number seven is massage.

In massage, one person uses his or her hands to touch and manipulate the body of another. There are many types of massage. Ideally, massage will accomplish several major goals.

Receiving a massage is an excellent way to become comfortable being touched by another person. This sounds pretty elementary, but for many of us, being touched in a nonsexual, caring fashion is not a usual part of our daily lives.

Light massage can facilitate relaxation and stimulate the sensory nervous system. Deeper massage can actually release the tension in our muscles. All kinds of massage can increase circulation and glandular functioning and promote a greater sense of well-being and aliveness.

The best overall how-to-get started book on massage is George Downing’s The Massage Book. Another book that does a nice job of summarizing the importance of being touched for our development and well-being is Ashley Montagu’s Touching.

The eighth approach is working on emotions through the body.

Emotions live in the body, and if they’re not allowed to express themselves, they may become lodged in the body as tension. Many of these approaches make uses of expressive activities in order to relieve the body of stress, frustration, and unresolved feelings. For example, instead of just stretching, you might stretch and scream or yell or make faces. Or you might hit a pillow or kick the floor to release tension. Or you might have a pretend fight with someone using Doffers kind of big, well-padded bat.

In some approaches, like bioenergetics, a therapist manipulates different areas while you focus on the memories and feelings that come up as the tension in the various parts of the body is released.

Nearly all the emotion-focused kinds of body work have grown out of the work of Wilhelm Reich. Rolling, Reichian energetics, Postural Integration, Radix, neoReichian therapies, bioenergetics, gestalt therapy, sensory awareness—these are some examples of body work methods that deal with feelings. Reich’s big contribution was the idea that when emotions lodge in the body, they can distort the body’s structure and impair its function. He then found that it was possible for these emotions to be released, leaving the individual not only feeling better but less susceptible to illness.

Would you recommend any books by Reich himself?

Probably not to start with. Reading Reich is like reading the Torah. There are some good books about Reich, though. Boadella’s book, Wilhelm Reich, The Evolution of His Work, is the best biography. Man in the Trap, by Elsworth Baker, is the best book on his clinical practice, and Bioenergetics, by Alexander Lowen, is a good introduction to Reichian thought. Then, and only then, for a general introduction to Reich’s own writings, I’d suggest The Selected Writings of Wilhelm Reich.

How about number nine, using the mind to influence the body?

In recent years there’s been a growing appreciation for the ways in which the mind can influence the functioning of the body. While most mind-body relationships take place outside of our conscious awareness, we can learn to train our minds to influence our bodies in positive, healing ways.

If you close your eyes and imagine that you’re getting beaten up, your mind will generate one kind of body state. If you imagine that you’re making love, it’ll generate another.

If I asked you to imagine that you’re lying on a warm, sunny beach on a quiet tropical island, your body would probably become more relaxed. Obviously, by choosing certain kinds of visualizations and following certain kinds of suggestions, you can put your body into various states. Some of these states can be useful for relaxing or for healing. Some techniques that make use of this approach are biofeedback, autogenics, selfhypnosis, and visualization.

A good book on visualization is Samuels and Samuels’ Seeing With the Mind’s Eye. Some others on influencing the body through the mind are Mind as Healer, Mind as Slayer, by Ken Pelletier, and The Mind /Body Effect, by Herbert Benson.

That brings us to the last category using the body to center the mind.

In these approaches, the idea is to focus the body in such a way so that the mind becomes quiet and clear. Just as stress and unwellness in the body can generate confusion in the mind, stillness in the body can help to produce a deep state of peace of mind.

Probably the most well-known of these approaches is meditation in its various forms. These approaches involve sitting in an alert stillness in order to develop a very centered, transpersonal aspect of the mind. Some of the approaches to mental centering are phrased in religious language. Others are strictly secular. Yogis and meditators have been practicing these kinds of disciplines for years, but contemporary science has only become aware of them recently.

Herbert Benson’s The Relaxation Response is a good overview of meditative approaches. Probably the best how-to-do-it books are Lawrence LeShan’s How to Meditate and Ken Pelletier’s Mind as Healer, Mind as Slayer (again). A favorite is Chogyam Trungpa’s Meditation in Action.

Body work covers a big area!

It certainly does. For some people, body work means yoga. For others, dance. For others, sports or massage. The best thing for you may be to sit quietly in a peaceful place for a long time. For me it may be yelling and laughing and hitting pillows.

The fact that there’s no “right way” has made my work in this field very exciting. Instead of some set of rules to follow, there’s a real freedom to explore. There are many, many ways for us to develop our bodies and our minds. All the books I’ve mentioned are ultimately talking about the same thing—each of us has our own unique path to happiness and fulfillment.

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Unstuck: Holistic Approaches for Depression https://healthy.net/2019/08/26/unstuck-holistic-approaches-for-depression/?utm_source=rss&utm_medium=rss&utm_campaign=unstuck-holistic-approaches-for-depression Mon, 26 Aug 2019 21:02:35 +0000 https://healthy.net/2019/08/26/unstuck-holistic-approaches-for-depression/ Interview by Daniel Redwood, DC

Daniel Redwoood, DC, interviews James S. Gordon, MD, about his book, Unstuck which deals with holistic approaches to depression. Dr. Gordon is the founder and director of The Center for Mind-Body Medicine and is also one of the founders of contemporary holistic medicine. A practitioner, researcher and educator, he pioneered integrative medical education at the Georgetown University School of Medicine in Washington, DC.]]> © Cleveland Chiropractic College – Kansas City and Los Angeles


James S. Gordon, MD, is the founder and director of The Center for Mind-Body Medicine and is also one of the founders of contemporary holistic medicine. A practitioner, researcher and educator, he pioneered integrative medical education at the Georgetown University School of Medicine in Washington, DC, where he is Clinical Professor in the Departments of Psychiatry and Family Medicine. Gordon was named by President Clinton to chair the White House Commission on Complementary and Alternative Medicine after earlier serving as the first Program Chair for the National Institutes of Health Office of Alternative Medicine (now the National Center for Complementary and Alternative Medicine).


In addition to his new book, Unstuck: Your Guide to the Seven Stage Journey Out of Depression (Penguin, 2008), Dr. Gordon is the author of Comprehensive Cancer Care and Manifesto for a New Medicine, and has also written or edited nine other books, including the award-winning Health for the Whole Person, and more than 120 articles in professional journals and general magazines and newspapers, among them the American Journal of Psychiatry, Psychiatry, American Family Physician, Atlantic Monthly, The Washington Post, and The New York Times. His work has been featured on Good Morning America, The Today Show, CNN, CBS Sunday Morning, Fox News and National Public Radio, as well as in The Washington Post, USA Today, Newsweek, People, Town and Country, Hippocrates, Psychology Today, Vegetarian Times, Natural Health, Health and Prevention.

A graduate of Harvard University and Harvard Medical School, he was for ten years a research psychiatrist at the National Institute of Mental Health. There he developed the first national program for runaway and homeless youth, edited the first comprehensive studies of alternative and holistic medicine, directed the Special Study on Alternative Services for President Carter’s Commission on Mental Health, and created a nationwide preceptorship program for medical students. Through the Center for Mind-Body Medicine, Dr. Gordon has created ground-breaking programs of comprehensive mind-body healing for physicians, medical students and other health professionals; for people with cancer, depression and other chronic illnesses; and for traumatized children and families, and those who serve them, in Bosnia, Kosovo, Israel, Gaza, post-9/11 New York City, and post-Katrina southern Louisiana.

Unstuck, Dr. Gordon’s newest book, focuses on his holistic, non-drug based model for helping people with depression, who Gordon believes have been ill-served by conventional medicine. He is critical of the tendency of many doctors to quickly prescribe antidepressant medications while devoting little or no time to exploring the life events that led to the depression. He feels strongly that doctors need to engender hope and empowerment in patients to help them to move through and out of depression. He offers Unstuck as a manual for implementing these goals.

In this interview with Dr. Daniel Redwood, Dr. Gordon explains the limitations of viewing depression as a disease, describes the various aspects of his program, tells the story of a patient’s dramatic positive response, explains the importance of physical exercise for depressed people, and discusses a variety of circumstances in which he has applied his methods, including his work in Kosovo during and after the 1999 war there.

The current conventional medical model asserts that depression is a disease that can be treated effectively with medications. A central theme in your book is that depression is not a disease but a call to change something in one’s life. Please begin at the beginning and explain how you reached this opinion.

The beginning for me was when I was in medical school. I was working on a psychiatric ward and it just hit me that the folks on the psychiatric ward didn’t look much like the folks on the medical ward or the surgical ward. They didn’t look sick, just more or less like me and the other people who worked on the ward. And yet they were being put in pajamas (which is what they used to do in psychiatric wards). I thought to myself, this is very strange.

The question came to me: in what way do these people have a disease? Certainly not in the way that someone going to the hospital in a diabetic coma has a disease, or someone who has cancer or who has had a heart attack. It’s just not the same kind of experience. So I began to question how this was a disease and the answers I got were not terribly satisfactory. Also, as I read about it, I didn’t see that there was any evidence of anatomical lesions. I had worked in pathology, I had done autopsies, and I knew that there were anatomical lesions for disease states. But there weren’t any for depression. I also discovered that people could move through it. They were depressed for a period of time and then they stopped being depressed, sometimes without any particular kind of treatment. And I wondered, what kind of disease exactly is that? There’s no pathogen that’s been discovered, there’s no anatomical lesion, there’s no fixed biochemical abnormality, there’s no particular downhill course for this condition. What makes it a disease?

I wanted to understand the experience of people who were diagnosed as being depressed so I began to talk with them and to hear their experiences. Some of these people had what we then called “endogenous” depressions, which at the time were considered distinct from the “reactive” depressions when you became depressed, had all the signs and symptoms, the weight loss or weight gain, lack of pleasure in life, a sense of hopelessness, fear about the future, discouragement and sometimes suicidal feelings. There were some people who experienced these things clearly as a reaction to events in their lives, but there were other people for whom these signs and symptoms just appeared, who were said to have an endogenous depression.

But when I talked with those people at length, I found that in their lives, too, things had gone on that made them significantly more depressed now than they were six weeks or six months before. And I began to read the psychological literature, Freud and Abraham, and to think about some of the theories about depression. And it just didn’t seem to be a disease. When I found myself depressed, at times it felt overwhelming in the way an illness did, but there was no illness. I realized these were ways I was looking at the world, things I was feeling. Primarily a sense of loss and a sense of confusion after losing a relationship.

In Unstuck, you quote Freud as writing that replacing neurosis with ordinary unhappiness is a worthy goal. You also point out that many psychopharmacologists praise the restoration of the “pre-morbid personality.” I was struck by how low the bar can be set. How realistic is it to set it higher?

If you think about those phrases, they’re pretty discouraging. [Laughter]. The bar is set extremely low. My own experience is that depression is the beginning. They’re talking about a state or a terrible condition. Their model is that it’s sort of like an infection, where you may have pneumonia now, and we’ll give you antibiotics for it, and your lungs will come back to what they were before. That’s the “restoring the pre-morbid personality.”

But depression is part of life. It’s not a particular disease state and there are lessons that it is bringing to us. If we can learn those lessons, then we can move ahead with our lives in ways that may be very different from the way we’ve lived before. For me, it’s entirely reasonable to set the bar far higher, to see that this is a wake-up call. Depression was a wake-up call for me and it is for the patients and people I see. If you view it as a disease state, then you’ll be perfectly happy to restore the pre-morbid personality. If you view it as a sign that something needs to change, then what you’re going to want to do is work for that change. To ask what needs to change, and what can I do as a person who is depressed. Or what can I do as a clinician to help promote that change.

In your book, you tell the stories of patients you’ve seen who worked their way through depression, some of them slowly and others surprisingly quickly. The story that moved me most was that of a man you called Milton, who came to you after two years of suffering through the breakup of his marriage and the fact that his wife moved with his son to California, 3000 miles from Washington, DC, where he lived. Please tell us that story.

Milton was an amazing story. With all the people I write about, I disguise them enough so that no one is likely to recognize them, except perhaps they will recognize themselves. Milton came into my office and he was depressed, he was angry and he was very strong. He had been a sergeant in the Air Force, kind of a ramrod straight guy. He was an airplane mechanic and one of the people whose planes he was servicing, a neurosurgeon, had seen how upset he was and had referred him to me. He was angry at his ex-wife, he was angry at his kid, he was angry at the doctors who had prescribed antidepressants, he was angry at himself, he was angry at his boss, he was angry at everybody. And he wasn’t sure what he was doing there [in a psychiatrist’s office] but nothing else had worked for him.

I took a history and found out what had happened. He and his wife had had a very nasty breakup and she moved to California. He got more and more upset about his son being so far away from him. And he found himself getting more and more angry at his son, and I think that’s really what brought him to see me ultimately, because that was so distressing to him, that this anger and this sense of hurt was so uncontrolled. Meanwhile, all of his life had lost its savor for him; there was nothing he really enjoyed any more. He was still perfectly good at his job but it didn’t give him any real pleasure.

After we talked for some time, I taught him the very simple relaxation technique that I teach in the beginning of the book, which I teach many of my patients and also in our training programs at The Center for Mind-Body Medicine. It’s called Soft Belly. And what I said to him was to just sit in your chair and let your breathing deepen. Breathe in through your nose and out through your mouth (which is a particularly relaxing way to breathe) and allow your belly to be soft. If you breathe this way the breath tends to go deeper into the lungs, there’s better exchange of oxygen. The vagus nerve will start working to produce relaxation to balance out the tension, the fight-or-flight response that Milton was in. I told him that if you relax your belly, all the other muscles of your body will begin to relax.

And you did this along with him. You were a participant, a partner, as well as an observer.

Yes. We did this together for some minutes. When he opened his eyes, I could see that there was some relaxation in his muscles. He felt a little bit better, a little calmer. I felt a connection with him. I always give people things that they can do for themselves—this is so crucial to working with people who are depressed, or with anybody. Because part of being depressed is not only that you feel hopeless, but you feel helpless. So if you give people techniques and approaches and ways of looking at things that are practical strategies that they can use to help themselves, you’re beginning to overcome that sense of helplessness. And if you have an experience, like Milton did, of relaxing, then you start having a little hope that things can be different. So that was a very good experience for him. And I told him I wanted him to do this Soft Belly deep breathing several times a day, for several minutes at a time. I thought it would help to relax him so that he would feel better and wouldn’t be quite so angry or quite so tense in the muscles in his jaw and his shoulders.

Then, as he was getting ready to leave, I asked him to read the Tao Te Ching [a short Taoist text, written by Lao Tzu in China in the 6th century B.C., that has achieved great popularity in the West].

You said in Unstuck that this idea just came to you, that you had never recommended that book to anyone before.

It’s the first time I ever recommended it to anyone. I’d read it myself and it’s really wonderful. Lao Tzu is telling you in these verses so many different ways that you can let go of what you’ve been holding onto and move into the flow of life. To stop trying to control things that you can’t control. You know, to let go of all those places that you’re holding onto so hard. I thought this was true of Milton, that he was holding onto everything. You could see it in his body, in the way his mind was working, in his relationships. He was just so angry, so stuck in these resentful patterns. So I said to him, “Why don’t you go and get Lao Tzu.” I recommended a translation by Stephen Mitchell and said I’d see him again in a week. I said, “Read it, and as you’re reading it, do the breathing. And do the breathing when you’re not reading it, as well.”

He looked at me like, “What is this guy talking about?” But he was a polite man, and he figured I’d spent maybe an hour and a half with him and I’d really listened to him. As he told me later, he thought, “You’re an intelligent man and maybe you know what you’re talking about.” He figured he didn’t have much to lose. So he bought his copy of Lao Tzu and I saw him about a week later.

You wrote that when he walked in that day, he seemed an altogether different person.

Yes, he was a totally different man. The way he walked, he was walking with a kind of easy glide. He was a black man, and to me he had seemed like the archetypal, ultra-disciplined master sergeant. And now he’s this relaxed, easy-moving guy. And I said, “What’s going on?” He said, basically, “I went home, I had some time off, and I started reading this book that you assigned me. And it seemed pretty strange to me, with those poems about conquering by submitting and gaining by letting go.” He said, “All those contradictions seemed pretty strange to me. But I figured I had nothing else to do, with a long three-day weekend off, so I just started reading. Then I read it again and I started to get interested in all these contradictions. And the more I read it, the more I was reminded of what it says in the New Testament, particularly the Sermon on the Mount, where Jesus talks about the lilies of the field. About how they don’t toil and they don’t sow, yet they’re more beautiful than Solomon in all his glory. And where he talks about the meek inheriting the earth.” Milton said that these contradictions in the Tao Te Ching were very much like the contradictions that he had read in the Bible.

He got really interested, and he began to breathe with these verses. He said it was like “the verses were coming into my body, like some wonderful food or some precious aroma, and I could feel myself changing, I could feel myself relaxing with it. So it wasn’t like I could understand them consciously, but I could feel them working on me.” He continued, saying that, “Then I went for a long walk, and these verses kept going through my mind and I began to see some of the foolishness of my trying to make things happen that couldn’t happen, the old grudges. Whether it’s grudges against my boss, or against my wife. And I just got so angry and then I started to cry. This was on Saturday night, the second day. Because I saw how futile it was to try to change things that couldn’t be changed and how much harm I was doing by the way I was talking to my son. The way I was making fun of him and resentful of him. I was so rigid and so mean to him. I started to cry, and then after I cried I found myself laughing at myself because I just saw how ridiculous it was, what I was doing.”

It sounds like you picked the right book for him to read.

He kept reading, two or three more translations. He could feel the change working in him. And that Sunday night, he told me, he called his ex-wife’s house in California, and said,. “How’re you doing?” And his wife, who was shocked at his change in tone, said, “What have you been smoking?” And Milton said, “I haven’t been smoking anything, I’ve just been reading a book and breathing and going for walks.” And she couldn’t believe it, because he had been so mean to her. He was being like a normal person again. And then he talked to his son, and said that for the first time in a couple of years, “it wasn’t as though I said anything different, it’s just the way I was talking and the way I was listening to him. I was really hearing what he had to say, and I was interested in what he was doing in school and watching on TV, and his baseball and other sports.”

He said he got off the phone, moved to tears. We were coming to the end of our session, and he said, “Doc, thank you very much. Between you and me and Lao Tzu, I think I’m just about cured. I don’t feel depressed, I don’t feel angry, I just feel good. And if I ever need you, I’ll be in touch again.” I said, “Great! Thank you.”

It’s as though he wasn’t able to solve the contradictions at his previous level of awareness, and this experience of reading the Tao Te Ching forced him to either shut down entirely or else reach to a higher level. It’s like that old saying I’ve heard attributed to Albert Einstein, that you can’t solve a problem on the level at which it was created.

I think that’s probably what happened. I think another way to look at it is that it just broke him open, that he just “got it.” It’s like they cut through this rigid, stuck structure of behavior and movement, feeling and thought, and he just opened up.

It’s far more common in our society for doctors to take the antidepressant medication approach. You wrote that in one study it took an average of only three minutes for primary care physicians to prescribe antidepressants if they suspected that a patient was depressed. What’s wrong with this picture, from your point of view?

What isn’t wrong with this picture? First of all, how do we make a decision like that in three minutes? Hippocrates said, “First, do no harm.” So you don’t want to use drugs that have very real side effects for the majority of people who take them. That’s been documented over and over again.

What kinds of side effects?


GI [gastrointestinal] symptoms, upset stomach. Agitation. Many people who take these drugs feel agitated. At least 10, 15, 20 percent and maybe more. Sexual side effects are very prominent, with 60 to 70 percent experiencing these in most of the studies. They lose their libido and the orgasms they have are not very satisfying. There’s a lot of weight gain. The percentage varies widely, but it’s a common side effect of antidepressants.


I’ve had patients who experienced major weight gain on antidepressants and had great difficulty losing it.


That’s been my experience, too. And while it’s not talked about so much in the medical literature, patients will say, “I just didn’t care as much.” On antidepressants, the lows may not be so low, but there aren’t too many highs, either.


It’s like the old Eagles song, Desperado, about “losing all your highs and lows, ain’t it funny how the feeling goes away.”


You have all these physical side effects, which are distressing in themselves, and then you have a kind of psychological or emotional numbing, which is not exactly what I would call a wonderful result. First, I don’t think any drug should be prescribed without a very careful assessment of what the benefits and hazards are. Second, in the studies on antidepressants that have been done, when you look at all the studies, including the unpublished ones (presumably not published because the drug companies don’t want to publish those that are unfavorable) as well as the published ones, the advantages of antidepressant drugs over placebo (that is, an inert pill given to people) are very, very small.


So whatever benefit there is, is very small, and the side effects are generally quite significant. I mean, there are some people that benefit but it’s not a very significant number according to the published studies. Beyond that, the other thing is that when people are depressed, they want to talk. So if somebody is writing a prescription right away, they may be trying their best to be helpful but they’re not responding to the deep need that the confused, troubled, depressed person has, to share what’s going on with them. That’s primarily what they want from their physicians. And they’re not getting it. They’re getting a message that says, “No, we’re not going to talk about this. I’m going to give you a pill.”


What have you found to be the value of exercise for depressed people? What kinds do you recommend?


There are perhaps three crucial aspects of working with depressed people. One is being there for them, listening, being present with them. Second is giving them hope that depression is the beginning of a process of change which is, in essence, what the whole of Unstuck is about. And the third, I would say, that should be part of every depressed person’s therapy, is exercise. The evidence for its importance in treating depression is very significant. In many of the studies, it is at least as good as antidepressants and perhaps better.


Without the side effects.


Without the side effects and with many positive effects because it’s good for your general health and it makes you feel better about your body. Instead of the body being just a source of pain or discomfort, it becomes a source of pleasure and satisfaction. And because exercise also very clearly says to people who are depressed that there’s something you can do. Get up and go for a walk or a run or a swim and this will make a difference to you. There are plenty of scientific papers but you don’t have to look at the scientific papers. Those may help encourage you, but the evidence is right there in the way you feel after you exercise and the way you feel after days and weeks of exercising regularly.


Many of the exercise studies have been done on jogging but that doesn’t mean you have to jog. There are so many different forms of exercise. The crucial thing is to pick one that suits you. If you hate jogging, it’s not likely to improve your mood. And incidentally, I think that one of the reasons that the studies don’t show even better results is because they’re asking everybody to do the same kind of exercise. If you enjoy doing yoga, or you enjoy swimming, or going for a walk, or doing martial arts or Tai Chi, why not do those?


You’re a strong advocate of meditation and in your books you describe both expressive and quiet methods. Most people think of meditation as sitting still with eyes closed. Could you explain what other methods you encourage people to pursue?


It’s understandable that people see quiet meditation as meditation, because that’s mostly what we have learned in the West and most of what’s available to people. There are basically three kinds of meditation. One is concentrative meditation, focusing on a sound or image or prayer or pretty much anything else on which you can focus. Mantra meditation is focusing on a sound. You could be focusing on a candle. Or if you say “Hail Mary” or “Sh’ma Yisroel” or “La Illaha Ilallah.” Those are all technically concentrative meditations. The second type is awareness meditation, becoming aware of thoughts, feelings, and sensations as they arise. This can be called Mindfulness. Vipassana is the name of the South Asian form of meditation which we call Mindfulness. The third kind is expressive meditation, which is the oldest meditation on the planet. It’s the one that the shamans have used for tens of thousands of years. It could be chanting, dancing, shaking, whirling or jumping up and down on one foot. These are very powerful techniques for bringing us to the same state of relaxed, moment-to-moment awareness that concentrative and awareness meditations can also bring us to.


I think the great advantage of expressive meditations is that they raise the energy of those of us who have low energy when we’re feeling depressed or discouraged. They also burn off some of that agitation and anxiety, rumination and troubled mind that afflicts us when we’re anxious or depressed or confused. So they have a very direct effect and for many people they are more appropriate.


If you’re really depressed, sometimes quiet meditation can be helpful at relaxing you, but you also need something to energize you when you’re depleted. And these active meditations — which could be just putting on fast music and dancing to it, or shaking your body first for five or ten minutes, and then allowing the body to dance—this puts energy into this depleted organism and helps break up the fixed patterns, the ‘stuckness’ that characterizes depression.” And by working on the body, breaking up some of the fixed patterns of the body, it also turns out they break up some of the fixed mental patterns. As you’re shaking and dancing, some of the rumination—that solid clot of rumination that’s there in our heads—begins to break up. People feel a little freer. So I love to use these techniques. I think they’re really important for people who are depressed or anxious or just people who are kind of uptight. You can do these with others who are also doing them or by putting on some music when you’re alone at home, whatever’s most comfortable for you.


You’ve taught for many years at the Georgetown University School of Medicine. As part of your work there you founded the first medical school program in complementary and integrative medicine, including education in meditation, exercise, and whole foods nutrition. To what extent has this approach spread further through the medical profession in recent years?


That’s a great question. At The Center for Mind-Body Medicine, we trained about 20 Georgetown faculty in our integrative approach, which includes the techniques that I describe in Unstuck. Quiet meditation, shaking and dancing, guided imagery to understand yourself, biofeedback, written exercises to explore your unconscious wisdom, drawings. All of these approaches we taught to 20 Georgetown faculty, and now these full-time faculty at Georgetown are leading groups each year for medical students and also for other faculty and for the staff, the people who work at the medical center.


This model of mind-body medicine that we developed at The Center for Mind-Body Medicine is now being used in at least a dozen, maybe 15 or more, medical schools in the United States. We’ve trained faculty at different schools — a dozen or so at the University of Michigan, and the University of Washington in Seattle and others at various schools around the country. The people we’ve trained are using the same model that I teach in Unstuck at their institutions, and they’re starting to publish research on the effectiveness of this model in reducing stress, improving mood, and enhancing students’ hopefulness about becoming a doctor. One of the effects that I really love is that these groups enhance the compassion of medical students for each other.


I was a co-author on one paper about our work at Georgetown and there’s another from the University of Washington that’s come out. I keep hearing interest in this approach from other medical schools and other institutions that want to bring this work in. The interest is there, especially among the students. Every year anywhere from 50 to 70 Georgetown students take this as an elective, two hours a week for 11 weeks. They’re not required to have an elective; they do it on their own time, because they want to do it. We’re finding the same thing at other medical schools.


In North America, at this point 1500 or 1600 people have at least come through the first phase of our professional training program in mind-body medicine. Many, many of them are using this approach in hospitals, clinics and private practices. They’re using it as part of their teaching at universities and graduate schools. So I see it happening, and there’s still a challenge, too, because I think one of the major shifts that has to happen in medicine is a more even balance between treatment and teaching, between what we as professionals do to or for our patients, and what we can help our patients to do for themselves. And so my work — whether in writing a guide about how to move through the journey out of depression, or in my work in training health professionals — is ultimately to put the tools of self-awareness and self-care in the hands of all those people who want to use them. That’s the shift that has to happen in medicine.


And though this change is coming in various places — through the work that I’m doing and that people like Jon Kabat-Zinn [at the University of Massachusetts] and Herbert Benson [at Harvard] and others are doing — it still has a ways to go before it’s regarded as a kind of an equal partner in the health care that all of us need.


At the time of the Kosovo war in the 1990s, you went there to help. Did you go on your own or with institutional backing? And what did you find there and do there?


My colleague Susan Lord and I went on our own. We went to Kosovo because we had started working in Bosnia after the war. We saw that people were certainly interested in mind-body medicine, and in this kind of group model that we were developing. This was about 1996-97. But then, in 1998, we saw the war starting in Kosovo, where the Serbian army, police and paramilitaries were fighting against the Albanian rebels. The Albanians made up 90 to 95 percent of the population and they were under the thumb of the Serbian government. They wanted freedom. They didn’t want to be treated as second-class citizens. So we saw the war starting up and we wanted to be there because we wanted to do whatever we could, first of all, to be on the side of peaceful reconciliation in which the Albanians had their own territory. But secondly, we wanted to be there at the beginning to help people who were being traumatized by the war and to help train the local health, mental health and educational professionals who were working with them.


What we had seen in Bosnia is that if you wait until after the war is over, patterns of dysfunction become fixed in peoples’ bodies and minds. Their blood pressure goes up, pain syndromes are profound, large numbers of people become depressed, there is a lot of abuse of alcohol and a lot of abuse of women and children. We felt that if we could begin to help people in Kosovo deal with this stress now, during the war, rather than waiting until after the war, maybe we could make a long-term difference in the health of this population.


So we went and we spent time up in the hills with families that had been burned out or bombed out of their homes by the Serbian army and we began to teach them some of these techniques. We taught our approach to members of the Mother Theresa Society who were providing the primary health care in the countryside and we also taught them to the peacekeepers who were there from the Organization for Security and Cooperation in Europe. What we saw is that these techniques worked in these situations. People welcomed them. They might have seemed strange — nobody there in Kosovo had ever heard of Soft Belly or guided imagery or meditation, and not too many in the military had heard about these techniques either. But all of these people were willing to do the little experiments with us for a few minutes — do the Soft Belly or do some drawings, and see what came out, see how their thoughts and feelings and their problems came out on the page. And then do another drawing to see how they might find a solution to these problems that had seemed so difficult.


What happened ultimately, and it’s a longish story, is that when the NATO bombing started in 1999, we began to work in the refugee camps in Macedonia where the Kosovars had fled from the war. We began training significant numbers of health professionals. We then came back into Kosovo as soon as the NATO troops entered Kosovo in 1999 and ultimately we trained 600 people in Kosovo and developed a local faculty which continues even now to provide ongoing consultation and supervision. Our model, the same model that I use in Unstuck, is now available throughout the community mental health system in Kosovo. It’s available to two million people, and we have research on the effectiveness of our model in working with children with post-traumatic stress disorder.


Is there anything further you’d like to tell our readers?


One thing I want to add about all the techniques we use, about everything I teach in Unstuck, is that anybody can do them. This is the most important thing. Whether it’s drawings to get people in touch with what’s happening with them and to engage their capacity to use their imagination to solve the problems that they have; the expressive meditations, the quiet meditations; the written exercises that we use to help people develop their unconscious wisdom and their deep knowing about what to do about what’s most troubling to them; or the guided imagery that we use to help people get in touch with their inner knowing, their intuition. Anyone can learn and use them.


I have worked with depressed people from the age of six or seven on up to their 80s, with every conceivable kind of educational level, every kind of background and race. Everyone who is interested can use these techniques and use them in a way that they very quickly discover is helpful to them. This is important—you don’t have to have any particular background or experience to help yourself with the Unstuck approach. I’ve worked with meditation with six and seven year old kids, and gotten them to do the drawings and use guided imagery to access their inner guide—maybe a big animal that they bring with them into the situations that are most upsetting and most depressing to them — being alone or scared of challenges at school.


And this is not just for people who are depressed. These are methods that anyone can use to add fullness to their lives.


I’m glad you said that, because the book’s subtitle is “Your Guide to the Seven Stage Journey Out of Depression.” But the book is written for everyone who is troubled or confused or just going through a difficult time. And the same principles and the same techniques can apply and can be used by any of us at any point in our lives. I wrote it with a focus on people who are depressed, because I have been so troubled over the years by the way that they are treated, by the chronicity of so many people’s depression, by the easy recourse to medication, by the sense of hopelessness and helplessness so many people feel. So I wanted to say to people who are depressed that there is a way. It requires some effort and some commitment, but it’s interesting and it’s sometimes fun. And it can change your life. I wanted to say this to that group of people, whom I’ve been working with for 40 years now and who I feel such a commitment to. But I also wanted to make sure that everyone has access to this information and this perspective, because all of our lives are journeys. All of us will go through challenges. And the same principles apply and everyone can use the same practices.


What projects are you working on now?


We have two major new projects. One is working in New Orleans. We have a group of 80 people that we’ve been training and working with, mainly health and mental health professionals. We’re helping them to use this Unstuck approach with a population that’s been traumatized by Hurricane Katrina and helping them to develop a supportive network for themselves as they take this work out into their hospitals and clinics and practices.


The other project — this one is at an earlier stage but I hope it will be very significant — is working with professionals (and perhaps eventually peer counselors) who are working with members of the military coming back from Iraq and Afghanistan. We have a small number of people who’ve come through our training who are doing this work at a few military hospitals and VAs [Veterans Administration facilities]. We’re hoping to significantly enlarge that. Our next training in mind-body medicine will be October 25-30, 2008 in Minneapolis. We’re hoping to have 50 to 70 military physicians, psychologists, social workers and nurses or other professionals who are working with returning vets in the VA system and community clinics. And this is just the beginning. And of course, as always, we welcome other professionals and educators to the training.


What the military is finding out, what they’re admitting in their own studies, is that they really don’t have good answers to the traumatic stress that the vets are bringing back from Iraq and Afghanistan. I think that we have an answer that will not only be useful and successful, but acceptable to the military. Because, just as in Unstuck, it’s saying to people, “You can do it.” Military people are very much can-do people. They like practical solutions and we have them. And we have a kind of small group support that people who have been in the military, or firefighters or police, appreciate because this is the way they work. And this group support is also, I believe, so important to all of us as we learn to help and heal ourselves.


Daniel Redwood, DC, is a Professor at Cleveland Chiropractic College – Kansas City. He is the editor-in-chief of Health Insights Today (www.healthinsightstoday.com) and serves on the editorial boards of the Journal of the American Chiropractic Association, Journal of Alternative and Complementary Medicine, and Topics in Integrative Healthcare. He can be reached at dan.redwood@cleveland.edu.

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Ten Years of Self-Care Classes https://healthy.net/2019/08/26/ten-years-of-self-care-classes/?utm_source=rss&utm_medium=rss&utm_campaign=ten-years-of-self-care-classes Mon, 26 Aug 2019 21:02:35 +0000 https://healthy.net/2019/08/26/ten-years-of-self-care-classes/ [The family doctor who taught the first U.S. self-care class describes that class and the subsequent rapid growth of the self-care movement.]


I always find myself explaining Keith Sehnert as the George Washington of self-care. Keith graduated from Western Reserve School of Medicine in 1953. After working as a General Practitioner and later as Medical Director of Dorsey Laboratories in Lincoln, Nebraska, he joined the Reston-Herndon Medical Center in Herndon, Virginia. There, in 1970, he taught—and largely invented—the first of the modern breed of self-care classes, classes in which laypeople learned basic medical skills formerly reserved for doctors only.

The class drew wide media attention. In 1972, Keith became a visiting professor at Georgetown University and in 1974 founded the Center for Continuing Health Education at Georgetown.

The Center for Continuing Health Education did self-care research, taught health professionals from all parts of the country to conduct self-care classes, and prepared course materials for these classes. In 1977, Keith became Vice President and Director of the Health Promotion Group at InterStudy, a health-policy and health-futures think tank in the Minneapolis area, and joined the University of Minnesota School of Public Health as clinical professor.

It is in large part because of Keith’s efforts that there are now self-care classes in forty states. He is the author of How to Be Your Own Doctor (Sometimes).


TF: You were saying that you were a student of Ben Spock’s at Western Reserve.

KS: Yes, back in the early fifties. Spock was just starting out as a teacher there, and his book, Baby and Child Care (reviewed on page 207) was just out. Of course, no one had any idea then it was going to become so popular.


Did he have a big influence on you?

He did. He was very concerned that most patients were getting a great deal of treatment but very little teaching. He felt that was a mistake.


I don’t think there’s any doubt but that his book planted a seed for me. I’ve always thought of my book as a kind of Dr. Spock for adults.


Were there any other experiences at Reserve that nudged you in the direction” of self-care?

Yes, the influence of another very important teacher, T. Hale Ham. In those days the whole business of a doctor’s empathy for the patient and communication skills were spoken of as one’s bedside manner. We were all very concerned about our bedside manner. Dr. Ham used to say, “Keith, you just talk to your patients in whatever way is most comfortable to you—but keep in mind that if you’re a good teacher, your patients will think you’re a good doctor.”


How did you happen to end up teaching that first self-care class?

Well, you know, serendipity plays such a big part in these things. I’d just joined a family practice group in the Reston area of Virginia. The guy who’d actually planned the class was leaving to join the Family Practice Department at the University of Wisconsin. One day he just casually asked me, ” Look, as long as you’re going to be here, would you mind picking this thing up for me?” And of course I said yes.


How many students were there?

I think there were forty, maybe forty-two. About 80 percent women. Almost all of them were patients at the Medical Center.


What was the first class meeting like?

It was an interesting experience. Many of the people in the first class were women whose husbands had been recently laid off by a reduction in the Johnson administration space program. Some of them were living on unemployment insurance for the first time in their lives.

As we got to know each other better, a lot of anger toward the health-care system started to come up. Frustrating experiences. Times when they’d been treated insensitively.

The old authoritarian doctor image was hanging over our heads, even though I wasn’t the typical authoritarian doctor. There was a lot of asking, is this something that’s okay to talk about? Is it all right for me to ask this question? And when I made it very clear that it was, they really began to share their experiences and concerns. They began to express feelings they may never have expressed to anyone before—certainly never to a physician.

It soon became clear that they had a lot of health needs that weren’t being met by the health-care system. They’d been put down and ripped off. The women’s movement was beginning to be active around that time, and the women especially were beginning to look at their lives in some new ways.

Pretty soon people started saying, “Why can’t I take my father’s blood pressure?” “Why can’t I give my kids allergy shots?” “Why can’t I use an otoscope to look in my little boy’s ear when he has an earache?”

And I found myself saying, “I don’t know why not. Let’s do it.” So the whole course evolved out of the things people were asking.


Had there been any other similar classes up to that time?

No, to my knowledge, it was the first class of its kind. There had been orientation tours for new patients in certain clinics and patient education for some specific diseases like diabetes, but nobody had ever really gotten into this area before.


How would you define this new area?

1 think of it as directed toward a new kind of medical consumer, what I call the activated patient. In my Herndon class, their questions went well beyond the boundaries of what had been thought of as patient education at that time. They wanted to know why they couldn’t have their own black bags of medical tools at home. No one had ever thought of teaching laypeople to use such tools before. There weren’t any models for that. So we just had to go along and figure out how to do it as best we could.


What motivates a person to take a self-care class?

We’ve looked at that, and there seem to be seven basic reasons people give, over and over, for their interest in self-care:

    1. wanting to save money on health expenses;

    2. wanting to be able to take better care of their family’s health, to be able to make effective family-health decisions;

    3. wanting to take more responsibility for their own illness care—like hypertensives who want to be able to keep track of their own blood pressure;

    4. wanting to learn how to hook into the medical system like a number of older people who outlived their doctors and weren’t able to find a new one they were satisfied with;

    5. wanting to learn more about their bodies and how they work;

    6. people with illness in the family, wanting to feel more confident in dealing with it;

    7. people who’ve gotten turned on to healthier life styles, wanting to hear more about jogging, nutrition, yoga, meditation, and whatever else there might be to this whole healthy lifestyle business.

So you include more than just traditional Western medicine in your classes?

Oh, yes. Of the really alternative approaches to health, yoga is the main one we’ve used—mainly because a neighbor of mine happened to be a fine yoga teacher. If I’d lived next door to a Thai chi teacher, we might have included that. The introduction to yoga has certainly been well-accepted by our students.

I think giving these kinds of alternatives is awfully important, particularly because through them people can learn to get the same kinds of things they might now be getting from alcohol and various other chemicals. And those are not ways I like to see people relieve their stress.


How long did the Course for Activated Patients go on?

We ran two classes a year for almost three years. Then, in February of 1973, Howard Eisenberg did a story on the class for Parade magazine, and I got over two thousand letters as a result. That made me realize that what we were up to might be something with a much wider appeal than I’d thought.

About that time I began getting inquiries from the federal Department of Health, Education and Welfare, from a number of foundations, and from several of the faculty and deans who were interested in doing something more in the way of self-care at Georgetown University.

Several publishers started wining and dining me and convinced me that there was a need for a book on what we were doing. So I took a six-month sabbatical and collaborated with Howard Eisenberg on How to Be Your Own Doctor (Sometimes). Shortly after that, the Center for Continuing Health Education was formed at Georgetown, and I became its director.


So you were there until 1977?

Yes. Then our grant ran out, and the functions of the Center were divided between the Health Activated Person Program at the Georgetown School of Nursing, where they’re continuing to give an ongoing self-care course for the Washington community, and the Health Activation Network (see page 268), who put out a newsletter, “The Health Activation News,” to train self-care teachers and help people establish new courses.


You know, Keith, I have a feeling that if it had been some other doctor teaching that class, it might have ended up as just a lot of boring lectures. Have you had special training in communication, or are you just good at it?

Well, as you know, one of my daughters, Cindy, is deaf, and that’s made me very aware of the importance of getting and giving feedback. It got me very interested in good communications, and when I was talking to a patient I would always give and ask for feedback to be sure we were understanding each other.

And then the other thing was how much I loved doing it. I discovered that I liked being a facilitator better than being an authority. There was a feeling of real partnership. It was wonderful to relax out of my professional role and, if somebody asked me a question, to say, “1 don’t know. How do you suppose we’d go about finding out?”


It was a very rare thing in my medical education to hear a doctor say, “I don’t know.”

Incredibly rare. We were taught we were supposed to know all the answers.

How have health professionals reacted to self-care classes?

I like to say, scratch a doctor and you’ll find a teacher underneath. Most doctors have been too busy with day-to-day practice to develop as teachers, but once they do it, they find that it’s fun.

I’ve brought a lot of health professionals into selfcare classes, and while at times I’ve had to more or less drag them kicking and screaming into the pit, once they take off the white coat, loosen the tie, and get their shoes off, they find they’re having a fine time. It’s a real relief to be able to show your human side, and the people in the classes are always so appreciative.

There’s a real sense of working together for a common goal. Most of us went into medicine for pretty altruistic reasons. We’re not all dollar-sign guys. And when you start relating to people as active partners instead of passive pawns, they really appreciate it, and they let the doctor know.


In my medical school training, except for a little bit in psychiatry, I didn’t receive any formal training in communicating with patients. Many people would say that medical education makes doctors less capable of communicating on a meaningful level. Are there any signs that this is changing?

Well, coincidentally, I just finished reading a report on self-care from the Association of American Medical Colleges. They’re getting together a major project in which they will begin teaching self-care communication skills in a number of medical schools. Dr. James Hudson is going to be the Project director.

The American Medical Students Association also has modest self-care programs going at a number of medical schools. And of course there are all kinds of new and fairly informal projects at individual schools—there’s something here at the University of Minnesota Medical School, the University of Arizona has one, as does Georgetown University. There’s a big interest at UC Berkeley, and you were just telling me about the self-care class you visited at Wright State School of Medicine in Dayton. There’s actually quite a lot going on in the medical schools already.


Any signs of health insurance companies being willing to reimburse policy holders for self-care education expenses?

Blue Cross of Montana has started doing this on a very small scale, and some of the other Blue Cross plans have been saying they’re going to get into this area— they’re putting on some prevention education programs now. Several other insurance companies are looking into self-care education. International Group Health in Washington has started several projects. IGP’s head guy, Jim Gibbons, is a real self-care advocate.


Could you comment on the kinds of people who are—and should be—teaching self-care classes?

I’ve always felt that the ideal teacher was the nurse. Certainly the greatest enthusiasm for self-care has come from nurses, nurse practitioners, and physicians’ assistants. Many of these allied health professionals feel much more strongly about prevention and self-care than about diagnosis and treatment—which continues to be the main concern of most physicians.


Do you think it’s important for the people teaching these classes to have clinical experience?

It certainly helps. One of the real dilemmas these days is that people hear this from Reader’s Digest, that from the National Inquirer, and something else from Prevention. They need to be able to ask someone who has done more than just read the books.


How about in the schools? Do you think it would be an advantage to include people with clinical experience as a part of health-education classes?

Yes. Not only are clinical workers more likely to have experience with these matters, but it’d be very valuable for kids to be able to talk to a health worker at some time other than when they’re sick or need shots.


Do you see a connection between the widespread popularity of running and the developing self-care movement?

Absolutely. Because as people start feeling better from jogging, and begin to sleep better and eat better, they’re going to discover they have more energy than they ever did before. Then they begin to realize that health is a resource to be conserved, not something you can waste and then discard like a cigarette butt or a wrecked car.


Yes. Your body is a temple. Why treat it like a motel?

Yes, that’s a good one. So when people increase their nutritional awareness, or start jogging, or get into stress reduction, they feel better. And taken they say, “Well, gee, maybe I can kick smoking and kick alcohol and practice a healthier lifestyle. And it’ll pay off.” And it does!


What other cultural changes are we likely to see?

One we’re already seeing is a change in men’s thinking and behavior. For so long we’ve had this macho male image about everything that’s harmful or illegal.

If I smoke and it’s bad for me, I must really enjoy it. It’s a sort of bad-boy mentality. To have fun, you’ve got to be destructive—driving too fast, abusing your body or those of people around you.

That tough-guy mentality is softening. As I go into groups of my peers—men in their late forties or early fifties—I find I seldom hear the sort of thing which was the rule not very many years ago. You know, ” Boy, did we have a good time last night. I bet old Fred and I drank a fifth of booze . . .” and so on. That kind of bragging.

Now I’ll more likely hear a guy say, “You know, I’m so proud of myself. I finally quit smoking after twenty-two years.” And everyone is very interested in how he did it. They’re talking about jogging and cutting down on their drinking.


I had some unpleasant experiences—before going to medical school—when I tried to find certain health information in a medical library. It would have been much easier to look for comparable information in just about any other field—engineering, physics, biology. But technical medical information—for someone who is not a medical professional—is almost impossible to come by.

I recently called the National Arthritis Foundation to ask how our readers could order copies of a book they put out. It covers arthritic diseases in depth, it’s comprehensive, and it’s cheap—one of the best available sources of information on arthritis. I was told that it wasn’t available to laypeople, ”because they might misunderstand it. ” A medical librarian at Yale told me that she had been taught to discourage laypeople who came into the medical library in search of information, “because it was probably somebody looking for evidence for a malpractice suit. ” Why is medical information kept so secret?

Until recently, the medical mystique was much like the religious mystique in the days of Martin Luther and the Protestant Reformation—the language of the laity was one world and the language of the clergy was another. They didn’t even say their prayers in the same language. It was a priesthood. There were things that the layperson wasn’t supposed to know about.

I think that what we’re seeing now, with the demystification of medical language, is comparable to the change Luther made in bringing Christianity into the language of the people.

That’s the most important thing that happens in these self-care classes. First, you let people know that it’s okay for them to step into this formerly forbidden area, and second, you guide them in their first steps. So the main thing is not the class itself, but the fact that it can get people started. It’s a perceptual door opener.

It should be the goal of every health professional to transfer useful and accurate tools, skills, and knowledge to his or her clients. To hide these “professional secrets” and keep them for one’s own aggrandizement is a malfunction of one’s professional role.


One last question, Keith. Would you look into your crystal ball and share your thoughts about the kinds of changes we’re going to see in the next ten years as a result of the growing enthusiasm for self-care?

When I first moved to Minnesota last year, I picked up a paper and saw that a man was considering running for governor on a health-promotion platform. I think we’re going to see mayors and governors and other political leaders picking this up—and probably in your state of California, too. I think self-care will be one of the big political issues of the next decade—in the way that education and agricultural reform and honesty in government have been hot political issues.

A second thing is that the business community is going to get increasingly involved in health promotion, self-care, and helping their employees become wiser buyers and wiser users of health-care services. The big corporations especially are feeling the pain of rising health-benefits costs. In fact, the guys bathe executive suites are hitting the ceiling. These decision-makers are suddenly realizing that health insurance premiums, disability insurance, early retirement, days lost from work due to illness, are all things they can do something about. Several companies last year paid more for health benefits than they did for any other product or service. So I think we’re going to see a lot of self-care promotion on the part of industry.

Third, I think a lot of leadership in this area is going to come from senior citizens. I think that women will continue to be especially active in self-care, and I think we’ll begin to see unions taking a major role.

Fourth, we’re going to see school systems putting in really high-quality self-care programs running all the way from kindergarten to high school. There are some exciting things happening along such lines in Maine, Montana, and Minnesota schools already.

And finally, I think we’re going to see a growing number of fitness/self-care/health-promotion groups, health-information centers, health clubs, self-care classes and study groups, alternative health centers, stop-smoking clinics, and exercise facilities, more widely available black-bag tools, and so on.

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