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“Ten Thousand Joys and Ten Thousand Sorrows”: an interview with Olivia Ames Hoblitzelle

Ten Thousand Joys and Ten Thousand Sorrows,

This book is intensely personal. Was it difficult to write?

Yes, at times it was difficult to write, but I felt a great sense of purpose. just before Hob died, I promised him that I would write a book and his voice would be in it. That became like a covenant between us. Also, I felt compelled to write the book. I realized that our background with meditation and the wisdom traditions gave us valuable perspectives which could be helpful to others. I hadn’t seen any books about how spiritual perspectives or practices could help with Alzheimer’s, and that’s what had helped us more than anything. In fact, the book can be helpful for people dealing with any serious illness and no matter what their spiritual tradition.

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How did Buddhism and meditation help you and Hob to deal with his illness?

More than anything else, our Buddhist practice and understanding made a profound difference to both of us in handling his decline. Through meditation one learns to find an inner refuge – a place of stillness – in the midst of all the changes and challenges. When we accept how much we can’t control, that everything is impermanent, we can begin to step out of our struggle with life. Meditation helps one develop equanimity and acceptance of whatever comes up, and that is a great help in dealing with the losses and heartbreak of Alzheimer’s. To be realistic, meditation is not a panacea, but it is a tremendous support for which both of us were very grateful.

Title: Ten Thousand Joys and Ten Thousand Sorrows: A Couple’s Journey Through Alzheimer’s
Author: Olivia Ames Hoblitzelle
Publisher: Tarcher/Penguin
ISBN: 978-1-58542-827-4
Available from: Amazon.co.uk or Amazon.co.uk Kindle Store, and Amazon.com or Amazon.com Kindle Store.

How did Hob’s way of viewing his illness – and the world – help you to accept the situation?

He had a great sense of humor and a wry outlook on life. That helped a lot. Humor breaks the tension of difficult situations. It’s a gift because it shifts perspectives and allows you to laugh. On one level, he couldn’t believe he had this diagnosis. Even quite far along, he kept saying he was going to beat it. On another level, he was totally open and told everyone he had Alzheimer’s, which bowled people over. Many people don’t know there is something wrong with them or else never talk about it. I think Hob’s openness was a great help to him and everyone around him. Certainly it was for me.

Were any positive shifts in your relationship brought about by Hob’s illness?

The most important shift was the deepening of our love for each other. I kept reminding him that we were in this together, and that I would stand by him to the end. I tried to feel into his situation, to walk in his shoes, as the expression goes. Often my heart broke open with compassion and love for him. The frictions of relationship pretty much fen away, and you realize that you’re mainly living with the love. That’s a hidden blessing.

There was also a big shift from his fierce independence to his needing to become more dependent on me. I both accepted that reality and suffered with it. Both of us went through a gradual process of surrender – for him, to the inevitability of his losses; for me, to accept that those losses were “in the natural order of things,” one of my favorite expressions for keeping a balanced perspective.

Being Hob’s primary caregiver, was it difficult to balance his needs with your own? How did you work though frustration?

Keeping one’s balance is a constant issue! Burn out is a huge hazard for all caregivers, so was determined to honor my own needs. I arranged for regular time away to write, meet a friend, be in nature, or just let down. I asked good friends to come and be with Hob, take him for a walk, have lunch with him. I thought about this balance issue a lot and plenty of times I lost it!

When I got worn out and frustrated, I’d do anything to get a tiny respite; go to the garden, just sit and breathe, or be alone for a cup tea. Sometimes I was so exasperated, I’d drive off and in the privacy of my car, I’d shout or roar — any sound that helped to release my pent-up feelings. Sometimes I broke down, and it turned out tears were the most important relief.

Or I’d do exactly the opposite, surprising even myself. I’d choose to move toward him, push through my own feelings, and say, “I need a hug.” That would totally soften the frustration. I came to see that as a kind of spiritual practice, because I was choosing to make a loving gesture instead of collapsing into my own feelings.

How did you and Hob handle tough subjects like death and loss?

We were really fortunate here. First of all, we had our meditation background. Meditation is about acceptance and letting go, invaluable qualities in the face of loss. Then we had both been involved with hospice work where you’re constantly living with issues of death and dying. Finally, we could both talk about the subject of death relatively easily, and we did. Even with some of our closest friends when he was talking about wanting to end his life early.

With Alzheimer’s, loss seems to be a constant reality. Sometimes Hob grieved his losses, but given his nature, he usually made light of them. Other times he simply couldn’t believe what was happening to him As for me, I grieved quietly because my sadness upset him, and why add that to his burdens? Anybody dealing with Alzheimer’s will tell you what a heartbreaking illness it is. I think we do a lot of our grieving as we go along in both little and big hits. It’s important to acknowledge and feel the grief That’s human, after an, and if you don’t, it’s apt to come out in physical symptoms.

What is the ‘doorway practice’ and how did it help you during Hob’s last months?

The doorway practice evolved after he began passing out unexpectedly, and I realized that any of these episodes could be the final one. So whenever I came to the door of the room where he was resting, for example, I’d prepare myself for the fact that he might have died. This inner preparedness came to me naturally. Mysteriously, it wasn’t heavy at au. Rather, it intensified the preciousness of life, of our time together, and yet let me be prepared for whatever might happen. I know it helped me deal with his passing out episodes with equanimity That doorway practice would arise spontaneously. I’d feel remarkably calm determined and strong. Again meditation helped me a lot. One could say meditation is a preparation for crisis management!

What general advice would you offer to someone who is caring for a partner with Alzheimer’s?

  • Accept that this is one of the most difficult challenges you’ll ever face.
  • When you realize that you’re their lifeline in a dissolving world, every supportive and loving gesture is a gift to them.
  • For me, when one of my spiritual teachers suggested that caregiving was an opportunity for me to practice the positive qualities of compassion, patience, generosity, and kindness, it helped give meaning to the humblest of tasks.
  • Have compassion for yourself when you feel frustrated, impatient, or angry, because caring for an Alzheimer’s patient is a Herculean task.
  • Ask friends and family for help! People want to help out, and there’s a real risk in becoming isolated.
  • Know what gives the patient comfort or reassurance. For us, it was always touch, physical closeness, music and beauty.

There are many more answers to this question in the Reflections, Suggestions, and Seed Thoughts at the end of each chapter.

How has your life changed since Hob’s death?

Obviously losing one’s spouse is a heart wrenching loss, but I was determined to continue living as fully as possible. And I did. By writing the book, I was integrating the enormity of the experience and harvesting the insights that come with retrospect- a complex mix of grieving, creativity, and honoring our last chapter together. My greatest wish is that the book continues to be helpful, and hopefully our gift to others facing similar challenges.

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“Ten Thousand Joys and Ten Thousand Sorrows,” by Olivia Ames Hoblitzelle

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Ten Thousand Joys and Ten Thousand Sorrows

To be clear from the start, this book is worthy of the rich praise it has received. The inner jacket liner contains three pages crammed with accolades from what could be easily construed as the Who’s Who of leading contemporary spiritual leaders and health professionals. The book is a moving and loving story of this extraordinary couple’s experience.

It is a love story. It is a love story written from the deeply touching and personal perspective of a remarkable woman living through her equally remarkable husband’s dementia and death. The book covers the six years from his first symptoms to his death as she emotionally lived the various pieces of their life together as it changed profoundly. The book is drawn from her journals, giving the reader the direct expression of her emotions as they went through her.

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The theme and tone of the book are both poignantly captured in a phrase that is the Postlude to the narrative, “Dance me to the End of Love,” a line drawn from a Leonard Cohen poem. The book is a dance in its delicate movement, its cadence and its intimate flowing emotion. The reader is watching lovers dance, from inside one of the dancers. It is sweeping love story between two extraordinary people who, as we learn from the book, and feel from its author, have each lived extraordinary lives.

Title: Ten Thousand Joys and Ten Thousand Sorrows: A Couple’s Journey Through Alzheimer’s
Author: Olivia Ames Hoblitzelle
Publisher: Tartcher/Penguin
ISBN: 978-1-58542-827-4
Available from: Amazon.co.uk or Amazon.co.uk Kindle Store, and Amazon.com or Amazon.com Kindle Store.

The extraordinary qualities of the writer, of her husband and of their lives together are stamped throughout the book, from the jacket liner to the back cover. This entices the reader; gives a sense of wonder and awe to the experience of the close connection with their lives, their struggles and their needs, each of them, to come to so ordinary a thing as death. It is a strength of the book; two sparkling, talented people who lives have soared above us in a glorious flight of remarkable accomplishments, experiences, encounters, facing together an ignoble debilitating illness and the commonness of death. This also is a puzzle for the reader.

What is so very extraordinary about the lives of the writer and her husband removes them from what is all too ordinary, the plight of most people and families who face the same challenge. When we bring to mind the estimated 5.4 million Americans who suffer from Alzheimer’s Disorder, and their 14.9 million unpaid caretakers we are carried to a different and less exalted reaction than the one we are left with at the end of this beautiful and extraordinary experience. Every family’s story, of course, is different and singular.

What is incongruent is that we cannot conceive of most of these millions (millions that will swell in a few decades to tens of millions in what has been described as an epidemic) as extraordinary. We cannot conceive of these millions having the resources financially for the care that is described in “Ten Thousand Joys and Ten Thousand Sorrows”. We cannot imagine millions having the homes in Vermont and in Cambridge, Massachusetts. We cannot imagine millions with the support of a large network of loving and distinguished friends, and of renowned spiritual leaders. We cannot imagine millions dying peacefully in their homes surrounded by loving caregivers.

In this way the ordinary and the extraordinary are juxtaposed too nearly. We suspect the wreckage of dementia on the many millions and their families is something quite different than what this book has told of. We suspect that so many die alone. We suspect that so many are broken by the financial impossibilities of good care. We suspect the isolation and loneliness of those families who cannot afford care, who chose to leave their jobs to care for their stricken relatives, whose world then becomes a small one of long and weary days and sleepless nights. We know of the number caretakers who die early, earlier than their loved one with Alzheimer’s. We know of those who live with Alzheimer’s much longer than the six years described so movingly by Olivia Hoblitzelle, many of whom, unlike her husband, dwell in silence or are unable for years to remember who is in the room with them or what they did or said two minutes ago.

So we remind ourselves that “Ten Thousand Joys and Ten Thousand Sorrows” is a particular story about particular people. It is a tender and touching love story that can give us comfort and inspiration. It is not about us. But may still be a help to us. The “Suggestions” at each Chapter’s end may be practical reminders for some of us. The “Seed Thoughts” also at the conclusion of each Chapter will be consistently useful to us (“May I cultivate compassion toward myself and others”, May I find new ways of handling my negative emotions.” “May I accept the challenge of this situation”, “Let me be calm”).

“Ten Thousand Joys and Ten Thousand Sorrows” is uplifting for us in the way that all stories of courageous struggle are. And it brings that us that sweet and painful poignancy of all powerful love stories.

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Meditation slows down age-related brain atrophy

Researchers at UCLA had earlier found that specific regions in the brains of long-term meditators were larger and had more grey matter than the brains of individuals in a control group.

Now, a follow-up study has suggested that people who meditate also have stronger connections between brain regions and show less age-related brain atrophy.

Having stronger connections influences the ability to rapidly relay electrical signals in the brain. And significantly, these effects are evident throughout the entire brain, not just in specific areas.

Eileen Luders, a visiting assistant professor at the UCLA Laboratory of Neuro Imaging, and colleagues found that the differences between meditators and controls are not confined to a particular core region of the brain but involve large-scale networks that include the frontal, temporal, parietal and occipital lobes and the anterior corpus callosum, as well as limbic structures and the brain stem.

“Our results suggest that long-term meditators have white-matter fibers that are either more numerous, more dense or more insulated throughout the brain,” said Luders.

“We also found that the normal age-related decline of white-matter tissue is considerably reduced in active meditation practitioners,” added Luders.

The study consisted of 27 active meditation practitioners (average age 52) and 27 control subjects. Results showed pronounced structural connectivity in meditators throughout the entire brain’s pathways.

“It is possible that actively meditating, especially over a long period of time, can induce changes on a micro-anatomical level,” said Luders.

As a consequence, she said, the robustness of fiber connections in meditators may increase and possibly lead to the macroscopic effects seen by DTI.

“Meditation, however, might not only cause changes in brain anatomy by inducing growth but also by preventing reduction,” said Luders.

“That is, if practiced regularly and over years, meditation may slow down aging-related brain atrophy, perhaps by positively affecting the immune system,” added Luders.

The study is detailed in the online edition of the journal NeuroImage.

Original article no longer available…

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How meditation might ward off the effects of ageing

Jo Marchant: High in the mountains of northern Colorado, a 100-foot tall tower reaches up through the pinetops. Brightly coloured and strung with garlands, its ornate gold leaf glints in the sun. With a shape that symbolises a giant seated Buddha, this lofty stupa is intended to inspire those on the path to enlightenment.

Visitors here to the Shambhala Mountain Centre meditate in silence for up to 10 hours every day, emulating the lifestyle that monks have chosen for centuries in mountain refuges from India to Japan. But is it doing them any good? For two three-month retreats held in 2007, this haven for the eastern spiritual tradition opened its doors to western science. As attendees pondered the “four immeasurables” of love, compassion, joy and equanimity, a laboratory squeezed into the basement bristled with scientific equipment from brain and heart monitors to video cameras and centrifuges. The aim: to find out exactly what happens to people who meditate.

After several years of number-crunching, data from the so-called Shamatha project is finally starting to be published. So far the research has shown some not hugely surprising psychological and cognitive changes – improvements in perception and wellbeing, for example. But one result in particular has potentially stunning implications: that by protecting caps called telomeres on the ends of our chromosomes, meditation might help to delay the process of ageing.

It’s the kind of claim more often associated with pseudoscience. Indeed, since researchers first started studying meditation, with its close links to religion and spirituality, they have had a tough time gaining scientific credibility. “A great danger in the field is that many researchers are also meditators, with a feeling about how powerful and useful these practices are,” says Charles Raison, who studies mind-body interactions at Emory University in Atlanta. “There has been a tendency for people to be attempting to prove what they already know.”

But a new generation of brain-imaging studies and robust clinical trials is helping to change that. Scientists from a range of fields are starting to compile evidence Read the rest of this article…

that rather than simply being a transient mental or spiritual experience, meditation may have long-term implications for physical health.

There are many kinds of meditation, including transcendental meditation, in which you focus on a repetitive mantra, and compassion meditation, which involves extending feelings of love and kindness to fellow living beings. One of the most studied practices is based on the Buddhist concept of mindfulness, or being aware of your own thoughts and surroundings. Buddhists believe it alleviates suffering by making you less caught up in everyday stresses – helping you to appreciate the present instead of continually worrying about the past or planning for the future.

“You pay attention to your own breath,” explains Sara Lazar, a neuroscientist who studies the effects of meditation at Massachusetts general hospital in Boston. “If your mind wanders, you don’t get discouraged, you notice the thought and think, ‘OK’.”

Small trials have suggested that such meditation creates more than spiritual calm. Reported physical effects include lowering blood pressure, helping psoriasis to heal, and boosting the immune response in vaccine recipients and cancer patients. In a pilot study in 2008, Willem Kuyken, head of the Mood Disorders Centre at Exeter University, showed that mindfulness meditation was more effective than drug treatment in preventing relapse in patients with recurrent depression. And in 2009, David Creswell of Carnegie Mellon University in Pittsburgh found that it slowed disease progression in patients with HIV.

Most of these trials have involved short courses of meditation aimed at treating specific conditions. The Shamatha project, by contrast, is an attempt to see what a longer, more intensive course of meditation might do for healthy people. The project was co-ordinated by neuroscientist Clifford Saron of the Centre for Mind and Brain at the University of California, Davis. His team advertised in Buddhist publications for people willing to spend three months in an intensive meditation retreat, and chose 60 participants. Half of them attended in the spring of 2007, while the other half acted as a control group before heading off for their own retreat in the autumn.

It sounds simple enough, but the project has taken eight years to organise and is likely to end up costing around $4m (partly funded by private organisations with an interest in meditation, including the Fetzer Institute and the Hershey Family Foundation). As well as shipping laptops all over the world to carry out cognitive tests on the volunteers before the study started, Saron’s team built a hi-tech lab in a dorm room beneath the Shambhala centre’s main hall, enabling them to subject participants and controls to tests at the beginning, middle and end of each retreat, and worked with “a village” of consulting scientists who each wanted to study different aspects of the meditators’ performance. “It’s a heroic effort,” says neuroscientist Giuseppe Pagnoni, who studies meditation at the University of Modena and Reggio Emilia in Italy.

Many of the tests focused on changes in cognitive ability or regulation of emotions. Soft white caps trailing wires and electrodes measured the meditators’ brain waves as they completed gruelling computerised tasks to test their powers of attention, and video recordings captured split-second changes in facial expressions as they watched images of suffering and war.

But psychologist Elissa Epel, from the University of California, San Francisco (UCSF), wanted to know what the retreat was doing to the participants’ chromosomes, in particular their telomeres. Telomeres play a key role in the ageing of cells, acting like a clock that limits their lifespan. Every time a cell divides, its telomeres get shorter, unless an enzyme called telomerase builds them back up. When telomeres get too short, a cell can no longer replicate, and ultimately dies.

It’s not just an abstract concept. People with shorter telomeres are at greater risk of heart disease, diabetes, obesity, depression and degenerative diseases such as osteoarthritis and osteoporosis. And they die younger.

Epel has been collaborating with UCSF’s Elizabeth Blackburn, who shared the 2009 Nobel physiology or medicine prize for her work on telomeres, to investigate whether telomeres are affected by psychological factors. They found that at the end of the retreat, meditators had significantly higher telomerase activity than the control group, suggesting that their telomeres were better protected. The researchers are cautious, but say that in theory this might slow or even reverse cellular ageing. “If the increase in telomerase is sustained long enough,” says Epel, “it’s logical to infer that this group would develop more stable and possibly longer telomeres over time.”

Pagnoni has previously used brain imaging to show that meditation may protect against the cognitive decline that occurs as we age. But the Shamatha project is the first to suggest that meditation plays a role in cellular ageing. If that link is confirmed, he says, “that would be groundbreaking”.

So how could focusing on your thoughts have such impressive physical effects? The assumption that meditation simply induces a state of relaxation is “dead wrong”, says Raison. Brain-imaging studies suggest that it triggers active processes within the brain, and can cause physical changes to the structure of regions involved in learning, memory, emotion regulation and cognitive processing.

The question of how the immaterial mind affects the material body remains a thorny philosophical problem, but on a practical level, “our understanding of the brain-body dialogue has made jaw-dropping advances in the last decade or two,” says Raison. One of the most dramatic links between the mind and health is the physiological pathways that have evolved to respond to stress, and these can explain much about how meditation works.

When the brain detects a threat in our environment, it sends signals to spur the body into action. One example is the “fight or flight” response of the nervous system. When you sense danger, your heart beats faster, you breathe more rapidly, and your pupils dilate. Digestion slows, and fat and glucose are released into the bloodstream to fuel your next move. Another stress response pathway triggers a branch of the immune system known as the inflammatory response.

These responses might help us to run from a mammoth or fight off infection, but they also damage body tissues. In the past, the trade-off for short bursts of stress would have been worthwhile. But in the modern world, these ancient pathways are continually triggered by long-term threats for which they aren’t any use, such as debt, work pressures or low social status. “Psychological stress activates these pathways in exactly the same way that infection does,” says Raison.

Such chronic stress has devastating effects, putting us at greater risk of a host of diseases including diabetes, cancer, heart disease, depression – and death. It also affects our telomeres. Epel, Blackburn and their colleagues found in 2004 that stressed mothers caring for a chronically ill child had shorter telomeres than mothers with healthy children. Their stress had accelerated the ageing process.

Meditation seems to be effective in changing the way that we respond to external events. After short courses of mindfulness meditation, people produce less of the stress hormone cortisol, and mount a smaller inflammatory response to stress. One study linked meditators’ lower stress to changes in the amygdala – a brain area involved in fear and the response to threat.

Some researchers think this is the whole story, because the diseases countered most by meditation are those in which stress plays a major role. But Epel believes that meditation might also trigger “pathways of restoration and enhancement”, perhaps boosting the parasympathetic nervous system, which works in opposition to the fight or flight response, or triggering the production of growth hormone.

In terms of the psychological mechanisms involved, Raison thinks that meditation allows people to experience the world as less threatening. “You reinterpret the world as less dangerous, so you don’t get as much of a stress reaction,” he says. Compassion meditation, for example, may help us to view the world in a more socially connected way. Mindfulness might help people to distance themselves from negative or stressful thoughts.

The Shamatha project used a mix of mindfulness and compassion meditation. The researchers concluded that the meditation affected telomerase by changing the participants’ psychological state, which they assessed using questionnaires. Three factors in particular predicted higher telomerase activity at the end of the retreat: increased sense of control (over circumstances or daily life); increased sense of purpose in life; and lower neuroticism (being tense, moody and anxious). The more these improved, the greater the effect on the meditators’ telomerase.

For those of us who don’t have time for retreats, Epel suggests “mini-meditations” – focusing on breathing or being aware of our surroundings – at regular points throughout the day. And though meditation seems to be a particularly effective route to reducing stress and protecting telomeres, it’s not the only one. “Lots of people have no interest in meditation, and that’s fine,” says Creswell. Exercise has been shown to buffer the effects of stress on telomeres, for example, while stress management programmes and writing emotional diaries can help to delay the progression of HIV.

Indeed, Clifford Saron argues that the psychological changes caused by the Shamatha retreat – increased sense of control and purpose in life – are more important than the meditation itself. Simply doing something we love, whether meditating or gardening, may protect us from stress and maybe even help us to live longer. “The news from this paper is the profound impact of having the opportunity to live your life in a way that you find meaningful.”

For a scientific conclusion it sounds scarily spiritual. But researchers warn that in our modern, work-obsessed society we are increasingly living on autopilot, reacting blindly to tweets and emails instead of taking the time to think about what really matters. If we don’t give our minds a break from that treadmill, the physical effects can be scarily real.

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Everything is aging, all the time. We age from our first breath

Lewis Richmond

The emotional undertow of aging, I think, is a feeling of loss — Loss of youth, loss of dreams, loss of possibility.This quality is what used to be referred to as mid-life crisis. Other phrases have come into vogue now — such as the cheery “60 is the new 40” — but the undertow of such homilies is still loss. Is there some way out of this sense of loss, some fresh point of view that assuages the pain of it? Actually, there is. Aging is not a matter of years — forty, sixty, eighty — but of life process. Everything is aging, all the time. We age from our first breath. The problem is not aging per se, but our view of it.

It is natural to want to avoid pain and abide with pleasure. Even a sunflower wants to turn to the sun as much as possible. Why should it be otherwise? And yet this pleasure bias does not really maximize our pleasure. Even pleasure turns to pain as it fades. Though we want to maximize gain and minimize loss, gain and loss are actually interwoven in each moment.

In teaching Zen meditation, I sometimes talk about breathing in terms of gain and loss. We breathe in and gain a new moment of life; we breath out and that moment is gone, never to return. This is how our life is.

Or rather it is how our life actually is. How we want it to be is heavily weighted toward the in and not the out — we want more new moments, less old moments, more sun and less cloud. This is our bias, and yet there is something powerfully liberating to return to the actuality of just breathing in and breathing out. We imagine that there is joy in minimizing loss, of staying with gain. But strangely enough, when we just rest in the equality of gain and loss, of every cycle of time containing both in equal measure, there is a different kind of joy — fundamental joy, we might say.

The way Buddhism has often been taught in the West, it appears to many as a rather “down” or even depressing world-view. Friends of my son who know about his being raised a Buddhist say to him, “Oh, I could never get into that life is suffering Buddhist thing.” Well, they might be surprised to know that the Buddha never taught that life is suffering, only that it seems that way from a self-centered point of view. What he actually taught is that it is possible to transform and transcend both our moments of suffering and joy.

Loss is not really loss if we don’t hold onto it. Gain is not ephemeral if we do not continually invent strategies to make it permanent. Fundamental joy is somewhere outside of this loss/gain calculus. I think that the natural process of aging is also the natural process of wisdom about all of this. It is those of us who are older — who have, if you will, experienced many more cycles of breath than the young — who are the natural experiencers and teachers of joy.

This is our birthright.

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Chappaqua resident gives Alzheimer’s patients hope

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Patch.com: Dorothy Erler may have Alzheimer’s disease, but that hasn’t slowed the 82-year-old Westchester resident down one bit.

In 2009, Erler was one of eight individuals who participated in a clinical study conducted by the Cornell University Memory Center based on the TTAP Method, which stands for Therapeutic Thematic Arts Programming.

The innovative program utilizes the arts and meditation to help individuals with Alzheimer’s and other forms of dementia to have an enhanced quality of life.

“I enjoy the activities,” says Erler, who sketched a picture of a cabin. “The sketch reminded me of a vacation spot that I would go with my family during the summers on Lake Owassa in Northern New Jersey near the Pennsylvania border. We had canoes and rowboats. It was a very memorable time in my life.”

The method has been proven in 11 clinical research studies and in 2010 was awarded “New York State Most Innovative Program.” It is based on nine steps — Conversation, Music & Meditation; Drawing & Painting; Sculpture; Movement & Dance; Poetry & Writing; Food Programming; Theme Event and Phototherapy.

“When performed, these activities stimulate the left and right brain regions, which increase cognitive functioning and psychosocial well-being,” explains Linda Levine Madori, Ph.D., a two-time Fulbright Scholar, clinical therapist, professor, researcher and author of the method.

Currently, the TTAP Method is being used in facilities all over the tri-state area including hospitals, skilled nursing homes, assisted living facililities and community day programs. This year Madori, a Chappaqua resident, will be training nurses, aides and caregivers in the TTAP Method certification training program in Schumacher Nursing Home through Beth Abraham Health and Hospital Services, one of the largest nurse and aide placement services in Westchester.

“The TTAP Method moves modern day research into practice, providing caregivers, healthcare providers and clinicians new and innovative ways in which to interact, communicate and provide person-centered care in an inexpensive non-pharmaceutical intervention,” Madori said.

Erler, who is currently living in an assisted living facility in Westchester, meets with Madori once a week.

“I think Dr. Madori is very good with her relationships with people,” she said. “She can really get them to relax and respond to her.”

Since Madori has been working with Erler she is not the only one who has seen marked improvement. “When I see Dorothy regularly and when she does the TTAP Method her cognitive ability rises. She has had her highest cognitive score she ever had … her neurologist can’t even believe it.”

Erler’s neice, Diane Erler, is grateful for the progress her aunt has made.

“We were very lucky to come to Burke Rehabilitation Center in White Plains when my aunt was diagnosed with Alzheimer’s disease. In the time my aunt was in the study we noticed her cognitive skills greatly increased,” she said. “It is not a one shoe fits all program. It is a program that works with a person’s strength and weakness so they can flourish. Dr. Levine Madori really takes time to get to know the patient. She is very in-tune with the elderly. She can definitely make a change in the way people look at Alzheimer’s disease. A lot of people think it is just a memory disease while it is so much more.”

When Madori first started working with Erler, she said she was a little withdrawn and a bit resistant to try new things. By the third week, Erler started to click with the meditation and began to open up and share her personal story.

“I had no idea Dorothy traveled all over the world as a buyer for B. Altman’s. She dressed the president’s wife when they came to New York,” Madori said. “This proves that when somebody lives their life we don’t spend that much time thinking about it, so the TTAP Method helps you think about what you have done and share what you have done over your lifetime with others. It gives you more self-esteem, self-worth and self-satisfaction.”

The TTAP Method has put Erler on the right path. “I think it gives me a little more sense of being able to do more,” she said.

Madori will be forming caregiver support groups, educating individuals on how they can apply the method to enrich the lives of their loved ones who may have Alzheimer’s. The TTAP Method support group also trains the caregiver on how to better cope with caring for a loved one or an individual through meditation and creative art expressions. Group sessions will be held at her private practice in Chappaqua and Armonk.

Original article is no longer on chappaqua.patch.com, and hasn’t been archived on archive.org.

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Exercise expert says seniors can win back strength

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Judy Magid, The Times-Herald, PA:W hen it comes to aging, “use it or lose it” appears to be a no-brainer.

The mantra propels countless motions on treadmills, leg presses and stationary bikes, helping prevent heart disease, reducing stress, jump-starting reflexes, increasing bone density and energizing the brain. And inspiring a little guilt.

The downside is that those who might describe themselves as “extreme middle-agers” have not used “it” for a while and figure “it” is gone.

“Not true,” says Colin Milner, chief executive of the International Council on Active Aging, a Canada-based group that focuses on exercise for folks 50 and older. He acknowledges that most people begin to lose strength at about 35, and more than half of their strength is gone by 70.

“But you can regain strength and become stronger at any age,” he says. “All you have to do is keep moving.”

From personal trainers to Feldenkrais movement classes to tai chi to walking in a straight line at home, there are plenty of ways to practice “active aging,” what Milner defines as being “engaged in life.”

Although diet modification and genetics figure in the mix, exercise has the best potential for keeping people healthy as they grow older, he says.

“There is no magic pill,” Milner says. “But if there is a magic formula, it would be exercise.”

As an exercise therapist, Milner was impressed by a Tufts University study on the benefits of intensive strength training for seniors. “In the Tufts study, people up into their late 90s trained at the same level of intensity as younger people. No one got hurt. They got stronger,” he says.

Milner defines “level of intensity” as doing repetitive lifts at 70 percent to 80 percent of the maximum amount of weight you can lift.

“If you can lift 100 pounds, you train by lifting 70 to 80 pounds in two or three sets of eight to 10 lifts. It does not matter how old you are.”

That goes for balance, too. The National Institutes of Health reports that 1.6 million older American adults wind up in emergency rooms for fall-related injuries, and names falls as the No. 1 cause of debilitating fractures, loss of independence and injury death, seniors can relearn good balance and strengthen bones with exercise.

Getting started is the problem for most.

“Find something you enjoy doing and stick with it,” says Milner. “If you get bored by lifting weights or running, you won’t stay with it long.”

Milner says soccer provides his motivation to move. “I play every week. Like any other (baby) boomer, I take bumps and bruises and go back for more,” he says.

At 50, that may be easier for him to say than it will be at 65.

But, he adds, consider this: “When I was a youngster, there were no 50-year-old soccer players.”

Do-it-yourself fitness

For folks who shun gyms and workout classes, experts suggest four types of exercises that can be practiced at home: strength-training (weight lifting); balance exercises (walking a straight line placing heel to toe); flexibility (slow stretching); and endurance training (walking, swimming, jogging).

Some tips:

— Before starting an exercise program at any age, have a word with your physician.

— Exercise can be in 10-minute shifts.

— Walk up and down stairs for one minute. Rest for one minute, then repeat. Work up to climbing for two minutes, resting for one minute. Repeat.

— No stairs? Walk briskly for seven minutes.

— For strength training, try biceps curls with a 2-pound soup can in each hand. Arms by your sides, palms facing forward, bend each arm at the elbow and bring the weight toward the front of your shoulders. Lower and repeat. Do two sets of eight or 10 repetitions.

— Breathe out as you lift or push a weight and breathe in as you relax.

— Use smooth, steady movements to bring weights into position; avoid jerking or thrusting movements; avoid locking the joints of arms and legs into a strained position.

— Muscle soreness lasting a few days and slight fatigue are normal after exercise. Exhaustion, sore joints and painful muscle pulls are not normal.

— You should do strength exercises for all major muscle groups at least twice a week.

— If you can lift a weight more than 15 times in a row, it is too light for you.

— Drink water even if you are not thirsty.

Sources: AARP The Magazine (November & December 2006, May & June 2007); Newsweek (March 26); Wall Street Journal (Feb. 1);

Journal of the American Medical Association (July 12, 2006); NIH Senior Health (www.nihseniorhealth.gov)

Personal training: Workouts as unique as you are

Walker and Sue Wallace are committed to strength training, but a regular gym doesn’t cut it for them.

“The twentysomethings and the wild music are not the problem. Being forced to watch Fox News while using the treadmill or bike is too much to ask,” Walker Wallace says, joking.

That is why they followed personal trainer Paul Holbrook to AgeWell Center in Salt Lake City, which is geared to people 50 and older. They get an hour’s workout with Holbrook’s full attention and empathy, if not sympathy.

“Paul knows exactly what we need to work on and what we are capable of doing,” Sue Wallace says, doing leg lifts after a knee replacement. Meanwhile, Walker is busy on the “Skiers Edge” machine, looking like a man who has been on a downhill run a time or two.

Holbrook loves it. He became interested in senior exercise when he watched an uncle deteriorate in a nursing home.

“There were no activities to help him maintain strength, let alone build it. I decided to concentrate on helping older adults keep fit,” he says.

Barbara and Norm Tanner also work out at AgeWell Center. At 90, Barbara plays tennis, has myriad volunteer and philanthropic interests and is patiently waiting for her grandchildren to have children. Norm, 92, doesn’t play tennis anymore, but he and his wife train with Holbrook twice a week.

Workouts at AgeWell include treadmills, leg presses and pneumatic machines, which are easier on the joints than weight-stacked machines. Holbrook is at a client’s elbow to avoid falls during freestyle balance exercises. An hour long session runs about $85.

Like the Wallaces, the Tanners appreciate working one-on-one with a personal trainer. “We have been with Paul since he opened,” Barbara Tanner says. “He makes us work, and I know very well I wouldn’t do it on my own.”

And while she knows people can gain strength after losing it, she also is aware how quickly it can be lost.

“I have always worked at it. I used to swim a lot when I was young. I took dancing lessons for years. But if you stop doing all that, it takes longer to get strong. And you can lose it faster.”

(Tai chi: Awakening a mind-body connection

Tai chi is described as moving meditation by Ellie Ienatsch, who teaches classes for the Osher Lifelong Learning Institute at the University of Utah.

Her classroom for the Osher class is the dance room of the Jewish Community Center in Salt Lake City. With soothing music in the background, students follow Ienatsch’s lead with slow, graceful, deliberate movements combining balance, flexibility, aerobic and toning exercises.

Health and exercise mavens tout the non-impact tai chi as an especially good fit for people over 50, helping them improve balance, enhance blood circulation and ease pain caused by arthritis.

Based on an ancient Chinese martial art, today’s tai chi, or tai chi ch’uan, is practiced by some enthusiasts for its spiritual nature, while others engage in tai chi solely for health benefits. Many practice tai chi as a “soft fist” martial art, translated as “shadow boxing.”

Ienatsch practices tai chi on more than one level.

“I was not successful at transcendental meditation,” she says, speaking of the technique defined as seeking serenity through regular meditation centered on repetition of a mantra.

“I wanted to move, to hike in the mountains,” she continues. “The beauty is relaxing. When you are moving, you breathe deeply because you have to. The slow circular moves needed to go up a trail become a rhythm.”

Her classes often consist of beginners mainly interested in the physical rewards of tai chi. She begins with awakening exercises such as joint rotations and neck turns.

Class members stand, gathering the chi or qi, fundamental life energy, from the earth and sky, then “stretch wings toward the sky with the crane” before Ienatsch guides them through a series of tai chi movements that make up a form. A form can take up to 20 minutes to complete.

“Tai chi is more than a choreographed set of movements,” Ienatsch says. “It is about moving. For hundreds of years, Chinese doctors prescribed physical exercises to cure physical ailments.

“You cannot get young again, but you must keep moving, no matter how infirm you are. Just imagining a movement can be almost as beneficial as doing it.”

Original article no longer available

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Explaining why meditators may live longer

The image of the ancient but youthful-looking sage meditating on a mountaintop might be closer to reality than you think, according to a new study that found that after a three-month stay at a meditation retreat, people showed higher levels of an enzyme associated with longevity.

The study is preliminary and didn’t show that meditation actually extends life, but the findings suggest a possible means by which it could.

Researchers led by Tonya Jacobs of the University of California-Davis compared 30 participants at a meditation retreat held at the Shambhala Mountain Center in Colorado with matched controls on a waiting list for the retreat. Participants meditated six hours per day for three months. Their meditation centered on mindfulness — for instance, focusing solely on breathing, in the moment — and on lovingkindness and enhancing compassion towards others.

After the three-month intervention, researchers found that the meditators had on average about 30% more activity of the enzyme telomerase than the controls did. Telomerase is responsible for repairing telomeres, the structures located on the ends chromosomes, which, like the plastic aglets at the tips of shoelaces, prevent the chromosome from…

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unraveling. Each time a cell reproduces, its telomeres become shorter and less effective at protecting the chromosome — this, researchers believe, is a cause of aging. As the chromosome becomes more and more vulnerable, cell copying becomes sloppier and eventually stops when the telomeres disintegrate completely. Telomerase can mitigate — and possibly stop — cell aging.

“Something about being on a retreat for three months changed the [amount of] telomerase in the retreat group,” says Elizabeth Blackburn, a study author who has won a Nobel Prize for her previous work on telomerase. “We didn’t prove that it was meditation [that caused the change]. A lot of things happened during the retreat. But the interesting thing was that the changes we saw tracked quantifiably with the change in people’s psychological well-being and outlook.”

In other words, people with higher levels of telomerase also showed more increases in psychological improvement. In retreat participants who showed no psychological change, telomerase levels were not any higher than in controls. (Researchers were unable to compare telomerase levels in the groups both before and after the retreat for logistical reasons.)

“It’s a very good study with interesting results in terms of health implications,” says Alan Marlatt, a professor of psychology at the University of Washington who has studied meditation for decades but was not associated with this research.

Of course, the relationship between health and telomerase is complex. In a recent study in mice by Harvard researchers, they found that boosting levels of telomerase reversed signs of aging, restoring graying fur and fertility, increasing brain size and sharpening scent perception. Too much telomerase activity can also be a problem, however. A cell that reproduces endlessly sounds like a good thing at first — that cell would be immortal. But this is exactly what happens with cancer cells — infinite replication. “If telomerase levels go too far up, that’s [associated with] cancer,” says Clifford Saron, associate research scientist at the University of California-Davis Center for Mind and Brain and a co-author of the new paper. He notes, however, that the difference is one that is orders of magnitude higher—so that meditation could not possibly cause cancer.

So how does meditation affect the machinery of cellular reproduction? Probably by reducing stress, research suggests. Severe psychological stress — particularly early in life and in the absence of social support — has been linked with poorer health, increasing risk for heart disease, stroke and some cancers. This is likely due to the negative effects of high levels of stress hormones on the brain and body. By reducing stress hormones, perhaps meditation contributes to healthier telomeres.

In a study published a few years ago in Lancet Oncology, researchers compared 30 men before and after adopting lifestyle changes following a diagnosis of low-risk prostate cancer. The patients started meditating, switched to a healthy plant-based diet, exercised and attended a support group. Like the new study, the Lancet Oncology paper found increases in telomerase linked with reduced psychological distress.

“The mind has a big influence on the body. If you get anxious, your heart beats faster and your stomach churns,” says Blackburn. “But we don’t know yet [if meditation is linked to] a reduction in stress hormones. The physiology is very complex.”

Recent evidence supports a connection: a study published this month in the Archives of General Psychiatry showed that mindfulness meditation can reduce relapse in patients who recovered from depression just as well as antidepressants.

Of course, the increases in telomerase seen in the current study could be due to some other unknown factor that separates the meditators from the controls. That’s another reason why it’s too early to suggest that stress-reducing mind-body interventions like meditation be prescribed as a treatment for any diseases or disorders. The study also did not show that meditation actually extends life, only that it may increase the activity of an enzyme that is associated with longevity.

Still, research on meditation is expanding dramatically, with studies finding it helpful for pain, depression, addiction and many other conditions. “There’s a very exciting dialogue going on,” Marlatt says of the research. “It works for many different kinds of clinical problems. It’s very promising.”

That noise you hear in the background? Millions of new meditators chanting, “Om.”

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Meditation improves health

wildmind meditation news

Times of India: Scientists have revealed that positive psychological changes that occur during meditation training are associated with greater activity of telomerase, an enzyme important for the long-term health of cells in the body.

The study by researchers at the University of California, Davis, and the University of California, San Francisco is the first to link positive well-being to higher telomerase.

The effect appears to be attributable to psychological changes that increase a person’s ability to cope with stress and maintain feelings of well-being.

“We have found that meditation promotes positive psychological changes, and that meditators showing the greatest improvement on various psychological measures had the highest levels of telomerase,” said Clifford Saron, associate research scientist at the UC Davis Center for Mind and Brain.

The study, with UC Davis postdoctoral scholar Tonya Jacobs as the lead author, was published online Oct. 29 in the journal Psychoneuroendocrinology .

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Focus is key when training aging brains

Games geared toward working out the brain can improve cognitive functioning from middle age on. Most of us now know that we can keep our gray matter in peak form and even help stave off diseases like Alzheimer’s through mental exercises.

But change doesn’t come easy. Whether we are working on our memory or trying to meditate, brain-training exercises require a high level of mental focus to pay off in the end.

“It’s not easy to drive the brain’s connectivity,” said Michael Merzenich, an emeritus professor at UC San Francisco and a leading researcher in neuroplasticity. “You have to be engaged. I go nowhere if I’m not really paying attention to what I’m doing.”

The concept of retraining the brain as we age revolves around neuroplasticity, the ability of our brains to grow and change by creating new neural connections. As we slowly master a new activity or exercise, the brain remembers each step, and neurotransmitters that carry that information through our brains forge new pathways. This ability is the basis for the idea that we can control whether our brains are on the up-slope or down-slope as we age.

While it’s often thought that age-related cognitive decline begins after we’ve hit middle age, researchers say it can start as early as 30. And the older we get, the more likely our brains are to succumb not just to the physical decline of age but also to the lack of external stimuli, since engaging in learning new information becomes less and less likely.

Researchers have looked closely at exactly what kind of mental games and exercises are necessary to combat the slow decline.

In a study published in the Journal of the American Medical Association (JAMA) in 2006, researchers focused on three major cognitive areas that are believed to do the most damage to “instrumental activities of daily living” once they start deteriorating — memory, reasoning and speed of processing.

The researchers provided 10 brain-training sessions, each 60 to 75 minutes long, to nearly 3,000 participants over the age of 65. The training included basic mnemonic strategies for remembering lists or written passages, finding patterns in groups of letters and dividing attention between several tasks at once. Over the next five years, they periodically provided follow-up training to randomly selected subgroups. The goal was to track what kind of long-term impact, if any, this kind of cognitive training would have.

In all three areas, the researchers found that participants showed improvement immediately after starting training. Over the course of five years, those who received supplemental training periodically fared better than those who did not. They concluded that this cognitive improvement could indeed translate into performing daily tasks like remembering grocery lists, preparing a meal and understanding information on medication labels more easily.

In addition to these hands-on training tools, many researchers have theorized that cognitive training can take place without ever looking at a computer screen or a book — in fact, it can be done using only the mind.

To test this theory, researcher Antoine Lutz observed the brain activity of eight Buddhist monks during a meditation in which they concentrated on the idea of loving-kindness and compassion. He found that before, during and after meditating, the monks had higher gamma activity than novice meditation practitioners. Gamma activity has been associated with better memory and increased ability to process information — all concerns associated with aging.

Lutz also discovered that the monks — all of whom had clocked at least 10,000 hours of meditation practice — had developed neural connections that spanned greater distances in the brain than is typical, meaning that regions of the brain that don’t usually connect were communicating. By focusing the mind in a deliberate way, Lutz concluded, the brain can physically change. The results of the study were published in 2004 in the Proceedings of the National Academy of Science.

For those of us who weren’t fortunate enough to participate in these studies, or to have devoted 10,000 hours to meditation, there is still hope. In fact, there are a number of competing software programs designed to replicate some of these exercises — as well as some from the JAMA study — at home.

At the forefront of making brain training accessible to the public is Posit Science, a company founded in 2005 by Merzenich. The company offers three different training packages to help with auditory and visual processing, as well as driving skills to reduce car accidents.

“The goal is to drive the brain in a variety of complicated ways, so that it’s operating more efficiently, rapidly and accurately,” Merzenich said.

In the book “Heal Your Mind, Rewire Your Brain,” author Patt Lind-Kyle builds off Lutz’s research by outlining ways to focus the mind in everyday activity. She advocates four main steps to harness the mind deliberately: intention, including focusing on goals to accomplish; attention, or conscientiously processing outside stimuli; receptivity, or letting your mind accept whatever it encounters; and awareness — simply being mindful of everyday moments.

Merzenich speculates that programs soon will be developed to maintain the effects of brain training and that once optimal cognitive functioning has been achieved, it will require only short periods of maintenance to sustain the effects.

Once that’s happened, and once these exercises find their way into the mainstream, he said, “There is a tremendous prospect for really helping older people.”

[via Jewish Journal]
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