meditation and the brain

How meditation may change the brain (New York Times)

Over the December holidays, my husband went on a 10-day silent meditation retreat. Not my idea of fun, but he came back rejuvenated and energetic.

He said the experience was so transformational that he has committed to meditating for two hours a day, once in the morning and once in the evening, until the end of March. He’s running an experiment to determine whether and how meditation actually improves the quality of his life.

I’ll admit I’m a skeptic.

But now, scientists say that meditators like my husband may be benefiting from changes in their brains. The researchers report that those who meditated for about 30 minutes a day for eight weeks had measurable changes in gray-matter density in parts of the brain associated with memory, sense of self, empathy and stress. The findings will appear in the Jan. 30 issue of Psychiatry Research: Neuroimaging.

M.R.I. brain scans taken before and after the participants’ meditation regimen found increased gray matter in the hippocampus, an area important for learning and memory. The images also showed a reduction of gray matter in the amygdala, a region connected to anxiety and stress. A control group that did not practice meditation showed no such changes.

But how exactly did these study volunteers, all seeking stress reduction in their lives but new to the practice, meditate? So many people talk about meditating these days. Within four miles of our Bay Area home, there are at least six centers that offer some type of meditation class, and I often hear phrases like, “So how was your sit today?”

Britta Hölzel, a psychologist at Massachusetts General Hospital and Harvard Medical School and the study’s lead author, said the participants practiced mindfulness meditation, a form of meditation that was introduced in the United States in the late 1970s. It traces its roots to the same ancient Buddhist techniques that my husband follows.

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“The main idea is to use different objects to focus one’s attention, and it could be a focus on sensations of breathing, or emotions or thoughts, or observing any type of body sensations,” she said. “But it’s about bringing the mind back to the here and now, as opposed to letting the mind drift.”

Generally the meditators are seated upright on a chair or the floor and in silence, although sometimes there might be a guide leading a session, Dr. Hölzel said.

Of course, it’s important to remember that the human brain is complicated. Understanding what the increased density of gray matter really means is still, well, a gray area.

“The field is very, very young, and we don’t really know enough about it yet,” Dr. Hölzel said. “I would say these are still quite preliminary findings. We see that there is something there, but we have to replicate these findings and find out what they really mean.”

It has been hard to pinpoint the benefits of meditation, but a 2009 study suggests that meditation may reduce blood pressure in patients with coronary heart disease. And a 2007 study found that meditators have longer attention spans.

Previous studies have also shown that there are structural differences between the brains of meditators and those who don’t meditate, although this new study is the first to document changes in gray matter over time through meditation.

Ultimately, Dr. Hölzel said she and her colleagues would like to demonstrate how meditation results in definitive improvements in people’s lives.

“A lot of studies find that it increases well-being, improves quality of life, but it’s always hard to determine how you can objectively test that,” she said. “Relatively little is known about the brain and the psychological mechanisms about how this is being done.”

In a 2008 study published in the journal PloS One, researchers found that when meditators heard the sounds of people suffering, they had stronger activation levels in their temporal parietal junctures, a part of the brain tied to empathy, than people who did not meditate.

“They may be more willing to help when someone suffers, and act more compassionately,” Dr. Hölzel said.

Further study is needed, but that bodes well for me.

For now, I’m more than happy to support my husband’s little experiment, despite the fact that he now rises at 5 a.m. and is exhausted by 10 at night.

An empathetic husband who takes out the trash and puts gas in the car because he knows I don’t like to — I’ll take that.

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Tibetan monks to take over Museum of Natural History this week for meditation

Make your thoughts as extinct as the dinosaurs on the fourth floor.

Twelve Tibetan monks will lead meditation sessions at the Museum of Natural History this week under the Hall of Ocean life’s giant blue whale and under the stars in the planetarium.

The enlightening exhibit – part of the museum’s ongoing show “Brain: the inside story“ – is intended to teach about Tibetan culture and highlight new research which shows the mental and physiological benefits of meditation.

But as places to find the peace and quiet necessary for meditation goes, the museum – let alone the city of New York – is far from ideal, said Khen Rinpoche, the monk leading the classes.

“It is difficult to find quiet in the museum,“ Rinpoche, the abbot of the Tashi Lhunpo Monastery in India said. “You need deeper mindfulness to meditate here.“

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In that sense, although the meditation classes are open to absolute beginners, the museum poses great challenges, he said.

“You have to go deeper to get away from the distractions here – so this is a good place,“ he said.

Online registration is recommended for the free classes, which will be held before museum hours tomorrow at 8 a.m. and after closing Wednesday and Friday to provide maximum quietude.

“We’ll turn down some of the lights in here and turn off the ocean sounds,“ said Teddy Yoshikami, the museum’s manager of public programs. “We will also have a talk by one of the main researchers into recent studies of how the mind can really be changed through meditation.“

In addition to the meditation, the museum is presenting an exhibition of Tibetan Medical Paintings, which according to Rinpoche “show the physical side of Tibetan culture.“

During his session, Rinpoche will focus on “The Four Immeasurables – love, compassion, joy and equanimity.“

“The mind controls brain,“ he said. “If you learn how to control the mind, you can control the brain. And if you want to change the world, try to change your inner world instead of trying to change the outer world.“

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Can you build a better brain? Science explains what really works

This would be a whole lot easier—this quest for ways to improve our brain—if scientists understood the mechanisms of intelligence even half as well as they do the mechanisms of, say, muscular strength. If we had the neuronal version of how lifting weights increases strength (chemical and electrical signals increase the number of filament bundles inside muscle cells), we’d be good to go. For starters, we could dismiss claims for the brain versions of eight-second abs—claims that if we use this brain-training website or practice that form of meditation or eat blueberries or chew gum or have lots of friends, we will be smarter and more creative, able to figure out whether to do a Roth conversion, remember who gave us that fruitcake (the better to retaliate next year), and actually understand the NFL’s wild-card tiebreaker system.

But what neuroscientists don’t know about the mechanisms of cognition—about what is physically different between a dumb brain and a smart one and how to make the first more like the second—could fill volumes. Actually, it does. Whether you go neuro-slumming (Googling “brain training”) or keep to the high road (searching PubMed, the database of biomedical journals, for “cognitive enhancement”), you will find no dearth of advice. But it is rife with problems. Many of the suggestions come from observational studies, which take people who do X and ask, are they smarter (by some measure) than people who do not do X? Just because the answer is yes doesn’t mean X makes you smart. People who use their gym locker tend to be fitter than those who don’t, but it is not using a gym locker that raises your aerobic capacity. Knowing the mechanisms of exercise physiology averts that error. Not knowing the mechanism of cognitive enhancement makes us sitting ducks for dubious claims, since few studies claiming that X makes people smarter invoke any plausible mechanism by which that might happen. “There are lots of quick and dirty studies of cognitive enhancement that make the news, but the number of rigorous, well-designed studies that will stand the test of time is much smaller,” says neuroscientist Peter Snyder of Brown University Medical School. “We’re sort of in the Wild West.”

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A 2010 evaluation of purported ways to maintain or improve cognitive function, conducted for the National Institutes of Health, shows how many of the claims for cognitive enhancers are as sketchy as a Wild West poker player with a fifth ace up his sleeve. Vitamins B6, B12, and E; beta carotene; folic acid; and the trendy antioxidants called flavenoids are all busts, and the evidence for alcohol, omega-3s (the fatty acids in fish), or having a large social network is weak. The Mediterranean diet is associated with a lower risk of cognitive decline, find observational studies, but that hasn’t been confirmed in more rigorous, randomized controlled studies, and no one knows whether the benefit comes from what the diet includes (olive oil, fish, vegetables, wine) or what it excludes (red meat, refined sugars, dairy fat). Statins don’t help, and neither do estrogen or NSAIDs (aspirin, ibuprofen). Be skeptical of practices that promise to make you smarter by increasing blood flow to the brain—there is no evidence that’s the limiting factor in normal people. Yes, you can find individual studies concluding that one or another hype-heavy intervention helps your brain, but the conclusion of any single study is more likely to be wrong than right. (For one thing, scientists and journals prefer positive findings and bury negative studies.) Only by assessing all the evidence from all the studies, as the NIH evaluation did, can you get the true picture.

The quest for effective ways to boost cognitive capacity is not hopeless, however. The explosion in neuroscience is slowly revealing the mechanisms of cognition. “We have accumulated enough knowledge about the mechanisms and molecular underpinnings of cognitionat the synaptic and circuit levels to say something about which processes contribute,” says James Bibb of the University of Texas Southwestern Medical Center, who organized a symposium on “cognitive enhancement strategies” at the 2010 meeting of the Society for Neuroscience. Greater cognitive capacity comes from having more neurons or synapses, higher levels of neurogenesis (the creation of new neurons, especially in the memory-forming hippocampus), and increased production of compounds such as BDNF (brain-derived neurotrophic factor), which stimulates the production of neurons and synapses, says neuroscientist Yaakov Stern of Columbia University. Both neurogenesis and synapse formation boost learning, memory, reasoning, and creativity. And in people who excel at particular tasks, Stern’s neuro-imaging studies show, brain circuits tend to be more efficient (using less energy even as cognitive demand increases), higher capacity, and more flexible.

One of the strongest findings in neuroplasticity, the science of how the brain changes its structure and function in response to input, is that attention is almost magical in its ability to physically alter the brain and enlarge functional circuits. In a classic experiment, scientists found that when monkeys repeatedly practiced fine-tactile perception, the relevant brain region expanded, just as it does when people learn Braille or the violin. Similarly, a region of the auditory cortex expands when we hear a particular tone over and over. (Yes, the spot that processes your ringtone is encroaching on next-door areas.) But when monkeys simultaneously touched something and listened to tones, only the brain region controlling the input they were trained to focus on expanded. In other words, identical input—tactile sensations and sounds—produces a different result, expanding a brain area or not, depending only on whether attention is being paid.

That might explain why skills we’re already good at don’t make us much smarter: we don’t pay much attention to them. In contrast, taking up a new, cognitively demanding activity—ballroom dancing, a foreign language—is more likely to boost processing speed, strengthen synapses, and expand or create functional networks.

By nailing down the underpinnings of cognition, neuroscientists can separate plausible brain boosters from dubious ones. With apologies to the political-correctness police, nicotine enhances attention—that key driver of neuroplasticity—and cognitive performance in both smokers and nonsmokers, scientists at the National Institute on Drug Abuse reported in a 2010 analysis of 41 double-blind, placebo-controlled studies. Nicotine, they found, has “significant positive effects” on fine motor skills, the accuracy of short-term memory, some forms of attention, and working memory, among other basic cognitive skills. The improvements “likely represent true performance enhancement” and “beneficial cognitive effects.” The reason is that nicotine binds to the brain receptors for the neurotransmitter acetylcholine that are central players in cortical circuits. (Caveat: smoking also increases your risk of dementia, so while cigarettes may boost your memory and attention now, you could pay for it later. To be determined: whether a nicotine patch delivers the benefits without the risks.

Neuroscience supports the cognitive benefits of stimulants like Adderall and Ritalin, too, at least in some people for some tasks. Both drugs (as well as caffeine) raise the brain levels of dopamine, the juice that produces motivation and the feeling of reward. On balance, finds psychologist Martha Farah of the University of Pennsylvania, studies show that both drugs enhance the recall of memorized words as well as working memory (the brain’s scratchpad, which plays a key role in fluid intelligence). They do not improve verbal fluency, reasoning, or abstract thought, however, nor provide much benefit to people with a gene variant that keeps dopamine activity high, Farah found in a recent study.

These limitations suggest two things. First, if you’re naturally awash in dopamine and are highly motivated to, say, deduce from its source code how a website was built, then increasing dopamine levels pharmacologically is unlikely to help. Farah found no difference between the performance of volunteers given Adderall and volunteers given a placebo on a battery of cognitive tasks, suggesting that you can get the same dopamine-boosting benefits of the drug by simply believing that you’ll do well, which itself releases dopamine. Second, the divide between the mental functions that drugs do and don’t improve suggests that psychological factors such as motivation and reward help with memory, but not higher-order processes such as abstract thought. The drugs “will help some people some of the time, but maybe not by a whole lot,” she concludes. Fun fact for anyone hoping for IQ in a pill: a recent survey of doctors finds they’re more comfortable prescribing sex drugs than smart drugs.

Knowing that Adderall and Ritalin work, when they do, by giving you motivation and a sense of reward from, say, solving a Sudoku puzzle implies that other ways to achieve those feelings will also boost mental performance. That’s probably the mechanism by which a whole slew of tricks work. Take, for instance, the “ancestor effect.” As a paper to be published in the European Journal of Social Psychology reports, “thinking about our genetic origin”—how Grandpa survived the Depression, how Great-Grandma eluded the Cossacks, et al.— “enhances intellectual performance.” The mechanism responsible for that is an increase in confidence and motivation—Adderall without the prescription. Along the same lines, a positive mood—even the kind that comes from watching “Sneezing Panda” on YouTube—can enhance creative problem-solving, finds a new paper in Psychological Science. In this case, reducing stress and the resulting cortisol, which attacks the myelin sheath that coats neurons and thus impairs signal transmission, allows underlying abilities to reach their full potential. Finally, being told that you belong to a group that does very well on a test tends to let you do better than if you’re told you belong to a group that does poorly; the latter floods you with cortisol, while the former gives you the wherewithal and dopamine surge to keep plugging away.

But there’s a difference between reaching your natural potential by removing impediments such as stress and actually raising that potential. The latter requires tapping into one of the best-established phenomena in neuroscience—namely, that the more you use a circuit, the stronger it gets. As a result, a skill you focus and train on improves, and even commandeers more neuronal real estate, with corresponding improvements in performance. London cabdrivers who memorize that city’s insanely confusing streets (25,000 of them) have a larger posterior hippocampus, the region that files spatial memories, than the average Londoner, neuroscientist Eleanor Maguire of University College London discovered in 2003. Conversely, if we offload our navigational ability onto GPS, we’ll lose it.

The rule that “neurons that fire together, wire together” suggests that cognitive training should boost mental prowess. Studies are finding just that, but with a crucial caveat. Training your memory, reasoning, or speed of processing improves that skill, found a large government-sponsored study called Active. Unfortunately, there is no transfer: improving processing speed does not improve memory, and improving memory does not improve reasoning. Similarly, doing crossword puzzles will improve your ability to do crosswords. “The research so far suggests that cognitive training benefits only the task used in training and does not generalize to other tasks,” says Columbia’s Stern.

The holy grail of brain training is something that does transfer, and here there are three good candidates. The first is physical exercise. Simple aerobic exercise, such as walking 45 minutes a day three times a week, improves episodic memory and executive-control functions by about 20 percent, finds Art Kramer of the University of Illinois at Urbana-Champaign. His studies have mostly been done in older adults, so it’s possible the results apply only to people whose brain physiology has begun to deteriorate—except that that happens starting in our 20s. Exercise gooses the creation of new neurons in the region of the hippocampus that files away experiences and new knowledge. It also stimulates the production of neuron fertilizers such as BDNF, as well as of the neurotransmitters that carry brain signals, and of gray matter in the prefrontal cortex. Exercise stimulates the production of new synapses, the connections that constitute functional circuits and whose capacity and efficiency underlie superior intelligence. Kramer finds that a year of exercise can give a 70-year-old the connectivity of a 30-year-old, improving memory, planning, dealing with ambiguity, and multitasking. “You can think of fitness training as changing the molecular and cellular building blocks that underlie many cognitive skills,” he says. “It thus provides more generalizable benefits than specifically training memory or decision making.”

The second form of overall mental training is meditation, which can increase the thickness of regions that control attention and process sensory signals from the outside world. In a program that neuroscientist Amishi Jha of the University of Miami calls mindfulness-based mind-fitness training, participants build concentration by focusing on one object, such as a particular body sensation. The training, she says, has shown success in enhancing mental agility and attention “by changing brain structure and function so that brain processes are more efficient,” the quality associated with higher intelligence.

Finally, some videogames might improve general mental agility. Stern has trained older adults to play a complex computer-based action game called Space Fortress, which requires players to shoot missiles and destroy the fortress while protecting their spaceship against missiles and mines. “It requires motor control, visual search, working memory, long-term memory, and decision making,” he says. It also requires that elixir of neuroplasticity: attention, specifically the ability to control and switch attention among different tasks. “People get better on tests of memory, motor speed, visual-spatial skills, and tasks requiring cognitive flexibility,” says Stern. Kramer, too, finds that the strategy-heavy videogame Rise of Nations improves executive-control functions such as task switching, working memory, visual short-term memory, and reasoning in older adults.

Few games or training programs have been tested to this extent, and many of those that have been come up short. Those with increasing levels of difficulty and intense demands on attentional capacity—focus as well as switching—probably do the most good … as does taking a brisk walk in between levels.

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Being mindful of pain, and the paradox of mindfulness

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Meditation offers us a powerful paradox: that becoming more mindful of our pain reduces the amount of pain we experience.

The use of meditation techniques to treat chronic pain is becoming increasingly common, largely as a result of the pioneering work in Mindfulness-Based Stress Reduction started by Jon Kabat-Zinn in 1979 at the University of Massachusetts Medical School. Dr. Kabat-Zinn’s scientifically validated work has touched the lives of tens of thousands of people and helped to establish meditation as a highly respected tool in the treatment of chronic pain, stress, and depression.

Some people initially find the idea of using meditation to deal with pain incongruous. After all, isn’t meditation about developing greater awareness? And wouldn’t that mean becoming more aware of the pain itself in an almost masochistic kind of way and therefore experiencing greater suffering? For others, who think about meditation as a technique for “tuning out” and turning attention away from the body, meditative techniques can be seen as a welcome, if almost unattainable, form of escapism.

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In fact, meditation is neither masochistic nor escapist. In meditation we do in fact become more aware of ourselves, but what is most important is that we become aware of and change the way that we relate to our pain. It is that change in relationship that makes meditation a potent tool in pain management.

So what is this change in the way that we relate to pain, and how does it have the effect of helping us to deal more effectively with it, or even to reduce the level of pain we experience? The quality we cultivate through meditation practice is mindfulness. Mindfulness is much more than simply being aware. We can be aware of pain without being at all mindful of it. Mindfulness is a particular kind of awareness, which is purposeful, focused, curious, and rooted in our moment-by-moment experience.

With mindfulness we purposefully observe our experience as it takes place, including any pain that may be present. The mind naturally tends to see pain as being a “thing,” and to give it a degree of solidity, permanence, and coherence that it doesn’t in fact have. In mindfulness meditation we train ourselves to see the many different sensations that we collectively label as “pain.” We may even gently make mental notes of the most prominent sensations that we notice. For example we may note the presence of “tingling,” “pulsing,” “throbbing,” “heat,” “cold,” “aching,” “tightness,” etc. When we let go of the rather crude label “pain” in this way and instead note what is actually present, we can find that each individual sensation is easier to bear. Sometimes we notice that there is no pain present, or that the sensations that we’re experiencing are neutral or even pleasurable.

Additionally, in exercising curiosity about our pain we are also gaining another important benefit in the form of the quality of acceptance. The mind, quite understandably, tends to see pain as something that is undesirable and therefore to be pushed away. This pushing away shows in the body as physical tension in and around the area of pain, causing additional discomfort and even intensifying the original pain. It’s as if, having accidentally touched a hot stove, we were to react by trying to push the stove away. In doing so we would of course simply intensify our pain. So, in mindfulness meditation an attitude of curiosity allows us to let go of our resistance and to see the pain for what it is: an ever-changing variety of interwoven sensations. Much of our resistance to pain is mental rather than physical. When we experience pain the mind can, like the body, try to push it away. We experience desire for the pain just to go away. We crave its absence. Unfortunately, as we all know, wishing that something were so does not make it so, and our frustrated desires do nothing but add mental suffering to our physical distress.

In mindfulness meditation we observe more than just any pain that may happen to be present. We become aware of the whole physical body, emotions, and thoughts, and of how each of these interacts with the others. One thing we can then begin to see is that although pain is present in our experience it isn’t the whole of our experience. Mindfulness gives us a sense of the physical and mental “landscape” within which our pain is experienced, and which helps to give a sense of perspective to our experience of it. At times of stress it may seem as if pain is the only thing that we experience, but this comes about because we have a kind of mental “zoom lens” that is closely focused on the pain. Change that zoom lens for a wide-angle lens and the pain seems much smaller and therefore more manageable.

Without mindfulness, our experiences tend to proliferate in an unhelpful way. We may experience physical pain, and this leads to thoughts such as “This is never going to end,” “This is just going to get worse,” “I can’t bear this,” or “I must be a bad person to deserve all this pain.” In turn, these thoughts lead to anxiety, despondency or anger, because we tend to believe the stories we think when we are unmindful, and this adds further to our suffering. The practice of mindfulness includes becoming aware of our thoughts and seeing that our thoughts are indeed just thoughts and are not facts.

Thoughts are not facts. This can be a revolutionary discovery, and also a liberating one. When we learn to see thoughts as just another experience coming and going against the background of our overall physical and mental experience, we free ourselves from the kind of runaway thinking that is so characteristic of stress. We can see thoughts like “I can’t stand this” coming into being, realize that they are thoughts rather than facts, and instead of indulging in them and encouraging them we simply note them and let go of them.

Finally, mindfulness can help by reminding us that pain is not “the enemy.” Pain is the body’s naturally evolved way of letting us know that something needs attention, and can play a vital role in maintaining physical well-being. It’s easy to see how important pain is when we consider what life would be without it. There are medical conditions in which people can’t experience pain, and those people find that life is very hard indeed. Imagine, for example, trying to warm yourself at a fire without being able to tell when your skin was overheating: serious burns would be a distinct possibility. So we can see that pain is an essential part of being human. Of course when pain goes on for a long time, or when it’s particularly intense, it can be hard to remember that it evolved as a helpful function, and it’s easy to see it as an enemy. The meditative approaches outlined above help us to develop acceptance of our pain, but an even more powerful aspect of mindfulness that allows us to accept our pain is the quality of lovingkindness.

Mindfulness has a quality of appreciation and welcoming that can radically transform our relationship to difficult experiences. Buddhist meditation techniques can be used, for example, to cultivate an attitude of lovingkindness towards those people that we find difficult and towards whom we experience aversion, anger, and even hatred. Millions of practitioners over thousands of years have found that the cultivation of lovingkindness leads to the lessening of conflicts and the growth of love and appreciation for those who were previously enemies. Lovingkindness transforms our relationships.

The development of lovingkindness can also be used internally, by cultivating lovingkindness for painful experiences (or self-compassion) so that we can accept them as a part of life. Wishing our pain well can be a powerfully healing experience in which we let go of inner tensions and barriers on a deep level and come to see that our pain is a part of us, and a part of us moreover that is greatly in need of cherishing and love.

But do these approaches actually have medical benefits? Do they reduce pain, or do they simply allow us to handle our pain better? Clinical studies are unequivocal in demonstrating that the practice of mindfulness meditation both increases the ability to deal with the effects of pain and reduces pain overall. A study published in General Hospital Psychiatry followed 51 chronic pain patients who had not improved with traditional medical care. The dominant pain categories were low back, neck and shoulder, headache, facial pain, angina pectoris, noncoronary chest pain, and GI pain. After a 10-week program of meditation, 65% of the patients showed a reduction in pain of greater than 33%, and half of the patients showed a reduction in pain levels of more than 50%. It should be remembered that these were patients whose pain had shown no improvement with traditional medical care. In other words people with the most difficult cases of chronic pain still showed dramatic improvements in their condition.

A more recent study, at the University of Montreal, shows that Zen meditators were better able to detect painful stimuli than non-meditators, but that the sensations weren’t processed by the brain as “pain.”

The practice of mindfulness is particularly effective because it “decouples” the physical sensations of pain from mental and emotional processes that heighten suffering. Pain comes to be seen as “just another sensation” and the fear of pain is significantly reduced. The development of mindfulness, as Buddhists have known for 2,500 years, brings about mental and emotional freedom and a decrease in suffering.

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Meditation benefits people with brain injuries

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Vik Kirsch, Guelph Mercury: People with acquired brain injuries, typically from car crashes, strokes and falls, experience improvements coping with life’s challenges through a specific type of meditation, a new study at the St. Joseph’s Health Centre suggests.

“It was an amazing thing to be part of,” clinical resource worker Paula Rogers said Wednesday, as she and community support services director Audrey Devitt and senior research associate Janine Maitland outlined the two-year study’s results to staff.

In interviews afterward, the three noted patients with brain injuries, though no two are alike, face a variety of challenges from brain damage. In addition to physical ailments, they may be overwhelmed by day-to-day living, struggle with their emotions, suffer memory damage and must cope with a loss of who they are as they go through personality changes.

Researchers developed a 10-week program of what they termed “mindfulness meditation.” It taught participant volunteers how to gain insight into their daily lives as they live “in the moment” through mental coping exercises. Mental faculties, as a result, are sharpened.

This leads in part to stress reduction, relaxation, self-awareness, problem-solving and self-monitoring that elevates the quality of life.

Devitt said participants became happier, calmer and more content with their lives because of the course, though which they saw gradual improvement. They gained better insight into themselves and became more confident. People who had been frustrated with their limitations tended to gain “a general sense of individual acceptance,” Devitt noted.

For the study, 47 adult survivors of injuries participated, with proponents now intending to publish their results and take further steps. “We hope in future to offer this as an outreach program,” Devitt said.

The $12,000 cost of the study came primarily from the centre’s foundation and endowment funds.

To date, Maitland said, there’s little research in the scientific literature on acquired brain injuries available, so it’s an open field ripe for further study. “There’s very little done.” That means any new insight is valuable.

As to specific physical results, Maitland said participants reported a reduction in ongoing pain from brain injuries after learning the new meditation techniques.

Among psychological benefits, participants of the St. Joe’s study reported a significant improvement in mood (less depression) and a reduction in stress, Maitland said. While there was no apparent boost in sense of attention among individuals, self-esteem improved in women, though not men.

For both sexes, a sense of well-being grew stronger.

“Mindfulness (meditating) does have value,” she concluded.

The course required some “homework,” as participants practised techniques, which Rogers said took effort for some to get used to. But this became easier over time, she added.

With practise, some found they didn’t require as much pain medication. “That was a positive sign for us,” Rogers said.

They reported having more energy, better sleep, having an easier time breathing and more general relaxation. They were also better able to control their tempers, anxiety and resentment levels toward others. That led to improved relations, Rogers reported.

St. Joe’s operates the region’s only adult day program teaching brain injury survivors life skills and coping strategies. ABI patients this month moved into a new addition on site for them, part of a larger, $19-million expansion of the Westmount Road long-term, chronic and complex continuing care facility.

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Losing Focus? Studies Say Meditation May Help

The idea that meditation is good for you is certainly not new, but scientists are still trying to figure out exactly why meditating so reliably improves mental and physical health. One old theory is that meditation is just like exercise: it trains the brain as if gray matter were a bundle of muscles. You work those muscles and they get stronger.

A recent paper in the journal Psychological Science tries to identify brain functions that are actually enhanced by meditating. The study shows that intensive meditation can help people focus their attention and sustain it — even during the most boring of tasks. But while participants who meditated were able to pick up visual cues better than a control group, it was not clear whether meditating helped them process the new information in a meaningful way.

The study, which was authored by 13 researchers and led by Katherine MacLean of the University of California, Davis, begins by noting that everyone gets tired after concentrating. It also notes that research going back to the 1970s has established…

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that Buddhist monks who have regularly meditated for years perform better than most of us on concentration tests. In the past five years, other studies have shown that meditation also yields substantial gains in concentration for laypeople who take up the practice.

In the new study, 60 enthusiasts who signed up to attend a three-month meditation retreat were randomized into two groups. The first group of 30 got to go to the Shambhala Mountain Center, a pricey hideaway in Red Feather Lakes, Colo., just south of the Wyoming state line. The other group of 30 had to wait three months to attend a second retreat at the Shambhala Center; this second group served as the study’s control group. The researchers gave the two groups concentration tests before the retreat began, halfway through and then again after the sabbatical ended. During the retreats, the attendees underwent at least five hours a day of meditative practice.

That’s an extraordinary commitment to meditation that most of us can’t relate to. (The attendees even paid $5,300 for the privilege of attending the retreats.) But while all the participants were highly willing, the strength of this new study lies in comparing their mental performance before, during and after they began meditative practice.

And the results are clear: it’s not wanting to meditate but actually meditating that improves your brain’s performance. The participants were all asked to watch a series of lines flash on a computer screen and click a mouse when they saw a line that was shorter than the others. It was a boring test, and that was the point: in order to concentrate on those little line changes, they had to focus intently. Those who were meditating at the retreat were significantly more likely than those in the wait-list group to see increasingly small differences in the lines. Their abilities improved as meditative training continued. As the paper puts it, their powers of “visual discrimination” had appreciably increased.

Which suggests that meditation can help you concentrate. But the study found that while meditators were more accurate, they were not faster: those who had meditated saw differences in the lines more often than those who hadn’t, but they didn’t react any faster than the control group when both saw the same line discrepancies on the screen. That’s important because it suggests that meditation helps your brain do something automatic — process visual stimuli — but not something more complicated: react when it happens.

I couldn’t quite afford to attend the Shambhala Mountain retreat, but recently, I decided to try a small, five-minute-a-day mindfulness regimen recommended to me by the University of Washington psychology professor Marsha Linehan. One of the simple techniques Linehan uses to improve patients’ mood and concentration is to ask them to sit on a park bench or at a street corner — any public place — and direct their eyes forward as strangers walk by. The idea is to avoid looking at the passersby even if they are interesting — you just let them walk by. You notice them, but you keep your mind focused on not watching them, not following them. I have been practicing this technique at New York City’s congested High Line park for the past few weeks. The results have been extraordinary: I focus better at work; I don’t dread cleaning after my cats as much; I actually look forward to confronting the crowds at the High Line.

Past research suggests that meditation doesn’t have to be intensive to have an effect. One recent study by scientists at the University of North Carolina at Charlotte found that students were able to improve their performance on tests of cognitive skill after just four days of meditation training for only 20 minutes per day. On one particularly challenging computer test of sustained attention, students who meditated did 10 times better than a control group. They also did significantly better on timed information-processing tasks that were designed to induce deadline stress.

Still, meditation isn’t a panacea. Recently, I got into a silly office-politics spat, and I still blow some of my deadlines. But Linehan hopes this exercise and other mindfulness practices will help patients disentangle themselves from overwhelming or burdensome thoughts — including, in some cases, suicidal thoughts. I find that I can calm myself through my short mindfulness exercise, but a few hours later, I may get just as stressed about a pointed where’s-the-story e-mail from an editor.

In the end, meditation may help keep your brain focused and help you absorb more information than you otherwise would. But it is not likely to help you evaluate all that extra information your brain is taking in.

[John Cloud, Time]
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The busy mind on meditation

Alicia W. Roberts: Even brief sessions can help with multitasking, dealing with deadlines – and pain relief, too

Fadel Zeidan has proven that minimal training in meditation can lessen the perception of pain in research subjects.

He also has shown that similarly brief sessions of meditation can increase cognitive function – the ability to multitask, recall items in a series and complete tests on a deadline.

Now, he wants to find out why even short stints of meditation affect the brain that way.

As a post-doctoral fellow at Wake Forest University in Winston-Salem, Zeidan is building on research he started at UNC Charlotte. Using…

Read the rest of this article…

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How the mind controls pain

Science is beginning to investigate and support the role of therapies such as biofeedback and meditation in pain control. The idea that the mind has power over the body may be especially useful to chronic pain patients who often find themselves without satisfactory medical treatments.

The emotional response to pain

Pain travels along two pathways from a source, such as an injury, back to your brain. One is the sensory pathway, which transmits the physical sensation. The other is the emotional pathway, which goes from the injury to the amygdala and the anterior cingulate cortex areas of the brain that process emotion.

“You may not be aware of it, but you’re having a negative emotional reaction to chronic pain as well as a physical reaction,” says Natalia Morone, M.D., assistant professor of general internal medicine at the University of Pittsburgh School of Medicine. Mind-body treatments that involve meditation and relaxation probably affect these emotional pathways. However, Dr. Morone admits that many doctors don’t put much stock in this theory. “Anything to do with mind-body medicine around pain is going to be controversial. This is all very new.”

Research is beginning to show the connection

In a 2005 study, researchers at Stanford University in Palo Alto, Calif., used functional magnetic resonance imaging (fMRI), which measures activity in different areas of the brain, to see whether subjects could learn to control a brain region involved in pain and whether that could be a tool for altering their pain perception.

Laura Tibbitts, 34, an event planner from San Francisco who severely injured her arm, shoulder and back when she was thrown off of a horse, participated in the study. In describing her pain, she says: “My muscles and nerves feel like a bunch of snakes that are all intertwined, but then I also get a stabbing and shooting pain. So you have that horrible, achy, uncomfortableness, but then you get these jolts of pain.”

In the study, Tibbitts was asked to increase her pain and as she did, an image of a flame on a computer monitor became stronger and more vibrant. Then she was told to decrease her pain, which caused the flame to die down. “Sometimes I would imagine that the pain was literally being scooped out from me, taken away and carried off. Other times I used water imagery, like it was flowing through me and taking it away,” says Tibbitts. After the test, she learned that she had been able to produce a 30 percent to 40 percent reduction in her overall pain.

Giving control to pain patients

For Sean Mackey, M.D., director of the pain management division at Stanford University School of Medicine and one of the study’s researchers, the research revealed a striking element of empowerment. “Patients would say, ‘A-ha! For the first time I could see the pain in my brain, and I could control it. And that was a very powerful experience,” he says.

Dr. Mackey believes pain medicine is moving away from the concept of strict mind-body separation toward a more unified—and ancient-sounding—view in which “mind and body are really one.”

The bottom line for pain patients is that they may want to pursue pain-control techniques such as biofeedback, yoga, and meditation. But they also need to be on the alert for scams and beware of claims made by therapists seeking to exploit their desperation. Before turning to one of these therapies, it’s best to thoroughly research the practitioner you choose.

[via MSN Health]
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Meditation an ‘effective tool’ in treating brain trauma

Brain injuries can leave survivors with long-term damage to their concentration, patience and emotional control, but researchers are finding meditation may be the best medicine.

Janine Maitland, Audrey Devitt and Paula Rodgers of St. Joseph’s Health Centre conducted a study with 44 people with acquired brain injuries to determine whether “mindful” group meditation is effective.

In their findings, which they brought to a conference on brain injuries in Kingston yesterday, showed that patients in the program had lower depression, stress and anxiety levels.

“We see it being a very effective tool … and also very cost-effective,” said Maitland, senior research associate at St. Joseph’s in Hamilton.

Typically, patients with acquired brain injuries are treated with prescriptions, physiotherapy and counselling. Meditation is a tool that can be used when all else fails.

Devitt, St. Joseph’s director of outreach services, said that many patients in the trial had run out of options.

“Their medical practitioners have said that they have pla -teaued,” she said.

Acquired brain injuries include trauma injuries from strokes, aneurysms, tumours and trauma from car accidents, falls and sports.

Many people with such injuries can’t afford extensive traditional treatment.

“A lot of these things cost money and a lot of people don’t have insurance,” she said. For example, a fall while cycling may not provide you with insurance.

“It’s best to be in a car, really,” Devitt said.

Mindful meditation directs the patient to concentrate on their body through breathing exercises.

The researchers demonstrated a session at the conference by handing out raisins to the audience and directing them to slowly observe their qualities with eyes closed.

“Most people aren’t living in the moment. Everyone is thinking forward … or pondering and reminiscing. How many people ever are really focused on the moment?” Maitland said.

“If you can attend to the moment more thoroughly … it can impact everything in the future.”

After the meditation an audience member reported that the raisins tasted better than ever before.

“It teaches them to be more aware of their behaviour and their consequences,” Devitt said.

Though meditation has been seen to be effective, its integration into the health-care system is held back by lack of research.

“There really is a scarcity of research in North America.” Maitland said. They need more evidence in order to get funding to move forward.

“We know just from talking to everybody how effective it is and what impact it has on people’s lives,” she said.

“Within the next couple years we should have clinics,” Rodgers said.

Dawn Downy, program manager for Providence Care, said that she hopes to bring similar meditation to the Kingston area.

“We provide service to about 200 people a year,” she said. “I would hope maybe within the next year we could experiment with that.”

Fifty thousand Canadians sustain brain injuries each year, 18,000 of them in Ontario.

Maitland said it’s only a matter of time before their research is able to help a larger number of people.

“The word is spreading,” she said.

[Tyler Ball, The Whig-Standard]
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How to grow your brain

The brains of highly successful people function differently from those of the average Joe, according to the authors of the new book, The Winner’s Brain.

Fortunately, they say, you can actually rewire your brain, even physically change it.

Assistant neuroscience professor Mark Fenske of the University of Guelph and cognitive behavioural psychologist Jeff Brown of Harvard Medical School sought input from other brain experts and a variety of individuals they deemed “winners” – from blues guitarist B.B. King to Aaron Fechter, the inventor of popular carnival game Whac-a-Mole.

They identified eight “win factors,” including self-awareness, motivation, focus, emotional balance, memory, resilience, adaptability and brain care.

Here, Dr. Fenske explains that, with practice, it’s possible to boost these win factors and train your brain for success.

What are some of the physiological differences you see in a winner’s brain?

Well, they’re specific to the different areas that we find as being related to success. [For instance, London’s elite Black Cab taxi drivers] have to spend a couple of years gaining “The Knowledge,” which is essentially very detailed knowledge of the streets of London, the contingencies – if it’s 4:30, this road will be open, this one will be closed; if there’s construction at this point, what’s the best way around – all these things, so that they can pass this test to get a license.

The hippocampus, which is critical for spatial navigation and memory, is larger in these individuals than it is in people who don’t have this training and expertise in spatial navigation and remembering routes and things like this.

[A growing body of research shows that] what you do with your brain, how you engage your brain, can not only improve your ability to function at a given task, but can really change the physical landscape of the brain itself.

How does training your brain change it physically?

The idea is when you do a given task, you engage the parts of the brain that are involved in that task. The more you engage it, the more it seeks ways to be more efficient at what it’s doing, and so that encourages new synaptic connections between neurons.

Once you have new synapses being formed, that helps to recruit support cells. So you can have the neurons making the connections and doing the firing, but they need the blood, they need oxygen, they need fuel, and so these support cells come in and help out. The result is, in those areas that are receiving a lot of activity, they’re getting better blood supply … and it leads to a physical rewiring or change in the brain.

You can measure this in the thickness of the cortex, that outer wrinkled covering of the brain where most of the computational power is; that will get thicker. The cortex also gets more dense.

Is there a limit to how much you can improve your brain?

Well, there’s certainly a limit to how much you can physically change your brain…. Your skull doesn’t get any bigger, so it’s not like you can grow a whole new lobe, but there’s much more promise than what we had previously thought.

You recommend meditation as a technique for improving skills like memory and focus. What happens to your brain when you meditate?

From a scientist’s perspective, when you look at meditation, it essentially involves a bunch of practice where you’re shifting and controlling the focus of your attention. So in some forms of meditation, it’s about having a very broad focus of attention, or else really focusing on one thing, like focusing on your breath …

What Sara [Lazar, Harvard Medical School neuroscientist] found is that the key areas that are activated when people are meditating, areas like the insula, which is really important for self-awareness, and the cortex, got thicker versus people who didn’t meditate.

People who didn’t meditate showed the standard age-related thinning of the cortex.

You mention in the book there’s little evidence that brain teasers and memory games reverse brain aging. Are they a waste of money?

It’s not clear that you’re wasting your money. They certainly don’t hurt, and there is probably at least some small benefit from those things.

We talked to Art Kramer [professor of psychology at the University of Illinois]. What he’s seen so far is that those things are fine, and you tend to get better at least in [the games], but that physical exercise, overall, seems to have quite a broad improvement on brain function.

Exercise certainly seems to be one of those things that’s relatively easy to do that has really quite robust effects. Exercise releases what’s called neurotrophic factors, which you can kind of think of as fertilizer for the brain. They help to facilitate the sprouting of new synapses, new connections.

What lessons about a winner’s brain can we learn from the creator of Whac-a-Mole?

When we talk about the focus of attention, there’s some great [research] that has shown that sometimes we try too hard. Sometimes the best thing to do is not to really focus and really try to do our very best, but instead, just relax a bit and let the information come to us.

Whac-a-Mole inventor Aaron Fechter said to us, “I can still go into an arcade or into the carnival and there’ll be a Whac-a-Mole game, and I step up, and I can get perfect on the game. And kids will just look at me and say, ‘Wow, you must be the guy who invented the game or something.’ ”

Then he described his strategy. How do you get perfect at Whac-a-Mole? He said you don’t try. Trying is counter-productive. Instead, you sit back and let the moles come to you.

There’s certain parts of the brain and certain processes that we do that we’ve automated. We have enough experience, we have enough practice. When we apply the slower, controlled, cognitive effort, that can get in the way. So what we want to do is relinquish and turn down the cognitive control, and instead let these areas that are really specialized for this do their stuff.

Eight tips for winning brains

Self-awareness: Train yourself to interpret other people’s facial expressions and body language by watching scenes from a movie on mute. Then watch the scene again, this time with volume, and compare how well your interpretations matched up. You can improve this skill over time.

Motivation: If you have a problem with procrastination, make large tasks feel more manageable by breaking them down into parts.

Focus: Like playing Whac-a-Mole, sometimes you can actually perform better when you’re not concentrating too hard. If something’s not coming to you despite your best efforts, try relaxing and letting the brain work on autopilot.

Emotional balance: Practice managing your emotions by changing your perspective of a situation. Research shows that if you think of a highly emotional event as a challenge rather than a problem, you can stay calmer and retain a better memory for details.

Memory: “Edit your brain,” the authors say. Recognize and consciously purge useless information. Imagine sweeping it away, so you can concentrate on more useful data.

Resilience: When you’re in a tough spot, think of a “resilience role model,” a parent, teacher or mentor, and ask yourself what they would do in your situation. That way, you’ll have more than your own resources to draw upon.

Adaptability: Try a few minutes of meditation a day to calm your thoughts. Studies show “regular yoga and meditation can increase cortical thickness in as little as eight weeks.”

Brain care: Research suggests that 30 minutes of moderate physical activity, three times a week, can help strengthen your mind.

[via Globe and Mail]
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