Dr Herbert Benson

Putting Meditation Under the Microscope (Hartford Courant)

Hartford Courant: Marietta Sabetta decided that the way to make a stand against her moderately high blood pressure was to sit still.

The 52-year-old Seymour woman asked her doctor if she could try lowering her blood pressure by taking a meditation class at Griffin Hospital.

On most Wednesday evenings since last March, she has followed instructor Lauren Liberti through a series of mindfulness exercises, beginning with simple yoga positions and leading to a meditation session that might, on a given night, involve simply focusing on the breath.

“My doctor thought it was a great idea,” Sabetta said. “It feels comfortable and peaceful, and it’s very, very strengthening emotionally.”

And her blood pressure? It’s down to normal, she says, thanks to meditation.

It’s been more than three decades since Dr. Herbert Benson of Harvard University and his colleagues found that meditation induces a calming state that is the opposite of the revved-up, heart-pounding “fight or flight” reaction to stress. Because everyone agreed that stress was bad, hard evidence that meditation fought stress established meditation as a healthful practice.

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Since then, meditation has moved from the ashram to the living room. Time magazine recently reported that about 10 million Americans say they practice some form of meditation. While meditation — from guided imagery to mindfulness exercises — is widely used in health care, researchers now are looking beyond meditation’s stress-relieving virtues to see how it may help rewire the brain’s circuitry and treat or prevent a host of specific ailments.

Richard J. Davidson, a research professor of psychology and psychiatry at the University of Wisconsin and director of the university’s Keck Laboratory for Functional Brain Imaging and Behavior, is one of the leaders in this still-embryonic field. He said it is growing rapidly, thanks to recent advances in brain imaging and brain science.

“It’s an approach rooted much more [than in the past] in the neuroscience research tradition,” he said. “It is research that emphasizes the emotional benefits of meditation and corresponding changes in brain and peripheral biology that may be associated with the cultivation of certain kinds of positive emotions that meditation is said to increase.”

Davidson was the lead author of a recent, much-publicized study that measured brain activity in subjects before, immediately after and four months after they completed an eight-week training program in mindfulness meditation. A group of 25 meditators, taught to cultivate deep awareness of thoughts and feelings, showed heightened brain activity in an area associated with “positive effect,” or happiness, compared with a group of 18 non-meditators. After the study, both groups got flu shots. The meditators produced up to 25 percent more antibodies to influenza. The results suggest that the brain changes might be related to a boost in the immune system.

Davidson and his colleagues also have been using brain-imaging technology to examine the brains of some of the world’s most experienced meditators — Tibetan Buddhist monks, who are being studied with the blessing of the Dalai Lama. (Davidson helped organize a Sept. 13 meeting between leading scientists and the Dalai Lama at the Massachusetts Institute of Technology.)

The work has not yet been published, but Davidson wrote last year that one monk showed intense activity in a part of the brain associated with happiness, scoring higher than nearly 200 other individuals who had been observed.

Other studies being conducted across the country are examining how various forms of meditation might help treat or prevent a number of illnesses. These include, for example, heart disease in specific populations, binge eating and recurrent abdominal pain. Other projects are evaluating meditation as a way to improve the quality of life for patients with cancer and various stages of HIV and to reduce seniors’ susceptibility to shingles.

Much of the research is being sponsored by the National Center for Complementary and Alternative Medicine, part of the National Institutes of Health. Dr. David Katz, director of the Yale-Griffin Prevention Research Center, said the field is expanding, thanks, in part, to the role of the NIH. Katz said the NIH has determined that practices like meditation need to be backed up with credible science, “which means that you have [scientific] outcomes that can hold their head up in public,” he said. Good science, said Katz, also makes believers of health plans, which can fold proven practices into the services they will provide to members.

Doctors who now encourage patients to meditate acknowledge that it’s often trickier than prescribing drugs.

Dr. Stephen Sinatra, a Manchester cardiologist, said that he’s not that fussy about what kind of meditation his patients take up, as long as it suits them. For example, if they’re Catholic, he’ll ask if they are adverse to prayer. “If they say, `No,’ I tell them to just say `Hail Mary, full of grace’ over and over again,” he said.

One of his patients, Jilline Miceli, 64, formerly of South Windsor and now of Bonita Springs, Fla., was diagnosed with congestive heart failure three years ago and became a heart transplant candidate in 2001. She credits meditation — along with drug treatment, yoga and her family’s and friends’ prayers — with helping to get her off the transplant list.

Dr. Karen Prestwood, an associate professor of medicine at the University of Connecticut Health Center in Farmington, regularly teaches a mind-body skills group at the health center that meets for two hours a week for 10 weeks. She uses both what she calls passive forms of meditation — such as mindfully noticing thoughts that arise — and active forms, like “chaotic breathing,” which involves breathing techniques and body movement.

Lucille Meinsler of Hartford, an administrative program coordinator in the health center’s psychiatry department, took the class that began last March. Meinsler settled on using a compact disc with a narrated, guided meditation. “I found it was too hard to sit there and think,” she said of silent meditation. But her guided meditation practice — which she tries to do every other day — has helped curb sleeplessness brought on by menopause. She finds it also helps her focus in her waking life.

Prestwood observes that plenty of patients have no interest in meditation. “They would rather take a pill,” she said.

Ultimately, whether meditation is prescribed, and if so, what kind, may be dictated both by the patient’s preferences and also by the particular ailment. Davidson of the University of Wisconsin said future research may show that a particular form of meditation works best to help treat or prevent a given illness. Benson, an associate professor of medicine at Harvard who also is founding president of the Mind-Body Medical Institute, said he believes that all effective forms of meditation induce what he calls the relaxation response, characterized by lowered blood pressure, heart rate, breathing rate and metabolism.

“That is simply a doorway that clears the mind,” he said, noting that the relaxation response is the starting point for advanced meditative states that may be able to address specific health problems.

Davidson cautions that the in-depth study of meditation is new. It’s too early to make any claims about physical healing. The research underway isn’t simply about proving how healthful meditation is. Some techniques, when tried out against certain maladies or as an adjunct to other therapies, will undoubtedly fail. And there is the danger, as with any self-care practice, that patients may blame themselves for not meditating well enough if their disease gets worse.

“I think there are going to be certain kinds of diseases that are completely unresponsive to anything you do with your mind,” he said, adding that certain kinds of cancer are probably among those illnesses. “This needs to be approached extremely carefully and with the utmost responsibility.”

Meditation classes are offered in area community centers, adult education programs, yoga studios, schools and through many religiously affiliated groups and centers.

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Mindfulness medication

ABC News: Many moons ago, a wandering Nepalese prince sat under a tree, vowing not to rise until he attained enlightenment.

After a long night of deep meditation, Siddhartha Gautama, better known as the Buddha, saw the light and declared that suffering is subjective, and can be reduced through self-awareness.

Today, 2500 years later, a growing number of American doctors and healthcare workers are teaching people who are ill how to apply Buddha’s epiphany to their lives.

In hospitals, businesses and community centers around the country, meditation is increasingly being offered as a method of stress reduction, and to help patients better cope with the physical pain and mental strain associated with many medical conditions, including heart disease and HIV infection…

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Coping with anxiety

There’s Cipro, potassium iodide and the smallpox vaccine to ward off biological agents. But is there an antidote to anxiety? “I’m very frightened,” said Julie White, as she exited Manhattan’s Sonic Yoga last week. But she has a remedy: the stretching and deep breathing of yoga. The practice is so calming that after the terror upgrade, White made an upgrade of her own–from one class a day to two. Yoga, she says, “is my tranquilizer.”

You may find the lotus pose hopelessly warm and fuzzy in the face of terror. But there are a host of activities, from working out to going for a massage, that can temper the anxiety. Many of these techniques have been used for decades, if not centuries; now advances in science are showing they can reduce the hormones associated with stress and even affect brain activity. The common trait among all: maintaining control and recognizing that our concerns are a natural response to the world we live in. “We’re justified in having this fear,” says Dr. Herbert Benson, president of the Mind/Body Medical Institute of Boston. “Life was stressful before 9-11. It’s gotten progressively worse.”

The first step toward combating fear is identifying it…

Newsweek: Read the rest of this article…

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The fine art of doing nothing

Simran Bhargava, Financial Express, India: Sit back, close your eyes and relax. Allow any thoughts that surface to pass through your mind like clouds floating in the sky. Simply watch them come and go, without getting hooked into them.

This simple act of doing — well, nothing at all — is one of the most potent tools yet discovered to banish stress from your life. Doing a little bit of “nothing” every day can, over time, change the texture of your life. It can also significantly bring down blood pressure and according to some doctors, reverse cardiac disease.

Meditation is such a humble little technique that for years no one took it seriously at all. Much too flaky, hardcore medical practitioners said, leave it to the yogi types.

Since then, meditation has come a long way. After politely refusing to study the impact of Transcendental Meditation on blood pressure in 1968, the Harvard Medical School, as well as dozens of other medical schools, now include alternative medicine — also known as integrative medicine — in their curricula.

More recently, Dr Dean Ornish’s landmark research found that diet and lifestyle changes-including daily meditation-could actually reverse heart disease. So significant was this study that for the first time US insurance companies agreed to cover costs of patients learning these lifestyle strategies: this was good business because a high percentage of patients who were candidates for angioplasty and bypass surgeries were actually able to avoid it.

And last month, Time magazine’s annual issue on the latest advances in health and science put “How your mind can heal your body” on its cover. It quotes well-known US cardiologist Dr Mehmet Oz who, although trained in western scientific techniques, now also relies heavily on the ancient eastern technique of meditation to help steer patients toward recovery. Why? “Because it works,” he says.

And so something 2,500 years old is new again. Signed and delivered with a seal of approval from some of the highest medical authorities on the planet.

How did meditation become mainstream? Perhaps our suffering — rampant heart disease, hypertension, strokes — caught our attention, with every man over 35 now carrying around with him the very real fear that such an event could happen to him at any time. Perhaps it was just too many people facing too much stress. Perhaps it was the growing voices of meditation converts all around that couldn’t be ignored any longer. And so, many people, including doctors who wouldn’t have earlier given it a second look, said: “Okay, let’s give it a try.”

And what do you know, it works.

Meditation is simply a route to stillness, a way to create a calm centre in a chaotic universe. It is an antidote to the feeling of being overloaded. If mental stress can lead to irritability, anxiety, heart trouble, hypertension, then holding the reverse feeling in the system — mental calm — would lead to wellness. Makes sense doesn’t it?

Too much stress floods the body with the stress hormone cortisol which, unrelieved, can turn toxic — and dangerous. The old ways of dealing with stress didn’t seem to work because the mental noises followed everywhere. To work, to a party, even into sleep. You could take a vacation to get away from chronic stress — only to find that wherever you go, there you are. Alongwith all the excess baggage in your head.

Meditation is a way to regularly defuse the steam. There are many ways to meditate: from Buddha’s 2,500 year old Vipassana to Mahesh Yogi’s TM to Osho’s active meditations to the Mindfulness practices of Thich Naht Hanh to the whirling of the Sufi dervishes which symbolise a still centre in a turning universe.

It doesn’t matter which vehicle you board to reach a stillpoint. All work on the same principle of emptying the mind of its overload: the noises within become a blur — and slowly fall away, leaving a feeling of inner quiet.

According to the Harvard doctor and hypertension expert Herbert Benson triggering the relaxation response in the body is remarkably simple. All it requires is four factors: One, a quiet environment. Two, a short word or mantra which you repeat over and over to row you back to centre when your mind wanders. Three, a passive attitude, which is the most critical element for meditation. And four, a comfortable position. Start with a few minutes and build up to about 20 minutes a day. That’s it.

Several people find sitting still difficult and practitioners say that the mistake they make is trying too hard to shut out the mental chatter. The key is to accept it — to let all thoughts simply pass through the mind. It means also reversing the old programming of “Don’t just sit there, do something” to the new one of “Don’t just do something, sit there.”

Meditation isn’t a quick fix. Its effects are long-term. If you do it regularly, you may begin to notice subtle changes. Earlier an inner restlessness went with you everywhere, now perhaps an inner calm does. Maybe you react with less annoyance at what other people do. Perhaps you sleep better. Perhaps you have sudden clarity on a problem that had you befuddled before. Perhaps there is a lot to be done and you do it — calmly.

And perhaps the doctor straps a blood pressure monitor on your arm and says: “Surprise, normal.”

That’s pretty life-changing.

The spiritual recovery programmes like Alcoholics Anonymous — which have helped millions — suggest regular time for both, prayer and meditation. They say prayer is asking whatever higher power you believe in for help. And meditation is listening quietly for the answers. You may be surprised at some of the answers you get while meditating.

Others say you should ideally meditate for half an hour everyday. And when you can’t find the time to do it, you should do it for an hour. That’s usually a signal that you are overloaded and need to de-stress.

Chances are that, by now, pretty much everyone is convinced of the benefits of meditation. The more important question is: How many actually do it ? Knowing counts for nothing, doing for everything.

The most important words I ever heard on the subject were from a meditation teacher who said that this simple practice is so powerful, that done regularly, it can change your life. You close your eyes and sit still and nothing seems to have changed. But each time you meditate, it’s like putting a drop of blue into a glass of clear water. You don’t even notice it in the beginning.

And then one day the water turns blue.

Simran Bhargava has been a writer and editor for several years. She writes a weekly column on the business of life.

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