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  • >> My name is Helen Damon Moore, and I am the director of service

  • and education at the Tucker Foundation,

  • here at Dartmouth college.

  • I am honored to welcome you all and to introduce John Cabotson

  • on behalf of the Dartmouth Hitchcock Medical Center

  • Pailateive Care Service, the Tucker Foundation,

  • the Rubin Committee of Dartmouth College,

  • Alice Peck Day Hospital, Dartmouth Medical School,

  • the Norris Cotton Cancer Center,

  • and the Valley Insight Medication Society.

  • Special thanks to Ira Biak and Yvonne Corbet,

  • and the Pailateive care service for partnering on this project.

  • And to those at tucker who have worked so hard,

  • and who are this week celebrating the 60th anniversary

  • year Tucker Foundation, Dartmouth's center for service,

  • spirituality, and social justice.

  • We are pleased to welcome Dr. John Cabotson

  • to Dartmouth college today for the second time.

  • Cabotson first visited Dartmouth in the summer of 1984

  • when the college and the Connecticut river served

  • as the training camp for the men's Olympic rowing team.

  • He was the meditation trainer for the team, helping them

  • to optimize their mental performance.

  • Today he is here to help optimize our performance.

  • John Cabotson hold an a Ph.D. in molecular biology from MIT.

  • He is professor of medicine emeritus at the University

  • of Massachusetts Medical School and founder of the Center

  • For Mindfulness and Medicine, Healthcare, and Society

  • and its mindfulness-based stress reduction clinic.

  • He is the author of numerous best-selling books,

  • including Full Catastrophe Living,

  • Wherever You Go There You Are, Coming to Our Senses,

  • and the Mindful Way Through Depression,

  • co-authors with Williams, Tisdale, and Siegal.

  • Dr. Cabotson's research focuses on mind-body interactions

  • for healing, and on the clinical applications

  • and cost effectiveness of mindfulness training for people

  • with chronic pain and stress-related disorders,

  • including the effects

  • of mindfulness-based stress reduction on the brain.

  • His current projects include editing the Mind's Own

  • Physician, with Richard Davidson, and guest co-editing

  • with Mark Williams a special issue

  • of The Journal Contemporary Buddhism.

  • Dr. Cabotson's work has contributed hugely

  • to a growing movement of mindfulness

  • in main stream institutions such as medicine, psychology,

  • healthcare, schools and colleges, corporations, prisons,

  • and professional sports.

  • Courtesy of Kerry Jo Grant [Assumed spelling] here

  • in our health promotion department, Dr. Cabotson

  • and his work have even made their way to the inside

  • of our bathroom doors.

  • Featured as they are in the current edition

  • of the Dartmouth College Stall Street Journal.

  • Please join me in welcoming John Cabotson back

  • to Dartmouth college.

  • [ Applause ]

  • >> Thank you.

  • It's a delight to be here.

  • Do I have to have the light this bright in my eyes?

  • Because maybe you could tone it down a little bit

  • so people can still see me,

  • but I'd like to be able to see you too.

  • It's a delight to be here.

  • It's nice to walk into a theater

  • where mindfulness is on the marquee.

  • You know you've really made it when it's on the marquee,

  • along with Frankenstein.

  • So -- it's like, you're part of the main stream, so to speak,

  • however that goes from moment to moment and from day-to-day.

  • But it's really a delight to be here, and I am here basically

  • because of Helen Damon Moore and her work, which I actually got

  • to see at University of Iowa, when she was

  • at Iowa before coming here.

  • And also Dr. Ira Biak, who I met in --

  • in Ireland about two years ago, almost exactly two years ago.

  • And was just incredibly impressed with what he's doing

  • with integrative medicine and palliative care.

  • And so you know, it's like I don't live that far

  • from this place, and got in the car this morning and drove up.

  • And I'm really happy to be here for the next three days.

  • And you know, so to have this many people come out at 4:30

  • on a sunny afternoon after the kind of winter we had,

  • to a talk about mindfulness is really some kind of an indicator

  • that something has shifted in the society.

  • You all have better things to do, I'm sure,

  • this afternoon, than to come here.

  • Unless you have some kind of real intuition

  • about what the healing power of mindfulness might be.

  • And then it might actually be incredibly valuable

  • to spend the end of a nice sunny Thursday afternoon

  • here together.

  • So this talk is not about me or what I have

  • to say, it's about us.

  • It's about every single one of us,

  • and in some sense what the potential is, as the slide says,

  • for living your moments as if they really mattered.

  • And I put a little asterisk in there,

  • and the reason they too is

  • because we're only alive when we're alive.

  • This seems kind of a no-brainer, but you could say that a lot

  • of our lives we're walking around with a no-brainer,

  • or just basically no brain, or the brain is on auto pilot

  • or something like that.

  • And what mindfulness is really

  • about is bringing it back on line, so to speak.

  • In the present moment, because that turns

  • out to be the only moment that any of us ever have.

  • But we're so good at thinking, so incredibly good at thinking,

  • that we can spend enormous amounts of our time

  • and energy absorbed in the past.

  • Have you noticed that?

  • Just incredible preoccupations about who's to blame

  • about why it's like this.

  • Or how great it was in the good old days,

  • and why can't it be that way now.

  • So there's a tremendous attraction to the past

  • and tremendous aversion, but whether it's attraction

  • or aversion, we spend a lot of time there.

  • Would you agree?

  • Have you noticed that a lot of the time if you check

  • on what your mind is up to, it's up to memory.

  • It's up to thinking about things

  • that are already over, to a large degree.

  • The other favorite preoccupation of the mind is

  • in the opposite direction.

  • The future.

  • And if again you check in every once come a while just to,

  • you know, sometimes I like to say you know,

  • you can call yourself up.

  • You may have to, you know, because we're on 24-7,

  • we're just infinitely connected.

  • Probably every single person has one of these in their pocket,

  • although I hope there are some exceptions.

  • But -- and they're called smart phones, you know?

  • But they're not.

  • But we actually -- but they can really dumb us

  • down because we can be infinitely connected everywhere

  • except here.

  • And so we may need to call ourselves

  • up every once in a while.

  • John, are you actually here?

  • And the answer is no, I'm off in the future thinking.

  • And one of our favorite preoccupations --

  • and by the way, of course you'll get a bill from AT&T or Verizon.

  • But seriously, what -- what are our favorite preoccupations

  • in the future?

  • Well, one is worrying.

  • I don't know about the north country,

  • maybe you've gone beyond worrying.

  • The rest of the world a lot of worry about things that --

  • that haven't happened yet and may never happen.

  • In fact, Mark Twain is famous for having said,

  • you've probably heard this in a lot of different guises,

  • but he's famous for having said there's been a huge amount

  • of tragedy in my life, and some of it actually happened.

  • But -- but there is this saying that you know, we die --

  • he died a thousand deaths.

  • I mean , we drive ourselves crazy over things

  • that are not going to be happening

  • because we're not smart enough to actually forecast the future,

  • but that doesn't prevent us from driving ourselves crazy,

  • and perseverating over and over and over about what will happen.

  • And then something else happens because we're not that smart.

  • So something else happens, and we say we're blind-sided.

  • Now how many of you would like the future to be different

  • from the way -- the way we think it's going to turn out.

  • Anybody ever find yourself wishing the future was going

  • to be like, majorly different, that we'd make some kind

  • of change in the world?

  • Raise your hands, I want to just feel in the audience.

  • Okay, I heard social justice mentioned earlier, and you know,

  • this is after all a university

  • or I guess you call yourself a college.

  • You know, a campus kind of situation.

  • So it doesn't surprise me.

  • But this -- this kind

  • of engagement really requires thinking about, like,

  • what it means to make the future different.

  • How can we possibly apply any leverage,

  • could we kind an Archimedes, you know, fulcrum in which

  • to influence the future.

  • There's only one fulcrum that I know for that,

  • and that is the present.

  • Because guess what, we're living in the future

  • of every single moment in all of our lives

  • that came before this one.

  • Do you remember back, I mean, I see there's kind of a range

  • of ages, although most of you don't look

  • like you're college students, I've got to say.

  • And I'm a little disappointed.

  • I mean, I -- you know, not that I'm disappointed that you came,

  • but I'd like to see a lot more college students.

  • They look at -- they're going to Frankenstein probably, later.

  • It's an awkward time of day for the young people.

  • How many of you are under 25, 25 and under.

  • Oh, so I'm wrong.

  • That's really nice to be wrong.

  • So -- really -- so I was going to say to the older people,

  • but maybe you did it when you were even younger.

  • Do you remember before you got into college here,

  • and probably you got into planning what the courses were

  • that you were going to take when you got ahold of the catalog,

  • or you went on line and began planning, oh,

  • in the freshman year I'll take this,

  • and the sophomore year, and the junior year.

  • And maybe you planned even who you're going to meet

  • and who you're going to marry,

  • and what your children are going to look like.

  • Does that sound familiar, that sometimes we do

  • that when we're young.

  • And we think that it's all going to turn out in the future.

  • So no matter what your age is, I've got news for you.

  • This is it.

  • It already turned out.

  • How did it turn out?

  • It turned out just like this.

  • In any moment your life is just like this.

  • Not happy with it , a little bit sad or depressed

  • or wishing it was different -- that's not a problem.

  • That's not a problem.

  • Because we can always sort of feel like okay, how are we going

  • to be in relationship to this, and of course life is not easy.

  • And a lot of times we're faced with enormous challenges,

  • sometimes with enormous pain.

  • Sometimes with enormous threat.

  • And that's part of the human condition.

  • But the real interesting question when it concerns, say,

  • the future, and concerns living

  • as if life really mattered is can we actually be

  • in the present moment when things are not kind

  • of the way we thought they would be.

  • Or sometimes the shorthand for it is well,

  • I didn't sign up for this.

  • I mean, or another way to put it, sometimes,

  • maybe no offense meant, but how did I get born into this family,

  • or who are all these crazy people,

  • why am I the only sane person.

  • And you know, when you're

  • in a family no one else can know the kind of genetic disease

  • of that particular family,

  • that everybody suffers from except you.

  • So if we hope for the future to be different,

  • the only place we have to stand is now.

  • Because first of all, it's the --

  • it's the future of all the moments

  • that have come before us.

  • So if you want to be in the future, here you are.

  • This is actually non trivial, it's not just oh yeah,

  • tell us something interesting.

  • Because -- because what it invites is a kind of shift

  • in perception and a shift in awareness,

  • a shift in consciousness, that allows us

  • to actually live our lives as if they really mattered,

  • and the only moment we ever have.

  • And part of that means being embodied.

  • Because a lot of the time you know, we are lost in thought.

  • That's another thing you'll notice, if you start

  • to pay attention to your mind, is that it's all over the place.

  • It's all over the place.

  • You don't even have to meditate for that to happen.

  • It's just default mode.

  • It's default mode.

  • You don't even have to have a smart phone.

  • You don't even have to have e-mail.

  • You don't even have to have a computer.

  • It's the default mode of the mind to be all over the place.

  • It thinks this, and thinks that.

  • And it likes this and hates that.

  • And wants you to approach this, but really wants

  • to stay away from that.

  • And it's like, wired into our biology.

  • It's called approach avoidance.

  • And it's kind of, you know,

  • the hemispheres are actually somewhat divided in terms

  • of left hemisphere and the frontal cortical region,

  • is more approach-related.

  • And right acre vacation, more --

  • and that's one of the fundamental biological,

  • you know, features of living systems.

  • Move towards food, move away from danger.

  • Perfectly natural.

  • But how we actually modulate those impulses

  • and those reflexes, and those, you know,

  • kinds of unconscious urges that drive us and cause us

  • to be reactive a lot of the time.

  • Is really an art form.

  • It's the art, if you will, of living our lives

  • as if they really mattered.

  • And when we begin to actually drop in on ourselves,

  • and I brought a few -- a few props.

  • You know, so sometimes I say when we begin to drop

  • in on ourselves, you know, we can actually reclaim this moment

  • in this body with this heart, with this mind, and shift --

  • begin to shift the tea fault setting

  • on how we live ourselves.

  • Begin to actually move in a direction of greater balance

  • of mind, greater groundedness in the body, greater clarity

  • of sight, greater, if you will,

  • recognition of what's actually unfolding moment by moment,

  • that's not so conditioned by whether we like it or not.

  • Because the world, maybe you haven't noticed this yet,

  • but it's not actually organized

  • around you being the center of the universe.

  • I know that's really disappointing.

  • Because you were, I'm guessing now, don't take offense, again,

  • I'm guessing you are entirely organized

  • around you being the center of the universe.

  • Every single one of us is.

  • It's almost unavoidable.

  • It's almost unavoidable.

  • And that has representations in the brain, it's turning out.

  • That there are medial -- medial networks in the frontal cortex

  • and -- that are -- is actually called the default mode.

  • And it's what we think brains, neuro scientists think,

  • it's what's happening when you're not doing anything.

  • Well, turns out when you're not doing anything,

  • you're very busy.

  • You're very, very, very busy.

  • And one of the things what's described is

  • that your mind wandering.

  • And now there's an entire field

  • in neuro science focused on mind wandering.

  • How many of you have noticed

  • that your mind sometimes just has a mind of its own.

  • It goes here, it goes there, it likes to be entertained.

  • You know, it's very entertaining.

  • So yeah, that's what's called the default mode.

  • Now another name for it is the narrative network.

  • So it's like we are continually constructing narratives

  • about ourselves.

  • I mean, after all, it's the favorite topic, right?

  • Me. What could be more interesting than me?

  • The story of me, starring -- me.

  • And if you start to pay attention,

  • because what we're talking about, what mindfulness is,

  • it's actually weariness, okay?

  • And it's cultivated by paying attention.

  • So just to get clear about this,

  • that doesn't sound very Buddhist, does it, so far?

  • Or very Asian or mystical or very -- anything.

  • I mean, it's just paying attention.

  • How many teachers are there in the audience,

  • whatever level you're teaching at, raise your hand

  • so I can feel that --

  • okay, don't you want your students to pay attention?

  • It's non trivial to get them to pay attention.

  • First you might have to be interesting.

  • That itself is a challenge.

  • Second, you might have to make the subject matter interesting.

  • That's also a challenge.

  • But third, it's like, I remember as a product

  • of the New York product schools having teachers actually yell

  • at us to pay attention.

  • But that's not a very effective way to get people

  • to pay attention, because turns out that attending is something

  • that you need to learn.

  • It's a learnable skill.

  • But instead of being taught to pay attention,

  • you're just told who pay attention.

  • Get with the program, pay attention.

  • And a lot of people pay attention very differently.

  • Some pay attention auditorily,

  • they're really predominantly auditory.

  • Some people can't do auditory so well,

  • they've got to see it visually.

  • Other people's more intuitive, they feel it

  • with their bodies, in a certain way.

  • So this is incredibly important in education at all levels,

  • because you know, as they say about orchestras,

  • even the greatest of orchestras, with the greatest musicians

  • with the greatest instruments playing the greatest music,

  • before they perform they get together

  • and they tune their instruments.

  • First to themselves.

  • Then with each other.

  • Until there's a kind of dropping,

  • if you don't mind me putting it that way,

  • into kind of resonance, call it an A. Call it what you like,

  • but that kind of interconnected feeling that we are

  • in some space together.

  • You could call it relationality.

  • And so mindfulness is the awareness that arises

  • by paying attention on purpose in the present moment.

  • Paying attention on purpose

  • in the present moment and non judgmentally.

  • Now non judgmentally, that's the kicker, because as I said,

  • the default network is operating constantly ,

  • and the default network has got ideas about everything.

  • It's judging constantly.

  • So non judgmental doesn't mean that you won't be judging

  • when you actually start to pay attention to what's on your mind

  • or what's going on in your life.

  • But you'll notice how much you are judging, how much you want

  • to approach this and push away that.

  • And you'll just allow that whole thing to be there,

  • as if you just put out the welcome mat for it.

  • Okay, I'm not going to have an opinion about my opinions.

  • I'm just going to let it all rain down for -- for a moment.

  • Can you feel how radical a shift that would be in your life,

  • to just take one moment and allow everything to be as it is,

  • instead of wishing it was one way or another?

  • The Buddhists would call that liberation.

  • It's a kind of freedom that no one else can give you,

  • but allow us in some sense to rotate in consciousness

  • so that we -- for one moment we're stepping outside of time.

  • Because if you live in the now, well,

  • maybe you've had this experience.

  • Just check your watch and take a look right now.

  • What time is it?

  • I'll tell you what time it is, it's now.

  • And every time you check your watch

  • or your phone, it's now again.

  • Now what -- why am I even talking about this?

  • Why it I even come here?

  • It's always good to is it ask those questions, you know,

  • it's like -- I don't know, actually.

  • Because it's usually bigger

  • than whatever you think your reasons are [Inaudible]

  • but it has a lot to do with -- with the medical schools

  • and with what -- what Ira's doing there.

  • And with what Helen is doing in the undergraduate school.

  • It has to do with the fact that the society has reached a point

  • where we're beginning to understand

  • that the exponentially increasing levels of stress,

  • in medicine, in our professional lives, in our personal lives,

  • at every age, really require some kind of shift that is not

  • in the form of taking some pill to numb yourself

  • out to it or get it together.

  • But actually, we need to cultivate what's often spoken

  • of as the domain of being in order to not be so overwhelmed

  • by the doing and the performing.

  • And while it's true that with the Olympic team we were using

  • mindfulness to actually improve their performance,

  • it was kind of a Zen operation,

  • that you can't improve performance by trying

  • to improve performance, especially with the mind.

  • Because the kind of mind that's grasping

  • for an outcome is exactly the kind of mind that gets

  • in the way of any desirable outcome.

  • Have you got that, did you catch that as it went by?

  • Okay. So this means we're in new territory.

  • One example, common example.

  • You can't get to sleep

  • by forcing yourself to get to sleep.

  • By telling yourself how important the meeting is you

  • have tomorrow.

  • In fact, that's probably a very bad idea,

  • because that thought will actually secrete one more

  • thought, secrete one more thought or the meeting

  • or the stakes of it, or --

  • and then that will lead to something else

  • in this default network of mind wandering and pretty soon,

  • you are wide awake, desperately wanting to be asleep.

  • And not knowing how to get there.

  • So it's not trivial to actually befriend our own minds

  • and our own lives in such a way we can actually work

  • in these paradoxical ways where striving won't do it.

  • Striving won't do it.

  • That doesn't mean that I'm advocating that all of us, like,

  • abandon ambition or don't care about anything.

  • Meditation is not about becoming stupid.

  • Not even being non judgmental is not about becoming stupid.

  • It's sounds like, oh don't judge anything.

  • Maybe I'll just walk off the stage and break my leg,

  • you know, no, I'm aware the edge of the stage is here.

  • And if I do fall off the stage and break my leg, yeah,

  • that will have been a moment of mindlessness or out

  • of touch, if you will.

  • But -- walk across the street without looking because,

  • you know, we have to sense we're not going to judge

  • that that judge that truck coming at me --

  • there's a big difference between judgment and discernment.

  • So mindfulness is all about discerning

  • with clarity what's actually going on.

  • Now most of time now, how many of you would say

  • that you are engaged in some kind of a way

  • that doesn't feel all that good a lot

  • of the time in multitasking.

  • Anybody find yourself multitasking?

  • Confess. That when you're

  • on the phone you're actually sending an e-mail

  • to somebody else.

  • Anybody ever do that?

  • Raise your hands, I want to see.

  • Confession time.

  • Okay, and you know, we actually do it a lot.

  • Why? Part of it is really because we're so stressed.

  • We don't have enough moments in our day to get it all done,

  • so we like, start to discombobulate a little bit,

  • and juggle and cut corners.

  • And there are wonderful studies that that actually impede

  • or reduces or -- any kind of, you know, objective measure

  • of performance, that doing two things at once detracts

  • from the quality of either one.

  • Doing five things at once or being that scattered

  • in your mind, you don't even have to be doing anything,

  • but when you're at the mercy of this kind

  • of mind wandering all the time.

  • And you're trying to get things done is very, very challenging.

  • Very challenging.

  • So the question is, is there a way to actually live

  • that will allow us to deal with what Zorba the Greek

  • in Kasantzakis in the novel says the full catastrophe

  • of the human condition; the good, the bad, the ugly,

  • the unwanted , the feared, the traumatic, the awful.

  • And to be able to hold each moment in its fullness

  • and allow our attention faculty and our awareness faculty

  • to actually hold it in such a way

  • that we can then inhabit the next moment with authenticity

  • and maybe even respond appropriately to this vast range

  • of demands that we're faced with all the time.

  • Now when I started the stress reduction clinic back in --

  • at University of Massachusetts back in 1979,

  • and I did bring some slides, which I don't know

  • if I will show you, but I'll just sort of take that moment

  • by moment, maybe I'll show them to you, maybe I won't --

  • because I'm trying to actually create more of an impression.

  • I don't want to just leave you with things

  • in your head, just facts.

  • Okay? Because you'll lose them immediately.

  • Okay? Because other facts will come in, and you know, whatever.

  • If you spent time and energy getting here and I've spent time

  • and energy getting here,

  • then what would make me feel most satisfied is if one,

  • you had some kind of inkling why you came today.

  • I'm sure you all do it, it's a mystery though, I'm sure.

  • Hoping to maybe be entertained or maybe connect

  • on some deeper level or maybe you practice mindfulness

  • or maybe you've been to a [Inaudible] program,

  • but if you peel back all those layers there's some is really,

  • really, really,

  • really interesting reason why you're here.

  • And I bet you don't know what it is.

  • I'm not joking.

  • Because there's intelligences at work that are just deeper

  • than the thought function.

  • And the thought function is so smart that it sometimes

  • out smarts us completely, have you noticed that?

  • And then it's like we're stupid.

  • We're so smart, we're stupid.

  • It's very hard to see that in yourself but you can see it

  • in other people just really easily.

  • Have you -- maybe you've noticed that.

  • So I'm going to try to weave together a whole bunch of things

  • that probably none of it is going to make complete sense,

  • but what I'm doing here is I'm trying

  • to in some sense plant seeds.

  • I'm trying to plant seeds in the fertile ground or garden

  • of whatever it was that brought you here so that

  • when you leave here something has been touched

  • that will keep those seeds, that actually I'm not planting,

  • they are already in you, keep them being watered nurtured,

  • protected, privileged in a certain way, so that it --

  • nurtures in some profound sense some aspect of you that wants

  • to be as alive as you can be while you have the chance.

  • We say to people coming to our stress reduction clinic,

  • and they come with every conceivable kind of ailment,

  • referred by every conceivable sub specialty and specialty,

  • and generalist in medicine.

  • And we say -- and it's an eight week long course,

  • designed to teach you how to take better care of yourself

  • as a compliment to whatever the healthcare system is,

  • I should call that a disease care system

  • by the way, can do with you.

  • Can do for you.

  • And we say to them from our perspective as long

  • as you're breathing, there's more right with you than wrong

  • with you, no matter what's wrong with you.

  • No matter what's wrong.

  • And we see people you would not want to be in their body

  • or in their mind or in their life.

  • And they probably wouldn't want to be in yours either.

  • But you probably wouldn't want to hear that.

  • Because after all, you're the star of this movie, aren't you?

  • So -- so that there's more right with you than wrong with you,

  • no matter what's wrong with you.

  • That's radical perspective and very, very important.

  • Because you know, I started the stress reduction clinic in 1979.

  • In 1979 the surgeon general's report came

  • out Called Healthy People and that it was saying,

  • forecasting into the future, which here now,

  • we are in this future, that no matter how much money America

  • spends at throwing money at health and healthcare,

  • it will never be enough to have health.

  • Because there's a missing ingredient, and it's the humans

  • that healthcare is supposed to care for.

  • And that there's not enough money on the planet

  • to do all the various things that would have to be done

  • with us when we don't take care of ourselves,

  • when we don't know how to handle stress, when we do not know how

  • to be in wise relationship with ourselves and our lifestyle

  • and our diet and exercise and our bodies and aging

  • and everything else, that if we leave that all to the, you know,

  • auto mechanics model of medicine, drive your car

  • around till it breaks down, then you get the carburetor replaced

  • or the engine or whatever, the tires.

  • But this is not a machine.

  • I know a lot of people, even in biology,

  • love to use machine analogies and even nano machine analogies

  • about the body, and to a degree they're correct.

  • But there's another piece of it,

  • like no one understands the construction

  • of the machine that's you.

  • I'll give you one example.

  • How many of you see that slide up there,

  • and what's the color of the background?

  • Blue. Everybody agree that it's blue.

  • No one knows how you do that.

  • No one knowing how you go from the wave length

  • of electro magnetic radiation, the blue region, okay,

  • in the visible spectrum, no one knowing how you go

  • from this wave length, which is colorless, it's just energy,

  • to a subjective feeling of blue.

  • And we also really don't know, we have a consensus reality

  • that agrees that the blue that you're seeing and the blue

  • that I'm seeing are the same blue, but it's not always true,

  • and it's not true for colorblind people, the blue-green color.

  • Okay, so there's a lot of kind of consensus agreement here.

  • But there's -- the brain weighs approximately three pounds,

  • okay?

  • And it's all cells and cables that are part, you know,

  • made up of cells, neurons.

  • And then all these gluteal cells in there supporting the neurons.

  • And incredibly specialized.

  • I mean, it's really the most complex assembly of matter

  • in the known by us universe,

  • right inside your little old body.

  • And no one knows how senses, how consciousness, how knowing,

  • how even thinking arises in this three pounds

  • of what some neuro scientists call meat.

  • It's a little distasteful.

  • But to just kind of make it graphic,

  • so if you for get every once in a while walking around in --

  • on the Dartmouth campus or in Hanover or wherever you happen

  • to live that you're a miraculous being.

  • Well, okay.

  • It's just one more mind wandering, you know?

  • One more default sort of not really being aware

  • of how amazing it is that you can see, for instance.

  • That you can hear.

  • That you can taste.

  • How many of us eat food and we don't bother

  • to taste it, we just devour it.

  • Or we taste the idea of the food.

  • Yeah, that was really good.

  • Yeah, but you didn't actually taste it.

  • Have you ever had a mindless hug from somebody

  • who was really trying to be friendly?

  • Sort of impulse to be friendly, but not in one's body.

  • Okay? So all of these things we take for granted.

  • But we can actually begin a process of re-minding --

  • and I put a little hyphen in there --

  • re-minding ourselves, re-bodying ourselves.

  • When? Now.

  • Because this is the only time you have.

  • And coming back into a certain kind of vector or alignment

  • with the entire life trajectory,

  • and it doesn't matter how old you are

  • when you begin this process.

  • The Native Americans, actually, measured your age

  • from when you became -- they started to measure your age

  • from when you became a grand parent.

  • Before that, it was like you were really too busy

  • to be human.

  • And the -- and in the Asian Indians, measure your age

  • from when you start practicing yoga.

  • So if you're 75 years old and you've been into yoga

  • for three months, you're three months old, I like that.

  • Isn't that nice?

  • What about new beginning?

  • Every moment a new beginning.

  • That's what mindfulness is about.

  • Every moment fresh.

  • Now this is not a philosophy.

  • It's not a good idea, it's not a concept.

  • It's a way of being.

  • It's not a technique.

  • It's not a technique and it's not a special state.

  • Oh, I think I'll trot over to the MBSR clinic, meditate.

  • [ Background noise ]

  • >> Maybe you're waiting for something else to happen.

  • But nothing else happens.

  • Nothing else happens.

  • This is it.

  • You know, good-bye.

  • Maybe you're hoping for something special to happen.

  • Some special meditative state.

  • Some kind of vision.

  • Some kind of alignment of the, you know, spheres.

  • Some special bolt of lightening out of the blue to wake you up.

  • It's a mistake.

  • A miss, hyphen, take, on meditation.

  • On mindfulness, on reality.

  • Let's just pretend, okay, why don't we just sit for a moment.

  • Ah, you're already sitting.

  • You don't even need to shift your posture,

  • although I see some people getting ready.

  • Okay, now we're going to get into it.

  • It's going to be somewhat experiential.

  • Thank God.

  • He could talk forever.

  • But you see, you know, you don't even have to shift your posture

  • to be awake or to be aware.

  • You could do it like this.

  • And really be aware.

  • And by the way, I can't see my hands.

  • But I know where they are.

  • How do I know?

  • A sense called proprioception.

  • Maybe you've heard of it, maybe you haven't.

  • But there are a lot more than five senses,

  • I just want to put that out, okay?

  • When we're talking about miraculous being or genius,

  • it's got lots of different dimensions to it.

  • Many. If I ask you how are you

  • in the elevator and you say fine.

  • How do you know?

  • Aside from the fact that you're not fine but you just don't want

  • to go into it in the elevator,

  • with somebody you don't want to tell anyway.

  • But when, you know, you're sort of -- someone --

  • a friend asks you how our and you say fine, how do you know?

  • That's another sense.

  • And you know very quickly.

  • And you know when you're not, too.

  • What is that knowing called?

  • It's not called well, let me think.

  • I don't know.

  • How am I. No, you know instantly.

  • That sense is called interoception.

  • There are ways that the organism has, you know, using the brain

  • and nervous system, which has lots of maps,

  • by the way the brain is loaded with maps of the body.

  • Loaded with maps of the body.

  • And not just the somatosensory cortises.

  • But the insula and the cerebellum and the, you know,

  • the hippocampus, I mean, lots and lots -- and again I stress,

  • we're beginning to understand something about what lights

  • up when, when you meditate, when you do this and do that,

  • when you go into depression.

  • All sorts of wonderful, wonderful things happening.

  • Brain research in neuro science nowadays.

  • But still, no one knowing how it comes together.

  • In you, in this moment, in a way

  • that actually you don't have to think about.

  • And even if there's something going on, even if you're in,

  • say, pain from your lower back and you've had it

  • for a long time, or even if you have cancer at the moment

  • or you're a cancer survivor or whatever it is.

  • Or you have, you know, heart, you know,

  • issues of one kind or another.

  • Whatever it is.

  • The sum total of this universe, of --

  • between 10 and 100 trillion cells,

  • the whole body now we're talking about.

  • Is good enough to have gotten you here today.

  • Hmm? It's good enough for now.

  • And the more energy you pour into it,

  • the more that robustness, whatever it is,

  • sometimes called homeostasis,

  • but it's a very dynamical process that we call health,

  • as opposed to disease or dis-ease.

  • When we start to pour attention, energy in the form of attention

  • into what's already right with us,

  • it turns out that the body has its ear to the rail,

  • the brain has its ear to the rail, the brain is part

  • of the rail, the -- the heart, every aspect

  • of our being is one integrated whole.

  • It's not like different systems.

  • The immune system talks to the nervous system.

  • And the nervous system talks right back.

  • And everybody else is listening in on the conversation.

  • And it's all cells.

  • And if you took your liver -- if we all took our livers

  • and put them out on the stage here,

  • that would be an interesting exercise,

  • and then we shuffled them around and then you were all encouraged

  • to just pick yours up on the way out.

  • You wouldn't know which was yours.

  • You can look at all hundred trillion of these cells

  • in your body, and your name isn't on any of it.

  • It's like, oh, here's my liver.

  • Here's my gal bladder.

  • The punctuation from the cell phones is actually really --

  • if that was a cell phone -- is really interesting.

  • But do you hear what I'm saying?

  • Even the question of who we are, when you start

  • to actually ask it with tremendous authenticity,

  • it might not be so feasible to just say your name

  • or even describe what you do, or even send in your CV.

  • If you've ever hired people,

  • you know that the CV is not the person

  • and you hire the CV a lot of the time.

  • Big mistake.

  • Because you can't work with the person a lot of the time.

  • What you want it congruence, you want integration.

  • So when we take our seats, so to speak,

  • what we're actually engaging in, is a recognition

  • of how integrated we already are.

  • We don't need to, oh, I'm such a wreck,

  • I've got to get integrated.

  • No, from this perspective you are already as integrated

  • as you're going to be in this moment.

  • Is it enough?

  • Is it good enough?

  • So let's actually take a moment.

  • I've even brought another prop.

  • I brought some bells.

  • We don't need the bells.

  • But I'll ring them.

  • And when I ring them -- why don't --

  • just for fun, you don't have to shift your posture,

  • but just for fun, why don't you shift your posture and sit

  • in a posture that for now embodies dignity,

  • whatever that means for you.

  • Look, the entire room is moving.

  • Not that dignified, I guess.

  • All right, but actually it doesn't matter.

  • The posture is secondary.

  • What's important is the inner orientation.

  • The willingness to open to the present moment,

  • to put out the welcome mat and to get --

  • and to let the idea that oh, now we're going

  • to do something special, drop.

  • Because as soon as you sort of plant that seed, now we're going

  • to do something special

  • and we're going experience something special,

  • then you'll be on the look out for something special.

  • But you see, nothing special.

  • There's a wonderful cartoon in the New Yorker

  • that I actually mentioned a long time ago

  • in Wherever You Go There You Are, two Zen monks, you know,

  • one obviously elder, the other young.

  • And the young one's looking up quizzically at the older one.

  • And the caption underneath,

  • the old one's speaking, nothing happens next.

  • This is it.

  • I just said that to you earlier.

  • But the this is it, is really important.

  • Otherwise, you could spend 20 or 30 years or more,

  • and people do this, meditating, trying to get some place else.

  • Trying to have some special experience.

  • That's what it's all about.

  • Now I'm enlightened.

  • The problem is you're already enlightened.

  • But the personal pronoun that wants to grab it

  • and say I'm enlightened,

  • it's the personal pronoun that's the problem,

  • not the enlightenment.

  • Your eyes are already enlightened.

  • Your ears are already enlightened.

  • Your feet actually do what they're supposed

  • to do for the most part.

  • Your brain is doing what it's supposed to.

  • Your liver is doing what it's supposed to do.

  • Very famous scientist

  • and physician named Lewis Thomas once said he'd rather be

  • at the controls of a 747 trying to land

  • with no pilot training whatsoever than at the controls

  • of his own liver for 30 seconds.

  • So you don't need to find special.

  • This is good enough, okay?

  • So let's actually sit for a moment, if you're sitting,

  • or stand if you're standing, in a posture that for you

  • at this moment embodies wakefulness and dignity.

  • You don't even have to close your eyes.

  • But you can if you like, or let them fall unfocused on the chair

  • in front of you or whatever.

  • And as I ring the bell, seeing if you can just follow the sound

  • of the bells into the space of the air.

  • [ Bell ringing ]

  • [ Background noise ]

  • >> And allowing the space of the air to be co-extensive

  • with the space, you could call it, of awareness.

  • So that there's simply awareness.

  • Hearing what's here, to be heard.

  • The sound of the bells are past, and now there's just sound.

  • Whatever's arising.

  • And you could feature hearing as a way

  • of anchoring our attention.

  • You can focus on some object like --

  • or field of objects, like hearing.

  • And just rest in being aware of sounds and the stillness,

  • the silence in between, inside, and underneath.

  • Any and all sounds, including, of course, my voice.

  • Alternatively, because there's more than one thing going on,

  • there's not just hearing going on, there's also seeing

  • and smelling and you know,

  • all the senses are actually operating.

  • Seeing if you can actually instead of hearing,

  • feature for now a feeling, a sense of the breath moving

  • in and out of your body.

  • Wherever it's most vivid in the body.

  • Just allowing awareness to inhabit the whole of the body

  • and be most vivid in the region

  • where the breath sensations are arising and passing away.

  • In breath.

  • Up.

  • [ Background noise ]

  • >> And seeing if you can ride on the waves of the breath

  • with full awareness, moment by moment by moment.

  • And noticing any time the mind goes off and gets involved

  • in anything else, including judging how stupid this is.

  • We came for a talk and all

  • of a sudden we're doing this stupid exercise.

  • Whatever is flitting through the mind at the moment,

  • just making it so spacious

  • that you can see whatever's unfolding, hear my guidance

  • as I'm speaking, and at the same time ride on the wave

  • of the breath coming in, and the breath going out.

  • With full awareness.

  • And a kind of interest, the kind of, in some sense,

  • affectionate attention.

  • Even if the breath isn't all that interesting to you or all

  • that boring, or your mind says okay, I get that concept.

  • What else.

  • Just staying with the breath.

  • And then playing with the possibility

  • of expanding the field of awareness around the breath,

  • wherever you're experiencing it most in the body

  • until it includes a sense of the body as a whole, sitting here

  • or standing here, breathing.

  • And noticing you can do that just easy as pie.

  • It's not really a doing, but when I say it,

  • you can easily be --

  • the awareness can hold the whole body to one degree or another.

  • And whatever degree you can hold it, that's fine.

  • It's not like, oh,

  • if I practiced I'd get better at this.

  • That's just the thought, never mind.

  • Just letting the thoughts come and go,

  • and staying with the awareness of the body as a whole,

  • sitting and breathing.

  • And if possible, remembering

  • that this isn't some simple little exercise that we're doing

  • in the middle of a talk.

  • That this is your life unfolding in this very moment.

  • And this breath is important to you.

  • You wouldn't want to do without it.

  • So with that kind of quality of attending, that it's not --

  • it's not really -- it's like tuning a guitar string.

  • You know, too lose, two-tone, too tight.

  • You know, two-tone, but if you can just bring the lightest

  • of touches, the lightest of touches of awareness

  • to the sense of the body as a whole, breathing.

  • As if it mattered.

  • And of course it does.

  • Because it's your body in this moment.

  • It's your life and the breath is vital.

  • And then one more before we end.

  • Noticing any thoughts that may be moving through your mind,

  • and noticing how easy it is to self-distracts,

  • that the mind does wander.

  • That it wanders away from the breath, if we did this

  • for any period of time.

  • Sooner or later your mind would be someplace else.

  • Probably not even in the room.

  • Maybe not even in the present moment.

  • Maybe having dinner in Paris.

  • Or Bangkok, or in an argument three years ago.

  • In the shower with yourself.

  • So when you notice the mind has self distracted, no problem,

  • no judging, just -- or if you judge it,

  • don't judge the judging, and just see if you can come back

  • to this moment in awareness.

  • Featuring whatever object of attention you care to.

  • It could be anything that's in the field of awareness.

  • But the last little piece to just underscore that none

  • of this is about the sound of the bells.

  • None of this is about the feeling

  • of the breath in the body.

  • None of this is about the thoughts moving

  • through the mind.

  • Those are all important and they're secondary,

  • but what it's really about is the awareness

  • that knows the sound when it comes to the ears that knows --

  • and I mean non conceptually knows, not just conceptually --

  • knows the feeling of the breath moving in the body.

  • Non conceptually inhabits the body as a whole, in awareness,

  • sitting and breathing.

  • Non conceptually knows when the mind self distracts,

  • or we get into an emotional whirl pool or turbulence

  • of some kind or another.

  • And the awareness can just, like allow it to just be here.

  • Feature it center stage, let it calm, let it go,

  • and meanwhile we just continue to rest.

  • To rest in awareness.

  • Outside of time, because the present moment is time --

  • timeless in some profound way.

  • [ Background noise ]

  • >> And awareness and silence and stillness are all different ways

  • of saying the same thing.

  • Of pointing to something that's already yours,

  • that you don't have to get.

  • But has tremendous healing potential.

  • Tremendous potential for learning.

  • For seeing things in new ways for that rotation

  • in consciousness that I was speaking of.

  • Everything's the same, only nothing's the same.

  • Why? Because you showed up in your fullness.

  • So learning.

  • And out of that learning, growing.

  • And out of that growing, healing, which in my vocabulary,

  • the way I define healing is coming to terms

  • with things as they are.

  • Coming to terms with thing as they are.

  • Very different from curing.

  • There are very few cures in medicine, but the opportunity

  • for healing as long as there's breath,

  • it's in some sense already here.

  • All we need to do is see it, feel it, live it.

  • And it's not about denying pain and suffering.

  • It's about, in some sense, befriending even that.

  • So resting for a final few moments in stillness,

  • in silence, full wakefulness, in full awareness, outside of time,

  • as if you had nothing to do, no place to go.

  • Nothing to do.

  • And nothing to attain.

  • Because you're already whole.

  • The meaning, by the way, of the words health and healing,

  • and even the word holy , H-O-L-Y.

  • And by the same token, the word medicine

  • and the word meditation, they grow out of the same tree.

  • The same root, Indo-European root.

  • Medicine and meditation are joined at the hip.

  • It's not so radical to actually bring them together

  • in main stream, clinical care.

  • In fact, it's essential for caring.

  • So silent, wakefulness.

  • Attending to what is.

  • [ Background noise ]

  • [ Bell ringing ]

  • >> Somehow the real meditation practice never stops.

  • Just because some bell as got rung.

  • Just because we're going to shift gears a little bit.

  • The real meditation is how you live your life moment to moment.

  • It's not how good you are sitting without moving.

  • Or what great yoga poses you do.

  • Because yoga is itself a meditation.

  • A beautiful form of meditation we use enormously

  • and to do good purpose in MBSR,

  • mindfulness-based stress reduction.

  • I'd like to just say a few things about stress and medicine

  • and then we'll open it up to --

  • and give you a little bit of an expanse of how we work.

  • But I want you to have at least this taste of it,

  • and I want to share a couple of poems with you.

  • And it's not like all

  • of a sudden we've gotten a little weird,

  • I'm going a little weird on you.

  • How many of you when you hear the word poetry or poems,

  • you go yeah, I don't know.

  • Not a poem!

  • It's like I don't understand those things.

  • That's not uncommon.

  • But -- but one of my colleagues, John Tisdale, with whom I wrote

  • that book, The Mindful Way Through Depression,

  • who is like one of the world's great cognitive scientists,

  • is coming out with a -- several papers, in which he's arguing

  • that the root cause of suffering

  • in human beings is not knowing how to deal with our emotions

  • because we don't know how to inhabit

  • and then shift our relationship

  • to what he calls implicational meaning.

  • Implicational meaning is what moves, say, in poetry, okay?

  • It's different from the propositional meaning,

  • which is just the kind of bear facts.

  • Okay? So if I -- I'll recite a poem for you.

  • This is a poem by Antonio Muchato,

  • who's a great Spanish poet of the turn

  • of the 19th, 20th century.

  • And won the Nobel Prize.

  • It's very short.

  • But see if you can feel it.

  • The wind one brilliant day called to my soul

  • with an odor of jasmine.

  • The wind one brilliant day called to my soul

  • with an odor of jasmine.

  • In exchange for the odor of my jasmine,

  • I would like the odor of your Roses.

  • I have no roses.

  • All the flowers in my garden are dead.

  • Can you feel that?

  • I -- how many times have we had

  • that feeling or a similar feeling.

  • I have no roses.

  • There's nothing beautiful about me.

  • All the flowers in my garden are dead.

  • Well then, I'll take the withered petals

  • and the withered leaves, and the waters

  • in the fountain and the wind left.

  • And I wept.

  • And I said to myself, what have you done to the garden

  • that was entrusted to you.

  • Can you feel that?

  • This is a poem about great sadness.

  • Could easily go into depression.

  • I actually -- just because he's a noble laureate doesn't mean,

  • you know, I'd like to actually change the last line.

  • And I would suggest that for our purposes,

  • rather than what have you done to the garden that was entrusted

  • to you, which is a kind of a blaming, wouldn't you say?

  • I mean, it's like, stick the knife in, oh, all right,

  • as long as I'm feeling down, why not just go right over the edge?

  • And a lot of cultures actually perpetrate

  • that kind of perspective.

  • But instead, why don't we say what are we doing

  • with the gardens that are entrusted to us.

  • Gardens plural, okay?

  • Because right now we have a lot

  • of gardens entrusted to us, I would say.

  • The closest of, you know, to us,

  • is I would say the garden of the body.

  • You know, better than an American Express credit card,

  • you can't leave home without it.

  • But a lot of the time we're not even in the body.

  • And a lot of the time our feelings about the body are

  • so negative like, the less said the better.

  • Just don't bother me about the body.

  • I don't even want to know it just exists.

  • If it doesn't -- is not driving me crazy I feel lucky.

  • And William -- James Joyce is famous for starting

  • out a short story in Dubliners with the following sentence.

  • This is an approximation,

  • but it's Mr. Duffy lived a short distance from his body.

  • And if you start to pay attention

  • in the way I'm suggesting in the present moment you'll discover

  • that that's your address as well, a lot of the time.

  • We're in our heads, lost in thought.

  • Some place else.

  • Not in the body.

  • That has biological consequences, by the way.

  • Everything I've said tonight,

  • when I started the stress reduction clinic

  • in 1979 it was like, there was almost no science of the effects

  • of stress and the biology of stress on the body

  • and on the mind and on the heart.

  • Now the data is just like, overwhelming.

  • Including, as I'll show you in a minute, aging.

  • That it's turning out that you know, stress is --

  • they used to say stress is not a real factor for morbidity

  • or mortality because you know, it's not like, you know,

  • high fat diet, it's not like cigarette smoking,

  • it's not like hypertension.

  • High blood pressure.

  • But now it turns out, there's incontrovertible evidence

  • that stress actually reduces --

  • increases the rate of degradation of the ends of all

  • of our chromosomes, which are called telomeres.

  • You're going to hear a lot more about that word.

  • The woman Liz Blackburn at UCSF

  • who actually discovered telomerase, which is the enzyme

  • that builds them back up, won the Nobel Prize in 2008.

  • Okay? And her lab is studying the effects of mindfulness

  • of telomeres and telomerase.

  • And the evidence is moving in the direction

  • of meditation can actually enhance telomerase,

  • and not just that, it's more than meditation or mindfulness.

  • It's your attitude towards what's happening.

  • It's not like these people aren't

  • under a huge amount of stress.

  • But it's never the stress, it's how you choose to be

  • in relationship to it.

  • And if you have really exhausted your resources

  • for handling stress, then of course, yeah, all bets are off.

  • But if you know how to draw resources to yourself,

  • then even under very, very high levels of stress you can dance

  • with the energy, sometimes it's unbelievably painful.

  • But never the less, you're much bigger even than the pain

  • or suffering, and liberate yourself from that.

  • And guess what, the telomeres get longer.

  • So every aspect of our biology is what's now called plastic.

  • And that's a new terminology.

  • It's not like, you know, Dustin Hoffman in The Graduate.

  • This is for the older people.

  • But it means that the --

  • our biology is miraculous in another way.

  • It's constantly reorganizing itself.

  • It's not just it's all downhill from here.

  • Yes, there is aging.

  • Yes, we are all going to die,

  • unless somebody makes a very important discovery

  • very quickly.

  • But you know, the question is not is there life after death

  • or is there some way to escape death.

  • But actually, can we live while we have a chance.

  • Is there life before death.

  • That's the most interesting question.

  • And right up to the moment of death.

  • And a lot of time I think that really, when we talk about fear

  • of death we're really more afraid

  • of life than we are of death.

  • And there are two chapters.

  • I was going to say, actually, tell you some stories,

  • but I don't think I will, about my early days at MIT.

  • One of which was how I got into meditation.

  • I got into meditation at the Massachusetts Institute

  • of Technology as a graduate student in molecular biology

  • with a noble laureate, believe it or not.

  • Go figure.

  • Not in some monastery in Asia.

  • Because a Zen master came and gave a talk, actually, at MIT.

  • And I was one of five people in all of MIT that went to the talk

  • and took the head off --

  • took the top off my head at the age of 22.

  • I was like, oh my God, there's an entirely different way

  • of knowing.

  • Why didn't they tell us this in kindergarten.

  • An entirely different way of knowing, and no less beautiful,

  • no less profound, no less transformative, than thought.

  • Just different.

  • And this should be part of the repertoire, so to speak,

  • and part of the science and investigation.

  • The other thing was the story of my thesis defense,

  • because I wrote, you know, a thesis on some arcane topic

  • in molecular biology and I had, you know,

  • all these MIT noble laureate types,

  • real hot-shot molecular biologists.

  • And a few from Harvard who came over because you always have

  • to have someone from another institution.

  • And my thesis, you know, it was an existential challenge for me.

  • How many of you are graduate students here,

  • any of you a graduate student?

  • It's like, hard.

  • It's hard to be a graduate student.

  • Because nobody cares.

  • And most of the time, you don't either.

  • But it could be really humiliating, and like --

  • then of course if you're a scientist,

  • science is 99% failure.

  • Which doesn't do that much for your self esteem, so to speak.

  • So you're looking for that 1%.

  • And so I finally got my thesis together and I wrote

  • in the front page, on a page by itself,

  • they let you have a little dedication, little saying,

  • something like that, I wrote he

  • who dies before he dies does not die when he dies.

  • I don't even know where I got it.

  • You know, it's like some Greek, very old Greek.

  • So I put that line in the first, you know,

  • page by itself before you get into the thesis.

  • And so I go into the -- the room with all these scientists

  • who are going to decide whether I get my doctorate or not,

  • after what's called -- I don't know,

  • I forget what they even call it, thesis review, or defence.

  • Right, defense.

  • It's a war term.

  • They're going to attack and I'm going to defend.

  • And if I do it well enough, then -- so I go in there,

  • and I knew them all because it's a small community and everybody,

  • you know, sort of likes each other.

  • And -- but I was of course terrified.

  • You know, a lot hangs in the balance.

  • And so somebody says what's this he

  • who dies before he dies does not die when he dies.

  • That's the first question on my thesis.

  • So I worked five years on this research and they want

  • to know he who dies before he dies.

  • Of course they were pushing 50.

  • You know, I was 27 or something like that.

  • They were in their 50's, and like, thinking ahead?

  • Obviously piqued some interest.

  • You die before you die, you don't die when you die.

  • I want that.

  • So I said do you really want to know?

  • And they all said yeah.

  • I said well, it might take some time.

  • We've got time.

  • So actually, I would say half

  • of my thesis defense was actually unpacking what

  • mindfulness is about to these guys.

  • This was in 1971, by the way.

  • And I wrote it up.

  • It's a chapter called Dying Before You Die, duh,

  • because the first dying before you die was the other story

  • that I told about, you know,

  • first encountering meditation at MIT.

  • So that's just to say that I didn't want

  • to continue a career in molecular biology.

  • I wanted to bring my training as a scientist together

  • with my training in meditation, because it seemed like,

  • well everybody is doing the science.

  • But nobody's paying attention to thought and this other function

  • of our brains and nervous system,

  • that no one's paying attention to, called awareness,

  • that is painfully obviously bigger than thought,

  • because whatever thought you have

  • or whatever emotion you have,

  • you could embrace it in awareness.

  • And not have to do anything with it, but it would change

  • by virtue of simply holding it in awareness

  • if you were patient enough to do it.

  • Especially if it didn't feel good.

  • And so that's what we teach now.

  • And it's come into the main stream of medicine in ways

  • that are really astonishing.

  • The National Institute of Health is funding hundreds of studies

  • of mindfulness to the tunes of hundreds of millions of dollars.

  • And the idea that that would have been the case in 1979 I

  • like to say more improbable than that the big bang would all

  • of a sudden stop and implode back on itself.

  • And yet it's happening.

  • And so mindfulness is in the main stream of medicine.

  • And in the last -- I'll just show you some pictures before we

  • go to questions, okay?

  • Would that be all right with you?

  • Are you still awake?

  • Good. Because you don't ever have to stop.

  • Even when you go to sleep.

  • You know, that -- it's being present.

  • That's all.

  • Being fully present.

  • Okay? Is anybody good at this?

  • No. Okay, so don't make, oh, I'm no good at this.

  • Nobody's any good at it.

  • But all you need to do is be a little better

  • than automatic pilot and your life will rotate.

  • It will be very, very different.

  • And any time anger comes up, the default mode comes up,

  • whether it's anger or anything else,

  • Tecna Hans [Assumed spelling] likes to say, you know,

  • the reason we have to practice mindfulness, the reason we have

  • to cultivate it intentionally is we're busy cultivating the

  • opposite all day long.

  • Cultivating anger, cultivating jealousy, cultivating, you know,

  • sort of low self esteem, cultivating, you know,

  • all sorts of negativity in the emotional domain

  • or in the thought domain.

  • And the people who are doing the telomere research are saying

  • their research is showing

  • that the real stress comes from thinking.

  • So this is a biological and molecular,

  • biological consequence that accelerates aging,

  • accelerates a lot of -- heart disease, I mean, it's a --

  • you know, you can't interview people who die

  • of sudden cardiac death.

  • But if you could, you'd find out, like,

  • probably it was a thought that did it.

  • The wrong thought at the wrong time.

  • Dead. I'm not -- I'm actually not joking.

  • I mean, it's so serious that we need to laugh.

  • And I want to say that about meditation too.

  • It may seem like I'm not taking this stuff seriously.

  • This stuff is so serious that it's too serious

  • to take too seriously.

  • And I'm serious.

  • So this is, if any of you were alive back then,

  • this is the cover of Time Magazine back in 1983.

  • Four years after I started the stress reduction clinic.

  • And it's just like, you know,

  • I look back on that time and say stress?

  • What stress?

  • Compared to now.

  • I mean, there was no internet.

  • There was no e-mail.

  • There was no instant messaging.

  • I mean, you know, there were no computers except main frames.

  • I used to say in the early '80's that I could get --

  • once I had my first PC, you know, which was like, gigantic,

  • that I could get more work done in a month

  • than I could get done -- I could get more work done in a day

  • than I used to be able to get done in a month.

  • Well that was in the mid '80's.

  • Now it's like I can get more work done in a day

  • than I could get done in a year.

  • That's not so good.

  • You know, we're always on.

  • You know, we're always on.

  • Not so good.

  • We're not computer servers, we're human beings.

  • So here is the evidence from Liz Blackburn's lab and Alyssa Epple

  • who is the mindfulness researcher in her lab,

  • proceedings in National Academy

  • of Sciences is showing telomere length as a function of years

  • of chronicity of care giving, of children, this is parents

  • with children with severe medical

  • and -- disabilities, okay?

  • So it's like an unavoidable stress.

  • You can't just walk out, I don't do stress,

  • sorry, good-bye, children.

  • No, you can't do that.

  • But look at this, also in that study.

  • This is a perceived scale -- perceived stress scale.

  • It's the perception of stress that makes the difference.

  • If you are just dealing with it because it's the way it is,

  • then you can be more transparent to the stress.

  • Your telomeres are longer.

  • If you take everything personally,

  • your telomeres degrade.

  • So if you want one take-home message from this,

  • this turns out to be harder to enact that it is to say,

  • don't take things personally when they're not personal.

  • Then you might ask, when are they not personal?

  • That's a good question to keep asking yourself.

  • It may be they're never personal.

  • It may be the you that you think you are is not the real you.

  • That you're much bigger.

  • And now the neuro science is actually showing that.

  • You want to be your narrative self?

  • Fine. Then you're using certain regions of the brain.

  • You want to be your moment by moment, experiential self, in --

  • grounded in the body,

  • you're using lateral networks in the brain.

  • A whole different brain profile.

  • So you choose.

  • One is related more to happiness.

  • The left activation in the prefrontal cortex,

  • if you could monks in the scanners,

  • and I'll show you some pictures of that, you know,

  • they have tremendous activation in the left prefrontal cortex

  • in particular regions that have to do with approach and have

  • to do with emotional balance.

  • And when we train people in MBSR,

  • they shift from right activation

  • to left activation in eight weeks.

  • Their brains actually change structure in eight weeks.

  • Work out of Sara Lazar's [Assumed spelling] lab,

  • German post doctoral fellow who's training with us in MBSR

  • and has been our student, Britta hisle [Assumed spelling]

  • for years from Germany, young neuro scientist,

  • has demonstrated that major regions of the brain change

  • with eight weeks of mindfulness training in MBSR.

  • Including the hippocampus, including the cerebellum,

  • including the posterior singular cortex.

  • All of these are involved in making meaning in --

  • in self-regulation, in perception,

  • decoding, memory, and learning.

  • Not bad for eight weeks of what looks a lot, if you were looking

  • in from the outside on our patients,

  • looks a lot like nothing.

  • They do nothing lying down.

  • Then they do nothing sitting, then they do nothing walking.

  • Like this.

  • Like the night of the living dead.

  • You know, really slow, meditative walking.

  • They're doing nothing.

  • And healthcare is paying for it.

  • Amazing. How did they pull that off in and it turns

  • out the brains are changing, not just in terms of activity,

  • in terms of structure.

  • Significant thickening in those regions I mentioned,

  • significant thinning in the amygdala,

  • which is the emotional reaction -- reactivity center,

  • the threat center that triggers --

  • fires off all the time whenever we feel threatened or, you know,

  • accosted in one way or another.

  • So God, I've got a whole talk here I'm not going to give.

  • How many of you see a triangle?

  • Raise your hand if you see a triangle in this picture.

  • Okay, keep your hands up there.

  • Okay, now look around, so you know you're not alone.

  • If you see a triangle in that picture.

  • It's interesting, because there's no triangle

  • in that picture.

  • The triangle is defined by a three-sided figure.

  • And what your mind does is it puts in the sides.

  • If we shifted that little Pac-man the tiniest little bit,

  • so the mind can actually see things that are not there.

  • The brain actually does that.

  • It's so good at that.

  • If I had time I would show you this movie, which --

  • how many of you have seen this image?

  • Yeah, you can't use it any more.

  • But I'll just play it anyway -- oops.

  • Doesn't want to do that.

  • Let me see.

  • Anyway, it's a movie.

  • And they're passing around basketballs.

  • And you ask the group, you ask the room to sort of count

  • of number of times the people

  • in the white shirts pass the basketballs.

  • And I could get it to work, but it would take too long.

  • So -- and in the middle of it, I'll try one more time,

  • in the middle of it, because it's, you know, oh.

  • No. Okay, so you're counting the number of times the people

  • in the white shirts are passing the basketballs.

  • One basketball per each, the whites and the blacks.

  • And in the middle this gorilla comes out

  • and then goes off to the other side.

  • But when you ask people, well, to count the number

  • of times the people in the white shirts pass the basketball,

  • they don't actually see the gorilla.

  • If we did it and none of you had seen it, 95% of people

  • who have counted the number of times --

  • usually you get a plus on distribution.

  • So you can't even count correctly.

  • But then you don't see the gorilla.

  • Why? Because the mind has told itself,

  • the brain has told itself the white shirts are

  • what's important.

  • Tune out everything that's not white.

  • Well, the brain it turns out is fantastic is --

  • I just showed you, it sees things that aren't there,

  • and it doesn't see things that are there.

  • Not very reliable.

  • Now does that apply to you?

  • I'll leave that for you to decide.

  • Just ask your spouse or your mother or your father.

  • Because that is part of the default mode.

  • We are out of touch, seriously out of touch with a lot

  • of different elements of this.

  • And this is just of a quote

  • from William James that's basically saying

  • if we could learn how to bring the mind back

  • when it was wandering, that would be a good thing.

  • Turns out the Buddhists have been doing

  • that for thousands of years.

  • So I'm going to stop, actually, at this point.

  • And take a few questions.

  • We have some time for questions.

  • And then we'll stop for the evening.

  • obviously, you can see that I've just gotten started.

  • I hope you've just gotten started.

  • I'm not joking.

  • Because this doesn't stop.

  • It's called your life.

  • And it's all really more than magnificent.

  • And if you can get into that implicational meaning

  • of the poems, the poetry, then there's the potential

  • to actually live your life as if it really mattered moment

  • by moment, and it turns out that that's recruiting

  • and morphing brain pathways that when you're depressed,

  • you're into a depressive rumination,

  • it's not about shutting that stuff off,

  • that kind of toxic thought stream,

  • but actually learning how to hold it differently.

  • And then you don't take it personally

  • and then you actually don't fall into depression.

  • You don't relapse into depression.

  • And I'm talking major depressive disorder.

  • And so -- and that effects your telomeres,

  • and that effects actually gene expression in the body

  • up regulating and down regulating.

  • Hundreds of genes that have to do with cancer and have to do

  • with inflammatory responses.

  • So if -- your whole body is really plastic,

  • and the more you tune the mind

  • and the body together the more you participate

  • in your own health and well being.

  • I like to call the medicine of the future or the medicine

  • of the present, actually, participatory medicine.

  • That's what -- because there's not enough money

  • to fund medicine if we just use the auto mechanic's model.

  • So we need to all participate.

  • And isn't it interesting, that in order

  • to participate the greatest evidence is suggesting we need

  • to go back to ancient, ancient practices from very,

  • very old traditions that are mostly not

  • from this side of the planet.

  • But that turns out have deep, deep connections

  • with our culture and with our nervous system

  • and with your love.

  • So I'll leave it at that.

  • I want to thank you for your attention, and I'm open

  • to having a few questions.

  • Thank you.

  • [ Applause ]

  • >> Thank you for your attention.

  • And --

  • >> And if you need to go we understand.

  • >> Yeah, obviously.

  • It's 6 o'clock.

  • >> There is a book signing outside the auditorium

  • after the question and answer period.

  • Just so people know.

  • >> And so why don't we -- okay, you've got --

  • why don't you line up with that microphone behind the guy

  • who has it, and we've got another one over here.

  • So go ahead.

  • Oh, you're not actually asking a question,

  • you're just offering -- well, give it to her.

  • >> Thank you so much.

  • I really appreciate that talk.

  • It was fascinating.

  • One question I had was actually from your biography

  • that was provided, which was just talking about you

  • and your wife's interest in supporting initiatives

  • that further mindfulness in K through 12 education.

  • And I wondered if you could just provide some examples

  • of what exactly that can look

  • like in public education and beyond?

  • >> Okay, thank you for that question.

  • I alluded to it, but obviously, you know,

  • the subject of mindfulness is so vast and to do it in a way

  • that isn't just throwing facts

  • at you would take actually multiple occasions.

  • Or you can remember what we touch on today and then find

  • out more for yourself, which is really the best part.

  • But in the book that my wife and I, Myla, wrote together

  • on mindful parenting, which is a while other story,

  • there's a chapter in there about fourth and fifth grade teacher

  • from the Utah public school who herself experienced mindfulness

  • in MBSR for medical reasons, health reasons,

  • and then brought it into her classroom against all

  • of my advice, in Mormon Utah

  • and it transformed the entire school.

  • So you could start there.

  • You can also Google mindfulness in education.

  • You'll find out there are groups of teachers in lots

  • of different places that are doing this.

  • And if you want to take a trip up 89 to South Burlington,

  • Vermont, I was just there a couple of weeks ago,

  • and they are doing amazing things in that school system.

  • The superintendent and one of the principals actually came

  • to a day-long mindfulness retreat that I did

  • for the teachers and there are hundreds

  • of teachers bringing mindfulness

  • into their curriculum at every age.

  • So there's a lot to be said about it.

  • I think it's one of the best things

  • to happen in modern education.

  • And it's really inspiring the teachers because nowadays it's

  • so challenging, and there's so much stress in that profession.

  • And so many of the kids come and they're not ready to learn.

  • So they need to learn how to learn,

  • tuning the instrument before you play it, so to speak.

  • And this is a way to actually allow that to happen

  • and in a way that -- I've been in classrooms like this

  • in Oakland, and in Manhattan, in New York City,

  • public schools, unbelievable.

  • I mean, and one teacher in South Burlington called it a

  • pin-drop moment.

  • You could hear a pin drop in these classes where a lot

  • of the kids are like, ordinarily all over the place.

  • But they have actually learned how to drop in.

  • It's value for attention deficit disorder,

  • attention deficit hyperactivity disorder, and it's also valuable

  • for the teacher's sanity.

  • Thank you.

  • So --

  • >> Hello. I was just wondering what your general advice would

  • be, when we're trying to, you know, live it moment by moment,

  • but we're faced with moments where we have to make decisions.

  • And I know we have to make dozens of decisions every day.

  • And sometimes they are big decisions regarding,

  • like our futures or personal relationships,

  • and my friends are always telling me,

  • like, don't overthink it.

  • >> Don't overthink it?

  • >> Yeah. But I know it's really difficult.

  • So --

  • >> Well, it's a great question.

  • Now you want an answer?

  • >> Yeah.

  • [ Laughter ]

  • >> I realize that's the reason why I decided to come today.

  • >> Oh. Wonderful.

  • Wonderful.

  • [ Laughter ]

  • >> You're probably going to overthink it.

  • But you can hold that in awareness, the overthinking.

  • And the awareness will actually take care of you.

  • A lot of times -- let's say it's relationships,

  • you mentioned relationships, is that right?

  • And it's very complicated.

  • And you know, mindfulness is all about relationships.

  • We start with the body.

  • What's my relationship with my body?

  • It's pretty weird even to say I have a relationship

  • with my body.

  • Who's talking?

  • You're not your body.

  • But you have a body.

  • Oh yeah? So something even there,

  • that we don't know a lot more than we let on.

  • Okay, then you have a relationship

  • with your mind and your heart.

  • In all Asian languages, as you may know, the word for mind

  • and the word for heart is the same word.

  • So when you hear the word mindfulness,

  • if you're not hearing heartfullness,

  • you're not hearing -- you're not really understanding.

  • It's got this tenor of spaciousness of heart, okay?

  • So inside of that, a certain kind of trust.

  • And trust in what?

  • How about your own beauty?

  • Okay, so when you start to know yourself in that kind

  • of non conceptual way, not with thinking,

  • but through embodied awareness of sensation and of, you know,

  • hearing and smelling and tasting, and stuff like --

  • and of your thoughts, that are overthinking who to be

  • in a relationship with,

  • or who to break off a relationship with,

  • or whatever it is, and you're not judging that whole thing --

  • your deeper intuition and wisdom is trustworthy.

  • And when you get into trouble, that's trustworthy too.

  • Oh, I see, I made this kind of decision, I overthought it

  • to this degree, and I wound up, whamo,

  • in some place I didn't want to be.

  • That's important information.

  • That's useful data.

  • Then you learn from that, an the next time if you're really,

  • really, really, really mindful,

  • you won't repeat the same pattern.

  • But mostly what we do is repeat the same old pattern,

  • over and over and over again.

  • Because we're attracted to just those people

  • who are not so healthy for us.

  • If you've read The Power of Now, Ecarte Tole [Phonetic],

  • which I recommend you read these kinds of things,

  • he talks about a kind of construct called a pain body.

  • So a lot of, like, falling in love is like if you start

  • to look at it, is by pain body, what's all knotted up

  • and painful and hurt in me recognizes what's all knotted up

  • and painful and hurt in you, and those pain bodies fall in love.

  • Meanwhile -- not a good idea.

  • Because it's what you call a dysfunctional relationship

  • from the start.

  • You know, but the awareness can see that, and it can save you.

  • I have a friend at MIT,

  • one of the graduate students with me in my lab.

  • And he said -- he decided to get married at one point,

  • and I did -- the only time I've ever done this,

  • I gave somebody advice about who they wanted to marry.

  • And I said don't do it.

  • I was young.

  • And arrogant.

  • So I said don't do it.

  • He did it anyway, of course.

  • He got married.

  • Thee years later they got divorced,

  • and he said to me later, he said you know,

  • how come it took you three seconds

  • to see what it took me three years to see.

  • And I said well, it's because, you know, I wasn't in it.

  • To see it when you're in it,

  • that requires a whole different rotation in consciousness.

  • But it is trustworthy.

  • So there is no answer to your question, it's life unfolding.

  • And whether it's your relationship to another person

  • or with choosing courses or a career path or anything

  • like that, trust your love.

  • And as what's his name, Joseph Campbell said, and you know,

  • this is a really good piece of advice, follow your bliss.

  • Follow your bliss.

  • And it will teach you everything you need to know,

  • including how sometimes following your bliss needs

  • to be modulated a little bit.

  • I hope that helps, because I don't have anything else to say.

  • >> Thank you.

  • [ Applause ]

  • >> People are saying that life is more complicated

  • and more stressful now, and I would believe it,

  • I don't have anything to measure it against.

  • And also the same with war.

  • That people go to war and come back having experienced things

  • that they might not have lived through in other wars.

  • And there are scientists working on PTSD and trying

  • to help people heal from those things they might not have

  • lived through.

  • And so sometimes I think about how we're --

  • like, if the world is becoming for stressful or complicated

  • and our answer is change yourself,

  • change your relationship with that stress, it seems --

  • I'm not sure, it seems -- I don't know how to say it --

  • >> I got it.

  • Thanks. That's the other half of my talk.

  • >> All right.

  • >> So thank you for bringing that up.

  • So let me just very quickly say this isn't

  • about changing yourself.

  • It's about recognizing --

  • it's exactly the opposite of changing yourself.

  • It's recognizing the beauty in yourself already.

  • No change necessary.

  • Now imagine if the congress actually were mindful.

  • Okay? Actually, there is a congress man

  • in the congress now, Tim Ryan from the 17 eighteenth district

  • in Ohio who is doing everything he can to bring mindfulness

  • into the main stream in the political and economic circles.

  • You'll see his name around from time to time.

  • Fifth term congress man.

  • But the much longer thing, and I wrote 100 pages

  • of mindful politics and coming to our senses.

  • This is not about forgetting

  • about social change or transformation.

  • But in order to really have profound social change that's

  • in alignment with humanity and with kindness,

  • we have to look at our own minds.

  • Because even the social change agents are driven by greed,

  • hatred, and delusion, just like all the rest of us.

  • Okay, so until we learn how to sort

  • of at least recognize the toxic or the sort of inquisitive,

  • violent aspects in ourself, then we can do all we want

  • to transform the institutions and even the laws.

  • But human beings, being what they are, what we need

  • to do is transform the species.

  • Or I wouldn't say transform the species,

  • I would say have the species come into its own.

  • Because we call ourselves Homo sapiens sapiens.

  • In Latin, saperi [Phonetic] is the verb to taste or to know.

  • Okay, K-N-O-W.

  • So Homo sapien sapien is the species that knows.

  • And knows that it knows.

  • So in other words, awareness, yes, and meta awareness,

  • awareness of awareness.

  • Now if we really -- that would be wisdom.

  • If we actually were wise,

  • then we would see what war does to societies.

  • We would understand that we --

  • you know, with the kind of preciosity and weapons

  • and fire power and everything, we need to find other ways

  • of resolving human conflict.

  • But where's that going to come from?

  • It's going to come out of the same human heart,

  • the same human mind, and corporations,

  • which after all mean bodies, okay,

  • the corpus or the body politic.

  • And that's made up of human beings.

  • So we do need to sort of tune the instrument on lots

  • of different levels, including the law and jurisprudence

  • to actually privilege awareness over a kind of dualistic,

  • adversarial condition where it's really winners and losers.

  • And a huge amount of harm and social injustice gets done

  • and then we learn to sort of tolerate it, thinking well,

  • a hundred years from now it will be better.

  • So this is not going to happen over night.

  • I have a very long time horizon.

  • Like -- I like to say, one Zen master put it this way,

  • never forget the thousand-year view.

  • I actually have pretty much a thousand year view.

  • If it happens in 100, so much the better.

  • Even where we would site nuclear power plants,

  • if we were building nuclear power plants in, say,

  • northern Japan, for instance.

  • Where would you site them, knowing the geology

  • of the Pacific Rim and northern Japan.

  • Oh, maybe not too close to the water.

  • I don't know.

  • You need an awful lot of mindfulness to actually,

  • you know, come up with something like that.

  • So it has infinite number of implications.

  • And I apologize for actually not having spent more time

  • on this talk going there.

  • It is all in coming to our senses,

  • and there's an awful lot happening

  • in the world nowadays around that.

  • So we'll take one more and then we will stop.

  • Two more. If two people are standing up, I'll take --

  • are you standing up for a question?

  • You're just the microphone holder?

  • Do you want to sing or something,

  • or just like -- this is your moment.

  • I mean, American Idol.

  • >> I can make --

  • >> This will be -- you want to sing?

  • >> I'm hoping -- I'm a resident at the hospital here,

  • and I know you're getting involved with trying

  • to bring this into, you know, more main stream medicine.

  • And I'm hoping it's not going to be like, a hundred --

  • >> Oh no, it's already -- it's already in main stream medicine,

  • just -- just not here.

  • >> Right -- so I -- I mean, it's definitely not encouraged for us

  • to take care of ourselves, and the amount of stresses

  • and appointments and phone calls and now EDH,

  • our new computer system --

  • >> I heard about that.

  • >> -- and 30 minute -- you know, I'm in psychiatry,

  • and 30 minutes to like, adjust meds, and also the person wants

  • to talk to me and all of that.

  • And it's completely stressed me out.

  • But I can only imagine -- and I'm pretty great [Inaudible]

  • and good, you know, great faculty.

  • But if I were to say you know what, I'm going to go

  • to Shimbala to meditate, because I do meditation in Shimbala --

  • >> You mean the Shimbala meditation center in Colorado?

  • >> Well, there's one in -- White River Junction there's one.

  • >> Okay.

  • >> But I've, you know, taken courses

  • and like, level 1 and level 2.

  • And -- but if I were to say that, you know what,

  • I'm going to go for lunch, and we're not really doing anything,

  • I'm going to go meditate for an hour, and then I'm going to be

  • so much more there for my patients.

  • It probably -- even with these kind, you know,

  • good mentors, it's not going fly.

  • And I advise my patients on these things.

  • But still the medical professionals are --

  • >> You see --

  • >> -- these superhuman people that I'm not.

  • >> In a talk like this I can only in some sense point

  • to how deeply the penetration has gone.

  • However, what you're saying is not deep enough,

  • by any stretch of the imagination.

  • And it takes a long, long time to shift a culture

  • that has its own self interest.

  • A long time.

  • So one --

  • >> Just like I'm sure it takes a long time for people

  • to get to your clinic.

  • I know the chronic pain patients we're seeing,

  • we're not advising, like, any of the recommend --

  • you know, what you guys --

  • >> But you could set up an M B S R --

  • maybe there is, is there an MBSR --

  • >> Not even close.

  • >> Well, that's not that radical to do.

  • Are you in psychiatry?

  • >> Yes.

  • >> Yeah, well, it's not that radical to do.

  • Maybe medicine should do it, if psychiatry has an aversion

  • to the mind-body connection.

  • [ Laughter ]

  • >> I even know gastroenterologists

  • who are working with veterans who have PTSD

  • and pulmonologists, I mean, this goes -- transcends specialty.

  • >> There are some, and you would hope psychiatry would the most

  • open to it.

  • >> Well, I don't know if I would hope.

  • But you would hope.

  • If you hope it, then make it happen.

  • You see, the psychiatry of the future, where does it lie?

  • >> Not in medication.

  • >> Well, where does it lie?

  • I'm being serious with you now.

  • >> Well, I think in the neuro sciences, and --

  • >> No, no, I'm looking for something much simpler.

  • It lies with you.

  • >> Oh.

  • >> It lies with that impulse to have come to this talk.

  • It lies with that impulse to go to the Shambala center

  • and clear your mind and then be more present.

  • If you want the medicine of the future to be different

  • or the psychiatry of the future to be different,

  • don't look around for someone else to do it.

  • You do it.

  • When will you be good enough?

  • Never. Because part of your mind will tell you,

  • you don't have enough power, you don't have enough influence,

  • you don't have enough this.

  • You've got plenty.

  • As a medical resident,

  • as a psychiatry resident, you've got plenty.

  • And if people don't want to do it, that's too bad.

  • But you can take the initiative.

  • And I'm not joking.

  • I mean, we're really talking about a rotation

  • in consciousness here.

  • And the institutions change when people are willing

  • to actually own how you take it,

  • and you've had enough medical training to be able

  • to make coherent arguments that a lot

  • of the way the healthcare system is set up, I'm guessing,

  • just from what you've said, is toxic to the people

  • that you're most trying to help.

  • What kind of a set up is that?

  • Even if you have a better medical records system.

  • [ Laughter ]

  • >> Okay, this will be the last one, then.

  • >> There's somebody really ahead of me.

  • I just wanted to let people know we do have upper valley

  • [Inaudible] associates, we're psycho therapists,

  • and we're in our sixth year

  • of offering mindfulness-based cognitive therapy.

  • >> Another thing I didn't get to really talk about too much,

  • mindfulness-based cognitive therapy.

  • But yeah, I mean, there are -- I'm sure there are resources

  • in this area, lots of them, like the Shambala center.

  • Are there any MBSR teachers here, in the community?

  • There you go.

  • Say --

  • [ Inaudible audience comment ]

  • >> No, wait a minute, someone just said no, there's another

  • at Dartmouth, Hitchcock.

  • But MBSR is at Dartmouth Hitchcock?

  • [ Inaudible audience comment ]

  • >> Well, you see, the doctor doesn't --

  • you know, so between the two of you, you have an insurrection.

  • How many else -- how many other people are here with that,

  • how many are -- oh, so now you have a revolution.

  • I mean, you know, listen, that's how institutions change.

  • And you can do it with tremendous intelligence,

  • with tremendous propriety, with tremendous intentionality.

  • And kindness.

  • So that it's not like you're going to go and just sort

  • of be obnoxious and tell everybody what they're

  • doing wrong.

  • But to actually offer a new option that I'm not joking,

  • folks, people are dying for.

  • People are dying for it.

  • Metaphorically and literally.

  • And if -- there's never been more scientific evidence

  • in favor of moving in this direction.

  • So in some sense what I'm saying is the responsibility

  • for the future of not only medicine

  • but our society is a distributive responsibility.

  • And as I like to say, the world needs all its flowers

  • and you're one, whether your mind says,

  • and it's like depressive rumination,

  • he means everybody else in the room but not me.

  • No, I mean you.

  • And see if you don't recognize the flower that you are,

  • and the genus that you are, and the beauty that you are,

  • and take it and -- someplace

  • where it can illuminate some tiny little corner

  • that may be insignificant, but isn't, you think it is

  • but it isn't, and just apply what you care most deeply

  • about there.

  • That's how health -- that's how the care gets back

  • into healthcare.

  • We're not talking about health insurance reform, we're talking

  • about healthcare reform.

  • And we haven't seen the beginning of healthcare reform.

  • And when we do, it will be a participatory medicine.

  • It will be recruiting the interior dimensionality

  • and resources that every single human being by virtue

  • of being born a human being has to one degree or another.

  • And that degree is huge.

  • And we need to learn how to recruit it,

  • because anything else will just be technology

  • and it will be all doing-based and none of it being-based.

  • And we're not called human doings,

  • we're called human beings.

  • So at that, I'm going to stop it because again, the -- it's late.

  • But thank you very much for your attention.

  • [ Applause ]

>> My name is Helen Damon Moore, and I am the director of service

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ジョン・カバット=ジン "マインドフルネスの癒しの力" (Jon Kabat-Zinn - "The Healing Power of Mindfulness")

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    Yinghsiao Liu に公開 2021 年 01 月 14 日
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