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Posts Tagged ‘illness’

girl meditatingIt’s a cold winter’s morning in a semi-derelict mill. A small group of middle agers lie silent on their backs on gym mats, their breath vapour rising in the unheated void of the makeshift training hall. They wear overcoats and hats against the chill. This is Qigong, western style, November, somewhere in the North West of England, and the group is exploring a variation on an esoteric Oriental technique called Microcosmic Orbit Meditation.

In the warmth of more conducive surroundings I can raise a tingle from my tummy by imagining I am breathing into it. Here in the mill though I’m getting nothing. It’s just too cold, and I can’t relax. Afterwards, discussion with my fellow adepts reveals I am not alone in this. Even our teacher is unable to claim success. There is also doubt about the precise nature of what it is we’re supposed to be doing.

Our knowledge of Qigong comes from similar sources: books, private practice, personal speculation and of course endless foraging among the online dross. We’re also drawn from a range of rational, technical professions, and we’re struggling to come up with a plausible psychological model for a technique that has for centuries been described in an arcane and very flowery language. On the plus side, I discover I am not such a beginner, that my knowledge is as comprehensive as my fellows’, if not my practice, but this does not alter the fact that none us really knows what we’re doing, and most of our combined knowledge is probably rubbish anyway. Oddly though, groups like this, scattered across the mills and church halls of England, are as good as it gets. This is not to demean such groups – indeed I would never trust a group incapable of doubt, nor a teacher who talks like he knows it all.

The drive home is sluggish with traffic, and there is a sluicing rain that overwhelms the wipers. I have plenty of time to ponder my doubts. Sure, I have always struggled to marry the esoteric language of Qigong with anatomical knowledge. Nor do I believe in “Qi” as a mystical universal energy. But without a rational explanation for the observed effects of Qigong practice I don’t see how there can be any way forward in bringing Qigong – especially the more esoteric forms like the Microcosmic – to a wider audience, let alone establishing any kind of regulation among teachers. And without that we will for ever be at the mercy of charlatans and poseurs.

In the course of a morning then the whole thing unravels and years of study, of practise, of speculation, goes back to square one. It goes back in fact to the dantien. You hear that word a lot in martial arts circles. They call it the centre of being, a powerhouse, a generator of Chi or energy, even a kind of reservoir that one can charge up for future use. It lies a couple of fingers widths below the navel, in the gut. But again most of what we read of the dantien is unsubstantiated nonsense. And yet,…

In Microcosmic Orbit meditation we begin with the dantien. Gentle breathing and focus upon this region in the lower abdomen does indeed give rise to powerful sensations – tingling, fluttering, vibration. What are they? What is their origin? With the effort of imagination one then leads these sensations through various sensitive connections up the spine, to the brain, then back down the chest to the dantien. The full circuit is a difficult thing to achieve, mentally. It requires a relaxed focus, but since the sensations aroused are entirely subjective it’s hard to say if one isn’t merely deluding oneself that something is happening when it isn’t.

Is the dantien real then, or imaginary? Well, recent medical discoveries tell us of a highly energetic nerve centre located in the region of the lower gut – a thing that might indeed be the source of sensation attributed to the dantien. This is the so called Enteric Brain, the centre of a nervous system with a very brain like nexus of neurons. Just as the brain in the head regulates the autonomic nervous system, so the Enteric brain seems to regulate its own processes in the gut. There is also an energetic connection between the two systems, an exchange of information that is not fully understood but appears rooted in the body’s digestive processes.

It’s logical then to work on the premise that it is the nervous activity of the enteric brain we’re feeling when we focus on the Dantien, that such focus may heighten its activity, stimulate it or at the very least relax it into a state where it might function properly. But this is as far as one can state with anything approaching certainty.

Progress in the martial arts – or at least in so far as they have been adapted as health systems in the west – is hard won against an ill wind of misdirection and utter tripe, especially in the popular literature. Sometimes the best we have to go on is that it seems to work, alleviating the symptoms of a variety of otherwise chronic conditions. The western scientist, however, can be scathing in his skepticism, throwing away the cure – not because it does not work, but because he cannot explain it. Thus anyone who tries to take these methods seriously carries also the mantle of being a bit “alternative”.

What brought me to Qigong was stress. Without it I would by now have been a Prozac junkie for the past twenty years. As it was I managed only a few weeks in that selective seratonin uptake inhibited twilight of a world before choosing the path of “alternative” quackery. The body is built to handle short periods of extreme stress. It can generate on demand huge quantities of energy, enabling us to fight or to flee. But the modern lifestyle puts us under stress all the time, while simultaneously denying us any escape. Eventually we forget how to return to a state of relaxed homeostasis, a state in which to carry out repair and recuperation. Mind-body techniques like Qigong are important in reminding the body what it feels like to be relaxed, and, once reminded, it seems capable of returning there of its own accord.

This alone makes lying on my back in a derelict mill in the middle of winter worth the effort, that and discussion with like-minded individuals. As for explaining the Microcosmic Orbit in rational terms, my instinct says the two brain theory is definitely a good starting point. By the time I reach home I realise my morning wasn’t wasted after all. Sometimes in order to find the answer, you have to be asking the right questions.

And two brains are clearly better than one.

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Manet

Back in 1977, when I was training in an engineering workshop, my mate ran his finger up a bandsaw blade. He swore and I fainted. I told everyone I’d had no breakfast and maybe that was why I’d fainted -only admitting the truth to the work’s doc. He was an old guy, long steely grey hair, an incongruous hippy type – a real-life Gandalf. He said I’d be okay, told me to get back on that bandsaw right away, and that I’d probably benefit from learning how to meditate.

The advice about the bandsaw made sense, but I ignored the bit about meditation because I had a fairly rational head in those days. When I think back it was probably the most sage piece of advice I’ve ever had from a medical professional. It was to be years later though, dropping a bottle of Prozac into the bin and wondering what the hell I was going to do next, that I finally took his advice.

By then I was struggling with panic attacks. You sit in a cinema, a theatre, a lecture at college, a presentation at work, and you sweat, you shake inside, you fear losing yourself, you fear drawing attention to yourself. You also fear getting cornered by the consummate bore and being too polite to tell him you’re busy, so you sit there, quietly tearing yourself apart while his interminable tale drones on, when what you really want to do is stick your finger in his eye and run away screaming – all of this behind a serene smile.

Scary, isn’t it?

I lasted a couple of weeks on the Prozac. Its effects were dramatic. They calmed me for a while, helped me to keep working, but I was not myself, and this intruder who was not myself took over my self, decided it no longer needed to sleep, that it was okay to do pushups in the small-hours of a workday morning, then decided it was in the mother of all panics and hanging on by its fingernails, needed a doctor more urgently than it had ever done before. This was definitely not me, so the Prozac went in the bin. (don’t do this without talking to your doctor)

So I talked to my doctor, but found him time-pressed and unsympathetic. He told me the medication would either help or it wouldn’t. Well, it wouldn’t. The message was clear: I was on my own; mental health issues may be ruining your life, but unless you’re thinking of taking your life, the amount of support you can expect is patchy. This was 1992. The only difference now is demand is even greater for fewer resources, and we are better at pretending they are not.

Gandalf’s advice finally broke through: I bought a book on Yoga, which introduced me to meditation. Meditation looks complicated, sounds mysterious, and seems bound up with a lot of transcendental, spiritual stuff. But the physical practice itself is straight forward, and it worked. I’ll probably still faint at the sight of a bloody injury, so don’t come looking to me for first aid, but the panic attacks are a thing of the past. I lead a fairly normal life, most of the time.

You don’t need a guru to learn meditation. Even self taught from books, meditation has an immediate effect on the mind, but without “messing” with your mind in the way anti-depressant medication does. In meditation we try not to think , or we try at least to separate ourselves from our thoughts, and to realise we are not our thoughts.

With a panic attack, we think we’re going to faint, when there’s no physical reason why we should – the pulse rate goes up, we hyperventilate, we experience dizziness; with obsessive hypochondria we think we have a fatal illness which we assemble from otherwise innocuous symptoms and we convince ourselves we are going to die; with obsessive behaviours we think we must carry out an action in a particular way or a set number of times and we think that failure to do so will cause something bad to happen. Thinking, especially faulty thinking, has lot to answer for. It can make us really ill. It can ruin our lives.

Meditation was developed to correct faulty thinking, admittedly more on the transcendental, spiritual level, and therein lies the problem for many in the west, and for two reasons: in the west most of us have either cut the spiritual dimension entirely from our lives, drained the vessel dry so to speak, or we have adopted a narrow, entrenched religious view that does not encompass spiritual philosophies borrowed from other cultures; we have filled the vessel instead with concrete, one that does not permit the natural convective dynamics of exploration and change.

So let me defend meditation by saying it acts upon the mental life, and we need not attach any spiritual significance to it at all. It’s just that in eastern cultures there is less separation between the mental and the spiritual realms. Meditation also acts upon the physical body by freeing up energy consumed in vast quantities by a frantically thinking brain. This is why, when we meditate regularly, we feel less drained by life.

You can find “how to” material on meditation just about anywhere online for free, including my own notes, here. We must meditate every day for it to have any meaningful effect, and we’ll most likely feel resistance to this notion when the pain inside us realises what we’re up to, but persistence pays. There’s nothing quite like the feeling of encountering what was once a sure-fire trigger-situation, and realising we’re looking it calmly and squarely in the eye, unshaken.

And just in case you’re a tough guy who thinks meditation is for girls, remember Kung Fu fighters meditate. It gives them an edge. It’ll give you an edge too.

Think about it. Or rather don’t think!

Meditate!

Thanks Gandalf.

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van goughReactions to suicide say much about society’s attitudes to mental health. In Victorian times, suicides were often explained away in order to avoid a social stain on the family. There was also the unhelpful religious belief that those who died by their own hand went straight to hell. So we got things like: he accidentally fell into the pond and drowned, or he accidentally shot himself while cleaning his gun.

There’s still an air of evasiveness when discussing mental illness, but there is at least a recognition now that it is a real illness rather than a weakness of character. When someone known to us takes their life, the reaction is one of shock that anyone so well liked/loved/respected could ever feel that way and we be unaware of it. But there’s guilt too that we did not see it coming, that we did not do more to help. We feel complicit, guilty in our silence at holding to the secret of others’ despair. But what can one do? Not everyone suffering from mental illness wants to talk about it. And when you realise how little others understand your feelings, you can hardly be blamed for not wanting to share them.

There are no easy answers.

It’s an unfortunate fact that high-profile celebrity suicides raise awareness more than any well meaning mental health campaign. They launch tragedy squarely onto the front pages, but even here amid the collective shock, “normal” people can still be dismissive, telling us celebrities are notorious libertines, usually off their heads on drugs and it should be no surprise they kill themselves now and then. But this is to ignore the despair and the sheer existential emptiness that underlies mental illness, an illness bullet-pointed with unshakable, negative self beliefs:

* My life is a mess;
* I am ill adjusted to the place I find myself in, yet cannot escape it;
* I am unequal to my responsibilities;
* People expect more from me than I am capable of delivering;
*I am letting everyone down;
*It’s all out of control;
*I cannot move another step;
*I am useless;
*I am a bad person;
*My life has no meaning;

Do any of the above ring true for you?

Of course people in the forefront of public life are no more likely to suffer mental illness than the ordinary and the poor. Indeed being poor, being unable to make ends meet is a very dangerous place to be in the mental health stakes, more so as you are less likely to have the money to access competent people who can help you. But we all worry, and even when we have nothing to worry about, like having no money and no job, we invent other worries – seemingly trivial things – and inflate them to apocalyptic proportions. If we are susceptible, these worries will plant the seeds that blossom into hideous mental blooms of distorted self image.

We need to talk about it. Even just sharing the secret with someone can help. I spoke of mental health services last time – admittedly in less than glowing terms. Lack of funding means the gap between aspiration and reality is now unbridgeable, at least for 90% of the population, but the important thing here is that we make the effort. We admit our fears by sharing them with as many healthcare professionals who will listen. Even if the person we’re sharing them with has one eye on the clock, and can never get our name right, the process of sharing can be helpful. But there are other things we can do too, things that are even more effective in returning control of our selves back to our selves.

With a little imagination we can think of the human being, metaphysically, as comprising three vessels – the physical, the mental and the spiritual. We need to keep all three topped up. If one of those vessels is leaking, it can be replenished by the others. If all the others are leaking too, then we’re in trouble, but the good news is paying attention to any one of them can help the entire system to restore its balance.

The easiest to fix is the physical.

Among my memories of the darkest of my hours there shine radiant beacons of days simply walking in the Lake District Mountains. I have never felt ill on a mountain. It was when I came back down to earth the problems recurred. Physical exercise of any kind is good for us, good for circulation of the blood and the lymphatic system – getting the good stuff in and the bad stuff out, and you don’t need to do it on a mountain; a walk in the park is good too, or take up dancing, jogging, tennis, Tai Chi,… whatever interests you and suits your abilities. The after-effects of even gentle physical exercise dribble through into the mental vessel, surprising the most depressed of moods with little revelations of relaxation and calm.

It sounds too good to be true, that merely exercising the body can make a real difference the problem is, getting up off your arse when the black dog comes calling takes a monumental effort. We resist it, even though we know it’s good for us. This is another of the mysteries of mental illness; it is as if the pain is itself an intelligent entity dwelling within us and fears for its existence; it sees where we’re going with this and holds us back; it would much rather we vegetate in front of the telly, drink alcohol every night, and drop fatty treats into our mouths. I know, I’ve done it. But we must resist the resistance.

And keep moving.

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Sensationalist or what? I should be working for a newspaper!!!

I’ve not missed a day at the day-job since 2003. I’d been refurbishing the present Chez-Graeme back then, tearing floorboards up, but tore something in my back as well. That incident got me a  week off – not that I enjoyed it much, sat with my back up against a hot radiator with only my Psion 3 for company, tapping out a novel I knew would never be published.

Fortunately I get staff perks so I lost no pay, and then I was back at work right as rain for seven years. I was becoming stupidly proud of the fact I’d not lost any time to sickness since then, that I was – I don’t know – indestructible or super-reliable or something. Then comes last Wednesday and I’m pushing a trolley round the supermarket after work – full shop – no half measures. Toilet rolls? Margarine? Dishy Tabs? Check, check, check. Can’t be bothered making anything to eat after a day like that – so while I’m in the faceless, characterless mega-supermarket that I seem to visit every bleeding day, I buy myself a pre-packaged pasta salad with chicken-something-thingy-or-other – while I’m at it.

So, it gives me a bit of indigestion, not helped perhaps by the half bottle of rancid Chardonnay I quaffed on top – but never mind – it’s been a rushed day, and I probably ate and drank too fast.

Nope.

Mr. Indestructible’s in the bathroom in the small hours of Thursday morning, vomiting so hard it’s coming out of his nostrils, and he’s trying not make a noise in case he wakes the family. And in the morning he’s ‘phoning sheepishly into work like the cringing coward he is to say that “actually he’s not feeling at all well”.

I lay down on the couch after the kids have gone off to school and college and what not, and I don’t move until they come home again, and then only to raise my head and issue jaunty platitudes to reassure them I’m still alive, that I’m still in business, still capable of earning and filling their pockets with cash and glee? I feel like I’ve been run over by a truck. I ache in every fibre of my being and I’m so dog tired I can’t even walk to the tap for a drink of water, but neither can I sleep. I just lay there in a weird midway place, drifting in and out of imagination, my eyes tracking the pattern on the wallpaper, and eight hours is gone in a blur of nothing.

And as I lie there, I don’t give a damn about the day-job any more, don’t give a damn if I get well or not – if I walk the crest of Striding Edge just one more time or peg out right there on the crappy Chenille cover I’ve tossed over the couch, so I don’t spoil it. And I don’t care if a soul reads Durleston Wood or not because what the hell is it to them anyway? And what was I doing writing something so left-field as that in the first place, and I probably made a mess of it, but – I mean,… just,… oh,  who cares?

You hear these tales of sickness don’t you, which allow spiritual folks the time to focus in on something and change their lives because, my God, they’ve seen the light!!!! But really, though I’m a spiritual kind of guy, I see nothing at all! I’m focused in, sure, but it’s on nothing and the images that flit across that screen behind my eyelids aren’t from some  epic Shamanic journey, but from a daft impressionist movie that tries hard to make me think it knows more that it really does, when all it is is splashes of paint on a canvas, dabbed at random by a three year old kid, and any meaning I see is what I put there myself.

The next day you can walk about. You’re a little slow, a little dazed. Your head still aches but you’ve tempted your stomach into digesting a boiled egg without complaint now and you’re realising you’re perhaps not on the checking out list after all. You’re gagging for a cafetiere of fresh ground Javan instead of yet one more  glass of water, but you daren’t do it because you can still feel the burning in your nostrils from that stuff that was in so much of a hurry to leave your gut it didn’t care which route it took. And you’re sweating like a pig, and your brain’s working in a disturbing kind of slow-mo, but at least the kids have started nagging again so they know you’re off the danger list, and in a crazy kind of way you take some comfort from that. Then you wonder what it is to be a man in the twenty first century, and you wonder if your grandfather, or even your own father would have understood what it you’re thinking and you’re feeling, stranded here, food poisoned in 2010!

Then comes day three and it’s Saturday and Dad’s Taxi operates as normal with a run into town. You’re feeling at least capable of driving now, but you use the excuse of your sickness to bow out of standing like a pillock inside all the same shops where you nod recognition to the same bored assistants who’d rather not be there either. Instead, you walk over to W H Smiths, holding yourself like a cracked vase, for a copy of a well known highbrow UK broadsheet newspaper. You bring it back to the car and sit down to read but give up on page two, having been poked in the eye several times already by the word SEX, like in some sleazy tabloid from the Eighties where at least the girls got their tits out in an uncomplicated way and didn’t pretend they were doing it for any other reason than to stir a bloke’s loins and sell newspapers. And you’re thinking, dear editors, I’m feeling old and knackered today and I don’t want to know about that sort of thing any more, and really just grow up will you and give me some news, and some intelligent analysis!

But that’s illness for you – it makes you impatient. It makes you intolerant. And suddenly that seems no bad thing. Cut the crap. Keep it real. For God’s sake keep it real.

Then it’s day day four, and you’ve missed your Tai Chi class the day before because you thought you weren’t up to it, so you try to compensate by doing a bit of catch up in the back garden. You’re okay with the warm ups because you take them slow, but then you try the Sword Form and you manage only half way before your forehead’s touching the cool wet September grass in defeat, and the sword’s dropping from your hand, inviting the coup de grace. And you realise you’re a long way from being a hundred percent, that it’s work tomorrow, but you’ll be going in anyway if for no other reason than it’s crap being sick at home and staring at the wall-paper.

So,… to the person at the pre-packaged-pasta-salad-with-chicken-thingy factory who forgot to wash their hands that day, I say in all irony,  thank you very much!

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