Re-Design my Pain


Todd Sampson reminded me on ABC TV last night that I can Re-design my Brain when it comes to my chronic pain. The three principles that I should meditate on for ten minutes a day are:

 

  1. This pain will pass,
  2. The pain can’t hurt me, and
  3. This pain won’t stop my body doing all (or most) of what I want.

 

The first principle is for those times when the pain flares up and is an invitation to live in the present. It is a reminder that in the future, I won’t have this pain. The future may be after I have slept tonight. The future may be after I have pulled the emergency cord and taken a pain holiday by consuming what my GP calls any “uh-zepam” drug. The future may be the next general anaesthetic I will some day have. The future may be after my death. It doesn’t matter how rare the future or how far out into the future, just the fact that there is a future where the pain changes for the better.

 

This pain will pass. Hang on to that.

 

This pain can’t hurt me. If I break my arm and then lift a heavy suitcase, that will hurt me. But my constant companions, the pains in my back and feet are not the result of new tissue damage or broken bones. I don’t have to limp because of my sciatic legs. The pain is just there, and movement will not make anything worse. In fact, movement may make things better.

 

Better to move than seize up. This pain can’t hurt me.

 

My body, considering all the things that are wrong with it, works very well. I can feel the wind on my face and see the waves down at the beach. I can hear the magpies sing their joyful carols. I can embrace those I love, and set my grandchildren on my knee and take them riding in my wheelchair. I walk three kilometres five mornings a week. I enjoy three meals a day. I can sit and type and engage my brain and fingers setting devious crosswords and writing stories.

 

Yes, I do have to work around the limitations of mobility that pain imposes on me. But my body can do most of the things I want to do.

 

Whenever I begin to be distressed by my pain, I can remind myself of these three statements of fact:

  1. This pain will pass,
  2. The pain can’t hurt me, and
  3. This pain won’t stop my body doing what I want.

These devious affirmations will change my brain’s perception of pain, and I will carry on.

 

 

 

 

 

 

 

 

As At The Dawn


As At the Dawn

 

Because you love them free as they are
They say you have nothing to say

 

Because you put on a human face
They say you’ve hidden yourself

 

Because you’re all heart God
They say you’ve gone to sleep

 

Because your Spirit cannot be grasped
They say everything has gone wrong

 

Because you refuse to collude with evil
They say you’re good for nothing

 

Because you don’t crush people
They say they haven’t called on you

 

Because you’re not just any God
They say you’re just anything

 

Because you made me in your image
You are also everything they say

 

Dear God won’t you take pity on me?

 

Original French P. Fertin “Comme à l’aurore”, Paris: Desclée, 1974, p. 17
Translated by Ted Witham 2013

 

This Painful Life


Every minute of every day, I experience pain. People say how hard it must be, and I don’t disagree. It just is. I have experienced pain since my late teens. I recently turned 63, and the pain has really been both continuous and severe for the past 20 years.

There are days when I complain about it. Not so much the pain as the extra limits it places on my life: less mobility, so a walk on the beach turns step by step into agony. Less ability to sit, so an evening at a restaurant becomes 20 minutes before the pain just makes me, well, go home. At least in recent years, I’ve learned that I have to either pre-order, or choose a restaurant that serves me quickly.

Doctors now recognize chronic pain as a disease of the nervous system or of the brain. That’s not to say that the pain is all in the mind. Rather it points to the mis-firing of the brain’s systems for experiencing pain. In chronic pain, the nerves that bring messages of pain to the brain and the systems that interpret sensations and the brain’s own map of the body are all out of whack, like an orchestra playing out of tune and out of time.

In my case, it’s as though the brain is replaying pain from previous injury to my spine. Ghost pain messages play havoc in my brain. For other people, the ongoing pain may not relate to tissue damage at all, but it arises, a mystery with no obvious cause.

On a scale of zero to 10, where zero is no pain and 10 the worst pain imaginable, my pain sits uncomfortably around 7 most of the time. Others with chronic pain have more fluctuation.

Pain is one thing. The experience of suffering is another. Both pain and suffering are mysterious experiences. But the extent to which a person suffers from their pain is partly a choice.

Rae Scott's cover "The Secret of Mount Toolbrunup"
As a young man, I climbed Mount Toolbrunup. In W.A.’s Stirling Ranges, Toolbrunup’s the toughest climb, because loose scree covers its steep sides. You scrabble up two or three steps, often on hands and knees, and then slide back one or two. It’s exhausting. Even though you seem to make no progress, the skinned knees and knuckles don’t make you suffer. You are climbing. An interesting activity engages you, and if you lift your head high enough, you see better and better views.

Climbing Mount Toolbrunup is a bit like living with chronic pain. You scrabble along. Your way is exhausting and the pain is real. But you are engaged in something other than the effort to move along: the fascinating activity of life. If you lift your attention away from the pain, you see how absolutely captivating life is. You see people to love, usually those who love you. You see an extraordinary world full of natural and man-made marvels; planets and meerkats and the Sydney Harbour Bridge. You choose interesting activities, reading, watching movies and setting crossword puzzles are some I choose. Life is there to be lived.

Or you can choose to suffer. Chronic pain is different from many illnesses. If you break a leg, it gets better. If you have diabetes, you can take insulin. There are pain pills, but they don’t always work. Meditation and exercise form the best base treatment for chronic pain, but note: you have to work at them. You have to choose.

The pain is unrelenting. I have many strategies to keep me sane, even cheerful. I don’t underestimate the climb. Researchers have found, for example, that chronic pain is experienced in the same region of the brain as depression. For many people ongoing pain and deep depression go hand in hand. It’s easy to slip into the chasm of depression, and I have once or twice.

But in the end, I choose. I choose to minimise the pain and limitations, and as well as I can, I choose not to suffer. The view’s great.

Mount Toolbrunup

God Pictures


The worst thing that the Western church has done is that we have turned God into a man. Ask any six-year-old to draw God, and she will emulate Michelangelo and draw an old man with a white beard. The orthodox Christians, the Jews and Muslims have taken much more notice of the second commandment: “Thou shall not make of the Lord thy God any graven image.” (Exodus 20:4).

And God said...
And God said...

We may not believe that God is literally a human being, but we picture a transcendent God in physical terms. Children may believe God is the “Friend for little children//Above the bright blue sky” in an absolute literal sense, and adults often believe transcendence describes God’s distance from the physical creation.

It’s true that the Bible often anthropomorphosises God: God walks out before the armies of Israel; God picks up and cuddles the human person, like a mother and baby (Hosea 11:3-4). In general, however, the Bible has a sophisticated notion that God is (a) holy, that is set apart from his creation, and (b) intimately involved in creation.
God is a wind (Genesis 1:3), an unseen and uncontrollable energy that stirs up of the raw materials of creation. God “sits above” the thunder and lightning (Psalm 39), more powerful than the raw energy of the storm. God stills the seas (Psalm 65:7), not with a giant hand, but with an irresistible will.

If you have chronic pain, your picture of God matters. If you think God is a sophisticated human upgrade, if you make God in the image of human beings, your God will not be strong enough to make a difference to your pain. Your picture of God will limit your ability to receive the powerful healing God wants for you.

In the last ten or so years, my picture of God has changed radically.

Sometimes this journey has been dangerous. I have wondered if I have lost my faith. The God I had believed in was not big enough, and certainly not powerful enough to positively affect my pain, and I had to let go of that picture of God.

In Peter Jackson’s 2001 film, The Lord of the rings: the Fellowship of the Ring, an underground sequence has the wizard Gandalf confronting a Balrog on a crumbling rock bridge. The hobbits run as fast as possible to get to safety. Gandalf falls with the monster to their death. Growing your faith in God is like that rush across the bridge of Khazad-dûm. When you let go of your picture of God, everything crumbles and precious ideas die.

But let me encourage you. The only way to have a picture of God adequate to your pain is to stop believing in the God you think you know. There is a well-trodden path to this believing atheism, and it is the path of mysticism.

1. Any picture of God you have is by definition too small. To continue to believe in it is to commit idolatry. You have no choice but to let go your picture of God.
2. When you let go of God in this way, you become an atheist in the sense that you have no God to hang on to. What you must then believe is that God is hanging on to you. You cannot know what manner of God this is, you need to trust only that you are being held.
“Blessed be the Lord day by day,
who bears us as his burden;
he is the God of our deliverance,” says the Psalmist (68:19)
3. As this trust develops, so you may begin to grope towards a new understanding of the God who is holding you. You may for example, begin to find new metaphors to describe God. God is energy; God is universal heartbeat, God lives as the tiniest cell in living things. These God-cells begin a process of healthy change in your body, and your pain is reduced.
4. But these are again pictures of God. The irony is that the process of letting go of your new pictures of God must continue.

In the audio for this session, I invite you to image a Spirit, a larger reality and to open yourself to encounter this Spirit. In this process, you may experience the reality of how deeply you are loved, how surely you are held, and how extraordinary is your future in this compassionate universe. This is what I call, and only for convenience’ sake, “contemplation”, the experience beyond muscle relaxation and centring.

I invite you to relax further into this journey into the Unknown God. I encourage along the only path through deeper atheism, which as it unfolds leads to a deeper experience of the power of God in healing your mind/body.

Meditating with the Aware Ego


Our minds are capable of standing back from ourselves. With the power of imagination, our minds can invite beneficial influences to reduce pain and to increase endurance.
Imagination is fun to use, and images begin their magic by engaging our emotions.
You can download this week’s Meditation (Level 2 – using the mind to reduce pain) from http://www.blognow.com.au/manager/add_entry.php?t=pod&up_id=83432

Relax: it reduces pain.

THe meditative state allows us to stop being aware of past pain, and to stop worrying about future pain; we have just cope with whatever there is in the 1-3 second gap that we experience as the ‘present moment’.


Progressive relaxation is a simple technique of relaxing muscle groups progressively through the body. It almost always reduces pain. More importantly, it can prepare the body and mind for meditative state, in which we focus on the present moment of awareness. This allows us to stop being aware of past pain, and to stop worrying about future pain; we have just cope with whatever there is in the 1-3 second gap that we experience as the ‘present moment’.

The audio should help. I find it best to listen in a comfortable chair with earphones of some sort, an mp3 player is ideal. Otherwise, use your computer speakers and be seated comfortably before you press ‘play’.

THe file is an mp3 file, and Windows Media (which should be built into your computer) will play it if you have no other means. If you listen on the computer, turn away from the screen so that the visual imagery doesn’t distract … especially on Windows Media!

You will find the audio at http://www.blognow.com.au/uploads/t/twitham/83309.mp3 (shhh! It’s on my other blog. I wasn’t allowed to upload the file to this one!)

Relax and enjoy.

Meditation, not medication


Meditation

The calm of Meelup Beach, near Dunsborough WA
The calm of Meelup Beach, near Dunsborough WA
I have been teaching meditation to groups on and off for 30 years. I am always astounded by the depth of response that people make. Meditation usually feels good, and people often love the sense of freedom that meditation opens up for them.

I divide meditation into three levels: progressive muscle relaxation, meditation (guided imagery) and contemplation (openness to encounter). These labels are very artificial. Other people use these labels differently. But I find my labels of the three levels helpful enough. In any case, as you go on in your practice of meditation, you will find the three levels melting together.

For those of us with chronic pain, however, it is helpful to see three ways in which meditation helps our pain.

Firstly, the muscle relaxation reduces pain. Whether our main area of pain is caused by muscle tension or not, we all increase our pain by the way we hold ourselves to compensate for the pain, or we put some muscles to extra work for which they are not ideally fitted. As we relax muscle groups in this form of meditation, other muscles around them also relax. On some days, we will find our whole body very deeply relaxed, on other days, not so much. But even limited relaxation reduces pain.

Secondly, the guided imagery assists our mind-body system in locating and managing our pain. Our brains have a map of the whole of our body, and significant interchange takes place between this map and where our pain is. The part of my brain where my thoracic spine is represented sends and receives messages from the spine. Using imagery about the specific area of pain opens up healing possibilities for the brain.

At the third level, in contemplation, the relaxed mind-body opens itself to the possibility of encounter with something other than itself. This ‘something other’ may be a spiritual reality, or it may be the ‘collective unconscious’ where we meet at a deep level with the whole human race, or it may be a construct of our minds. We will describe and understand this encounter according to our beliefs. But the ability to open ourselves to a spiritual power much greater than our own increases healing possibilities, including the relief of pain.

MINDFULNESS

Practising the Presence
Practising the Presence
The other powerful aspect of meditation is the way meditation cultivates ‘mindfulness’, or a sense of the presence of God. Meditation does not focus on the nature of God, so much as on the reality of presence. For the 17th century Carmelite friar, Brother Lawrence, cultivating the presence of God at all times, even in the dreariest drudgery of the monastery kitchen, was the secret of his happy life.

Being totally in the present moment removes from us the nostalgia for the past and anxiety for the future. In meditation, we are reminded that we are as we are at this moment. This moment is the only moment we have to live. We cannot live in the past. We cannot bring forward the future to live it now. We are alive in the present.

Much of the sting of our pain can be taken away if we limit it to the present. We are experts at remembering how painful our bodies were. We are superb at looking into the future with fear at how much pain we will have to bear. But if we practice mindfulness, we have to live only with the pain we have right now.

The best way to learn meditation is in a group. Churches, Buddhist and community centres often offer classes in meditation. Before you join, you need to find out enough about them that you feel comfortable with them. You will be entrusting yourself to the leader at a time when you are surprisingly vulnerable.

Also check out whether they will make allowances for your health difficulties. While there may well be a level of physical challenge in meditating, it should not be so rigid that you do not have the opportunity to learn.

In the next three posts I will teach you (1) how to relax your muscles and reduce pain, (2) how to meditate and use guided imagery and non-imagery to banish pain, and (3) an exercise in ‘contemplation’ in which you will be invited to allow a power greater than yourself to take away some of your pain.