Richard G. Petty, MD

Banquo’s Ghost

“Chess is the game which reflects most honor on human wit.” — Voltaire (a.k.a. François-Marie Arouet, French Writer and Philosopher,  1694-1778)

For anyone with even a passing interest in chess, a re-unification match for the World Championship is currently taking place in Elista, the capital city of Kalmykia, a small region of the Russian Federation that is Europe’s only Buddhist country. Though I’m sure that some would quibble about whether it should be in Europe or Asia.

The beginning of the match between two of the world’s top Grandmasters – the aggressive Bulgarian gambler Veselin Topalov and the conservative Russian, Vladimir Kramnik – has led to and 2-0 score in favor of the Russian.

So why am I mentioning this is a blog dedicated to Personal Growth, Healing and Wellness? Because the current one-sided score line has a lot to do with each of these topics. This match is not just about chess playing ability: it is also about psychological and emotional strength, character and resilience.

There was a time when chess masters were unfit, often over-weight and the majority smoked. When I first started playing in tournaments in England, it was quite normal to have ashtrays beside most of the boards.

Oh how things have changed!

Now the players prepare physically, psychologically and some even spiritually with prayer and meditation:

  1. Very few players smoke, not just because of long-term health risk, but because the deleterious effects of lowered oxygen levels on cognition outweigh the short-term improvement in attention caused by nicotine.
  2. Aerobic exercise is essential to ensure that the brain is perfused with oxygen, and if you are physically unfit you cannot expect to survive a number of games that may each last for five or six hours.
  3. Strength training is also essential to overall fitness and physical and the maintenance of psychological resilience. Topalov is going to need that now.
  4. Posture is extremely important. According to Chinese and Ayurvedic physicians and chiropractors, bad posture results in a restriction in the flow of Qi, Prana, or blood. Whether or not you believe in the flow of Qi in the body, it is easy to demonstrate that bad posture has bad effects on cognition.
  5. Flexibility is also an essential part of physical wellness that affects you psychologically as well as physically. Daily stretching should be part of everyone’s life.
  6. Relaxation and meditation: one or other or both are essential tools for maintaining your balance while under stress, and for building resilience.
  7. Diet: a carefully balanced nutritious diet rich in omega-3 fatty acids (without any added mercury!) and fiber is essential for optimum mental functioning.
  8. Fluid intake: the current recommendations are for a healthy person to drink between 80 and 120 fluid ounces of pure water each day.
  9. Avoid alcohol: A former World Champion – Alexander Alekhine – lost his title after turning up drunk on a number of occasions during a match to defend his title.

Looking at the pictures from the match, in both games Topalov looked intense and Kramnik far more relaxed. It could have been an illusion: I would need to be in proximity to be sure. In the first game Topalov took a needless risk in a dead level position. In the second, he had an absolutely won game. I’m no grandmaster, but even I spotted a win in three moves. How could he have failed to find it and then lost?

What is the explanation? Chess players have to play a certain number of moves in a specified time, so not only are they playing their opponent, they are also playing against the clock. The biggest prize in the game is on the line, for which both players have been preparing since childhood. And there are hundreds of thousands of people who are watching and analyzing their every move.

I know from personal experience that it can be hard enough to be interviewed on a television show being watched by millions of people, where any false statement would haunt me forever. Imagine having a battle of wits with one of the finest chess players in the world in the knowledge that every move will be analyzed for the next century, and computers are already analyzing every permutation of every move that the two players have made.

The stress on the players is unbelievable. Both have prepared for it, but it is also a matter of who has prepared best: that is a mixture of temperament and training. Just today I read an article talking about ways of avoiding stress. This is silly: stress is part of life and it can provide the motor in motivation. The trick is how we learn to respond to stress.

There is also another stressor that has only been felt by world championship contenders on two or three previous occasions. This match is being played in the shadow of the retirement of Garry Kasparov, who, in the opinion of most people, is the strongest player who ever lived, with the possible exception of Bobby Fischer. The difference is that Bobby became World Champion all by himself, with little help and by inventing a new approach to chess. It is a great tragedy that his life has apparently been blighted by mental illness, and that he has played only a few recorded games in the last 34 years.

By contrast, Garry was the strongest player in the world for twenty years, and in the opinion of most experts would probably still beat both of the current contenders. So whoever wins wants to prove himself a worthy champion. Garry’s specter remains like the ghost of Banquo in the Scottish play.

The final essential is that both players have to detach from the results of the first two games. Kramnik will obviously have his tail up now, but he is too smart and too experienced to give in to complacency. Topalov has to completely forget about the first two games and focus on what lies ahead: I’m sure that he has someone on his team working on simple techniques to stop the past from populating his psychological present.

Whatever lies ahead for these two men in the next few weeks, we shall see that chess is a microcosm of life in general.

“What is needed, rather than running away or controlling or suppressing or any other resistance, is understanding fear; that means, watch it, learn about it, come directly into contact with it. We are to learn about fear, not how to escape from it.”
–Jiddu Krishnamurti (Indian Spiritual Teacher, 1895-1986)

Karma

The Sanskrit word karma has been part of our vocabulary since the late 1960s. Over thirty years ago I was speaking to one of George Harrison’s lawyers in London, who had followed in the footsteps of the Beatles and flirted with Transcendental Meditation. He told me that karma just meant “fate,” which was not at all what I’d been taught.

I’ve just seen a number of articles that have used the term very loosely. What is even more perplexing is that often the same writer will talk about karma as a causal law, and then immediately start talking about quantum mechanics, in which many actions are not causal at all. Some even start dabbling in synchronicity, forgetting, perhaps, that the subtitle of the original paper by Carl Jung and Wolfgang Pauli was “An Acausal Connecting Principle.”

It’s important to get it right: if we misunderstand a law or principle of life, it’s difficult to stay on track. And we have to realize that although there are plenty of opinions about karma, synchronicity, quantum mechanics and the rest, there are also some real objective facts to guide us.

Let me give you an example of one of these articles: “Karma deals with the law of cause and effect. Everything that happens to us (effect) has had a previous cause. The evolution of karmic law means that we can be master of our own destiny. Your karmic lessons in life reflect the qualities that you either lack, or are weak in, and are those hindering your success…” This is so contradictory. There is no place for chance, yet you can master your destiny, despite the fact that your behavior must have a previous cause. This isn’t just circular reasoning; it’s more like pretzel logic!

So is karma complicated? Is there a simple way to understand it and work with it?

Karma means “action,” and it refers to the intentional acts of conscious beings. These acts may be physical, or they may be thoughts or feelings. Intentions results in acts that cause effects in the mind, the body, the subtle systems, our relationships and our spirituality. This way of looking at karma links inextricably with the evidence being generated by the Global Consciousness Project.

His Holiness the Dalai Lama in his book The Universe in a Single Atom makes a clear distinction between the operation of the natural law of causality, in which some action will have a certain set of effects, and the law of karma, in which an intentional act will reap certain results. He uses a good example: if a campfire gets out of control in a forest, the resulting fire, smoke and charcoal are simple, natural and expected results. By contrast if you light a fire and forget to put it out, which then causes the chain of events: that’s karmic causation.

I this view, the large-scale universe evolves according to causal laws. When it has evolved to the stage of supporting sentient life, now the fate of the universe becomes entangled with the karma of the sentient beings that now inhabit it. But there’s something more to it.

Matter in its most subtle form is Qi or Prana, a vital field energy that is inseparable from consciousness. The Qi or Prana provides dynamic movement and cohesion, while consciousness provides awareness, cognition and self-reflection. This indivisible pair produces our bodies and the universe as a whole. Every particle in the universe possesses conscious awareness, but it is not until sentience arises that the law of karma comes into play.

In Kriya Yoga there has been the development of many complex ideas about karma, subdividing it into multiple types, and with advice on how to attract good karma and dispel the bad. For students who would like to go into these distinctions in more detail, there a very nice short book entitled The Laws of Karma.

Because karma implies that the universe is lawful and moral, it has often been misinterpreted as fatalism. But that s not correct: every decision is a product of free will. To be sure, it is a free will that is tempered by the causal forces of our genetic makeup and environment. One of the major goals of self-development is to free yourself from the restrictions imposed upon you by your genes and your environment, so that you can make decisions that will generate the greatest good for the largest number of people.

What we must not do is to use karma as an excuse. If you are playing a game of cards, you play the hand that you are given. There’s no point in complaining about your bad luck: your learn how to make the best play wit the cards that you have in your hand.

“Knowing that his past actions may try to overwhelm him, the devotee must be prepared to combat them. God will give him the strength: His Name will be an impenetrable armor. It will save him from all the consequences.”
–Swami Brahmananda (Indian Religious Figure, 1854-1922)

“It is horrible to see everything that one detested in the past coming back wearing the colors of the future.”
–Jean Rostand (French Biologist and Historian, 1894-1977)

The Ethics of Complementary, Alternative and Integrated Medicine

In my recent item about ethics I mentioned that Paul Root Wolpe from the University of Pennsylvania is interested in the ethics of Complementary and Alternative Medicine (CAM), and, by extension, its offspring, Integrated Medicine. This caused some raised eyebrows, but it shouldn’t.

Using unorthodox therapies carries a number of ethical and moral responsibilities.

When I was still on faculty at the University of Pennsylvania, on one occasion I caused outrage amongst many friends using natural medicine, when I pointed out on a TV show that just because something’s natural doesn’t mean it’s safe. Think arsenic, deadly nightshade and hurricanes! But there is more to the ethics of CAM than just the safety of the treatments involved.

Just a few months ago I was asked to look at a study by someone claiming to debunk one of the tapping therapies. Neither the investigator nor the practitioners and patients inveigled into the “research,” understood the principles of informed consent. This is important: one of the many consequences of the Holocaust was a re-consideration of what to do with medical “data” collected by Nazi doctors in the most unprincipled ways imaginable. Should the data be kept, so that people would not have died in vain? Or should it be destroyed, because information from unethical experiments was tainted. After a great deal of heart searching, it was decided that any information obtained under those circumstances was likely to be junk. This is one of the reasons for the absolute insistence on informed consent. I shall say something else about consent in just a moment.

Let’s have a look at the ethical issues involved in CAM, because much of the criticism of the emerging models of healthcare has come from people genuinely concerned about patient welfare.

  1. If we do anything with or for an individual, there has to be informed consent. Informed consent includes full disclosure not just of the chances of efficacy, but also of the possible toxicity of a treatment and an agreement of what we hope to achieve. A therapist may want to balance your Qi and stop you getting sick in the future. You may just want to be rid of your headaches. When we ask about the chances of efficacy, we all run into the problem of positive bias. I was once planning some research with a very well known practitioner in the UK, who told me that he cured every single person he saw, whether they had cancer, schizophrenia, heart disease or anything else. I was astonished, and asked him for something to backup what he said. He flew into a rage! “How dare I question him?” he said.It soon turned out that although he probably was a genuine healer who got a lot of people better, he had no evidence at all. It was like a study in the medical arena in which the investigators decided that anyone who did not come back for treatment was cured! Not a common reaction if someone fails to turn up for an appointment!
  2. People often say to me that there can be no harm in giving someone a homeopathic remedy. And of course, from a purely physical and psychological perspective, that’s probably true. Though I once participated in an experiment in which I took the homeopathic remedy Pulsatilla, that is prepared from the Passion Flower. I had what is known as an exacerbation, and was unable to function for several hours. But we also need to think about some of the other things that can follow from using treatments that work at the level of the subtle systems. One of our biggest objections to people who believe that they can do acupuncture after a weekend course, is that acupuncture, homeopathy and the rest are powerful medicines. Putting a needle into the wrong part of a person’s anatomy may not just cause physical harm, but can do extraordinary things to a person’s subtle systems. A fact that is exploited in some martial arts. In the Jet Li movie Kiss of the Dragon, Jet uses acupuncture needles to do some extraordinary things. The filmmakers used little artistic license: with one exception I have personally seen all of the things demonstrated in the movie.
  3. I mentioned that informed consent includes full disclosure about the chances of efficacy and toxicity of a treatment and agreement on therapeutic goals. We can find ourselves in a real ethical dilemma when patients have unrealistic expectations for an untested remedy. Sometimes people don’t inform their patients realistically, and they rationalize it as either choosing not to remove hope or as providing support. But we have to be sure that we are not supporting potentially dangerous or harmful decisions. The problem is not necessarily the treatment itself. Using an untested treatment in place of something that we know can be effective can also lead us into difficult ethical waters. Regular readers will remember a sad case that I highlighted a few months ago.

I’m all for holistic therapy: the less invasive the better. I’ve spent the last 35 years helping develop new and better ways of integrating treatments.

But it’s really important to be realistic, to use what we know works and if we don’t know if a thing works, then to be totally honest with the individual, and keep meticulous records of why we want to use an untested remedy in combination with the conventional.

In the 1980s, the Research Council for Complementary Medicine began to train complementary practitioners in the basics of research, so that they could be better at obtaining informed consent and monitoring the effectiveness of treatments that they were using. We had some success, and it is high time that we helped practitioners in other parts of the world do the same thing.

People Dangerous to Your Health

I found a terrific blog with the title “Warning: Bores and buffoons may endanger your health.”

Our ability to self-regulate is a limited resource that fluctuates markedly, depending on our prior use of willpower, tiredness, stress and our personal resilience.

A new study by a team lead by Professor Eli Finkel of Northwestern University has shown that poor social coordination impairs self-regulation. What does this mean? If you are forced to work or interact with difficult individuals you may be left mentally exhausted and far less able to do anything useful for a significant period of time. In other words, draining social dynamics, in which an individual is trying so hard to regulate his or her behavior, can impair success on subsequent unrelated tasks.

In the research, volunteers were asked to work in pairs to maneuver an icon around a computer maze, with one volunteer giving the instructions, the other moving the joystick. Those operating the joysticks were actors, primed to respond to instructions in slow, stupid, inefficient and generally irritating ways. What was interesting was that the effects were not mediated through participants’ conscious processes: they were almost entirely going on below the level of conscious awareness.

There is extensive literature on the consequences of social conflict. But until now, very little research has been conducted on the effects of ineffective social coordination. That has been a big gap in the research literature, particularly given the fact that most of the higher systems in our brains are dedicated to social functions, and since the earliest days of our hunter-gatherer ancestors, tasks requiring social coordination have been the norm. In our day-to-day activities we have to cooperate with other people. Ineffective social coordination consumes a great deal of mental resources and has high costs for subsequent self-regulation. This is so important, because self-regulation is essential to living life well. It is also essential to the existence of a well functioning society.

What to do with this new information?

Identify people who drain you. If you need to work with them, do it in short bursts, and give yourself plenty of time outs.

And continue to build your resilience.

There’s also one other piece, that we’ll look at another time. Some people may also drain your energy directly. You may have come across "energy" or "psychic vampires." They really do exist, though there is nothing supernatural about them, and they don’t have fangs or an aversion to garlic. In another post I’ll show you some techniques for dealing with those people as well.

The researchers have done us a great service by putting the entire paper on the departmental website. Access is free.

A Gene for Infidelity?

Last January I wrote about the link between creativity and promiscuity.

I’ve just picked up this month’s copy of the Mensa Magazine, published by British Mensa  and there’s an interesting article by Dr. Desmond Morris entitled “Why brilliant men betray their wives.” Desmond is a national institution in Britain. A zoologist, ethnologist and surrealist painter, he always used to be on television and gained considerable notoriety for his book The Naked Ape that tried to explain human behavior by analogy with apes.

In his latest article Desmond follows some of the same reasoning that I did in my article: many intensely creative people also enjoy risk taking. He just talks about males, but I think that the same principles apply equally to many intensely creative and successful women, who also enjoy taking extreme risks.

Every act of creation demands that we see, feel or think differently about something. Desmond says that every piece of innovation or creativity is an act of rebellion. I only half agree with that: the truly creative person is busily establishing a new level of order. The creative rebel is a stereotype that’s not born out by experimental work on genius and creativity. The creative or innovative act is one of making new connections and in a sense it is also a moment of risk-taking, for the new technique, formula or invention may fail. We recently discussed the way in which resilience is a key to creativity: to keep going in the face of failure or adversity. Even the most highly creative are not every single day: I have known many Nobel Prize winners and award winning artists, and they all have their off days.

Desmond’s article highlights the multiple extra-marital affairs of Albert Einstein, John F. Kennedy, Charlie Chaplin and Bertrand Russell.

He argues that it is the innate compulsion to take risks that leads both to creative brilliance and an inability to remain with just one partner. He pursues the idea that our distant hunting ancestors required a new personality trait: bravery. The successful needed to take risks and be courageous. Desmond then again excludes women from his equation, saying that their reproductive contributions to the tribe made them too important to risk on the hunt. He now fast-forwards to the present, saying that the offspring of the adventurous males could either engage in physical risk-taking or explore new ideas. And that their curiosity leads them to explore not just ideas but novel sexual experiences. Once a “conquest” has been made, the risk-taking adventurer moves on to a new target.

It is certainly true that men are far more likely to die in accidents than are women, but it’s a bit of a stretch to attribute all of that to risk-taking. What about the male difficulties with multi-tasking and to resist peer pressure, to say nothing of much higher rates of substance abuse?

And yes, fame, power and wealth can be powerful aphrodisiacs. But to reduce immoral, dangerous and disrespectful behavior to a risk-taking gene from our distant ancestors seems to me to a wild extrapolation based on a very selective use of a small amount of information.

Because infidelity surely has many more strands to it that just a genetic “itch.” Many highly successful people are enormously narcissistic and so fail to take into account the damage that their infidelity might do to their spouse and children.

Seeing sex as no more than a branch of gymnastics is also off the mark. Even a casual encounter will likely contain emotional, subtle and even spiritual components. If a relationship is failing because those are all missing, it is no surprise if a spouse investigates divorce and other options. But that is not risk taking: it is fulfilling a need that is not being met by the current partner.

Dark Matter and Subtle Energies

There have been many attempts to explain observations about subtle energies, Qi and Prana. Amongst the most promising scientific candidates is dark energy and dark matter. The trouble has been that it is a fundamental mistake to try and explain one mystery – subtle energies and subtle systems – with another: dark matter and dark energy.

So I was delighted to see that Scientific American is reporting on a new paper in the coming edition of The Astrophysical Journal Letters.

For almost 75 years, astronomers, cosmologists and physicists have deduced that ordinary matter must be surrounded by vast quantities of an invisible substance that is not substantial enough to collide with atoms or stars but massive enough to keep galaxies from flying apart. Named dark matter, this mysterious material has eluded the most careful means of detection, but has been assumed to exist because of its gravitational impact.

Observations of a relatively recent collision of two galaxy clusters have finally proven the existence of dark matter. The discovery is a triumph of perseverance, creativity and rigorous mathematics.

My own understanding about all this is that dark energy and dark matter may indeed be the mechanism by which these subtle energies interact with our universe. But beyond or within that lies something else: Consciousness, Mind or the Informational Matrix. This is the realm of the One, the First Cause.

Why all this matters to us, is that this new research provides further evidence that there is more to the Universe than the things that we observe with our normal senses. It already has us thinking of ways in which this will likely impact our maintenance of health and management of illness.

We had to learn about dark matter from observations of the unimaginably large, but it has implications for the very small: the fundamental structure of the systems and materials that constitute our bodies.

“We perceive and are affected by changes too subtle to be described.”
–Henry David Thoreau (American Essayist and Philosopher, 1817-1862)

T'ai Chi Ch'uan and Health

I have written about some of the research into the health benefits of T’ai Chi and Qigong.

I was very pleased to see that this month’s issue of T’ai Chi: the International Magazine of T’ai Chi Ch’uan dedicated several pages to some of the research that is being done on the field and advised practitioners to participate in local research projects.

It was that last piece of advice that I particularly liked.

The article by Charlotte Jones, a Chen Style practitioner from Houston, is not a critical review of the literature, and neither is it supposed to be. It lists some of the key findings from studies on balance, osteoporosis, pain and arthritis, blood pressure and cardiovascular health without going through their pros and cons.

But a short list like this is a good jumping off point if you are starting to look into learning T’ai Chi and would like to know some of the possible benefits.

I shall also continue to provide you with more critical reviews of studies as they come out.

Sex Drive and Relationships

The BBC is reporting on an article published in the journal Human Nature.

According to the report – and I haven’t yet seen a copy of the original research – investigators from the Hamburg-Eppendorf University in Germany found that the sex drive of many women begins to plummet once they are in a secure relationship. They found that four years into a relationship, less than half of 30-year-old women wanted regular sex.

Conversely, they found that a man’s libido remained the same regardless of how long he had been in a relationship. The researchers interviewed 530 men and women about their relationships.

They found 60% of 30-year-old women wanted sex "often" at the beginning of a relationship, but that within four years of the relationship this figure fell to under 50%, and after 20 years it dropped to about 20%.

And here’s a shock: The study also revealed tenderness was important for women in a relationship. About 90% of women wanted tenderness, regardless of how long they had been in a relationship, but only 25% of men who had been in a relationship for 10 years said they were still seeking tenderness from their partner.

The researchers then start talking about the evolutionary implications of all this: that women evolved to have a high sex drive when they are initially in a relationship in order to form a "pair bond" with their partner.

That is all quite plausible, but it is a usually a mistake to try and reduce human behavior to hormones, neurotransmitters and evolutionary drives.

Most men and most women may well have different sex drives, and the duration of a relationship may play a part. But it is just as likely that we are seeing the effects of having children who need lots of a couple’s attention and a natural reaction to one or both partners focusing more on their careers and outside activities rather than on the relationship.

In Healing, Meaning and Purpose I talk about the best solution to tired relationships: it’s not a matter of trying every variation in the Kama Sutra. The most valuable thing to ensure the viability of intimate relationships is not so much to try to learn lots of different techniques, but instead to make the time together really count. There is nothing quite as attractive as an intimate occasion marked by complete focus on and awareness of the other person. Feeling the dance of the duality, focusing on all your senses, and, if you can, feeling the subtle systems of the other person.

Simple things that have rescued countless relationships. And a lot cheaper than hours of therapy.

Surviving Airplanes

I’m an extremely frequent flier: in an average year I fly the equivalent of ten to twelve times around the world, or all the way to the moon and part of the way back. So I’ve had to learn all the tricks for surviving countless hours in the air.

Some of them you will know already: keep hydrated, avoid alcohol, move and stretch whenever you can. I’ll soon be posting my jet-lag strategies.

But I wanted to let you know about a product that I’ve been using for years: it’s now called Yarrow Environmental Solution. I’ve certainly found that it’s been very helpful in reducing some of the exhaustion that is a common part of long haul air travel.

There is a piece of unpublished research that seems to confirm that the remedy is having a measurable effect. I wish that I had the time to do a more extensive study to see whether my observations have a scientific basis.

Current scientific models can’t explain how the flower essence could possibly work. Yet my observations and those of many students and patients are that it can be very helpful indeed. Not just to frequent fliers, but also for people who spend a lot of time in front of computer screens or under artificial light.

If you are exposed to any of these things, and find yourself constantly drained and exhausted, you may find this essence very helpful, as part of a package of Integrated Medical care.

Regular readers know that I’m most insistent on full disclosure. So I can reveal that I have absolutely no relationship with the manufacturer, other than buying bottle of their essences.

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Revisiting Resilience

“I don’t measure a man’s success by how high he climbs, but how high he bounces when he hits bottom.”
–General George S. Patton (American General, 1885-1945)

Resilience is the process of being able to adapt and to thrive in the face of adversity, stress, trauma, tragedy or threats. A resilient person is les likely to succumb to any of these life events and is less likely to develop mental illness. But resilience is more than a passive strength or resistance to the slings and arrows of outrageous fortune: it is a dynamic capacity that not only protects us, but enables us to turn adversity into strength and an opportunity for growth.

Despite our extraordinary health care system and a multi-billion dollar antidepressant industry, the rates of depression are increasing throughout the Western world. A recent book has suggested that boredom was unknown before about 1760: the beginning of the Industrial Revolution. All this tells us that something is seriously wrong with our resilience.

“The measure of a man is the way he bears up under misfortune.”

–Plutarch (Greek Biographer and Priest to the Oracle at Delphi, A.D. 46-c.120)

In Healing, Meaning and Purpose, I pointed out some of the incredible changes that have taken place over the last one hundred years, and their impact on health. To try and apply the principles of the past to the problems of the present and future is unlikely to be crowned with success. We need to adapt. Buddhists do not normally eat meat. Except for Tibetan Buddhists, who need to eat some meat in order to survive at the high altitudes of the Himalayas. I have a good friend who created the finest integrated medicine clinic in the world, the Hale Clinic in London. Normally an abstemious vegetarian, when she was embroiled in business meetings, she would often take some meat to remain grounded. I have done the same thing myself for years. I prefer not to eat meat. I have not had a steak in more than thirty years. But if I am to do a lot of traveling and need to work with politicians and business people, a bit of chopped up fish or poultry can be essential.

The changes in our lifestyles over the past century have dramatically reduced the level of physical activity necessary to provide life’s basic resources: our effort-based rewards that are intimately involved in the regulation of mood. If you think about it for a moment, if your great-grandparents wanted to eat, there was probably a lot of effort involved. Our brains still contain a huge number of circuits that evolved to play roles in sustaining the kind of continuous effort that would be critical for the acquisition of resources such as food, water and shelter. So what happens when we suddenly on longer need much physical activity to obtain those resources? What happens to those parts of the brain that have millions of years evolving? There will be reduced activation of those brain regions essential for reward, pleasure, salience, motivation, problem-solving, and effective coping strategies. The practical consequence of that is that these systems will not sit there idling: if under-stimulated, since these systems are so heavily involved with our emotions, we would expect to see people becoming depressed. And we know that depression has been increasing throughout the Western world. Of course, many people need to stimulate these regions of the brain artificially, as with drugs, pornography or extreme sports.

Effort-based rewards are an essential component of resilience to life’s stressful challenges. Purposeful physical activity is important in the maintenance of mental health. It therefore makes sense to put more emphasis on preventative behavioral and cognitive life strategies, rather than relying solely on psychopharmacological strategies. Our strategy is geared toward protecting people from developing depression, and compensatory behaviors. One of the very interesting new ideas in pharmacology is that antidepressants and antipsychotics may act to enhance resilience at both the cellular level and in the whole person. This is a very different concept from thinking of medicines as chemicals that simply block symptoms.

Our aim is to improve resilience and gradually to increase activation of all those under-used systems of the brain to treat and then to prevent problems. All the things that mother always said were good for you: healthy exercise, meditation, a balanced diet, charity and kindness, and actions aimed at fulfilling your personal and Higher Purpose have already been shown to treat and to protect.

Here are some proven methods for improving resilience:
1.    Learn to be adaptable: the heart of resilience is the ability to take things in your stride and to be able to surf the ocean of change, rather than trying to hold the hold it back.

2.    Be aware of the blockages in your mind or in the subtle systems of your body that are preventing you from bouncing back form adversity

3.    Attitude: avoid seeing a challenge as an insurmountable problem

4.    Accept that change is part of life: you can do little about it, but you can do a great deal about how you react to change

5.    Ensure that you have meaningful goals that are consistent with your core desires and beliefs, and that you are moving toward them

6.    Do all that you can to work on establishing your own Purpose in life. You can create a purpose for your life, but also be aware that there is a Higher Purpose in you life

7.    Take decisive actions: even if the first action may not be the best one. Any action is usually better than denying that problems exist, and hoping that they will evaporate while you are asleep or watching television

8.    Develop and maintain close relationships. Even if you are not a sociable person, relationships are one of the most potent way of protecting yourself from life’s ups and downs

9.    Look for opportunities to learn more about yourself, and how you react to situations. This doesn’t mean becoming an introvert or a rampant narcissist, but it does mean taking a moment each day to review where you are and what you can learn form things that are or have happened in your life. This is a big subject, but there are many good ways to answer the question, “Why is this happening to me  again?” and from preventing habitual problems and routine self-sabotage. (I shall be publishing an eBook and CD about this crucial topic in the very near future)

10.  Work on developing a positive self-image. I have had some harsh things to say about the excesses of the self-esteem movement, but it has now been replaced by something far more valuable: the science of positive psychology. We have a great deal of empirical data on how to improve a person’s happiness and resilience. Again, we can speak about that some more if you are interested.

11.  Maintain hope for the future. We have done research that has shown that one of the best ways of predicting a positive outcome with major mental illness, or of reducing the risk of recurrent substance abuse is to instill hope. Again, there are techniques for doing this, even when the whole world seems to be against you.

12.  Maintain perspective: do not blow things out of proportion, and remember that this too shall pass.

13.  Take care of yourself, physical, emotionally and spiritually. Listen to yourself: what does your body need? What do you need emotionally? What do you need from a relationship? What do you need spiritually?

14.  Are you giving others what they need from you? If you have a nagging sense that you are not giving a child or a spouse that they need and deserve, it can dramatically reduce you resilience.

15.  Rather than just thinking about and worrying over your problems, or problems that may turn up in the future, get into the habit of thinking of yourself not just as an individual who is going through problems, but as a boundless spiritual being who is learning a lesson.

16.  Never forget to think about the legacy that you are going to leave. Not just to your family, but to the world at large. If you can’t think of one, this is a good time to begin to create one. That is an enormously  powerful perspective on the world and on your problems.

“I am an old man and have had many troubles, most of which never happened.”
–Mark Twain (a.k.a. Samuel Langhorne Clemens, American Humorist, Writer and Lecturer, 1835-1910)

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