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Mindfulness for Medical
       Students
           Week 1
   Attention and Breathing
Rick Hanson
• Attention & Neuroplasticity
• http://www.youtube.com/watch?v=rTPks7XQbSw
Watching the Breath
http://vimeo.com/19601100
Mindfulness and Awareness
•   Attention
•   Perspective
•   Perception
•   Here-and-Now
Stress and Anxiety
Mindfulness Comes through the
       Practice of Meditation
• Mindfulness
  o As you practice mindfulness, you intentionally
    focus your awareness on your thoughts and
    actions in the present moment, in an accepting
    and nonjudgmental manner.
  o This focus is applied to bodily
    actions, sounds, touch sensations and to the
    mind’s own individual and repetitive thoughts and
    feelings.
Symptom-Relief Effectiveness
• Focusing can help you to become clearer
  about how you are feeling and what you want
  from your life. It can also help you with
  making decisions, releasing addictions,
  unblocking your creativity, and dealing
  effectively with issues such as frustration,
  procrastination, self-criticism, low self-esteem,
  too much emotionality, and emotional
  numbness. In this way focusing can be a
  valuable asset in stress reduction.
Eat a Raisin
Kabat-Zinn
• What is mindfulness?
 http://www.youtube.com/watch?v=xoLQ3qkh0w0&f
 eature=youtu.be
The Motivation to Gain Mindfulness
        through Meditation
This is called “setting an intention”:
• being wise enough to manage my time better,
• improving my perception of myself,
• becoming a better communicator with others and
  with myself,
• gaining personal wisdom,
  [what does this mean?]
• increasing my compassion for myself and for
  others
Daniel Goleman
• Attentional Retraining
http://vimeo.com/26020781
Cultivating Attention
          Purpose, Method, Effects, & Results
     Category        Definition            Meditation                  Example

Purpose          The aim of the        Cultivating               Staying fit
                 practice              attention
Method           What you do           Return to what is         Jog, sprint, run
                                       already there and
                                       rest
Effects          Experiences that      Dull, distracted,         Energized,
                 arise as you          relaxed, clear,           invigorated, stiff,
                 practice              stable, anxious           sore, tired
Results          Abilities that        Increased clarity         Increased
                 develop over time     and stability in          strength, stamina,
                                       attention, less           and muscle tone
                                       reactivity
                             From McLeod, Ken (2001) Wake up to Your Life. NY: Harper Collins
Perspective
Labeling
As you are sitting in meditation
• Assist yourself in developing awareness by
  – Labeling thoughts
     • Thinking, planning, worrying, wanting to quit
  – Labeling storytelling and day dreaming as such
  – Labeling physical feelings
     • Tight neck, stiff back, rapid heartbeat, leg asleep,
       uncomfortable
  – Labeling emotions
     • Anxious, sad, worrying, happy, loving, angry
Refuting Irrational Ideas




from, Davis, Eshelman & McKay. The Relaxation & Stress Reduction Handbook. 6th ed.
An Example of an Executive Function
             “TAKE 5”
• “Take 5” means exactly what you sense and
  it’s use is immediate.

• When you recognize an anxiety  “take 5”
  – Where can you “take 5”?
  – How can “taking 5” manifest itself

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Mindfulness for Medical Students-Week 1

  • 1. Mindfulness for Medical Students Week 1 Attention and Breathing
  • 2. Rick Hanson • Attention & Neuroplasticity • http://www.youtube.com/watch?v=rTPks7XQbSw
  • 4. Mindfulness and Awareness • Attention • Perspective • Perception • Here-and-Now
  • 6. Mindfulness Comes through the Practice of Meditation • Mindfulness o As you practice mindfulness, you intentionally focus your awareness on your thoughts and actions in the present moment, in an accepting and nonjudgmental manner. o This focus is applied to bodily actions, sounds, touch sensations and to the mind’s own individual and repetitive thoughts and feelings.
  • 7. Symptom-Relief Effectiveness • Focusing can help you to become clearer about how you are feeling and what you want from your life. It can also help you with making decisions, releasing addictions, unblocking your creativity, and dealing effectively with issues such as frustration, procrastination, self-criticism, low self-esteem, too much emotionality, and emotional numbness. In this way focusing can be a valuable asset in stress reduction.
  • 9. Kabat-Zinn • What is mindfulness? http://www.youtube.com/watch?v=xoLQ3qkh0w0&f eature=youtu.be
  • 10. The Motivation to Gain Mindfulness through Meditation This is called “setting an intention”: • being wise enough to manage my time better, • improving my perception of myself, • becoming a better communicator with others and with myself, • gaining personal wisdom, [what does this mean?] • increasing my compassion for myself and for others
  • 11. Daniel Goleman • Attentional Retraining http://vimeo.com/26020781
  • 12. Cultivating Attention Purpose, Method, Effects, & Results Category Definition Meditation Example Purpose The aim of the Cultivating Staying fit practice attention Method What you do Return to what is Jog, sprint, run already there and rest Effects Experiences that Dull, distracted, Energized, arise as you relaxed, clear, invigorated, stiff, practice stable, anxious sore, tired Results Abilities that Increased clarity Increased develop over time and stability in strength, stamina, attention, less and muscle tone reactivity From McLeod, Ken (2001) Wake up to Your Life. NY: Harper Collins
  • 14. Labeling As you are sitting in meditation • Assist yourself in developing awareness by – Labeling thoughts • Thinking, planning, worrying, wanting to quit – Labeling storytelling and day dreaming as such – Labeling physical feelings • Tight neck, stiff back, rapid heartbeat, leg asleep, uncomfortable – Labeling emotions • Anxious, sad, worrying, happy, loving, angry
  • 15. Refuting Irrational Ideas from, Davis, Eshelman & McKay. The Relaxation & Stress Reduction Handbook. 6th ed.
  • 16. An Example of an Executive Function “TAKE 5” • “Take 5” means exactly what you sense and it’s use is immediate. • When you recognize an anxiety  “take 5” – Where can you “take 5”? – How can “taking 5” manifest itself