Tag Archives: UCSD

“Why Did I Eat That?” – Ask Someone Who Is A Mindful Eater

By Cherylynn Glaser, M.A.

Have you ever found yourself thinking “Why did I eat that?” Have you ever told yourself “You shouldn’t take that piece of candy” or “You should eat more carrots”? What about “I just meant to have a handful- but I ate the entire bag of chips!” or “I know I shouldn’t eat this but it’s a holiday and everyone else is…” What would your life be like if these questions and judgments just evaporated into (no pun intended…) thin air?

Ask someone who is a Mindful Eater.

Mindfulness principles are as old as the hills. In the olden days you planted your vegetables, you picked your fruit and you ate to live. Nowadays you buy your frozen dinners, you decide if you want fries with that and you eat to feel better. How did this happen? How did we get here? More importantly how do we fix it? How do we not buy the chocolate Easter candy that only comes out once a year? Or if we do buy the chocolate Easter candy because it only comes out once a year how do we eat only one a day… and not eat the entire box and feel guilty afterwards?

Ask someone who is a Mindful Eater

As a Mindful Eating coach I have seen many people transform their relationship with food into one of nourishment and fulfillment and free from the perils of judgment. As a person who practices mindful eating myself I have been able to change the way I look at food and helped people to do the same.

Just for a moment- given whatever your personal situation is … think about what it might be like to live a day in your life where the food you eat is experienced as fulfilling. A day in your life where you eat because you’re hungry, not because you’ve had a rough day or its “time to eat”.

Changing habits isn’t easy… but it can be done. The Mindful Eating class at UCSD is designed to help us look at food differently. It helps you move from the diets that never work to the lifestyle that does. It helps you move from why did I do that to I can do this.

We all have it within us to change. We just need the right tools and someone to help us along this path. The Mindful Eating Conscious Living Program could be your first step.

Next 4-Week Program Starts on Thursday, April 12 6-7:30 pm

Cherylynn Glaser, M.A. Mindful Eating Teacher
Cherylynn earned her Master’s Degree in Clinical Psychology from the California School of Professional Psychology in San Diego and is currently working on obtaining her PhD. Her primary interests include eating disorders, mindful eating, bariatric surgery and obesity. She spent last summer working as a behavioral coach at a weight loss and wellness camp for children and adults where she taught mindful eating principals as well as provided individual and group therapy. She has also worked with patients who have had weight loss surgery and has co-lead post surgical therapy groups where she taught mindfulness methods. Cherylynn believes that the key components to living a healthy life include the acknowledgement, acceptance, and cultivation of the mind body connection and that mindfulness is a medium through which one can learn to nurture these.

Cheers! Here’s to Wonderful Old Wine in Amazing New Mindfulness-Based Bottles

By Steven Hickman, Psy.D.
Director, UCSD Center for Mindfulness

A colleague of mine emailed me yesterday to ask my advice. She had submitted a paper for publication in a respected scientific journal that looked at one particular aspect of Mindfulness-Based Stress Reduction (MBSR). One of the reviewers, apparently intending it as a significant criticism, asked if MBSR wasn’t just “old wine in new bottles”, noting that Carl Rogers and Gestalt therapists had been bringing mindfulness into psychotherapy years before anyone had heard of MBSR. She wanted to know how to respond to this rather stern criticism of her very thoughtful and innovative work.

I told her that she should agree with the reviewer.

Mindfulness is indeed, VERY old wine. Relatively speaking, MBSR and all the rest of the mindfulness-based interventions being devised and deployed in clinical practice these days are indeed quite new “bottles.” But nobody has suggested otherwise! From the beginning, Jon Kabat-Zinn (MBSR) , Marsha Linehan (Dialectical Behavior Therapy – DBT), Zindel Segal, Mark Williams and John Teasdale (Mindfulness-Based Cognitive Therapy – MBCT) and other treatment developers have openly and reverently acknowledged the very deep and ancient roots of mindfulness, mindfulness practice and the wisdom of drawing on these roots for the relief of suffering.

In his book Full Catastrophe Living, Jon Kabat-Zinn writes:

Although at this time mindfulness meditation is most commonly taught and practiced within the context of Buddhism, its essence is universal. Mindfulness is basically just a particular way of paying attention. It is a way of looking deeply into oneself in the spirit of self-inquiry and self-understanding. For this reason it can be learned and practiced, as we do in the stress clinic, without appealing to Oriental culture or Buddhist authority to enrich it or authenticate it. Mindfulness stands on its own as a powerful vehicle for self-understanding and healing. In fact, one of its major strengths is that it is not dependent on any belief system or ideology, so that its benefits are therefore accessible for anyone to test for himself or herself. Yet it is no accident that mindfulness comes out of Buddhism, which has as its overriding concerns the relief of suffering and the dispelling of illusions. (p. 12-13)

But where the analogy of old wine in new bottles falls apart, is that the “bottles” or the interventions themselves are an integral part of what makes these new programs effective and powerful. These are not meditation classes or silent retreats at remote monasteries, but fully thought out, carefully devised and thoroughly researched psychological interventions that honor the roots of their “wine” and skillfully bring it to suffering individuals in very systematic, deliberate and empirically-supported ways.

A plethora of studies have established MBSR as an effective intervention for addressing the suffering associated with chronic pain, cancer, sleep disturbance, anxiety, and ADHD, just to name a few (Grossman, 2004)(Hofmann, 2010). The 8-week program has been shown to not only reduce a variety of physical and psychological symptoms, but more recently has been shown to bring about structural, measurable changes in the brain itself. Constructed thoughtfully, MBSR has a relatively standardized protocol and logical progression that has consistently (for over 30 years) guided skeptical novices (facing the full spectrum of illness and symptoms, both medical and psychological) through a series of specific exercises and homework practices to a place of ease and equanimity that motivates them to want to continue various forms of mindfulness and meditation practice for years to come.

Focused on helping people alter their relationship with the experiences of their lives (whether those experiences are physical symptoms like pain, or mental phenomena like critical thoughts), mindfulness practice exposes options and flexibility that many never realized they had. One patient of mine with chronic neck and back pain (and significant depression as well) said it best when he noted, “I’ve been a tough guy all my life. I learned to play hurt in sports, to claw my way to the top of my field, and even to fight every day with this horrendous pain. What mindfulness allowed me to do was to see that I could dance with my pain.”

A recent randomized clinical trial reported in the Archives of General Psychiatry by Zindel Segal and his colleagues has established MBCT as an equally effective treatment to antidepressant medication in preventing relapse in previously depressed patients (Segal et al. 2010). Based upon the twin foundations of cognitive behavioral therapy and mindfulness, MBCT is being implemented with a wider and wider variety of diagnostic populations with repeated (if still somewhat preliminary) success. The heart of MBCT is encouraging the patient to simply notice the activity and patterns of the mind, adopting a “decentered” stance toward thinking in which thoughts are experienced as arising phenomena in awareness and not fact or imperative. The patient begins to become aware of the constructions of the mind, the “stories” if you will, that the mind constructs around the actuality of experience. The unreturned wave of a friend soon balloons into yet another indication that one is not worthy of friendship. The flutter of a heartbeat in a stressful situation soon billows into the anxious mushroom cloud of the specter of a heart attack.  And the patient learns to adopt an abiding presence that notices these processes and recognizes the option to not become entangled in them in the way in which they have in the past.

In his 1923 encyclopedia article “Psycho-Analysis,” Freud noted that “the attitude which the analytic physician could most advantageously adopt was . . . a state of evenly suspended attention, to avoid so far as possible reflection and the construction of conscious expectations.”

“Construction of conscious expectations” indeed! And with some perspective and “evenly suspended attention” one can encounter the frightful booming Wizard of Oz and also notice the presence of the pathetic little man behind the curtain. Thoughts are not facts. “Don’t believe everything you think,” says the bumper sticker.

It is my observation that mindfulness, at its essence, is not a treatment in and of itself. It is a very important component of all good treatment, whether explicitly named or not. It is the attitude that we embody when we work with clients and patients, the space we create with them in the therapy room, and healing force that works in them when they encounter what they have often encountered and respond in a healthy way rather than react in a habitual way. And it can also be utilized in a very specific, explicit and replicable way to address a variety of psychological disorders.

I happily and gratefully acknowledge the roots of the old wine in its “new bottles.” And raise my glass to toast those who have applied their considerable wisdom, experience and intelligence to finding ways to relieve suffering in thousands, if not millions of our fellow human beings.

Cheers!

NOTE: This article will be appearing in the upcoming edition of the newsletter of the California Psychological Association.
REFERENCES:
Kabat-Zinn, J. Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. New York: Delta. 1990

Grossman, Niemann, Schmidt and Walach Mindfulness-based stress reduction and health benefits: A meta-analysis Journal of Psychosomatic Research/Vol 57 (No. 1), July 2004

Hofmann SG, Sawyer AT, Witt AA, Oh D. The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. J Consult Clin Psychol./Vol 78 (No. 2), Apr 2010

Segal, Bieling, Young, MacQueen, Cooke, Martin, Bloch and Levitan Antidepressant Monotherapy vs Sequential Pharmacotherapy and Mindfulness-Based Cognitive Therapy, or Placebo, for Relapse Prophylaxis in Recurrent Depression Arch Gen Psychiatry/Vol 67 (No. 12), Dec 2010

Shambhala Sun Launches Mindful

The Shambala Sun Foundation’s new website Mindful is launched! It holds great potential in becoming a quintessential site for everything mindful.

We are happy to announce the UCSD Center for Mindfulness’s inclusion in several categories of mindfulness-related resources listed on Mindful.

Please visit Mindful.org to watch a video of Jon Kabat-Zinn sharing his thoughts on this comprehensive site’s important value.

Mindfulness for Dummies: The UCSD Connection

I (S.H.) was recently honored to be asked by Shamash Aldina to write the foreword for his new book Mindfulness for Dummies. The book was published a few months ago, and there I am in the opening pages!

Below is the text of that Foreword. I strongly urge that you check out the book when you have a chance.

Sitting down to start a book has many similarities to sitting down to a great meal. There is a warm felt sense of anticipation (in body and mind) of a pleasant experience. There is curiosity in the mind. There is an awareness of a certain “hunger” for what is about to be taken in. And there we are, fully present to what we encounter before us: whether it is the visual experience of the design of the book or the plate presentation of the meal, whether it is the aroma of a desired food or the fresh smell of a newly-printed and opened book. Perhaps this captures something of your experience as you read these words, but on the other hand, as they say, “your mileage may vary.” Take a moment to stop and notice what your experience ACTUALLY is right now in this very moment. What is the quality of your mind? What do you notice in your body? Are you aware of your breath moving in and out of your body, essentially “breathing itself”?

Few things are more elementally basic and simple, yet so hard to convey in words and instructions, than mindfulness. At its essence it is simply being present, to our experience, our whole experience, and nothing but our experience. Yet you can read that previous sentence dozens, even millions of times, and still not know (at a level well below words) how to systematically practice it and bring it into your life with all its stresses and challenges. The only way to truly know mindfulness and cultivate it in one’s life is to practice it like your life depends on it. Because in many ways it does. The degree to which you can be fully present to your experience, letting go of judgment when it is not useful and truly seeing things as they are, really determines the degree of suffering and stress you will experience in this crazy life of ours.

So the biggest difference between sitting down to this book and sitting down to a fine meal in a gourmet restaurant is that this book, as wonderful, instructional and inspirational as it is, is simply the menu and not the meal itself. We’ve all seen many beautiful menus in amazing restaurants the world over, but not a one of them would have tasted anything like the meals they described! Those menus, like Mindfulness for Dummies, simply (but elegantly) point to the real heart of the matter: the practice of mindfulness. A practice that has the potential to nourish and fulfill us in ways that nothing else truly can, and bring equanimity, kindness and balance into every corner of our busy, full lives.

So, the invitation is to approach this book as Derek Wolcott (in his poem Love After Love) suggests we approach our very existence: “Sit. Feast on your life.”

Jon Kabat-Zinn, Speaking at UCSD

Jon gave a wonderful talk on mindfulness and “Coming To Our Senses” a few years back and we had the opportunity to sponsor the talk. I even got to introduce him, which was a real honor. Check it out!