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In working with the community that has developed around our Dreambook, Briana and I have encountered people looking for many different forms of life-optimization. While there’s plenty of guidance we can offer someone to help them figure out and actualize what makes them happy, we meet quite a lot of people who essentially already have it. They really are living the dream. The main issue is that they just don’t see it.
They often suffer from what my friend Andy Dooley calls “lousy and lazy thinking.” Today I want to talk about the antidote. Whether you’ve already got a great thing going or there’s clearly a gap between where you are now and where you want to be, either way, you’ll benefit from being deliberate with how you use your attention.
Attention is like fertilizer. When you put your attention on something it grows.
This is why panicky thoughts tend to balloon and pain tends to increase when we focus on it. Unfortunately, bad experiences also tend to cut deeper grooves in our inner terrain, causing stronger memories and a tendency to be retriggered. We can easily get into a negative feedback loop as the thought “something’s wrong” demands our attention and then gets fed by it.
Our nervous system is just trying to be helpful; we’re wired this way to ensure our survival. Thus, it’s by design that things that signal danger are able to usurp our attention. But even while the risk of physical danger is lower than ever for most modern humans, we’ve trained ourselves to react similarly to a very broad range of other conditions, like money scarcity and situations that could lead to disapproval by our peers (because we subconsciously associate both money and our tribe’s approval with our survival).
But as humans with highly evolved brains capable of reasoning, we don’t need to be run by our animalistic side. We can change our default programs. One of the best antidotes is get a hold of that mind and put your attention on something else. Your two best options are (1) whatever you are currently engaged with (A.K.A. mindfulness) (2) anything that is good, fascinating, funny, joyous, celebratory, beautiful, loving, trustworthy, kind, generous, or peaceful.
By putting your attention on what is good and what is here and now, you fertilize those parts of life and override your overactive survival mechanisms. Not only does this help heal you of the tendency to focus on the bad (or possibly-maybe-could-be-bad), if you do it enough it actually starts to change your life.
If you’re using the Dreambook, an easy thing to put your attention on is all the goals you achieve. Too often we complete something, barely register it, and move on to the next thing. Just pausing, acknowledging, and celebrating this achievement amplifies the feelings of satisfaction, self-trust, and gratitude.
Revel in those feelings. The satisfaction of completion – like finishing a puzzle or making it to the finish line – is a combination of relief and delight. The feeling of self-trust is like an inner stability and fortitude. You said you were going to do this and you do it. You can rely on yourself. You will always be there for you. Finally, gratitude makes you feel expansive and connected. Consider all the internal powers (your body, your ingenuity, your creativity, your persistence, etc.), external powers (the people and resources that helped you get it done), and spiritual powers (the vision, strength, and gifts of your Highest Self) that made this possible. It’s like saying to your system, “I’m pressing the save button. I’m configuring myself for trust, fulfillment, serendipities, and optimism.”
While it’s especially important to do this with your big quarterly and one-year or longer-term goals, it’s perfectly wonderful to do it with your monthly, weekly, and daily goals too. In fact, the more you celebrate the more you start to notice reasons to celebrate.
Be so well,
Peter
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I am often asked, “What’s the difference between acupuncture and dry needling?” So, I thought I’d answer the question for everyone in our community who might be interested, and offer some history and science along the way.
“Dry needling” is a term that has grown tremendously in usage over the past decade because it’s a newly adopted practice by many physical therapists. It essentially consists of inserting acupuncture needles into tight muscles. In many states, acupuncturists have fought physical therapists’ attempts to expand their scope of practice to include this procedure. However, physical therapists outnumber acupuncturists by about seven to one, which means stronger state organizations and greater legal power.
Acupuncturists argue that physical therapists are essentially stealing their medicine and calling it something different. In some states physical therapists can practice dry needling with no training in it; in others they typically complete a 55-hour course. By comparison, a licensed acupuncturist generally receives about 500 hours of instruction in the acupuncture-specific portion of their training.
For a few centuries in the West and a couple millennia in China, observers of the human body have known about nodules that occur in tight muscles and are associated with chronic, complex pain patterns. You might just call them “knots.” In the mid-1900s a doctor named Janet Travell coined the term myofascial trigger point to describe this phenomenon. About 90% of them are found at the locations of acupuncture points, which were mapped out on bronze statues at least 1,000 years B.C.E.
Travell explained that myofascial trigger points are irritable regions in our connective tissue (muscle and fascia) that get stuck in a contracted state. They make muscle fibers taut, reducing muscle strength and range of motion, and causing pain, numbness, and other symptoms that often spread to areas far from where they originate. In many cases, what we perceive to be a visceral problem (heart attack, ulcer, migraine, irritable bowel, urinary tract infection, etc.) is actually the symptom of one or more trigger points. I believe trigger points are responsible for most of the physical pain humans experience.
Travell and her colleague David Simons went on to chart the locations and symptoms of trigger points in every major muscle. Travell became John F. Kennedy’s doctor (the first female presidential physician) and his family credited her with saving Kennedy’s political career by curing his back pain through the release of myofascial trigger points.
Travell (and researchers before her) discovered that it’s possible to release a trigger point through a simple procedure she called “ischemic compression.” It basically entails pressing firmly on the center of a trigger point for about half a minute until it softens. Travell’s maps and manual techniques for releasing trigger points were adopted by physical therapists over the following decades. (For what it’s worth, body workers have probably been doing ischemic compression for ages, without calling it ischemic compression.)
Travell also found that she was able to release trigger points by injecting them with numbing agents or saline. However, it emerged that the most effective aspect of this practice wasn’t the injection of fluid, but the mechanical act of probing at the trigger point with a needle. That is, a release could be accomplished even with a “dry” needle, without injecting anything.
Based on this new expression, one could say that all acupuncture is “dry needling.” This is precisely what acupuncturists have always done, although the insertion of needles into these local epicenters of pain is generally just one aspect of an effective acupuncture treatment. What makes an acupuncture treatment holistic (i.e., addressing the whole person) is that the treatment also addresses the underlying mechanisms that led to the surface issue (e.g., stress, diet, digestive problems, more global structural or energetic imbalances, etc.).
In the 1980s, an osteopath and acupuncturist named Mark Seem, founder of Tri-State Acupuncture College in New York City, began integrating Travell’s trigger point maps into traditional acupuncture. He met with Travell and demonstrated his approach. Travell immediately recognized the value of using a much thinner, solid, and springy acupuncture needle (which has a cone-shaped tip), as compared to the hypodermic needles she had been using (which have a scalpel-like hollow beveled tip).
Over the following decades, physical therapists gradually discovered that “dry needling” with acupuncture needles is often a faster and more effective trigger point release method as compared to the various forms of pressure, friction, stretching, exercise, and structural education that have been part of the physical therapists’ palette for their hundred-ish year history. In court cases between acupuncturists and physical therapists, PTs often argue that the insertion of needles into trigger points is a simply an extension of these “manual therapies” described in their scope of practice, and the decision comes down to whether or not the judge agrees.
The other common argument by PTs is that there are many differences between dry needling and acupuncture. In my opinion, having observed PTs doing dry needling and having studied many styles of acupuncture, there’s clear evidence that acupuncturists have been doing everything encompassed in dry needling for a very long time. PTs have insisted that because they know nothing of the acupuncture meridians (energy circuits along which acupuncture points are located), dry needling therefore isn’t acupuncture. But this is like saying that because you haven’t studied anatomy, when you cut into someone with a scalpel you’re not actually doing surgery. Further, there are many systems of acupuncture, several of which don’t utilize meridians.
Enough about the arguments. My purpose isn’t to determine whether or not it’s right for physical therapists to do dry needling, but to clarify the differences in the consumer’s experience.
While acupuncture is great for pain, not all acupuncturists are pain specialists, and most acupuncturists don’t specifically target the trigger points mapped by Travell. If that’s what you’re looking for, it may be worth seeking out an acupuncturist who specializes in pain. Or you might be happy with a skilled physical therapist who does dry needling.
Both acupuncturists and physical therapists run the spectrum from mediocre to brilliantly talented. I have no doubt that there are some masterful PTs out there who get great results doing acupuncture (dry needling) – perhaps better for structural issues than an average-level acupuncturist. I have had patients ask me to “fix” them after a painful dry needling session from a PT that worsened their condition, and I’ve had other patients report good results from dry needling.
If you are skittish about needles, you may not enjoy dry needling from a physical therapist, since it tends to be more intense than the average acupuncture treatment. That said, any form of acupuncture that specifically focuses on releasing trigger points is unlikely to be painless. Regardless of the style of acupuncture I’m performing, I always tell my patients I’m not the person to see if they don’t want to feel anything; I believe a certain degree of sensation is productive.
If you’re someone who cares about how much training your practitioner has received, perhaps it’s meaningful to you that an acupuncturist typically spends ten times as many hours learning their craft than a physical therapist spends learning dry needling. (And virtually all of the acupuncturist’s continuing education will be in acupuncture as well.)
If your primary concern is having your treatments covered by insurance, you’re more likely to get this from a physical therapist. There are some acupuncturists who bill insurance, but more often it will be up to you to submit your receipts and hope for reimbursement.
If it’s important to you that your treatment gets to the root and addresses the whole you, including non-structural issues, you’ll probably be more satisfied with treatment from an acupuncturist. The common experience of “going to acu-land” as some of my patients call it – i.e., becoming deeply relaxed or even having a transcendent experience – isn’t part of the dry needling session. Some would consider the peaceful effect of acupuncture merely a pleasant bonus, but I believe it’s often much more instrumental in the overall outcome than people realize. How often do we stop, rest, and drop all of our concerns? It can be akin to the benefit of a session of deep meditation. The alleviation of stress and a nervous system “reset” is no small thing, especially when stress is the root cause of so much pain.
That said, I find that many patients honestly aren’t concerned with a holistic treatment, and that’s fine. They want a practitioner who will get right into the painful area and work the hell out of it. It might be intense and they might feel beat up afterwards, but there’s a time and place for this kind of work if it’s effective. Personally, I don’t mind receiving aggressive treatments. Occasionally they’ve been miraculous (other times they’ve left me temporarily crippled with no relief). And of course, if the pain itself is one’s primary stressor, one could argue that getting rid of the pain should be a higher priority than alleviating stress (though we don’t have to choose one or the other). In my experience it’s a slight minority of acupuncturists who work this way, while it’s quite common for a physical therapist.
Whew! That was a long-winded exploration of this topic. I thought about removing parts of this article to shorten it, but having had this conversation so many times, I’ve found that many people are curious about all the facets of this subject. I hope I offered some clarity.
Be well,
Dr. Peter Borten
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Have you had an experience of awakening to something that feels more real than ordinary reality? I remember the first time I heard Zen-inspired spiritual teacher Adyashanti refer to these moments as “gaps” in everyday awareness, when we stop focusing on our own mind and experience the world as it really is.
I’d had some of these expansive periods but felt a great letdown when I returned to ordinary reality. This is sometimes referred to as the “I get it! I lost it” phenomenon. It was relieving to hear Adyashanti describe these moments simply as windows through the dominant narrative. He explains that when we’re adamant about finding the truth, the gaps tend to get longer and more frequent. He also observes that what we find there isn’t usually what we expect it will be.
When the gaps run into each other and become our abiding reality, this is often referred to as spiritual awakening or enlightenment. It’s natural to imagine that something that sounds so grand and mystical must be a state unlike anything we’ve ever felt – maybe even a condition of perpetual ecstasy.
This makes it highly appealing to the ego, which often tries to take over the mission. It can easily turn spirituality into a competition and a source of identity and approval (“I’m woke AF!). And it may desperately hope that it’s finally found the thing that’s going to make us happy.
Happiness is a noble pursuit, but it’s not necessarily the same path that the question of “What am I really?” takes us on. Likewise, while I believe the “What am I?” path does eventually lead us to happiness – true, causeless happiness, in fact – there’s likely to be some unhappiness along the way, which is generated by the ego’s unwillingness to get out of the driver’s seat.
Spiritual awakening shrinks the ego to irrelevance, and this idea is about as scary as actually dying. The ego – the mental construct of personality, feelings, memories, and intellect that we’ve cultivated and reinforced since childhood – dominates our inner and outer experience of life, and in this way confuses us into believing that it is who we are. It’s been this way for so long that we may have forgotten what the unfiltered, egoless experiences (i.e., gaps) feel like. The ego isn’t malicious; it’s just trying to survive. But to the extent that we believe our ego is who we are, we’ll find it impossible to circumvent – because how could we get away from ourselves?
As of this writing, my ego is alive and well, and my gaps are fewer and farther between than I would prefer, but I’ve spent enough time cultivating gaps that I hope I can share something worthwhile. In my experience, though I have had moments of true ecstasy (while completely sober!), the most striking surprise is the incredible familiarity and closeness of the transcendent experience. I think this is what Adyashanti and other teachers are getting at when they say, “It’s not what the mind thinks it’s going to be.”
While we may imagine that spiritual awakening is like acquiring new powers, I believe it’s more of a remembering. It’s like having your head in one of those old-school arcade machines, gripping the joystick, munching pellets, running away from the ghosts, believing “this is what life is,” and then pulling back and taking in the true surroundings. The surroundings were always here, and so was the consciousness that the game wasn’t reality, but you were so immersed in it you forgot.
In one of these gap experiences I actually found myself saying out loud, “Ohhh! It’s THIS! It’s THIS!” The best I can explain it is that I suddenly noticed something that had always been in the background – always, always, always there for the entirety of my life, but so constant as to be disregarded. It wouldn’t call it mystical, but it was incredibly relieving.
Upon tuning in to it and recognizing it as part of myself, that “background” immediately expanded, rendering all of “Peter’s life stuff” relatively small and insignificant. In that state I remembered that I had previously been afraid that letting go of my “small self” would mean that I’d stop caring about my loved ones. But in this expanded awareness, I saw that this was just a fear my ego came up with, and if anything I was able to love people more completely than ever.
I wish I could say I stayed there forever, but my conditioning crept back in. I was able to see myself, little by little, choosing smaller points of view, picking up my phone for no good reason, and shrinking my field of awareness. But these experiences change us even if they’re not sustained forever. They give us a glimpse that’s not easily forgotten.
So, how do we remember? A good starting point is to ask yourself, What has been with me ALWAYS? Or, Who is that consciousness that has been watching my life, that has been there all along, never departing, even while my body grew and my life circumstances changed?
As Meister Eckhart wrote, “The eye through which I see God is the same eye through which God sees me; my eye and God's eye are one eye, one seeing, one knowing, one love.” What happens when you try to see the one who’s doing the seeing? What happens when, as Adyashanti says, you “turn Awareness upon itself”?
Here’s to more and longer gaps. And feel free to share about your gap experiences in the comments section.
Be well,
Peter
[post_title] => Opening Up the Gaps in Ordinary Reality
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In working with the community that has developed around our Dreambook, Briana and I have encountered people looking for many different forms of life-optimization. While there’s plenty of guidance we can offer someone to help them figure out and actualize what makes them happy, we meet quite a lot of people who essentially already have it. They really are living the dream. The main issue is that they just don’t see it.
They often suffer from what my friend Andy Dooley calls “lousy and lazy thinking.” Today I want to talk about the antidote. Whether you’ve already got a great thing going or there’s clearly a gap between where you are now and where you want to be, either way, you’ll benefit from being deliberate with how you use your attention.
Attention is like fertilizer. When you put your attention on something it grows.
This is why panicky thoughts tend to balloon and pain tends to increase when we focus on it. Unfortunately, bad experiences also tend to cut deeper grooves in our inner terrain, causing stronger memories and a tendency to be retriggered. We can easily get into a negative feedback loop as the thought “something’s wrong” demands our attention and then gets fed by it.
Our nervous system is just trying to be helpful; we’re wired this way to ensure our survival. Thus, it’s by design that things that signal danger are able to usurp our attention. But even while the risk of physical danger is lower than ever for most modern humans, we’ve trained ourselves to react similarly to a very broad range of other conditions, like money scarcity and situations that could lead to disapproval by our peers (because we subconsciously associate both money and our tribe’s approval with our survival).
But as humans with highly evolved brains capable of reasoning, we don’t need to be run by our animalistic side. We can change our default programs. One of the best antidotes is get a hold of that mind and put your attention on something else. Your two best options are (1) whatever you are currently engaged with (A.K.A. mindfulness) (2) anything that is good, fascinating, funny, joyous, celebratory, beautiful, loving, trustworthy, kind, generous, or peaceful.
By putting your attention on what is good and what is here and now, you fertilize those parts of life and override your overactive survival mechanisms. Not only does this help heal you of the tendency to focus on the bad (or possibly-maybe-could-be-bad), if you do it enough it actually starts to change your life.
If you’re using the Dreambook, an easy thing to put your attention on is all the goals you achieve. Too often we complete something, barely register it, and move on to the next thing. Just pausing, acknowledging, and celebrating this achievement amplifies the feelings of satisfaction, self-trust, and gratitude.
Revel in those feelings. The satisfaction of completion – like finishing a puzzle or making it to the finish line – is a combination of relief and delight. The feeling of self-trust is like an inner stability and fortitude. You said you were going to do this and you do it. You can rely on yourself. You will always be there for you. Finally, gratitude makes you feel expansive and connected. Consider all the internal powers (your body, your ingenuity, your creativity, your persistence, etc.), external powers (the people and resources that helped you get it done), and spiritual powers (the vision, strength, and gifts of your Highest Self) that made this possible. It’s like saying to your system, “I’m pressing the save button. I’m configuring myself for trust, fulfillment, serendipities, and optimism.”
While it’s especially important to do this with your big quarterly and one-year or longer-term goals, it’s perfectly wonderful to do it with your monthly, weekly, and daily goals too. In fact, the more you celebrate the more you start to notice reasons to celebrate.
Be so well,
Peter
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[is_singular] =>
[is_robots] =>
[is_favicon] =>
[is_posts_page] =>
[is_post_type_archive] =>
[query_vars_hash:WP_Query:private] => 631a2da1e168d7f0eb5436b9307026b1
[query_vars_changed:WP_Query:private] =>
[thumbnails_cached] =>
[allow_query_attachment_by_filename:protected] =>
[stopwords:WP_Query:private] =>
[compat_fields:WP_Query:private] => Array
(
[0] => query_vars_hash
[1] => query_vars_changed
)
[compat_methods:WP_Query:private] => Array
(
[0] => init_query_flags
[1] => parse_tax_query
)
)
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