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During a particularly hard break-up in my 20s, a friend advised me, “The more present you are during this process, the bigger the present you’ll get out of it.” And though I barely understood what that meant, I gave it a try and an odd thing happened. I saw that I was choosing the big, dramatic grieving process I was going through. And that meant it was optional.
In The Art of Presence, Eckhart Tolle says, “Through thought you cannot possibly grasp what presence is.” But he gives some clues to point us in the right direction. He says it’s there, “when you’re not thinking about the last moment, or looking to the next one.” And he uses phrases like “a state of relaxed alertness” and “a spacious stillness,” to describe it.
Thich Nhat Hanh said, “The most precious gift we can offer others is our presence.”
Our presence is tremendously rare and hugely valuable. Especially in this age of epidemic distraction, it’s increasingly difficult and uncommon to choose a voluntary time-out from technology, data, and our own mental analysis. But unlike the artificial value of a coin that accidentally got stamped with a head on both sides, our presence can do for us what nothing else can. And we can make it more abundant by simply choosing it.
Although it may not put food in our belly, most other problems disappear with presence. The need to fix or relive the past disappears. The need to avoid certain unwanted events in the future disappears. Even if we're working on something now that will benefit us in the future, with our presence, we work on it now in order to work on it now. And that’s enough.
The allure of distraction, which so often threatens our presence, dissolves when we practice being present. Do you know the word obviate? I like to write using words that almost everyone understands, but there’s only one word I can think of that means “to make unnecessary,” and that word is obviate. Learning to deepen our presence obviates the urge for distraction and mental departure from our current reality.
With presence, we perceive all kinds of intelligence and detail that we’re otherwise deaf and blind to. We know when to eat and when to stop eating. We know how to move our body in a way that doesn’t cause pain or injury. Our work becomes more interesting. Our relationships become healthier. We listen better and we feel heard.
With two kids, my presence is requested almost incessantly. I hear the word Papa at least 100 times a day. Often, I hear it ten or more times in quick succession. We all yearn for someone’s total presence with us. These are the moments of connection between what is the same in both of us. Presence uncovers what’s real in this moment. And that’s refreshing, exciting, and affirming.
When we’re all so busy that we see time as a commodity, it can seem that giving our presence to someone else is like giving away our treasure. But are we actually giving something away?
Of course not. When we “give” our presence we gain the present. To withhold our presence means both we and the other person miss out.
So, how can you learn to be more present? It takes practice. If you’re new to this, I don’t recommend making a goal like, “I’m going to be more present from now on.” I don’t want to discourage you, I just want you to be realistic about what you’re up against – a lifetime of habits and a sea of tantalizing distractions.
Try something a bit less ambitious, such as this: Once a day, as you begin some activity – whether it’s buying groceries, playing Candyland, eating a meal, and listening to a friend’s problems – select this activity as an exercise in presence. In your mind, identify what exactly you’re doing – “I’m vacuuming the floor” – and devote yourself to that. Don’t run away in the middle of the activity. This means don’t pick up your phone, don’t depart in your mind to explore other thoughts and ideas, don’t visit the past, don’t anticipate what’s next, don’t judge. Just dwell in the present. Be saturated by the present. Feel everything. Accept everything. And let each next moment come.
Over time, quicker than you might think, you’ll start regaining your attention. You’ll be able to focus on something for more than five seconds. You’ll begin to yearn for this, which will make your practice much easier. And as you start willingly selecting more and more moments to be completely present, you’ll experience an unending offering of presents.
Be well,
Dr. Peter Borten
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An old tai ji quan (tai chi) teacher of mine used to say, "Yi dao ... qi dao ... li dao," which roughly means the focus of your mind (yi dao) dictates the way your energy moves (qi dao) which dictates the expression of your power. (This utterance came mostly when he noticed that I was looking distracted.) In other words, the ability to effectively direct your power is founded in the ability to effectively focus your mind.
Mental focus, known as yi, is one of the five aspects of consciousness defined in Traditional Chinese Medicine (TCM). Each of the five is considered to be associated with a particular part of the body, and the yi corresponds with the digestive system. In a way digestion is a kind of inner focus. When food enters the body, the digestive tract focuses its attention on it – breaking it down to its elemental parts, extracting what’s useful, and absorbing it. It makes sense that we use the word “digest” to speak about processing and assimilating a new or challenging idea or experience.
Disruption of the digestive system frequently goes hand in hand with poor mental focus. The most common example is Attention Deficit (Hyperactivity) Disorder in people who have a poor diet and/or erratic food intake and/or food sensitivities and/or gut imbalances.
There are two main patterns of digestive imbalance as it relates to mental function. The first is poor assimilation of the vital nutrients in our food, leading to a state of deficiency and a “malnourished mind.” The second is the development of phlegm, which makes us cloudy-headed and may further impede the assimilation of nutrients. The Chinese medical use of the word "phlegm" here denotes a much broader concept than simple mucus. Phlegm is anything that impedes our flow or accumulates in us but serves no functional purpose, such as plaques, cysts, excess body fat, or any other similarly tenacious “gunk” in our system. It may be tangible or intangible, and it doesn't go away easily.
Phlegm can form as a byproduct of impaired digestion. Sometimes it develops when we’re exposed to foods that irritate the body – similar to how an oyster secretes pearl material when it’s irritated by a grain of sand. Other times it develops because something else disturbs the digestive process (such as trying to digest too much mental material while trying to digest food, or eating while the eating, nervous system is activated by stress), leading to incomplete assimilation of nutrients and excretion of waste.
TCM’s notion of a digestive origin for mental disturbances is shared by Ayurveda, the traditional medical system of India, which goes so far as to say that all health problems originate in the gut. Recently these millennia-old concepts have been corroborated through our emerging understanding of the gut-brain axis – the complex interplay between the gastrointestinal tract, its microbial population, and the central nervous system.
Let’s look at some ways we can improve digestion for better mental health.
- Choose nutrient-dense foods. Support high-quality thinking with high-quality nourishment: fresh vegetables, nuts and seeds, clean proteins (free range omega-3 eggs, organic grass-fed dairy products, sustainably grown oily fish, small amounts of pasture raised meat), whole fruits, and a little whole grain. Limit your intake of fried foods, sweetened foods, and flour.
- Avoid foods you’re sensitive to. One of the most common symptoms of eating a food that’s incompatible with your system is lower energy and less-sharp thinking. Keep a food journal and track of any foods you don’t thrive on. If it’s hard to determine, consider doing an elimination diet or elemental diet (powdered, hypoallergenic meal replacement) to clean out and then systematically reintroduce foods.
- Eat in a slow, relaxed, conscious way. Unlike filling up your gas tank, which you want to be as fast as possible, eating isn’t merely a “fill up” – it’s also a way to tune in, to savor, to be grateful, and to consciously nourish your mind-body. There can be a vast qualitative difference between a rushed meal you barely pay attention to versus one you enjoy to the fullest. Get media out of the eating space. Set your stresses aside. Stay connected to the act of eating.
- Stop eating before you’re full. Stop eating before you’re full. Stop eating before you’re full.
- Try bitters. Bitter digestive-stimulating herbs have the dual effect of toning the digestive tract and clearing toxins and phlegm. Bitters as cocktail mixers are experiencing a surge of popularity, so there are more blends available than ever. I recommend a mixture of pure bitters such as gentian, rhubarb root, myrrh, Peruvian bark, goldenseal, yellow dock, barberry, or Oregon grape root with some aromatic carminative spices (promoting assimilation), such as citrus peel, anise, fennel, caraway, cardamom, or ginger. Take a squirt before and/or after each meal in a little water.
- Move a little after meals. A walk is perfect. This helps promote assimilation.
- If you need extra support, consider a good digestive enzyme blend. These supplement what your pancreas produces (and won’t cause your body to produce less) and help in the breakdown of food for better absorption. There are many good products out there. Two of my favorites are DigestZymes made by Designs for Health and Digest made by Transformation Enzymes. Take some at the beginning of each meal. Sometimes they make a remarkable difference.
Interestingly, the connection between digestion and mental function works both ways. Not only can impaired digestion contribute to diminished cognitive function, mental and emotional disturbances can also contribute to poor digestion. Worry, in particular, is considered taxing to the digestive mechanisms in TCM because it habitually engages the digestive mechanisms as you “chew” on problems. If you can make mealtimes a ritual in which you always take a break from thinking about stressful things, you’ll not only enjoy your food more, you’ll also derive greater benefit from it.
Be well,
Peter
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Last week I wrote about the theory of homeopathy. Homeopathy is the practice of prescribing specially prepared homeopathic remedies made from extremely dilute natural substances. In many cases, a remedy is used to treat the symptoms that a larger dose of the same substance would cause. For instance, chopping onions may cause redness, burning and tearing of the eyes, and a runny nose. A homeopathic preparation of onion (Allium cepa) is used to treat these conditions, such as when they occur due to a cold or allergies.
Today I want to clarify some points and explore homeopathy’s conundrum. First, since people sometimes confuse the terms, homeopathic is different than holistic, which refers to any treatment that aims to consider and support the whole individual. Acupuncture and naturopathic medicine are examples of holistic systems, though most acupuncturists don’t practice homeopathy, and homeopathy is usually a relatively small fraction of what most naturopathic physicians do.
Second, most of the scientific community believes homeopathy is pseudoscience and no more effective than a placebo. Indeed, there are numerous studies that invalidate homeopathy. Advocates of homeopathy point out that the unfavorable studies involve giving subjects a homeopathic remedy matched to a particular symptom or medical condition without utilizing the specificity that’s essential in effective homeopathic diagnosis. Homeopaths contend that when a remedy is matched not only to the dominant symptoms, but the whole picture of the individual, the rate of success is much higher.
As I said in the last article, I’ve witnessed many cases in which homeopathy did nothing useful – though at least it was entirely harmless and without side effects – and I have also witnessed cases in which it was remarkably effective. Could it have been a placebo effect? Sure. But if it was “merely” a placebo effect, it was a profound placebo effect: a perfect medicine that was entirely beneficial, painless to administer, palatable, with zero downside. One should be asking, “How can we reproduce this?”
Homeopathy is vastly popular around the world. Its use is especially prevalent in France, Italy, India, Switzerland, Mexico, Germany, England, and the U.S. 29% of the EU population uses homeopathy on a daily basis. About half of Germans have used homeopathic medicines and about 70% say they are satisfied with its effects.1 History shows us that sheer number of adherents doesn’t make something correct or morally right, but we’re smarter than ever and have more options.
So, what’s going on here? Why do so many people use it if it’s a sham? Well, there are two possibilities. 1) The thousands of practitioners and roughly 200 million people who use homeopathy on a regular basis are fooling themselves. They think homeopathy is useful but it’s just a placebo and/or wishful thinking. Or 2) There is actual benefit to homeopathy which can’t be substantiated by current science and is not accurately reflected by the research.
Trust me, as a scientist, it’s hard to understand its validity, but I also know what I’ve seen. Are there other systems of medicine with higher rates of success? Probably. To be frank, it is not my go-to modality except for a small number of conditions for which I consistently get good results with homeopathic remedies. However, I’m a mediocre homeopath and I have more training and skill in other forms of medicine.
But when it works, it works. And I have seen cases where several medicines were tried but only the homeopathic one succeeded, including numerous instances in which the patient was highly skeptical of homeopathy. If it were a placebo effect, why would the other medicines not have produced a benefit equal to that of homeopathy? Why would a skeptical patient have a placebo effect when the basis for a placebo response is an expectation of benefit? Should science have the ability to invalidate someone’s subjective experience of benefit?
I don’t have the answers to these questions. I know some incredibly intelligent doctors who practice homeopathy, and I have seen it and them derided by the medical mainstream. Skeptics’ concern, they say, is that people might not get effective medical help because they’re using homeopathics instead. I agree that if someone isn’t getting a benefit from a chosen medical modality, it might be useful to consider other options. I also believe it’s everyone’s right to manage their health in whatever way they wish – even if it hastens their demise. For perspective, it’s important to note that, according to a recent Johns Hopkins study, 250,000 Americans die each year due to medical errors, making mainstream medicine the third leading cause of death after heart disease and cancer. I have seen people killed by mainstream medical treatments. A modality’s safety is no small thing.
While there are plenty of people who are averse to biomedicine, we tend to treat the mainstream with a greater degree of respect than is extended to alternative fields. For instance, when we hear that a particular drug or procedure doesn’t work, most people conclude that this particular intervention wasn’t effective. We don’t say, “Well, biomedicine doesn’t work.” In contrast, when an alternative medicine fails to benefit a certain condition, a common conclusion is that the entire modality is worthless. I can’t tell you how many times I’ve seen an author cite a single failed acupuncture study as proof that acupuncture is bunk. It’s an unfortunate reflection of the tendency for the mainstream to squash its rivals, even when they don’t truly threaten it.
It's important, therefore, that we all keep our eyes wide open and practice critical thinking (and not just when it comes to medicine). Be your own advocate, trust your intuition, listen to your body, and don’t assume that just because someone has a degree they know what’s right for you.
Be well,
Dr. Peter Borten
- https://www.hri-research.org/resources/essentialevidence/use-of-homeopathy-across-the-world/ ; https://en.wikipedia.org/wiki/Regulation_and_prevalence_of_homeopathy ; https://homeopathyeurope.org/
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During a particularly hard break-up in my 20s, a friend advised me, “The more present you are during this process, the bigger the present you’ll get out of it.” And though I barely understood what that meant, I gave it a try and an odd thing happened. I saw that I was choosing the big, dramatic grieving process I was going through. And that meant it was optional.
In The Art of Presence, Eckhart Tolle says, “Through thought you cannot possibly grasp what presence is.” But he gives some clues to point us in the right direction. He says it’s there, “when you’re not thinking about the last moment, or looking to the next one.” And he uses phrases like “a state of relaxed alertness” and “a spacious stillness,” to describe it.
Thich Nhat Hanh said, “The most precious gift we can offer others is our presence.”
Our presence is tremendously rare and hugely valuable. Especially in this age of epidemic distraction, it’s increasingly difficult and uncommon to choose a voluntary time-out from technology, data, and our own mental analysis. But unlike the artificial value of a coin that accidentally got stamped with a head on both sides, our presence can do for us what nothing else can. And we can make it more abundant by simply choosing it.
Although it may not put food in our belly, most other problems disappear with presence. The need to fix or relive the past disappears. The need to avoid certain unwanted events in the future disappears. Even if we're working on something now that will benefit us in the future, with our presence, we work on it now in order to work on it now. And that’s enough.
The allure of distraction, which so often threatens our presence, dissolves when we practice being present. Do you know the word obviate? I like to write using words that almost everyone understands, but there’s only one word I can think of that means “to make unnecessary,” and that word is obviate. Learning to deepen our presence obviates the urge for distraction and mental departure from our current reality.
With presence, we perceive all kinds of intelligence and detail that we’re otherwise deaf and blind to. We know when to eat and when to stop eating. We know how to move our body in a way that doesn’t cause pain or injury. Our work becomes more interesting. Our relationships become healthier. We listen better and we feel heard.
With two kids, my presence is requested almost incessantly. I hear the word Papa at least 100 times a day. Often, I hear it ten or more times in quick succession. We all yearn for someone’s total presence with us. These are the moments of connection between what is the same in both of us. Presence uncovers what’s real in this moment. And that’s refreshing, exciting, and affirming.
When we’re all so busy that we see time as a commodity, it can seem that giving our presence to someone else is like giving away our treasure. But are we actually giving something away?
Of course not. When we “give” our presence we gain the present. To withhold our presence means both we and the other person miss out.
So, how can you learn to be more present? It takes practice. If you’re new to this, I don’t recommend making a goal like, “I’m going to be more present from now on.” I don’t want to discourage you, I just want you to be realistic about what you’re up against – a lifetime of habits and a sea of tantalizing distractions.
Try something a bit less ambitious, such as this: Once a day, as you begin some activity – whether it’s buying groceries, playing Candyland, eating a meal, and listening to a friend’s problems – select this activity as an exercise in presence. In your mind, identify what exactly you’re doing – “I’m vacuuming the floor” – and devote yourself to that. Don’t run away in the middle of the activity. This means don’t pick up your phone, don’t depart in your mind to explore other thoughts and ideas, don’t visit the past, don’t anticipate what’s next, don’t judge. Just dwell in the present. Be saturated by the present. Feel everything. Accept everything. And let each next moment come.
Over time, quicker than you might think, you’ll start regaining your attention. You’ll be able to focus on something for more than five seconds. You’ll begin to yearn for this, which will make your practice much easier. And as you start willingly selecting more and more moments to be completely present, you’ll experience an unending offering of presents.
Be well,
Dr. Peter Borten
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