Healing Healthcare “Holistic”Healthcare. Organic Universe (nature as living, spiritual, dynamic)...

Healing HealthcareHealing Healthcare““Holistic” Holistic”

HealthcareHealthcare

Organic UniverseOrganic Universe(nature as living, spiritual, dynamic)(nature as living, spiritual, dynamic)

Holistic ScienceHolistic Science(whole > sum of it’s parts)(whole > sum of it’s parts)

Bio/Psycho/Social/Spiritual ModelBio/Psycho/Social/Spiritual Model

““WEB OF LIFE”WEB OF LIFE”

HEALTH DEFINEDHEALTH DEFINED

Absence of diseaseAbsence of disease

Absence of biomedical risk factorsAbsence of biomedical risk factors

Presence of desired set of behaviorsPresence of desired set of behaviors

HEALTH DEFINEDHEALTH DEFINED

World Health OrganizationWorld Health Organization

“ “ Health is a state of complete Health is a state of complete

physical, mental and social physical, mental and social

well-being.”well-being.”

OPTIMAL HEALTH??OPTIMAL HEALTH?? “ “ Complete well-being is a fantasy… health (whatever else it Complete well-being is a fantasy… health (whatever else it

might be) might be)

is something that happens not so much in the absence of illness is something that happens not so much in the absence of illness

as in its presence.”as in its presence.”

David Morris, Illness and Culture in the Postmodern Age

REDEFINING HEALTHREDEFINING HEALTH

“ “Health can be redefined as the manner in Health can be redefined as the manner in

which we live well despite our which we live well despite our

inescapable illnesses, disablilities and inescapable illnesses, disablilities and

trauma.”trauma.”

David Morris

HOLISTIC HEALTHCAREHOLISTIC HEALTHCARE

Focus = HEALTH

Main objective is to address the web

of genetic, social, emotional, spiritual and physical factors that contribute to health


Emphasis: SUPORTIVE FACTORS

Meaning in life, relationships & work and supportive human systems are considered to be the primary determinants of health

SUPPORTIVE FACTORS for SUPPORTIVE FACTORS for HEALTH & HEALINGHEALTH & HEALING

purpose in life spiritual connections social support work satisfaction emotional health optimism / hopefulness perceived happiness perceived health altruism

intellectual stimulation restful sleep time alone pleasure and play financial resources laughter / humor movement normal eating contact with nature

““Much illness is a conflict in values Much illness is a conflict in values

sailing under a physiological flag.”sailing under a physiological flag.”

Rudolph Virchow father of modern pathology


Motivation: JOY & PURPOSE

Reason for change is primarily to

enhance a sense of purpose and

enjoyment of life

A SPIRITUAL CALLINGA SPIRITUAL CALLING

““Every crisis a person has over the Every crisis a person has over the

age of 30 is a spiritual crisis. age of 30 is a spiritual crisis.

Spiritual crisis requires Spiritual crisis requires

spiritual cures.”spiritual cures.”

Carl Gustav Jung

A SPIRITUAL CALLINGA SPIRITUAL CALLING “ “The new medicine, like the oldest healing that The new medicine, like the oldest healing that humans have known, recognizes that illness is a humans have known, recognizes that illness is a teacher on each of our spiritual journeys, as well teacher on each of our spiritual journeys, as well

as a physical misfortune and psychological as a physical misfortune and psychological challenge. It insists, as did the tribal shamans challenge. It insists, as did the tribal shamans who were our first healers, that the work, the who were our first healers, that the work, the

‘profession’ of those who ‘provide’ healthcare, is ‘profession’ of those who ‘provide’ healthcare, is itself a spiritual path.”itself a spiritual path.”

James Gordon, Manifesto for A New Medicine

DISEASEDISEASE

Physical aspects of sicknessPhysical aspects of sicknessTangible, measurable, treatable eventsTangible, measurable, treatable events

ILLNESSILLNESSPersonal experience of sicknessPersonal experience of sicknessIntangible, invisible, immeasurableIntangible, invisible, immeasurable

DISEASE vs. ILLNESSDISEASE vs. ILLNESS

“ “ Two people with identical diagnoses share Two people with identical diagnoses share only the physical disorder; the way they only the physical disorder; the way they experience that disorder is absolutely experience that disorder is absolutely unique to each. They’ll find different unique to each. They’ll find different

meanings in their sickness, feel different meanings in their sickness, feel different emotions, respond with different behaviors.”emotions, respond with different behaviors.”

Jeff Kane, How To Heal


““Illness, includes, then, the sick person’sIllness, includes, then, the sick person’s

fear, anxiety, depression, anger, fear, anxiety, depression, anger,

isolation, despair…in other words, isolation, despair…in other words,

his suffering.his suffering.



““When we’re sick, When we’re sick,

we suffer not from our disease, we suffer not from our disease,

but from our illness —but from our illness —

what the disease means to us.what the disease means to us.””


SUFFERINGSUFFERING

Is a permanent property of humanityIs a permanent property of humanity

Can’t be fixedCan’t be fixed

Is exquisitely individualIs exquisitely individual

Isn’t necessarily entirely tragicIsn’t necessarily entirely tragic

Is painful to experienceIs painful to experience



Assumption: HUMAN NATURE

People have a nature desire

and ability to seek health (internal wisdom)


Assumption: HUMAN NATURE

People are currently doing the

best they can given their

particular circumstances


Professional Role: ALLY

Primary job is to facilitate people’s

reconnection with their own internal

wisdom about their body and their

health


Change Process: CONSCIOUSNESS

People are assisted in understanding

and healing life issues that underlie

illness and behavioral struggles

ADVERSE CHILDHOOD ADVERSE CHILDHOOD EXPERIENCES (ACE) STUDYEXPERIENCES (ACE) STUDY

Almost 10,000 adults in an HMO Almost 10,000 adults in an HMO

7 categories of childhood trauma7 categories of childhood trauma

Health risk behaviors & diseaseHealth risk behaviors & disease

Felitti, Am J Prev Med 1998;14(4):245-258

CAUSES vs. SYMPTOMSCAUSES vs. SYMPTOMS

2828%% of women reported sexual abuse of women reported sexual abuse

1616%% of men reported sexual abuse of men reported sexual abuse

25.625.6%% lived with substance abuser lived with substance abuser

10.810.8%% reported physical abuse reported physical abuse


CAUSES vs. SYMPTOMSCAUSES vs. SYMPTOMS

50% reported at least one category50% reported at least one category

25% reported at least two categories25% reported at least two categories

6% reported at least 4 categories6% reported at least 4 categories


Adverse Childhood ExperiencesAdverse Childhood Experiences

Social, Emotional, Cognitive ImpairmentSocial, Emotional, Cognitive Impairment

Health-Risk BehaviorsHealth-Risk Behaviors

Disease,Disease, DisabilityDisability

& & Social ProblemsSocial Problems

Felitti, Am J Prev Med 1998;14(4):256

Root Causes of BehaviorRoot Causes of Behavior Poverty, Abuse, Violence, IsolationPoverty, Abuse, Violence, Isolation

SufferingSufferingAnxiety, Anger, Fear, Anxiety, Anger, Fear,

Depression, HopelessnessDepression, Hopelessness

Behavioral CopingBehavioral CopingSmoking, Drinking, Drugs, Overeating, Smoking, Drinking, Drugs, Overeating,

Overworking, Sedentary LifestyleOverworking, Sedentary Lifestyle

Healing HealthcareHealing HealthcareA Spiritual CallingA Spiritual Calling


AVOIDAVOID FixingFixing

FIXINGFIXING

““Frequently, our reactiveness to suffering takes Frequently, our reactiveness to suffering takes

the form of having instantly to do something, the form of having instantly to do something,

do anything. It’s the “we gotta” syndrome: do anything. It’s the “we gotta” syndrome:

“We gotta” fix this up right away…It’s tricky, “We gotta” fix this up right away…It’s tricky,

because this impulse may arise from genuine because this impulse may arise from genuine

empathy, but the form of action is empathy, but the form of action is

compulsive.”compulsive.”

Ram Dass, How Can I Help?


AVOIDAVOID

- FixingFixing

- Reductionism Reductionism

““MEDICAL TERRORISM”MEDICAL TERRORISM”

“ “ The important point is that worrying too The important point is that worrying too

much about anything--be it calories, salt, much about anything--be it calories, salt,

cancer or cholesterol--is bad for you, and cancer or cholesterol--is bad for you, and

that living optimistically, with pleasure, that living optimistically, with pleasure,

zest and commitment is good. Medical zest and commitment is good. Medical

terrorism shouldn’t attack life’s pleasures.”terrorism shouldn’t attack life’s pleasures.”

Ornstein & Sobel, Healthy Pleasures


AVOIDAVOID

- FixingFixing

- ReductionismReductionism

- Blame and ShameBlame and Shame

HEALTH & GUILTHEALTH & GUILT

“ “ In nature, the occurrence of disease In nature, the occurrence of disease

is considered a part of the natural is considered a part of the natural

order, not a sign of ethical, moral, or order, not a sign of ethical, moral, or

spiritual weakness.”spiritual weakness.”

Dossey, Healing Words, p.17

BLAME & SHAMEBLAME & SHAME

personal focuspersonal focus

failurefailure

shameshame

hopelessness

helplessness

decreased self-esteem

?


AVOIDAVOID

- FixingFixing

- Reductionism Reductionism

- Blame and ShameBlame and Shame

- JudgmentJudgment

NONJUDGMENTNONJUDGMENT

“ “ When we have for so long been When we have for so long been

judged by everyone we meet, just to judged by everyone we meet, just to

look into the eyes of another who does look into the eyes of another who does

not judge can be extraordinarily not judge can be extraordinarily

healing.”healing.”

Dr. Jack Kornfield, A Path With Heart


INSTEADINSTEAD

- ListenListen

LISTENINGLISTENING

“ “ Now we can begin, perhaps for the first time, to Now we can begin, perhaps for the first time, to hear hear themthem. Less busy pushing away suffering, less . Less busy pushing away suffering, less frenzied having to do something about it, we’re able frenzied having to do something about it, we’re able to get a sense of what to get a sense of what they’rethey’re feeling, of what feeling, of what theythey feel they need. We may be startled to discover that feel they need. We may be startled to discover that

what they’ve been asking for all along is entirely what they’ve been asking for all along is entirely different from what we’ve been so busy offering”different from what we’ve been so busy offering”

Ram Dass, How Can I Help?

LISTENINGLISTENING

“ “Begin by ignoring her disease and Begin by ignoring her disease and concentrating instead on her illness. Listen concentrating instead on her illness. Listen well, and she’ll enter her suffering, explore well, and she’ll enter her suffering, explore it, know it, and unfold it for you. Listen even it, know it, and unfold it for you. Listen even

more deeply and she’ll comprehend her more deeply and she’ll comprehend her story and act accordingly.”story and act accordingly.”



INSTEADINSTEAD

- ListenListen

- Acknowledge & ValidateAcknowledge & Validate

Support & EncourageSupport & Encourage

WHAT REALLY HELPS?WHAT REALLY HELPS?

What We DoWhat We Do

oror

Who We AreWho We Are


“ “ We can, of course, help through all We can, of course, help through all

that we do. But at the deepest level that we do. But at the deepest level

we help through who we are..”we help through who we are..”

Ram Dass, How Can I Help? `

““Health care in the final analysis,Health care in the final analysis, is not about results...is not about results...

Health care is about being with people in Health care is about being with people in their finitude and doubt, in their pain and their finitude and doubt, in their pain and

uncertainty, respecting each one and saying uncertainty, respecting each one and saying that one cares, and showing by one’s deeds that one cares, and showing by one’s deeds that one really does care in all the ways that that one really does care in all the ways that one can. Such caring does mean acting in a one can. Such caring does mean acting in a way that promotes the best results possible. way that promotes the best results possible.

But the results, ultimately, are really But the results, ultimately, are really Someone Else’s business.”Someone Else’s business.”

Daniel Sulmasy, The Healers Calling

““Healing is a process, not a goal. Healing is a process, not a goal.

It’s all voyage and no destination. It’s all voyage and no destination.

Your task is only to be present to the sick Your task is only to be present to the sick person. The moment you begin contemplating person. The moment you begin contemplating the encounter’s outcome--whether he’ll attain the encounter’s outcome--whether he’ll attain

serenity or not--whether you’ll succeed or serenity or not--whether you’ll succeed or fail--your no longer with him but wandering in fail--your no longer with him but wandering in

your own mind, oriented toward the future your own mind, oriented toward the future rather than the present. All you can ever do is rather than the present. All you can ever do is your best; what is to be is out of your hands.”your best; what is to be is out of your hands.”



INSTEAD

- Listen

- Acknowledge & Validate

- Support & Encourage

- Be Aware of Our Own Issues


““We work on ourselves, then, in We work on ourselves, then, in

order to help others. And we help order to help others. And we help

others as a vehicle for working on others as a vehicle for working on

ourselves.”ourselves.”

Ram Dass, How Can I Help? `


“ “ Placing service in a spiritual perspective in no Placing service in a spiritual perspective in no way diminishes what we have to offer through way diminishes what we have to offer through

training, experience, individuality, special skills, training, experience, individuality, special skills, or sense of humor. Quite the reverse. Our or sense of humor. Quite the reverse. Our

particular talents and unique qualities are likely particular talents and unique qualities are likely to come forth more reliably when we have a to come forth more reliably when we have a

richer and more spacious sense of who we are.”richer and more spacious sense of who we are.”

Ram Dass

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