Showing posts with label mindfulness. Show all posts
Showing posts with label mindfulness. Show all posts

Monday, November 16, 2020

Pragmatism - #4 Mindfulness Series

Pragmatism - #4 Mindfulness Series

November 16, 2020 

Henry T. Hill



From June of 2018 to today I have faced Amyloidosis, chemo and peripheral neuropathy. In my Amazon book, "Mindfulness vs Disease and Debilitating Symptoms Such As Pain, Fatigue and Loss of Coordination" and in my Mindfulness Series essays posted on Latitude Attitude at https://latitudeattitude.blogspot.com/ and on Marketplace Mission Learning Center at http://marketplacemission.squarespace.com/, I present my journey.

To achieve the healthiest me, daily, I use the following mindfulness techniques:

Elisabeth Kubler-Ross and Five Stages to Acceptance
Pragmatism
Rational Emotive Behavioral Therapy
Transactional Analysis
Making Sense with General Semantics
Somatosensory Part of the Brain and the Role of Behavior Chemicals, Emotions and Physical Activity
Placebo Effect Concept
Bloom’s Taxonomy
Marshall McLuhan and The Medium Is the Massage
Words and Questions and Grammar and Chaos
Learning Theories
Poems and an Essay and Quotes
Feelings and Reactions

Pragmatism offers another mindfulness tool. William James in The Principles of Psychology published in 1890 presented the formula: Self-esteem = Success/Pretension or Self-esteem equals Success divided by Pretensions. The goal of this equation is to have Self-esteem equal one and have Success divided by Pretension equal one so that balances with one equals one. Pragmatism, a philosophical movement, began in the United States in 1870 from the writings of Charles Sanders Peirce and continued with William James and John Dewey. Pragmatism holds to the maxim, “Consider the practical effects of the objects of your conception. Then, your conception of those effects is the whole of your conception of the object.” Think of “objects” as events, actions, conversations, thoughts and sensations in your body and outside your body that disrupt/effect homeostasis/balance that you describe in words. So these become “objects” real-to-you, nouns with names and everything a noun represents like a “banana” to you in your mind. But “objects,” namely events, actions, conversations, thoughts and sensations, etc. when turned into words are not like “banana.” According to the pragmatism maxim, these “objects” you have created in your mind of physical objects like “banana” become your reality or conception of the “object,” which you in your mind have “objectified.” But what about “mind objects” that are not physical, cannot be observable, measurable, aren’t rational, aren’t scientifically verifiable, can’t be measured, weighed, dissected, dated and timed and indexed and with the underlying et cetera (etc.) but yet are still “objectified” in our minds. We react to these non-objects, these mental objectifications, as if they were like a “banana.” Words and thoughts act as tools and instruments for predictions, problem solving and actions. Words and thoughts do not describe, represent or mirror reality. “Pain” from my peripheral neuropathy offers an example of how to use pragmatism. Is “pain” an object like “banana,” or have I “objectified” “pain” and then I treat “pain” as an “object”?

Ideas … become true just so far as they help us to get into satisfactory relations with other parts of our experience. Any idea upon which we ride…; any idea that will carry us prosperously from any one part of our experience to any other part, linking things satisfactorily, working securely, saving labor; is true for just so much, true in so far forth, true instrumentally. William James (1842-1910) Pragmatism: A New Name for some Old Ways of Thinking 1907

"Our self-feeling in this world depends entirely on what we back ourselves to be and to do. Our self-feeling is determined by the ratio of our actualities to our supposed potentialities, thus the equation where our Self-esteem equals Success, what we have actually achieved, divided by Pretensions, what we pretend to achieve in the future.

Self-esteem = Success / Pretensions.

Such an equation may be balanced by increasing our successes to equal our pretensions or by lowering our pretensions to equal our successes. To achieve the best self-esteem, we must balance our successes and our pretensions so that they equal as 1=1. To give up pretensions is as blessed a relief as to get them gratified; and where disappointment is incessant and the struggle unending, this is what men will always do."

Success (our measurable actualities) divided by Pretensions (our pretendings or our imagined potentialities) equals our Self-esteem. So what should we do? Work day and night on our internal and external dialogue. Control our thoughts to maximize our self-esteem. Before peripheral neuropathy you may have walked three miles a day, but now with peripheral neuropathy you might find yourself only able to walk 200 steps a day. So put 200 steps a day as success divided by 200 steps pretensions so when you walk 200 steps, your self-esteem is high. Work to increase your number of steps per day. Work to maintain your number of steps. Like any learning task, this task takes time. You must change “I can’t” statements to “It is hard, but I will keep trying” statements. “I can’t” statements belong in the “Insane” category of General Semantics. “I can’t” statements using Rational Emotive Therapy represent “belief statements” we learned. We can’t unlearn these statements, but we can substitute a healthy productive statement as soon as we replace these “I can’t” statements with “I can’t right now, but I will continue working on this problem.” Date and time statements, repeat healthy scientific statements over and over as if you were learning a new song, record your struggle and your successes in your daily journal and look back at your journal to see how far you have come.

Free will, with whatever means we have to exercise free will, gives us freedom to choose to act or to choose not to act, to choose to say something even to ourselves or to choose not to say something even to ourselves. By the way, a choice to do or say nothing is still a choice for which we are responsible. Since kindergarten, we teachers have taught three rules: 1. Try to show up everyday on time and ready to work. 2. Try to do the job. 3. Try not to cause trouble. These rules will serve us throughout our lives. We patients must try to follow all three rules.

We must also accept the responsibility of Free Will. William James’ two-stage model of Free Will postulates that we have the basic ability to choose Free Will. William James separates chance and choice, the two factors, by arguing that chance is the part of the model over which we have no power, but after chance comes choice where we have, if we choose, the opportunity to make a decision of what we do or what we don’t do. We make our choices based on our unique experiences. So when you argue that you did not have a choice, often, that argument does not prove true-to-the-facts. We all live with chance, and our chance experience includes amyloidosis, PN or other health conditions. To become as healthy and productive as we can become, we must learn to accept the chance experience not with “Why me?” but with “Why not me?” and then take responsibility for the consequences of our Free Will choices such as Acceptance and use all the mindfulness tools to make us as healthy and productive as possible.

William James received his M.D. from Harvard in 1869. During his years of study James developed a neurasthenic condition which included symptoms of fatigue, anxiety, headache, heart palpitations, high blood pressure, neuralgia and a depressed mood. James, reacting to his diagnosed neurasthenia said, “I take it that no man is educated who has never dallied with the thought of suicide." We must choose to accept as a fundamental core belief that we have free will. We do not have control over chance, the cause of our disease, but we do, with free will, have control over the choices we make every day, and those choices must include our willingness to fight, to just do it.”

Use pragmatism in everything you do. Even small acts will accumulate and help you to create great effects. Even the littlest act can help to make you healthier and more productive. There can be no difference that doesn't make a difference (Pragmatism (1907), p. 45). Record your journey in your journal so you may look back to see how far you have come.

Pain, the word, grammatically functions as a noun: “The pain is real,” “The pains are real.” The examples show the word pain as a subject (a noun use) in a sentence and shows the word pain as countable, a characteristic of nouns. Pain, the word, functions as a verb: “It pains me …” or “They pain me…” and as a verb expresses action or being, has a form for a singular subject - “It pains me” and a plural subject - “They pain me” and has the following forms: pain, pains, pained and paining. Nouns name a person, place, thing, idea, action or quality. Verbs describe an action, state or an occurrence. The word “pain” falls into both noun and verb categories.

Now apply pragmatism to the word “pain.” Are you treating your pain as an “object” like a banana of your conception? If so, “then, your conception of those effects is the the whole of your conception of the object.” This means that you have ascribed your pain as “real,” “real” like the chair, the window, the table, the television set, the walls and the floor and the ceiling of the room, like a noun. The difference of pain as “real” as chair, window, table, television set, walls, floor and ceiling has profound effects on your daily experience of “pain.”. Other people may observe, measure, and physically react to the chair, window and such. Researchers can sometimes measure nerve signals but cannot measure with a degree of certainty your brain’s reaction as “pain.” You feel something you define as pain in your brain, the somatosensory area of your brain, because somewhere in your body nerves send a signal to your brain and your brain hits the “Pain” alert button. Your “pain” is “real” to you but not “real” like the chair, the window, the table and such and get rid of the word, “pain.” Use the word, “real” for observable, measurable objects that have a distinct individual identity, have a state of properties which change and have a behavior that can do things (even slowly decay) or can have things done to them. Now for something even harder, get rid of the word “pain.” Substitute the words “strange nerve signal.” Congenital insensitivity to pain (CIP) or congenital analgesia describes a person who cannot feel and has never felt physical pain. People with CIP can feel a discriminative touch and usually have no other physical abnormalities. Some researchers believe this condition exists because of an increased production of endorphins. From December 19, 2018 through June 2019 when I experienced daily and nightly PN pain, I noticed that a visit by a friend often turned off the pain for a while. Endorphins could have contributed to this relief from pain. Could my brain learn to release endorphins daily and nightly to lessen the peripheral neuropathy (PN) pain? Could my brain learn to feel the PN nerve signal as just a “strange nerve signal” and not as a “pain” nerve signal?

So, I stopped calling my daily PN pain “pain”, and I stopped thinking of the daily pain as “real”. The former “pain” became “strange nerve signals,” which gives a neutral (neither positive nor negative) measurable, and sometimes observable phenomenon. “Nerve signals” constantly define living and therefore present a positive experience. I stopped feeling and acting angry about my nerve signals and said to my brain using internal dialogue that these nerve signals should not register as “pain” and should register as simply “sensations.” Using this and other mindfulness techniques requires discipline and focus. One must practice using these techniques over and over every time the PN “pain” returns. This practice took me six months, December 19, 2018 through June 2019, to reduce my PN “pain” to PN “strange nerve signals” and PN “sensations.” Now I receive strange nerve signals that are just strange.

Give yourself a Self-esteem badge, a blue ribbon, for every time you balance the pragmatism formula: Self-esteem = Success / Pretensions.

For more see "Mindfulness vs Disease and Debilitating Symptoms Such As Pain, Fatigue and Loss of Coordination" by Henry T. Hill on Amazon (September 23, 2020 and 153 pages and 3359 KB). Henrythill@gmail.com

References

Bolognesi, Marianna. “How Language Shapes Your Thoughts - What Researchers Know.” ResearchGate, The Conversation, 26 July 2018.

“Depression.” World Health Organization, World Health Organization, 30 Jan. 2020, www.who.int/news-room/fact-sheets/detail/depression.

James, William. “PRAGMATISM.” Pragmatism, by William James, 1907, www.gutenberg.org/files/5116/5116-h/5116-h.htm.

James, William. The Principles of Psychology. The Project Gutenberg, www.gutenberg.org/files/57628/57628-h/57628-h.htm.

Lorentz, Madeline M. “Stress and Psychoneuroimmunology Revisited: Using Mind-Body Interventions to Reduce Stress.” Https://Www.mm3admin.Co.za/Documents/Docmanager/6e64f7e1-715e-4fd6-8315-424683839664/00025132.Pdf, Alternative Journal of Nursing, July 2006.

Miettinen, Reijo. The Concept of Experiential Learning and John Dewey's Theory of Reflective Thought and Action. International Journal of Lifelong Learning , 11 Nov. 2010, www.tandfonline.com/doi/pdf/10.1080/026013700293458.

Murray, Greg, et al. “The Mind-Body Relationship in Psychotherapy: Grounded Cognition as an Explanatory Framework.” Frontiers, Frontiers in Psychology, 1 May 2014, www.frontiersin.org/articles/10.3389/fpsyg.2014.00472/full.

Pragmatism. Wikipedia, 3 Apr. 2020, en.wikipedia.org/wiki/Pragmatism.

Satsangi, Shipra, et al. Thought Consciousness : A Panacea For All Ills And Evils Of Mind. Dayalbagh Educational Institute, www.consciousness.arizona.edu/documents/TSC2018AbstractBookfinal3.pdf.



Monday, November 9, 2020

Elisabeth Kubler-Ross and Five Stages to Acceptance - #3 Mindfulness Series



Elisabeth Kubler-Ross and Five Stages to Acceptance - #3 Mindfulness Series

November 9, 2020

Henry T. Hill



From June of 2018 to today I have faced Amyloidosis, chemo and peripheral neuropathy. In my Amazon book, "Mindfulness vs Disease and Debilitating Symptoms Such As Pain, Fatigue and Loss of Coordination" and in my Mindfulness Series essays posted on Latitude Attitude at https://latitudeattitude.blogspot.com/and on Marketplace Mission Learning Center at http://marketplacemission.squarespace.com/, I present my journey.

To achieve the healthiest me, daily, I use the following mindfulness techniques:


Elisabeth Kubler-Ross and Five Stages to Acceptance

Pragmatism

Rational Emotive Behavioral Therapy

Transactional Analysis

Making Sense with General Semantics

Somatosensory Part of the Brain and the Role of Behavior Chemicals, Emotions and Physical Activity

Placebo Effect Concept

Bloom’s Taxonomy

Marshall McLuhan and The Medium Is the Massage

Words and Questions and Grammar and Chaos

Learning Theories

Poems and an Essay and Quotes

Feelings and Reactions


Every day I use Elisabeth Kubler-Ross’ Five Stages in my mindfulness journey. Denial, Anger, Bargaining, Depression and Acceptance - think DAB - DA. Many people lock into denial or anger or bargaining, investing psychic energy, in essence, to pretend that denial or anger or bargaining will improve their situation. Many people sink into depression seeing no way out. Well, depression surrounds us with its “always” presence. But Acceptance, real Acceptance, dispels depression and helps hold depression away.


Using Denial in the face of accurate diagnosis simply will not work against a disease. Denial, pretending that something is not real does not marshall the mind-body to fight the disease. Anger works for some situations and may even save your life. Anger against a disease only stresses the mind-body and may make the symptoms worse. Bargaining with others and with ourselves becomes at an early age a way of life. Bargaining with a disease does not work and only postpones taking real mind-body action. Depression does not present an end, a place to stay. Depression is a part of the path one must take to move to acceptance. Depression will not disappear. Depression presents a shadow waiting to drive the sunshine away. Acceptance pushes the shadow away, but acceptance must be renewed every day and every night.


Depression, recognized by the World Health Organization (WHO) as the leading cause of disability and the fourth leading contributor to the global burden of disease, often shares a comorbid relation with anxiety, a distinct emotion. Patients must address the threats from depression and from anxiety. Chronic disease and chronic conditions such as amyloidosis and peripheral neuropathy contribute to depression and anxiety because of the loss of sense of self, lack of energy, reluctance to engage with friends because uneventful days leave nothing to talk about, sadness, anxiety and uncertainty about the future, loss of relationships, social isolation, feelings of guilt because of the need for others to become your caregiver and fear of death. Positive thinking, medications and exercise can help address anxiety and depression. Move to acceptance, leave anxiety and depression there because they will always stay there ready to move back in and will move back in again where a patient must embrace acceptance again and again.


To fight depression call on your life badges you earned through real experience. I had a great advantage growing up from 1943-1961 when I faced my medical challenges starting in 2018. In the 1940’s and 1950’s we got sick with mumps, measles, chicken pox, whooping cough and sore throats. Because both my parents smoked, I got sick more often every fall and winter when we had to keep the windows closed. But my real advantage in facing amyloidosis and PN consisted of me getting scarlet fever in the summer of 1948, being quarantined and almost dying. After that experience any thoughts of my dying held a different meaning for me then for most people. I had learned real Acceptance of mortality.


Remember Reinhold Niebuhr’s “Serenity Prayer:”

God, grant me the Serenity to accept the things I cannot change,

Courage to change the things I can,

And Wisdom to know the difference.


On June 18, 2018 when I first heard the words, Amyloidosis AL, I did a Goggle search and learned about the in curable and serious nature of Amyloidosis, I said to myself using my internal dialogue, “OK, I am 74 soon to be 75 years old and have enjoyed good health my whole life, so now the health challenge begins. The adventure of my life has opened a new path.” No denial, no anger, no bargaining, no “why mes” and at that point, no depression, just acceptance of the new journey, but I knew that depression would enter my world. My study of Kubler-Ross and my application of her stages throughout my life helped me jump through denial, anger and bargaining and helped me to realize that depression would always hang over this new journey, but I knew that acceptance, cold, objective, rational, scientific acceptance, everyday acceptance, would help hold depression away and give me the best chance to face this new challenge. Lesson: stop any denial, anger and bargaining thoughts right away and accept that depression will always be there. Use acceptance to push away depression and use acceptance thoughts to immediately face a new reality. Do not indulge yourself in self pity. Do not say, “Why me?” Instead say, “Why not me.” Do not let denial, anger and bargaining enter your daily world, and hold depression back with acceptance. Use the continuum of Sane ----- Unsane ----- Insane, found in “Making Sense with General Semantics,” which I will explain in a later essay, to monitor your thoughts. Is this thought observable, measurable, rational, scientific verifiable, dated and timed and indexed, with the underlying et cetera (etc.) meaning that there is always more to any immediate situation/episode/event as this thought can be? If my thought does not meet that criteria, than that thought falls in the Unsane or even Insane category. Unsane thoughts may contain words like: “always,” “never,” “can’t stand it,” “no answers,” “no cause,” “no solution,” “no cure,” “no relief,” etc. For example, when someone says that they can’t stand it, that statement is false to the facts because they are standing it by simply being here and saying that thought. For example if your hand and then your arm were caught in a machine that was grinding flesh and bone, you would be standing it until you either passed out or died. So when someone says that they can’t stand it, they are making an Unsane statement. What they are saying as a Sane thought is that they do not think that they can stand it very much longer without passing out or dying. Now take that Sane thought and turn it into a “badge” that you have earned by standing it. Unsane thoughts, “fictions”, take valuable and limited psychic energy to maintain and as with most mental disorders require a person to spread their Unsane thoughts to others. Maintaining Unsane thoughts is like bailing a leaking boat without trying to plug the holes. The leaking boat will eventually swamp and sink because you can’t bail fast enough. Stop Unsane and Insane thoughts right away. Plug the holes in your leaking boat. Substitute Sane thoughts which require very little psychic energy to maintain. Remember the lesson about lying: liars need to have good memories to remember their lies. Truth tellers just tell the truth. Unsane thoughts and insane thoughts are lies we tell ourselves and others. Monitor every thought using the Sane---Unsane---Insane continuum and use mindfulness techniques to change Unsane and Insane thoughts into Sane thoughts. Remember the four categories of thoughts: positive, negative, neutral and waste.


Use mindfulness. This process may seem difficult, but when you change one Unsane thought into a Sane thought and practice that Sane thought, you will not go back to that old Unsane thought. New Unsane thoughts will appear so filter them and change them into Sane thoughts. Just keep doing this using mindfulness tools. These tools and others help you keep yourself in the Acceptance frame of mind and help you keep Depression away.


For more see "Mindfulness vs Disease and Debilitating Symptoms Such As Pain, Fatigue and Loss of Coordination" by Henry T. Hill on Amazon (September 23, 2020 and 153 pages and 3359 KB). Henrythill@gmail.com


Works Cited

“5 Stages of Grief®.” Elisabeth Kubler-Ross Foundation, www.ekrfoundation.org/5-stages-of-grief/5-stages-grief/.

Bolognesi, Marianna. “How Language Shapes Your Thoughts - What Researchers Know.” ResearchGate, The Conversation, 26 July 2018.

“Depression.” World Health Organization, World Health Organization, 30 Jan. 2020, www.who.int/news-room/fact-sheets/detail/depression.

Lorentz, Madeline M. “Stress and Psychoneuroimmunology Revisited: Using Mind-Body Interventions to Reduce Stress.” Https://Www.mm3admin.Co.za/Documents/Docmanager/6e64f7e1-715e-4fd6-8315-424683839664/00025132.Pdf, Alternative Journal of Nursing, July 2006.

Murray, Greg, et al. “The Mind-Body Relationship in Psychotherapy: Grounded Cognition as an Explanatory Framework.” Frontiers, Frontiers in Psychology, 1 May 2014, www.frontiersin.org/articles/10.3389/fpsyg.2014.00472/full.

Satsangi, Shipra, et al. Thought Consciousness : A Panacea For All Ills And Evils Of Mind. Dayalbagh Educational Institute, www.consciousness.arizona.edu/documents/TSC2018AbstractBookfinal3.pdf.

Wednesday, October 7, 2020

Amyloidosis, Peripheral Neuropathy and Mindfulness - #1 Mindfulness Series





Amyloidosis, Peripheral Neuropathy and Mindfulness -#1 Mindfulness Series

10/3/2020

Henry T. Hill


June 18, 2018 I learned I had Amyloidosis Al, a rare, 9 cases per million, and incurable disease. After researching the disease and treatment options, I choose the Mayo Clinic in Jacksonville (six hour drive from Marco Island. I called for an appointment (no referral needed) and began treatment July 30, 2018 with Dr. Taimur Sher.


September 17, 2018 I began a schedule of once a week chemo treatments of dexamethasone 20mg and Velcade near home in Naples at the Florida Cancer Specialists in September 2018 and finished 16 chemo treatments in January 2019. December 18, 2018 I developed peripheral neuropathy (PN) in my feet and legs. Having had six kidney stones over the years, I can say that PN pain is less than a kidney stone, but PN pain does not pass or go away. Day and night PN pain comes, grows, lessens, and passes for a short time.


Chemo cancer doctors understand pain. My chemo doctor, Dr. Newman, prescribed first gabapentin, but when it did not work, Dr. Newman prescribed Hydroco/APAP 325mg, four a day if needed, and prescription Ambien or Zolpidem 10mg. Dr. Sher and my Mayo pain doctor, Dr. Palmer confirmed my PN and agreed with Dr. Newman's prescription and added a custom scripted gel Amit/Keta/Lido at 2/5/5% to apply twice a day and a prescription for physical therapy.


I knew I had to wean myself off pain pills and ambien and worked my mindfulness techniques I had used since childhood and while teaching at Roosevelt High School from 1968-1999 and teaching here in Florida from 2006-2018.


From December 2018 to June 2019 I worked the problem of convincing my brain, the somatosensory area, that the pain nerve signal was really just a "strange" nerve signal, not pain while I slowly weaned myself off pain and sleep medication. It worked. By the end of June 2019 I stopped taking any pain and sleep medication and have not taken again.


I use the following mindfulness techniques:


Elisabeth Kubler-Ross and Five Stages to Acceptance

Pragmatism

Rational Emotive Behavioral Therapy

Transactional Analysis

Making Sense with General Semantics

Somatosensory Part of the Brain and the Role of Behavior Chemicals, Emotions and Physical Activity

Placebo Effect Concept

Bloom’s Taxonomy

Marshall McLuhan and The Medium Is the Massage

Words and Questions and Grammar and Chaos

Learning Theories

Poems and an Essay and Quotes

Feelings and Reactions


Shortly after my first visit with Dr. Sher July 30, 2018 at the Jacksonville Mayo Clinic, I joined the Amyloidosis Support Groups (AL-Light Chain-Primary, a private, patients, caregivers, loved ones, members only moderated Facebook site with 4,145 members with an Admin/Moderator. Shortly after I developed peripheral neuropathy (PN) December 2018 and received an official diagnosis of PN by Dr. Newman at the Florida Cancer Specialists and confirmed by Dr. Sher and Dr. Palmer at the Jacksonville Mayo Clinic, I joined the Peripheral Neuropathy Support Group, a private Facebook group with 11,998 members with two Admins and one Moderator.


After reading and posting comments regarding my treatment and experience on both Facebook support group sites, I decided to write a book, "My Journey From Amyloidosis AL to Chemo to Peripheral Neuropathy and How I Used Mindfulness Learning Tools to Improve My Quality of Life" (February 17, 2020 on Amazon with 118 pages and 317 KB). This book chronicles the journey from Amyloidosis Al to peripheral neuropathy to mindfulness with an explanation of mindfulness and how I used it.


Because Amyloidosis is so rare and because of a conversation with my Mayo Clinic doctor, Dr. Sher, where he told me how difficult it was to treat patients with PN and fibromyalgia and chronic fatigue syndrome and other such diseases, I decided to pull out the mindfulness techniques section from the Amyloidosis book, expand it and write another book, "Mindfulness vs Disease and Debilitating Symptoms Such As Pain, Fatigue and Loss of Coordination" (September 23, 2020 on Amazon with 153 pages and 3359 KB). This book focuses expands on the mindfulness techniques I used. This book is for anyone struggling with chronic symptoms that restrict their quality of life such a fibromyalgia and chronic fatigue syndrome.


Just for the record since June of 2019 with no pain or sleep medication I receive "strange" nerve signals every day and night from my peripheral neuropathy, but I can walk four thousand steps a day and sleep at night only waking up once not five or six times as I did from December 2018 to June of 2019. As of now I see a doctor every three months for blood tests and consultation alternating between my Naples chemo doctor, Dr. Newman and my amyloidosis Mayo doctor, Dr. Sher. As of now my amyloidosis al is holding, and so, I do not need to go back on chemo. Life goes on.


My lesson to you:

Do your research by Google searching using space “pdf” at the end of a search (peripheral neuropathy and pain pdf). The pdf yields scholarly articles.


Mayo Clinics, in Rochester, MN, Phoenix and Jacksonville, offer a biography of each doctor, and on the Mayo Clinic website the doctors list their publications and offer a button to click to request an appointment. My Amyloidosis doctor, Dr. Sher to date has co authored 71 publications. Note: my Naples GI doctor who found through a routine endoscopy biopsy my amyloidosis had never seen amyloidosis. My Florida Cancer Specialist doctor administers my chemo coordinating with my the Mayo doctor, and my Florida Cancer Specialists doctor has four patients who have amyloidosis all with other primary amyloidosis doctors. For the record, during my September 2, 2020 visit with my Mayo amyloidosis doctor, Dr. Sher, he said he was glad to see because half of amyloidosis patients are dead in one year, and here I am seeing Dr. Sher from July 30, 2018 to September 2, 2020. I tell Dr. Sher it is because he is on my team, and I pray for him every day. He is on my daily prayer list.


Do your research to get the best diagnosis.

Do your research to get the best treatment.

Do your research to learn to work on yourself to give yourself the best quality of life possible.

To read excerpts from my mindfulness book, see my Mindfulness Series essays posted on the blog, “Latitude Attitude” at https://latitudeattitude.blogspot.com/ and “Posts” on Marketplace Mission Learning Center at http://marketplacemission.squarespace.com/. Email me at henrythill@gmail.com.

Internal Dialogue - #2 Mindfulness Series

Internal Dialogue - #2 Mindfulness Series

10/7/2020 

Henry T. Hill



10/3/2020 I posted on Facebook my amyloidosis al and peripheral neuropathy journey with some reference to how I applied mindfulness to my journey. To apply mindfulness you must become aware of your internal dialogue and record key thoughts in your daily journal and address daily your internal dialogue to change it from an unhealthy and unproductive dialogue to a healthy and productive dialogue. Mindfulness tools offers ways to become aware, to record and to address your internal dialogue. This task presents a challenge because you have spent your lifetime up to now learning patterns that repeat in your internal dialogue. You can’t unlearn these patterns, but you can learn a new pattern and substitute the new pattern when ever the old pattern shows up.

Today, 10/7/2020, I post how to develop and use your internal dialogue to begin your mindfulness journey. My next post will explain how I used Elisabeth Kubler-Ross and Five Stages to Acceptance. I will continue to post the following topics:

Elisabeth Kubler-Ross and Five Stages to Acceptance
Pragmatism
Rational Emotive Behavioral Therapy
Transactional Analysis
Making Sense with General Semantics
Somatosensory Part of the Brain and the Role of Behavior Chemicals, Emotions and Physical Activity
Placebo Effect Concept
Bloom’s Taxonomy
Marshall McLuhan and The Medium Is the Massage
Words and Questions and Grammar and Chaos
Learning Theories
Poems and an Essay and Quotes
Feelings and Reactions

Internal Dialogue - Goal: To identify and remove “Self-suggested stressors” and to replace them with a healthy and productive internal dialogue

Internal dialogue, internal monologue, self-talk, inner speech, inner discourse or internal discourse all refer to an inner voice tied to sense of self, self-reflection, self-image, critical thinking, emotions and subvocalization. Human awareness often sees this internal dialogue as the “mind.” Negative self-talk contributes to depression, anxiety and other mental disorders. Cognitive therapy aims to improve functioning by helping people identify and change negative self-talk by checking reality, looking at alternatives, seeking other perspectives and setting realistic goals. The Voices Within by Charles Fernyhough published in 2016 offers an exploration of the “inner voice” and its role in thinking by helping regulate behavior, motivate positive behavior and help one become more conscious of their internal dialogue. Fernyhough stated that one quarter of the people studied engaged in inner speech which leaves many people who do not actively engage in inner speech. Fernyhough also described four different categories of inner speech: faithful friend, ambivalent parent, proud rival and calm optimist.

A Google of “Critical Inner Voice” (CIV) produces over 56,000 results.

The field of psychoneuroimmunology (PNI) takes an interdisciplinary approach incorporating: psychology, neuroscience, immunology, physiology, genetics, pharmacology, molecular biology, psychiatry, behavioral medicine, infectious diseases, endocrinology and rheumatology to study the interactions between the nervous and immune systems and between mental processes including internal dialogue and health. “Stress and Psychoneuroimmunology Revisited: Using mind-body interventions to reduce stress” describes the normal state of the human body, termed homeostasis, as that state that maintains balance and health. Disruptive factors that cause stress, any external or internal demand placed on the body, affect the immune system including the neuroendocrine system and may disrupt the body’s ability to maintain homeostasis. Mindfulness tools using internal dialogue offer ways to move toward and to maintain homeostasis.

Examine thoughts with a critical eye to identify, to evaluate and to change unhealthy, unproductive thoughts into healthy and productive thoughts. Mindfulness offers tools to address these unhealthy and unproductive thoughts and to make changes to ensure the healthiest mind outcomes possible in any situation so as to restore and to maintain homeostasis.

Tips to develop and to expand an internal dialogue:

First, accept that thought exists as one of the important causes of actions which, when repeated, these thoughts become habits, and these habits become the basis of personality. Second, accept that the brain maintains a level of activity 24/7, day and night, year after year. Third, thoughts may take many forms such as feelings, dreams, images, sounds, smells, ‘flashbulb’ memories in the brain, but when they take shape as words, mindfulness techniques can work to shape those thoughts. Mindfulness can also address feelings, images and even memories.

According to “What are thoughts made of?” From the MIT School of Engineering, the human brain is composed of about 100 billion nerve cells (neurons) interconnected by trillions of connections (synapses) with some connections sending up to 1,000 signals per second all of which somehow produce thought.

Here is what MIT researchers think happens when you read the following words.

The photons associated with the patterns of the letters hit your retina, and their energy triggers an electrical signal in the light-detecting cells there. That electrical signal propagates like a wave along the long threads called axons that are part of the connections between neurons. When the signal reaches the end of an axon, it causes the release of chemical neurotransmitters into the synapse, a chemical junction between the axon tip and target neurons. A target neuron responds with its own electrical signal, which, in turn, spreads to other neurons. Within a few hundred milliseconds, the signal has spread to billions of neurons in several dozen interconnected areas of your brain, and you have perceived these words.

So asking how do thoughts form in the brain means asking for an explanation of how trillions of connections and billions of simultaneous transmissions come together in a brain to form a thought. Researchers believe that the brain links thoughts together in ways: that may promote and sustain homeostasis, that may have little or no effect on homeostasis, or that may disrupt homeostasis and therefore affect health and happiness.

Unsupervised Learning

Hebb’s Theory - “neurons that fire together wire together” ties together psychology and neuroscience. Donald Hebb in his 1949 book, The Organization of Behavior, foreshadowed what researchers now call “spike-timing-dependent plasticity” which helps explain associative learning where simultaneous activation of cells leads to synaptic strength between those cells which becomes the basis of unsupervised learning. Hebb’s Theory helps explain how Albert Ellis’ Rational Emotive Therapy argues that events do not trigger reactions. Events trigger learned belief systems and these learned belief systems trigger reactions. Unsupervised learning can result in learned belief systems which disrupt homeostasis. Mindfulness tools applied to internal dialogue offer ways to replace (unsupervised) learned belief systems with healthy, productive and positive (supervised learned) belief systems which can lead to a healthy and positive life.

The article, “How language shapes thoughts - what researchers know,” suggests words work as glue by allowing different experiences to form under one label. Often the label or umbrella denotes something we cannot see or touch. Compare the thought of “banana” with the thought of “freedom” by Googling each term and clicking on images. Clinical studies suggest that the brain stores/processes concrete concepts such as “banana” in a different area from abstract concepts such as “freedom.” Researchers estimate that 70% of the words used everyday designate abstract concepts, but most research on how the brain processes language base the research on words denoting concrete concepts only. This leaves abstract concepts, 70%, open to study.

Mindfulness can maintain positive thoughts which will manifest in positive behavior which will manifest into a healthy and positive homeostasis. Becoming conscious of thoughts, of their type and quality, allows one to stop certain thoughts, to divert thoughts, to modify thoughts, and to replace thoughts with positive, creative and powerful thoughts. To stop certain thoughts requires moment-to-moment discipline 24/7. Accepting this mindfulness premise means feelings of hurt, fear, hatred, denial, guilt, helplessness, hopelessness, irritability, loss of appetite, loss of energy, loss of interest in daily activities, loss of pleasure, low self-esteem, restlessness, sadness, insecurity, jealousy, revenge, anger, unhappiness and depression come from thoughts that have become part of belief systems. Through mindfulness training you may learn to modify your belief system and therefore modify your feelings and behavior and even modify how your body reacts to the challenges of your disease.

Start by identify four types of thoughts: positive thoughts, negative thoughts, neutral thoughts and waste thoughts and try to eliminate negative and waste thoughts. Use mindfulness by setting alarms to monitor thoughts throughout the day. Get up early in the morning and observe your mind. Repeat the same exercise throughout the day and before going to sleep. Identify the thoughts, place them in the four categories and respond using mindfulness practices. Through conscious mindfulness one can change belief systems. See “Thought Consciousness: A Panacea For All Ills and Evils of Mind.”

Here is another idea to open yourself to productive and healthy mindfulness: hedonia vs eudaimonia and the six components of Ryff's six factor model for psychological well-being. Of the 70% of abstract concepts “happiness” presents great challenges. Psychologists present happiness as hedonic happiness - pleasure and enjoyment eudaimonic happiness - meaning and purpose. Both concepts come from the ancient Greek world and have supporters in our modern world. Most researchers believe that people require both to flourish.

If you have not experienced regular inner conversation, this new experience will open up whole new worlds. Apply mindfulness every day to reduce stress, to open yourself to the wonders and joys of the world around you and to the wonders and joy of the world inside you.

Now start journaling every day. I use Google Docs (free with a Google Gmail). I can view my journal from any device connected to the internet. I cut scrap paper into quarters and clip them together using a paper binder clip and take daily notes on the quarter sheets of paper which I then transfer to Google Docs the next morning. I started my journal when I received my diagnosis of amyloidosis on June 18, 2018. My journal now number 87 pages with over 50,000 words. Each day start with “Wednesday, 10/7/2020” and include the following: appointments, tests, drugs,reactions, doctors, nurses, foods, sleep/nap times, exercise, behaviors, chemicals, emotions, physical activity, and anything that helps to improve your quality of life and anything that decreases your quality of life. Put a bold heading above a day when you start or stop a drug or a treatment or anything that stands out as a change. I have added topics at the end of my daily journal such as: prayer list, special people, trivia, Bread baking, books, movies and TV shows watched, my prescription journey summary, new drugs that I may have to take, What I have learned rules, my personal prayers, etc.

For more see "Mindfulness vs Disease and Debilitating Symptoms Such As Pain, Fatigue and Loss of Coordination" by Henry T Hill on Amazon (September 23, 2020 and 153 pages and 3359 KB)

Works Cited

Bolognesi, Marianna. “How Language Shapes Your Thoughts - What Researchers Know.” ResearchGate, The Conversation, 26 July 2018.

de Sousa, Paulo, et al. “Inner Speech and Clarity of Self-Concept in Thought Disorder and Auditory-Verbal Hallucinations.” The Journal of Nervous and Mental Disease, Lippincott Williams & Wilkins, Dec. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5142361/.

Dougherty, Elizabeth. “What Are Thoughts Made of?” Ask An Engineer, MIT School of Engineering, 26 Apr. 2011, engineering.mit.edu/engage/ask-an-engineer/what-are-thoughts-made-of/.

Fernyhough, Charles. The Voices Within: The History and Science of How We Talk to Ourselves. Profile Books, 2017.

“Hebbian Theory.” Wikipedia, Wikimedia Foundation, 15 Apr. 2020, en.wikipedia.org/wiki/Hebbian_theory.

Lorentz, Madeline M. “Stress and Psychoneuroimmunology Revisited: Using Mind-Body Interventions to Reduce Stress.” Https://Www.mm3admin.Co.za/Documents/Docmanager/6e64f7e1-715e-4fd6-8315-424683839664/00025132.Pdf, Alternative Journal of Nursing, July 2006.

Murray, Greg, et al. “The Mind-Body Relationship in Psychotherapy: Grounded Cognition as an Explanatory Framework.” Frontiers, Frontiers in Psychology, 1 May 2014, www.frontiersin.org/articles/10.3389/fpsyg.2014.00472/full.

Nathan, Howard J, et al. “Randomized Trial of the Effect of Mindfulness-Based Stress Reduction on Pain-Related Disability, Pain Intensity, Health-Related Quality of Life, and A1C in Patients With Painful Diabetic Peripheral Neuropathy.” Clinical Diabetes : a Publication of the American Diabetes Association, American Diabetes Association, Dec. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5734176/.

Satsangi, Shipra, et al. Thought Consciousness : A Panacea For All Ills And Evils Of Mind. Dayalbagh Educational Institute, www.consciousness.arizona.edu/documents/TSC2018AbstractBookfinal3.pdf.

Six-factor Model of Psychological Well-being. (2020, April 14). Retrieved October 07, 2020, from https://en.wikipedia.org/wiki/Six-factor_Model_of_Psychological_Well-being