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BE THE FLOW

Water Lessons

 

Atlantic lighting

We can learn a lot from water. Water is everywhere, both around us and within us. Without water we would die very quickly. Water meets many of our needs. Water can be a great teacher for us.

Let’s begin by considering the sea. All the oceans of the world are connected. There are no oceans, no seas, anywhere in the world, which exist in isolation. In fact although we name the oceans and the seas as if they are separate entities, they are not. They are all one, artificially divided up into regions. We do that all the time as human beings. We break down whatever we see into parts, and we name the parts, isolating them from their natural environment, artificially dividing them up to contain them.

All divisions are artificial. The seas and oceans of the world are more than just connected. They are all the one water.

The surface of the sea is rarely still. In fact, it is never still at the edges. Have you ever been to a beach where there are no waves breaking on the shore, where there is no tide? Some days, however, as you cast your eyes out further to sea, the surface may appear flat and calm, but it rarely stays that way for long. The wind blows, the currents flow, and the surface breaks into a myriad of waves. Every one of us is like one of these waves. We appear, as if we are separate and distinct entities, but only for a brief time, then we are gone again. This is no illusion. Like the waves, we do indeed appear as distinct, discernible entities. But only for a short period of time. Just as the waves emerge out of the ocean, without breaking away from the ocean, so we emerge from the universe, from Life, from the non-dual nature of reality. And just as the waves dissolve back into the great sea again, so do we, after a brief life, return to the universe, to whatever it is that we emerge from.

Apparently separate forms are not actually separate at all. All beings, all forms, emerge only for a brief time from the wholeness of everything, and they are all transient, soon finding themselves submerged again below the surface, finding themselves becoming one again.

As the wind and the currents produce the waves, so the sun’s rays heat the surface of the seas and the water rises high into the sky to form clouds. We can learn a lot from clouds. It is hard to define the edges of a cloud. As you look at it, it constantly changes shape, size and colour. You can point to a particular cloud sitting low on the top of a hill, but if you climb the hill, the closer you get to the cloud, the harder it is to see its edges. At some point, you enter the cloud itself, but it can be very difficult to know exactly when that occurs. It’s almost impossible to know where a cloud begins and ends. In fact once you get really close to a cloud, it becomes just mist, a wetness on the surface of your face, an obscurity, a hindrance to your vision. Strangely, clouds are easier to see from the distance than they are from close up.

Objects are not as fixed as they first appear. All objects are constantly undergoing change, and edges are not as clear the closer you look.

As the clouds drift towards the mountaintops, they release their water as rain, and the rain falls to the ground. As the raindrops gather on the ground they form puddles, ponds, and lakes, and they flow down the mountains and hills as streams which join other streams to become rivers. The rivers all flow towards the sea, returning to the point where they began.

All of life is cyclical. Just as the water in the sea rises to become clouds, then falls again as rain, we see the patterns and cycles of all life. Where are the straight lines in Nature? Where are the beginnings and the ends of things? Everything curves, bends, entwines, cycles and flows.

Why do the rivers follow the particular paths they take? Partly, the answer is the environment in which they flow. The earth and rocks encountered by the water resist it, and in that resistance they create the river banks. Partly, however, the answer is history. The water which has flowed this way before is joined by the water which falls today. The actual course of a river can change over the years, but we can easily place any river on a map. We can track it from it’s origins, from it’s source, right down the long and winding path to it’s estuary, and so into the sea again. Over the years, over the centuries, particular paths are carved in the surface of the Earth, and as each new rain falls, the water quickly seeks out these old paths and hurries down them.

The paths of the past create the paths of the present.

We name the rivers. We can place them all on our maps. Yet, as Heroditus said, you cannot step in the same river twice. He was pointing out the truth that the river constantly changes and flows. You never experience the exact same river twice.

Everything constantly changes. What you experience today can never be experienced again.

 

 

BE THE FLOW

 

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BE THE FLOW

a wave

Can you remember a time when you looked up at the sky, a blue sky with distinct white clouds in it, and as you looked at one particular cloud you could watch its shape constantly changing? You probably noticed how the cloud would thin out at the edges and, in many cases, especially with the smaller clouds, you could watch as it gradually disappeared.

If you can’t remember ever doing that, then do it as soon as the weather allows. Pick out a fairly small cloud and watch it constantly change shape, constantly thin out at its edges and gradually disappear.

Where does the cloud go?

Have you ever watched large snowflakes slowly falling onto water? Have you noticed how they lose their shape, sinking or dissolving into the water?

Where does the snowflake go?

Now imagine you have a bottle of water and you take it down to a river. You take off the top of the bottle and empty the water into the river. Instantly, it seems, the un-bottled water disappears.

Where does the bottled water go?

Imagine the last of these scenes is filmed with a video camera and now you can watch the video but slowed down many, many times. You can see the water in the bottle taking the shape of the bottle. As you empty it out, it rapidly changes its shape as it pours into the river, but before it hits the river, it is still clearly the same “body of water” which was held within the bottle. As it breaks through the river’s surface, it changes shape even more, frame by frame becoming less distinguishable from the river itself.

The bottled water doesn’t disappear. It becomes the river as the river flows through it.

The snowflake doesn’t disappear. It becomes the water as the water flows through it.

The cloud doesn’t disappear. It becomes the sky as the sky flows through it.

Can you remember a time when you looked at the sea, and watched the waves growing out of the flat surface of the sea, swelling out of the surface of the sea, until they broke free of that flatness to stand proudly, perhaps flashing white tips as they sped towards the shore, to crash on the rocks or the beach, hiss, rattle the stones and the shells, then slip back quietly into the sea again?

BE THE FLOW

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november reflection

In my twelve monthly themes, November is the month of reflection. Why not take a moment to reflect on the year so far? Or even on TODAY so far??

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One of the main themes of this blog, and probably a core theme of my daily work as a holistic, integrative doctor, is the place of narrative in our lives.

I recently mentioned in another post that working with patients’ narratives was a part of what I and my colleagues do every day at the Centre for Integrative Care in Glasgow. A couple of readers have asked me to say more about that and I thought I’d pull together some thoughts into this post.

One of the first books I read which impressed me about the importance of stories in medical work, was Arthur Frank’s “The Wounded Storyteller”. In this book, which is the product of years of research, Frank claims that there are two very common types of story patients present to clinicians – “restitution” stories, and “chaos” stories. He proposed that we can think of these as two primary “genres” of story. The former is probably the commonest in biomedicine healthcare. It can be captured with the phrase “I’m broke, please fix me”. It’s an approach to illness and health which considers that disease is a dysfunction or lesion somewhere and that if the bit that’s wonky could just be fixed then all would be well. The latter is also very common, especially when there are a multitude of symptoms and the person has  become lost in the illness.

Frank proposes that a clinician’s job is to help patients turn these stories into “quest stories” – based on the principles of Joseph Campbell’s hero narrative.

The integrative journey from stuckness or chaos to flow and coherence emerges out of this creation of a new narrative.

Another reason to work with narratives is the human need for myth creation. We are meaning seeking creatures, and the myths, or universal stories, as Karen Campbell calls them, shape our lives. So it makes sense to understand which myths we’ve incorporated into our stories.

Shifting from the materialistic, reductionist myth to a soulful, heart-focused, holistic one, allows the creation of a much more positive story, one which brings hope, and which opens up the possibilities of a different future path.

A key component of the creation of a future with a more clear set of potentials is choice. William Glasser’s Choice Theory, turns our narratives on their heads, and focuses us on the verbs we use to describe our experience. What emerges is a much more autonomous, more powerful story – a shift from passivity to activity, from victim to autonomous individual, from zombie to hero.

But it’s not just the verbs in our stories which are important. It’s the metaphors too. The amazing work of Lakoff and Johnson demonstrates the embodied nature of metaphor, and in so doing gives us the opportunity to pick up on the metaphors we are using, including the bodily locations of our diseases or disorders, and gain a profound understanding of the meaning of our illness experiences.

I hope for stories of improvement as I work with patients, but the stories which excite me the most, are the ones of transformation. Yet again, this week, I’ve heard several such stories. That makes it a complete thrill and delight to be able to practice Medicine this way.

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Autumn

At this time of year, I look out of my consulting room window and the sudden redness of the leaves on this tree catches my eye. It’s one of my personal markers of change.
Change is a certainty in life, but we often resist it.
I think we are all experiencing big changes in the world today. That can be scary, and one response is to cling even harder to how to things are, but clinging doesn’t help.
It’s better to embrace change. After all, not only is it impossible to prevent the leaves turning red, but in fact the change is beautiful. In fact, it puts me in touch with the cyclical phenomena of nature, of the rhythms of season and time.
Take a look again at the byline at the top of this blog – “becoming not being” – there’s a lot to be gained by tuning in to becoming….

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Stumbled across this quotation from Mencken yesterday –

“When they speak of the dangers of Americanization… [it] may be described in general, as the decay of spiritual values that has gone on among us during the past two generations. It may be described, in particular, as our growing impatience with the free play of ideas; our increasing tendency to reduce all virtues to the single one of conformity, our relentless and all-pervading standardization. This is what all Europe fears when it contemplates the growing importance and influence of The United States… By Americanization it means Fordization – and not only in industry but also in politics, art and even religion.”

When I read this, a passage from Seth Godin’s “We are all Weird” sprang to mind….

Mass is withering. The only things pushing against this trend are the factory mindset and the cultural bias toward compliance.

The control culture is crumbling. Remember that classic Apple ad?

Think Different

Celebrate your uniqueness. You really are a one off, and nobody, but nobody is a better expert in your personal experience than you are. We should resist being standardised. Be a hero, not a zombie.

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october fruition

In October, I love to see all the berries splashing their colour amongst the green and golden leaves of autumn. It’s the month of harvest thanksgiving in many countries and cultures too.

So, what can you think of this year so far, which has come to fruition? For me it’s my BE THE FLOW project – the website, the beautiful, colour, photographic book of Be the Flow, the little black and white paperback, and the Kindle version too. You can find them all at www.betheflow.net

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I’m a great fan of Seth Godin’s work. His latest book is “We are all Weird“. Seth’s great at picking an eye-catching and provocative phrase (remember the purple cow?). So, he makes it clear what he means by “weird” –

In this manifesto, I’m not talking about weird by birth, I’m talking about people who are making an affirmative choice to be weird. Most people who make that choice are paradoxically looking to be accepted. Not by everyone, of course, but by their tribe, by the people they admire and hope to be respected by.

The key element of being weird is this: you insist on making a choice.

We all need to belong. Seth focused on that in his book on “tribes”. We like to associate with like minded people, with people who share our values and beliefs. In short, with people who share our choices. But we also need to know that we are all unique, that we are individuals. Remember the battle cry from “Braveheart”? FREEDOM.

Well, we all need freedom. The freedom to choose for ourselves, not being the least of the freedoms we need.

In “We are all Weird”, Seth shows how over the last century or two the concept of the “mass” has come to the fore. Mass marketing, mass consumption, globalisation of brands which seek to treat everyone as the same. Politicians like that. It gives them control. Marketers like that. It’s gives them the control. Goodness, those who seek to tell us all what’s best for us in health care irrespective of our individual needs, like that. It gives them control.

But the world is changing. It’s easier than ever now to express yourself. It’s easier than ever to be your own person, to make your own choices, and to find the others in the world who share those choices, to find your tribe. And this is completely changing the game. Power is shifting away from those who want to control the “mass” and into the hands of those who celebrate their uniqueness.

We’re seeing that in Medicine with the frustration of health care professionals and patients at being corralled into protocols and guidelines based on “evidence” which is statistical analysis of group experiments extrapolated out to be applied to the “mass”.

Read this book.

I recommend it. Read it and share it with your tribe. Be part of the change in the world. Be a hero, not a zombie.

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This week I had the enormous and delightful privilege of meeting Thomas Moore. He delivered a talk in the Medical Lecture Theatre at Glasgow’s Western Infirmary after visiting us in the Centre for Integrative Care, Glasgow Homeopathic Hospital, in the afternoon. So we had the chance to both meet him personally, and hear one of his really inspirational talks.

You know, Thomas, it felt like being “home”! I guess, you’d call it a “soul connection”. It all felt so right.

If you’re not familiar with his work, you’d do well to start with The Care of the Soul in Medicine, but really I’d recommend any of his books. I’ve enjoyed every one I’ve read.

He began by talking about mystery, and how none of us is completely knowable. Seems obvious, huh? But I’m repeatedly amazed how patients will say to me, at the end of a one hour first consultation, that I now must know “everything” about them. I usually respond by saying oh, we’ve only had an hour together, and you can spend a lifetime with someone and not fully know them, so really at this stage my knowledge must be very slight. But I know what they mean. The process of a holistic, non-judgemental, compassionate consultation, forms a strong (what Thomas would call “soul”) connection. The patient feels heard, they feel felt, they feel understood. However, I thought it was great to be reminded that we are all unknowable, that we all have unfathomable depths. It sets up a certain humility of practice and of living.

Thomas’ idea of “soul” seems very common sense and right to me – the best way to grasp it is to think about the phrases we use such as “soul music”, “soul food”, “soul mate” and so on. It’s a deep sense of being connected to other and to the world in which we live. He talked about some of the elements we identify as important in creating a good life, a soul-full life – friends, food, home, stories, the architecture of our living spaces for example. Everything about sharing, and about really experiencing our every day reality – what I’ve mentioned in this blog a number of times using the French phrase “emerviellement du quotidien” – the wonder, or amazement, of the every day….

If you ever get a chance to hear Thomas, grab it! You’ll have a soul-full evening!

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I’m a great fan of stories. In fact, I think we understand ourselves and others by using narrative, and the central way in which I work as a doctor is to hear people’s stories, and help them to change them from stories of being stuck or in chaos, to stories of flow, and flourishing and growth.

I’m also a great fan of fiction and the importance of the imagination. I vividly remember Ian McEwan writing this, about this day, ten years ago…

If the hijackers had been able to imagine themselves into the thoughts and feelings of the passengers, they would have been unable to proceed. It is hard to be cruel once you permit yourself to enter the mind of your victim. Imagining what it is like to be someone other than yourself is at the core of our humanity. It is the essence of compassion, and it is the beginning of morality.

So, this recent article in the Guardian caught my eye, “Reading fiction improves empathy, study finds”. There are a number of studies described in this article, and it’s introduced me to something called “the pyschology of fiction”, and, specifically to the work of Keith Oatley. If I wasn’t so insatiably curious I wouldn’t keep finding these amazing new worlds to explore! One of the studies described in the article compared the effects of reading Harry Potter with the effects of reading Twighlight. They used a new measure – “Twilight/Harry Potter Narrative Collective Assimilation Scale”! Don’t you love that? Look at this conclusion from that research –

“The current research suggests that books give readers more than an opportunity to tune out and submerge themselves in fantasy worlds. Books provide the opportunity for social connection and the blissful calm that comes from becoming a part of something larger than oneself for a precious, fleeting moment,” Gabriel and Young write. “My study definitely points to reading fulfilling a fundamental need – the need for social connection,”

and read this fascinating comment by Keith Oatley

“I think the reason fiction but not non-fiction has the effect of improving empathy is because fiction is primarily about selves interacting with other selves in the social world,” said Oatley. “The subject matter of fiction is constantly about why she did this, or if that’s the case what should he do now, and so on. With fiction we enter into a world in which this way of thinking predominates. We can think about it in terms of the psychological concept of expertise. If I read fiction, this kind of social thinking is what I get better at. If I read genetics or astronomy, I get more expert at genetics or astronomy. In fiction, also, we are able to understand characters’ actions from their interior point of view, by entering into their situations and minds, rather than the more exterior view of them that we usually have. And it turns out that psychologically there is a big difference between these two points of view. We usually take the exterior view of others, but that’s too limited.”

Spot on. He really nails the importance and value of fiction as a tool for building empathy. We reduce the place of the Humanities in our education system at our peril!

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