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In the A – Z of Becoming, the fourth verb, D, is for Dream.

Sleeping baby on hoarding

I took this photo some years ago in the Ginza district of Tokyo. I think it captures two ideas about dreaming.

The first is that when we think of dreaming, partly what we think of is what we do when we are asleep. What did you dream last night? Can you remember? Nobody understands what night time dreaming is about, but for many years psychoanalysts and others have found that dreams can be a rich source of insights into the unconscious mind. If you want to explore what lies within your own dreams, you’re going to have to start improving your ability to remember them. The best way I know of doing that is to keep a notepad beside your bed with a pencil or pen beside it and when you wake up, immediately write down what you can remember from the dreams you’ve been having that night. I’m sure you’ll have had the experience of waking up in the midst of some vivid or powerful dream, only to find all trace of it disappears when you have your first thought about the day you’ve woken up into. I think there is also some mileage in setting your intention. Before you go to sleep, your last thought can be “let me dream tonight, and let me remember tonight’s dreams when I wake tomorrow”. Many people say setting such an intention, coupled with having the notebook ready for when you wake, gives you an increased chance of capturing those dreams. As with so many other thoughts and behaviours, the more you do it, the more easily you’ll do it, so even if the first few mornings you find you still can’t remember anything, persist. Once it becomes established, it becomes more useful.

The second is the kind of dreaming we do when awake, and I don’t particularly mean free-floating day dreaming, I mean consciously dreaming. The fact this construction company in Tokyo chose to print an image of a sleeping baby, cleverly hints at that other kind of dreaming….the kind which is part of the creative process. Dreams which become plans, blueprints, goals, projects…..dreams which become paintings, poems, stories and songs. Dreams of where we want to go, what we want to see and do.

Allow yourself this week to become aware of both these kinds of dreams. Maybe you can note some of them down in your notebook….in your dream journal? Maybe you’d like to have two dream journals, one for the dreams of sleep, and one for you conscious dreams, or maybe, and I prefer this option, the one journal for ALL your dreams……after all, you might find that the one kind of dream becomes entangled in the other kind, and something quite surprising might emerge.

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Remember the big swine flu scare? Where governments threw around Tamiflu by the bucket load? This antiviral which had never been shown to successfully treat or prevent swine flu was stockpiled by the government (apparently at  cost of about one pound for EVERY 200 pounds spent on the entire NHS in England and Wales in 2009!) and “prescribed” in the UK after telephone tick box consultations.

I was astonished at the time that so many millions and millions of pounds were spent on this drug. I don’t remember such mass, thoughtless prescribing before the Tamiflu debacle. It struck me as horrendously irresponsible of the authorities. Most of it, I thought would just be pee’d down the toilet without doing any good.

Well it’s an even more disturbing story than I knew at the time. A new piece of research reveals that the amount of Tamiflu in the toilet water which was flushed into the rivers has now caused resistance to this drug in the viruses.

If it was ever going to do any good, and that is seriously in doubt because after determined campaigning by researchers, scientists and journalists, it turns out that the evidence Roche didn’t publish shows that Tamiflu doesn’t even do what they claimed it did , that good is sure reduced now.

But then the drug company got its billions didn’t it?

And isn’t that the point of a drug company? To make billions?

 

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fern eclipse

David Suzuki, in ‘The Sacred Balance’, says

Many have believed in an animated, inhabited, sacred world surrounding them, the natural world that constitutes reality. These beliefs restore our sense of belonging, of being-with, which is threatened by our dividing, conquering brain;

Oh, this connects with so many other things I’ve read these last few months. That last phrase taking me back to ‘The Master and His Emissary‘ – “our dividing, conquering brain” – what a brilliant description of what our left hemisphere does! But it’s this sense of Life everywhere which really captures my imagination. Marc Halévy in ‘Ni hasard, ni nécessité’ writes about the concept of hylozoism….a term I had never encountered before. Look it up. I thought Halévy had invented it as a neologism – but he hadn’t. It’s a very, very old idea which, suddenly becomes very, very new and relevant now. It’s the idea that everything has life in it. He juxtaposes hylozoism to materialism and says

It reveals to us that all matter is alive, that all matter is an expression of life, that all matter is living. (my translation)

Without looking it up right now, I seem to recall Howard Bloom argues something similar in ‘The God Problem‘ too, where he makes the case that even neutrons demonstrate free will.

It seems that Life is everywhere, and that the Cosmos is where we belong, what we are part of, not apart from. Does it make you feel differently about our planet once you realise it isn’t a resource but a manifestation of a living universe

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Untitled

Relationships – here’s the key to understanding living organisms.

We don’t understand a human being by measuring his or her parts and adding up the results. We understand a human being by studying how the parts relate, and how the person relates to the rest of Nature.

Fritjof Capra puts it this way

Systems thinking emerged from a series of interdisciplinary dialogues among biologists, psychologists, and ecologists, in the 1920s and ’30s. In all these fields, scientists realized that a living system – organism, ecosystem, or social system – is an integrated whole whose properties cannot be reduced to those of smaller parts. The “systemic” properties are properties of the whole, which none of its parts have. So, systems thinking involves a shift of perspective from the parts to the whole. The early systems thinkers coined the phrase, “The whole is more than the sum of its parts.” What exactly does this mean? In what sense is the whole more than the sum of its parts? The answer is: relationships. All the essential properties of a living system depend on the relationships among the system’s components. Systems thinking means thinking in terms of relationships. Understanding life requires a shift of focus from objects to relationships.

I find this completely thrilling and it explains so clearly why we can’t use reductionism to fully comprehend living beings.

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Facing the Med

There’s a lot of talk around just now about “patient centred care”. It’s one of those concepts that nobody argues against. In fact, pretty much everyone claims to be doing it. If that’s true, then it must mean different things to different people. Or it must have so many aspects, that different people resonate with the concept because they understand and value one of those aspects.

There’s a vast and growing literature on “patient centred care” but I’d like to make a contribution to the debate. I’m writing here from the perspective of a generalist, holistic, integrative doctor. I work at the “NHS Centre for Integrative Care” which, we claim, is a patient centred service within the NHS.

Some health care services are disease centred. There are Diabetic Clinics, Asthma Clinics, Hypertension Clinics and so on. These are specialist services where only people with particular diseases are seen, and where progress is measured primarily by measuring changes in the disease activity.

Some services are therapy centred. When you attend one of those services, only particular therapies will be used, no matter what your diagnosis, or who you are. The two biggies are surgery and drugs. Most services are designed to support the delivery of one of those two therapies. “CAM” (“complementary and alternative medicine”) clinics are often therapy centred too. Acupuncture Clinics, Osteopathic Clinics, Homeopathic Clinics etc. When you go to one of those you will see someone who has specialised in that particular therapy, and they will try to help you using that therapy.

Integrative Care is a patient centred therapy. It delivers individualised, multidisciplinary care using a range of different therapies, based on a holistic, personalised understanding of the individual patient. It is generalist, in that it is not limited to patients with specific diseases, and it is integrated in that it is not limited to the use of one particular therapy.

Now, I’m sure, there are many who will explain why their disease-centred, or therapy-centred service is also patient-centred, but I hope it’s helpful to clarify why an “integrative care” service cannot be defined by either the therapies used, or the disease diagnoses of the patients attending.

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The other day I came across, in David Wade’s beautiful “Crystal and Dragon” book, a little drawing of the paths each planet takes (relative to Earth) and, apart from making me want to dig out an old “spirograph”, I thought it was simple but wonderful.

planets

 

There are patterns everywhere, and we human beings seem to be particularly good at spotting them.

There is diversity and uniqueness everywhere. In the cosmos, in the solar system, on our planet, Earth, in every living organism.

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floating petals

I came across this statement the other day

You can’t direct a living organism, you can only disturb it.

I think this is such an important truth, yet we lose sight of it all the time in health care.

Our current reductionist, mechanistic model of living organisms has resulted in our unsustainable version of health care, based on the premise that diseases are entities which can be defined, isolated, attacked and removed, using “evidence based” interventions which are certain to produce the outcomes demonstrated in clinical trials.

Life, of course, isn’t like that. The intended “outcomes” are difficult to achieve, impossible to predict in individuals, and turn out not to be the end of the story when life carries on.

Why is that?

One reason, it strikes me, is because you can’t “direct a living organism”. You can’t control a living organism. People aren’t like cars. Living beings contain many, many parts (cells which work together to create tissues, organs and networks), but those parts relate to each other in non-linear ways.

Simply, that means that doing X to Y will not predictably produce Z.

The failure to remember that leads to polypharmacy where each “evidence based” drug is prescribed to direct a part of the living organism – the heart, the brain, the lungs, the stomach etc – but when that part changes under the influence of the drug, it’s relationship to the other parts changes – unpredictably (and the drug, which is not specific to the part it is trying to direct, produces changes in many other parts at the same time)

If we remember that we can only “disturb” a living organism, not “direct” it, then we are called to be more humble, less certain (and so more aware, more reflective at every stage), and more holistic.  We are called to constantly return to the focus on the person, on this unique individual we are caring for, and to assess, with them, how life is changing as a result of this “disturbance”.

We can’t control individuals. But we can disturb them, and then ask with them, how is life now? What direction is life taking?

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water green from reflected leaves

I love stories. I love the stories I hear every day in my consulting room. New stories. Amazing stories. Unique stories.
Years ago, when I started this blog, I called it “Heroes not zombies“. My hope is that what people read here will inspire them or stimulate them to wake up, reflect, and create a brand new story. In the story of YOU, you are the hero.

James Hollis in his “Creating a Life” says this about stories –

Each of us lives out a story, a dynamic narrative whose only consistency is that we somehow show up in each of the scenes…….The gods set things in motion, but the choices are ours. The sum of those choices, and their consequences which may ripple through generations to come, is the story of our life.

What story are you living? And what story will you choose?

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Deeply orange

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Blossoming

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No matter how often I see this, it fills me with wonder. How great to be able to slide back the consulting room glass door, step outside, and capture this abundance of buds and early blossoms. These simple pleasures make it great to be alive.

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