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Posts Tagged ‘mental-health’

I have a long, long love for the French language and culture. I’ve found books, articles, magazines over the years which do a couple of things which I didn’t come across in Scotland, reading English. It’s not just the way these texts are written, nor the way they use beautiful graphic art and images, it’s the subject matter they consider worth while spending time on. 

One particular book from 2009 opened up a whole way of seeing for me. The book is called “La Maladie cherche à me guérir”, and it’s by a doctor called Philippe Dransart. The book has never been translated into English as far as I’m aware, but the title in English would be something like “The Illness is searching for a way to heal me”. Dr Dransart starts from the idea of the embodied metaphor. Now, I have read about this idea elsewhere, not least in the books like “Metaphors we Live By”, by George Lakoff and Mark Johnson. But Dr Dransart draws from his own clinical experience to show us how often the actual words patients use, especially the body-focused metaphors they use, can be the key to understanding their suffering. Understanding not only their diseases, and why those diseases might have appeared in specific organs or tissues, but also understanding their psyche and life story, and how that connects so deeply to their unique patterns of illness. Put simply, he discovered, time and again, that when someone presented with a problem in a particular part of the body, then they’d often use metaphors about that very part when talking about themselves. 

In his book, he systematically considers metaphors and figures of speech used by patients presenting with problems in pretty much every system and organ of the body, but for my purposes here, I want to focus on only one – the heart. And, as an English speaker, I’m going to focus on the heart metaphor phrases which we use in the English language. 

I’ve already mentioned one at the very beginning….having a heart to heart. When we say that we imply that our conversation will be true, important, and intimate. You don’t have heart to heart conversations with just any stranger you might encounter in a coffee shop, do you? We have heart to hearts with loved ones, with family and friends, and with trusted professionals. In a heart to heart conversation we will talk about what’s important to us, and also, to what is shared between us. A heart to heart, does, after all, involve two people. It’s not something you do yourself, and it’s not something you’d normally try to do in a group. It’s personal. It’s specific. It’s an opening up to another. 

Let’s look at some other heart metaphors. Do you know someone who is “big hearted”? It means they are generous doesn’t it? Not at all the same as someone who is “big headed”! And notice we don’t say people are “big kidneyed” or “big livered” by the way. On the other hand, do you know anyone you think of as “heartless”? We might even apply temperature differences to these opposites. So maybe someone is “warm hearted” and another is “cold hearted”. A warm hearted person will often do, or say, something we’d describe as “heart warming” when we feel that comfortable, cosy feeling inside. 

What would you say if I were to ask you what was “dear to your heart”? You might say, not what, who, and tell me of loved ones. Or you might tell me about whatever it is that is most important to you, whatever you feel most passionate about. In fact, we tend to think of the heart when we think of passion, don’t we? Maybe we associate “will” with the head, but we associate “passion” with the heart. On the other hand, when we are de-motivated, we might say our “heart isn’t in it”. We are not really committed. It doesn’t move us, inspire us. 

We apply a weight to the heart too, don’t we? When did you last feel “light hearted”? Can you think of a time when you felt free of anxieties, content, even happy, where “light hearted” would be a good description? When I think of someone “light hearted” I think of them smiling, moving easily, maybe even skipping (if they are still young and fit enough to skip!) It’s a joyful image. But what gives you a “heavy heart”? When do you get sense of dread, a sinking feeling? We often move our metaphors down into our abdomens when we have these heavy feelings, don’t we, describing a “gut feeling” of something not quite right. Isn’t it interesting that we “feel” intuition in our hearts and in our guts? As if our bodies are telling us something, our brains haven’t quite figured out yet. 

The heart, of course, is the seat of love, isn’t it? We use a stylised image of a heart, usually a red one, as an emoji to say we love someone or something. We put red hearts on the Valentine cards. We make a heart symbol with our two hands when we want to communicate love at a distance. How often do you see athletes or performers do that when their fans are loudly applauding an achievement? 

When we fall in love, the very sight of our loved one can make our hearts “skip a beat”, and if they abandon us, we feel “heart broken”. In unresolved grief, we might even say someone died of a broken heart. 

The heart is also the seat of excitement. There’s a Dutch knitting podcaster who my wife listens to, who often talks about something being “heart jumping” – which, although not an expression I’ve heard much in English speakers, is a great one for conveying what is exciting, what stirs her or inspires her. 

Can you think of any others?

There are two more I’d like to consider. The first is how we oppose the head and the heart, saying someone lets their heart rule their head, or vice versa. Usually there, we are talking about the balance between rational thought, cognition, and feelings and emotions. 

And here’s my most favourite one, which comes from “The Little Prince” by Saint-Exupery. The fox asks the Prince if he want to know his secret. 

“It is very simple. The important things in life you cannot see with your eyes, only with your heart”

Isn’t that wonderful?

But how do we do that? How do we find the important things in life by seeing with our heart? 

When I was at university I was taught about the heart, its structure of four chambers, with valves between the atria and the ventricles, its muscle cells with their astonishing ability to beat out a rhythm, its incredible system of production and distribution of electrical currents to co-ordinate the beating of those muscle cells, its blood supply and its nerve supply, and a lot about the diseases of the heart, how to diagnose and treat them. 

But it was only years after graduation, when I was working as a young doctor, that I came across the discovery that the system of nerves around the heart was much more complex and powerful than had previously been thought. 

There’s a special kind of nerve in the human body called the neurone. We have somewhere between 80 and 100 billion of these cells in our brains, and another billion spread throughout the body. These neurones either transmit information up to the brain from our sensory organs and from specialised sensors which are spread through the other tissues of the body. Or they are responsible for sending electro-chemical signals from the brain to all our muscles, co-ordinating which contract, and which relax. 

The 100 billion neurones in the body are each directly attached to as many as 5,000 other neurones forming an astonishingly complex web known as a neural network. I mean, these numbers are beyond our comprehension, aren’t they? They are just mind boggling! 

For a long time we’ve paid a lot more attention to the neural networks in the brain than we have to the ones in other parts of the body. But we now know that there are in fact important neural networks which surround especially the heart and the gut. That discovery is fascinating enough, but, what I find even more fascinating is that the nerves connecting the network around the heart to the one in the brain are mainly carrying information from the heart to the brain. Only a minority of them are carrying instructions from the brain to the heart. 

So, it turns out, the heart is more than a complex muscular pump responsible for distributing blood around our arteries and veins. It’s actually doing some of the processing we used to think was exclusive to the brain. 

What’s it doing? Well it’s now known as heart intelligence. It’s gathering information and processing it before passing it on to the brain. 

I mean, that’s fascinating enough, isn’t it? But there’s more. We’ve discovered something else. Everything in the world which beats a rhythm sends out electromagnetic waves. As the rhythm of the heart changes so does the pattern of these waves. 

You know how in medical dramas on tv there is often a heart monitor attached to some sick person lying in a bed? The monitor shows the beating rhythm of the heart, with a little line running across the screen. A flat line means the heart has stopped beating. A healthy pattern is of little spikes appearing in that line at regular intervals. 

Well, it turns out, those intervals shouldn’t be too regular. The actual gap between each beat of the heart should be varying, ever so slightly. We can measure that variation and we call it “heart rate variability”. 

Different degrees of variability send out different patterns and strengths of electromagnetic waves. We’ve discovered a particularly important pattern, which we call “coherence”. When the rhythm of the heart achieves coherence a number of powerful, important healthy changes occur throughout the body. This rhythm affects the release of certain hormones and other chemicals, it affects the tone of the other muscles, and it affects the activity of the brain. Not only that, but heart rate coherence is associated with very distinct emotional states. It’s a two way process if you like. We can focus on the heart and induce both coherence and particular emotions, and we can relive certain emotional experiences and induce heart rate coherence.

I first learned about all this when I came across the publications of a group of researchers in America who described this phenomenon, and were teaching people how to achieve it. They called it “Heartmath”. I took the training programme and taught the techniques to many of my patients over the years. 

I’d like to teach one of these techniques right now. It’s called “Quick Coherence”.

There are three steps to achieve “Quick Coherence” – a basic Heartmath technique, and by the way, you can find out a lot more about these techniques at the website of the Hearthmath Institute. 

Step 1. Heart focus. Bring your attention or your focus to the heart area of your body. Remember how important attention is? It activates and it magnifies. So we want to bring our attention now to the heart area of the body.

Step 2. Heart breathing. Take three, slow, deep, even breaths, filling the heart area of your body with oxygen, then emptying your lungs of all the carbon dioxide. Slowly in, slowly out, for three breaths. Just these three deep, diaphragmatic breaths resets a part of the nervous system we call the “autonomic nervous system”, calming us down, settling us.

Step 3. Heart feeling. Now recall an event where you experienced one of the positive, heart felt emotions. Here’s a couple of ones I use to give you an idea of the kind of event I mean. One is one of my grandchildren running up to me, shouting “grandpa!” and jumping up into my arms. That’s a great one! Another is looking out over Ben Ledi from my living room window when we have one of those gorgeous deep red sunsets – just amazing! Pick one of your own, and recollect it. Stay with that memory until you become aware that you are feeling that feeling again. This is about recreating a feeling. Once you have it, that’s it. You’re there.

Congratulations, you just managed “Quick coherence”.

Many of my patients would use that technique to escape from a panic attack, or to settle a state of agitated anxiety. It’s quick. It’s effective. And it gets more effective the more you practice it. 

I describe the exercise in a bit more detail here – https://heroesnotzombies.com/2012/02/07/heartmath-a-simple-guide/

But we can do something else with this state of “coherence”. We can use it to access our heart intelligence. Let me just suggest one way to do that. Start by following the steps to achieve coherence, then ask your heart what it wants you to know. Just sit quietly for a few minutes, maintaining this coherent state with slow, deep breaths, and notice what comes up for you. Alternatively, ask a specific question. Is there something you are trying to decide? Is there a problem you are trying to solve? In the state of coherence, ask your heart for its suggestions. Ask it to help you decide. 

All this is a very deliberate, very conscious way of accessing our heart intelligence. But, in reality, this is just the way we are. We are using heart intelligence all the time. It never goes away. It’s just that it is occurring in the background, below the level of consciousness. 

But heart coherence isn’t just an exercise. As the research has shown it is associated with certain emotional states, namely, love, awe, joy, excitement, and contentment, ease, calm and peace. So when we experience an everyday event which generates one of those emotions in us, it sets up the heart to enter into coherence. The same thing happens if we re-create in our minds a particularly vivid memory of an event where we experienced one of those emotions. That’s the step 2 in the quick coherence exercise. 

There’s a way to make all this happen more often. Practice. Both the practice of an exercise like the one I’ve just described, or setting an intention at the start of the day. When we set an intention, it doesn’t mean that the universe magically aligns itself to that intention, but it can feel like that. It means we heighten our ability to notice whatever might align with that intention. 

You can prove this for yourself with a simple exercise. Pick a colour. Any colour. Now during the course of the day take a photo of whatever you see that is that colour. It’s likely you’ll pretty quickly start to see that colour everywhere. 

Well you can do the same with the heart. How about you set an intention to notice the moments in the day when you feel warm hearted, or light hearted? Or how about moments when you experience what the Dutch vlogger calls “heart jumping”? 

It’s that old thing of attention magnifying whatever it is focused on. An intention like this is a kind of focus, and it increases the chances of you experiencing what aligns with it. 

You can also increase your experience of heart centred living and seeing by reflecting at the end of the day – what did I experience today that was “dear to my heart”? What did I do which made me feel “my heart is in this”? Did I have any “heart to heart” conversations? 

Because there is another aspect to this heart coherence thing that I haven’t talked about yet. Remember how I said anything which beats with a rhythm sends out waves into the world? Well, anything which CAN beat with a rhythm can pick up those waves, and align itself. 

You know there is a story about the clockmaker who had several old clocks in his workshop. The kinds of clocks which work with a pendulum. At the end of the day, he would set each clock pendulum swinging. Before he left the room he could see that each pendulum was swinging its own rhythm, left to right and back again. When he came back to the workshop the following day he noticed that every single pendulum was swinging in synchrony. They had aligned themselves. That’s a physical phenomenon called “entrainment”…..the rhythms coming into alignment with each other. Well, the Heartmath researchers discovered they could measure the electromagnetic waves coming from the human heart. In fact they could measure them outside of the body as they spread into the environment. And you know what? They found that if someone achieved heart coherence, then the person standing next to them was more likely to develop it too. The wave pattern travelled from one person to the next….entrainment. Or, maybe you could say, “attunement”. Now this happens, not only with coherence, but with other patterns too. Maybe that at least partly explains why we feel uncomfortable around certain people, or why we can “pick up an atmosphere” in a room. 

But here’s the exciting part. If we deliberately practice coherence, both through exercises and emotional experiences, the we can spread those healing waves to others. 

Do you find that surprising? Well, let me tell you one other finding….that the power of the transmission increases when two people touch. So, one person whose heart is in coherence, holding hands with another is likely to induce coherence in their heart too. 

Now, you’re probably thinking…isn’t this a two way process? Isn’t the disturbed or anxious pattern likely to be transferred too? Yes, I’m pretty sure that’s true. But signals have a power, and the more we practice coherence, the more powerfully we will transmit that to others. 

Intentions and reflections. They can both train our attention. So let’s put our heart into both of them. 

How about a Mary Oliver poem?

An Old Story

Sleep comes its little while. then I wake

in the valley of midnight or three a.m.

to the first fragrances of spring.

which is coming, all by itself, no matter what.

My heart says, what you thought you have you do not have.

My body says, will this pounding ever stop?

My heart says: there, there, be a good student.

My body says: let me up and out, I want to fondle

those soft white flowers, open in the night. 

Her heart says, “there, there, be a good student”. Why not take that advice? Give it a go. Sit yourself down somewhere, take the three, deep breaths slowly, and ask “what does my heart have to say?” Maybe nothing will come to mind. Maybe something clear will appear. Maybe something will suddenly pop into your consciousness later, even at night, asleep, in a dream. 

In episode two of my podcast, “More Good Days”, I shared some music with you which I collected together into a “More Good Days” playlist. So, I thought, today, I’ll make a playlist for this episode, “Heart to heart”, gathering songs which mention the heart. 

I’m going to start with Neil Young’s “Heart of Gold”. This goes all the way back to my first year at university, 1972, and even though, now, I’m really “growing old”, I think the “heart of gold” is still worth seeking out in life. I feel so blessed to have discovered so many of them! 

I am a life long Genesis fan, not just the Peter Gabriel years, and I’ve got many, many favourite Genesis tracks in my favourites list. “Hold on My Heart” still moves me every time I hear it. 

“Heartbeats” by Jose Gonzales, is a beautiful song, with the memorable line – “sharing different heartbeats in one night”. We are all different, but is there anything more beautiful than sharing our different heartbeats?

“Heart” by Sleeping at Last, only mentions the heart in the title, not in the lyrics, yet it is a gorgeous, heart felt song. 

“My Heart Will Go On”, Celine Dion. Oh my, this ballad has been played a bit too much at times, but, returning to it today, flipping heck, it still reduces me to tears! 

“Heart and Soul”, by Roseaux and Olle Nyman, might be completely new to me, but the line “You’ll remain like a song in my heart and soul” reeled me in. Isn’t that what Celine Dion sings about in “My Heart Will Go On”? And isn’t that a beautiful metaphor that illuminates the deepest truth – that we keep each other “like a song” in our “heart and soul”? 

“The Shape of My Heart”, by Sting. Sting is another of my favourite singers who has written so many beautiful songs. This song asks me, and asks you, what is the shape of your heart? 

Finally, I’m suggesting an instrumental track, Max Richter’s “On the Nature of Daylight” which holds my heart and makes it soar. 

Until next time, bonne journée. Have a good day. 

Here’s a link to a Spotify playlist of these songs – 

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I’ve created a podcast. If you’d like to listen to it come to my Substack page.

Here’s the transcript of the first episode.

“Hello”, that’s what we say when we answer the phone, isn’t it? 

Hello. 

A simple little word we most likely say automatically. It’s kind of a habit, isn’t it?

But we don’t say it only when answering a phone. We say it to acknowledge other people. To connect, even if only briefly. 

When I moved to France I quickly noticed how often people said “bonjour”. Pretty much everyone who passes when I’m out for a walk says “bonjour”. Even teenagers. That was a shock! In fact, teenagers will often say “bonjour, monsieur” which sounds even more polite than just “bonjour”.

I quickly noticed that every conversation starts with “hello”, or “bonjour”, I mean. So, when it’s your turn at the check-out, the check-out man or woman will always say “bonjour” before starting to process your purchases. And you will say “bonjour” in return. It would be impolite otherwise. In a smaller shop, say, a boulangerie, a cafe, or the local post office, people will say “bonjour” when entering the premises. They might say “bonjour, messieurs, dames”, “hello, ladies and gentlemen”, if there are other customers already in the shop awaiting their turn. But, even if there are no other customers, the first thing to say is always “bonjour”. 

I like that. I liked it from the first moment I encountered it. Saying “hello” is an acknowledgement. It’s a way of making a connection. It says, “I’m here and I see, or hear, you”. It establishes a “we”, even if only fleetingly. It makes the world instantly feel a more friendly place. 

When I was a teenager I used to listen to the DJ, John Peel, and I’ll always remember one autumn when he talked about all the leaves that fall on the ground. He said he liked to carry a pen with him. I guess, these days, it would be a “sharpie” or “marker pen”. And he’d stop from time to time and pick up a leaf, write the word “hello” on it and place it back on the ground. He liked to think it would brighten the day of some stranger who’d notice the leaf, pick it up, and read “hello”. 

It’s a small word, and little habit, but, in my experience, it makes the world a better place. 

Hey, that’s a big claim, isn’t it? I mean, it’s just “hello”, for heaven’s sake! 

I can only say, check it out for yourself. How often to people say “hello” to you? How often do you say “hello” to others? Does it seem to make a difference?

That’s a general principle I have – noticing. We’ve got a tendency to live a lot of our lives on autopilot. In fact, my blog, which I’ve been publishing for many years now, is entitled “Heroes not zombies” – you can find it easily by typing heroes not zombies into any browser. I called it that because to address exactly that issue – that we have this tendency to slip into autopilot, living an only semiconscious life, driven this way and that by others, pushed and pulled by circumstances, like zombies. That makes us vulnerable and biddable, with corporations, politicians, and others pushing our buttons to make us respond their will, rather than use our own. But if we wake up, become more aware, pay more attention, then we can increase our autonomy. We can make our own choices, create our own narratives, become the heroes of our own stories. I mean hero in this way. I don’t mean like a sort of super hero with special powers. I mean the main character, the hero, of the story….of your story. 

Over the years I’ve posted articles and shared photos on my blog, all with the hope that others will be inspired to wake up, pay more attention, and resist slipping into autopilot so much. 

So, about this saying “hello”. I’d say try becoming more aware of it. Notice when people say “hello” to you, and grasp the opportunities to say “hello” to others. Then, you decide. Does this help make a better day, a better life, a better world, even? 

In more recent years, here in France, I’ve noticed that there’s another word people are using every day. It’s “bonne journee” – ok, it’s two words, a phrase, not just a single word. But it’s everywhere now, it seems. When leaving the check-out, when leaving the cafe, or the shop, almost always now, you’ll hear, not just “au revoir”, which, by the way, is such a nice way of saying goodbye, because, literally, it’s “until seeing you again”, but, in addition now, you’ll hear “bonne journee” – the French equivalent of “have a good day”. Once I noticed it being used so frequently, I started to use it myself, and it’s my routine now. As I leave the check-out, the restaurant, the boulangerie, I say “au revoir, bonne journee”. 

Actually the French have rippled out this phrase into a whole range of context-specific forms. So, it’s not unusual now, on leaving a boulangerie on a Friday to hear “Bon weekend”, or if you’re there on a Sunday “Bonne dimanche” – “have a good weekend” or “have a good Sunday”. There are loads of others!. 

What I like about this is that it’s an expression of good will. It’s saying to someone else, you wish them to have a good day. 

Well, all that focus on good days got me thinking. What is a good day, anyway? What makes a good day, a good one? And that’s what led to this podcast. 

My hope is, that together, here, we will share what goes to making a day a good day. Because, as I used to say to my patients, you are only alive today, here and now. If you spend all your time in your head going over the past, regretting it, re-experiencing the pains of it, or if you spend all your time in your head in the future, wondering what if this, and what if that? Then your head is filled with hurts, sorrows, anxieties and fears. But what if you deliberately stop that and turn your attention to the here and now? What if you just slow down for a moment and notice what is around you? Not just notice, but pay some attention. Engage. 

Well, then, maybe you’ll start to find some relief. 

Maybe you’ll start to have more good days.

I’d like to help you to have a good day, and I think the best way for me to do that is to share with you what I’ve learned from my experience with thousands of patients who told me what makes a good day for them, as well as sharing what makes a day a good day for me. 

We are all different. We live according to our own values, tastes, desires, our own relationships and issues, so what goes towards making today a good day for me, may well be different from what makes a good day for you. On the other hand, we are all human, and so we have a lot in common. 

I worked as a doctor for four decades, and I’ve often said how I’d look forward to Monday because it was the start of another week. A week where people I’d never met before would come to me and tell me their unique, individual stories. 

I never lost that sense of awe which I’d experience when people told me about their lives. In fact, it wasn’t just the “new” patients I looked forward to seeing. I was just as keen to meet again with those who’d come to me before, maybe many times before. 

We prioritised continuity of care at my place of work. As a patient you could expect to see the same doctor at every visit. It would be unusual if you didn’t. 

This meant we developed long term relationships with our patients, stretching over many months, many years. In some cases, even over different generations. What a delight it was to help a young parent, who’d I’d originally helped when she was just a toddler. Human beings amaze me. Always have done. Still do.

Everyone I met had a unique story to tell. Everyone I met was different. And, yet, everyone I met also had many similar experiences, suffered from the same common symptoms, and manifested very typical patterns of behaviour, and of illness. 

I first expressed the desire to be a doctor when I was three years old. I don’t know where that came from. Nobody in my family had ever worked in health care. I had no relatives who were doctors or nurses. 

I reckon it’s always been a kind of “calling” for me, even though I know that’s not a common word to use about work these days. 

Why did I want to be a doctor? To help people. In fact, I’ve often thought that there’s a purpose to my life….that I’m here to contribute to the creation of a better world. That I’ve a responsibility to try to leave the world a little better place than it was when I entered into it. 

I guess the main way I’ve tried to do that has been one person at a time. If I can help reduce this particular patient’s suffering, if I can help them to heal, to cope better….if I can help them to grow even, then I’m making a contribution to making the world a better place.

We all live our lives a day at a time, and the only place we have power to make a change is right here, right now. So, in this podcast I want to share with you the ways I’ve discovered to help make today a better day. 

As I started to think about what made a day a good day, it seemed pretty clear to me that if we experience more good days, then we might begin to feel that our lives are more worth living. But I don’t think having good days is just about having more happy days. I think it’s about having more days which feel meaningful, valuable, more days where we enrich our relationships and where we grow. 

If more of us have more good days like that, more of us will have the experience of living lives worth living. Then, maybe, we will be able to contribute to making this a better world. 

I have this picture in my head of three concentric circles. Each circle representing a zone of time and space. The innermost circle is where we experience and create the present. 

It’s where we can have our good days. 

The more good days grow in both frequency and intensity, the more they contribute to the creation of the next circle….lives worth living. This is the zone of a lifetime. 

Our lives can feel more worth living, the more good days we have, and the more our lives feel worth living, the more good days we are likely to experience, because in a life well lived there are more opportunities for good days to happen. 

Good days contribute to lives worth living, lives worth living create more opportunities for good days. 

But there is more to a life worth living than is contained within good days, which is partly why this second circle is bigger than the first one. 

We need more than good days. We need more than happy times, enjoyable and rewarding moments. We need to grow, to develop, mature. There’s a French word I love – epanouissement – which means to flourish or to blossom. It’s used to describe what flowers and trees do, but it’s also used in psychology to describe what Jung would call “individuation” – a growing, developing psyche. 

In future episodes we can explore some of the things which help us to grow, to flourish. 

It seems to me that when more of us experience lives worth living, then we will be on track to make the world a better place. That’s the third, outer circle. The zone of the world. 

Nothing exists in isolation. Our lives and our days all occur within particular contexts, specific environments. If we improve these environments, we’re making a better world, and, in turn, we are creating the conditions for more of to live lives worth living. We live in the shared physical, social, and cultural environments, we find in this third, outer circle. We influence these environments through our choices and our behaviours, and these environments, in turn, profoundly influence us. 

A better world will, I believe, be one where we take care to improve these environments. That’s how we will increase the chances of more and more of us experiencing better lives and having more good days. 

One more thing before I begin. I don’t see the world through a binary lens. What do I mean by that? Well there aren’t two kinds of days. Good days and bad ones. It’s not so “black and white”. In every day there will be experiences we appreciate and others we’d rather have avoided. Life is nuanced, and its mixed. 

What we pay attention to gets magnified, so let’s start by paying attention to what makes for a good day. And see where that leads us. 

Here’s to more good days. 

Whatever we pay attention to gets magnified. The more attention we pay to something, the larger it will feature in our minds. Any gardener will tell you the less attention you pay to your plants, the less likely they are to survive, and, in fact, we can say the same about our children. The attention we pay to babies isn’t only crucial for their survival. It literally shapes their brains, influencing both the number of connections created between brain cells, and also the strength of those connections. 

There’s a whole field of developmental psychology devoted to attachment styles….how the kinds of attention paid by main carers shape a child’s personality and behaviour. Patterns which persist right through adult life. 

Paying attention, especially a loving, and caring attention, profoundly affects both survival and thriving. It shapes how we see the world. It lays the foundations for both how we experience and how we interact with the world.

Philosopher and psychologist, William James, described the natural behaviour of attention as “wandering”. That’s what attention does. It keeps wandering. We all have that experience, don’t we?

It’s pretty difficult to keep our attention focused on anything specific. We have to work at it, because attention doesn’t only keep wandering, it’s always on the lookout for whatever is new – a movement, a sound, a characteristic. 

Have you ever noticed how quickly you can spot the movement of an animal, a bird, or a person, when gazing out over even vast landscapes? When something changes in our field of vision, we notice it straight away and turn our attention to it. The same thing happens with sound. It’s not just that we jump, or get startled by sudden loud noises. If we are in an environment where there is a constant background, perhaps machine noise, the moment it stops, we notice it has stopped. We are wired to detect change. To pay attention to what’s new.

The social media giants, mainstream media, and especially the advertising industry all work hard to try to grab and keep our attention. 

One way they do that is by continuously feeding us new things – images, sounds, or information. The invention of “infinite scrolling” where you can never reach the end of a “feed” is one of the most effective, addictive tools they use to keep our attention – to keep our attention on their website, their platform. I read an interview with a software engineer who invented this “infinite scrolling” and he said it was one of his biggest regrets because it has such enormous addictive power.

Apart from noticing what’s new, there’s another way to grab our attention. Stir up strong emotions. 

Just as attention magnifies whatever it is focused on, so can attention change our world by making us angry or fearful. The more we fill our inner experience with anger and fear, the more we pay attention to whatever that anger or fear is attached to. In fact, not only what they are attached to, but the anger and fear themselves, which become all-consuming, setting up our whole being into “fight or flight” mode, with surges of adrenaline, and cortisone, which creates a state of chronic inflammation in the body. What does on in our minds doesn’t stay in our minds. It cascades throughout our entire body, changing it as goes. 

Sensationalist headlines do exactly the same. They aim to catch our attention and keep a hold of it, turning us into anger and fear zombies in the process. 

But we don’t need to live our lives on autopilot. We can make some conscious choices about what we want to pay attention to. We can choose to notice, and to focus in on, beauty, for example. Or we can look out for whatever inspires wonder and awe. 

We can deliberately pay attention to positive emotions, to whatever stirs our souls and makes us feel gratitude for being alive. We can choose to use what the poet, Mary Oliver, called “loving attention”, the kind of attention which generates care, compassion and gratitude. 

Because if we choose to use attention consciously, to choose, in particular, to use loving attention consciously, then our lives and our minds become ever more full of love, wonder, delight, care, compassion and gratitude. 

We just have to practice it, and to practice it every single day. 

In my medical career, I frequently met patients whose suffering was magnified by their attention being trapped in the past, going over and over old wounds and hurts, or by their attention being trapped in the future, imagining all the worst possible outcomes and fearing them. Part of the work of releasing them from their suffering involved helping them to turn their attention to the here and now, where, around us, every day, there are phenomena which can delight and engage us. 

I think we all can begin to experience better lives by, first, becoming aware of where our attention wanders to, and where it gets caught. Only then are we able to make more conscious, personal choices about where to direct it. 

Remember, attention is a great magnifier. It grows whatever it is focused on. So, let’s choose what we want to focus it on. 

How about we focus it on awe, on wonder. My favourite French phrase “L’émerveillement du quotidien” captures exactly that – the wonder, or amazement, of the every day”. What have you noticed today that caught your attention? Did anything stop you in your tracks, or slow you down, to focus on it? Maybe you paused to get your phone out and took a photo. I do that a lot. It’s a great way to slow yourself down, to pay better attention to the here and now, and to give you more chances later to re-visit that moment, to see it again, but with fresh eyes in a different context. And it gives us a chance to share with others what has amazed us. 

Do you use any social media? Maybe you’d like to share some of your photos on Instagram, Facebook, or, in my case, on Bluesky. If you’d like to see my every day photos come and follow me on Bluesky. You’ll find me at this address – @bobleckridge.bsky.social If you do come to Bluesky, send me a message and say hello, so we can connect there. I’d love to see what amazes you every day. 

But my good days aren’t just about what generates awe and wonder. I find that if I decide to focus on whatever delights me, what touches and moves me, then that too helps to create more good days. For me, that includes poetry. I have a little notebook where I copy out by hand my favourite poems, the ones which I come across and which draw me in, move me, inspire me. 

And it includes music, too. I’ll tell you more about that in another episode, and I’d love to hear from you what songs, what compositions, really delight or touch you. Come and find me, either on Bluesky, at @bobleckridge.bsky.social or at heroesnotzombies.com where I’ll post the transcripts of each of these podcast episodes. 

Another of my great passions, which is a huge source of joy, delight, wonder and awe for me, is art. I enjoy seeing what others have created. I love sculpture, especially sculpture outside, in natural environments. But I love a wide range of visual art and always seek out a good gallery or museum if I’m on a city break, or staying somewhere on a trip. Art has incredible power to communicate what we find difficult to put into words. 

I do love words, too, however, and most good days involve some kind of encounter with stories….either the stories of patients, family or friends, of the stories I find in books. I’m an avid reader. 

I don’t know how many of these activities you identify with, but I’d love to hear about your own examples. In the podcast episodes to come, I’ll share with you examples of all of these, and more. 

When it comes right down to it, I recommend we focus on whatever it is that stirs our souls, whatever it is that generates feelings of gratitude and love. That way, I’m pretty sure, we’ll have more good days, more of us will experience our lives as worth living, and together we can create a better world. 

Let me finish today with a Mary Oliver poem, “The Summer Day”. 

The music I play as an intro and an outro is “What a Wonderful Day” by Shane Ivers. Here’s the credit – Music: What A Wonderful Day by Shane Ivers – https://www.silvermansound.com

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“There are such things as ghosts. People everywhere have always known that. And we believe in them every bit as much as Homer did. Only now, we call them by different names. Memory. The unconscious.” The Secret History. Donna Tartt. 

Throughout my career in Medicine my everyday was spent in one to one consultations with individual patients. My focus was always the person present before me. So you might think I’d be a firm believer in the physical world, and, indeed, I am. 

I found that patients who were suffering were often separated from the here and now, and that, one way to help them find relief was to bring their attention back to the present, teach them to notice and wonder about the everyday. 

I described myself as a wholistic practitioner because I understood each person as a whole being, not divisible into separate realms of mind and body, and certainly not reducible to the body alone. 

But is there more than this? 

When a person dies, is that it? Last chapter written. Book finished. Gone. 

That’s not my experience. Here’s why. 

A human being, a person, is not contained fully within the skin and bones of a body. We exist in relationship. We come to be within relationship. Relationship to others, certainly, but also relationship to the world in which we live. Our senses are activated by the signals they receive from the environment (and, yes, they are also activated by our own minds and bodies). Our world view is created by our experiences and events. We are beings constantly changing, constantly becoming. We are creative beings, always in the process of receiving, giving, expressing, making the everyday unique. 

I read someone recently saying that when they lost their parent, they suffered two losses….the loss of their loved one, and the loss of that part of themselves which only existed in relationship with that loved one. I think that’s an incredibly important insight. 

We are multi-faceted creatures, with a Self which is best understood as a “community of selves”. We experience, and others experience, a different self at work, from at home, a different self with a close friend, with a lover, with a competitor. 

It’s helpful to understand that we are the totality of the multiple relationships in our lives….past, present and future. Yet, where are these selves? Despite advances in neuroscience and imaging techniques we still cannot pinpoint these different aspects of the Self. We know some of the key brain areas involved. But we’ve also discovered that complexes of nerve networks, and chemical messaging pathways in the gut, around the gut, around the heart, and, indeed, throughout our physical body, are also involved. 

Within psychology, neuroscience, and the developing disciplines of psychoneuroimmunology and psychoneuroendocrinology, we have learned that our emotions and our cognition is “embodied”. In other words, they are not confined to our brains. Others have shown that we are good at outsourcing some of our cognition to the extent that we should think of our psyches as not simply “embodied”, but also, “extended”…..extended into the environment and into others. I suppose that’s become all the more obvious with our new technologies. Our phones have taken over vital parts of our memory functions, vital parts of our cognition. We use technology to create what is popularly called a “second brain”. 

But, even though we now understand that no human being lives in complete isolation, even though we now understand that we are not fixed beings captured within physical bodies, isn’t there even more to be understood? 

I think there is. And there’s a clue in that quote from “The Secret History”. We humans have always believed in ghosts, but, nowadays we call them by different names – memory, the unconscious. 

I think we see this best when we consider great artists and musicians. We can recognise a Van Gogh, even if we haven’t seen a particular painting before. We can identify Frank Sinatra even if he’s singing a song we’ve never heard before. We can spot a Mary Oliver poem, a Shakespeare play, a Hemingway novel. Can’t we? Because that’s the thing about the great creators. They were great at expressing their uniqueness. And when that uniqueness resonates with so many people, it can ripple down through not just years, but centuries. 

Even within a single family, there are characters whose uniqueness made such an impact that their “presence” is still felt, and known, generations later. 

There is something about the person which exists and persists outside of, and beyond the body, beyond the mind-body, beyond the brief period of history marked by two dates, a date of birth, and a date of death. 

It’s partly memories, but it’s also partly unconscious patterns of behaviour, patterns of speech or thought, sayings, expressions, the undercurrents of our everyday. It’s the lingering traces of uniqueness. 

You see, we can’t help but change this world, just by being alive. We consume, we metabolise, we send out into the environment molecules, energies, waves, thoughts, ideas and feelings. The world is never the same tomorrow as it is today, and that active, constant process of movement, of adaptation, of growth, of actions and reactions, ripples outwards over much greater distances and timescales than we can be aware of. 

We don’t just stand on the shoulders of giants, we live with them. Don’t you think it might be worthwhile getting to know some of them? We can still reach so many of those unique and amazing people. We can still develop healthy, creative relationships with Bach, with the Beatles, with Van Gogh, Turner, Picasso, with Jane Austen, Keats, T S Eliot, Rodin, Michelangelo and Leonardo, even if they are “long since gone”, because their uniqueness lives on. 

We don’t have to focus solely on the past either, because there is no doubt we are influenced by others every day. We can choose who we want to pay attention to (even if certain massive egos make it hard to ignore them!). We can choose which songs to listen to, which poems to read, which people we want to spend time with. Or we can just be blown along like zombies, driven this way and that, unconsciously, unthinkingly, our days determined by those who seek to influence and control us for their own purposes. 

There are such things as ghosts, and some of them, aren’t even dead yet…..

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Some time ago I wrote a book called “And not or” – the idea of “and not or” came to me as a good way to approach life, and it’s since become something of a family feature. One of my grand-daughters, mentioning to a friend who queried it, said “What is “and not or” not a thing in your family?”

Essentially, I believe that “or” is divisive. It’s about “this OR that”. It divides the world into pieces, looking through binary lens. “And” on the other hand, builds bridges, forges connections. It is the link between apparently polar opposites. “And” reminds us that no particular experience or view is complete. We never know all that could be known. “Or” is more judgemental. “And” is more humble, more open to learning more.

Here’s the text of the opening chapter of my book, “And not Or” ………..

No man is an island entire of itself; every man

Is a piece of the continent, a part of the main;

If a clod be washed away by the sea, Europe

Is the less, as well as if a promontory were, as

Well as any manner of thy friends or of thine

Own were; any man’s death diminishes me,

Because I am involved in mankind.

And therefore never send to know for whom

The bell tolls: it tolls for thee.

John Donne

Ubuntu – « I am because we are » 

None of us are entirely separate, neither from other people, nor from the rest of the natural world in which we live. On the other hand each of us is unique. It seems as if one of the most fundamental paradoxes in human life is a tension between belonging and uniqueness, between connections and separateness. Do we have to choose between these two options? Or is there some way to reconcile them? Many years ago I was wondering how to share my photos with other people. I looked at one option on the internet – a web service called Flickr, dedicated to storing and sharing photos. I also looked at the fairly new idea, at the time, of personal websites, or “blogs”, where I could post photos and write some descriptions of them. I could combine some creative writing with my photos by sharing some of the thoughts inspired by each image as I reflected on them. It didn’t stop there. There was also Facebook, and Twitter, and a kind of mini-blog site called Tumblr. How could I choose? Each of these options offered some features which the others didn’t, and each service seemed to have its own group of users. I knew that if I shared photos on Flickr, certain people would see them, but if I shared them on a blog, on Facebook, Twitter or Tumblr, then different people would see them. As I researched the different options and read reviews, I realised I wasn’t the only one finding it difficult to choose. 

Then I came across a phrase taken from the language of logic and computer programming – « and not or » – and a light bulb went on in my head. I could share my photos on more than one of these services. I didn’t have to choose only one. In fact, I discovered that there were many ways to create connections between the different services. I could write a blog post, linking it to a photo hosted on Flickr, whilst automatically sharing it one or more of the other services just by clicking a button named « publish ». 

None of us can be reduced to only one part of our character or nature. We are all multiple within ourselves. Have you ever done the thought experiment where you plan a party for everybody you know, and everybody you’ve ever known? You’d hire a large hall and invite absolutely every relative, friend, colleague, client, well, just anybody who has, or has ever had, a personal connection to you. Pretty quickly as you think about all the people who would be there, you realise that almost the only thing they would all have in common is their connection to you. Chances are you quickly realise this isn’t enough to create a cohesive group. The people you know from different contexts in your life may well not share that much in common with each other. The people you’ve known from different times in your life might not share much in common with each other either. Yes, of course, there will be common threads, common interests, values, shared histories, but their individual and even group differences will amount to more than their similarities. You can imagine that several of your guests won’t really click with each other. It turns out that whilst each of us has many different aspects to our character, which particular aspect comes to the fore is highly context sensitive. I could slip easily between my roles of husband, father, son, doctor, colleague, teacher or friend, just to name a few of the more prominent ones. I am not stuck in any single role. I should be able to behave appropriately according to the social context. 

And not or. 

This is how we live. We constantly change. We flow back and forwards between different aspects of our selves. We don’t choose one role and then attempt to live a whole life within it. 

But wait, I hear you say, we have to make choices all the time, don’t we? There are many circumstances where have to make a decision, to commit to one direction rather than another. We can’t have our cake and eat it. 

You are right. We often have to choose. In fact, we have created an entire economic system on having to choose. We have even turned choosing into one of our highest virtues. Freedom equals the freedom to choose. Choosing is based on the word « or ». You can choose this political party in the election, or that one. You can apply for this job, or different one. You can spend your money on this, or that. It is the basis of competition and a free market economy. Competition is the basis of both capitalism and our modern interpretation of Darwin’s principle of selection. Different options are set against each other. One wins, the other loses. This is just how things are. 

When I say « and not or », I’m not advocating the famous « have your cake and eat it ». Nor am I advocating indecision or indifference. The way of « or » is inextricably bound to the way of « and », just as our need to be unique and separate is bound to our need to belong and to connect. Choosing « and » neither restricts us, nor does it stop us from making decisions.

I’ve come to believe that « or » has become too dominant in our culture and in our everyday lives. I’m anxious that it is separating us from each other, setting us in opposition to each other. We seem to be living through a time when polarities and mutually exclusive identities are proliferating, and on the back of that we are witnessing more strife, more anger, and more division. We hear the rhetoric of « us not them », which stokes prejudice, hatred and suspicion. We have created a civilisation of oppositional camps, each creating their own little worlds, each speaking only to like-minded others in shared echo chambers. We talk of « winners and losers » where the winners take all and the losers are advised to « suck it up » and « move on ». There are more walls going up, more doors being closed, less bridges being built, and less agreements made. Competition and winning are seen as strong and desirable, whilst co-operation and consensus are portrayed as weak. 

I want to contribute towards a redressing of the balance. I know we have to make decisions. I know we often have to choose. But when we invest too much in « or » then things start to fall apart. « Or » divides, separates, alienates and creates dis-ease. 

It’s my contention that we need more « and » because «and» connects, creates healthy bonds, encourages sharing, and a sense of belonging. We need «and» in order to heal. 

« Or » stops thought. We choose, we separate, we finish. Why would I be interested in anything else when I’ve already made my choice? 

« And », on the other hand, pushes us towards novelty and connections. It stokes our curiosity, demands our humility, sustains our open-ness to others and to change. It can teach us how to handle uncertainty and unpredictability. It can develop our capacities for awareness, reflection, flexibility and adaptation. 

Every living organism survives and grows by making connections, by being open the flows of materials, energies and information in which we all exist. Every living organism survives and grows by responding to, and adapting to, the ever changing environments and contexts in which we all exist. 

Maybe the best way for me to explore and share this idea is to tell something of the story of my life. Maybe the best thing I can do is to share some of my experiences and to reflect on how those experiences shaped me, and shaped my life. 

This is my story. These are some of my stories. I’m writing this to help me make sense of my life. Maybe reading my story will help you make more sense of yours, too, and I’d be delighted if that were the case, but, ultimately, you will have your own stories to tell. We all do. 

You can find a Kindle version of the book here – https://amzn.eu/d/akoOnrz (or search Amazon in your own country)

A paperback version, with colour photos, is available on Blurb – https://www.blurb.co.uk/b/10155078

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My area of work was health. I worked as a doctor over four decades and I learned a lot about what made for a healthy environment and what was a more toxic or harmful one. I reckon the characteristics of healthy environments are pretty universal. We all need to breathe clean air, drink clear water, eat nutritious food, have nourishing and caring relationships. There’s a lot of evidence about the positive healing effects of natural environments. I say “natural” but what I mean is, as opposed to built environments. Trees and forests stimulate healthy changes in body and mind, but busy six lane motorways, not so much. But even within these universalities we are all different, so, for some, it’s healing to walk by the shore, or to gaze out at the ocean, breathing in the salt air. For others, the most healing environments are in the mountains and lakes, breathing the clear, fresh air of a little altitude, surrounded by birdsong and wildflowers (“and not or” remember…..both these environments can be good for the same person) 

I read a section of Rick Rubin’s “The Creative Act” recently (I’m working my way through, reading and meditating on, one section a day just now. It’s such a rich resource)….this morning’s section was “Setting” where he discusses what environments are creative, illustrating how very different ones allow us access to different flows from the universe, each of which can stimulate our intuition. He points out how tranquil natural environments allow us to appreciate the direct information from the universe, whereas, busy peopled places, like cafes, town centres etc, can allow us to tune in to the universe as filtered through human beings. In all situations it’s a question of detached awareness, so that we can notice patterns, but not allow ourselves to be overwhelmed by them. That made me think of the phenomenon we call doomscrolling, where we get caught up in social media feeds. They too can be sources of creative stimulation if we allow ourselves to notice the patterns and themes, and not get caught up in them. 

In fact, Rick also suggests cultural environments where we focus on reading, music, visual art, etc to pick up the information from the universe filtered through culture. 

The most important point he makes is that we are all different. His conclusion is that we need to “hear the chimes of the cosmic clock ring, reminding [us] it’s time. Your time to participate.”

It is.

It’s your time to participate, to become aware, to trust your intuition and to engage. Which environments do you find most conducive to creativity? What factors make a positive contribution to your creativity?

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I read an article in New Scientist by Florence Gaub and Liya Yu entitled “Nothing’s certain”. The authors explore two different ways that we handle uncertainty. Their specific take is a “political neuroscience” one. Now, let me just say I have a paradoxical relationship with the “neuro” tag. Firstly, it attracts me. I’m interested in the brain, scored my best exam result ever in the neuroanatomy exam at Medical School. I’m interested in pyschology and in the “mind-body connection” (although that, too, is a phrase which can both attract and repel me). Secondly, “neuro-” has become a bit of a fashion, with everything from “neuroscience”, to “neuromarketing” and this “political neuroscience”. I just don’t think neurology can explain everything about human behaviour. Alongside that, the correlations between neurological observations and behaviour are just that….correlations. We still haven’t explained how the physical brain can have subjective experience, and whether or not subjective experience creates the changes in the brain, or vice versa. 

However, what they had to say really interested me. They say “Political neuroscience shows that the brains of people with conservative views favour security and avoid open-ended solutions with no clear closure. They tend to have increased volume in their amygdala, the region responsible for threat signalling” And, “Liberal brains have a higher tolerance for uncertainty and conflict, as they have more grey matter volume in a brain area implicated in the processing of ambiguity called the anterior cingulate cortex.” 

They point out that when uncertainty is high, the former “conservative” people are attracted to whoever offers the idea of certainty (think Hitler and his 1000 year Reich), and are fearful of novelty, whether that be technologies, foreign people or cultures. 

They conclude that we need to learn that “cooperation across identity and interest groups” can be beneficial, and that we can overcome our big global challenges “only by overcoming our brains’ vulnerabilities together”. 

I’m not sure that MRI scans of peoples’ brains reveal their political preferences, and I’m a bit uncomfortable with how this thesis basically implies that “Liberals” need to help “Conservatives” get over their fear and anxiety, but apparently “Liberals” don’t have anything to learn from “Conservatives”.

I say that despite seeing myself as firmly in the “Liberal” camp, not least because I was trained as a General Practitioner, a speciality sometimes described as doctors who specialise in managing uncertainty. Uncertainty was my daily professional experience, one unique, novel, unpredictable patient at a time. 

However it does seem that the “Right” are on the rise across the world, and this might well be connected to an increase in the amount of uncertainty which people are facing in modern times…..uncertainty about climate change, about technology, about both national and personal security. 

So, if I want to make a positive contribution, perhaps I need to understand and address the anxieties and fears of those people with a larger amygdala…. 

In other words, how can I help people to deal with uncertainty more comfortably? How can I help them to enjoy novelty, to delight in diversity and difference, and how can I help to create a more secure society for us to live in together? 

In addition to that, what do I have to learn from those who may be more sensitive to uncertainty than I am? 

Let me start with the last point first. We humans need sufficient certainty. We couldn’t go on without it. When I buy a train ticket, it doesn’t cross my mind that the train I’m about to step on won’t make it to its destination (despite the fact that between Stirling and Glasgow I’ve had several experiences of trains being delayed, cancelled, or even terminating a few stops before my intended one). The point is that I’ve had enough experiences of reliable trains to actually get on a train and expect it to take me to where it says it’s going to go. 

When I first went to university in Edinburgh, my mum, who clearly had a well developed amygdala, used to send me newspaper cuttings about crimes in different parts of the city, with the accompanying advice to avoid those areas. When she sent a story about a boy who was stabbed in Princes Street, I had to ask her to stop sending these cuttings, because there was no way I was going to be able to spend at least the next six years of my life in Edinburgh without walking along Princes Street! 

When we wake up in the morning, most of us don’t wonder if this will be our last day. But one day, it will be. No, we have to have enough confidence, enough of a sense of certainty, that we will make it through to bedtime. Otherwise, how could we even get up? 

My point is, that we need certainty. Or, do we? Is it more that we need confidence? Confidence that, no matter what the day brings, we will get through it, we’ll handle it? I suspect confidence and certainty aren’t the same thing, but the greater the certainty, probably the more confident we feel. And, probably, vice versa, because the more confidence we develop through our practice and experience, the more we will experience certainty in our day to day lives. 

I think this is the key lesson those with a larger amygdala have to teach us……although certainty, like perfection, is an impossible goal, it is still important to have it as one of our goals if we are to survive and thrive. 

We can do that as a society by attending to the circumstances of life which lead to security…..abolishing poverty, driving down inequality, creating decent houses and work for everyone, creating and protecting clean air, clean water, and nutritious food, as well as providing freely available, good quality education and health care to all. 

We can do it individually by attending to the rhythms, rituals and habits of our lives. We pass a lot of each day on autopilot, finding ourselves trundling along the railway tracks of our own well established habits. I wouldn’t be surprised if you told me you wake up about the same time each day (or, certainly, each Monday to Friday), follow the same sequence of toilet, toothbrushing, showering, maybe shaving (well, I do), and having a “regular” breakfast. If you are employed, you’ll probably make your way to your workplace, without any great awareness of your surroundings (unless something unexpected occurs on the way). You’ll have your work routines, with the well established break times, and finish time, before heading back home, retracing your steps. The French have a phrase for this – “Metro, Boulot, Dodo” (metro for the commute, boulot for work, and dodo for sleep) – which captures this sense of a routine, hamster wheel, existence. 

It’s not a bad thing to have habits and routines. They can provide a certain security, a certain sense of certainty, an unchallenging, comfortable, structure. But you can see that, pushed too far, they can create a mode of living where life itself seems to pass us by. 

That brings me to the first question I posed to myself….how can I help others to deal with uncertainty more comfortably? My lifetime work experience would lead me to suggest doing whatever gets us to focus on the here and now. I saw hundreds of patients with paralyzing anxiety and/or mind numbing fear. What they all had in common was that their inner world, the world of their thoughts and feelings, was trapped in a kind of loop, or whirlpool, with one anxious thought feeding the next one. Whilst they were absorbed, even overwhelmed, with this inner world, they were consequently disconnected from other people and from the rest of the world. So, we’d begin by pulling their attention to what was happening around them, in this moment, in this particular place. We had built a hospital around a beautiful garden and I’d take patients out into it to walk along the winding paths, noticing the different plants, blossoms, flowers, birds and other animals along the way. We’d sit on one of the benches and just notice….notice what we could see, what we could hear, what we could smell, what textures we could touch. 

There’s a French phrase I’ve loved since I first encountered it – “L’émerveillement du quotidien” – which translates, roughly, as the wonder of the every day. The truth is that every day is unique. Every moment is lived for the first and last time. And each day is filled with encounters which we’ve never had before….a particular moment with a Robin, a moment when the light catches the dew on the newly woven, intricate spiders web……

Paying attention to what is around us, paying loving attention to what is around us, opens us up to a world filled with wonder, with diversity and novelty, and gives us a lived experience of change, of surprises, of unexpected delights. 

Well, that’s a beginning. It’s a way to calm down that amygdala and strengthen the anterior cingulate cortex, perhaps. 

What’s your own take on uncertainty? How high is your tolerance to it? And what do you do to balance consistency and novelty?

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My area of work was health. I worked as a doctor over four decades and I learned a lot about what made for a healthy environment and what was a more toxic or harmful one. I reckon the characteristics of healthy environments are pretty universal. We all need to breathe clean air, drink clear water, eat nutritious food, have nourishing and caring relationships. There’s a lot of evidence about the positive healing effects of natural environments. I say “natural” but what I mean is, as opposed to built environments. Trees and forests stimulate healthy changes in body and mind, but busy six lane motorways, not so much. But even within these universalities we are all different, so, for some, it’s healing to walk by the shore, or to gaze out at the ocean, breathing in the salt air. For others, the most healing environments are in the mountains and lakes, breathing the clear, fresh air of a little altitude, surrounded by birdsong and wildflowers (“and not or” remember…..both these environments can be good for the same person) 

I read a section of Rick Rubin’s “The Creative Act” this morning (I’m working my way through, reading and meditating on, one section a day just now. It’s such a rich resource)….this morning’s section was “Setting” where he discusses what environments are creative, illustrating how very different ones allow us access to different flows from the universe, each of which can stimulate our intuition. He points out how tranquil natural environments allow us to appreciate the direct information from the universe, whereas, busy peopled places, like cafes, town centres etc, can allow us to tune in to the universe as filtered through human beings. In all situations it’s a question of detached awareness, so that we can notice patterns, but not allow ourselves to be overwhelmed by them. That made me think of the phenomenon we call doomscrolling, where we get caught up in social media feeds. They too can be sources of creative stimulation if we allow ourselves to notice the patterns and themes, and not get caught up in them. In fact, Rick also suggests cultural environments where we focus on reading, music, visual art, etc to pick up the information from the universe filtered through culture. 

The most important point he makes is that we are all different. His conclusion is that we need to “hear the chimes of the cosmic clock ring, reminding [us] it’s time. Your time to participate.”

It is.

It’s your time to participate, to become aware, to trust your intuition and to engage. 

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Identity

I find “identity” a tricky concept. In my work as a doctor, I’d often encounter a patient who had identified with their illness so much that it had become the primary identity they presented to the world. They might introduce themselves by saying “I’m John, I’ve got MS”, or, “I’m a cancer survivor”, or “I’m a diabetic”…..in some ways, this is a phenomenon driven by the medical profession which, way too often, focuses on a patient’s illness or pathology, rather than on the individual patient. 

I would start a consultation with an open question, like “Tell me about yourself”, or “Tell me your story”. A very common response would involve the patient telling me their diagnosis, perhaps some of the tests they’d had done, and procedures and treatments they’d had, or were still having. Then they’d stop. I’d stay silent, because at that point they hadn’t told me anything about themselves at all. I’ve no doubt this was because they were giving the response they expected doctors wanted. Sometimes I’d need to follow with something like “Tell me, then, what’s been your experience of [x]?” or “When were you last completely well?” followed by “Tell me what was happening in your life at that point?” The personal story, the individual experience, was always more complex and nuanced than the reduced, medicalised one. 

Identity is used as a shorthand way of saying “This is me”, but there are several big problems with that. 

It seems to me that behind the issue of identity, and, in particular, “identity politics”, lies a desire to be seen, to be acknowledged, accepted and treated fairly. All, perfectly reasonable, and important goals. But I still find it problematic because I’m not a fan of categorisation and labelling. I don’t want to be reduced to either one main label, or even a small set of them. 

Too often, identity is reduced to gender, ethnicity, sexuality and/or age. Some wear these labels proudly, and if that suits you, then fine, but it comes with a huge risk – the risk of not being seen, not being acknowledged, accepted or treated fairly as the individual you are. 

Adopting an identity can be a way of belonging. It can be like a membership of a club where all the members share the same identity. But such grouping also comes with the creation of “in” groups and “out” ones. Whilst it may give a sense of belonging to the members, it can create a sense of “the other”, both from the group towards those not in the group, and from those not in the group, towards the group. 

Identities, in other words, tend to be simultaneously inclusive and exclusive, supporting the creation of relationships with others who recognise the same identity, whilst separating and dividing them from others who don’t.

However, my biggest objection to identity really is the fact that no human being can, nor should, be reduced to single feature, characteristic or category, not least because no human being remains the same throughout a lifetime. 

Rick Rubin writes – .”…we are always changing, growing, evolving. We learn and forget things. We move through different moods, thoughts, and unconscious processes. The cells in our body die and regenerate. No one is the same person all day long. Even if the world outside were to remain static [which it can’t] the information we took in would still be ever-changing.”

The fact is, the universe had never created a life identical to yours before you came along, and it will never create another, identical to yours, after you die. Your uniqueness is a complex, ever changing blend of molecules, energies, and information, in constant co-creation with others and with the rest of the world. You can’t be truly understood, truly seen, acknowledged, accepted and treated fairly if your individuality is reduced. 

Reduction opens the door to control, and the tech giants, the corporations and governments want control, not by seeing you and treating you fairly, but by categorising you and manipulating you. By limiting and monitoring you.

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A key theme of “heroes not zombies” is waking up and becoming aware. It’s too easy to drift through a day in a state of semi-consciousness, doomscrolling social media, following routines, swallowing the stories corporations and governments want you to swallow. The Romans used “bread and circuses” to control the population. Modern capitalism uses algorithms.

But there’s a way to break out of these mind-numbing loops….paying attention to what strikes you.

In homeopathy, there’s a teaching about looking out for the “Strange, rare and peculiar”, the symptoms a patient relates which strike you, which stand out, which seem particularly relevant, or particularly unusual. These symptoms might be the key to understanding the patient and finding the right remedy for them. It’s a practice which is the opposite of seeking what is “usual” or “typical”. The thing is, in diagnosis you need to grasp both – the typical symptoms can point to a pathology, but it’s the particular, the personal, and striking ones which point to the patient who has that pathology, which open the path to understanding what the patient is experiencing, how this disease emerged in their life and how it’s affecting them.

I’ve often written here about the power of wonder and awe. I experience wonder and awe when something strikes me. I’ll be wandering through the forest and suddenly see a flower I’ve never seen before, or I’ll hear a bird call I’ve never heard before (or, certainly, not around here). The important thing is to follow that noticing. When something strikes me, I’m drawn to it, I slow down, stop, and explore further. I allow myself to pass a few moments appreciating whatever it is.

We can do the same through the day with lines we read in books. I’m sure you have the experience of reading a novel, or a non-fiction book, and a particular phrase or sentence leaps it out at you. It strikes you. When that happens, why not note it down? Why not slow down, and consider it? I use a mix of methods in this situation. In some books I’ll underline the particular phrase. In others, I’ll get out my phone and take a photo of the passage, then save that photo to my Notes app. Or I’ll get out my notebook and copy it down. “And not or” is my motto. I’ll often do a combination of those things.

Sometimes we’ll be struck by coincidences, or by a feeling of deja vu. These moments can be gold. They can stop us in our tracks and inspire some wonder, some reflection. They are worth noting down too.

Other times I’m struck by a phrase I hear, maybe just a snippet of a conversation, or a remark in the cafe, or in a queue. Again, it’s worth noting these down, taking a moment to consider them, to enjoy then, to reflect.

When I visit a gallery I’ll move fairly quickly through a room, scanning the works of art, then, almost always, some particular painting strikes me, grabs my attention, and stops me. Those always become my favourite paintings.

Wherever you are, whatever you are doing, noticing what strikes you changes your day. It jolts you out of zombie mode, and gives you an opportunity to make the day your own, to make the day special.

Try it out….notice what strikes you today, and explore it.

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One way to understand how deeply interconnected we are, and how change, not statis, is the norm, is to think of three flows – flows of materials, substances, atoms, molecules, and other particles; flows of energy, electromagnetic, gravitational, sounds, and other energy waves; and, information, language, symbols, ideas, and thoughts? You might have other examples for each of these three flows. You might dispute one or more of the ones I’ve chosen, but let’s stick with the general idea here – there are flows of materials, energies and information which swirl around this planet. The flow around, into and through us, for the most part, invisibly. And they flow out of, and beyond, us…changed.

It’s almost like we are a wave, or a vortex. A whirlpool perhaps, a coalescence, an efflorescence, transforming these flows into something which has self-integrity, something which appears separate, and consistent over the course of a lifetime. We, like everything else on this little planet, are transient, and exist only as a temporary flux. Some writers describe us as being like a wave which appears briefly on the surface of the ocean, a wave which can be pointed to, a wave which can located, even named. Waves don’t leave the ocean, and they don’t last for long, soon dissipating and disappearing back into the vast waters from which they came.

The chapter I read in Rick Rubin’s, The Creative Act, today, describes the idea of data, entering us, filling our inner vessel, where it is changed, not least by the relationships which from between it, and what was already there. He says these relationships produce our beliefs and stories, and, ultimately, our world view.

We can choose what we want to make with all of this – our unique stories, our art, our creations – and then we can choose to share them, where they set off, hopefully, to encounter others, other stories, other creations, other people.

I don’t like the word “data”. I’m sure it’s just a personal thing, but I have a feeling or disgust, or repulsion, when I come across the word “data”. I know, for many others, “data” is the stuff of their daily existence, maybe even what gives their lives meaning. But, I just don’t like it. I prefer the word “information”. I prefer “stories”. I prefer “encounters” and “relationships” and “patterns”. But, as I say, maybe that’s just me. I’m also not a great fan of the idea of a “vessel” inside us…..just as I’m not a fan of the idea of memory being like a filing cabinet in the brain somewhere. So, I prefer this concept of flows, flows of materials, energies and information, which we alter as they enter our inner “vortex”, and emerge changed as we breathe, or act, or talk them out into the world again.

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