Widening the Circle of Compassion

We may find that we can easily connect with the struggles and conflicts of those we love, and extend love and compassion to them, but we may feel quite indifferent to strangers, and when it comes to people we do not like, such as competitors and adversaries, we might even feel happy that they suffer because it gives us an edge over them or justifies our desires of retribution and revenge. So, the next challenge on our journey is to find a way to be compassionate toward those who do not fall within our immediate circle of concern and to turn away from taking pleasure in their suffering.

Compassion is not about being superficially nice so people will like us; it is not weakness, softness, or letting people off the hook if they cause harm. Compassion is about keying into the nature of suffering, understanding it to our core, and recognizing its sources; but just as important is committing ourselves to relieving pain and to remain hopeful for the future alleviation of suffering for all. We come to realize that whatever differences there are between people, in essence, we are all seeking the same things. Compassion requires strength, determination, and courage within an emotional context of kindness and connection with others.

Try this:

STEP 1: Think of someone whom you neither like nor dislike, but have some form of contact with on a daily basis. It might be a bus driver, the person who serves you a coffee or drink on the way to work, a classmate, or someone you see on the bus every morning. Bring to mind an actual person. 

STEP 2: Think that, just like you, this person has dreams, hopes and fears. Just like you, this person finds themselves in the flow of life and struggles with their emotions, life circumstances, and setbacks. Just like you, this person struggles with feelings of anxiety and anger and self-critical thoughts; they are hurt by rejection and boosted by love.

STEP 3: Now imagine this person facing suffering in some way: perhaps dealing with conflict at work, struggling with addiction or depression, or feeling lonely and unloved. 

STEP 4: Then allow your heart to feel tenderness and concern for this person and offer the following heartfelt wishes:

1.    "May you be happy and well."

2.    "May you be free of suffering and pain."

3.    "May you experience joy and well-being."

Notice how you feel when you express these wishes. Perhaps there is a natural flow of care and concern, or perhaps you feel indifferent or even irritated by the exercise. If you notice yourself feeling shut down, irritated, or resistant, simply be curious about this and notice where you feel this in your body. Is there tightness in your face, jaw, or shoulders, or tension and contraction in some other part of your body? Try to be gentle and honest, not suppressing the emotions you are feeling. Try looking” from the balcony,” so to speak, as an observer of how your threat and compassion systems are clashing in some way. Then, affirm your intention that although you cannot open up to this person right now, you make the wish that one day you may open your heart more fully.

STEP 5: Now shift perspective and think about how this person to whom you feel indifferent loves and cares for some people; there are people who look forward to seeing them when they come home from work; there are things in their life that they cherish. In this way, reflect that your indifference or neutrality is about you and the way you see things; it is not intrinsic to them.

STEP 6: Reflect that just like you, this person wants to be happy, and just like you, this person wants to be free of suffering and pain. Just like you, they want to be loved, safe, and healthy; and just like you, they do not want to be despised, lonely, or depressed. Let the poignancy of this person touch you. 

STEP 7: Then, let the image of this person fade and spend a few moments tuning in to the feelings that may have arisen in you, noticing in particular how this feels in your body.

STEP 8: Now, shifting your awareness to someone else who you know is having a very difficult time. Maybe it is someone at school or in your personal life. It should be someone who's going through a rough time and someone who you care about. Bring this person to mind along with the awareness that they're struggling right now. Let yourself feel what you would wish for them. You may wish them wellness, happiness, or contentment. There may not be specific words, but more of a general feeling. Perhaps it is care in general, or wish for their well-being.

STEP 9: Imagine them receiving your compassion, that simple wish for well-being, and the sense of care. 

NOTE* You may wish to expand your wish of compassion more widely to anyone experiencing difficulty or pain. You may say to yourself “May everyone's suffering end.” Can you believe that? “May everyone feel a sense of care. May everyone be well.” 

STEP 10: As you breathe out, breathe out compassion for others, and breathe out your sense of care to the world.

STEP 11:  If you're not able to connect directly with feelings of compassion, just bring kind awareness to whatever it is you may be experiencing in this moment. Just notice what you're feeling. Breathing in compassion for myself, and breathing out compassion for others. Breathing in compassion for myself, breathing out compassion for others.

The Body Scan

This body scan exercise is designed to help you feel and bring awareness to all of the sensations that occur throughout your body. We are typically not even aware of what our body is telling us. Do we have an area that has too much pressure on it? Do we have an area that's painful? By practicing this mindfulness exercise, you can improve your body awareness and also better understand and cope with pain and difficult emotions in the body. Additionally, most people report feeling more relaxed and recharged after this practice.

STEP 1: Please sit down. Once you're sitting in your chair in a comfortable position with your eyes open or gently closed, take a moment to check in with yourself, observing how you're feeling in your body and your mind.

STEP 2: Begin to focus on your breath - wherever the sensations are strongest for you.

STEP 3: As you scan your body for sensations, try to bring an attitude of curiosity to the practice, as if you're investigating your body for the first time. Notice and feel any and all sensations that are present, such as tingling, tightness, heat, cold, pressure, dullness, or something else. If you do not feel any sensations in a particular region, simply note that and move on.

STEP 4: See if you are aware of any thoughts or emotions that arise as you move through the regions of your body. Note these thoughts and emotions and then return to focusing on the physical sensations that you're experiencing.

STEP 5: Whenever you come across an area that is tense, see if you can allow it to soften. If the area does not soften, simply notice how it feels and allow it to be as it is. Feel as deeply and precisely as you can into each region of the body, noting if the sensations change in any way.

SUGGESTED SEQUENCE OF BODY PARTS:

1. Begin with your left foot and toes and move your awareness up the left leg until you reach the left hip.

2.  Then go to the right foot and toes and up the right leg until you reach the right hip.

3. Next, move your awareness to the pelvic region and stomach, lower back to the upper back, then your chest, heart, and lungs.

4. Then your hands both at the same time moving up the arms until you get to your shoulders.

5. Then the following in this order:

·       Neck

·       Throat

·       Jaw

·       Mouth

·       Teeth

·       Tongue

·       Lips

·       Nose

·       Eyes

·       Forehead

·       Ears

·       Skull

·       Scalp

6.     Finally, become aware of the whole body and rest for a few minutes.

The body scan is a variation of Burmese Vipassana Meditation that involves scanning the body for physical sensations. This meditation is also done in various yoga practices. The body scan is used in mindfulness-based stress reduction.

TAKEAWAYS

·       The Body Scan helps you connect with different sensations in your body that you may not have been aware of.

·       It helps you mindfully experience thoughts, emotions, and physical sensations around different areas of the body.

·       It leaves you feeling relaxed and recharged.

Breathing Awareness (Exercise 1)

Developing breath awareness, and learning to breathe properly, is one of the easiest ways to improve your mental and physical health. As Donna Farhi, author of The Breathing Book says, “The unconsciously altered breath allows us to survive, but it does not allow us to thrive.”

This brief and gentle mindful breathing exercise can help you create a relaxation response in your body in as little as 5 minutes:

1. Find a relaxed, comfortable position. You could be seated on a chair, on the floor, or on a cushion. Keep your back upright, but not too tight. Have your hands resting wherever they’re comfortable. Close your eyes, if that feels comfortable for you, and just allow your breath to be natural.

2. Tune into your breath. Feel the natural flow of breath—in, and out. You don’t need to do anything to your breath. It doesn't need to be long or short, just natural. Notice where you feel your breath in your body. It may be in your abdomen. It may be in your chest or throat or in your nostrils. See if you can feel the sensations of breath, one breath at a time. When one breath ends, the next breath begins.

3. As you tune into your breath, you may find that your mind wanders- distracted by thoughts or bodily sensations. That’s OK. Just notice that this is happening and gently bring your attention back to your breath.

4. Stay here for five to seven minutes. Notice your breath, in silence. From time to time, you’ll get lost in thought. Gently return to your breath.

You don't have 5 minutes?

When trying to calm yourself in a stressful moment and there is not much time to spare, it might help to start by taking an exaggerated breath: a deep inhale through your nostrils (3 seconds), hold your breath (2 seconds), and a long exhale through your mouth (4 seconds). Just this simple action can activate your relaxation response.

Human Potential and Health

Over the past 30 years, the medical community's definition of what “Health” is has grown from one of physical health to a much more expansive and holistic concept. As such, the approach to healthcare has expanded as well, from a characterization focused exclusively on diagnosing and treating medical conditions, to one with a much broader scope. This scope includes preventative care and wellness, whereby, wellness can include multiple dimensions including: physical, mental, spiritual, emotional, social, and financial.

At InHouse Physicians, we recognize this definition of wellness, however, we believe wellness can be more accurately summed up in one sentence – the conscious, self-directed and evolving process of achieving one’s full potential in life. Reaching your full potential can be measured, not only by achieving peak performance, but also through obtaining personal fulfillment.

To achieve this new definition of “wellness,” it is important to understand the neuroscience of human performance, because, reaching your full potential starts in the brain.

Over the past decade, the neuroscience of optimal human performance has been widely researched with state of the art tools leading to multiple discoveries. Scientists have found that all humans are innately designed to do their best. However, optimal performance is dependent on your state of mind. The state of mind most closely correlated with optimal performance is called the “Flow State” or “Flow” for short.

Flow can be thought of as "being in the zone."

It is when your brain is supercharged, your productivity is off the charts with seemingly little effort, and you are experiencing a heightened sense of well being. The good news is that this state of being has a specific neurobiological footprint in the brain that can be measured and even more importantly, this footprint can be reproduced on demand with certain specific interventions.

When in Flow, you not only have a heightened sense of well being and improved productivity, but you also have a greater capacity for learning, stronger ability for interconnectivity and collaboration with others, and a significant boost in creativity - all the things that are not only important for personal fulfillment, but also important to corporations.

Corporations continue to invest in the “well-being” and development of their employees. Neuroscience interventions designed to achieve optimal performance have become the key to satisfying an ever-evolving workforce. This new workforce expects their employers to provide a culture focused on a growth mindset, a holistic set of wellness offerings, and tools to achieve greater performance in the workplace. And those organizations that deliver will benefit from higher employee engagement, stronger employee retention, and an improved bottom line.