IHR Podcast #25: Skin cancer, present state awareness training, collective health decisions, technologies of isolation, and the meaning of anxiety

In this episode of the Integral Health Resources Podcast, I talk about my very recent experience with skin cancer surgery, then I ramble on about a variety of health-related topics that may or may not hang together in a coherent fashion.

Media, resources, and photos referenced:

Earlier this summer…
After Mohs surgery to remove two basal cell carcinomas

Tristan Harris and Time Well Spent

The recent conversation between Tristan Harris and Sam Harris on the Waking Up Podcast (“What is technology doing to us?”) was one of the most interesting podcasts I’ve listened to in a long time. Not content to be merely fascinated, down the rabbit hole I went, tracking Tristan’s numerous other digital footprints, including a TED Talk, interviews on 60 minutes and PBS, and the several essays on his own website. And no, the irony was not lost on me that I was compulsively consuming digital media that was explicitly about the ways in which we are persuaded to compulsively consume digital media. The pull of the puppet master is strong, and I’m trying to save my own soul here.

Tristan Harris worked for Google and knows a lot about tech design, the psychology of persuasion, and the attention economy. If anything is central to everything that is important in life, it is our attention. The quality of my attention, the clarity of it, is what distinguishes malaise from presence and vitality, and becoming aware of how my attention is affected by the myriad forces that seek to control its flow and its habitual patterns is perhaps the central project of my life. And while technological forces have undoubtedly been acting on my attention since my time in the womb, I am becoming acutely aware, as many of us are, of the effects that screens and social media are having on my overall state of mind.

As I’m typing this sentence it’s about 5:30pm on a Sunday, and I’ve felt compelled to consume distractotainment via one screen or another at least four or five times an hour since I crawled out of bed this morning. I’ve succumbed to the compulsion at least ten or fifteen times throughout the day, each time resulting in total derailment from the creative projects (including this blog post) I’ve been working on. While distraction is an age-old bugaboo, the problem seems to have gotten worse – a lot worse – in just the past couple of years. Social media has certainly changed a lot since I started using it about ten or so years ago. Remember when we used to be able to control what we could see in our Facebook feeds? Back in the day, one could simply see the posts made by one’s friends, and see them in chronological order. Now, most of what I’m seeing are things my friends have “liked,” which of course are often the posts propped up by Facebook’s paying customers. It is now impossible, even through a deep dive into one’s account settings, to transform one’s feed into the simple configuration of “my friends’ posts in chronological order.” Social media is all business now, and who came blame these tech companies for getting a return on their investment. It always seemed “too good to be true,” in the early days of the internet, when sites like Google, Facebook, Twitter, and YouTube were simply providing everyone with free access to their services. They were playing the long game, and we are all now becoming increasing acquainted with the losing side. We’ve been willingly attaching a string here and a string there, and now those strings are being pulled by insidious “algorithms” that lead us in directions we don’t necessarily want to go.

Here’s how Tristan Harris describes some of the symptoms of the digital disease many of us find ourselves fighting off [From Tech Companies Design Your Life, Here’s Why You Should Care]:

We grow less and less patient for reality as it is, especially when it’s boring or uncomfortable. We come to expect more from the world, more rapidly. And because reality can’t live up to our expectations, it reinforces how often we want to turn to our screens. A self-reinforcing feedback loop. […] And because of the attention economy, every product will only get more persuasive over time.

The attention economy tears our minds apart. With its onslaught of never-ending choices, never-ending supply of relationships and obligations, the attention economy bulldozes the natural shape of our physical and psychological limits and turns impulses into bad habits.

With design as it is today, screens threaten our fundamental agency. Maybe we are “choosing,” but we are choosing from persuasive menus driven by companies who have different goals than ours.

One of Harris’s most impactful points is that we now find ourselves in a situation where the design choices of a handful of tech nerds can profoundly influence the thoughts, feelings, and actions of literally billions of human beings. Of course, we are free to choose not to, say, own a smartphone, but how many people make that choice? (I am one of those people who chooses not to have a smart phone, but I feel as though I may be seduced into buying one sometime soon). But can’t we freely choose how to use our smartphones, if we do own them? Of course we can, but when the “choice architecture” is specifically designed to exploit our perceptual frailties, when the full arsenal of persuasion techniques is brought to bear on human minds already easily duped by con artists and theocrats and a million other would-be puppet masters, how much freedom is there, really?

Of course, this game is hardly new. Alan Watts, prescient as he was on so many issues, recognized the attention economy – this system of creating and controlling the mental and behavioral puppet strings of an entire society – back in 1951, in his brilliant and still-relevant classic The Wisdom of Insecurity. Check this out:

Thus the “brainy” economy designed to produce this happiness is a fantastic vicious circle which must either manufacture more and more pleasures or collapse – providing constant titillation of the ears, eyes, and nerve ends with incessant streams of almost inescapable noise and visual distractions. The perfect “subject” for the aims of this economy is the person who continuously itches his ears with the radio, preferably using the portable kind which can go with him at all hours and in all places. His eyes flit without rest from television screen, to newspaper, to magazine, keeping him in a sort of orgasm-with-out-release […]. The literature or discourse that goes along with this is similarly manufactured to tease without satisfaction, to replace every partial gratification with a new desire.

This stream of stimulants is designed [emphasis mine] to produce cravings for more and more of the same, […] to persuade us that happiness lies just around the corner…

The trendiness of mindfulness is interesting in this regard, because the process of cultivating a deep and sustained level of presence entails a certain exposure of illusion and delusion, which can go a long way to helping us gain greater control over our tech, instead of allowing ourselves to be controlled by it. While Watts might have prescribed meditation as a way to inoculate ourselves against the digital disease process, Harris recommends that we ask ourselves, “what are our goals?” and “how do we want to spend our time?” and then pay close attention to the ways that our technology and the broader attention economy actively work against our best intentions.

Just like the food industry manipulates our innate biases for salt, sugar and fat with perfectly engineered combinations, the tech industry bulldozes our innate biases for Social Reciprocity (we’re built to get back to others), Social Approval (we’re built to care what others think of us), Social Comparison (how we’re doing with respect to our peers) and Novelty-seeking (we’re built to seek surprises over the predictable).

[We must] recognize our holistic mental and emotional limits (vulnerabilities, fatigue and ways our minds form habits) and align them with the holistic goals we have for our lives (not just the single tasks), [thus] giving us back agency in an increasingly persuasive attention economy.

Harris has also created a “non-profit movement” called Time Well Spent, the mission of which goes something like this:

We live in an arms race for attention. Because we only have so much attention in our lives, everything has to fight harder to get it.

The internet isn’t evolving randomly.
We know exactly where this is going, and it will only get worse.

Our mind is our one instrument to live our lives, to be informed, to be present with each other and to solve our most important problems – and it’s been hijacked.

We can solve this problem together, but we’ll need your help.

Harris goes on to give practical advice to change our tech habits, implores companies to change their design philosophy so that it maximizes benefits to their customers’ lives, and he suggests ways that anyone interested can get involved in inventing a more human future that supports our deepest values and best intentions instead of undermines them.

I am totally on board, and I encourage everyone to give Tristan Harris a few moments of your attention (while you still can!) :o)

IHR Podcast #2: Unwinding

In this episode of the Integral Health Resources Podcast, I get on the floor so that I can get some sleep. Topics include:

  • Unwinding
  • Somatic/Body-oriented practices
  • “Resisting what is happening is a major cause of suffering” – Pema Chodron
  • Engaging with electronic media in a healthy manner

Summary:

    Buddhist teacher Pema Chodron recently said the following: “Resisting what is happening is a major cause of suffering”. This realization has helped me to sleep better at night, to be more at ease in my body and mind, and to engage in a less compulsive way with electronic media. Partly based on this realization, I have developed a body-oriented practice that I refer to as “unwinding.” I try my best to describe this idiosyncratic practice and discuss some of its benefits.

Here are some other media resources that may be helpful/relevant to this discussion:

Screen Shot 2015-06-03 at 11.00.59 AM

Prisoners, Mental Health, and Mindfulness

India, 42, suffers from manic depression and post-traumatic stress disorder. She has spent almost all of her adult life in jails and prisons. [John Gress for The New York Times]
India, 42, suffers from manic depression and post-traumatic stress disorder. She has spent almost all of her adult life in jails and prisons. [John Gress for The New York Times]
I was catching up on my interweb reading list this morning and was struck by two pieces about prisoners and mental health. The first was an op-ed piece by New York Times columnist Nicholas Kristof called Inside a Mental Hospital Called Jail. Kristof cites a 2006 Justice Department study that claims that more than half of prisoners in the US have a mental health problem, with females in particular showing diagnosable mental disorders in an astonishing 75% of the inmate population. It’s just staggering to contemplate how many human beings are presently languishing in prisons mostly due to mental health problems (including substance abuse issues) that are bound to get far worse in prison environments that are not committed to treatment and rehabilitation.

On the bright side, I was greatly impressed with the work of former prisoner Fleet Maull of the Prison Mindfulness Institute. Maull began teaching mindfulness to prisoners while he was serving a 14-year sentence for drug trafficking. In the powerful short film below, Maull points out that often times what lands people in prison (and frequently brings them back) is a lack of good problem-solving and communication skills. By teaching prisoners some foundational social-emotional self-regulation skills through mindfulness techniques, Maull is not only giving prisoners some tools to help them successfully adapt to life behind bars, but he’s also preparing them to succeed in life outside of prison, if they are fortunate enough to have that opportunity.

Path of Freedom from Go Project Films on Vimeo.

McMindfulness: I’m Lovin’ it!

g9510.20_mindful.inddI started my first psychology graduate program in 1994, and I never would have guessed then that “mindfulness” would be on the cover of Time Magazine twenty years into the future. Of course, I also would have never guessed that very few people would actually read magazines (including Time) in the year 2014. That first graduate program was focused on East/West Psychology, and I had a devil of a time explaining what that meant to just about everyone outside the California Institute of Integral Studies . Today, I just tell people “We studied mindfulness meditation and stuff like that” and most people seem to get it. Heck, these days people actually approve of the fact that I spent money on such a degree! I have to admit though, it’s pretty weird to see how crazy-big this whole mindfulness thing has gotten in the past ten years or so. There’s a small part of me that misses feeling like I was in some select group of “pioneers” who were into mindfulness before it was cool, as if this ancient practice were some obscure indie rock band that only played small clubs back in the 90’s.

1-30Today I test drove a new app called Stop, Breathe & Think that promises to “guide people of all ages and backgrounds through meditations for mindfulness and compassion.” I was looking for tools that might be useful in explaining mindfulness to the elementary school students that I’m working with as part of my present-day graduate practicum. I was looking for something that makes mindfulness seem cool, a fact that can easily be lost on kids raised in this age where shiny rectangles lord over our attention spans 24/7. I’m impressed with the app so far. It’s a good introduction to mindfulness, which is really all you can offer in the context of an elementary school guidance program.

Mindful Schools is another interesting program that both my supervisor (the licensed counselor at the school) and I are impressed with as a way to introduce mindful practices into the school setting. Here’s an introductory video:

I’ve noticed that there’s a bit of a backlash lately against the mainstreaming of mindfulness, and I’m not totally unsympathetic to the fact that “McMindfulness” versions of deep and complex teachings can have their drawbacks. Still, McMindfulness is a problem that strikes me as both inevitable and quite manageable. However basic a particular meditation technique might be, I can’t help but be thrilled that, twenty years after being introduced to the practice myself, I can walk into an elementary school and watch a licensed counselor teach kids how to meditate, and nobody thinks he’s out of his mind!

The Science of Mindfulness – TEDx talk by Diana Winston

A nice introduction to mindfulness by Diana Winston, the director of Mindfulness Education at the UCLA Mindful Awareness Research Center:

Former Buddhist monk Diana Winston is the director of Mindfulness Education at UCLA Mindful Awareness Center, and the author of several books on mindfulness and meditation. With more than 20 years in the study and practice of mindfulness, Diana explains how routinely taking the time to be in the moment can have a profound impact on our everyday lives and relationships.

Planting seeds

I’m currently reading Mindfulness and Psychotherapy (Edited by Germer, Siegel & Fulton), widely considered to be one the best books yet published on the topic. Four chapters in, and I’m enjoying the book thoroughly. I just came across a section on the value of cultivating empathy through Buddhist-inspired practice. I like the image the authors (Susan & William Morgan) use to connect intention, practice, and whatever sought-after quality one is trying to cultivate (in this case, empathy):

Concentrate on your intention to open your heart more fully. Trust that by planting seeds (intention) and attending to them (practice), the harvest (empathy) will follow organically.

I’m thinking about the creative struggles in my life, particularly with writing and music, and how this process of intention-practice-fruition comes into play. Something to ponder and play with…

Elliot Dacher on the process of entanglement with mental activity

I’m savoring an excellent book right now: Aware, Awake, Alive by Elliot Dacher. Dacher’s previous book, Integral Health, outlines and describes one of the main models of Integral Health that has inspired my work on this site. I will do a proper review of Aware, Awake, Alive once I’ve had time to read and process it all. For now I’d just like to share my enthusiasm for the book, and to post a snippet for discussion.

I’ve read many, many books about mindfulness and meditation practices, but Dacher has a way of framing and explaining things that I find to be particularly lucid and helpful. Here’s how he explains the process of becoming entangled with mental activity:

As soon as we are enmeshed in mental activity we further elaborate it by superimposing upon it old perspectives and stories stored in memory. In this way we turn simple, unadorned, and brief mental movements into complex mental events which are largely imaginary, and more old than new. What was once a momentary neurological blip appears to assume a life of its own.

I like how Dacher uses the term “mental movement” to talk generally about all aspects of automatic mental activity (thoughts, feelings, mental images, and sensory impressions). This concept fits very nicely with the general theory of Somatics that Thomas Hanna has articulated in the context of his work in neuromuscular re-education (I’ve been long interested in how somatics, psychology, and spirituality can be integrated in a single model of personal transformation). Dacher goes on to explain how enmeshment in mental activity continues to hijack our attention and cloud our minds:

Once we elaborate a mental movement we then add feelings and emotions […]. That leads to a proliferation of further mental activity which includes fear, anxiety, anger, desire, aversion, and so on. Then, we act out this personalized and imaginary story in the outer world through our speech and actions. A small mental blip, which would naturally come and go, becomes our life, and the life that is actually happening in the moment is lost.

Dacher offers several perspectives and practices that help us to undermine this habit of mental entanglement, and more generally he articulates a vision of optimal health and human flourishing that, while based in ancient wisdom teachings, is also framed in terms that make perfect sense in the context of modern healthcare. For whatever reason, I find Dacher’s vision to be particularly powerful and compelling as I continue to engage with various integral health practices. I’ll dive into all this in much more detail once I finish the book!

Mindfulness training in elementary schools

Elisha Goldstein posted the following video on his Mindfulness and Psychotherapy blog. It’s very heartening for me to see this type of mindfulness training being offered to children at such a young age.

Mindful Schools, a community outreach program of Park Day School in Oakland, CA, seems to base their training on the principles of Jon Kabat-Zinn’s MBSR model (adapting it to the context of elementary school). According to the news story above, Park Day School (a private school) paid for the training to be offered to students at nearby Emerson Elementary School (a public school serving many economically disadvantaged kids). Ah, sweet hope! I would love to be involved in this kind of work one day.

Elisha Goldstein also did an interview with Susan Kaiser Greenland a few months back on the topic of teaching mindfulness meditation to children. This is a very positive trend as far as I’m concerned.

Toward a Mindful Society: Shambhala Sun interview with Jon Kabat-Zinn

From the March 2010 issue of the Shambhala Sun:

MINDFUL LIVING: THE PIONEER

Jon Kabat-ZinnAs creator of Mindfulness-Based Stress Reduction, Jon Kabat-Zinn has brought the benefits of meditation practice to hundreds of thousands of people and inspired a movement that is changing our society in many ways. In this exclusive interview with the Sun’s Barry Boyce, he discusses the philosophy, goals, and promise of the mindfulness movement.

Barry Boyce: Does mindfulness go beyond simply cultivating our attentiveness?

Jon Kabat-Zinn: The ultimate promise of mindfulness is much larger than that, more profound. It helps us understand that our conventional view of ourselves and even what we mean by “self” is incomplete in some very important ways. Mindfulness helps us recognize how and why we mistake the actuality of things for some story we create, and then makes it possible to chart a path toward greater sanity, well-being, and purpose.

Based on that understanding, how would you describe the central mission of your work?

In part 2 of Coming to Our Senses, I talked explicitly about the word dharma—describing it both in terms of the teachings of the Buddha (with a capital D, often spoken of as Buddhadharma) and also as the way things are, the fundamental lawfulness of the universe. So although the Buddha articulated the Dharma, the Dharma itself can’t be Buddhist any more than the law of gravity is English because of Newton, or Italian because of Galileo. It is a universal lawfulness. I specifically asked His Holiness the Dalai Lama at the Mind and Life XIII conference in Washington, D.C., in 2005 whether there was any fundamental difference between Buddhadharma and universal dharma and he said “no.”

The central mission of my work and that of my colleagues at the Center for Mindfulness has been to bring universal dharma into the mainstream of human activity for the benefit of as many people as possible. That’s a very broad calling, so as a skillful means I chose very consciously from the beginning to anchor it in medicine and healthcare. I thought that would be the most fertile ground for introducing meditation and the wisdom and compassion of the dharma in its universal aspect to a wider world, hopefully in an authentic and meaningful way. After all, hospitals function as dukkha magnets in our society, so what better place for the teachings of suffering and the end of suffering to be made available in ways that people might be able to resonate with and adopt as their own?

This year, we’ve been celebrating the thirtieth anniversary of the founding of the Stress Reduction Clinic at the UMass Medical Center. The original vision has in some sense come to fruition, because Mindfulness-Based Stress Reduction has indeed spread to hospitals, clinics, and laboratories around the world. It’s being researched, offered clinically, and experimented with in ways that were virtually inconceivable thirty years ago. I think that has come about because the world is longing for authentic experience that transcends the usual limitations we impose on ourselves—through cultural traditions, ideologies, belief systems, and so forth. People are searching for ways to realize the full spectrum of their humanity.

Why do you think a scientific approach is important in spreading the practice of mindfulness?

I am not really interested in “spreading” mindfulness, so much as I am interested in igniting passion in people for what is deepest and best within all of us, but which is usually hidden and rarely accessible. Science is a particular way of understanding the world that allows some people to approach what they would otherwise shun, and so can be used as a skillful means for opening people’s minds. By bringing science together with meditation, we’re beginning to find new ways, in language people can understand, to show the benefits of training oneself to become intimate with the workings of one’s own mind in a way that generates greater insight and clarity.

The science is also showing interesting and important health benefits of such mind–body training and practices, and is now beginning to elucidate the various pathways though which mindfulness may be exerting its effects on the brain (emotion regulation, working memory, cognitive control, attention, activation in specific somatic maps of the body, cortical thickening in specific regions) and the body (symptom reduction, greater physical well-being, immune function enhancement, epigenetic up and down regulation of activity in large numbers and classes of genes). It is also showing that meditation can bring a sense of meaning and purpose to life, based on understanding the nonseparation of self and other. Given the condition we find ourselves in these days on this planet, understanding our interconnectedness is not a spiritual luxury; it’s a societal imperative.

Three or four hundred years ago, not so long in the scheme of things, people practicing meditation did so under fairly isolated conditions, mostly in monasteries. Now meditation is being practiced and studied in laboratories, hospitals, and clinics, and is even finding its way into primary and secondary schools. The people teaching and researching it have in many cases been involved with mindfulness for ten, twenty, thirty, or more years by now. They are not just jumping on some new mindfulness bandwagon. And their work has resulted in many professionals being drawn to mindfulness for the first time. That in itself is a wonderful phenomenon, as long as it is understood that mindfulness is not merely a nice “concept” but an orthogonal way of being that requires ongoing practice and cultivation.

What are some of the new frontiers that mindfulness has entered in recent years?

The mindfulness work is spilling into areas way beyond medicine and healthcare and also beyond psychology and neuroscience. It’s moving into programs on childbirth and parenting, education, business, athletics and professional sports, the legal profession, criminal justice, even politics. For instance, Tim Ryan, a Democratic congressman from Ohio, has become a major advocate of greater support for mindfulness research and program implementation in both healthcare and education, based on his own experiences with ongoing practice. In so many different domains, it’s becoming recognized as virtually axiomatic that the mind and body are and always have been on intimate speaking terms, at least biologically. We need to learn to be much more tuned in to the conversation and participate actively if we are going to function effectively and optimize our health and well-being.

Does the synchronizing of mind and body bring benefits beyond functioning effectively?

The awareness we are speaking of when we are using the term “mindfulness” also encompasses the motivations for our actions, for example, the ways we are driven by self-aggrandizement or greed. In the financial crisis of 2008-2009, we’ve seen the effects of greed played out on a massive scale in the banks and insurance companies. Healing that disease won’t just be a matter of bailouts, stimulus packages, and magically creating greater confidence in the economy. We need to create a different kind of confidence and a new kind of economics, one that’s not about mindless spending but is more about marshalling resources for the greater good, for one’s own being, for society, and for the planet. Mindfulness can help open the door to that by helping us go beyond approaches that are based on conceptual thought alone and are driven by unbounded and legally sanctioned greed.

It seems that the notion that we can think our way out of our big problems has been tarnished recently.

That’s a key point. Even very, very smart people—and there are plenty of them around—are starting to recognize that thinking is only one of many forms of intelligence. If we don’t recognize the multiple dimensions of intelligence, we are hampering our ability to find creative solutions and outcomes for problems that don’t admit to simple-minded fixes. It’s like having a linear view in medicine that sees health care solely as fixing people up—an auto mechanic’s model of the body that doesn’t understand healing and transformation, doesn’t understand what happens when you harmonize mind and body. The element that’s missing in that mechanical understanding is awareness.

Genuine awareness can modulate our thinking, so that we become less driven by unexamined motivations to put ourselves first, to control things to assuage our fear, to always proffer our brilliant answer. We can create an enormous amount of harm, for example, by not listening to other people who might have different views and insights. Fortunately, we have more of an opportunity these days to balance the cultivation of thinking with the cultivation of awareness. Anyone can restore some degree of balance between thinking and awareness right in this present moment, which is the only moment that any of us ever has anyway. The potential outcomes from purposefully learning to inhabit awareness and bring thought into greater balance are extremely positive and healthy for ourselves and the world at large.

On the other hand, if we continue to dominate the planet the way our species has for the past six or seven thousand years, it could be very unhealthy. Regardless of the beauty that’s come out of civilization, we could continue on a path of colossal upheavals that basically come from a human mind that does not make peace with itself—war, genocide, famine, grossly inadequate responses to natural disasters. These upheavals could destroy everything we hold most dear.

Earlier you talked about the promise of mindfulness being much greater than simply focusing attention. What are some of the keys to bringing about the profound effects of mindfulness that you’ve been talking about?

Ultimately, the path is uncertain. All we can do is listen deeply to the calling of our own hearts and of the world, and do the best we can. One of the ways that I have tried to bring the healing and transformative potential of the dharma into modern everyday life in the West has been through attempts to develop an American vocabulary, a Western vocabulary, for speaking about things that until now we haven’t really had a vocabulary for except within religious traditions. I emphasize the universality of the power of mindfulness and awareness, but I’m not talking about a universal church or a universal religious movement. I’m talking about understanding the nature of what it means to be human. I don’t even like to use the word “spiritual.”

Can we simply address what it means to be human—from an evolutionary point of view, from an historical point of view? What is available to us in this brief moment when the universe lifts itself up in the form of a human sentient body and being, and we live out our seventy, eighty, or ninety years (if that), and then dissolve back into the undifferentiated ocean of potential? A lot of the time we become so self-absorbed, so preoccupied, that we don’t pursue the kind of fundamental inquiry Aristotle proposed when he made the comment that “The unexamined life is not worth living.”

In addition to developing a universal, nonreligious vocabulary, I have tried to stress the critical importance of the non-dual aspect of meditation by emphasizing that it is not about getting anywhere else. This of course immediately brings up a lot of bewilderment in people, because almost everything we do seems to be about trying to get somewhere else. Why on earth would you not want to get somewhere else? If you’re in a lot of pain, or if you have some kind of illness or whatever, you always want to get back to where you were, or get to some better place in the future. It sounds almost un-American just to settle for what is, but that is a misunderstanding of the potential for living in the present moment. It’s not a matter of settling. It’s a matter of recognizing that, in some sense, it never gets any better than this.

What do you mean?

Quite simply, the future is not here, even though we can create as many illusions about it as we’d like. The past is already over. We have to deal with things as they are in the moment. So, it’s most effective to deal with them if you don’t perpetrate illusions on yourself about the nature of your experience, and then fall into wishful thinking or ambition that drives you to create more harm than good.

When we delude ourselves about the true nature of our experience, we not only harm other people. We also harm ourselves, because we don’t befriend certain elements of who we are, of our basic connection to others and to our environment. That’s very sad and very unsatisfying. Healing and transformation are possible the moment we accept the actuality of things as they are—good, bad, or ugly—and then act on that understanding with imagination, kindness, and intentionality. This is not easy or painless, by any means, but it is both an embodiment of and a path toward wisdom and peace.

In this regard, we are trying to create a way of speaking about mindfulness as a practice, a way of being, and also as the culmination of the practice in any given moment that is so commonsensical that people will say, “Of course, that makes sense. It makes sense to be in the present moment, to be a little less judgmental or at least be aware of how judgmental I am. Why didn’t I notice this earlier? It’s so obvious.”

Who can we rely on to do the work of bringing this message to more people?

This is a huge challenge, given how imprisoned we are and how blinded by our own conditioning. It would be great if the Dalai Lama could do it all by himself, but there simply isn’t enough of him and the other great teachers to go around. Plus, not everybody can hear it in the language of the traditional meditation vehicles. So perhaps we need many highly dedicated and skillful meditation teachers, steeped in their own practice, to fulfill the need that’s waiting out there. There’s so much suffering in the world. Who are we not to respond to it in some way? That is why a lot of our efforts in MBSR go into professional training, toward developing a whole new generation of people deeply grounded in this universal dharma expression and committed to bringing it into the world in various ways as a skillful means for healing and transformation at a time that the world is crying out for kindness and wisdom.

What’s required to teach mindfulness other than a good human heart?

If we are teaching mindfulness in one setting or another, it really needs to be grounded in our own first-person experience. It needs to be grounded in humility and not-knowing, an openness to possibility but also a deep seeing into self and other. Since it’s available to all of us, it’s not really such a big deal or a special private possession.

Of course, some people will take mindfulness and other practices and put their own stamp on them. Some people are going to make a big campaign out of it without really understanding the depth of it, or understanding mindfulness only in a partial way. The inevitable possibility that some people may approach or exploit these teachings and practices in misguided ways is part of the price of the success of bringing mindfulness into the larger culture.

One of the big responsibilities of those of us who are doing this work is to nurture and mentor the younger people and those who are coming to it for the first time. We can remind them, or clarify for them, that it is not just a fad or merely a smart career move at the moment to become a mindfulness teacher or exponent. The value of mindfulness is both profound and unique. It calls us to take a deep look into the nature of experience itself, and the nature of our own minds and hearts. This is a kind of scientific inquiry, since the mind is really a huge mystery from the scientific point of view.

All of this work hinges on appreciating how awareness can balance thought. There’s nothing wrong with thinking. So much that is beautiful comes out of thinking and out of our emotions. But if our thinking is not balanced with awareness, we can end up deluded, perpetually lost in thought, and out of our minds just when we need them the most.