Suggesting Mindfulness - Page 4

Rate this item
(14 votes)

PNSO11-2Awakening the hypnotist within

By Michael Yapko

As a clinical intervention, mindfulness is best understood by stripping away its aura of mystical spirituality and understanding the crucial role suggestion plays in the change process.

Stage 3: Focusing Attention

focus then shifted from the general orientation and rationale for the session to a narrowing of attention on the breath. Selective attention gives rise to dissociation and is essential to activating any experiential processes. He directly suggested how to sit and then employed metaphor when he said, “So see if you can just feel yourself breathing. . . . Sit [in an] elevated and erect position that embodies dignity . . . [to] meet this moment in its fullness with alertness. . . . Let’s see if we can feel the breath, not think about the breath . . . moving in and out of the body as if we were approaching a shy animal sunning itself on a tree stump in a clearing in a forest. We want to approach [it] gently.”

Stage 4: Building a Response Set

The purpose of the response set is to increase responsiveness as the experiential process unfolds over time. In this phase, suggestions are offered to intensify focus and deepen absorption in the process. For this purpose, Kabat-Zinn said, “If you’d like to concentrate more, focus on the abdomen or wherever the sensations are most vivid, I invite you to close your eyes if you care to . . . and just ride; surf the feeling, the sensations of the breath moving in and out of your body, moment by moment by moment, . . . and let everything else going on in the mind, in the room—sounds, everything—just be in the wings.”

Stage 5: Offering Therapeutic Suggestions

Kabat-Zinn reassuringly suggested that for meditation beginners, or even for practitioners of 50 years or more, the mind will naturally wander; the goal is to come “back to the breath over and over again.” He explicitly stated that the goal of the session was to teach the value of awareness in the moment and the importance of holding on to that awareness across life experiences. “It’s not like you’ll make a bad meditator because your mind is unruly. This is the nature of the mind. . . . It’s just like the Pacific Ocean at its most tumultuous. . . . If you learn to drop down 20, 30 feet under the water, there’s just gentle calmness, . . . and it’s the same with the mind. The surface of the mind can be very agitated, embroiled in thought and emotion, but awareness itself is like the depths.”

Stage 6: Generalization

The goal at this stage is to help make the response available in other life contexts. At this point in the process, Kabat-Zinn had already encouraged a focused awareness on breathing, an appreciation for the inevitability of mindlessness and the value of mindfulness, an orientation toward finding comfort in the depth of oneself, and a sense of gentle compassion toward the self. How did he use suggestion to encourage people to integrate these new awarenesses into their lives? He said, “If [the mind] wanders 10,000 times, you know what’s on your mind 10,000 times, and without judging condemning, forcing, blaming, just come back to this moment, this breath . . . with a certain kind of tenderness as a radical act of love and kindness just toward yourself . . . wherever you are. . . . And the meditation practice winds up doing you much more than you’re doing the meditation practice, and the world and everybody and everything becomes your teacher.”

Stage 7: Ending the Experiential Session

In this last stage of the process, Kabat-Zinn used permissive suggestions to bring people back to a more externally oriented awareness of themselves and the immediacy of the context. He said that the formal experience might be over, but striving for awareness could be a lifelong commitment. He rang a meditation bell and continued, “Now I’d like to invite you, if your eyes are closed, to allow your eyes to open . . . while maintaining the same quality of awareness, . . . even as you turn your head or shift your body or stretch. . . . So although the formal meditation practice in some sense comes to an end, and has to, the real meditation practice never comes to an end; it’s your life. . . . It’s no more at an end than your breathing.”

In conducting this GMM, Kabat-Zinn offered many different suggestions about how attendees could think of themselves and their experience, starting with how to sit and ending with when to open their eyes. When he suggested different levels of experience, specifically the surface of the mind versus the depths of awareness, building on the earlier notion that the conscious mind is quite limited, he referred, of course, to the relevant attributes of the unconscious. These include the abilities to process information on multiple levels, develop new awarenesses and behavioral responses automatically, and respond to familiar challenges in new and creative ways. All in all, I’d have to say that although Jon Kabat-Zinn may not yet know it, he’s already a skilled practitioner of clinical hypnosis!

<< Start < Prev 1 2 3 4 5 6 Next > End >>
(Page 4 of 6)
Last modified on Monday, 14 May 2012 08:55

Leave a comment

4 comments

  • Comment Link Tuesday, 11 October 2011 05:09 posted by Tim Duerden

    I found Michaels article fascinating - and helpful.

    I am trained in both mindfulness based approaches and hypnotherapy and would agree with Michael that there tends to be an almost automatic uneasiness in many mindfulness teachers when associations are made between mindfulness and hypnotherapy - or even with guided imagery.
    Some of this I think arises from the language used to describe a mindful state as being a state of 'bare awareness' or a state in which there is closer contact with reality. This then makes anything that knowingly alters our experience of 'reality' seem manipulative or a distancing from 'reality'. And yet this manipulation is explicitly present in so most mindfulness guidance offered by teachers as Michael shows in his article - even if it is not acknowledged by the teacher themselves.
    These issues are nicely illustrated by common guidance offered for mindfulness of breathing.

    Firstly, there is commonly instruction as Michael points out above: "see if we can drop in on the sensations of breathing without fiddling with the
    breathing at all". This to me risks setting up an assumption that an 'unfiddled with breath' is somehow a more worthy target of mindfulness than a 'fiddled with breath': when we can be just as mindful of either experience. My hypnotherapy training taught me to be very careful with such biased guidance as it very easily creates a tension as the person tries not to fiddle - and therefore inevitably starts fiddling. From a mindfulness practice viewpoint setting up guidance to induce such tension offers the person the chance to explore being mindful of that tension and so could be argued to be still valid: but this to me risks being an excuse for unskillful and uncompassionate teaching.

    Secondly, mindfulness of breathing guidance often contains experientially manipulative kinaesthetic imagery: if I am imagining my breath flowing in and out of a painful area and noticing that the pain starts to be more accessible and bearable I am manipulating my experience through imagery - in this case body based kinaesthetic imagery.

    Overall what I took from my hypnotherapy training is the potency of language and how what we say and how we say what we say matters. Yes, those we guide have the opportunity to be mindful of the impact unskillful language has on their state - but this risks being an abdication of professional responsibility. I remember one respected mindfulness teacher [who came from a Buddhist / yoga background] guiding a mindfulness-based stress management group out of a long body scan practice and casually saying: "Sometimes you may feel as if your body is paralysed - but this will pass." [!]
    I think the approach taken in Clean Language is a really useful bridge for mindfulness teachers into greater awareness of the power of metaphor in language.

    I do think hypnotherapy has much to learn from mindfulness and compassion based approaches as well. When I am training hypnotherapists to be mindfulness teachers I find the hypnotherapists discover a way of approaching their moment-to-moment experience with their clients in a richer and deeper way - as do psychotherapists. The territory is familiar but the route taken fresh and illuminating...
    Acceptance and Commitment Therapy also offers a framework that enriches my hypnotherapy practice as it provides a fairly rigorous model with which to assess whether or not the interventions I am making may be supporting avoidant behaviour patterns.