A personal blog by a graying (mostly Anglo with light African-American roots) gay left leaning liberal progressive married college-educated Buddhist Baha'i BBC/NPR-listening Professor Emeritus now following the Dharma in Minas Gerais, Brasil.
Serious illness and dying are some of the hardest experiences we can go through as human beings, yet they are an inevitable part of life. In many cases, having a supportive and caring palliative care provider is essential.
One such provider is changing the approach to patient care, training clinicians to communicate more openly and effectively about serious illness. Anthony Back, co-director of the University of Washington Center for Excellence in Palliative Care, is also a Buddhist practitioner who has been leading retreats on being with dying at the Upaya Zen Center with Roshi Joan Halifax. When it comes to palliative care, Back’s goal is to improve the quality of compassionate care for patients and to provide support to physicians for working with the difficult emotions that come with this work by offering tools to avoid burnout and moral injury.
“There’s a technical aspect to my care, the care that I provide, but then there is also this other more personal aspect, which is this person-to-person aspect, which I think of as more than even just emotional care. It is the care of being present. It’s the care of witnessing. It is the care of sharing space with another human being.”
Back joined the latest episode of Life As It Is to discuss this work, his Buddhist practice, and his current study on psilocybin-assisted therapy for burnout. Listen to the full episode here.
RIGHT VIEW Understanding the Noble Truth of the Origin of Suffering
What is the origin of
suffering? It is craving, which brings renewal of being, is accompanied
by delight and lust, and delights in this and that: that is, craving for
sensual pleasures, craving for being, and craving for non-being. (MN 9)
When one does not know and see formations as they actually are, then one
is attached to formations. When one is attached, one becomes
infatuated, and one’s craving increases. One’s bodily and mental
troubles increase, and one experiences bodily and mental suffering. (MN
149)
Reflection
The aggregate
of formations comprises all the volitional and emotional factors that
make up our mental states, that guide our actions of body, speech, and
mind, and that shape our deeper character and personality traits. These
provide the basis for suffering because we so easily become attached to
and infatuated with them. Formations are not a problem in themselves,
but craving for them is the very cause of our suffering.
Daily Practice
Practice being
aware of your mental states without being attached to them. Observe them
with equanimity as they pass through your mind, rather than sorting
them into what you welcome and what you resent. Do the same with your
intentions and deepest underlying dispositions. Notice how easily any of
these can become “sticky” and induce you to cling to it. This is how
suffering arises. It is important to see and know this.
Tomorrow: Cultivating Compassion One week from today: Understanding the Noble Truth of the Cessation of Suffering
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In
Buddhism, we work to illuminate the fundamental truth of our
self-nature. When anger arises, it is pointing to something. Our anger
is a clue to our underlying beliefs about ourselves. It can help to
reveal our constructed sense of self-identity.
Jules Shuzen Harris, “Uprooting the Seeds of Anger”
RIGHT EFFORT Restraining Unarisen Unhealthy States
Whatever a person frequently
thinks about and ponders, that will become the inclination of their
mind. If one frequently thinks about and ponders unhealthy states, one
has abandoned healthy states to cultivate unhealthy states, and then
one’s mind inclines to unhealthy states. (MN 19)
Here a person rouses the will, makes an effort, stirs up energy, exerts
the mind, and strives to restrain the arising of unarisen unhealthy
mental states. One restrains the arising of the unarisen hindrance of
doubt. (MN 141)
Reflection
Unhealthy
mental states can erupt at any time, and it is prudent to be on guard
against them. The best defense is to not allow them to arise in the
first place, and there are ways to help with that. Faith or trust is the
antidote to doubt, and if you are capable of cultivating trusting
confidence, debilitating doubt will find no foothold in your mind. If
you make an effort to think and ponder with trust, the hindrance of
doubt will not arise.
Daily Practice
It is always
possible to be doubtful of oneself, of others, of what you think you
know or what you are doing. And there is a place for honest questioning
of your assurances. But doubt can also be crippling, preventing you from
moving forward. See if you can gain confidence through faith in the
teachings and the value of mindfulness and use that to hold yourself in
such a way that doubt does not penetrate your mind.
Tomorrow: Establishing Mindfulness of Body and Abiding in the First Jhāna One week from today: Abandoning Arisen Unhealthy States
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To
act generously is to awaken a certain kind of freedom: freedom from the
stranglehold of self-concern, and, consequently, freedom to choose a
level of responsibility beyond the minimal charge most of us have for
ourselves.
RIGHT LIVING Undertaking the Commitment to Abstain from Harming Living Beings
Harming living beings is
unhealthy. Refraining from harming living beings is healthy. (MN 9)
Abandoning the harming of living beings, one abstains from harming
living beings; with rod and weapon laid aside, gentle and kindly, one
abides with compassion toward all living beings. (M 41) One practices
thus: “Others may harm living beings, but I will abstain from the
harming of living beings.” (MN 8)
This is something that leads to the welfare and happiness of a layperson
in this present life: balanced living. Here, a person knows their
wealth coming in and their wealth going out, and leads a balanced life,
being neither too extravagant nor too frugal, [knowing that] “in this
way my income exceeds my expenditures, and my expenditures do not exceed
my income.” (AN 8.54)
Reflection
Indian culture
is deeply rooted in commerce, as its early civilizations seem to have
flourished on trade, and many of the Buddha’s followers were merchants.
He thus had respect for commercial life, and the economic balance he
mentions here can be seen as a middle-way lifestyle for the layperson.
Just as a monk lives being neither too indulgent nor too ascetic, so
also a layperson should live a financially balanced life.
Daily Practice
Right living
for a householder or layperson involves prudence, self-control, and a
balanced lifestyle. Notice the negative psychological effect when you
are in debt or living beyond your means, and notice also the harmful
effects of extravagance and self-indulgence. Contrast these to the sense
of contentment and security that comes from living in equilibrium, when
your income and expenses are in harmony with each other.
Tomorrow: Restraining Unarisen Unhealthy States One week from today: Abstaining from Taking What is Not Given
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