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pain relief, pain management,
relaxation, meditation, mindfulness
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The Peace of Mind Project |
BEING HERE
(first published in Dharma Life magazine
winter 2000, issue 14)
www.dharmalife.com
Vidyamala’s acute back pain has awakened her to the truth of
suffering. By attending to each passing moment, she is
discovering what it means to embrace life.
Main article
Twenty-four years ago, when I was sixteen, I lifted someone out
of a swimming pool in lifesaving practice and seriously injured
my spine. The injury left me with constant pain that has
gradually worsened over the years. This injury, and an
additional spinal injury in a car accident five years later,
have changed me into a more thoughtful person. I went from being
an athletic, active young woman who had not had to think deeply
about life, into a woman facing intractable questions about the
nature of humanity, sickness, ageing and the inevitability of
human suffering.
My main area of enquiry has been exploring the distinction
between the unavoidable suffering that is a natural consequence
of having a body that will get ill and age, and the sharper
suffering of reacting to this fact. Is this secondary level of
suffering – either pushing away unpleasant experience or blindly
grasping after pleasant ones – at the root of the restless
unhappiness and discontent we so often feel? How do we transform
this knee-jerk reactive momentum and create instead a sense of
space and the possibility of choice in each moment, no matter
what our circumstances? Is this what the spiritual life is
essentially about? Is this the key to freedom?
In my case the options are stark and immediate: do I have
physical pain and mental misery, which is truly horrible; or do
I have physical pain and a sense of space and choice in my
mental and emotional responses? I cannot make the pain go away,
but I can change how I respond to it. The motivation for finding
a creative, positive response is extremely high. This need for
creativity in our responses applies to all of us. It is just
particularly obvious to me in my circumstances.
These are big questions, but ones I feel fortunate to have had
to face, despite the inner struggles they provoked. I would
never have had the strength to choose such intensity if there
had been an alternative. Yet, in a strange way, the pain that is
so hard to live with is the very thing that drives me closer to
the truth of the human condition. That is what keeps those
searching questions constantly alive. Sometimes I feel impaled
on these questions about the nature of life and human suffering,
but the more I grapple with them – probing them, taking them
deeper – the closer I am to coming to terms with life, just as
it is, and finding peace and understanding.
Although I had experienced physical pain since my first injury,
these deeper reflections on responses to pain didn’t emerge in
any conscious or urgent sense for 10 years, when I became very
ill. Prior to this I had never dealt with my condition nor faced
it in a mature way. I lived in an invented reality much of the
time that pretended the pain wasn’t real and simply blocked it
out with medication and unawareness. I was able to keep this up
for a decade but then, inevitably, came a time of reckoning.
I was 25 years old and in an intensive care ward with
neurological complications and acute pain. I was plunged into a
strange and frightening world. Perhaps the shock of what was
happening shattered my defences for a time – I am not sure – but
I had intense and vivid experiences that changed the course of
my life. The way I perceived myself and the world suddenly
altered, and I see my spiritual life, in any conscious sense, as
having started at that time.
The experiences were so intense and vivid that I could not but
be changed by them – and they have informed much of my
questioning ever since. Of course I did not sustain the
acuteness of perception that arose in that life-and-death time,
but the memory of those perceptions has driven much of my
subsequent practice. Since then I have been on a quest for
truth, wishing to live more and more in harmony with the human
condition in all its complexity.
I had four experiences in hospital. The first was when I
understood for the first time the necessity of taking
responsibility for myself. I was confronted with the medical
reality that there was no wholly successful treatment for my
condition and that at best I should think about coming to terms
with it – ‘management’ rather than cure. It was the first time
in my life that the concept of taking full and complete
responsibility for myself held any weight. Until then I had
indulged the fantasy that my difficulties would just go away, or
I bargained, or I lived in plain, deluded denial of what I was
experiencing.
It was shocking and difficult to realise ‘this is it’ – that my
life did indeed contain physical pain and limitation when I was
only 25 years old. It was extremely hard to let this fact in,
but even then I knew there was something liberating in beginning
to acknowledge this; and I felt galvanised to make the best of
my life. Looking back I could see that in avoiding
responsibility for myself I had precluded the possibility of
improving my circumstances because I had essentially been
passive. It was vital to realise this.
The result of the second experience was that I made an active
decision to move towards life. I woke up one morning and felt
sort of distant and thin. I felt that I could easily let go of
my life if I so chose. I looked out of the window at the city of
Auckland and it seemed far away and unreal. I felt gripped by a
huge, existential choice. Did I want to live, and take
responsibility for my life, or did I want to give up and die? I
felt that if I had chosen death I really could have died. I
don't know if this is actually true, but it was certainly
metaphorically true. It is quite possible to be spiritually dead
while physically still alive.
At this crucially important axis I made a decision to live, and
my life has felt qualitatively different ever since. It is as if
prior to that point I was alive because I hadn't got around to
dying, but since then I have been alive because I have actively
and consciously chosen to be. Some weeks later I remember
driving along Ponsonby Road, a main thoroughfare in Auckland,
and looking at my hands, alive and vital on the steering wheel.
I became acutely aware that the next time I confronted death I
might have no choice about the outcome and I realised I'd better
make the most of my life now I had chosen to live it.
The third major experience occurred during one long, long night.
This was when I glimpsed for the first time, with a shattering
impact, the meaning of living in the present. I had had a
medical test during the day that meant I had to sit upright in
my bed overnight. At this stage I hadn’t sat up for months
because of the severity of my back pain. It seemed literally
impossible and yet … I had no choice. I was between a rock and
hard place.
I was in an intensive care ward, surrounded by critically ill
people who were moaning and fighting death. It was like a hell
realm. I had never been in this sort of situation before, so
there was also the shock and bewilderment of unfamiliarity. In
the midst of all this suffering, there I was, sitting up in bed,
wide awake, wondering how I could possibly survive the next few
hours, and willing myself just to cope.
I spent some hours on what felt like the edge of madness
debating with myself whether I could get through the night – one
voice saying, ‘I can't do this. It is impossible. I can’t last
until morning. I’ll go mad.’ Another voice was saying, ‘you have
to’ over and over again, for what felt an age. It was one of the
most intense and demanding experiences of my life.
Then, suddenly, out of that chaos and tightness there irrupted a
sense of lucidity that contained the message, again as a voice:
’You don't have to get through till morning, you only have to
get through the present moment.’ Simultaneously my experience
completely changed. It was like a house of cards collapsing, and
all that was left was space. Suddenly the moment had changed
from an agonised, desperate, contracted state to one that was
soft, full, relaxed and rich – despite the physical pain.
In that second I knew I had experienced something real, reliable
and trustworthy. I also intuited that I would spend the rest of
my life making sense of it. It contained such questions as,
‘What is time? What is space? What is the past? What is the
future?’ But these questions came later as I considered the
experience more conceptually. In the experience itself there was
just a knowledge that much of my pain and distress were caused
by my reactions and fears, along with a knowledge that I could
be utterly free of these things. I also saw for the first time
that ‘the present moment is always bearable’, and this continues
to sustain me all these years later.
The fourth experience occurred some days later and was the first
time that I clearly understood that it is possible to be
mentally creative and work consciously with the mind in order to
transform one’s experience and perception – even in the grip of
physical pain. It occurred when the hospital chaplain, an
elderly Anglican, came to my bedside to offer help and guidance.
I was not a believer in any sense of the word, but none the less
he gave me a tremendous gift. He took my hand and led me through
a guided meditation in which I experienced peace and joy, even
while in a lot of pain.
My curiosity was aroused by this initial experience of
meditation, and after going home from hospital I had a very good
social worker who helped me further that interest. With
meditation I sensed I had been handed a key that could help me
make sense of what I was dealing with. I spent a year or so
lying for hours a day on my bed at home exploring my mind and
its reactions and responses, while gradually physically
rehabilitating myself. I attended the Auckland Buddhist Centre a
couple of years later and at last found a context to make sense
of what I had uncovered. This process of exploration still
continues some 13 years later with the help and guidance of the
philosophy and methodology the Buddha taught.
As the years go by I’m clearer about what essentially I am
working on with the 'physical pain practice’. It boils down to
aversion and reactivity. I experience something I dislike in the
form of physical pain, so I react with aversion – sometimes
grossly, sometimes more subtly. It is as simple and destructive
as that, and my moment-by-moment practice consists of trying to
re-train this negative attitude and instill a more positive
response.
This is what we are all up against in life. I happen to have
back pain that makes what I am up against very obvious, but we
all have aspects of our lives that we find unpleasant – from the
sharp pain and bitter loss of the death of a loved one to the
milder frustrations of being stuck in a traffic jam on a
winter’s day in a car without a heater. And we all have the
basic tendency to push away what we dislike and thereby to
increase the experience of tightness and restriction – pulling
tighter the densely woven layers of unhappiness.
I was very fortunate to glimpse a more creative perspective in
hospital all those years ago. My daily task ever since has been
to transform my moment-by-moment reactions so that gradually I
can cultivate a positive mental state even when my body is
causing me trouble. We all have situations every day in which we
can’t make pain disappear, and we will have them as long as we
live in this unstable world. But in this very instability we can
always find freedom in our responses. We can change our
experience of pain – be it mental, physical or emotional – from
a ‘thing’ we recoil from into a dynamic and fluid experience of
the rising and falling moments of sensations within a broad and
gentle awareness.
Change comes slowly, imperceptibly, like building a mountain out
of grains of sand. It is not easy. Sometimes I am shocked at how
insistent and seemingly intractable the knee-jerk reactions are,
how loud the voice in the middle of the night that says ‘I don’t
want this.’ But one thing that gives me heart is the confidence
and strength that arises when I am able to meet what is
happening with honesty – even if it is difficult – neither
cutting off from the experience nor indulging it. Just letting
it be there as a momentary experience that has space around it
and choice within it.
It is said that when Atisa, a great Indian Buddhist teacher,
went to Tibet to teach the Dharma he took his tea boy along with
him because he found him so irritating and difficult to get
along with. Atisa was concerned that he might not have enough
irritants in Tibet and he wanted to maintain an edge in his
practice. He wanted to see when he reacted and to release the
energy tied up in those reactions. I am heartened by his story;
it shows me how working with pain keeps me honest because the
taste of aversion is never far away, so the opportunity to
transform it is always nearby as well.
Looked at positively, I see my practice as learning to rest in
the present moment and finding peace there. If I think of my
experience of pain in the context of the past and the future it
is overwhelming and depressing. My present experience gets lost
in fears for the future and sorrows about the past, and the
quality is one of tightness and restriction. However, if I
remember that the experience of pain only exists in this moment,
then it has quite a different quality. The present moment is
vast and multidimensional when one starts to experience it
fully.
Say I am sitting with a friend in the sun. Yes, there is
physical discomfort, but there is also the pleasure of being
with a friend, the sensation of the sun, an awareness of the
environment, feelings of love. It is interesting to see this. I
think we often become miserable because we have an unwillingness
to engage wholeheartedly with life as it is happening now and
experience its freedom and abundance no matter what our
immediate circumstances. The possibility of there being a
spacious, beautiful quality to life is present in all
circumstances for anybody. I am sure of this.
Another way of ‘using’ personal suffering positively is to see
it as a moment of empathy with others who are suffering. For me,
this is the most tender and fascinating aspect of living with
pain, and it goes to the heart of our shared humanity. When I
have been able to stay with my own suffering in the moment with
a light and kindly touch, I have felt that I sink through the
particulars of my own condition into an empathy with that which
is universal. I feel in touch with all beings that suffer and I
care deeply about them. We no longer feel so separate.
In the depth of that experience lies knowledge of what it means
to be human. This is an intensely beautiful experience and an
antidote to pride and thinking that somehow I should be the
exception to human suffering. Instead of asking ‘Why me?’ I ask
‘Why would it not be me?’ My suffering is stripped of personal
drama and becomes instead a straightforward expression of being
human and alive in this world.
I have noticed over the years that it is common for people to
feel they have failed when they experience suffering, resistance
or unhappiness. I find this interesting. I have certainly felt
this myself, and it seems to have a particular effect on people
who, like me, are following a spiritual path. Although it is
often this very 'problem' of suffering that prompted us to
follow a spiritual path in the first place, we seem to think we
should have reached the goal before we have walked the path. We
all too easily make the mistake of wanting, and expecting, our
spiritual practice simply to erase life’s difficulties. We can
start to regard our spiritual practice as an 'insurance policy',
a hedge against suffering. But this attitude will, in all
likelihood, reinforce our delusion and even alienate us from our
shared humanity.
If, however, we can learn to meet whatever we encounter with
courage, dignity and honesty, then our practice can become a
real, gritty training that can help us engage with all aspects
of the human condition, from the tragic to the beautiful, with
an open heart. I find encouragement in the words of Chan master
Yumen:
‘Don't say, when some day the King of Hell, Yama, pins you down,
that nobody warned you. Whether you are an innocent beginner or
seasoned adept, you must show some spirit! A little bit of
reality is better than a lot of illusion, otherwise you'll just
go on deceiving yourselves.’
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Copyright 2002 Peace of Mind
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