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Mindfulness and Pain Management. Thomas (Tom)L. Moore LMSW, LLP, CCS February 10 2014. Learning objectives. e. e. cummings. WHAT DO YOU KNOW?. TURN AND SHARE. “Mindfulness is the miracle by which we master and restore ourselves” Tich Nhat Hunh , 1989 .
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Mindfulness and Pain Management Thomas (Tom)L. Moore LMSW, LLP, CCS February 10 2014
WHAT DO YOU KNOW? TURN AND SHARE
“Mindfulness is the miracle by which we master and restore ourselves” TichNhatHunh, 1989
A refined, systematic, attention-based strategy that focuses on the promotion of present moment awareness, in which thoughts, feelings and/or sensations that arise in the attentional field are to be acknowledged and acceptednon-judgementally -Jon Kabat-Zinn
“Development of a particular kind of attention characterized by a nonjudgmental awareness, openness, curiosity, and acceptance of internal and external present experiences, which allows practitioners to act more reflectively than impulsively” Chiesa, Serretti 2009
Mindfulness Based Stress Response
Why would we want to? Opens door to suffering
Instead witness and observe
Imagine your most significant stressor Can you eliminate? Or can you surrender to what is?
Mindfulness Based Relapse Prevention Mindfulness Based Stress Response Mindfulness Based Cognitive Therapy
What happens in danger?
Adult Institute for Health and Clinical Excellence, 2003
Decrease in symptom severity Older adults
MBRP Marlatt et al., 2004
“Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.” Victor Frankl
P=problem of I=immediate G=gratification “I’m hungry.” “I’m having an craving” “Come on, feed me” “Give me, give me, more!”
S=step O=observe B=breath E=expand R=respond
“And acceptance is the answer to all of my problems today. When I am disturbed, it is because I find some person, place, thing, or situation-some fact of my life-unacceptable to me, and I can find no serenity until I accept that person, place, thing, or situation as being exactly the way it is supposed to be at this moment.”
Attitude to gratitude? Non- judging Kindness Gentleness Letting go