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Pancamaya and Chronic Pain. Libby Hinsley, PT, C-IAYT, E-RYT 500. Pancamaya , or Kosha Model. Pancamaya model was recorded in the Taittiriya Upanishad around the 5 th or 6 th century BCE.
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Pancamaya and Chronic Pain Libby Hinsley, PT, C-IAYT, E-RYT 500
Pancamaya, or Kosha Model • Pancamaya model was recorded in the Taittiriya Upanishad around the 5th or 6th century BCE. • The model describes human experience as made up of 5 aspects of prakriti, or “that which changes.” Prakriti can also be thought of as “matter.” • Housed inside this changing experience is purusha, or “that which does not change.” Purusha can also be thought of as spirit, or divine consciousness. • Human experience is characterized by change; suffering arises when we become attached or identified with a changing aspect of our embodiment. • Freedom arises when we remember and identify with the divine consciousness that resides in our changing experience.
pancamaya • Annamaya: Structure • Asana • Pranamaya: Physiology • Pranayama • Manomaya: Intellect • Mantra, Concentration • Vijnanamaya: Personality • Self-Study, Meditation • Anandamaya: Heart • Prayer, Ritual, Meditation • Each of these is an aspect of our changing experience.
Annamaya • Structure • Associated with the body, the bones/muscles • Questions Related to Annamaya: • How much do you move your body each day? • How do you take care of your body? • Does your body hurt? • How strong are you? • How flexible are you? • How deconditioned are your body’s tissues?
Pranamaya • Physiology • Associated with the subtle body and the flow of prana to all systems of the body • Questions Related to Pranamaya: • How’s your sleep? • How’s your energy in the morning? • How’s your inflammation? • How’s your diet? • How’s your digestion? • How well does your liver (etc.) function?
Manomaya • Mind/Intellect • Associated with memory, concentration, focus • Sensory stimuli, mental states • Questions Related to Manomaya: • How do you learn things best? • When was last time you learned something new? • How’s your memory? • How’s your ability to focus and sustain attention? • How distractible are you? • How much sensory information do you take in each day for processing (electronics, news, etc.)?
Vijnanamaya • Personality • Thought and behavior habits; conditioned reactivity; willpower • Coping strategies developed over a lifetime • Questions Related to Vijnanamaya: • What makes you angry? • What’s your relationship with authority like? • How critical and judgmental are you of yourself and others? • How do you respond to conflict? • What are the limiting beliefs you hold about yourself?
Anandamaya • Heart • The part of us that feels connection, to ourselves, other humans, and the Divine • The emotional experience, often associated with joy • Questions Related to Anandamaya: • How satisfied are you with your relationships? • When was the last time you laughed really hard? • What things or activities bring you a feeling of joy? • What’s the most important thing about this life? • What’s your understanding of the Divine?
BioPsychoSocial(spiritual) • The biopsychosocial approach systematically considers biological, psychological, and social factors and their complex interactions in understanding health, illness, and health care delivery. • The Pancamaya model is a yogic version of the Biopsychosocial(spiritual) paradigm. • Annamaya (Bio) • Pranamaya (Bio) • Manomaya (Psycho) • Vijnanamaya (Psycho) • Anandamaya (Social)*
Biopsychosocial(spiritual) • The pancamayaaspects of the human system are not separate; they influence each other in all directions. • It can be useful to use this model to investigate someone’s experience of pain and the multi-demensionality of it. • Chronic pain (and all conditions) will involve all of these aspects of a person, and treating it will require attention to all of these aspects as well.