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1 Constructing Me Sense Contact Perception Coming together of - - PDF document

The Western View of the Self Psychotherapy Emphasis on separateness vs. Without a Self Anatta connection to family, tribe, nature, etc. Healthy (Western) development: Ronald D. Siegel Individuated Aware of Boundaries


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Psychotherapy Without a Self

Ronald D. Siegel

Anatta The Western View of the Self

  • Emphasis on separateness vs.

connection to family, tribe, nature, etc.

  • Healthy (Western) development:
  • Individuated
  • Aware of Boundaries
  • Knowing one’s needs
  • Clear identity and sense of self

Narcissism in Western Psychology

  • DSM
  • Character disorder
  • Behavior therapy
  • Self efficacy
  • Psychodynamic psychotherapy
  • Healthy narcissism or self esteem

Narcissism in Buddhist Psychology

  • We suffer when we don’t know who we

really are

  • Attempt to buttress self is central cause
  • f suffering
  • Our concept of “self” is based on a

fundamental misunderstanding

Therapeutic Benefits of Glimpsing Anatta

  • 1. Increased affect tolerance
  • 2. Radical acceptance of parts
  • 3. Freedom from self-esteem concerns
  • 4. Deeper connection to others

Thinking Homunculus? Default Mode Network

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Constructing “Me”

  • Identity is a

construction project

  • Mind is a world-

building organ

  • Makes order out of

chaos

  • Constructs reality

from data streaming in at break-neck speed

Sense Contact

  • Coming together of
  • Sense organ
  • Sense object
  • Awareness of object
  • Six senses
  • Seeing
  • Hearing
  • Smelling
  • Tasting
  • Touching
  • Thinking

Perception

  • Evaluates sense

experience

  • Conditioned by

culture and language

  • Constructs and

categorizes

  • Resolves ambiguity

Feeling

  • We add an affective
  • r hedonic tone to

all experience

  • Pleasant
  • Unpleasant
  • Neutral

Intention and Disposition

  • We try to
  • Hold onto the pleasant
  • Push away the unpleasant
  • Ignore the neutral
  • We develop habits of intention
  • Dispositions
  • Learned behaviors or conditioned responses
  • Identity or personality characteristics

Where do I Begin and End? Superorganism

Intention Feeling Perception Consciousness Sense Organ Sense Object

The Construction of Experience

Who Am I?

  • Two types of self-reference
  • Narrative focus (NF)
  • Enduring traits
  • Talking to ourselves about ourselves
  • Experiential focus (EF)
  • Moment-to-moment

experience

  • The mind-body in action
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Medial Prefrontal Cortex (mPFC)

  • Links subjective

experiences across time

  • Holds memory of
  • Self traits
  • Traits of similar
  • thers
  • Reflected self-

knowledge

  • Future aspirations

The Study

  • Half of subjects engaged in 8 week MBSR

course, half on wait list

  • All trained in narrative focus (NF) and

experiential focus (EF) modes of responding to adjectives

  • All asked to do each approach while in fMRI

scanner

The Results

  • In novices, experiential focus (EF) reduced

self-referential activity in medial prefrontal cortex (mPFC)

  • In MBSR participants, EF resulted in more

marked and pervasive reduced activity in mPFC, along with increased engagement in several other areas

The Conclusion

  • There is a fundamental neural dissociation

between two forms of self-awareness:

  • The self across time
  • The unfolding of moment-to-moment experience in

the present moment

  • Mindfulness practice enables us to see these

as separate

  • To see how the separate “self” is created out of a

narrative

To study Buddhism is to study the self. To study the self is to forget the self. To forget the self is to be enlightened by all things. To be enlightened by all things is to be free from attachment to the body and mind of

  • ne's self and of others.
  • - Dogen 13th Century

No one Home

  • Continuous flow of

moment-to-moment experience

  • New “self” born and

dies each moment

  • Not even a stable

witness

  • Just impersonal

experience unfolding A human being is part of the whole called by us universe ... We experience ourselves, our thoughts and feelings as something separate from the rest. A kind of optical delusion of

  • consciousness. This delusion is a kind of prison

for us, restricting us to our personal desires and to affection for a few persons nearest to us. Our task must be to free ourselves from the prison by widening our circle of compassion to embrace all living creatures and the whole of nature in its

  • beauty. The true value of a human being is

determined by the measure and the sense in which they have obtained liberation from the self.

Nargarguna

Thus neither self nor non-self Are to be apprehended as real. Therefore the Great Subduer rejected Views of self and of non-self.

1) Affect Tolerance

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And I, Sir, Can Be Run Through with a Sword Selfing & Affect Tolerance

  • Not “my,” but “the”
  • Anger
  • Sadness
  • Fear
  • Joy
  • Lust

Not Knowing Beginner’s Mind

2) Acceptance of Parts

Our Polytheistic Mind How Was Your Meditation?

  • Part trying to attend to

the breath

  • Part fantasizing about

the future

  • Part judging myself
  • Ask the committee!

Jung’s Shadow

  • We identify with some

parts while rejecting

  • thers
  • We become defensive

when shadow is illuminated

We’re all Bozos on this Bus

  • Dandelions in a field
  • Not a path to perfection, but a path to

wholeness

  • Boundary of what we can accept in
  • urselves is the boundary of our

freedom

– Zen Patriarch

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The Trance of Unworthiness

  • Eastern meditation teachers are

surprised by Western self-criticism

  • Anxiety is primal mood of the separate

self (Tara Brach)

  • Related to Western cultural emphasis
  • n the separate self

3) Freedom from Self-Esteem Concerns

Self-Evaluation What Realms Define Me?

  • Skills & Talents
  • Accomplishments
  • Pedigree or Group

Membership

  • Moral Standing
  • Appearance

Lake Wobegon

Where all the women are strong, all the men are good looking, and all the children are above average.

The Failure of Success

  • The pain of I, me, me, mine
  • Narcissistic recalibration
  • Impossibility of winning consistently

Wrong Wall? As If by an Unseen Hand

  • Adaptive value to

identifying with “self”

  • Evolved through

natural selection

  • Self-preservation

and promotion instinct shared by

  • ther animals

It’s Getting Worse

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Narcissistic Personality Inventory

  • I just want to be reasonably happy
  • I want to amount to something in the eyes of the world
  • If I ruled the world it would be a better place
  • The thought of ruling the world scares the hell out of me
  • I am much like everybody else
  • I am an extraordinary person
  • I always know what I’m doing
  • Sometimes I’m not sure of what I’m doing

Egos Inflating Over Time: A Cross‐Temporal Meta‐Analysis of the Narcissistic Personality Inventory

Journal of Personality, Volume 76, Issue 4

Suffering in Isolation

  • If we’re not happy, it’s our fault
  • Failure to buy the right consumer product
  • Inherent weakness
  • Psychiatric diagnostic system can

exacerbate problem

  • Only sick people have the disorders

He’s just an ordinary kid.

  • - Barry Magid (Ordinary Mind)

I get my money from Mommy.

Self-Esteem Autobiography

4) Connecting to Others

Love Self-Esteem

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Us and Them

Enemy Enemy Meat Meat Meat Meat Enemy Servant Servant Enemy Servant Servant Servant Servant

“Do unto others as you would have them do unto you”

It’s not just a commandment, but a law of nature.

Judgments Relational-Cultural Theory

  • Grew out of feminist critique of conventional

psychology

  • Benefits of mutual connection
  • Energy and vitality
  • Greater capacity to act
  • Increased clarity
  • Enhanced self-worth (efficacy)
  • Desire and capacity for more connection

Three Objects of Awareness

  • Mindfulness of sensations, thoughts,

feelings in “me”

  • Mindfulness of the words, body

language, mood of the other

  • Mindfulness of the flow of relationship

Life in a Space Suit

  • Defenses against

pain insulate us from one another

  • We imagine they

keep us safe, but they leave us more vulnerable

Make a connection, not an impression.

It’s About Other People

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Service

Embracing Insignificance

Poor Prognosis

Wat Tham Sua

Tiger Cave Temple Krabi, Thailand

King of England, 1387

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Narcissistic Threats

  • Anxiety often involves threats to us or
  • ur loved ones
  • Self image
  • Health
  • Wealth
  • Fantasized loss of pleasure
  • Anticipated disappointment

Loving-kindness for the Competition

Looking Through Another’s Eyes Condon, Desbordes, & Miller (2013)

My Mantra Self-Compassion

  • Self-kindness
  • Common Humanity
  • Mindfulness

Why Are You Unhappy? Because 99.9% of everything you think, and everything you do, is for yourself. And there isn’t one.

  • - Wei Wu Wei

Implications for Treatment

  • Psychotherapy

without a self can help us

  • Embrace
  • rdinariness and

insignificance

  • Foster connection,

acceptance, and psychological flexibility

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Therapeutic Progress

“mine” about me Not about me “mine” about me Not about me

  • - Adapted from Engler & Fulton

For recorded meditations, visit: www.mindfulness-solution.com www.sittingtogether.com email: rsiegel@hms.harvard.edu

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About the Presenter

  • Dr. Ronald D. Siegel is an Assistant Professor of Psychology, part time, at Harvard Medical

School, where he has taught for over 30 years. He is a long time student of mindfulness meditation and serves on the Board of Directors and faculty of the Institute for Meditation and

  • Psychotherapy. He teaches internationally about the application of mindfulness practice in

psychotherapy and other fields, and maintains a private clinical practice in Lincoln, Massachusetts.

  • Dr. Siegel is coauthor of the self-treatment guide Back Sense: A Revolutionary Approach to

Halting the Cycle of Chronic Back Pain, which integrates Western and Eastern approaches for treating chronic back pain; coeditor of the critically acclaimed text, Mindfulness and Psychotherapy, 2nd Edition; author of a book for general audiences, The Mindfulness Solution: Everyday Practices for Everyday Problems; coeditor of Wisdom and Compassion in Psychotherapy: Deepening Mindfulness in Clinical Practice, with a foreword by His Holiness the Dalai Lama; coauthor of the professional guide Sitting Together: Essential Skills for Mindfulness-Based Psychotherapy; and professor for The Science of Mindfulness: A Research- Based Path to Well-Being produced by The Great Courses. He is also a regular contributor to

  • ther professional publications, and is co-director of the annual Harvard Medical School

Conference on Meditation and Psychotherapy. Ronald D. Siegel, Psy.D. 20 Long Meadow Road Lincoln, MA 01773 781-259-3434 rsiegel@hms.harvard.edu For recordings of mindfulness practice instructions, including meditations for working with anxiety, depression, relationship issues, addictions, and other difficulties, please visit www.mindfulness-solution.com For additional recorded meditations, and patient handouts, please visit www.sittingtogether.com For information about mindfulness and psychotherapy programs, please visit www.meditationandpsychotherapy.org For information about the Back Sense program for treating chronic back pain, please visit www.backsense.org