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Maneesha James Blog

An Introduction to Meditation workshop

Maneesha James - Wednesday, August 04, 2010

Last week I facilitated a workshop for volunteers at Greenwich Hospital, here in Sydney: An Introduction to Meditation.

 


Through a series of very small and simple techniques, participants were given the opportunity to discover certain qualities and experiences associated with meditation: being in the present, relaxed, aware and centred; conscious ventilation; being responsive rather than reactive; and accessing our capacity to be joyful and loving, and so on.


My aim was to provide not just a lovely day which, however delightful in the moment, would be forgotten as if it had never happened some weeks down the line, but one which would also give participants a repertoire of techniques that they could take away and immediately integrate into their everyday living.

 


The feedback included appreciation of having been given an eclectic assortment of approaches. Perhaps the majority of those new to meditation have the idea that it is either about chanting a mantra (as in TM) or sitting passively, watching the breath (as in the Buddhist tradition).

The notion that any activity done with awareness is a meditation was new to most of the group, I imagine.  Probably none anticipated that as one of the methods we’d be doing a form of meditation called gibberish (and would find it to be, in fact, a fun and effective form of tension release)!

 


Some participants were overjoyed to have a day just for themselves, to nourish and rejuvenate them. We all need that, and especially, perhaps, those who – like the volunteers – are with the sick and dying.

 


A follow-up day (in fact, a morning) in a few weeks’ time will give participants an opportunity to talk about how it has been for them to introduce meditation into their everyday lives, and to discuss how to be – and remain – motivated to meditate.

Keep on dancing!

Maneesha James - Saturday, July 17, 2010

Friends,
this is a wonderful clip to watch -- a short video showing Anthony Quinn, the actor who played Zorba, and Mikis Theodorakis, the Greek composer.

 

http://www.youtube.com/watch_popup?v=CKHlmb5xcq8#t=28%3E

Then you can also see the clip from the movie, Quinn with Alan Bates.

 

The Art of Dying by Beryl Bainbridge (The Independent; London)

Maneesha James - Friday, July 16, 2010

Friends, check out this link:
http://www.independent.co.uk/arts-entertainment/books/features/beryl-bainbridge-on-the-art-of-facing-death-2024233.html



Beryl Bainbridge on the art of facing death

Mortality was a constant theme and inspiration in the work of the author Beryl Bainbridge. In one of her final pieces of writing, she reflects on the journey from light to darkness

 

                                                     MYKEL NICOLAOU

 

We die of many things, accidents, tumours, infections, old age. There is only one way to be born, but Death has ten thousand doors for men to take their exits. Whatever the cause, life ends when the heart stops beating. To give value to existence death must be regarded as an art, which is why the great of this world are remembered with pomp and circumstance in surroundings dedicated to the worship of God. Somewhere, we are told, above the bright blue sky there is another land, one full of joy and free from pain. We are wise to believe it, for we need for sanity’s sake to disguise the alternative...a final, obliterating darkness.

 

 

 For the starving and oppressed life could be regarded as an unfortunate error, for the rest of us as a baffling mixture of needs and necessities that are seldom satisfied. It is odd that both categories fear a cessation of breath and a return to dust, even those who believe in God; but then, surely it is against nature to think that we have endured so much to arrive at nothing.

For a writer the subject of death is the one most likely to engage and enlarge the imagination. Dickens, in A Tale of Two Cities, seared history in his description of the French Revolution – “If Bedlam Gates had been flung open wide, there would not have been such maniacs as the frenzy of that night made... On the skull of one drunken lad – not twenty by his looks – who lay upon the ground, a bottle to his mouth, the lead from the roof came screaming down in a shower of liquid fire, white hot, melting his head like wax.”

When young, I learnt about dying in a children’s story entitled “On Angel’s Wings”. It was written by someone called the Hon Mrs Greene, and it told of a child named Violet who was a hunchback. Her mother kept reassuring her that one day, when Jesus came to claim her, silver wings would sprout from her damaged back. They both wept a lot, in spite of the happiness to come. Then I was exposed to the sad demise of poor Spike in Nicholas Nickleby and little Paul in Dombey and Son. Later still, the school I attended herded us in crocodile to the Liverpool Philharmonic Hall for the showing of British troops marching into what was labelled as a “Death Camp”. We watched as bulldozers scooped up bony puppets and tossed them into pits. Nothing was explained. Nobody cried.

It was the showing of this film that made me want to write books. I even started a novel about a girl being sent to Belsen, but abandoned it on the grounds that it was wrong of me to think I could possibly know what such a sentence could mean.

 

All the same, the novels that followed centred on death. In the very first one a child died, in the second two children committed a murder, in the third an elderly woman put an end to an American soldier, and in the next a clergyman killed his wife. There were several others that revolved around dying, and when I had used up the stories in my head I turned to events in history, in particular the Crimean War, the sinking of the Titanic and Captain Scott’s fatal journey to the South Pole.

This last subject was my favourite, for in researching the facts I stumbled across a friendship that astonished me.

On 10 February 1913, a search party uncovered the tent containing the bodies of Scott and his two companions. Wilson and Bowers were lying in an attitude of sleep, their sleeping bags over their faces. Scott was sitting half upright, his coat unbuttoned. There were three notebooks and some letters tucked under his armpit; they had to break his arm to retrieve them. Along with a note to his wife there was a letter addressed to J M Barrie, urging him to take care of Peter Scott, his grandson.

In my teens I was employed first as an assistant stage manager and later as an actor at the Liverpool Playhouse Theatre. When the company hadn’t a matinée we went to the Empire Theatre to watch whatever was in production. One afternoon it was J M Barrie’s Peter Pan. Which was why, so many years on, that letter under a frozen arm astonished me.

What could the creator of that strange and magnificent play about Never Never Land possibly have in common with a man whose life had been shaped by the discipline of a naval career? If Scott had died at sea or of old age and been buried in the ground, his end would have been no more than expected; but he had been buried beneath the ice and is still there, 90 years on, perfectly preserved as he drifts towards the sea. He is yet another Lost Boy who has never grown old.

It was at the Playhouse too that I was a lady-in-waiting in the court of Richard II. When I wasn’t on stage I was in the prompt corner, ready to whisper a forgotten line. Of all writers Shakespeare was one who dwelt most on death. “Cry woe, destruction, ruin and decay, The worst is death, and death will have his day.”

I still remember by heart the words in Act III when Richard faced the end to come: “For God’s sake let us sit upon the ground/ And tell sad stories of the death of kings;/ How some have been deposed; some slain in war; Some haunted by the ghosts they have deposed/ Some poisoned by their wives; some sleeping killed;/ All murdered; for within the hollow crown/ That rounds the mortal temples of a king/ Keeps death his court.....

I used to recite this in my head when running to Exchange station to catch the last train home. Then, I didn’t think such sentiments applied to me, only to those who were unlucky enough to be royal. But then, Shakespeare, in spite of being a genius, was voicing fears common to us all.

In my day, females were not encouraged to go to gravesides to watch coffins being lowered; the church service was considered harrowing enough. Dropping someone into the earth was a ritual only men could stomach without emotion getting the better of them. The first death I really remember was that of my Auntie Margo who worked in a factory, chain-smoked and liked men. She had been married but her husband, returning from the trenches of the First World War, had succumbed to the gas in his lungs. Although it was assumed she had died of a broken heart, my Dad argued that it was the cigarettes that had finished her off. She left me her sofa, her chest of drawers and a photograph of my grandfather, who had been employed coiling metal rings round barrels in a brewery.

My father died in 1971, of cardiac arrest. My mother telephoned me twice – the first call when he was being carried out into the street on a stretcher. She wasn’t with him because she couldn’t find her house keys. The second time, he’d died in the ambulance. My mother expired a good 10 years later, alone in bed, her teeth under the pillow. For the first time, visiting the funeral parlour, I saw a dead body. My mother was encased in the sort of frilly paper I associated with Easter eggs on display. The red paint on the nails of her fingers crossed piously on her chest was chipped, the little finger particularly. I stooped to kiss her and her cheek was like ice; my tear bounced back into my face. I still have her teeth, in a cardboard box beneath a picture of Napoleon.

Next to go was my brother, in his fifties. We were not alike – so I thought – for he went to university, studied law, and sang in the church choir. We hadn’t been close, although in childhood we had huddled together on the stairs listening to the violent interchanges between our parents.

His burial was in Montgomery, a village in Shropshire in which, when little, we had spent our summer holidays. There were people standing, heads bowed, outside the doors of their houses as the funeral cars drove slowly down the country roads. I couldn’t understand how my brother had become so revered. It was only when attending to the words of the vicar that I learnt that he had been both the mayor and the county coroner – that man whose job it is to know how and why someone has died. So we were alike after all, in that we both had an interest in death.

I find it odd that the onset of life, that mingling of sperms followed by that shattering expulsion from the womb, should be regarded as less interesting than its termination. In literature birth is dealt with sentimentally. Maybe it’s because babies are sweet, opening their mouths to emit that first howl, and the dead are frightening because they’re unable to cry.

In our youth, as the philosopher Schopenhauer observed, we contemplate our life like children sitting in a theatre before the curtain has risen, eagerly waiting for the play to begin. Full of high hopes, it is a blessing that we don’t know what is going to happen. Could we foresee it, there are times when we might seem like prisoners, condemned, not to death but to life, as yet all unconscious as to what such a sentence might mean.

There are some endings to life that are classified as peaceful, among them that of Dr Samuel Johnson, a man who when alive was terrified of what was to come. He had his reasons. He wrote in his collection of Prayers and Meditations that when he surveyed his past life he discovered nothing but a barren waste of time, with some disorders of the body and disturbances of the mind which he hoped God had made him suffer to excuse many faults and deficiencies. He confessed his fear to his friend, Dr Adams, Master of Pembroke. “As I cannot be sure that I have fulfilled the conditions on which salvation is granted”, he said, “I am afraid I may be one of those who shall be damned.”

Dr Adams asked him what he meant by damned. “Sent to Hell, Sir, and punished everlastingly,” answered Johnson, passionately and loudly. And yet, when his final moment came – he was in his bed in Bolt Court, watched over by his two lodgers, the servant Frances Barber whom he had rescued from slavery, and the bad tempered Mrs Desmoulins – he expired, so we are told, without panic. One assumes he no longer felt that his sins had obliterated his space in Heaven. But then, how could he be sure?

Does the slowing down of existence lead to a blurring of the brain, a loss of memory, a sensation of emptiness that is classified as a feeling of peace? Was Johnson so close to that final sleep that he was no longer conscious of the world he had once known? Had all the sins he had committed, the destructive accusations, the damning criticisms, faded into the darkness?

We can but ask, if so great a man as Johnson could be lost, which of us can be saved? Perhaps with death all his fear vanished, and the angels said to his soul, as they said to that of Gerontius, “It is because then thou didst fear, that now thou doest not fear./ Thou hast forestalled the agony, and so/ For thee the bitterness of death is past.”

I think of death a lot, indeed always have, although when young I had a belief that it was a long way off. Now, it isn’t, and I continually think of how I would prefer to pass from light to darkness. I don’t want to be run down by traffic, be shot by a madman, or suffer a sudden shock to the heart. I would like, if possible, to be so conscious of what was coming that I had time to write down a few thoughts on paper. I would remember my parents, the love I once felt for them, and for my husband who left so many years ago, and try to put into words the joy my dear children have brought me.

Animals are more content with existence than humans, and fly from death instinctively, without knowing what it is. Accordingly, their lives carry less sorrow, but also less pleasure. We, on the other hand, cherish a belief that there is another life to come. And yet, if we look at life in its small details, how ridiculous it all seems once death approaches. We should remind ourselves to the last breath that what mattered was tolerance, patience, regard and a love of a neighbour. And if we managed that, maybe we’ll find that other land.

Beryl Bainbridge (1934-2010). This essay was originally written for BBC Radio 3, and first broadcast in March 2009. Her funeral is today, at St Silas the Martyr, London NW5

 

 

 

 

 

 

 

 

 

 

 



http://www.independent.co.uk/arts-entertainment/books/features/beryl-bainbridge-on-the-art-of-facing-death-2024233.html

 

Beryl Bainbridge on the art of facing death

Mortality was a constant theme and inspiration in the work of the author Beryl Bainbridge. In one of her final pieces of writing, she reflects on the journey from light to darkness

                                                        MYKEL NICOLAOU

Counsellor - Sydney
Professional, empathic & supportiveEnrich your quality of life today.
www.LouiseFriend.com.au


We die of many things, accidents, tumours, infections, old age. There is only one way to be born, but Death has ten thousand doors for men to take their exits.

Whatever the cause, life ends when the heart stops beating. To give value to existence death must be regarded as an art, which is why the great of this world are remembered with pomp and circumstance in surroundings dedicated to the worship of God. Somewhere, we are told, above the bright blue sky there is another land, one full of joy and free from pain. We are wise to believe it, for we need for sanity’s sake to disguise the alternative...a final, obliterating darkness.

For the starving and oppressed life could be regarded as an unfortunate error, for the rest of us as a baffling mixture of needs and necessities that are seldom satisfied. It is odd that both categories fear a cessation of breath and a return to dust, even those who believe in God; but then, surely it is against nature to think that we have endured so much to arrive at nothing.

Related articles

For a writer the subject of death is the one most likely to engage and enlarge the imagination. Dickens, in A Tale of Two Cities, seared history in his description of the French Revolution – “If Bedlam Gates had been flung open wide, there would not have been such maniacs as the frenzy of that night made... On the skull of one drunken lad – not twenty by his looks – who lay upon the ground, a bottle to his mouth, the lead from the roof came screaming down in a shower of liquid fire, white hot, melting his head like wax.”

When young, I learnt about dying in a children’s story entitled “On Angel’s Wings”. It was written by someone called the Hon Mrs Greene, and it told of a child named Violet who was a hunchback. Her mother kept reassuring her that one day, when Jesus came to claim her, silver wings would sprout from her damaged back. They both wept a lot, in spite of the happiness to come. Then I was exposed to the sad demise of poor Spike in Nicholas Nickleby and little Paul in Dombey and Son. Later still, the school I attended herded us in crocodile to the Liverpool Philharmonic Hall for the showing of British troops marching into what was labelled as a “Death Camp”. We watched as bulldozers scooped up bony puppets and tossed them into pits. Nothing was explained. Nobody cried.

It was the showing of this film that made me want to write books. I even started a novel about a girl being sent to Belsen, but abandoned it on the grounds that it was wrong of me to think I could possibly know what such a sentence could mean.

All the same, the novels that followed centred on death. In the very first one a child died, in the second two children committed a murder, in the third an elderly woman put an end to an American soldier, and in the next a clergyman killed his wife. There were several others that revolved around dying, and when I had used up the stories in my head I turned to events in history, in particular the Crimean War, the sinking of the Titanic and Captain Scott’s fatal journey to the South Pole.

This last subject was my favourite, for in researching the facts I stumbled across a friendship that astonished me.

On 10 February 1913, a search party uncovered the tent containing the bodies of Scott and his two companions. Wilson and Bowers were lying in an attitude of sleep, their sleeping bags over their faces. Scott was sitting half upright, his coat unbuttoned. There were three notebooks and some letters tucked under his armpit; they had to break his arm to retrieve them. Along with a note to his wife there was a letter addressed to J M Barrie, urging him to take care of Peter Scott, his grandson.

In my teens I was employed first as an assistant stage manager and later as an actor at the Liverpool Playhouse Theatre. When the company hadn’t a matinée we went to the Empire Theatre to watch whatever was in production. One afternoon it was J M Barrie’s Peter Pan. Which was why, so many years on, that letter under a frozen arm astonished me.

What could the creator of that strange and magnificent play about Never Never Land possibly have in common with a man whose life had been shaped by the discipline of a naval career? If Scott had died at sea or of old age and been buried in the ground, his end would have been no more than expected; but he had been buried beneath the ice and is still there, 90 years on, perfectly preserved as he drifts towards the sea. He is yet another Lost Boy who has never grown old.

It was at the Playhouse too that I was a lady-in-waiting in the court of Richard II. When I wasn’t on stage I was in the prompt corner, ready to whisper a forgotten line. Of all writers Shakespeare was one who dwelt most on death. “Cry woe, destruction, ruin and decay, The worst is death, and death will have his day.”

I still remember by heart the words in Act III when Richard faced the end to come: “For God’s sake let us sit upon the ground/ And tell sad stories of the death of kings;/ How some have been deposed; some slain in war; Some haunted by the ghosts they have deposed/ Some poisoned by their wives; some sleeping killed;/ All murdered; for within the hollow crown/ That rounds the mortal temples of a king/ Keeps death his court.....

I used to recite this in my head when running to Exchange station to catch the last train home. Then, I didn’t think such sentiments applied to me, only to those who were unlucky enough to be royal. But then, Shakespeare, in spite of being a genius, was voicing fears common to us all.

In my day, females were not encouraged to go to gravesides to watch coffins being lowered; the church service was considered harrowing enough. Dropping someone into the earth was a ritual only men could stomach without emotion getting the better of them. The first death I really remember was that of my Auntie Margo who worked in a factory, chain-smoked and liked men. She had been married but her husband, returning from the trenches of the First World War, had succumbed to the gas in his lungs. Although it was assumed she had died of a broken heart, my Dad argued that it was the cigarettes that had finished her off. She left me her sofa, her chest of drawers and a photograph of my grandfather, who had been employed coiling metal rings round barrels in a brewery.

My father died in 1971, of cardiac arrest. My mother telephoned me twice – the first call when he was being carried out into the street on a stretcher. She wasn’t with him because she couldn’t find her house keys. The second time, he’d died in the ambulance. My mother expired a good 10 years later, alone in bed, her teeth under the pillow. For the first time, visiting the funeral parlour, I saw a dead body. My mother was encased in the sort of frilly paper I associated with Easter eggs on display. The red paint on the nails of her fingers crossed piously on her chest was chipped, the little finger particularly. I stooped to kiss her and her cheek was like ice; my tear bounced back into my face. I still have her teeth, in a cardboard box beneath a picture of Napoleon.

Next to go was my brother, in his fifties. We were not alike – so I thought – for he went to university, studied law, and sang in the church choir. We hadn’t been close, although in childhood we had huddled together on the stairs listening to the violent interchanges between our parents.

His burial was in Montgomery, a village in Shropshire in which, when little, we had spent our summer holidays. There were people standing, heads bowed, outside the doors of their houses as the funeral cars drove slowly down the country roads. I couldn’t understand how my brother had become so revered. It was only when attending to the words of the vicar that I learnt that he had been both the mayor and the county coroner – that man whose job it is to know how and why someone has died. So we were alike after all, in that we both had an interest in death.

I find it odd that the onset of life, that mingling of sperms followed by that shattering expulsion from the womb, should be regarded as less interesting than its termination. In literature birth is dealt with sentimentally. Maybe it’s because babies are sweet, opening their mouths to emit that first howl, and the dead are frightening because they’re unable to cry.

In our youth, as the philosopher Schopenhauer observed, we contemplate our life like children sitting in a theatre before the curtain has risen, eagerly waiting for the play to begin. Full of high hopes, it is a blessing that we don’t know what is going to happen. Could we foresee it, there are times when we might seem like prisoners, condemned, not to death but to life, as yet all unconscious as to what such a sentence might mean.

There are some endings to life that are classified as peaceful, among them that of Dr Samuel Johnson, a man who when alive was terrified of what was to come. He had his reasons. He wrote in his collection of Prayers and Meditations that when he surveyed his past life he discovered nothing but a barren waste of time, with some disorders of the body and disturbances of the mind which he hoped God had made him suffer to excuse many faults and deficiencies. He confessed his fear to his friend, Dr Adams, Master of Pembroke. “As I cannot be sure that I have fulfilled the conditions on which salvation is granted”, he said, “I am afraid I may be one of those who shall be damned.”

Dr Adams asked him what he meant by damned. “Sent to Hell, Sir, and punished everlastingly,” answered Johnson, passionately and loudly. And yet, when his final moment came – he was in his bed in Bolt Court, watched over by his two lodgers, the servant Frances Barber whom he had rescued from slavery, and the bad tempered Mrs Desmoulins – he expired, so we are told, without panic. One assumes he no longer felt that his sins had obliterated his space in Heaven. But then, how could he be sure?

Does the slowing down of existence lead to a blurring of the brain, a loss of memory, a sensation of emptiness that is classified as a feeling of peace? Was Johnson so close to that final sleep that he was no longer conscious of the world he had once known? Had all the sins he had committed, the destructive accusations, the damning criticisms, faded into the darkness?

We can but ask, if so great a man as Johnson could be lost, which of us can be saved? Perhaps with death all his fear vanished, and the angels said to his soul, as they said to that of Gerontius, “It is because then thou didst fear, that now thou doest not fear./ Thou hast forestalled the agony, and so/ For thee the bitterness of death is past.”

I think of death a lot, indeed always have, although when young I had a belief that it was a long way off. Now, it isn’t, and I continually think of how I would prefer to pass from light to darkness. I don’t want to be run down by traffic, be shot by a madman, or suffer a sudden shock to the heart. I would like, if possible, to be so conscious of what was coming that I had time to write down a few thoughts on paper. I would remember my parents, the love I once felt for them, and for my husband who left so many years ago, and try to put into words the joy my dear children have brought me.

Animals are more content with existence than humans, and fly from death instinctively, without knowing what it is. Accordingly, their lives carry less sorrow, but also less pleasure. We, on the other hand, cherish a belief that there is another life to come. And yet, if we look at life in its small details, how ridiculous it all seems once death approaches. We should remind ourselves to the last breath that what mattered was tolerance, patience, regard and a love of a neighbour. And if we managed that, maybe we’ll find that other land.

Beryl Bainbridge (1934-2010). This essay was originally written for BBC Radio 3, and first broadcast in March 2009. Her funeral is today, at St Silas the Martyr, London NW5

An Ideal Education

Maneesha James - Wednesday, July 07, 2010

 

I had a conversation with Stacey – a fellow psychotherapist, formerly she was a social anthropologist – not so long ago. During it, I recall her saying that if she knew she only had a short time to live, she'd want to put all her energy into that, not give any to dying. She was happy for our exchange to be featured here....

 


I then asked her: When would you, then, be ready and willing to prepare for dying? Given that it is inevitable, and that (as you yourself said) everyone has fears around dying, isn't it only intelligent to identify and work with the issues one does have, while one is still able to? Then when one's death comes it does not need to be fraught with anguish but can be an event that one passes through with grace, and even gratitude! That's the premise on which I base all my work. Just as we consciously prepare for birth when we are pregnant – having ante-natal classes in order to understand what our bodymind will be going through in the months of pregnancy, to know what activity is good, what would not be advisable, right diet, etc, and also about breathing and panting when we are actually in labor, and how to be with the pain – why would we not, in a similar fashion, prepare for the other major transition in life? – that of dying. After all, at birth we all are already pregnant with our own death.

Stacey: Your question is a very difficult one and requires some pondering. I see death as part of the life continuum not as discreet, up until the point at which I lose consciousness, my heart stops beating etc. in which case death is a fait accompli. I wonder if, in general, we do not do better to prepare people for all aspects of living and that includes the time of living which precedes death. Certainly existential themes come to mind. It is my understanding that Buddhists prepare themselves for the moment of their death their whole life long.
Sadly our culture doesn't seem to have a similar practice. As to prenatal classes it occurs to me that nothing really prepares us for giving life and all that it entails but perhaps we can reduce our anxiety about the eminent event by attending specific classes. 


Given that our culture does not seem to help most people prepare for their death, and given that most people still have many outstanding issues that need care and attention before their death, I still think this is important work and I think many people would benefit immensely from your assistance.

Personally I would like to see the preparation for my own death as interwoven with my life, but I understand that many people would not view it this way. It also occurs to me that many people are most sensitized to death when they are young children, at mid-life and again in old age. Death is a life-cycle issue as much as any other.



Maneesha: Yes, ideally, education about dying should be part of our education, as should the fundamentals about the blob we choose to call 'living.' As you rightly observe, death is not a discrete event but is intrinsic to and interwoven throughout life, as is evident in every exhalation we make.
                                                                                       *

I'd be interested to hear input from others about this topic  i.e Should we address the subject of death, the fact that we are all going to face it? If yes, when is the optimal time to do so and in what form?

 

 

More on Massage

Maneesha James - Wednesday, June 30, 2010
Maneesha, Foot massage is a wonderful way to connect with another. It sounds so wonderful the openness with which you were able to connect in this way with the two patients described. I am one to love to give and receive foot massage from the time I was very young and my mother and I would practice foot massage on each other. Thank you for sharing this. : )

Massage as a Meeting Point

Maneesha James - Wednesday, June 30, 2010
Dear Maneesha! I liked this article a lot. It sounds like many patients are not conscious during their last hours so all you do before that is very healing anyway. http://www.goldenbuddha.org/application/workfiles/resources/Aging.pdf Love from Dorset (UK) Zahira

Interesting article on research into massage efficacy for end-of-life care

Maneesha James - Wednesday, June 30, 2010

  Found this when wandering through some of my files and can't recall how I founjd it; maybe by googling 'massage'  and 'research'. Below is just the first couple of paras, but it makes interesting reading.       



                                 Complementary Therapies in Medicine (2006) 14, 100—112

Evaluating CAM treatment at the end of life:

A review of clinical trials for massage and

meditation

Summary

Background: There is a pressing need for improved end-of-life care. Use of complementary and alternative medicine (CAM) may improve the quality of care but few controlled trials have evaluated CAM at the end of life.

Objectives: To determine the strength of evidence for the benefits of touch and mind-body therapies in seriously ill patients.

Methods: Systematic review of randomized controlled trials of massage and mindbody therapies. A PubMed search of English language articles was used to identify the relevant studies.

Results: Of 27 clinical trials testing massage or mind-body interventions, 26 showed significant improvements in symptoms such as anxiety, emotional distress, comfort nausea and pain.

Massage as a Meeting Point

Maneesha James - Sunday, June 27, 2010
I came equipped for my evening shift in the Palliative Care unit on Friday with a jar of foot balm! I wanted to offer foot and hand massage as an opener, this time. Over the previous sessions there I'd felt some patients, who were alone, actually weren't pining for company. I began to feel intrusive even asking if they'd like me to visit. So I decided on a different tack.
One of the patients, an elderly woman with a tiny frame but a lively pair of eyes, who had declined a visit last rime, really perked up when I asked if she'd like a foot massage. I suggested, as I massaged her feet, that she might feel so relaxed that, by and by, she drifted into sleep, and that if that happened that was perfectly okay. Though she did relax and clearly enjoy it, she was still awake to happily accept my suggestion that I do her hands next.
She lay there, eyes closed, her deeply veined hands held out to me, as I took them, one after the other, and gently worked on them. There was very little talk, and I enjoyed the silence between us, which felt like an easy, comfortable silence: the kind one falls into with someone with whom one is very familiar.
I felt a sense, too, of intimacy between us. The very gesture of her placing her hands in that of a stranger touched me: it seemed to indicate trust and a willingness to be vulnerable; and the fact that she was allowing me to be with her, and to give my own energy and time to her in such a deeply personal way, was lovely.

The second woman also enjoyed her massage, though she was sitting upright and was very chatty, so it was a totally different experience than with the first woman. Still, I enjoyed it, the sense of two humans sitting together, on a cold and dark winter evening....people who barely knew each other but who were consciously allowing a connection to grow.

At the 'handover' a nurse had informed me that a third woman, with whom I had done a guided meditation with on two previous occasions, was now close to death. The door to her room was closed, except for when relatives slipped in or out. My heart went out to her. I wanted to know where she was at; to connect with her, to remind her of the meditative space we'd visited together. Of course it would have been entirely inappropriate for me to go in; I could only be with her, silently, alone, in my own way. I was glad that, at least, we'd been able to spend two evenings travelling to the space inside....
 
I see that this is probably the way it will be in the Palliative Care unit: if a patient is not having things done to her by a nurse, not eating a meal or having visitors, she/he may or may not wish for a stranger's company. If she does, she might be open to meditating, or, might not be. And if we are able to meditate together, or perhaps have a conversation about dying, when she is passing through her last minutes, quite rightly, family and friends will always take precedence over me.

Seems intelligence not to focus on what I cannot do, given this particular context, but, rather, to see how creatively I can  use the opportunities that do present themselves.

'By Your Side' documentary release

Maneesha James - Thursday, June 24, 2010

Earlier this year a documentary was made at the Palliative Care Unit of Greenwich Hospital (where I now do volunteer work once a week). Titled, 'By Your Side,' it follows the journeys of 6 different patients. Its first screening will be at the Roseville Theatre, North Shore, Sydney, on Wednesday July 28th at 7:15.

Be there or be square, as they say!

A sobering view of a hospital experience

Maneesha James - Sunday, June 20, 2010
The movie, 'Wit,' has been out for some years and, through a friend mentioning it the other day, I watched it for a second time. By Mike Nicholls, with Emma Thompson as the main character, the movie may not be favourite viewing for the faint hearted, especially those of us who are currently needing to visit hospitals for treatment or are hospitalised: the picture it paints of the dehumanising process is grim, even soul-destroying. Though, as I say, this was my second viewing, I was immensely moved by it -- outraged, stunned, and (on the upside!) strongly affirmed in pursuing the work I am doing. That is, supporting those people who have just received a diagnosis of a life-challenging illness.

Doctors typically neither have the time nor the skills to offer anything but the most cursory support. By that, I mean, emotional support at the time of diagnosis and at any time during one's illness, and/or helping patients in identifying their needs and accessing the appropriate resources. That's where I see a gap which I can fill: as a psychotherapist, I offer support for patients in dealing with the whole range of feelings that they might experience. As a former nurse I have a certain familiarity with the medical-hospital system, so can accompany clients to future doctor visits (often good to have a person with you, to hear things you might miss, to ask questions, and so on), to prepare them for/accompany them to chemotherapy and or radiotherapy, and to be available for general psychological support at my place of work or in their home.   

Would so welcome hearing from others who feel similarly...



O wondrous creatures,
By what strange miracle
Do you so often
Not smile?

Hafiz


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