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The Breathworks Living Well with Pain and Illness course is a self-management mindfulness-based programme. It is a multi-facetted approach to managing pain, illness and the stress that often arises as a consequence. It provides a tool kit of resources that we can apply in our lives.
The programme as a whole is based on the practice of mindfulness, which we explore progressively over the course – gradually building up a rich awareness of ourselves, as well as our relationships to others, enabling us to lead a more creative life, even when experiencing long-term pain or illness.
Managing our response Pain and illness are unpleasant sensations that we normally react to, causing a host of further problems and physical and emotional stress. We may not be able to do anything about the underlying unpleasant sensation, but we can train ourselves to lessen or overcome this reactive cycle. This means that in time we learn to manage our response to the suffering we experience. The same principles apply to illness, fatigue and stress.
More about the course The programme usually consists of an eight week course with sessions lasting 2½ hours. Since establishing the programme in 2001, with funding from the Millennium Commission, several hundred people have directly benefited from the methods introduced. These include mindfulness, breath awareness, meditation, gentle exercise, pacing, examining our deeper values and learning how to apply mindfulness to all aspects of daily life.
During the course you will also have the opportunity to meet others living with similar experiences of pain and ill health. This has often proved to be both important and beneficial to participants.
Who the course is for The programme is open to all on a self-referral basis. So far we have welcomed people with conditions such as: chronic back pain (the majority), arthritis, fibromyalgia, chronic fatigue, post-operative pain, cancer, nervous disorders, MS, Parkinson’s disease, and other non-specific pain. This list is not exhaustive and we welcome your enquiry whatever your condition. The only requirement for joining the course is a willingness and commitment to engage fully with the programme, which will involve practice at home between sessions (30 – 45 minutes a day).
Main components of the programme
- Breath Awareness. We start by investigating our breathing habits, so we can learn to use the natural breath as an aid to managing our pain, illness or stress. We encourage people to develop habits of breathing into their experience, learning how to use the breath to soften resistance to pain or illness and to let go of tension.
- The Body Scan. This helps us to develop habits of greater ease and awareness of the body. Adopting a comfortable posture (lying down or sitting) we ‘scan’ through the whole body with our awareness, using the breath to help us let go of areas of pain and/or tension. We give course participants a CD to use at home.
- Mindful Movement. We discuss the importance of keeping our bodies in as good physical condition as possible, in order to stop a cycle of disuse, loss of function and more pain or fatigue. We include some gentle movements (based on yoga and pilates) in the programme. These have been specially devised for Breathworks by a very experienced yoga teacher and are suitable for all, being easily adapted as necessary so they are appropriate for people suffering from a wide range of physical conditions.
- Mindfulness of Daily Life (Pacing). By bringing awareness to the activities of daily life we learn to overcome the very common tendency of overdoing it on good days or collapsing on bad days, with accompanying emotions of unrealistic hope followed by frustration and despair. We do some detective work about our daily activities, using diaries and symptom scoring, to try to become more aware of what activities cause aggravation. We learn how to make choices throughout the day, based on our developing awareness, enabling us to have a more balanced approach to life. We then move on to look at values and goal setting, so we can build on our discoveries.
- Three Minute Breathing Space. This is a very effective way of coming back to an awareness of yourself in the midst of daily life. We will teach you how to take three minute breaks in the midst of whatever activity you are engaged with, when you can simply rest your awareness quietly with the breath. This can be a remarkably effective way of bringing a sense of calm, peace, and presence into your experience. Then, feeling refreshed and focused, you can go back to what you were doing.
- Mindfulness of Breathing. This meditation practice focuses on the breath in more depth than we have done previously. By doing this we learn to be still and to listen to ourselves – we can watch our thoughts, feelings, and sensations come and go, without judging them to be good or bad, without identifying with them or pushing them away, but just letting them be as they are. Changes that we’d like to make sometimes happen when we simply attend to our experience without actively trying to change it. The fact that we are aware of something can be enough to change it, without us having to do anything. We give you a CD to use at home.
- Kindly Awareness. This meditation practice in many respects forms the heart of the Breathworks programme. We firstly spend time becoming aware of the unpleasant and the pleasant aspects of our own experience in the present moment, without ‘tipping’ into either pushing away the pain on the one hand or grasping after the pleasure on the other. This gives rise to a sense of gentle stability and strength. We then broaden our field of awareness to include other people and we reflect on all that we share: the simple breath, pleasure, pain and many other basic common human experiences. In this way we come to feel a deep sense of connection with others where our own experience of pain or suffering becomes a moment of empathy, rather than a prison. We give you a CD to use at home.
- The Human Condition. We also encourage people to use their circumstances as an opportunity to see more deeply into the human condition. All bodies are subject to the sickness and degeneration that comes with age. We need to learn to tread a fine line between doing all that we can to help ourselves on the one hand, whilst accepting the inevitable difficulties of life on the other. By seeing more deeply into humanity it is possible to come to terms with our own difficulties, whilst also developing empathy with others who suffer.
Making progress All these methods of mindfulness can be practised on our own at home, enabling us to feel in charge of our own health and pain management. Gradually, over time, progress can be made and confidence improved.
Key principles Two key principles underlie all these aspects of mindfulness and run through the whole course:
- Learning to live in the present moment and breathe into our experience
- Learning to respond rather than react to our life’s circumstances
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