Healing Healthcare

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Healing Healthcare
Holistic Healthcare
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• Organic Universe
• (nature as living, spiritual, dynamic)
• Holistic Science
• (whole gt sum of its parts)
• Bio/Psycho/Social/Spiritual Model
• WEB OF LIFE

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HEALTH DEFINED

• Absence of disease
• Absence of biomedical risk factors
• Presence of desired set of behaviors

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HEALTH DEFINED

• World Health Organization
• Health is a state of complete physical,
  mental and social
• well-being.

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OPTIMAL HEALTH??

• Complete well-being is a fantasy health
  (whatever else it might be)
• is something that happens not so much in the
  absence of illness
• as in its presence.

David Morris, Illness and Culture in the
Postmodern Age
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REDEFINING HEALTH

• Health can be redefined as the manner in which
  we live well despite our inescapable illnesses,
  disablilities and trauma.

David Morris
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• HOLISTIC HEALTHCARE

• Focus HEALTH
• Main objective is to address the web
• of genetic, social, emotional, spiritual
• and physical factors that contribute
• to health

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• HOLISTIC HEALTHCARE

• Emphasis SUPORTIVE FACTORS
• Meaning in life, relationships work and
  supportive human systems are considered to be the
  primary determinants of health

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• SUPPORTIVE FACTORS for HEALTH HEALING

• purpose in life
• spiritual connections
• social support
• work satisfaction
• emotional health
• optimism / hopefulness
• perceived happiness
• perceived health
• altruism

• intellectual stimulation
• restful sleep
• time alone
• pleasure and play
• financial resources
• laughter / humor
• movement
• normal eating
• contact with nature

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• Much illness is a conflict in values sailing
  under a physiological flag.

Rudolph Virchow father of modern pathology
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• HOLISTIC HEALTHCARE

• Motivation JOY PURPOSE
• Reason for change is primarily to enhance a sense
  of purpose and enjoyment of life

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A SPIRITUAL CALLING

• Every crisis a person has over the age of 30
  is a spiritual crisis.
• Spiritual crisis requires
• spiritual cures.

Carl Gustav Jung
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A SPIRITUAL CALLING

• The new medicine, like the oldest healing that
  humans have known, recognizes that illness is a
  teacher on each of our spiritual journeys, as
  well as a physical misfortune and psychological
  challenge. It insists, as did the tribal shamans
  who were our first healers, that the work, the
  profession of those who provide healthcare,
  is itself a spiritual path.

James Gordon, Manifesto for A New Medicine
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• DISEASE
• Physical aspects of sickness
• Tangible, measurable, treatable events
• ILLNESS
• Personal experience of sickness
• Intangible, invisible, immeasurable

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DISEASE vs. ILLNESS

• Two people with identical diagnoses share
  only the physical disorder the way they
  experience that disorder is absolutely unique to
  each. Theyll find different meanings in their
  sickness, feel different emotions, respond with
  different behaviors.

Jeff Kane, How To Heal
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DISEASE vs. ILLNESS

• Illness, includes, then, the sick persons
• fear, anxiety, depression, anger,
• isolation, despairin other words,
• his suffering.

Jeff Kane, How To Heal
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DISEASE vs. ILLNESS

• When were sick,
• we suffer not from our disease,
• but from our illness
• what the disease means to us.

Jeff Kane, How To Heal
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SUFFERING

• Is a permanent property of humanity
• Cant be fixed
• Is exquisitely individual
• Isnt necessarily entirely tragic
• Is painful to experience

Jeff Kane, How To Heal
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• HOLISTIC HEALTHCARE

• Assumption HUMAN NATURE
• People have a nature desire
• and ability to seek health
• (internal wisdom)

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• HOLISTIC HEALTHCARE

• Assumption HUMAN NATURE
• People are currently doing the best
  they can given their particular
  circumstances

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• HOLISTIC HEALTHCARE

• Professional Role ALLY
• Primary job is to facilitate peoples
  reconnection with their own internal wisdom about
  their body and their health

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• HOLISTIC HEALTHCARE

• Change Process CONSCIOUSNESS
• People are assisted in understanding
• and healing life issues that underlie
• illness and behavioral struggles

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ADVERSE CHILDHOOD EXPERIENCES (ACE) STUDY

• Almost 10,000 adults in an HMO
• 7 categories of childhood trauma
• Health risk behaviors disease

Felitti, Am J Prev Med 199814(4)245-258
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CAUSES vs. SYMPTOMS

• 28 of women reported sexual abuse
• 16 of men reported sexual abuse
• 25.6 lived with substance abuser
• 10.8 reported physical abuse

Felitti, Am J Prev Med 199814(4)245-258
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CAUSES vs. SYMPTOMS

• 50 reported at least one category
• 25 reported at least two categories
• 6 reported at least 4 categories

Felitti, Am J Prev Med 199814(4)245-258
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Disease, Disability
Social Problems
Health-Risk Behaviors
Social, Emotional, Cognitive Impairment
Adverse Childhood Experiences
Felitti, Am J Prev Med 199814(4)256
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Behavioral Coping Smoking, Drinking, Drugs,
Overeating, Overworking, Sedentary Lifestyle
Suffering Anxiety, Anger, Fear, Depression,
Hopelessness
Root Causes of Behavior Poverty, Abuse,
Violence, Isolation
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Healing Healthcare
A Spiritual Calling
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A SPIRITUAL CALLING

• AVOID
• Fixing

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FIXING

• Frequently, our reactiveness to suffering takes
  the form of having instantly to do something, do
  anything. Its the we gotta syndrome We
  gotta fix this up right awayIts tricky,
  because this impulse may arise from genuine
  empathy, but the form of action is compulsive.

Ram Dass, How Can I Help?
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A SPIRITUAL CALLING

• AVOID
• Fixing
• Reductionism

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MEDICAL TERRORISM

• The important point is that worrying too much
  about anything--be it calories, salt, cancer or
  cholesterol--is bad for you, and that living
  optimistically, with pleasure, zest and
  commitment is good. Medical terrorism shouldnt
  attack lifes pleasures.

Ornstein Sobel, Healthy Pleasures
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A SPIRITUAL CALLING

• AVOID
• Fixing
• Reductionism
• Blame and Shame

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HEALTH GUILT

• In nature, the occurrence of disease is
  considered a part of the natural order, not a
  sign of ethical, moral, or spiritual weakness.

Dossey, Healing Words, p.17
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BLAME SHAME
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• personal focus
• failure
• shame

hopelessness
helplessness
decreased self-esteem
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A SPIRITUAL CALLING

• AVOID
• Fixing
• Reductionism
• Blame and Shame
• Judgment

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NONJUDGMENT

• When we have for so long been judged by
  everyone we meet, just to look into the eyes of
  another who does not judge can be extraordinarily
  healing.

Dr. Jack Kornfield, A Path With Heart
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A SPIRITUAL CALLING

• INSTEAD
• Listen

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LISTENING

• Now we can begin, perhaps for the first time,
  to hear them. Less busy pushing away suffering,
  less frenzied having to do something about it,
  were able to get a sense of what theyre
  feeling, of what they feel they need. We may be
  startled to discover that what theyve been
  asking for all along is entirely different from
  what weve been so busy offering

Ram Dass, How Can I Help?
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LISTENING

• Begin by ignoring her disease and
  concentrating instead on her illness. Listen
  well, and shell enter her suffering, explore it,
  know it, and unfold it for you. Listen even more
  deeply and shell comprehend her story and act
  accordingly.

Jeff Kane, How To Heal
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A SPIRITUAL CALLING

• INSTEAD
• Listen
• Acknowledge Validate
• Support Encourage

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WHAT REALLY HELPS?

• What We Do
• or
• Who We Are

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WHAT REALLY HELPS?

• We can, of course, help through all that we
  do. But at the deepest level we help through who
  we are..

Ram Dass, How Can I Help?
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• Health care in the final analysis,
• is not about results...
• Health care is about being with people in their
  finitude and doubt, in their pain and
  uncertainty, respecting each one and saying that
  one cares, and showing by ones deeds that one
  really does care in all the ways that one can.
  Such caring does mean acting in a way that
  promotes the best results possible. But the
  results, ultimately, are really Someone Elses
  business.

Daniel Sulmasy, The Healers Calling
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• Healing is a process, not a goal.
• Its all voyage and no destination.
• Your task is only to be present to the sick
  person. The moment you begin contemplating the
  encounters outcome--whether hell attain
  serenity or not--whether youll succeed or
  fail--your no longer with him but wandering in
  your own mind, oriented toward the future rather
  than the present. All you can ever do is your
  best what is to be is out of your hands.

Jeff Kane, How To Heal
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A SPIRITUAL CALLING

• INSTEAD
• Listen
• Acknowledge Validate
• Support Encourage
• Be Aware of Our Own Issues

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WHAT REALLY HELPS?

• We work on ourselves, then, in order to help
  others. And we help others as a vehicle for
  working on ourselves.

Ram Dass, How Can I Help?
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A SPIRITUAL CALLING

• Placing service in a spiritual perspective in
  no way diminishes what we have to offer through
  training, experience, individuality, special
  skills, or sense of humor. Quite the reverse. Our
  particular talents and unique qualities are
  likely to come forth more reliably when we have a
  richer and more spacious sense of who we are.

Ram Dass