Mind Body Final — Transcript

Full transcript

1. 0:22And in a circular motion inhale through the nose,
2. 0:29Hands crossed and exhale.
3. 0:35What is mind-body medicine in your eyes?
4. 0:40[Dr. Zahi Arnon- clinical psychologist, Bnai Zion] body-mind medicine is a state where tour mind contributes to your body’s help.
5. 0:48Meaning we use mental means to influence our physical health.
6. 0:57It connects today to what we call medical psychology.
7. 1:02Chow can you affect your body using mental spiritual means?
8. 1:06[Liora Price- spiritual escort in the integrated medical array] first of all, the body and mind are connected.
9. 1:10I love adding the spirit.
10. 1:12Because when I am asked what spiritual escort is, I say there is
11. 1:16Another aspect that connects them both,
12. 1:19What we call body, and what we call mind.
13. 1:23Again, this is the dimension that incapsulates everything that is beyond this mind and body.
14. 1:30That each one of us is a part of.
15. 1:33The physical and non-physical parts,
16. 1:36So there is something else that connects both and contains everything in this world,
17. 1:43In this universe, and can connect to.
18. 1:45[Olga Agur- head of psycho-oncologic services, Lin] what is guided imagery?
19. 1:46We walk with a person, I tell him a story,
20. 1:52And he goes to wherever he feels good in,
21. 1:56We rely on his unconsciousness to open up and be willing to speak and go through some process,
22. 2:10That you can’t always find words to describe.
23. 2:14But that process happens on a mental level.
24. 2:19Take a deep breath and then let there come out easily.
25. 2:28And then another deep breath that feels all body and then come out.
26. 2:36[Dr. Alon Reshef- head of the psychiatric ward, Emek] what is mind body medicine?
27. 2:42It is a very simple name that contains within it lots of subdivisions of approaches and therapeutic techniques.
28. 2:54I would say it as simple as possible.
29. 2:58This means that both body and mind are present in both the clinical manifestation and the treatment.
30. 3:06[pearls of body and mind: clinical outlins | operating rooms | Carmel medical center]
31. 3:09Let’s take it there, carry your breath to where it hurts.
32. 3:12Bring over there energy and blood.
33. 3:14Let’s carry over a deep breath, to here.
34. 3:18Good, to where they are measuring the blood pressure.
35. 3:21I see it hurts.
36. 3:22Let’s carry over another breath, loosen up, in a moment he will take it off.
37. 3:28[Prof. Elon Eisenberg- Dean of the Faculty of Medicine, Technion] the way I see it there is no doubt it is a part of medicine.
38. 3:33We brought it in, definitely yes.
39. 3:34Body medicine, relaxation, even hypnosis at later stager.
40. 3:40Meaning, all these elements were brought in, certainly.
41. 3:43Again you can’t, if we go back to what we spoke about in the subject of pain,
42. 3:46I think maybe more,
43. 3:49Today we know more, it’s not only that.
44. 3:51But pain, without engaging your body and mind,
45. 3:54You engage pain like I said, and you check it numerically,
46. 3:57It hurt eight to nine and now after you did something it hurts seven or six,
47. 4:01You are totally missing the picture.
48. 4:05And so in my eyes,
49. 4:06Today I would say, not only today,
50. 4:09I have been for years, even more, I have not only believed but have been convinced,
51. 4:14Convinced, that without engaging body and mind in pain medicine you are doomed to failure.
52. 4:22Then when you start to dig a little deeper there and explore,
53. 4:25So you can turn to all sorts of methods that extend the usual Western medical method,
54. 4:35That separates mind and body.
55. 4:39And this split is very much built into the training and specialization of medical students.
56. 4:44It is built into the diagnosis and treatment.
57. 4:48I f you walk around the hospital, you here constant arguments and discussion of “whose is this patient?”
58. 4:55“take this patient”, or “this patiemt is mine”.
59. 4:59Or beneath that, beyond territory and ego struggles, that there are always between humans,
60. 5:05Beneath that lies the split that claims that if the problem is mental,
61. 5:10Then it belongs to a psychiatrist.
62. 5:14And the physical doctors many times won’t want to treat it,
63. 5:19And don’t feel they have the tools.
64. 5:23And vice versa, meaning there are also some
65. 5:26There are barriers or very deep blockages that are built into the system.
66. 5:33[between body and spirit- anthroposophical medicine]
67. 5:38[Dr. Meron Barak- Harduf and Aluma clinics] the starting point of anthroposophical medicine, that is a
68. 5:41Type of integrative medicine that is based on conventional medicine.
69. 5:46Its starting point is that human beings are a dual entity.
70. 5:50This means that there is in him, the physical component, of the physical body,
71. 5:56But also acts within him his spiritual essence.
72. 5:59And I can say it really broadened my view.
73. 6:04Because the spiritual essence, as it is perceived in anthroposophical manifestation,
74. 6:10Is an essence whose very function is to balance and organize the psychic essence as well,
75. 6:16But the physiological and physical processes as well.
76. 6:20In mind-body medicine there are no boundaries.
77. 6:23Why? Because the patient, or anyone for that matter, is actually constantly mind body.
78. 6:29The separation between body and mind is only in our rational mind, we are always there,
79. 6:33And that is why when he goes to a family doctor he receives body and mind medicine.
80. 6:37Because how the doctor treats him, and how he speaks to him and how much he looks him in the eye,
81. 6:41Is all the mental part that effects the physical part.
82. 6:43So there is actually no none body mind medicine, it’s always like this.
83. 6:47The doctor operates the biological medical parts,
84. 6:51The psychologist operates the mental parts more.
85. 6:54But it’s always there.
86. 6:55So all medicine is body mind medicine.
87. 6:58Hypnosis is statuated.
88. 7:00And hypnosis has its own rules,
89. 7:02But body mind medicine can help people in a psychotic state as well.
90. 7:08the line where body and mind meet, is it sharp? Is it clear? Is it hazy?
91. 7:15Does it allow, like a membrane, movement from one side to the other?
92. 7:19And who meets on both sides of body and mind?
93. 7:23Is this the story, the narrative of our patient?
94. 7:27And maybe it is our story and narrative as well, the care takers, the medical staff?
95. 7:32The students who will become doctors.
96. 7:36In this place we allow ourselves to be a bit vague,
97. 7:40A bit open, a bit curious about that connecting line.
98. 7:46Whether it’s in the oncology ward while receiving chemotherapy,
99. 7:51Or in the operating room.
100. 7:53Or in the family medicine clinic.
101. 7:56And if in any other arena across the continuum between community, primary care,
102. 8:01Secondary care, and tertiary hospital care.
103. 8:07[pearls of body and mind: Laparoscopic surgery simulation]
104. 8:09Now sit quietly and comfortably, very calm and very focused,
105. 8:15I want to address the unconscious level of your body of your mind,
106. 8:20And ask you to be very synchronized and coordinated.
107. 8:26Like a murmuration of starlings that flies in the air,
108. 8:32Looking like a cloud.
109. 8:33But when you look closer you find out,
110. 8:36That every bird knows precisely how to fly so to not hit the bird next to it.
111. 8:42You have that in the sea in schools of sardines too,
112. 8:45That they are all synchronized with one another, creating a cloud of sardines.
113. 8:51And that is how you will now convey a message to your brain.
114. 8:55To coordinate, to synchronize your hands perfectly.
115. 9:00So that when you are in the simulator, working on the defect, it will flow,
116. 9:06You will even be able to avoid thinking about what you are doing,
117. 9:11Because your hand movement will act and feel by itself so the synchronization will be optimal.
118. 9:19And you will be surprised to find that precisely when you do not think about the action, but think about the flow of the action, 119 00:09:27,385 --> 00:09:30,528 The operation is faster and easier.
119. 9:30It is actually something very, very broad that starts with thoughts that the person thinks about himself,
120. 9:37Like I’m going to sleep with a sore throat, and I’m telling myself I really want to wake up healthy,
121. 9:43And I wake up healthy,
122. 9:45Then I have done something that is body-mind.
123. 9:46And it really did heal.
124. 9:48It’s in techniques of relaxation,
125. 9:51That lower the stress level but also releases physical distress.
126. 9:57It’s in meditation techniques.
127. 10:00It’s in bio-feedback techniques, that a person receives feedback from a digital screening on his body’s state.
128. 10:06It’s in guided imagery because we understand that the body and the mind respond to what a person imagines.
129. 10:13And it’s even stronger in hypnosis where we run everything deliberately,
130. 10:18With suggestions focused on a particular topic.
131. 10:22Here we have a center that teaches the basic skills of laparoscopic surgery.
132. 10:28We arrived, with all the practitioners in the ward, senior doctors, residents,
133. 10:32To a performance level that is defined as Proficient, which is the highest performance level in the simulator.
134. 10:41And we asked ourselves whether it is possible to take it one step further,
135. 10:45Using this mental training.
136. 10:48And together we planned an intervention.
137. 10:52I with the direction of what task should be done,
138. 10:55And Zahi with the direction of how to mentally intervene as he knows from his work as a psychologist.
139. 11:01And we were amazed to discover that we improved the performance by an extra 25%.
140. 11:05What hypnosis does is taking the rational and critical things,
141. 11:11And reduce their impact.
142. 11:14And takes and intensifies the influence of the irrational, metaphorical, imaginary things,
143. 11:20Because our mind works in imagery all the time.
144. 11:23When I want to tell someone how much I love them,
145. 11:27I don’t know how to say it, but rather I’ll say “I love you like..”
146. 11:31And after the word “like” the image will come.
147. 11:33Our mind works in imagery.
148. 11:35But the images are not rational, they are not logical, they are not linear.
149. 11:39And that is why in hypnosis I reduce the critical linear-rational part,
150. 11:45And increase the intuitive part,
151. 11:48And then you can work with mind and with the body through it.
152. 11:54[Body-Mind: research challenges]
153. 11:56[Prof. Elad Schiff- Head of internal medicine department B, and complementary medicine services, Bnai Zion] what is the specific effect of the body-mind intervention that you do?
154. 11:59It might be the presence, warmth, love, softness, the love and care you give the patient.
155. 12:05Right.
156. 12:06One of the great researchers in the United States in the field of hypnosis, Guy Montgomery,
157. 12:12He did an elegant research, beautiful,
158. 12:15Where he took about 200 women who were supposed to have a breast surgery.
159. 12:22A hundred women received, what we would call a brief hypnotic intervention of a quarter of an hour, yes?
160. 12:31About an hour before the surgery.
161. 12:32And the second group received what we would call “attention control” an hour before their surgery, for a quarter of an hour.
162. 12:39A very short intervention, I will explain the interventions:
163. 12:42In the hypnosis group, it was a formal hypnosis.
164. 12:44Meaning an induction to a state of relaxation, a deepening of the relaxation,
165. 12:49Suggestion for symptom control that arise in proximity to the surgery,
166. 12:52Like anxiety, pain control, training in self-hypnosis how to create a hypnotic state,
167. 12:59And use it again and again as she pleases.
168. 13:02And exiting a hypnosis, that’s the hypnosis group.
169. 13:05The “attention control” group,
170. 13:07A psychologist sat with them and asked them “what are your troubles?”
171. 13:11“I am listening”, was empathetic, positive towards their troubles.
172. 13:16And then they went and checked their pre-operative symptoms.
173. 13:20Nausea, weakness, pain, discomfort, rehabilitation, yes?
174. 13:24Tiredness, exhaustion.
175. 13:27And they checked the symptoms I mentioned,
176. 13:31The symptomatic, the hypnosis group was way more, yes,
177. 13:37In two VAS units (units for pain measurement) which is significant clinically,
178. 13:40If we check on a scale from zero to ten the severity of the symptoms,
179. 13:43There is a significant difference in favor of the hypnosis group, in all of these symptoms.
180. 13:48What is more fascinating, is that when they went and checked on the financial effects of this intervention,
181. 13:56What did they see?
182. 13:58That in the operating rooms where the patients were treated first with hypnosis,
183. 14:03The surgery was shorter by roughly eleven minutes.
184. 14:09Somehow the surgery was easier without the surgeon knowing which patient had what.
185. 14:14And that number, ten eleven minutes, was converted
186. 14:18And when converted in a financial aspect they found that for every patient that received hypnosis they saved 772 dollars.
187. 14:29While you take into account the hypnosis therapist and all that’s around it.
188. 14:34That means that it’s not only good for the patients, but for the health care system as well.
189. 14:38A research that is groundbreaking in the field of health care policies,
190. 14:42Beyond the symptomatic relief,
191. 14:45And in the context of-
192. 14:47“okay, being nice and sitting with you helps”.
193. 14:51But that is not enough, you have to be very precise when using hypnosis.
194. 14:58[Body-Mind: caretaker care]
195. 15:03There are hundreds of researches on mindfulness in medicine and on psychology every year.
196. 15:08That testify that practicing mindfulness prevents exhaustion of medical staff.
197. 15:14And actually, in all professions,
198. 15:16We examine medicine because we are so close to it.
199. 15:20But that is definitely true, the professional exhaustion calms, lessens, decreases,
200. 15:25With the practice of mindfulness.
201. 15:27And the it becomes, I am the practitioner,
202. 15:32Understands, believes, that this skill works and I can also teach it and use it with my patients.
203. 15:38But I myself feel less exhausted as well.
204. 15:41And so I have more strength and energy, and motivation to continue treating.
205. 15:45The body controls the breathing,
206. 15:49And the fingers follow the breath.
207. 15:53[transport team training in speech in order to support healing, Bnai Zion medical center]
208. 15:57So what happens in that therapeutic interaction?
209. 16:00When you are a care taker and next to you there is a patient,
210. 16:05Despite it not being precisely so, of course people can do self-hypnosis,
211. 16:09And self-meditation.
212. 16:11But in that setting that in it there is,
213. 16:13In that setting where there a care taker and a patient in body-mind medicine,
214. 16:18What is the patient’s experience?
215. 16:21That depends on which approach or technique we are using.
216. 16:25But the in principle the experience includes a component of relaxation,
217. 16:31And a second component which is internal convergence.
218. 16:34That means that the person disconnects himself from his surroundings and converges internally,
219. 16:38and then his thoughts and imaginations that are a part of his minds work,
220. 16:42Their influence is greater.
221. 16:46So there is always the combination of these things.
222. 16:50The specific content will be suited to whoever needs it.
223. 16:55[Body-Mind: caretaker care- practicing relaxation with an OBGYN nurse]
224. 16:55[Keren Bloomer- graduate of palliative-integrative nursing] Let’s close our eyes and try to imagine our ability to connect to our breathing,
225. 17:05To the inspirium that fills us
226. 17:11To the experium that releases us.
227. 17:16Sight is our most important sense and we can’t not see something.
228. 17:23Since I want to focus on the inside and not on the outside, pay attention to the inside and not the outside,
229. 17:28So closing my eyes helps me sense myself physically and mentally,
230. 17:32More than when I am staring.
231. 17:35You can focus internally with eyes open.
232. 17:37But closing them helps it happen faster and stronger.
233. 17:41[raisin meditation with medical students]
234. 17:44We can bring it closer to our lips, not eat it.
235. 17:49Just lay it there, hold it between your fingers and yet in front of your lips.
236. 17:57Feel it on your upper lip, along it, across its width.
237. 18:05And on the lower lip.
238. 18:10maybe some of you feel,
239. 18:15a little flow of water and saliva in your mouth.
240. 18:20[Adili Tzeva- graduate of integrative medicine elective course] we turned our attention inwards.
241. 18:25When the eyes are closed then all the stimuli of my surroundings do not get I the way of me looking inside,
242. 18:33And really,
243. 18:38Use my senses inwards.
244. 18:42That’s at least what goes through my mind.
245. 18:45When we meet for the first time in the practice itself,
246. 18:48And that is what I instruct.
247. 18:50So it usually starts with relaxation.
248. 18:55With letting go of all that bothers us.
249. 18:59Take a few good breaths and exhale,
250. 19:04Let all that’s annoying, all that’s bothering go,
251. 19:08Go out and dissipate in space.
252. 19:11And then go through every limb.
253. 19:13Relaxing every limb and melting downwards into the bed,
254. 19:18Allowing some kind of transition into quietness, an ability to connect to our awareness.
255. 19:26And then guided imagery can come in,
256. 19:30Like for example feeling our whole backside lying on the ground and being supported by it.
257. 19:37All of our front side open to the heavens.
258. 19:41and in my eyes there is something very strong in a person that between heaven and earth,
259. 19:46Between the side that is supported by something solid and the side that is open to infinity.
260. 19:52And I believe that that infinity,
261. 19:56That is a door to the spirit, to something greater than me.
262. 20:06[Dafna Wolf- movement and contact treatment therapist in the integrated medicine array] I listen,
263. 20:10I can really listen to the space between to breaths and that’s lovely to me, that space between two beats.
264. 20:18Between two heartbeats, there is that place that the air moves in and out,
265. 20:22And there’s,
266. 20:24There’s a vacuum.
267. 20:25I can really feel that vacuum when I truly focus like I just did.
268. 20:32It’s an activeness-passiveness,
269. 20:35It’s a question of how much he commits,
270. 20:40And how far he can walk with me, which is a type of activeness.
271. 20:44But there are people who nap, fall asleep, go other places,
272. 20:50And that’s the place they go to, and that’s fine.
273. 20:54Because usually at least they end up with a laid-back experience,
274. 21:00Calmer, if not with the experience of space, of infinity,
275. 21:05Than at least, at that moment, they left all their worries behind.
276. 21:09Quietly in his inner world.
277. 21:13I refer to his body in the sense of relaxation.
278. 21:20It is very important for me that he will feel a calmness,
279. 21:28A quiet, an inner peace.
280. 21:30And we do that through breathing.
281. 21:34Breathing is a great tool that connects us to ourselves.
282. 22:08Olga what is your experience during guided imagery? What do you feel?
283. 22:14I feel that we are both connected to something great.
284. 22:20To a collective unconsciousness.
285. 22:23Something that contains within it both of our inner worlds.
286. 22:33And those of other people, that we are one human tapestry.
287. 22:45[Prof. Ofer Lavie- Head of the gynecological oncology and surgery unit, Carmel] what happens when the eyes open?
288. 22:48Seemingly return to the room or return back to life.
289. 22:52what is there in the movement from having your eyes closed to a fuller consciousness?
290. 22:58When we return to full consciousness we need to make sure that the patient has stopped his inner focus,
291. 23:04And returned to function in the outside world.
292. 23:07That is why we have ceremony to return to full awareness,
293. 23:11But before the ceremony we tell the unconsciousness that the changes we want to create in the body,
294. 23:18We want them to continue after the person has returned to full awareness.
295. 23:22That meant he is awake yet calm.
296. 23:29I try to be aware of my breathing when we open our eyes as well.
297. 23:35Slowly, slowly we can open our eyes and look at each other.
298. 23:39But to look at ourselves too.
299. 23:43And continue breathing.
300. 23:45The spirit is a question of faith.
301. 23:48And we can perceive it either to a religious belief,
302. 23:52Or a secular spiritual belief,
303. 23:54Or an energetic belief that connects us to all types of energetic treatments.
304. 23:59And whether it is Chi flow in Chinese medicine or do healing another way.
305. 24:06And a believing person, his belief is part of what activates his healing.
306. 24:12And I try to connect to a person’s beliefs and use them for his own sake.
307. 24:18That place of openness out of a lack of knowledge, out of a lack of confidence,
308. 24:24There is a possibility of expanding the consciousness, it is a place of spirit.
309. 24:31Expansion of the consciousness, not being in our little scare and closed off thing,
310. 24:37But in that we can open and trust in life, in help.
311. 24:45That it will be fine.
312. 24:47Whatever is not fine.
313. 24:50Just listen quietly to your whole body