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The Cutting Edge (Better stated as the Healing Edge) of Mind Body Medicine

Our birth is but a sleep and a forgetting, the soul that rises with us, our life’s star, hath elsewhere its setting and cometh from afar, not in entire forgetfulness and not in utter nakedness, but trailing clouds of glory do we come.

-Wordsworth

What’sNewinBodymind Science?• Wehave3genomes,2ofwhich changeinresponse totheenvironment.

• Theeffectsoftraumaareheritable throughtheepigenome.

• Weareacomposite bacterial/mammalianecosystem.

• Mosteverythingwethought weknewaboutnutrition wasDEADwrong.

• Interpersonal neurobiology andmindfulness• Narrative medicine• Compassion toward selfandothers

InterpersonalNeurobiology(theMindisbothembodied andembedded inallourrelationships)

“Themind isanemergent property ofthe bodyandrelationships. It iscreated within internalneurophysiological processes andrelationalexperiences. Inother words, themind isaprocess thatemergesfrom adistributed nervoussystemextending throughout the entire body,andalsofromthe communication patterns thatoccur within relationships.”

–DanielSiegel,MD

Relationship, Health, Healing

It’sallaboutloving relationship DogsarealsogoodforyourHeart

• Menwhohaveheart attackshavea5%chanceofdyinginthefirst yearpostMI

• Iftheyhaveadogtheriskdecreases to1%• Petting orplayingwith adogreleasesoxytocin, dopamine, andendorphins

• Oxytocin decreases stress,lowers bloodpressure, andlowersheart rate

Dogs, Rats, andHeartAttacks;Alex Korb, Ph.D.Psychology Today,March19,2012

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Stress and Health

•Increased fight or flight activity causes hypertension and damages the endothelium of blood vessels leading to atherosclerosis

•Cortisol depresses immune function and kills memory neurons in the hippocampus

•Stress increases productionofIL-6,a“pro-inflammatory”cytokine.

•Inflammation contributestoheart disease, diabetes, arthritis,osteoporosis,cancers andchronicillnesses,aswellasthefrailty ofaging

•Stress inhibitsDNArepairaswellascelllongevity

And…NewsflashYourStress maybeInherited Epigenetically

DNAisnotDestinyEnvironment ChangesGeneExpression, predisposing

toStressandIllnessorHealth andWellbeingGenome#2:TheEpigenome

Thehumangenome isfairlyconstant andchangesveryslowly overmillions ofyears.Ontheother hand, the environment around uschangesallthetime.Ascience calledepigenetics explains howour genescanadapttochangesintheenvironment eventhough theactual structure ofthegenome- thegenesthemselves- don’t change.

TheCoiling ofDNAinChromatin Genome#3:TheMicrobiome

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TheGutMicrobiomeOurInnateProbiotics

• 3-4pounds ofbeasties• 99%ofofourgenetic material• Liketotoeatfiber (prebiotics)• Protect againstpathogenic bacteria• Morediverseifyouliveonafarm• Minimize useofunnecessary antibiotics

Weliveinside aBacterialCultureDish

Wearecomposite organismsmadeofabout 10trillion humancells and100trillion bacteria.Thebacteria have“ecosystem”functionsincluding:1. Keeping ourgutlining intact2. Regulating weight3. Regulating immune function4. RegulatingMood(neurotransmitters)

GoodBacteriaPreventLeakyGutAModern takeon“YouareWhatyouEat”

Theysynthesize short chainfattyacidslikebutyrate, proprionate, andacetate.Butyratehelpskeepthetight junctions inthecolon

epithelium intact. It’snastytoleakendotoxinsandpoop thatcreate autoimmune disease.

Confused AboutWhatToEat?Sowerewe

TimetoAskforDirections U.S.HealthTrends

In1960theUnitedStateswas16thinlifeexpectancycomparedto191othercountriesworldwide.We’renow51stinlifeexpectancy,behindBosniaandHerzegovina,barelynosingoutGuam.Americanchildrenbornin2014arethefirstgenerationslatedtoliveshorterlivesthantheirparents- 69years onaverage. Attheotherendofthespectrum,oureldersarealready losingtheirmindstoanepidemicofAlzheimer’sdisease.Thecostofhealthcareisontracktobankruptourcountryinabout20years.

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HumanCostoftheHealthCrisis

• Almost70%ofadultsareoverweight• Onethirdofkidsareoverweight• Almost26millionadultsandkidsarediabetic(8.3%)• Another79millionareprediabetic(25%)• 14%ofourkidshaveNAFLD• 5.3millionpeoplehaveAlzheimer’sDisease.Every70secondssomeoneisdiagnosedwithAlzheimer’sdisease.The rateisaccelerating to0.5millionannually

PersonalizedNutrition

Thereisnoonesizefitsalldiet!Onemanor woman’s meatisindeed another

one’s poisonMetabolism isaffectedby3genomes:1. Chromosomal genome2. Epigenome3. Microbiome

Insulin Sensitivity

• Carb Tolerance isthebottom line• AGEs• Carb Burning vsFatBurning• SimpleTests• Genetic testing• Reboot andAddBack

Genome#1:23pairsofchromosomesfrommomanddad

Whenyourgenotype matchesyourdiet youaremorelikelytoloseweight.(TheAtoZstudy)Christopher Gardner, Ph.D.

Bottom LineWithout GenotypingIfyouareinsulin resistant you’ll dobestona

low-carb diet

GettheBookandMaketheRecipes HowDoWeChangeOurView:Narrative,Brain,andBehavior?

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BiographybecomesBiology(Myss)YouareyourownBiographer

“…narrative medicine iscreating alarger contextforyourstory thatletsyoufindthenobility withinyourself andshareit.”

-DanSiegel.MD

CreatingtheWorld throughStory

Inthe beginning wastheWord, andtheWordwaswith God andtheWordwasGod.John 1:1

AbraK’Dabra istheAramaicexpression ofthisIntentional manifestation:

Iwill create(A’bra)asIspeak(k’Dabra)

InPraiseofHealingFiction(JamesHillman)

Stories wetell ourselvesthat makesenseoftheworld. True ornottheymakeapositivedifference inhow weliveour lives.

ViktorFrankl“Whatistogivelight mustendure burning.”

“Forthefirst timeinmylifeIsawthetruth asitissetinto songbysomanypoets, proclaimed asthefinal wisdom bysomanythinkers.Thetruth- that Loveistheultimate andhighestgoaltowhich mancanaspire.ThenIgraspedthemeaningofthegreatest secretthat humanpoetry andhumanthought andbeliefhavetoimpart: Thesalvationofmanisthrough loveandinlove.”

Forgiveness: AnexampleofNarrativeMedicine

Forgiveness and Heart Wisdom(from Your Soul’s Compass)

“What is the sign of someone who knows God?” a young woman asked the great 14th century poet Hafiz. He replied, “My dear, they have dropped the knife, they have dropped the cruel knife they so often use upon their tender self and others.”

-Daniel Ladinsky

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Forgiveness is for the Forgiver

• “Anger is like a hot coal you pick up to throw at somebody else, but it’s you who gets burned.” -The Buddha

• “Hatred is a banquet until you realize that you are the main course.”-Herbert Benson MD

• “Letting go of a grudge is a way to return to the peaceful center inside you.” -Frederic Luskin, Ph.D.; former director of the Stanford Forgiveness Project

Forgiveness StatsA Longing for the peace and perspective of

the Authentic Self

• 94% of adults think that forgiveness is a good thing, but only 48% have tried it.

• The older we get the higher we score in forgiveness of others.

• Men prefer the terminology of letting go of grudges rather than forgiveness (Thoresen)

Forgiveness and HealthUnforgiving persons have increased:•anxiety•paranoia•narcissism and callousness toward others•psychosomatic symptoms•heart disease•incidence of physical illness•depression•addiction

Forgiveness After Abuse

Emotionally abused women after relationship ends often have PTSD and affective disorders. 20 women were assigned to either forgiveness training or an alternative training in anger validation, assertiveness and interpersonal skill building.

ResultsWomen in the forgiveness intervention had

significantly greater improvement in depression, trait anxiety, PTSD symptoms, self-esteem, forgiveness, environmental mastery, and finding meaning in suffering.

Reed, GL et al Enright RD, J. Consult and Clin Psych, Oct 2006, 920-929.

The Hoffman ProcessThe Emotional Alchemy of Forgiveness,

Compassion and Self-Acceptance

• Hoffmaninstitute.org

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HealingisIntergenerationalAQuantumViewofTime,Space,andRelationship

WhenIhealmywounds, ithealsmyfather’s, andit healsthewounds offuturegenerations. Thecyclestops.

-Thich Nhat Hahn

Compassion and WholenessThis being human is a guest houseEvery morning a new arrival.A joy, a depression, a meanness,some momentary awareness comesas an unexpected visitor.Welcome and entertain them all!Even if they are a crowd of sorrows,who violently sweep your houseempty of its furniture,still treat each guest honorably.He may be clearing you out for some new delight.The dark thought, the shame, the malice,meet them at the door laughing,and invite them in.Be grateful for whoever comes,because each has been sentas a guide from beyond. (Rumi)

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inSantaFeSept7-11

Lovingkindness Blessings

MayIbefilled with lovingkindnessMayIbewell

MayIbepeaceful andateaseMayIbehappy

(you,we,all)