These methods are often taught to patients preparing to undergo surgery or other difficult treatments. Research has found such preparation to speed healing, reduce bleeding and complications, and result in earlier discharge from the hospital.
Procedures and Techniques
The repertoire of mind/body medicine includes all psychological strategies that directly influence physiological states. Following are the most commonly used methods.
Meditation
There are hundreds of varieties of meditation. The most basic approach for facilitating the relaxation response is that described by Herbert Benson. The process should take place in a quiet environment, a setting where one can be quiet, undisturbed, and in a comfortable position for at least fifteen to twenty minutes. Given this setting, there are only two essential steps: the silent repetition of a word, sound, phrase, or prayer and the passive return back to the repetition whenever other thoughts intrude.
Variations on these instructions are at the core of many forms of meditation from diverse spiritual traditions. The simplicity of these instructions, however, makes the approach available to virtually anyone, regardless of their spiritual or religious beliefs. This is because the person can use as their repetitive focus a prayer or any other words that reinforce their beliefs (e.g., "God is love"), thereby adding a further dimension of comfort to the experience.
Mindfulness
This is actually another approach to meditation, which involves the ability to focus completely on only one thing at a time. In other words, in mindfulness the mind is full of whatever is happening right now. This can include walking, cooking, sweeping the floor, dancing, watching a bird, hearing the sound of a river, or any other focus you may choose. Whenever thoughts intrude, you simply return your attention back to the focus. This is a traditional Buddhist approach and has been widely popularized by Jon Kabat-Zinn, Ph.D., in the Stress Reduction Clinic, University of Massachusetts Medical Center, Worcester.
Progressive Relaxation
This is another common approach to eliciting the relaxation response. In this technique the body itself is used as the focus of attention. It may be done either lying down or sitting. They technique involves progressing through the body one muscle group at a time, beginning with the feet, moving up the legs, and so on, spending approximately a minute in each area. For each muscle group, you hold or clench the muscles in the area for a count of ten and then release for a count of ten before moving on to the adjacent area.
The remaining techniques described below, while they also can lead to induction of the relaxation response, are also used for other purposes.
Mental Imagery
This involves using symbols to imagine that the changes you desire in your body are actually happening. For example, you might imagine that pain is melting away and dripping like a warm liquid out of your fingertips. Or you might develop an image of your immune cells actively subduing and preying on cancer cells or viruses, like birds of prey swooping down to engulf field mice in a meadow. This is a highly personalized technique and you would use images that are uniquely exciting and meaningful to you.
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