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Mindfulness-based Pain Management
Mindfulness-based pain management (MBPM) is a mindfulness-based intervention (MBI) providing specific applications for people living with chronic pain and illness. Adapting the core concepts and practices of mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT), MBPM includes a distinctive emphasis on the practice of 'loving-kindness', and has been seen as sensitive to concerns about removing mindfulness teaching from its original ethical framework. It was developed by Vidyamala Burch and is delivered through the programs of Breathworks. It has been subject to a range of clinical studies demonstrating its effectiveness. Origins MBPM was developed by Vidyamala Burch, growing out of her experience of chronic pain, her practice of Buddhist meditation, and her work with medical experts in pain management. Having suffered several accidents in her early life which, alongside a congenital spine condition, left her with severe long-term pain and part ...
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Mindfulness-based Stress Reduction
Mindfulness-based stress reduction (MBSR) is an eight-week evidence-based program that offers secular, intensive mindfulness training to assist people with stress, anxiety, depression and pain. Developed at the University of Massachusetts Medical Center in the 1970s by Professor Jon Kabat-Zinn, MBSR uses a combination of mindfulness meditation, body awareness, yoga and exploration of patterns of behaviour, thinking, feeling and action. Mindfulness can be understood as the non-judgmental acceptance and investigation of present experience, including body sensations, internal mental states, thoughts, emotions, impulses and memories, in order to reduce suffering or distress and to increase well-being. Mindfulness meditation is a method by which attention skills are cultivated, emotional regulation is developed, and rumination and worry are significantly reduced. During the past decades, mindfulness meditation has been the subject of more controlled clinical research, which suggests it ...
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Duḥkha
''Duḥkha'' (; Sanskrit: दुःख; Pāli: ''dukkha''), commonly translated as "suffering", "pain," or "unhappiness," is an important concept in Buddhism, Jainism and Hinduism. Its meaning depends on the context, and may refer more specifically to the "unsatisfactoriness" or "unease" of mundane life when driven by craving/ grasping and ignorance. While the term ''dukkha'' has often been derived from the prefix ''du'' ("bad" or "difficult") and the root ''kha'', "empty," "hole," a badly fitting axle-hole of a cart or chariot giving "a very bumpy ride," it may actually be derived from ''duḥ-stha'', a "dis-/ bad- + stand-," that is, "standing badly , unsteady," "unstable." It is the first of the Four Noble Truths_and_it_is_one_of_the_three_marks_of_existence.html" ;"title="Four Noble Truths: BUDDHIST PHILOSOPHY Encycl ... and it is one of the three marks of existence">Four Noble Truths: BUDDHIST PHILOSOPHY Encycl ... and it is one of the three marks of existence. The term ...
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Vipassanā
''Samatha'' (Pāli; sa, शमथ ''śamatha''; ), "calm," "serenity," "tranquillity of awareness," and ''vipassanā'' (Pāli; Sanskrit ''vipaśyanā''), literally "special, super (''vi-''), seeing (''-passanā'')", are two qualities of the mind developed in tandem in Buddhist practice. In the Pali Canon and the Āgama they are not specific practices, but elements of "a single path," and "fulfilled" with the development (''bhāvanā'') of ''sati'' ("mindfulness") and '' jhana/dhyana'' ("meditation") and other path-factors. While ''jhana/dhyana'' has a central role in the Buddhist path, ''vipassanā'' is hardly mentioned separately, but mostly described along with ''samatha''. The '' Abhidhamma Pitaka'' and the commentaries describe samatha and vipassanā as two separate techniques, taking samatha to mean concentration-meditation, and ''vipassana'' as a practice to gain insight. In the Theravada-tradition, ''vipassanā'' is defined as a practice that seeks "insight into the ...
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Biopsychosocial Model
Biopsychosocial models are a class of trans-disciplinary models which look at the interconnection between biology, psychology, and socio-environmental factors. These models specifically examine how these aspects play a role in topics ranging from human development, to health and disease, to information processing, and to conflict. The term was first used to describe a model advocated by George L. Engel in 1977. It now also refers to any model which takes a similar approach, and has become an alternative to the biomedical and/or psychological dominance of many health care systems. History George L. Engel and Jon Romano of the University of Rochester in 1977, are widely credited with being the first to propose a biopsychosocial model. However, it had been proposed 100 years earlier and by others. Engel struggled with the then-prevailing biomedical approach to medicine as he strove for a more holistic approach by recognizing that each patient has their own thoughts, feelings, and ...
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Gate Control Theory
The gate control theory of pain asserts that non-painful input closes the nerve "gates" to painful input, which prevents pain sensation from traveling to the central nervous system. The gate control theory of pain describes how non-painful sensations can override and reduce painful sensations. A painful, nociceptive stimulus stimulates primary afferent fibers and travels to the brain via transmission cells. Increasing activity of the transmission cells results in increased perceived pain. Conversely, decreasing activity of transmission cells reduces perceived pain. In the gate control theory, a closed "gate" describes when input to transmission cells is blocked, therefore reducing the sensation of pain. An open “gate” describes when input to transmission cells is permitted, therefore allowing the sensation of pain. First proposed in 1965 by Ronald Melzack and Patrick Wall, the theory offers a physiological explanation for the previously observed effect of psychology on pain perc ...
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Pain
Pain is a distressing feeling often caused by intense or damaging stimuli. The International Association for the Study of Pain defines pain as "an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage." In medical diagnosis, pain is regarded as a symptom of an underlying condition. Pain motivates the individual to withdraw from damaging situations, to protect a damaged body part while it heals, and to avoid similar experiences in the future. Most pain resolves once the noxious stimulus is removed and the body has healed, but it may persist despite removal of the stimulus and apparent healing of the body. Sometimes pain arises in the absence of any detectable stimulus, damage or disease. Pain is the most common reason for physician consultation in most developed countries. It is a major symptom in many medical conditions, and can interfere with a person's quality of life and general functioning. Simple ...
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Karuṇā
' () is generally translated as compassion or mercy and sometimes as self-compassion or spiritual longing. It is a significant spiritual concept in the Indic religions of Hinduism, Buddhism, Sikhism, and Jainism. Buddhism is important in all schools of Buddhism. For Theravada Buddhists, dwelling in is a means for attaining a happy present life and heavenly rebirth. For Mahāyāna Buddhists, is a co-requisite for becoming a Bodhisattva. Theravada Buddhism In Theravāda Buddhism, is one of the four "divine abodes" ('' brahmavihāra''), along with loving kindness (Pāli: '' mettā''), sympathetic joy (''mudita'') and equanimity ('' upekkha''). In the Pali canon, Gautama Buddha recommends cultivating these four virtuous mental states to both householders and monastics. When one develops these four states, Buddha counsels radiating them in all directions, as in the following stock canonical phrase regarding : Such a practice purifies one's mind, avoids evil-induced conseq ...
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Imagination
Imagination is the production or simulation of novel objects, sensations, and ideas in the mind without any immediate input of the senses. Stefan Szczelkun characterises it as the forming of experiences in one's mind, which can be re-creations of past experiences, such as vivid memories with imagined changes, or completely invented and possibly fantastic scenes. Imagination helps make knowledge applicable in solving problems and is fundamental to integrating experience and the learning process.Norman 2000 pp. 1-2Brian Sutton-Smith 1988, p. 22 Kieran Egan 1992, pp. 50 As an approach to build theory, it is called "disciplined imagination". A basic training for imagination is listening to storytelling (narrative), in which the exactness of the chosen words is the fundamental factor to "evoke worlds". One view of imagination links it with cognition, seeing imagination as a cognitive process used in mental functioning. It is increasingly used - in the form of visual imagery - by clin ...
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Brahmavihara
The ''brahmavihārās'' (sublime attitudes, lit. "abodes of brahma") are a series of four Buddhism, Buddhist virtues and the meditation practices made to cultivate them. They are also known as the four immeasurables (Sanskrit: अप्रमाण, ''apramāṇa'', Pali, Pāli: अप्पमञ्ञा, ''appamaññā'') or four infinite minds (Chinese language, Chinese: 四無量心). The ''Brahma-viharas'' are: # Mettā, loving-kindness or benevolence (maitrī/mettā) # Karuṇā, compassion (karuṇā) # Muditā, empathetic joy (muditā) # Upekkhā, equanimity (upekṣā/upekkhā) According to the ''Metta Sutta'', cultivation of the four immeasurables has the power to cause the practitioner to be reborn into a "Brahmā (Buddhism), Brahma realm" (Pāli: ''Brahmaloka''). Etymology and translations * Pāli: ''cattāri brahmavihārā'' * sa, चत्वारो ब्रह्मविहाराः (International Alphabet of Sanskrit Transliteration, IAST: ') * , (Wy ...
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Satipatthana Sutta
The Satipaṭṭhāna Sutta (Majjhima Nikaya 10: ''The Discourse on the Establishing of Mindfulness''), and the subsequently created Mahāsatipaṭṭhāna Sutta (Dīgha Nikāya 22: ''The Great Discourse on the Establishing of Mindfulness''), are two of the most celebrated and widely studied discourses in the Pāli Canon of Theravada Buddhism, acting as the foundation for contemporary ''vipassana'' meditational practice. The Pāli texts of the Satipaṭṭhāna Sutta and the Mahāsatipaṭṭhāna Sutta are largely similar in content; the main difference being a section about the Four Noble Truths (Catu Ariya Sacca) in the Observation of Phenomena (Dhammānupassana), which is greatly expanded in the Mahāsatipaṭṭhāna Sutta. These ''Sutra, sutta''s (discourses) stress the practice of sati (Buddhism), sati (mindfulness) "for the purification of beings, for the overcoming of sorrow and lamentation, for the extinguishing of suffering and grief, for walking on the path of truth, for ...
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Meditation
Meditation is a practice in which an individual uses a technique – such as mindfulness, or focusing the mind on a particular object, thought, or activity – to train attention and awareness, and achieve a mentally clear and emotionally calm and stable state. Meditation is practiced in numerous religious traditions. The earliest records of meditation (''dhyana'') are found in the Upanishads, and meditation plays a salient role in the contemplative repertoire of Jainism, Buddhism and Hinduism. Since the 19th century, Asian meditative techniques have spread to other cultures where they have also found application in non-spiritual contexts, such as business and health. Meditation may significantly reduce stress, anxiety, depression, and pain, and enhance peace, perception, self-concept, and well-being. Research is ongoing to better understand the effects of meditation on health (psychology, psychological, neurology, neurological, and cardiovascular) and other areas. Etymol ...
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Impermanence
Impermanence, also known as the philosophical problem of change, is a philosophical concept addressed in a variety of religions and philosophies. In Eastern philosophy it is notable for its role in the Buddhist three marks of existence. It is also an element of Hinduism. In Western philosophy it is most famously known through its first appearance in Greek philosophy in the writings of Heraclitus and in his doctrine of ''panta rhei'' (everything flows). In Western philosophy the concept is also referred to as '' ''becoming''. Indian religions The Pali word for impermanence, ''anicca'', is a compound word consisting of ''"a"'' meaning non-, and ''"nicca"'' meaning "constant, continuous, permanent". While 'nicca' is the concept of continuity and permanence, 'anicca' refers to its exact opposite; the absence of permanence and continuity. The term is synonymous with the Sanskrit term ''anitya'' (a + nitya). The concept of impermanence is prominent in Buddhism, and it is also foun ...
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