Becoming a Mindful Clinician(in three easy steps)

Denise Hess Mdiv, BCC-HPCCProvidence Little Company of Mary

Medical Center TorranceMay 20, 2014

Context

OtherSelf

MindfulnessAttention to and awareness of what is occurring in the present moment in:

with a stance of open, non-judgmental curiosity

Guided Meditation

How old were you?

Where were you?

Who were you trying to help?

What happened?

Stories of helping

Curing Healing

EradicateEliminateFix what is broken

Live withGrowthDraw upon inner resources

Goal: Survival Return to previous state

Goal: AdaptationAcceptance of change

Role:Depends on expert with skillsEvidence-based

Role:Depends on relationshipEmpathy based

Doing for Being with

Two Paradigms

Suffering

“The specific distress that occurs when persons feel their

intactness or integrity as persons

threatened or disintegrating…”

Cassell

Dis-order

Dis-ease

Dis-integration

“Nothing is either good or bad

but thinking makes it so”

Hamlet

“What makes you so sure?”

Anniversary at the

Sub-Acute“What’s

your secret?”

Stories of Suffering

Suffering is neither good nor bad.

Suffering just is.

Rate yourself

0% 100%

“An anguish experienced as a

threat to our composure and

integrity” Rushton

Dis-ruption

Dis-integratio

n

Dys-function

Clinician Suffering

??

?

Stories of Post Traumatic Growth

“It isn’t what happens to us that causes us to suffer; it’s what we say to ourselves about what happens.”

–Pema Chodron

Rate yourself

0% 100%

Self-Care Mindfulness

Rest, relaxation, exercise, relationships, meaning-making

Attention, awareness, compassion, presence, empathy

Goal: RefuelRechargeRenew

Goal: OpenCuriousNon--judgmental

Role:A way of doing for

Role:A way of being with what is

Coming up for air Learning to breathe underwater

Two Paradigms

Self-Compassion meditation