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THE MIND-BODY CONNECTION: MINDHealing at the psychological and spiritual levels

Rob Rutledge MD FRCPC

Mind-Body-Spirit Connection

MAIN POINTS
Healing occurs in body-mind-spirit Take care of yourself Use what works for you Listen to your inner wisdom Peace with the process
Mind-Body-Spirit Connection

CAN YOUR BODY AFFECT YOUR MIND?

Mind-Body-Spirit Connection

STRESS AND EXERCISE


Very effective stress-buster Burns off sugars and fats Strengthens heart, lung and bone More energy, better sleep Improves quality of life 3 times a week for 30min

Mind-Body-Spirit Connection

EXERCISE RESEARCH
Randomized trials
Prostate cancer patients on hormones 3 Workouts / week for 3 months Improved fatigue and quality of life Postmenopausal breast cancer women Met 3/week for 15 weeks Better lung capacity and quality of life
Mind-Body-Spirit Connection

Randomized Controlled Trial of Yoga for Symptom Management During Breast Cancer Treatment
A Moadel et al, AECM, Bronx NY presented at ASCO

60 women with breast cancer Randomized to 12 weekly sessions of yogic stretching, breathing, and meditation versus standard care Yoga improved social well being
Relationships, support, emotions

Less fatigue, better functioning


Mind-Body-Spirit Connection

CAN YOUR MIND AFFECT YOUR BODY?

Mind-Body-Spirit Connection

NEUROPSYCHOIMMUNOLOGY
Physical transaction Neurons release chemicals and hormones which affect your body Emotions are from chemicals affects how the brain works Same area of brain active real vs imagined Remembered wellness Our thoughts affect our body
Mind-Body-Spirit Connection

THE PLACEBO EFFECT


Sugar pill Decreases pain 30% of time Wisdom teeth extraction - 30% improved with mock ultrasound Helps many conditions - arthritis, angina, skin conditions, etc.
Mind-Body-Spirit Connection

THE NOCEBO EFFECT


Belief in negative effects can cause those effects Voodoo spell Placebo side effects - drowsiness, headache, nausea, constipation. Pseudopregnancy Worsening of asthma
Mind-Body-Spirit Connection

MEDITATION
Exercise in awareness and concentration Deep relaxation Brain waves change over time Improves longevity, quality of life, pain, intelligence, anxiety

Mind-Body-Spirit Connection

The effect of mindfulness meditation and stress reduction on mood and symptoms of stress in cancer patients
Speca et al, Psychosom med 2000

Randomized trial of 90 people with cancer Seven weekly meditation group meeting Overall reduction in total mood disturbance: 65% in meditation group vs. 31% in controls Less depression, anxiety, anger, confusion, and more vigor Less symptoms of stress
Mind-Body-Spirit Connection

Alterations in brain and immune function produced by meditation


Davidson et al. Psychosom Med July 2003

Randomized trial n=41 healthy employees Weekly program mindfulness meditation EEG before, after and four months later Increased activity in left prefontal lobe that persists at least four months after practise More able to produce antibodies in response to flu vaccine.
Mind-Body-Spirit Connection

OTHER SCIENTIFIC PROOF OF MIND AFFECTING BODY


Imagery improves nausea, pain, weight gain Enhances immunity in older people Hypnosis helps with fish-skin disease, bleeding in hemophiliacs, blood sugar in diabetics, allergic reactions, warts.
Mind-Body-Spirit Connection

CAN THE MIND AFFECT CANCER SURVIVAL?


The mind-body connection and the immune system Animals: stress leads to cancer Support groups improve longevity? Degree of self-help improves survival duration
Mind-Body-Spirit Connection

Can lifestyle changes reverse prostate cancer


Dr. Dean Ornish, UCLA 87 men with early prostate cancer All men were on observation Experimental arm: stress management, lowfat vegan diet with antioxidants, moderate exercise, and psychosocial group support PSA every 3 months for 1 year
Mind-Body-Spirit Connection

Can lifestyle changes reverse prostate cancer


Experimental arm - PSA down 3% at 1 year and none needed treatment Control - PSA up 7%, 7 needed Rx Control group followed diet 75% as well as experimental group yet PSA increased 2nd experiment : Blood from men inhibited prostate cancer cell growth in test tubes in 67% in experimental group vs 12%. Greater adherence to program inhibited prostate cancer cells more Mind-Body-Spirit Connection

BEYOND THE MIND-BODY MIND-

Mind-Body-Spirit Connection

FAITH AND SPIRITUALITY


Maximizes relaxation response bypass unhealthy worries Cancer patients have better health associated with faith in 7 of 8 studies Laying of hands Letting go
Mind-Body-Spirit Connection

PRAYER AND MENTAL HEALING


Effects on cellular and biological systems Enzyme activity, bacteria, plants, small mammals Human targets - eye movements, muscles, electrodermal, brain rhythms At a distance, even when subject unaware Prayer for heart patients may work
Mind-Body-Spirit Connection

ADVICE ON HOW TO LIVE


Use what works for you A peaceful process is crucial Our motivation is critical

Mind-Body-Spirit Connection

HOW TO TAP INTO YOUR INNER WISDOM


Feeling, intuition or in body Watch your thoughts and moods Write down your dreams Write a journal Use art to express unconscious Watch for signs / circumstances
Mind-Body-Spirit Connection

WHO AM I ?
Body Mind Spirit

Mind-Body-Spirit Connection

WHAT TO DO - BODY
LISTEN to your body Eat well Exercise Get lots of sleep Love Yourself
Mind-Body-Spirit Connection

WHAT TO DO - MIND
Find balance and hold the tension Learn - Read - Research Relaxation techniques -de-stress See a therapist Do what you love Love Yourself Serve others
Mind-Body-Spirit Connection

WHAT TO DO - SPIRIT
Listen to your inner wisdom Pray - visualize Meditate / contemplate Seek spiritual counsel Let go Love Yourself Serve the greater good
Mind-Body-Spirit Connection

QUESTIONS???

Mind-Body-Spirit Connection

THE RELAXATION RESPONSE


Breathe into your belly Think of a time when you were safe and happy Physiological response

Mind-Body-Spirit Connection