Tag Archives: Opinion

Mindfulness therapy for mental health problems? ‘It’s more useful than drugs’

Well now, I have had the drugs and they worked for a while, but they don’t permanently fix the problem. 

Personally I have tried everything from self-hypnosis to mediation and these techniques work for a while,  but the effectiveness tends to be temporary. Having said that, anything that works even for a while has got to help .

 

Powered by Guardian.co.ukThis article titled “Mindfulness therapy for mental health problems? ‘It’s more useful than drugs'” was written by Sarah Marsh and Guardian readers, for theguardian.com on Wednesday 18th May 2016 08.30 UTC

Many people, in an attempt to de-stress, have tried some form of mindfulness – the practice of sitting still and focusing on your breathing and thoughts. But does it work? And in what circumstances?

A new study has raised hope for its use in treating mental health problems. The biggest review of the practice by researchers at Oxford University found that mindfulness-based cognitive therapy (MBCT) could help to combat depression as effectively as drugs.

The University of Oxford’s department of psychiatry, the Oxford Mindfulness Centre, also released research last year that found the MBCT course reduced the risk of relapse into depression by 44%. It adds to emerging evidence showing its effectiveness for treating generalised anxiety disorder and other mental health conditions.

As part of mental health awareness week, the Guardian posted a callout asking for those with mental health concerns to share their views on the effect of mindfulness on their wellbeing. More than 200 people responded.

Gina Rose, 51, from Basingstoke, who attended an MBCT course through the NHS, replied, saying that she used to get completely overwhelmed by her thoughts, succumbing to fear and depression caused by a childhood trauma. “Mindfulness didn’t take away these feelings completely, but it made them not overwhelming,” she says. “Over time, as I saw thoughts arise I acknowledged them and worked on self-compassion for having them in the first place. All this meant was that I didn’t end up feeling like death whenever depression came knocking.”

Kyle, 56, from London, was introduced to mindfulness in 1991 by his therapist, during a period of anxiety and depression. “It had a surprisingly rapid effect on me, and then levelled out to a steadier climb. If you’ve been breathing badly, with anxiety, you’re causing adrenaline to course through your nervous system, creating a mind-breath-panic feedback loop. This escalates to the point where it is enervating and exhausting. The gain from slowing down and being conscious of your breath was almost immediate.” Once this was achieved, Kyle could explore the reasons for his anxiety.

Mike, 56, from London, was recommended mindfulness meditation by a counsellor to help deal with a generalised anxiety disorder, and found it more effective than antidepressants. “It won’t work for everyone, no doubt, but I have anxiety that isn’t very severe. It certainly makes sense that spending 10 minutes a day relaxing and focusing on your thoughts, feelings and sensations would help you feel more present. I found it more useful than the selective serotonin reuptake inhibitors (SSRIs) I was prescribed by the NHS, in any case.”

Not everyone had such positive experiences. Tom, 42, from Lancashire tried dance-based mindfulness through the NHS, and also experimented with breathing techniques. “My mind always slipped back to listening to the music, and the lyrics. Breathing exercises make me more anxious … I seem to be unable to meditate. My mind is very busy, and I just end up thinking about how I should be meditating, with all sorts of other thoughts whizzing by as well.”

Tom feels that when mindfulness fails, the blame is often placed on the person who is practising it. “‘Don’t you want to change?’ That’s what I kept on being asked. Of course I do, but I know where my mental health issues come from. I have been through some very traumatic experiences, and I need to tackle them.”

For some, mindfulness not only doesn’t work, it also may make the problem worse, an issue raised by psychologists Miguel Farias and Catherine Wikholm in their book, The Buddha Pill: Can Meditation Change You?, which argues that we need to look into the “dark side” of mindfulness.

Huck, 54, says that with practice, the mind is freed of both positive and negative thought patterns. This can allow problems to be put into a broader context.

But, he adds, the vastness of the mind can have a depressing effect on some. “This is because when we slow our thoughts down, they may play out in a more detailed and specific way. This can be useful with positive thoughts, but it can be damaging when we are in a depressed mood. The tone can become self-destructive and a sense of hopelessness may emerge.”

Helena, 52, from Ireland, says that if someone claims that it makes them feel worse, they shouldn’t be told by their psychiatrist to persist. “This happened to me. Also, I was made me feel that if I wasn’t feeling better, it was my own fault for not sticking with it. Ironically, I believe mindfulness should be started when a person is well. Or at least well enough to endure some psychic discomfort.”

Some also wonder whether mindfulness is more effective for certain mental health issues. Ian, 40, from Nottingham says: “I’d recommend it to recovering and recovered people to maintain good times and as a coping strategy but people have to be quite stable, mentally strong and with other forms of support in place. It’s not for people in acute states, in crisis, going through major stresses or in severe depression.”

Annemarije, 18, from Derby, who has tried mindfulness through the NHS as part of CBT, says: “It can help with neuroses like anxiety, depression and maybe obsessive compulsive disorder, but it might be tricky to apply to people who suffer from illnesses that feature psychosis. If my dad (a bipolar-schizophrenic) can’t be bothered to take his pills now and then, I’m not sure if he’d be up for sitting down and practising mindfulness.”

Despite the fact that some struggled with mindfulness (or it simply didn’t help with their issues), the overall message was that if you are given proper support then you have a higher chance of finding mindfulness beneficial.

Many of those who replied to us stress that a good teacher is essential, something noted in this year’s mindfulness all-party parliamentary group’s interim report, Mindful Nation UK.

Tracey, 46, from Bromley says: “The UK guidelines for mindfulness teachers requires rigorous and committed training. If the teacher doesn’t adhere to these guidelines then mindfulness in mental health will not be effective.”

There was also a general consensus that you should approach mindfulness as a tool for recovery but not see it as a cure-all. Dr Sarah Maynard, 33, from Tunbridge Wells, says: “The difficulty comes when people think it is a panacea. As with any therapeutic approach it is not right for everyone, and not right for people in the midst of significant problems … Mindfulness is not something we can simply ‘plug into’ to fix ourselves, it’s a fundamentally different way of approaching our difficulties and our lives, and is a practice that takes time to develop. Eight-week courses run by appropriately trained providers are the perfect opportunity to develop understanding and practise this approach.”

Jeannie Mackenzie, 65, from Scotland, describes it as a significant aid in her toolbox, which can “help us stay well, along with good food, exercise and connection with others”. For others, it can also be used alongside medication or other forms of therapy.

The most important thing, though, as pointed out by nearly all respondents, is to follow what feels right for you. Craig, 46, from London, says: “There is no doubt in my mind that mindfulness can be a powerful tool for dealing with personal issues and managing stress, but it’s only one of many techniques and strategies for coping. A walk in nature, time with friends, a gentle run or reading a good book can achieve very similar results … People need to adopt a strategy that best suits their personality and the issues they face, which calls for a certain amount of trial and error.”

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Two tribes go to war and neither the red nor the blue chief is safe

An interesting perspective.


Powered by Guardian.co.ukThis article titled “Two tribes go to war and neither the red nor the blue chief is safe” was written by Andrew Rawnsley, for The Observer on Sunday 27th March 2016 05.04 UTC

Napoleon wanted generals who were lucky. Napoleon would have liked David Cameron. He became Tory leader when Tony Blair’s electoral magic had faded and his days were numbered. Lucky Dave then fought the 2010 election against a Labour party that had been in government for 13 years and was showing its age.

His rival for the premiership had presided over the most severe economic crisis since the 1930s and, on his own account, Gordon Brown was not a politician suited for the television age. When Mr Cameron failed to parlay those advantages into a parliamentary majority, he borrowed one from the Lib Dems, who did sterling service sustaining him for five years while destroying their electoral base in the process.

He gambled the United Kingdom with a referendum on Scottish independence. Labour did the heavy lifting to keep the UK intact and its reward was to be toxified as Tory collaborators in the eyes of many Scots. The devastation this wreaked on Labour support north of the border played to his advantage at the 2015 election by allowing the Tories to scare English voters with the thought that a Miliband government would be a marionette of the Nationalists. Lady Luck also smiled on him when the pollsters, by calling the election wrong, helped smooth his path back to No 10.

I don’t put all this down to blind chance. That would be to underestimate Mr Cameron. He would not be approaching his sixth anniversary at No 10 were he not highly skilled at exploiting the opportunities that time, chance and opponents have presented to him. Like all successful leaders, he has made the most of his good fortune.

The trouble with luck is that she eventually runs out. She seemed to be bidding farewell to this prime minister last weekend. He had been hit with the most dramatic and damaging resignation of his premiership when Iain Duncan Smith quit the cabinet in a fit of vitriolic vapours. By Monday, the budget was unravelling faster than you can say fiasco and George Osborne had gone into hiding. Mr Cameron had to face the Commons that afternoon. This should have been a horrible experience for him.

Yet still he was in luck. Good fortune smiled on him in the bearded guise of his main inquisitor. His prayers for relief had been granted by St Jeremy, the patron saint of prime ministers in peril. Presented with a priceless opportunity to skewer the prime minister and take apart his claims to lead a one-nation government, Mr Corbyn decided the most effective approach was not to mention the self-defenestration of IDS and his excoriating attack on the cabinet which he had just left.

The Labour leader did not, as some have had it, kick the ball over the bar. He didn’t even try to connect his foot with the ball. I am still trying to fathom why not. Had no one told him that a significant element of the job description of leader of the opposition is to, well, to oppose? Was he too preoccupied drawing up lists of suspected traitors among Labour MPs to prepare for this important engagement at the dispatch box? Was he too busy tending to his allotment and nurturing his marrows to have watched any news? Maybe I am over-thinking this. Maybe he is just hopeless.

If that performance had Labour people looking on in stunned disbelief, there was worse to come two days later at prime minister’s questions. By then, Mr Corbyn had managed to find out that a member of the cabinet had resigned. But it was too late. Bringing it up 4 8 hours on only served to remind everyone that he had failed to stick the ball in the net two days earlier. On top of which, someone on his team carelessly lost a list which divided Labour MPs into five categories of loyalty and opposition to the great helmsman of Islington. The list fell ino enemy hands. So we all now know that his chief whip is designated “hostile” and so is Labour’s candidate to be mayor of London. “Core group negative” includes Ed Miliband and Alan Johnson, the leader of the Labour In campaign.

The Tory leader used the exposure of the list to crush the man opposite. “I thought I had problems,” he jeered after saying they could put him down as “core support” for Mr Corbyn remaining as Labour leader. A half hour that ought to have been torture for the prime minister turned into a humiliation for his opponent.

The most devoted of Mr Corbyn’s followers will say that this mockery shows that the Tories are frightened of the Labour leader. Let me try to break this as gently as I can. The Tories really, really are not scared of Mr Corbyn. Most Tories are more likely to lose sleep worrying about whether they put out the cat than they are about the Labour leader. For reasons I will describe in a moment, the Conservatives would be better served, and so would the country, if they were a bit more frightened of Labour. The other thing people will say is that parliamentary knockabout excites only people who live in the “Westminster bubble”. No one “in the real world” cares about this meaningless theatre.

I agree that it is theatre, but it is far from meaningless. Parliament still matters for holding the prime minister to account. It matters more under this prime minister because he rarely deigns to grant substantial interviews with heavyweight media interrogators and only holds news conferences when he has absolutely no choice. The prospect of being tested by the leader of the opposition should, at the very least, make a prime minister nervous. It should keep him on his toes. Since he started facing Mr Corbyn, Mr Cameron clearly finds PMQs so effortless that the ease with which he cruises through them must embarrass even him. It also matters because how the party leaders perform in the Commons influences how the media rate and report on them and that plays its role in shaping public perceptions. It also has a significant impact on the morale of their parliamentary troops. At the end of that PMQs, you didn’t need any lists to tell you what Labour MPs thought about Jeremy Corbyn. It was written on their funereal faces. An encounter which should have united them in exploiting the government’s divisions and disarray turned into an occasion in which the Tories roared on their man as he ridiculed the Labour leader.

My first column of this year remarked that it is highly unusual for both major parties to be doing the splits at the same time. As this year grows older, things are getting even stranger. We now have a feedback loop in which the divisions in the Labour party feed those among the Tories and vice versa. Whatever their manifold and manifest differences, one thought unites nearly all Conservatives – that the next election is as good as won for them. This is encouraging Tories to think that they can behave however they like without fear of punishment at the ballot box.

The empty space where an effective opposition ought to be is an incitement for the government to be complacent, cocky and slapdash. That arrogance has consequences, as we saw with the budget. At the same time, absent an opposition that they fear, Tory discipline is breaking down. The prime minister’s internal opponents are emboldened to be more aggressive in their rebellions against the Tory leader. The language exchanged about Europe becomes more poisonous. It lessens the chances of putting the Conservative party back together again on the other side of the referendum.

In normal times, we’d expect this to have a positive effect on the opposition. The spectacle of Tories tearing into each other like a feral bunch of ferrets ought to be uniting Labour in a conviction that the next election is winnable for them. In these extraordinary times, Tory division has the opposite effect. It is not bringing Labour together; it is amplifying Labour’s internal turbulence. Labour MPs see a Tory party which is bitterly split and despair that their own leadership seems utterly incapable of profiting from the opportunity that it ought to present to them.

A few Labour MPs have broken cover and openly called for Jeremy Corbyn to resign. Many more talk privately of an attempt to oust him once the EU referendum is over. Whether this will come to anything, we will see, but I would caution Mr Corbyn not to place too much reliance on that list as a guide to the mood in his parliamentary party. It has Labour MPs down as neutral or friendly who are, to my knowledge, hostiles.

While talk of toppling their leader grows on the Labour side, regicide is also on the minds of a significant number of Tory MPs. Among them, there is much chatter that David Cameron will face a leadership challenge after the referendum, whether he wins it or not. It is possible that, before year’s end, there will have been attempts from within both the major parties to oust their leaders. What would once have seemed wildly improbable is now quite easily conceivable. The terra becomes yet more incognita.

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Iain Duncan Smith has revealed the empty truth of compassionate conservatism

I am convinced that IDS has some sort of personality disorder. The level of apparent  cognitive dissonance is a bit weird. But what do I know?


Powered by Guardian.co.ukThis article titled “Iain Duncan Smith has revealed the empty truth of compassionate conservatism” was written by Suzanne Moore, for theguardian.com on Monday 21st March 2016 11.14 UTC

Are we to accept that awful croaker, Iain Duncan Smith, as some new martyr in the fight against austerity? Clearly the man who lied extensively on his CV is still in the business of self–delusion. His sudden realisation that the government was bearing down on the weakest in society, those who were never going to vote Tory anyway, has woken him from his slumber. The rise in food banks, the huge rise in homelessness, the suicides of those being sanctioned, the disabled suffering because of bedroom tax, the end of EMA, the long and continuing attack on single parents, predominantly women and children – he was just fine with all that.

But this latest budget he finds a bit cruel. It’s a contextual thing, taking from the disabled to help people selling off second homes looks, I don’t know … biased? What has been so enjoyable about this weekend is watching the effect of IDS’s (In Deep Shit his mates call him) flesh wound on George Osborne. What a bleed out.

Osborne, the arch-strategist whose dream is to lock in the Tory vote for generations, has looked more and more detached lately. This is why he is everywhere in a hard hat and hi-vis jacket. These are the signifiers of growth, a growth that is not happening. He is playing dress up. The public instinctively know this.

His “skivers” rhetoric does not work so well when applied to people with MS, just as Jeremy Hunt’s demonising of junior doctors as money-grabbing militants does not tally with people’s actual experience. We go to hospitals. We see who works hard. Hunt and IDS are loathed and they use faith bizarrely as a counter to compassion instead of its partner. Duncan Smith’s universal credit has been unworkable and unravelling for some time. His conscience has been pricked by this failure as much as anything else.

Where, I wonder, does this leave the creed of Cameronism itself? For a while it has seemed little more than an extension of Thatcherism with some gay rights thrown in. This is we are told is “compassionate conservatism”. I once followed William Hague around America (a young Osborne was there too) as he was learning compassionate conservatism from people like George Bush and Henry Kissinger. One of its key tenets is decentralisation from the state alongside the idea that only markets can generate wealth and freedom.

Yet this is not what Osborne has done at all. He is centralising power like crazy. Why is he interfering in school days, taking power away from local authorities, ending parent governors? This is a power grab and increasingly it exposes the end of any compassion that may have existed within the party leadership. Austerity no longer makes sense even in terms of his own logic. This is an ideology of callousness. And it is brazen.

Cruelty as George Eliot said requires no motive outside itself. “It only requires opportunity.” This is the legacy of Cameron.

So I don’t buy IDS as the tin man who has finally found a heart – yet somehow the curtain has been pulled back on the Wizard Oz-borne. An illusionist whose tricks are hollow. Cameronism is equally exposed as a belief system with no vision beyond keeping the show on the road. We may indeed be back in Kansas.

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