Integrative Health Coaching Training at DUKE: Module Three

Jon Seskevich

It’s been about three weeks since Module Three, which means it’s only a few weeks until the fourth and final module. Things are happening so fast that it’s hard to keep track of what happened during Module Three, what happened in the weeks since, and what’s happening in my own head from moment to moment. Off the top of my head:

Module Three was awesome, as the entire training has been. We learned more coaching skills—specifically, how to work with people who have psychological issues, and how to do “group coaching”—and we practiced those skills on each other. The always inspiring Tracy Gaudet (Director of Duke Integrative Medicine) gave us an update on what she’s been up to lately. In February, Dr. Gaudet presented at the “Summit on Integrative Medicine and the Health of the Public,” in Washington, DC, where she made the case for Integrative Health Coaching’s place in the future of Integrative Medicine. Dr. Evangeline Lausier gave a fascinating presentation on “nutritional supplements and botanicals.” Janet Shaffer taught us all about acupuncture and oriental medicine, and Dr. Jeff Brantley (Director the Mindfulness Based Stress Reduction Program) did another wonderful session with us.

Of all the presenters—all of whom were very impressive—I was particularly impressed with Jon Seskevich, a nurse clinician at Duke Medicine who teaches stress and pain management skills to patients, most of whom are dealing with very challenging health conditions. Jon just blew me away with his gentle nature, his radiant kindness and his boundless compassion for others. He taught me a meditation technique that I used the very next day in the midst of difficult situation—and it was incredibly helpful.

We also met with some folks who graduated from the inaugural training (ours is only the second cohort to move through the training) to discuss setting up a professional association for Integrative Health Coaching. The staff at Duke is very supportive and we anticipate a future website where our community can come together and raise the field to new levels of awesomeness.

Speaking of new websites, Duke Integrative Medicine’s has a great new look, and my own website (Integral Health Resources.com) is shaping up rather nicely, if I do say so myself.

What more can I say. It’s all very exciting, and I look forward to Module Four, graduation, and then bringing all this into the world somehow (I’m still figuring that one out!).

Boo-ya!

Anything plus ignorance equals crap

religulous

So I watched Bill Maher’s “Religulous” movie the other day and, for the most part, I had the typical “non-believer” response—a general feeling of smug superiority coupled with a diminished sense of hope for the human race. Of course, Maher presents mostly the kookiest nut-jobs he could find (which unfortunately includes Arkansas Senator Mark Pryor), sidestepping the undeniable fact that there are many, many highly intelligent religious people who hold nuanced beliefs that are not so easy to dismiss. I know several people who are smarter and more sensitive than I am who are down with Jesus, so that right there takes the stance “religious people are morons” right off the table.

I get Maher’s main point though, and I agree with it: People believe some crazy shit! But ignorance and stupidity are hardly limited to religious beliefs. How about politics? And yes, even science! We all pay attention to certain things and ignore other things, depending on cultural conditioning, unconscious processes, choices, and whatever other random shit. “Paying” attention is an apt metaphor too, because there are multiple vendors competing to make a sale, and we’re always buying what someone is selling. Critical thinking skills and self-awareness are a couple of the tools we use to make sense out of what we’ve paid attention to, fashioning the whole ball of wax into what we believe. Whatever we are unaware or ignorant of won’t be included in our belief system, and the less that’s included, the more distorted the belief system.

Most of the yahoos interviewed by Maher were ignorant of the basic content and history of their own religions. A lot of them seemed dimwitted to boot. They had whacky religious views, sure, but I bet their understanding of politics and science is a little off too. So, it’s not religion per se that’s problematic. The problem, as I see it, is that ignorance and dimwittedness are and always have been part and parcel of human societies. This cluelessness is encouraged and exploited by multiple institutions, including religions, governments, and even scientific research departments at universities. We always hear that religion and politics are all about money and power, but few want to acknowledge just how “ridiculous” science can be, and is, when corrupted by those same dark forces.

It’s fashionable these days to pit science against religion, as if the former represented objective truth and the latter blind faith. This is off the mark, as far as I’m concerned. Take psychiatry, for instance. You see all these authoritative figures in hospitals and universities, dressed up in white coats sometimes, preaching from their “Bible” of mental disorders, The Diagnostic and Statistical Manual (DSM). All these “leading scientists” from the “leading institutions” releasing their latest studies showing how our personal problems—like anxiety, depression, bipolar disorder, substance abuse, our inattentive children—are essentially matters of faulty brain chemistry or bad genes. They show us the brain scans to prove it, and assure us that the latest drug treatment has been shown to be effective. Scientific and objective, right? Yet this article in The Washington Post leads off with: “Every psychiatric expert involved in writing the standard diagnostic criteria for disorders such as depression and schizophrenia has had financial ties to drug companies that sell medications for those illnesses”. Gee, I wonder if that set-up distorts the scientific process any?

Now, I’m not saying that science is a religion or any crap like that. I’m just saying that science plus ignorance equals bad science, just as religion plus ignorance equals bad religion. In my personal experience, most of what passes for religion in our society is bad religion. As a naturally curious and philosophically inclined person, I’ve engaged hundreds of people in dialogues about their religious beliefs. My general conclusion is that most people believe what they do simply because some authority figure told them it was so. No critical thinking, no compelling reasons, no real dialogue possible. Whatever. People believe whatever keeps them most comfortable, it seems. The believer’s anxiety is assuaged and the preacher’s car has heated leather seats. It’s a win – win.

Unfortunately, the “science” of psychiatry is sliding into the same pile of horse-poop. For instance, “Say it ain’t so Joe” Biden introduced the “Recognizing Addiction as a Disease Act of 2007,” in which he declared “addiction is a chronic, relapsing brain disease.” The National Institute on Drug Abuse, the National Institute on Alcohol, and Twelve Step groups all over the country already endorse the same general disease model, so it must be true, right? Well, Stanton Peele, for one, doesn’t think so, and neither do I. The notion that chemical imbalances or “brain diseases” cause psychological problems takes a partial truth (namely, that all subjective experience correlates with some pattern of neurological/biological activity), ignores several other partial truths (like that life experiences can and do shape the structure and function of the brain), and arrives at a badly distorted conclusion that keeps drug companies rolling in dough, certain researchers rolling in grant money, and the rest of us blissfully ignorant as we hand over the reins of our health and happiness to authority figures. Sound familiar?

End of rant.

Integrative Health Coaching Training at DUKE: Module Two

Wheel of Health

Another four days of intense training at Duke Integrative Medicine have come and gone. Two modules down, two to go, and I’m feeling very good about the whole process. It was great to see everyone again, especially the other trainees. There was at least as much richness and learning happening during break times and lunch as there was during the training sessions. We were also given a block of program time to network in small groups of folks with similar interests and target populations. Most of the trainees intend to apply this training to their current job settings—places like hospitals, health care centers, schools, fitness centers, yoga studios, etc. My group was composed of the six or seven of us who are looking to start our own businesses/private practices. I know next to nothing about the ins and outs of business, marketing, insurance, taxes and that whole ball of wax, so it was very helpful for me to get the others’ perspectives. I’m pretty sure the trainers plan to cover some of the basics in a future module, but this initial brainstorming session was great. One of my big insights so far is that I don’t have to make everything happen on my own. The sense of community is really powerful at these trainings, and it’s changing the way I understand the idea of what a career can be.

We covered several topics related to Integrative Health in this module: nutrition, exercise, weight loss management, and the importance of one’s physical environment. Mindfulness is always emphasized, which I love. The chef—who’s been serving us fantastic gourmet meals everyday—put on a cooking class and we also practiced with some mindful eating. As always, the trainers gave us a ton of information—very well organized and with references to the supporting research—and the presenters were each experts in their respective fields who are affiliated with Duke Medicine.

Of course, we also spent many hours on coaching practice, breaking up into dyads or triads while the trainers floated around and offered feedback. The trainers also did several coaching demos to model specific skills and illustrate coaching concepts.

At the end, as in Module One, we were divided into groups of three, members of which will be practicing together via weekly conference calls during the month or so leading into Module Three. I’m looking forward to the calls, to the next module, to the networking with new friends and associates, and to working on my business plan and website.

Give ’em hell, Chuck

So I’m flipping through the channels (all fifteen of them) this morning and—in between spoonfuls of frosted mini-wheats—I catch a few minutes of televangelism. I watched about five minutes of Andrew Wommack, two or three minutes of Kenneth Copeland, and took in a few “Hallelujahs” from some local black churches. I’m struck by a few things. First, about half of the channels here in Carrboro, NC run televangelism programs every morning. The ratings must justify this. Second, the things these preachers say strike me as flagrantly irrational, if not insane. I mean this sincerely. As a counselor in a psychiatric hospital, I’ve listened to many impassioned—yet delusional—rants, and the stuff I saw this morning is cut right from the same cloth. Sorry, but I can’t offer any qualifications to this, like “In my opinion” or “From my perspective.” Some things are just plainly nuts.

And yet Kenneth Copeland, for example, is not tucked away in some psychiatric facility, but rather is revered by tens of thousands of people, lives in a mansion, drives a Rolls Royce, and has a fleet of private jets. And he gets tax-exempt status from the United States Government. How can this be?

I was happy to see that Iowa Senator Charles Grassley is looking to hold Copeland accountable for some dubious financial dealings. This is the same Senator Grassley that has been exposing the unholy marriage between academic psychiatry and the pharmaceutical industry.

Give ’em hell, Chuck!

No kidding

Babies crying

Don’t get me wrong—I love kids. In fact, if I’m at a family gathering, I spend far more time playing with the kids than I do schmoozing with the adults. I gotta say though, I’m finding that the mere fact that I’ve chosen to be childless (at least for now) tends to push peoples’ buttons. And then, of course, my buttons get pushed and we’re on like Donkey Kong. Having kids seems to be at the very heart of many peoples’ value systems, and thus my very existence can make some uneasy. It’s kinda like being a non-believer surrounded by religious people (also true in my case, but that’s another story).

It seems to me that—among well-educated secular/moderate types at least—parenting is simply a lifestyle choice. My friends and relatives who have kids made a conscious decision to have them, presumably because they wanted to be parents. And I don’t have kids because I don’t want to spend my time parenting. It’s as simple as that. Yet, when I’m asked why I don’t want kids, this simple answer doesn’t usually suffice. The thing that really burns my ass (or frosts my balls, depending on the weather) is when one of these baby-mommas or papas says or implies that my decision to be childless somehow reflects selfishness or self-centeredness on my part. Seriously, if I hear this from one more father out there I just might kick his baby-makers up through his eye-sockets.

I may decide tomorrow or next year that I do indeed want to be a Daddy, but a sudden conversion to selflessness wouldn’t have a damn thing to do with it. Just who do we have kids for? It can’t be for the kid, because he or she doesn’t exist yet. If selflessness is the ideal, then why not focus your time and energy on the suffering people already on the planet, at least on the little ones. Oh wait, I know…. Because they’re not your people, your little ones. They’re not part of you, in other words. Who’s selfish now! Who the hell am I talking to?

What got me going on all this is my place of work, an office at the local university. Most of my coworkers have kids, so there’s an atmosphere of acceptance and understanding when it comes to taking time off for the “sake of the children.” And boy oh boy do people take advantage of this little perk. I cannot recall a single week in the four months I’ve been here when one or more of my office-mates didn’t spend significant chunks of their forty “work” hours either at home or on several-hour-long lunch breaks, ostensibly tending to the needs of their children. Coincidentally, Fridays and Mondays seem to be the days the kids catch those pesky viruses. Now, I have no doubt that parenthood is demanding, and that kids really do get sick, even on Fridays and Mondays. There can be little doubt, however, that folks here are playing the kid card in some questionable situations. Hell, if I could use this no-questions-asked ticket to time off whenever I felt like it, it would be mighty tempting to cash in on those painful mornings following a crappy night’s sleep, or when I needed to get my car fixed or go to the post office.

So, if having kids is a matter of how a person chooses to live his or her life, then why am I getting screwed out of all this work-time flexibility? “I’ve had a song forming in my head all night, boss. I need to stay home today and get some basic tracks recorded.” I guess somebody has to be here to do the work while the mothers are mothering and the fathers fathering. “You’ll understand when you have kids of your own” is what they tell me. It’s always “when” and not “if.” I think I understand pretty well, though. Sharing a value system is really important to people. It’s important to me, too. Lately, I’m trying to focus more on the common ground I share with people, and it’s nice to feel connected.

But I still wouldn’t mind an occasional Friday off to take care of what matters most to me: [Deleted expletive]

Resveratrol piece on 60 Minutes

I’ve been drinking Pinot Noir (in moderation) and curious about this resveratrol deal for a while now, but I found this 60 Minutes report to be really lame. Morley Safer’s tough questions: “So, what you’re saying is someone who is 70 will look and feel like they’re 35?” and “Maybe someday we can forget dieting and exercise and just take this one pill?”

Gimme a break, Morley. How about some obvious questions, like: “If a glass or two of wine shows benefits in humans, then why pump several thousand times that resveratrol concentration into the blood stream?” or “What’s the difference between the resveratrol concentration in grapes or grape juice compared to wine?”

How about interviewing someone who’s skeptical about the issue, or at least some scientists who are not tied to this one biotech company. The piece sounded like an infomercial at times, like these young scientists were making a pitch to investors rather than sharing objective information.

I’ll keep drinking my Pinot Noir—it’s yummy, enjoyable, and makes my tongue purple—but this news piece just reminded me how toothless the mainstream media is and how utterly contaminated the scientific process becomes when big money gets involved.

The Boy with the Incredible Brain

I watched this documentary this morning and it really blew my mind. From Google Video:

This is the breathtaking story of Daniel Tammet. A twenty-something with extraordinary mental abilities, Daniel is one of the world’s few savants. He can do calculations to 100 decimal places in his head, and learn a language in a week. This documentary follows Daniel as he travels to America to meet the scientists who are convinced he may hold the key to unlocking similar abilities in everyone. He also meets the world’s most famous savant, the man who inspired Dustin Hoffman’s character in the Oscar winning film ‘Rain Man’. (2005)

Thanks to Mind Hacks for the heads-up.