The Treasure of Hopelessness

One of my patients feels stuck in her psychotherapy with me. After some gain a cycle of defeat repeats itself. She wants to get off her antidepressant. When she does, she slowly gets more overwhelmed, depressed and hopeless about her progress with me. Without telling me she then goes back on the medication, knowing that it never left her particularly content about her life, but still somewhat better than the strong feelings she has without it. Her sense that she is a hopeless case does not recede, but suddenly she reveals that she believes I also see her as a hopeless case. Although I would not put it in exactly those words, I acknowledge to her that I am at a loss with her. I don’t know how I can help her any further.

This would reasonably be the time to part company or refer her to somebody else. In fact, this is how she came to me after she experienced a similar fate with three therapists before me. The last one sent her to me ‘for mindfulness’. Whenever she goes to see someone new, she creates a fantasy about what this new person will contribute that nobody else before has. The fantasy is always about a new technique she has not yet been exposed to. With me it was ‘mindfulness’, and her attempts at meditating remained fruitless. She got to the point of feeling that she wanted to crawl out of her body and came to the conclusion that meditation is not for her.

Previous therapists and her family physician told her that this is as far as therapy can go, and that with regards to her depression she is like a diabetic, who requires Insulin. Obviously, they said, your brain does not produce enough of whatever neurotransmitters the clinician believes she needs and she will simply have to take the antidepressant for the rest of her life. The fact that she relapses every time she tries to get off it despite having been in psychotherapy, is obvious proof of that theory. Or is it?

So here we are, she and I, both agreeing that we are at a loss. She formulates it in terms of being a hopeless case, while I tell her that I cannot work with her as long as she makes decisions about her medications without asking me first. So she decides to get off it again, and the same cycle begins again. She becomes overwhelmed, feels she cannot cope, is sad and crying all the time, and there is nothing in our psychotherapy that is helping her. This time, she tells me about her wish to go back on medication, and whether I agree that it makes sense. She is afraid of losing her job and not being able to parent her two daughters properly.

I present her with a choice. I am not against medication, by the way. It has its rightful place in the treatment of psychiatric disorders. But medications are over-prescribed, robbing people of the possibility for profound brain rewiring and psychological growth. In addition, psychotherapists trained to access the unconscious more deeply than scratching the surface, are hard to come by. In her case, I am not convinced that there aren’t hidden psychodynamic issues that are very difficult to get at and require an unusual amount of perseverance. So I suggest a shift of view: That her state is not a problem, but an opportunity for deeper exploration. The choice is to go back on medication and essentially stop psychotherapy, since years of it have not gotten her beyond some initial gains she made, or stay in this state and see what happens. The problem, however, is that she has told me everything there is to tell me. On the surface there is no issue to work through anymore, and we both agree that we are at a loss. What is new for her and she did not know until the point of asking me, is that I feel I do not know how to help her any further. She feels like a hopeless case, and I feel helpless to help her any further. This now being consciously on the table, why am I not letting her go, finish the therapy and encourage her to go back on her medication? She can’t see the opportunity I spoke about.

I tell her that there is likely an important difference between the way she and many others have viewed her situation of hoplessness in the past, and the way I see it. Just because she feels there is no more hope for her, I said, and just because I feel unable to help her further at that moment, does not mean that we can not settle into this shared feeling of powerlessness together. In other words, I am not willing to accept that just because we both feel that is the end of it, we actually should part. I am not going to abandon her just because she appeares like a hopeless case. The whole situation of hope- and powerlessness on both our parts is as valuable a phenomenon constructed by both our psyches together in relationship as any other we have explored in the past. Why and how did we get to this point? Telling her that is a pivotal aha-moment for her. This is an utterly different and totally new shift for her.

She begins to tell me how she wants to leave people in her life, particularly her husband, when they disappoint her. She starts to realize how alone she has always felt in life, and that the core of her aloneness never had any place in any relationship. She begins to see a dynamics in her childhood relationships to her parents she never saw before, and she felt deeply understood by me as I did not abandon her in her worst moment of fear of abandonment. To protect herself from this terrible and unmanageable aloneness she could not make sense of, and which is largely outside of her consciousness, she unconsciously sets defense mechanisms in motion that sabotage intimacy and prevent painful healing processes from getting into motion. One of the results is that like all previous therapists before me, I developed a sense of being ineffectual with her and unable to help her any further.

The therapy takes a new turn. While this is happening, she has to live with these intense feelings of overwhwelm, constant sadness, fear of ‘losing it’ and other painful emotions for about three to four months. This is an important point right here: She has to learn to live with the pain and not try to get rid of it or pathologize it as being medical like diabetes. The silver lining during this very difficult time is the fact that, compared to before my intervention of staying present with our mutual sense of helplessness, there now is an unexplainable sense of lightness and safety within her suffering that had never been there before. She feels inexplicably more grounded and solid, and not alone anymore, and can trust in my ability to lend her my MPC (medial prefrontal cortex) while she is rewiring hers. Rather than feeling overwhelmed, she can now feel incompetent and explore this feeling without believing in it; rather than feel she is going to fall apart, she can now consciously allow herself healing moments of falling apart while observing the processes with compassion; instead of feeling like she can not parent properly, she can now accept her present limitations and set clearer boundaries with her children; and rather than always wanting to leave her husband when things do not go her way, she can articulate her fears with him and engage him in supporting her.

And now a nugget for meditators. In the midst of this struggle she starts meditating again and discovers that these unconscious themes that had emerged from the therapy were previously locked in the form of implicit memories in her body. Consequently, being still in meditation means getting in touch with unspeakable emotional pain deeply locked in her body, which is why she feels like she wants to crawl out of it and had to abandon meditation as not being ‘her cup of tea’. Now that she has access to the complex non-verbal attachment processes of her life through her relationship with me, including the narratives that belong to them, but which she previously could not make sense of, meditation can become a powerful tool for her to go deeper into the mechanisms by which she creates her reality. Without the narrative integration of her life stories into coherent ones, she would never have access to meditation, no matter how hard she would try.

About nine months later she is symptom-free, having gradually improved along the way. From then on, whenever her vulnerability gets triggered by stress, she recognizes the early signs, knows what to do and is always able to process it quickly without developing debilitating symptoms. So far, after being off her medication for 2 years, she continues to do well without it.

I would like to close with a word of caution. For various complex reasons this path does not work for all. Sometimes it is obvious from the start that this is not the right path to take. Sometimes one has to try first before finding out whether it works, and sometimes one can be pretty confident that it will work. It all depends on the circumstance of the person involved. One size never fits all. Through this article I wanted to give a glimpse into the laboratory of our psyche when this path is the right one to take.

Copyright © 2016 by Dr. Stéphane Treyvaud. All rights reserved.

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Searching Everywhere But Where It Counts

Forgetting that we have a mind.

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October 12, 2024

Before you worry about symptoms such as depression and anxiety and how to improve or get rid of them, before you get your blood boiling arguing with people who can't deal with anything beyond their own viewpoint, before you develop and become ensconced in your own opinions, before you vilify who disagrees with you, before you shake your head wondering how seemingly obvious facts cannot be agreed upon, before you assume you have no blind spots, before you despair that crowds never learn from history, before you become bitter at humanity's collective stupidity, before you get passionate about religion, mythology, and archetypes, before all that, wouldn't it make sense to inquire into the source of all of it - these symptoms, views, opinions, thoughts, actions, distortions and, frankly, miseries?

While it does not take rocket science to realize that the source of it all is the embodied human mind, for most, embarking on its exploration is at best a big challenge, at worst insurmountable, non-sensical or incomprehensible. How many times have you heard nonsense like “I don’t believe in psychology”, as if the existence of the moon were a matter of belief? How often do patients enter their physician’s office complaining of being anxious or depressed, and are sent home with a prescription without one question that would try to understand how their mind creates such suffering? Many people, including professionals who should know better, live and act as if they had no mind.

The mind is the source of all subjective phenomena and experiences, and we are astoundingly unaware of it. Our mind’s task is to ensure survival and the propagation of our species, not to ensure we live our best life. To this end, it needs to be efficient, rather than concerned about maximizing its potential. Efficiency results by pairing down information processing to the bare minimum. Embedded in the way mind functions are mechanisms that cause reality distortions, delusions, wild beliefs, and a profound obliviousness of one’s own ignorance. Whether we like it or not, our mind drives our lives like our heart pumps blood through our veins. The universe's natural processes have caused us to evolve that way, and for better or worse, we are stuck with a mind that functions sub-optimally as it creates profound reality distortions that seem at first blush to have successfully allowed us to multiply and propagate towards earth dominance. In the long run, however, it turns out that humanity may end up stampeding dangerously close to extinction. To thrive both individually and as a species we must come to terms with our rather dangerous mind and train ourselves to use it beyond its basic survival mode by accessing its inherent potential evolution has graciously also built into it. That takes work, training, effort and patience.

Our human mind provides the capacity for reflection. The mirror reflects what’s in front of it, meaning that as reality beams itself onto the mirror’s surface, the mirror beams it back to us as an image we can then examine from the outside. Notice how what gets examined by looking at the mirror is not reality itself, but an image of it. Our brain provides a similar process in the form of consciousness, whereby it maps reality in a virtual form we then can observe and manipulate. However, while the mirror reflects reality exactly as it is, the virtual reality consciousness creates is not only a map of reality, but that map is modified into a new creation. The brain as mapper functions as our central relationship organ that enables us to reflexively develop a relationship to reality and ourselves by having access to a virtual, mapped and modified reality we can ponder and manipulate. This is how we are self-aware.

As an aside, the mind is more than the creator of a virtual adaptation of reality we can reflexively relate to and have a relationship with. It can transcend self-awareness, and knowingly experience reality and awareness without the detour of mapped mirroring duality. That is the shift from observation to being, from knowing we exist in a universe to realizing we are the universe. More about that in another context.

The eye has a blind spot where the optic nerve enters the retina, but you don’t see it. You have the impression of enjoying a seamless field of vision without two black holes in the middle, even though the holes are there. The brain manages to fill in the missing information to make the field seem seamless. Extrapolate that to the whole brain to realize that to function effectively for everyday survival our brain adapts our field of consciousness in two ways: It fills what’s missing to provide a sense of continuity and simplifies available information to not overwhelm you. It hides blind spots from you to provide continuity and withholds information to ensure efficiency. Both these mechanisms distort reality to ensure survival, while simultaneously laying the foundations for ignorance and suffering.

We each have many blind spots, but the core blind spot affecting us all is the proclivity to live as if we had no mind. We use our minds without realizing the extent to which our experience of reality is created by our mind. Without our conscious knowledge our brain creates the reality we experience. We don’t notice that the reality we experience is our brain’s creation. We mistake our brain’s constructions for reality. This results in a dangerous situation, in which we ignore the fact that our experience is subjectively constructed. We mistakenly believe that what we see and experience is automatically true, and because it seems true it seems real, and because it seems real it cannot be changed. Our primordial blind spot towards the brain’s constructions robs us of freedom of choice, of the power of clear view, wise discernment, and respectfully compassionate mutual understanding.

Our mind’s constructions seem so real that we hold on to them for dear life and want to shove them down other people’s throats without exploring their veracity. We get strongly identified with what we believe we know, emotions take over, and the capacity to hear each other vanishes. Identification with mind processes is the single most destructive problem in the way humans use their minds. Emotions suffocate the mind’s spaciousness to freely consider, question, doubt and explore, and before we know it, we are in conflict. If we cannot agree on facts, emotions drive us to use force to impose our views instead of inquiring more deeply into the divergent realities, and if necessary, compromising to try to resolve complexities. Force can take the form of yelling and screaming at each other, or legal and physical action.

The reality our mind constructs and we can have a relationship with, is in fact threefold. We first have objective reality, which is what happens in the universe independent of whether we know about it or there is anyone around to witness it. This reality consists of energy flow that is independent of how our brains and minds construct reality, and therefore as far from information as energy flow can get. The black death virus killed thousands of people without them knowing what viruses are or being able to see them. Although this is the easiest reality to agree upon, like in the case of flat-earthers, emotions still manage to cause distortions of objective facts.

Subjective reality is our own private experience nobody else has access to. This energy flow is entirely within as a construction by our own brain and mind. Although it is largely independent of objective reality, it is profoundly shaped by interactions with others. Even if everyone denies that I am in pain, if I experience pain, it is totally real for me. That is a difficult reality to agree upon, because seeing it from the outside requires trust and our capacity for empathy.

Then there is intersubjective reality, which is the reality of stories. This energy flow is deeply symbolic in the sense that language and stories are symbolic, therefore experienced as information flow, and a mutual co-creation with others. It is the reality that emerges through mutual narrative construction and is neither objective, nor subjective. It only exists in the interpersonal realm containing people who are willing to participate in it by accepting the shared reality. One such reality is money, but there are many others such as all collective ideas we can share. Money means nothing and has no reality unless it is shared in the interpersonal space. This is also a difficult reality to deal with, because it depends on the mutual capacity to regulate the multilayered energy flow between our intuition, our emotions and our intellect. When that occurs, empathy and clear insight become possible, allowing a degree of harmony within the intersubjective dance of energy and information flow to emerge. Any dance couple may dance a Tango, but those in conflict will not be able to present a harmonious dance.

To manage these three realities we each have a relationship with, requires a good deal of self-awareness and emotional regulation many people don’t have. Much of the time, the mind remains transparent like air to our eyes, invisible or not known, yet profoundly determining how we relate to real reality and live our lives. Like children playing in a house on fire, we remain oblivious to the many ways our ignorance of mind causes suffering and destruction all around.      

Copyright © 2024 by Dr. Stéphane Treyvaud. All rights reserved.

Important Changes to the Mindsight Intensive Program 2024-25

Important changes to the Mindsight Intensive program 2024-25

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October 1, 2024

1. Administrative introduction:

In order to accommodate divergent needs of individual students in the group, I am considering modifications in the group's process. After the first 10 weeks of the fall trimester, during which we lay foundations together as one group, we might explore the possibility of giving students the opportunity to continue through the winter and spring in one of two separate streams of their choice depending on their perceived needs. The decision to continue as one group or split into two will organically emerge from a process of discussion within the whole group when the time comes.

Here are the two streams:

  • There are those who primarily feel the need to develop and consolidate the scaffolding of meditative technique as their main objective.
  • Others feel generally quite confident in their mastery of meditative technique, and are therefore more focused on exploring the psychodynamic, socio-political, existential and spiritual implications of embodying the daily meditative attitude their mastery of technique affords. This includes the expansion of awareness into the modes of nothingness and emptiness.

These two interest streams are paradoxically both complementary and potentially conflicting. On one hand, mindfulness practice invites the student to cultivate beginner’s mind in a non-striving, non-hierarchical fashion. On the other hand, there is a sequential evolution of skill in one’s ability to apply meditative techniques, much like when one learns to play an instrument, creating a hierarchy of skills and stages the meditator walks through over time. Mixing students from both streams in one group is important as it allows for mutual fertilization of experience, expertise and wisdom. By the same token, this differentiation of needs sometimes requires different teaching approaches and emphases in the material that is taught. Naturally, I always endeavor to navigate those two streams within the group as a whole in a way that allows for integration of the two.

2. Long-term commitment:

Students who are interested in the Mindsight Intensive already have mindfulness experience. Therefore, they are all familiar with how challenging it is to embody mindfulness as a way of life. It is therefore assumed that everyone signing up seeks immersion into the hard work required to meet defenses and avoidances head on that can sometimes arise during practice. This can only be achieved through the long-term effort that facing our mind’s complexity deserves and demands. The program is thus structured to run through a whole academic year of thirty sessions, and students with different, more short-term needs who might want to leave after a trimester or two should not join. The work’s intensity requires group cohesion and safety, as well as a shared sense that we can count on each other to work through tough challenges and moments together.

3. Session structure:

Every session will have the following elements:

  • A meditation guided by me of at least 1/2 hour.
  • Time for processing individual students’ journey through the trials and tribulations of their practice. This is the difficult part, because it requires from each student to honestly take on and address difficulties, defenses and avoidances that may arise during their practice and their daily lives. Ignoring these challenges invariably causes the journey to falter and shrivel back into the automaticity of the monkey mind.
  • Theoretical considerations necessary to make sense of our mind explorations presented by me, and sometimes elaborated through group exercises and processing.

4. Immersion at home:

  • In every session I will suggest homework. By diligently following and practicing the homework, the student can enter a path of transformation that will automatically and effortlessly unfold.
  • Before starting the program, please make sure to rearrange your schedule so that you can dedicate around an hour/day to formal mindfulness meditation practice. This may vary at times depending on both external circumstances and internal mental states, but aiming for that amount of time will ensure rewiring and transformation. Although formal practice time can occasionally be broken up throughout the day, what ensures penetration of depth (see my blog ‘Depth in Mindfulness’) is the long uninterrupted stretch of time that inevitably causes deeper conditionings and unconscious forces to emerge into the light of awareness.
  • Throughout the duration of the program, students can request ad hoc individual sessions, should they feel that the available group time has not provided the opportunity to address important issues that arise. For this to be covered by OHIP, you must have been seen by me in consultation through your family physician’s referral within the last two years. If you are not a regular patient of mine, ask Reena whether you must first get your doctor’s referral to see me or not.

Copyright © 2024 by Dr. Stéphane Treyvaud. All rights reserved.

The Basic Human Right to Stupidity

Silence and stupidity are the foundations of mental health.

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October 1, 2024

As biological beings we function in analog mode, shifting from one physical and mental state to another, using intelligence to solve problems and consciousness to guide our intuition to make the best possible choices. In contrast to intelligence, which we also find in AI (artificial intelligence), consciousness involves both feelings and the capacity to self-reflect, resulting in the ability to resist reality and by extension suffer. Our biological organism functions naturally as a continuous energy and information flow changing with time through an infinite number of states (like the grandfather clock that shows the whole flow of time), while AI is digital, based only on two discreet states, 0 and 1, from which it organizes information (like your digital watch that only shows the exact time it is now). AI as an information processing system is completely alien to our organic nature. AI is an algorithm that like a table has no feelings and never sleeps, never needs a rest, never feels anything, and is incapable of ethical consideration (if it seems to have ethical reflections it is because it has been programmed to imitate ethical views, not because it feels anything). In social media it is programmed to make money by eliciting user engagement through emphasis on information that activates feelings in human beings, such as anger, awe, attraction, joy etc. The AI algorithm just chugs along as a soulless, emotionless information process like robots or zombies if you prefer the world of fantasy.

Humans, in turn, need rest, sleep, and the cultivation of various mental states through play, intimacy, physical activity, problem-solving, daydreaming and meditation. Within that richness of mental states lies creativity, and at the core of creativity is silence and stupidity. The cultivation of silence, and by extension unknowing, is paramount for the discovery of contexts within which all knowing is embedded. Stupidity relates to the fact that a majority of thoughts we have are crazy, non-sensical, false, deluded, unintelligible, and mysterious. Like a tree spreading millions of seeds, only a few of which will thrive into a new tree, our mind spews out millions of thoughts and fantasies, only a few of which are reflective of truth and conducive to living the good life. Nevertheless, that prolific productivity is the bedrock of creativity and requires skillful management. If we want to be healthy, we need to create a safe, private space for those thoughts to live, evolve, and be processed within the entirety of the mind. That space is the silence of contemplation and the safety of intimacy. Under the incessant barrage of the AI algorithm through social media we have been robbed of such a space, because we are swept away into the algorithmic stream of likes, dislikes, approvals, disapprovals, comparisons, competitions etc. The energy of stupidity then, is used to feed our narcissistic nature and flow unchecked into the public domain of the internet, with really nefarious results.

We are far from having developed the full potential of mind. More often than not we succumb to our internal algorithm of conditioned reflexes, behaviors, reactions and mindless activities that cause untold suffering. If mind has a choice between easy and difficult, it will always choose easy. Easy is what can be manipulated in the concrete world; it is easier to control the body and fast, for example, than to practice mind concentration. We have a certain command over the body and the external world, but not over our mind. Faced with the challenge of mind exploration, we must engage in a rigorous mind training and learn to observe it without judgment.

Most importantly, non-judgmental inquiry requires the privacy of our own intimate space with ourselves and a few chosen people we trust, where stupidity can have full latitude of manifestation. Caring for stupidity requires free private and intimate time, which should be a basic human right. Stupidity and silence are gold mines guaranteeing mental integration and expansion of awareness towards larger contexts. Once we have incorporated such mind hygiene into our lives, we are better equipped to meet the demands and responsibilities of reality, including social reality, and wisely chose what we responsibly allow into the public domain. The non-judgmental attitude of intimate and private investigation needs to give way to the discerning attitude of social manifestation and public expression. In the public domain it has catastrophic social consequences if anything goes and the first thought that enters one's mind is spewed out. Social authenticity in the public domain has nothing to do with spontaneously spewing out whatever stupidities and unformed thoughts fly through one’s mind. It is rather based on one’s capacity to cogently and responsibly express what is relevant to the demands of any life situation after having sifted through the chaos of one's thoughts. In that sense, opinions must be carefully crafted if we want a society that functions wisely.

This dialectic between internal freedom for stupidity and silence and external responsibility for wisdom and perspective requires a difficult ingredient – the capacity to face the truth. Information and truth are not the same, and most information is not truth. We are flooded daily with plenty of information, but truth is a rare and costly kind of information integration process that requires hard work and time to be discovered. Truth is costly because it demands research and investment. Fiction and fantasy (not as literary genres) are cheap and don't require any investment; they can be made as attractive as you would like them to be. They are simplistic, deluded and disconnected from reality. Truth on the other hand is complicated and complex, often painful and unattractive, and the hallmark of our mind’s connection with reality.

Copyright © 2024 by Dr. Stéphane Treyvaud. All rights reserved.

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