2022/06/14

Contemplative Practices in Action 7] Jewish Contemplative Practices and Well-Being

 7] “The Eternal Is with Me, I Shall Not Fear”: Jewish Contemplative Practices and Well-Being  




Zari Weiss and David Levy


Over the centuries, most religious traditions have developed practices that support the cultivation of a contemplative approach to life. Judaism is no exception. Indeed, many of the practices that have traditionally been considered central to living a Jewish life have a strong contempla- tive orientation, and such practices can be helpful in alleviating the stress of everyday life. In the following pages, we will look at three practices in particular—prayer, meditation, and Sabbath time—that we have found valuable not only in our own practice, but also in teaching and counsel- ing others.

The coauthors of this paper come to this exploration with distinct but overlapping backgrounds. Rabbi Zari Weiss was ordained at the Hebrew Union College-Jewish Institute of Religion in 1991, a five-year post- graduate educational institution, and has served as a rabbi in a number of capacities. Trained in the art and practice of Spiritual Direction at the Mercy Center in Burlingame, California (a Catholic-based institution), she also has worked as a spiritual director/companion with individuals and groups since 1993. She was a founding instructor, and taught for six years in a national program to train other Jews in Spiritual Direction from a Jewish perspective, and she has offered workshops and classes to rabbis and rabbinic students.

David Levy is a professor in the Information School at the University of Washington. Trained originally as a computer scientist (with a PhD from Stanford University), he too has been trained in Spiritual Direction

 

at Mercy Center, and has practiced as a spiritual director, although to a lesser extent than Rabbi Weiss. In his academic work for the past decade, he has explored how contemplative practices and perspectives may help us to understand and alleviate the stress of information overload and the acceleration of daily life.

Both authors, then, are teachers, spiritual directors, and practicing Jews. The religious and spiritual practices we explore in this chapter are ones that that we ourselves have engaged in and experienced. Because our backgrounds and practices are not identical, we ask the reader to understand that we have adopted the first-person plural—“we”—with consideration and care. In most of the issues addressed in this chapter, it is probably less important to know which of us has the greater experi- ence with a particular practice than that we both stand behind the asser- tion we are making. In certain cases, however, which will be clear below, we have found it useful to use “I” for both rhetorical and pedagogical purposes.


THE PRACTICES IN CONTEXT


It is challenging to summarize a long-standing and widespread reli- gious tradition such as Judaism in just a few words. But it might be said that Judaism’s central concern over the thousands of years of its existence has been in maintaining the sacred relationship between the Jewish people and God. Its central sacred texts, which include the Torah and the Talmud, recount the history of this relationship in its formative years and provide laws and guidance (called mitzvot, which we prefer to translate as “sacred obligations”) intended to maintain the vibrancy and sanctity of the relationship with the Divine. One of the central mitzvot, for example, obligates Jews to “love the Eternal your God, with all your heart, with all your soul and with all your might” (Deut. 6:5). Jews are told to speak this truth at all times, when they sit in their house and when they go out on the street, when they go to sleep at night and arise in the morning. In other words, they are to love God at all times. Many of the other laws and customs of Judaism reinforce the importance of fulfilling this sacred obligation in all areas of life: in their interactions with others, in their care of those less fortunate, in their responsibility toward the environment and natural world.

It needs to be said, however, that not all Jews—not even all practicing

Jews—observe all the mitzvot. Modern Judaism is divided into a number of “movements,” the best known of which are Orthodox, Conservative,

 

Reform, and Reconstructionist Judaism. These differ in a number of ways, including the extent to which they prescribe adherence to tradi- tional practices. The vast majority of American Jews, however, are unaf- filiated: they do not belong to any movement, do not attend religious services regularly, and observe few if any Jewish holidays. Such individ- uals may report that they are “spiritual” rather than “religious,” and to the extent that they recognize their Jewish identity, it may be more as cultural Jews (appreciating the food and the humor, for example) or in terms of a commitment to social justice, which remains a strong Jewish value.

Yet without question, Judaism’s rich treasure trove of practices has been a source of comfort and solace, strength and stability for thousands of years. Its texts, rituals, and daily practices have offered many people support in stressful and uncertain circumstances. One charming anec- dote illustrates this well:


Sam happened to meet his rabbi on the street one day, and told him of all the troubles he had suffered during the past year. He wound up with: “I tell you right now, rabbi, it’s enough to make a man lose his religion.” “Seems to me, Sam,” the rabbi told him quietly, “it’s enough to make a man use his religion!”1

Not all people, however, know how to “use religion” in a way that offers comfort and solace, strength and stability. Particularly in our modern, assimilated world, where many have been distanced, or worse, alienated from the rich resources that are a part of Jewish tradition, these texts, rituals, and practices may seem inaccessible or foreign. As Plante and Thoresen write, “The lack of skills in using spiritual prac- tices may be the single missing ingredient that inhibits the kind of spiri- tual growth that leads to better health and well-being”;2 this is as true for those in the Jewish community as it is for the broader population.

In our work as teachers and spiritual companions to others, we have had the opportunity and privilege of helping others gain access to these practices and make use of them in their own lives. In particular, it has been our growing understanding of what might be called a more con- templative approach to Jewish practice that has provided a valuable means to access the tradition in new ways. It is clear that a more con- templative approach can help bring about comfort and solace, strength and stability, and can reduce stress.

In this chapter, we will focus on three areas of Jewish practice: prayer, meditation, and Sabbath time. We could easily have chosen

 

three other practices, or three dozen examples of Jewish religious and spiritual practices. The tradition is vast, and many of  the customs and rituals that make up Jewish life provide opportunities for adding meaning and dimension to life.

Each of the contemplative practices we discuss has a long and diverse history. For most of Jewish history they were embedded in a complete Jewish “way of life” that was largely inseparable from the larger Jewish patterns of day-to-day living. Today, except for the most Orthodox Jews, this is no longer the case, and in today’s consumerist society, many Jews are likely to choose certain practices and reject or ignore others.

Jewish prayer is a form of both verbal and nonverbal communion that can be used to praise, petition, thank, or simply communicate with God. In biblical times prayer was largely spontaneous and unscripted (the Torah records, for example, that “Isaac went out into the fields and prayed” [Gen. 24:63]). In time, these spontaneous prayers were recorded and collected, and eventually organized into a set order of specific prayers to be recited at three different times of the day. It is this form of prayer that is most familiar to Jews today. However, there are various places within the tradition where other forms of prayer are described and even encouraged. These include spontaneous prayers from the heart, recitation of a verse from the liturgy or Scripture, and personal kavannot, or introductory meditations. The contemplative approaches to prayer that we will discuss below are largely from this latter group.

Jewish meditation has a long, complex, and somewhat confusing history. The first problem is simply the meaning of the term meditation. An often-cited passage in the Talmud (Berachot 5:1) states that in prepa- ration for prayer the ancient rabbis used to “incline their hearts to God” for an hour. This is now taken as evidence that some form of preparatory meditation was practiced more than 2,000 years ago. Others have sug- gested that the Tetragrammaton, the Divine name spelled out with the four Hebrew letters Yod Hay Vav Hay (often indicated in Roman letters as YHVH), was the sound of the breath, perhaps providing some further evidence for the existence of a form of breath meditation. Today, espe- cially under the influence of Western Buddhist practice, a number of Jewish practitioners have rediscovered or reinvented a wide variety of forms of Jewish meditation, including meditating on a phrase or verse (mantra meditation), visual focusing on the letters of God’s divine name (YHVH), and chanting. In the section on meditation below, we will highlight a few of these approaches.

 

Finally, probably no practice has deeper historical or spiritual roots than the observance of the Sabbath. Genesis, the first book of the Hebrew Bible, states that God created the world in six days and rested on the seventh. From this came the understanding that Jews must emulate the Divine by themselves resting every seventh day. While the nature and extent of Sabbath practice differs widely today, the basic idea of separating one day a week from the hustle and bustle— and the stress—of daily living seems well suited for today’s 24/7 living.3 In our discussion of incorporating Sabbath time into our cur- rent busy lives, we suggest several contemplative practices that are based on traditional ways of observing the Sabbath.


DIMENSIONS OF THE PRACTICES


Before looking at the specific practices, we want to suggest that their role in health, well-being, and stress-reduction can be viewed and understood from three perspectives: spiritual or theological, physical or physiological, and emotional.


SPIRITUAL/THEOLOGICAL


Any particular practice may help the practitioner put life into a broader or more spiritual perspective. Various studies have shown that gaining a broader perspective is helpful in encouraging well-being and reducing stress. In their essay on meditation, for example, Shauna L. Shapiro and Roger Walsh write: “From a growth perspective, it is essential to learn ways to free ourselves from the artificial and unnec- essary limits we impose, as well as to learn to expand our world views. This liberation involves recognizing and letting go of old structures and boundaries and evolving to more complex worldviews.”4 We will see that various Jewish practices—such as meditating on a verse or line from Scripture, or observing Sabbath time—can help people experi- ence freedom from artificial limits and expand their worldviews.

At times a broader perspective is attained in a generalized way; it may entail a specific feeling or sense of God’s presence. In his article “Prayer and Health,” Kevin S. Masters writes that “persons who during their prayers felt like they were experiencing an interaction with God or had feelings of increased peace were also the ones more likely to report greater levels of well-being.”5 Indeed, cultivating a sense of

 

connection to God or God’s Presence is a core component of many Jewish practices: prayer, meditation, even Sabbath time.


PHYSICAL OR PHYSIOLOGICAL


Various studies have shown that spiritual practices create physio- logical changes or responses in the body, which by their very nature, reduce stress. In their article “Prayer as Medicine: How Much Have We Learned?” Marek Jantos and Hosen Kiat describe “the relaxation response,” one of the effects of meditation first characterized and named by Herbert Benson.6 “Meditation,” Jantos and Kiat observe, “is known to produce desirable physiological changes, such as slowed breathing, reduction in heart rate, a drop in blood pressure, peripheral warming, slower brain wave activity (marked by an increase in alpha and theta activity), and a hypometabolic state. People practicing medi- tation, irrespective of their religious persuasion, report feeling more spiritual and experiencing an enhanced sense of psychological and physiological wellbeing, peace and tranquility.”7 As we will see, a variety of Jewish practices, including prayer, meditation, and Sabbath time, can also create physiological changes in the body, leading to a state of well- being, a phenomenon that was noted by rabbis and teachers thousands of years ago.


EMOTIONAL


It is believed that religions and spiritual practices can also have a positive impact on our emotions. Jantos and Kiat write: “A third mecha- nism by which prayer is seen as exerting its positive impact on wellbeing is by means of the positive emotions it engenders.”7 One of the studies they cite is that of M. E. McCullough, whose research suggests that prayer improves mood and leads to a state of calm that extends to other areas of the life of the person praying.8 They also cite the work of Candace Pert, whose book Molecules of Emotion: The Science Behind Mind-Body Medicine lays out some of the effects of positive emotions in the body; and they observe that “positive emotions generate physiologi- cal changes that have far-reaching consequences on our health and well- being. The positive emotions of peace, joy, hope, faith, trust and love, associated with prayer, can lead to physiological changes affecting a person’s state of wellbeing.”9 Such emotions are fostered by a variety of Jewish practices, including prayer, meditation, and Sabbath time.

 

A CONTEMPLATIVE APPROACH TO JEWISH PRACTICE


What constitutes a contemplative approach to Jewish practice? Rather than starting by referencing what has been written on this topic over the ages, we prefer to illustrate it by drawing an example from our own work as spiritual directors and teachers. It concerns the use of a verse—“The Eternal is with me, I shall not fear”—as the subject of prayer and meditation.

Often in our work as spiritual companions, our directees (i.e., clients) come to the session frazzled from the stress of the day: their bodies are tense, their hearts are racing. Sometimes they are filled with anxiety, sometimes with fear; they may be coping with illness—their own or that of a loved one; they may be anticipating a major life change, such as a loss of employment or the end of a relationship. The stress is palpable— recognizable in their shallow breathing, their tense muscles, their rigid body posture.

In our role as spiritual directors, our job is not to fix, nor even neces- sarily to make people feel better—though often that happens as a result of this work. Rather, it is to help people see their lives or situations from a broader, spiritual perspective.

Most people who arrive with a high level of stress, anxiety, or fear have a desire—expressed explicitly or implicitly—to reduce their level of stress and live with a greater sense of peace, calm, or equanimity. When asked directly, they may acknowledge that they wish they could feel a sense of trust—in God, in the Universe, in Something Bigger— but they also admit that they do not have any idea how to access, or cultivate, such a sense. This is the opening for which we look and listen. It is an opening no bigger than the eye of a needle: the longing of the heart (or soul) for a connection to Something Beyond the Self. From a Jewish perspective, it is the longing for a life lived in relation- ship with God/The Mystery/Ein Sof. (Ein Sof, one of the Hebrew names for God, literally means “That Which is Without End.”) To live in this way is to live the contemplative life.

Though there are times that belief leads to experience, most often, we have seen, it is experience that leads to belief. And if experience doesn’t arise on its own, it can be invited, or perhaps better, awakened.

The following example illustrates this. It is based on a session one of us conducted with a directee who had entered the office feeling very stressed.

 

“I wonder,” I say out loud to the directee, “if there is a prayer or a phrase or some verses from a prayer that might help you feel that sense of calm or peace that you are seeking?” Many times, I haven’t thought consciously about any particular prayer or verses when posing the question; it is only afterward that something comes to mind. Some- times, the last four lines of a well-known prayer known as Adon Olam may come. It is a prayer that is traditionally said at the end of a service. (In some communities, it is also said at the beginning.) We don’t know for certain when the prayer was written or by whom; scholars believe that it is at least 1,000 years old. It has been a part of the service since the fifteenth century. During services, it is often sung to a very upbeat or even boisterous melody (perhaps because everyone is so relieved that the service is finally over!); as a result, the beauty and power of the words’ meaning is often lost. The last four verses of the prayer are quite beautiful; they suggest, almost more than any other verses from Jewish liturgy, the sense of trust that many of us long for—and the comfort that often comes with that trust.

“B’yado afkid ruchee”—“in His hand, I place my spirit.” I recite the first phrase to my directee. “Of course we know that God doesn’t have a hand and isn’t a He—it’s just a metaphor.” The person usually nods. “But can you imagine, for just a moment, placing your soul in God’s hand, in The Eternal’s hand?” I watch as the person shuts her eyes and brings the image to mind. “It’s such a beautiful image, isn’t it? Now .. . can you allow yourself to rest in it?” I continue gently. I watch as the directee’s breath becomes slower and her body begins to relax. “B’eyt eeshan v’ah’ee’rah—when I sleep and when I wake,” I continue translating. “Imagine what you would feel like, if you started and ended each day this way, allowing yourself to rest, for just a few minutes, in God’s hand.” “V’im ruchee g’vee’a’tee,—and with my spirit my body too.” The release of tension in her body is now visible. “Adonai lee, v’lo ee’rah—The Eternal is with me, I shall not fear.” I pause, and ask: “What would it be like not to feel fear?” My directee’s eyes well up with tears. “It means that no matter what happens, everything will be okay.” “Okay,” I repeat the word, knowing that it doesn’t neces- sarily mean that everything will be great, or even good, but simply that, on some level, against the larger backdrop of the greater Mystery of the world and of life, everything will be all right.

“Finally,” I then say, “I wonder if this is something you can return to throughout the day, when you are feeling stressed or anxious. Maybe you can recite these verses, which I’d be happy to write out for you, or perhaps you might just return to the image of resting in God’s hand.

 

Is this something that might be helpful?” She answers yes; our time together has given her access not only to Jewish Tradition, but also to God, in a new way. It is a way that is meaningful not only in terms of her Jewish way of life, but also in terms of specific practices that may help reduce her stress and, as a result, bring about a greater sense of peace and calm.

A life lived in relationship with Something Beyond the Self: for most people caught up in our rushed, overly busy, and stress-filled culture, this is an ideal that is hard to achieve. Many people assume that to live in such a way they must seclude themselves in a monastery or convent, or disengage from their daily routines by attending an extended retreat. And while these choices certainly can be helpful for some, they are not realistic for most. There are other ways that one can cultivate a more contemplative life, even in the midst of our ordi- nary, everyday activities. Indeed, in our work as spiritual companions and teachers, we have found three Jewish practices that are particu- larly helpful in cultivating the contemplative life: prayer, meditation, and Sabbath time. We now turn to these practices.


THREE JEWISH CONTEMPLATIVE PRACTICES


PRAYER


Traditional Jewish practice specifies that one pray three times a day: morning, afternoon, and evening (these prayer services are known as shacharit, minchah, and ma’ariv). Today, generally only those who are at the more observant end of the spectrum fulfill this obligation; most contemporary Jews probably do not pray at all, and only a small per- centage may set aside time for daily prayer.

Because people bring the real stuff of their lives to spiritual direction, and the stuff of life is, by nature, stressful, most people enter our office filled with stress. While the purpose of Spiritual Direction is not to alle- viate the stress, alleviating it and living with greater calm and equanimity is often part of the person’s longing or desire.

In our work as Spiritual Directors, then, we might ask in our first session if the person has any sort of a daily or regular spiritual practice. Most often, people do not. We ask if it might be reasonable to set aside some time, as little as five minutes and as much as an hour, for such a practice. Even a few minutes, particularly at the start and at the end of the day, we explain, can go far in creating a sense of greater calm or

 

equanimity, which can be accessed throughout the day. Together with the directee we think of what might be the most realistic time of the day to build it in, given the actual circumstances of their lives (family, work, etc.).

We have found prayer to be particularly helpful in leading to feel- ings of calm and equanimity. As Kevin Masters writes, “The English word prayer comes from the Latin precari meaning to entreat or ask earnestly. Curiously, this is the same root found in the word precari- ous. Indeed, many pray when life seems precarious and it is during times of illness or great need that prayer is perhaps most widely acknowledged and practiced. There seems to be an almost intuitive notion among people of faith in many cultures that prayer and health are related.”5

There are three prayers from Jewish tradition that we have found to be particularly helpful. The first prayer, part of the morning liturgy, is found in a section known as Birchot HaShachar, Blessings of the Dawn. Traditionally this prayer is said immediately upon awakening in the morning: “Modeh (modah for a woman) ani lifanecha: I am grateful before You, Sovereign that lives and endures, she’he’chezarta bi nishmati b’chem- lah, for you have restored my soul to me in graciousness, rabbah emuna- techa, great is your lovingkindness.” Though many Jews may, in fact, have grown up saying this prayer, most are unaware of its deeper mean- ing. They probably have always recited it in a rote or formulaic way.

We often begin with this prayer as a starting point for building a meaningful spiritual practice. The prayer can be said in just a minute, but its effects can last throughout the day.

We invite the directee to consider why the prayer might be recited immediately upon awakening. If they don’t know, we explain that upon awakening, a person realizes that she has not died during the night; on the contrary, she has been blessed with another day of life. Furthermore, we point out, the word nishmati, a contraction of nesha- mah sheli, my soul, is related to the word nishimah, breath: when we breathe in, we can become aware of our soul, the unique soul that is implanted within each one of us. As we then pause to become aware of the life-breath that flows through us, we also can become aware of the Ultimate Breath-of-Life, God/the Source, which has granted us the gift of another day. Often, as our awareness expands, the burdens which all- too-often weigh us down lighten, and our hearts somehow feel lighter, filled with gratitude instead. Gratitude is an almost guaranteed antidote to stress: when we take the time to become aware of the gift of life, of the life-breath that fills us, our breathing slows and grows deeper, our

 

“hearts” (in reality, probably, our muscle and nerve systems) become less tight, instead opening to whatever gifts the day may bring. This awareness may result in positive emotional feelings, which in turn may have physiological effects. As the feelings help reduce stress and anxiety, they can promote a more positive outlook, which in turn can strengthen the will to live life more fully, one more day.

We sometimes use a different prayer when the directee gives evi- dence of a negative self-image or depression, a prayer that can lead to a more positive self-image, and to feelings of acceptance and self- love. This prayer too comes from the section of prayers known as the Morning  Blessings.  “Elohai  neshamah  sh’natatah  bi .. . My  God, the soul that you have given me, it is pure,” it begins. This first line alone is sufficient to shift someone’s perspective. We invite the directee to become aware of his soul. This is something that most people have never even considered. “Think of your unique essence,” we might suggest, “the part of you that is uniquely you.” And then we repeat the words of the prayer, and encourage him to become aware, if he is able, of the pureness of his soul. “Separate from the layers of ‘stuff’ that we accumulate over the course of our lives, which result from our own behaviors or our personality flaws, Judaism teaches us that our soul is pure. And God knows that.” The tightness in his body begins to release; there is a letting go, a release. Again, we explain how in Hebrew the word for soul, neshamah, and the word for breath, neshimah, are related. Our breath connects us to our soul; every time we take a breath, we have the opportunity to remember the pure, precious soul inside us, the soul that also connects us to God. We sit patiently, watching as the directee’s breath gradually begins to flow more freely, and as the muscles begin to relax. There is a sense of acceptance and compassion; with these more positive feelings comes a softening of the heart, a release of the physiological tension that often accompanies self-judgment.

Finally, there is another prayer (actually a declaration) that we often draw upon in our work, the Shema. Often translated “Hear O Israel, the Lord is our God, the Lord is One,” the Shema, we believe, is a statement of equanimity. It affirms that all—the good, the bad, and the ugly—are a part of the Mystery of Life, a part of the underlying Unity (One, in Hebrew, Echad) that is present in all existence. Tradi- tionally Jews recite the Shema morning and evening: when they rise up (u’vkumecha) and when they lie down (uv’shachb’cha) (Deut. 6:4–9). In the bedtime version of this prayer, there is an additional prayer that can be found only in traditional prayer books; for some unknown reason

 

many liberal prayer books have left it out. In this version, there is a para- graph in which the person reciting it forgives those who have harmed her, and asks forgiveness of anyone whom she has harmed. “Can you imagine saying this at the end of every day?” we ask, knowing what a profound spiritual practice forgiveness can be. The opposite—not forgiving—creates tremendous stress in the body: it leads to repressed anger, guilt, hurt—all of which are emotions that cause restriction, tightness, as opposed to expansiveness, openness. To forgive—even just to make the effort to forgive—makes the heart soften into a more supple state; that suppleness ripples out through the muscles, and stress is reduced. With forgiveness comes a letting go. Affirming the Unity of Life, and letting go of anger and hurt—what more profound spiritual practice could there be?



MEDITATION


Meditation in Jewish tradition takes many forms. In our work as Spiritual Directors, we have found several meditative practices to be particularly helpful in creating a more expansive consciousness, a deeper sense of peace and equanimity. Many people come to Spiritual Direction with an expressed desire to feel a connection to God more often throughout their daily lives, not only during the time in the morning or evening when they are engaged in some sort of spiritual practice. When we meet with them, we often explain the age-old prac- tice of meditating on a verse, particularly the verse from the book of Psalms: Shi’vi’ti HaShem L’negdi Tamid. “I place the Eternal before me always” (Psalms 16:8). Some do this by sitting in front of a wall hanging, known as a Shi’vi’ti, a traditional wall card, poster, or plaque with the verse from Psalms on it. Some of these wall hangings are elaborate works of art, with beautiful illustrations and other scriptural verses surrounding Psalms 16:8. The Hebrew letters of God’s name (YHVH) are often arranged vertically; they become the focus for visual meditation. Various teachings throughout the ages describe this practice: “Many people write the name YHVH on a piece of parchment .. . and keep it in front of them while they pray, according to the way of ‘I have placed the Lord before me always.’ And this brings awe of God into their heart and clarifies your soul to purity.”10 They then strive to keep the image of God’s name before them throughout the day, without any external visual aids. Visualizing God’s name encourages one to be aware of God’s Presence—in every

 

action, in every interaction. One delightful folktale tells of the holy Rabbi Yaakov Koppel Hasid of Kolomaya, the disciple of the Baal Shem Tov (the founder of Hasidism), who would repeat the line from Psalms at all hours of the day, nonstop. He would even repeat it during the hours of work and business. It is said that even the gentiles called him “The Shvittinik [the Shiviti person].”10 In our work with individuals, we might make a copy of a Shi’vi’ti that can be found in certain prayer books; we suggest they experiment with the practice of meditating on God’s Divine name as a means to remind them to strive to be aware of God’s Presence at all times.

Of course, one can enter into a meditative state without focusing on a particular verse, but rather, simply by immersing oneself in a con- sciousness of God’s presence or existence in the universe. Various great teachers from Jewish tradition spoke of this practice, known as hitbonenut. Following is one teaching of Moses Maimonides, the great thirteenth-century physician and philosopher:


What is the way to love and fear G-d? When a person contem- plates (hitbonen) His great, wondrous deeds and creations, seeing through them His boundless, infinite wisdom, he immediately loves, exults, and is ecstatic with a passion to know the great Name. This is, what King David meant when he said, “My soul thirsts for G-d, for the living Deity.” (Psalms 42:3)

When one thinks about these things, he immediately becomes awed and abashed. He realizes that he is but an infinitesimal creature, lowly and unenlightened, standing with his diminutive, deficient mind before the Perfect Mind. David thus said, “When I see Your heavens, the work of Your fingers .. . what is man that You consider him?” (Psalms 8:4–5)11


In other words, Maimonides suggests, by pausing and seeing beyond what appears on the surface a person can become aware of the various ways that God is or might be present: in any created object, in an event, in any experience of life. When he is able to do this, he will be filled with an awareness of God, and will realize his own minuteness relative to the magnificence of the Great Mystery of the Divine. His sense of self will recede, and his awareness of God will move to the forefront.

To help them imagine this state of consciousness, we might invite our directees to close their eyes and see themselves against the backdrop of the mystery of all life. We might ask if they are aware of God’s role in

 

that mystery, as well as their own place in it. Often they sink into silence, and we sit quietly together, humbly aware of the Mystery of Life of which they, and we, are a part.

Kevin Masters writes “persons who during their prayers felt they were experiencing an interaction with God or had feelings of increased peace were also the ones more likely to report greater levels of well being.”5 Indeed, we have found that from the meditative state that is achieved, whether through visualizing God’s name and becoming increasingly aware of God’s Presence, or sitting against the backdrop of the mystery of life, there often emerges a deep sense of calm and tranquility. With that sense of calm and tranquility often comes a letting go of the obses- sive concern with things that in our day-to-day lives seem so important.


SABBATH TIME


As noted earlier, the theological basis for Sabbath observance is found in Genesis: “The heaven and the earth were finished, and all their array. On the seventh day God finished the work that He had been doing, and He ceased on the seventh day from all work that he had done. And God blessed the seventh day and declared it holy, because on it God ceased from all the work of creation that He had done” (Genesis 2:1–3). This understanding has led Jews over the ages to emulate the Divine pattern and to abstain from all work from night- fall on Friday evening to nightfall on Saturday (the Jewish day begins at sunset). The English word “Sabbath” is a direct translation of the Hebrew “Shabbat,” which means “rest.”

Over the centuries there has been much discussion and debate about this apparently simple prescription. What exactly is meant by work, and what is meant by rest? Does work refer simply or primarily to physical exertion, or perhaps to paid labor? What about intellectual work? Does rest refer to the abstention from effort, or to leisure activ- ities? And what exactly is the purpose of the Sabbath? While it would carry us too far afield to discuss these points now, it is worth pointing to one traditional answer to the last of these questions. The intent behind Sabbath observance, the ancient rabbis suggested, is to cel- ebrate Creation. Jews, they argued, were to abstain from creative acts in order to savor and appreciate the created world—to enjoy it, as the following description points out:

Work can make man free, but one can also be a slave to work. When God created heaven and earth, says the Talmud, they went

 

on unreeling endlessly, “like two bobbins of thread,” until their Creator called out to them, “Enough!” (Talmud Chagigah 12a). God’s creative activity was followed by the Sabbath, when He deliberately ceased from His creative work It is thus not

“work,” but “ceasing from work” which God chose as the sign of His free creation of the world. By ceasing from work every Sabbath, in the manner prescribed by the Torah, the Jew bears witness to the creative power of God. He also reveals Man’s true greatness. The stars and the planets, having once started on their eternal rounds, go on blindly, ceaselessly, driven by nature’s law of cause and effect. Man, however, by an act of faith, can put a limit to his labor, so that it will not degenerate into purposeless drudgery. By keeping Sabbath the Jew becomes, as our Sages say, domeh l’Yotzero—“like his Creator.” He is, like God, work’s master, not its slave.12

One of the prayers from the Sabbath liturgy expresses this senti- ment well: “Those who keep Shabbat by calling it a delight will rejoice in Your realm. The people that hallows Shabbat will delight in Your goodness. For, being pleased with the Seventh Day, You hallowed it as the most precious of days, drawing our attention to the work of Creation.”13

Here then is an understanding, and a practice, that speaks to the stress of living in both the ancient and the modern world. For surely the work- ing day in all cultures, past and present, has been filled with the stress of physical and mental labor: continuously engaging in acts of creation and productivity, continually striving for achievement. The Sabbath is con- ceived as a day to let go of the willful striving for productivity; it is instead a day to appreciate the simple experience of being alive, to feel gratitude for the marvels and mysteries of the created world. Abraham Joshua Heschel’s well-known passage speaks to this understanding: “He who wants to enter the holiness of the day must first lay down the profanity of clattering commerce, of being yoked to toil      He must

say farewell to manual work and learn to understand that the world has already been created and will survive without the help of man. Six days a week we wrestle with the world, wringing profit from the earth; on the Sabbath we especially care for the seed of eternity planted in the soul  Six days a week we seek to dominate the world, on the seventh

day we try to dominate the self.”14

In our work as Spiritual Directors and teachers, we have found some of the traditional practices and customs of Shabbat to be a valuable

 

starting place for helping to create islands of calm in the otherwise hectic and hurried lives of our directees. Here are three simple prac- tices that can be used to create a few moments, an hour, or a full day of Sabbath time.

One custom practiced by more observant Jews entails going to a mikveh, a natural or artificial body of water in which one fully immerses, in preparation for the Sabbath. Short of going to a mikveh, one can simply wash in hot water. The following description, based on various traditional teachings, helps explain the benefits—not only physical, but spiritual as well—of this practice:

It is a traditional practice to wash in hot water before Shabbat. The hot water will change your body-feeling, removing any neg- ativity and the weekday “set,” and ready you for the renewal that comes with Shabbat. Bodily cleanliness also has a spiritual effect. It is hard to feel spiritually pure when you are physically unclean; conversely, being clean in body natural conduces to a feeling of spiritual cleanliness.10

For those who hope to incorporate some sort of Sabbath time into their lives, we might suggest that they prepare by taking a hot bath, allowing themselves to linger in the water for a while. As is reflected in the above teaching, water—particularly hot water—can have healing and transformative qualities. As they relax in the water, preparing themselves physically, spiritually, and emotionally for the sacred time they are about to observe, their muscles relax, and stress is released.

Alternately, for a shorter period, they might simply do a ritual hand washing, to delineate sacred time from ordinary time. Even symboli- cally, pouring water over one’s hands can suggest a release from nega- tivity or a sense of letting go of the past (stress) and opening to the future (a new way of being). We might suggest singing a lovely melody set to a verse from the Prophet Isaiah: “Draw water in joy, from the living well. Mayyim Chayyim. Waters of Life. Shalom.”

The second suggestion is based on the traditional practice of wel- coming the Sabbath by lighting candles. The flame of a candle is a universal symbol of God’s Presence, as well as of the soul and the spiritual; indeed, there is something transformative that can happen when one lights candles, demarcating one period of time from another. One teaching, for example, says “On the holy Sabbath, whose inner meaning is the spiritual elevation of all the worlds .. . the

 

Sabbath candles serves to symbolize the elevation of the soul and of holiness.”10 We might suggest then, that to begin a period of sacred time, whether an hour or a day, our directees light a candle and sit in front of it for at least a few moments, meditating on the flame, open- ing to God’s Presence, or simply sitting quietly.

Finally, the third practice comes out of the traditional understanding of the Sabbath as a time to abstain from working. Over the centuries, to decide what was permitted and what was prohibited on the Sabbath, the ancient rabbis had to grapple with what exactly constituted work (the word for work in Hebrew is melakhah). While the details of their understanding is mainly relevant for Jews who fully observe a traditional Sabbath, the underlying principle they came up with is more broadly applicable: on the Sabbath, Jews are to abstain from the ordinary, task-oriented practices of the workweek in order to remember and feel gratitude for the gift of God’s creation. Thus Grunfeld, referencing the writings of Rabbi Samson Raphael Hirsch, one of the foremost Jewish thinkers of the nineteenth century, writes, “Man .. . is engaged in a constant struggle to gain mastery over God’s creation, to bring nature under his control. By the use of his God-given intelligence, skills and energy, he has in large measure succeeded in this. He is thus constantly in danger of forgetting his own creaturehood—his utter and complete dependence on the Lord of all things. He tends to forget that the very powers he uses in his conquest of nature are derived from his Creator, in Whose service his life and work should be conducted.”12

Taking this principle into our work with directees, we may suggest that they create sacred time by unplugging for a period of time from all their devices: BlackBerry, computer, telephone, etc. For many this is a radical notion and takes some getting used to; it makes them realize that they do have some choice in whether they are always “on” or sometimes “off,” and forces them to confront their own addictions and attachments to these tools. We have found that for some, the prac- tice of unplugging is liberating, providing periods of quiet and calm.


THEORETICAL AND EMPIRICAL LITERATURE


There is an extensive and growing literature on the value of Buddhist meditation as a source of stress reduction and general wellness (see else- where in this volume). There is also an active literature that explores the efficacy of prayer, both from a specifically Christian and from a multi- denominational perspective. Yet as far as we know, there are no scientific

 

studies that have addressed specific Jewish practices of the form we have been discussing here.

A considerable amount of work, however, has been done over the last decade or two on the topic of healing from a Jewish perspective. This body of work may have some relevance for the subject of spiritual practice and well-being; as far as we know, however, scholarly studies have not yet been conducted. This would be an area that would be fruitful for further research and exploration.


APPLICATIONS


Our experience suggests that it is a select group of people who are drawn to a more contemplative approach to Jewish practice. But there are limited opportunities within the mainstream Jewish community for such people to study and experiment more deeply. Some more spiritu- ally oriented retreat centers do exist, and in addition to three or four programs training Jews in Spiritual Direction, there is also now an Institute for Jewish Spirituality, which introduces Jewish professionals (rabbis and cantors), and more recently, laypeople, to a more contem- plative approach to Judaism. This program is growing in popularity, and satellite programs are being offered at various places around the country.

It is currently hard to know to what extent this approach might be of interest to the majority of the Jewish population if it were to be more widely available. For such people, we would hope, there may be value in creating opportunities for ongoing learning and experi- mentation, as well as additional resources, such as this collection, for study.


CONCLUSION


The Jewish practices we have described in this chapter—prayer, meditation, and Sabbath time—are rich and multifaceted. While each of them clearly has correspondences in other traditions, the specifically Jewish manifestations we have discussed here have deep roots in Jewish history, texts, and culture. A Jewish person searching for solace, com- fort, and healing may well find it in non-Jewish practices; indeed, it is well known that many Western Jews now fill Buddhist and Hindu meditation halls well out of  proportion  to  their representation in the larger culture. But there is a kind of healing that we have both

 

experienced and witnessed that occurs when one makes peace with one’s own tradition and is able to find sustenance through it. It is the rare individual who, when looking for peace and stress reduction, is likely to embrace a full Jewish life. It is much more likely that such an individual may adopt one or more of the practices discussed here, and gain some of what she is looking for not only through the techniques themselves but through the power of their connection to a vast and life-giving tradition.


REFERENCES


1. Schur, T. G. (1993). Illness and crisis: Coping the Jewish way. New York: National Conference of Synagogue Youth, 79.

2. Plante, T. G., & Thoresen, C. E. (Eds.). (2007). Spirit, science, and health: How the spiritual mind fuels physical wellness (p. 6). Westport, CT: Praeger.

3. Muller, W. (1999). Sabbath: Finding rest, renewal, and delight in our busy lives. New York: Bantam Books.

4. Shapiro, S. L., & Walsh, R. (2007). Meditation: Exploring the farther reaches. In T. G. Plante & C. E. Thoresen (Eds.), Spirit, science, and health: How the spiritual mind fuels physical wellness (pp. 57–69). Westport, CT: Praeger. See p. 60.

5. Masters, K. S. (2007). Prayer and health. In T. G. Plante &  C. E. Thoresen (Eds.), Spirit, science, and health: How the spiritual mind fuels physical wellness (pp. 11–24). Westport, CT: Praeger.

6. Benson, H. (1975). The relaxation response. New York: Avon Books.

7. Jantos, M., & Kiat, H. (2007). Prayer as medicine: How much have we learned? Medical Journal of Australia, 186(10 Suppl.), S51–S53.

8. McCullough, M. E. (1995). Prayer and health:  Conceptual  issues, research review, and research agenda. Journal of Psychology and Theology, 23, 15–29.

9. Pert, C. B. (1999). Molecules of emotion: The science behind mind-body medicine. New York: Touchstone.

10. Buxbaum, Y. (1990). Jewish spiritual practices. Northvale, NJ: Jason Aronson.

11. Kaplan, A. (1978). Meditation and the Bible. New York: Samuel Weiser, 132–138.

12. Grunfeld, D. D. I. (2003). The Sabbath: A guide to its understanding and observance. Jerusalem: Feldheim, 16–17.

13. Mishkan T’filah: A Reform Siddur (2007). New York: Central Conference of American Rabbis.

14. Heschel, A. J. (1985). The Sabbath: Its meaning for modern man. New York: Farrar, Straus and Young, 13.

 

CHAPTER 8


Contemplative Practices in Action 6] Mantram Repetition: A “Portable Contemplative Practice” for Modern Times


 6] Mantram Repetition: A “Portable Contemplative Practice” for Modern Times


Jill E. Bormann


Living in today’s world with a steady stream of interruptions from wire- less cell phones, iPods, and hand-held organizers, the notion of contem- plation seems nearly impossible. Yet, the ancient practice of silently repeating powerful, sacred words throughout the day to slow down and center oneself is truly a modern-day stress buster. This chapter will describe mantram repetition as a portable contemplative practice. Recommenda- tions for choosing and using a mantram will be described. Research sup- porting application of mantram repetition for managing stress in a variety of groups will also be presented. Family caregivers, women in labor, health care providers, adults living with HIV, and combat veterans coping with posttraumatic stress disorder (PTSD) will describe their experiences of using this simple tool that deepens spiritual and psycho- logical well-being.

Living in societies that value speed, productivity, and multitasking, leave very little room for thoughtful contemplation or reflection. What was once unavoidable “pause time,” such as waiting an hour to bake potatoes, is now a five-minute “zap” in the microwave. If we want or need to pause, we must plan for it. We feel stressed from the pressure of deadlines or the pace we believe is expected. With computers and



Sections of Chapter 6 are reprinted from Bormann, Jill, “Frequent, Silent Mantram Repetition: A Jacuzzi for the Mind,” Advanced Emergency Nursing Journal, Volume 27, Issue 2 (Wolters Kluwer Health, 2005). Reprinted with permission from Wolters Kluwer Health.

 

the Internet, there is a never-ending stream of perceived demands that all seem urgent. Nevertheless, throughout history, people have managed to survive the ever-changing challenges in their lives and have discovered ways to find inner peace. To do this today requires some innovative strategies. One of these strategies is Mantram Repetition.


WHAT IS MANTRAM REPETITION?


In this chapter, the guidelines and language of mantram repetition is taken from Eknath Easwaran, a  spiritual  teacher  from  India who came to the United States in 1959 and created the Eight-Point Program—a set of guidelines for living a spiritual life1 (see the chapter “Finding Balance in  a  Hurried  World:  The Eight-Point  Program of Passage Meditation” by Flinders et al.). The word “mantram” originates from the Sanskrit words “manas” (mind) and “trai” (to set free or protect from). Thus, one traditional definition of the word is “to set free from the mind” (p. 39),2 and another is “the thought that liberates and protects” (p. 2).3

The word “mantram” does not differ in meaning from the word “mantra,” which is more familiar to Westerners. Easwaran’s preference for mantram is simply a reflection of the Sanskrit he studied as a boy, but the slight difference in spelling is helpful insofar as it underscores his understanding of the power of the mantram and the remarkable range of circumstances in which he suggests it be repeated.

In Easwaran’s Eight-Point Program of Passage Meditation, the mantram is one of eight points that are taught and practiced together as a comprehensive and integrated program for spiritual seekers. Even so, repetition of a mantram or sacred word is a practice that goes back thousands of years in virtually all faiths—it has a life of its own. While not all of us are willing or able to commit to a daily meditation prac- tice, repetition of a mantram may be the ideal portable contemplative practice for modern times.

Easwaran defined the mantram as a “short, powerful spiritual formula, for the highest power we can conceive of—whether we call it God, or the ultimate reality, or the Self within. Whatever name we use, with the mantram we are calling up what is best and deepest in ourselves” (p. 8).4 In Western culture, the word “mantra” is commonly used to mean any thought or phrase that is repeated (“I want to be a million- aire”). So another advantage of using Easwaran’s preferred term “man- tram” is that it preserves the traditional meaning: a sacred or holy word

 

or phrase chosen to be the object of one’s mental focus with the goal of connecting to inner positive resources that help in managing stress.

Mantram repetition is virtually available at any and every moment. Unlike a meditation practice such as bringing attention to one’s breath throughout the day, focusing on a mantram—a sacred name or exalted word—provides a more concrete, mental tool, which brings pause to the mind. The mantram can be described as a form of “divine communication” that opens us to the sacred Spirit within. Some call this Spirit their Higher Power, God, Mother Nature, Universal Con- sciousness, Heavenly Father, and so on. Mantram repetition has been described as a direct call to stillness. Regardless of the language used, the mantram repetition program is based on the assumption that human beings possess a mind, body and spirit. Attributes of the spirit include characteristics of goodness, compassion, well-being, peaceful- ness, and kindness. Unfortunately, most do not tap into these inner characteristics due to racing thoughts, unending interruptions, and a focus on past memories or future worries.

As a contemplative practice, mantram repetition is completely port- able, invisible, inexpensive, readily available, nontoxic, and nonpharma- cological. It can be repeated anywhere, anytime, and in any position with eyes open or closed. It can be repeated throughout the day to serve as a rapid focusing tool for the mind or even at night to help deal with insomnia or nightmares. For stress management, it is used to redirect attention away from intrusive, negative thoughts and allow observation and reflection. Thus, it provides “pause time” to reevaluate one’s behavior, habits, and addictions. It fosters equanimity, being able to stand in the middle of a situation and observe.


AUTHOR’S EXPERIENCE WITH MANTRAM REPETITION


Personally, this author has been repeating a mantram as part of the Eight-Point Program since 1988, when first introduced to the Blue Mountain Center of Meditation in Tomales, California. A greater sense of well-being and quality of life are benefits attributed to practic- ing the entire Eight-Point Program. However, some specific experien- ces related just to the mantram are noteworthy and may be helpful to readers.

Initially, it took some time to thoughtfully choose a mantram. A word or phrase related to my prior beliefs and religious upbringing was

 

preferred, but not a word associated with any negative personal memories. I chose a less familiar, non-English word with a neutral, sooth- ing sound and rhythm meaning “Lord of the Heart” or “Come, Lord.”

Then, I had some resistance to repeating the mantram, as it seemed too simplistic and mechanical. Over time and with persistence, however, I felt a growing sense of inner security and distinct feelings of safety when repeating it. Until then, I had little awareness of the chronic fear and anxiety I experienced daily. Over time, mantram repetition began to generate an increased awareness of emotional detachment and stability. An ability to watch the mind, to recognize automatic behaviors of reactiv- ity versus intentional, thoughtful action was cultivated. The mantram gradually became familiar, like an old friend. Amusingly, it became a game to see how long I could repeat the mantram without drifting away to other thoughts. I enhanced my ability to concentrate on tasks at hand and dismiss unwanted distractions.

After several years of consistent mantram practice, I experienced some mantram dreams. Such dreams are described as protecting people from nightmares,4 and they illustrate the depth at which the practice can impact a person. These nightmares consisted of being chased either by a large grizzly bear or by angry men with dangerous knives. In each dream, at the point of being overcome by enemies and unable to escape, I surrendered by repeating the mantram as sin- cerely and focused as possible. This freed me from feeling threatened and terrorized. Immediately, in the dream, I felt peacefulness. I was not harmed in the dream and upon waking, I felt relieved and secure.


DIMENSIONS OF THE PRACTICE


HOW TO CHOOSE A MANTRAM


There are specific guidelines for choosing and using a mantram that are highlighted here, but for more comprehensive instructions, see The Mantram Handbook4 by Easwaran. Choosing a mantram is not to be taken lightly. It is wise to take extra time and choose one that offers strength and support. Avoid words or phrases that evoke negative associations or bad memories. Do not make up your own. Mantrams are distinctive and time honored. They have been handed down from generation to generation and repeated by millions over time. Their power is not so much related to their concrete meaning, as it is to the resulting effects they have on individuals through repetition. Some people choose a

 

mantram because of the person who used it. Those who are inspired by Mahatma Gandhi, for example, may choose his mantram, which was “Rama” meaning “to rejoice.” A small list of recommended mantrams is shown in Table 6.1.

It is not necessary to be affiliated with a religion or have religious/ spiritual beliefs in order to benefit from mantram repetition. How- ever, those with strong religious and/or spiritual beliefs often choose a mantram that complements their beliefs. Others are surprised to find that a mantram from a different spiritual tradition may be more beneficial than one from their own tradition.

Some people have no difficulty choosing a mantram. A word or phrase jumps out at them immediately. Others have to try it on and practice repeating it silently for a few days, weeks, or months to see how it sounds and feels. From a psycho-spiritual perspective, the choice of a mantram is extremely important because “we are shaped by what gains our attention and occupies our thoughts.”5

Once chosen, keep the same mantram, despite any temptation to choose another. Unlike some traditions where a different mantram is recommended for different situations, in this practice one mantram fits all situations. One advantage of having only one mantram is its rapid accessibility when needed immediately. It becomes an automatic speed


Table 6.1.  List of Common Mantrams from Traditional Sources

Sample Mantrams Common Meanings


Jesus, Jesus, or Lord Jesus Christ Savior or Son of God

Hail Mary or Ave Maria Mother of Jesus or Divine Mother

My God and my All Used by St. Francis of Assisi in his prayers

Om mani padme´ hum The jewel in the lotus of the heart

Namu Amidabutsu An invocation of the Buddha of Infinite Light

Rama Rama To rejoice or joy within

So Hum or So Ham I am That

Ribono shel olam Lord of the universe

Barukh attah Adonai Blessed art thou, O Lord

Bismilla¯h ir-rahma¯n ir-rahı¯m In the name of God, the merciful, the

compassionate

Allah One true God


Note: See other instructional resources at http://www.easwaran.org.

 

bump that slows reaction time in stressful moments. It is a doorway to equanimity.


HOW TO USE A MANTRAM


The mantram is to be repeated with sincerity, concentration, and intention as often as possible. “As with anything else in life, the more effort and concentration you give, the greater and more dramatic the results may be” (p. 58).2 For example, if the mind were analogous to a muscle that you wanted to strengthen, then repetition is the key. Just as an athlete lifts weights repetitively to build that muscle, we strengthen our ability to concentrate by repeating a mantram— returning our attention to it over and over. Moreover, the good news is that we can practice the mantram anytime, anywhere, without a gym, a trainer, a weight or a medicine ball, etc. It is important to repeat the mantram silently at every possible opportunity throughout the day, during routine activities such as washing dishes or when walk- ing to the car, and even during the night, particularly just before sleep. Even though the mantram can be chanted, spoken, sung out loud, whis- pered, hummed, or written, repeating it silently is highly recommended. Then it can be used rapidly when needed and when others are present. It is also helpful to repeat a mantram in times of distress or emo- tional upheaval such as anger, fear, panic, and/or grief. The mantram can be repeated intensely while walking briskly to transform unwanted emotions into positive energy. This is called a mantram walk. In addi- tion to eliciting the relaxation response, the mantram serves as an immediate connection to one’s higher Power, or inner, higher Self.

It is a shortcut to awareness of the present moment and one’s inner resources. Thus, it becomes a convenient form of contemplation.

The mantram can also be written, over and over, to capture one’s entire attention. Writing the mantram is particularly helpful when the mind is very scattered, when emotions are out of control, or when strug- gling with an addiction. Mantram writing in these situations serves as a pause button to allow space between thought and action.

Repeating a mantram involves two additional points of Easwaran’s program: skills of intentionally slowing down one’s thinking and engag- ing in one-pointedness or focused concentration. These three skills work together synergistically to create a quiet, contemplative state of mind.

 

USING A MANTRAM TO SLOW DOWN THINKING AND SET PRIORITIES


Our culture values speed and multitasking. Instant results are expected with the technology of computers, e-mail, cell phones, and fax machines. Although we benefit from these so called time-savers, they also create an enormous demand on our attention and energy. People groan that there are not enough hours in the day to accomplish all they want. Stress is felt when we perceive there is not enough time. Such thinking promotes a sense of urgency and the need to hurry through life.

Given our culture, it may seem ridiculous to even consider slowing down. After all, everyone and everything around us appears to be accel- erating at high speed. It seems as if we must hurry to survive. After awhile, most of us are not even aware we are hurrying. We become automatic robots with no time to reflect, to observe or examine our lives, and no time for contemplation.

One result of going faster and faster is that we become insensitive to others’ needs. Furthermore, speed fosters physical ailments that can be linked to stress and hurry. Easwaran claims, “If we want freedom of action, good relations with others, health and vitality, calmness of mind, and the ability to grow, we have to learn to slow down” (p. 102).1 This is an enormous task when everything around us is speeding up and making demands on us to do the same.

Slowing down involves discrimination. Discrimination means setting priorities and learning to let go of the nonessentials. Yes, there are many things to attend to—daily maintenance of household and career, caring for relationships with family and friends, etc. Discrimi- nation is needed to determine what is most important, and then to do those things at a moderate pace to avoid mistakes and error. Contrary to what most people believe, slowing down means greater efficiency! There are fewer mistakes, fewer accidents, and more creativity.

Repeating a mantram can actually help a person go slower and allows time for discrimination. Initially, it may feel threatening to evaluate one’s speed and realize the need to change and slow down. Nevertheless, slowing down has the reward of making a conscious effort to choose wisely each day in all aspects of life. The end result is living more fully, consciously, and intentionally.

 

USING A MANTRAM TO DEVELOP ONE-POINTED ATTENTION OR MINDFULNESS


Mantram repetition requires the mind to inherently become one- pointed with focused attention. Mantram repetition raises our aware- ness of the thinking process and how poor decisions and bad habits are fostered. The mantram is a very concrete, practical tool where you know when you are repeating it, and you know when you are not. Each time the mind wanders and you bring it back to focus and repeat the mantram, you have controlled your attention internally. Each time you pay attention to what you are doing, you control your attention externally. Attention is a valuable resource that often goes wasted. Just as sunlight can be focused through a magnifying glass to create a laser-sharp point capable of burning a leaf, attention that is focused on completing one task at a time creates efficiency and carefulness.

To summarize, all three skills are needed to be successful— mantram repetition, slowing down, and one-pointed attention. Repetition of each, especially mantram, is the key. Over time, repeti- tion of the mantram increases in its power and effectiveness. “One drop of water can accomplish very little, but hundreds of millions of drops can cut through rock or, indeed, change the face of the earth” (p. 4).3 Finally, the best way to evaluate the effectiveness of mantram practice, is to observe one’s reactivity to the usual, stressful things and to evaluate the time it takes to recover from such stressors. Usu- ally, the speed of reactivity is reduced and recovery time diminishes.


HISTORICAL PERSPECTIVES


Some form of word repetition has been discovered in nearly every culture and spiritual tradition throughout history. It has been docu- mented as early as the seventh or eighth century BCE in the Upanishads and from the fourth or fifth century BCE in Judaism. In Christianity, mantram repetition is a form of holy name repetition used for healing and devotional purposes.6

The practice may not necessarily be central to the religious institu- tions in which it is found. Catholics use the rosary but that is only one small part of the faith tradition. Many times, in contrast, lay persons have reported that they discovered, on their own, the benefit of

 

repeating a soothing word or phrase in times of distress. The practice appears to be universal, despite the many variations that can range from community vocal chanting or singing as a form of worship to quiet individual mental repetitions that some might call prayer.


REVIEW OF THEORETICAL AND EMPIRICAL LITERATURE


Theoretically, there are several explanations of how mantram rep- etition works to enhance health and well-being. These explanations are usually described using physical, mental/cognitive, psychological/ emotional, and religious/spiritual mechanisms. Some of these mecha- nisms are briefly summarized below. More research is needed, how- ever, to support these theories and address the impact of mantram repetition as a unique, portable practice.


PHYSICAL MECHANISMS


One of the earliest explanations for the health benefits of repeating a word, phrase, or sound is derived from research on the “relaxation response,” a term coined by cardiologist Dr. Herbert Benson and defined as the opposite of the stress response.7 The relaxation response is initiated by repeating a word, sound, prayer, phrase, or muscular activity and passively disregarding any intruding thoughts that come to mind. Ample research has been conducted on the effects of the relaxation response on anxiety, stress, cardiovascular, and neuroendocrine function.7

Benson recommends sitting with eyes closed repeating a chosen word or phrase for 20 minutes daily. This practice resembles Transcendental Meditation (TM), a form of sitting mantra meditation, which has also been studied in relation to health outcomes.8 TM, however, should not be confused with mantram repetition. It differs in that the TM man- tra is assigned by a paid TM practitioner rather than personally chosen. TM is a sitting meditation with eyes closed rather than a portable prac- tice. Its goal to “transcend” beyond conscious thought in contrast to training attention and remaining conscious.

But Benson also spoke of “mini’s” or brief moments throughout the day of repeating the word, sound or phrase and releasing tension while taking a deep breath. He suggested initiating the relaxation response

 

as often as possible throughout the day and even while exercising.7 This use most resembles mantram repetition.

Other mechanisms of mantram repetition are linked to the neural pathways in the brain. Such theories are based on preliminary data found using functional magnetic resonance imaging scans. With rep- etition, one is theoretically using the same neural networks over and over. This is believed to cause structural changes in the brain, particu- larly the structures involved with attention and control. Researchers have found that the cortical thickness in the brain is also thickened with long-term meditation practice.9


MENTAL/COGNITIVE


From a mental/cognitive perspective, mantram repetition works by interrupting negative, anxious, or irrational thoughts. For example, one way to restructure maladaptive thinking is by using the mnemonic acronym of the three C’s: “Catch it, Check it, Change it.” The mantram provides a tool or mechanism to “catch it” (meaning, recognize the unwanted thought). Then one can “check it” (assess if it is an irrational thought). This may be referred to as meta-cognitive awareness. Only when the thought is recognized can one “change it” (or replace it with a more realistic thought). Thus, mantram repetition may be a useful aid in teaching cognitive-behavioral skills.

This process has been explored in a study of positive reappraisal coping as it relates to anger in a sample of HIV+ persons. Using mixed model statistics, results suggested that the mechanism for reducing anger in the mantram group was increasing positive reappraisal cop- ing. Those who used their mantrams were better able to pause and reappraise the situation, which in turn, led to less anger over time.10


PSYCHOLOGICAL/EMOTIONAL MECHANISMS


A psychological explanation for mantram repetition is called the “associative network” theory of memory and emotions.6 Certain words generate either positive or negative feelings. Through associa- tions, the mantram fosters what is called a “spreading activation,” making related memories and  emotions  more  mentally  available. So when a mantram is paired with feelings of calm and peacefulness as in nonstressful times, such as before sleeping, it becomes associated

 

with positive mental and physical memories. These positive feelings are then more easily accessed when the mantram is repeated during stressful, annoying moments.


RELIGIOUS/SPIRITUAL MECHANISMS


Another mechanism explaining how mantram repetition works is related to spirituality. Existential spiritual well-being is defined as having meaning and purpose in life. Because the mantram helps us connect to our inner spiritual resources, it fosters a sense of well- being. In several mantram studies that measured spiritual well-being, the mantram groups improved significantly more than controls, supporting the notion that mantram repetition enhances spiritual well-being.

In the HIV study, there were 71 participants who gave saliva sam- ples for a secondary analysis to look at relationships between faith/ assurance and the stress hormone of salivary cortisol. The mantram group participants had significant improvements in faith/assurance from pre- to postmantram treatment. Faith/assurance, in turn, was found to be inversely associated with a lagged reduction in average salivary cortisol levels over time compared to the control group.11


MANTRAM REPETITION PROGRAM OF RESEARCH


A program of research, conducted by this author and colleagues, has been exploring the health benefits of a mantram-based group inter- vention since 2001. The program is now established as an eight- week (90 minutes per week) group course called “Mantram Repetition for Relaxation.” It has been adapted for a variety of audiences and con- sists of teaching mantram repetition, slowing down, and one-pointed attention. The textbook used is Strength in the Storm,12 along with a course manual that has recommended readings and exercises.

The following section describes a series of research studies that highlight the health benefits reported by various groups practicing mantram repetition. The groups include veterans with chronic illness and combat veterans coping with PTSD, health care providers, family caregivers of veterans with dementia, women in labor, and adults living with HIV disease. For an overview of these and other studies, see Table 6.2.

 

Table 6.2.  Published Research Studies on Mantram Repetition

Reference Studies Findings



 

13 62 veterans in mantram group assessed at pre- and posttreatment (without comparison group)





16 29 combat veterans randomized to mantram (n = 14) and wait-list control (n = 15)



17 136 combat veterans with PTSD randomized to usual care with mantram group (n = 66) or usual care only (n = 70).






Health Care Provider and Veteran Qualitative Study

15 30 veterans and 36 health care employees were interviewed about mantram use at follow-up


Health Care Provider Studies

14 42 health care employees assessed at pre- and posttreatment (without comparison group)

 

Significant improvements were found in stress, anxiety, anger, spiritual well-being, quality of life, and PTSD.

Mantram practice fully mediated changes in anxiety and spiritual well-being, and partially mediated improvements in all other outcomes.

Mantram group (compared to controls) decreased PTSD symptom severity, psychological distress, and improved quality of life and spiritual well-being.

Mantram group had significant improvements in self- reported PTSD, spiritual well-being, quality of life, and mental health function compared to controls.

32% of veterans in mantram group were no longer classified by clinicians as having PTSD diagnosis at posttreatment compared to 15% of veterans in control group.



Most participants (83%) reported situations where the mantram was useful for managing stress, other negative emotions, sleep/insomnia, and unwanted thoughts.



Significant improvements in stress, anxiety, anger, spiritual well-being, and quality of life.

Mantram practice mediated favorable changes in anxiety and spiritual well-being.

(continued )

 

Table 6.2.  (continued)

Reference Studies Findings



 

21 13 health care providers completed the entire Eight-Point Program and were interviewed on the impact of the pro- gram and its specific points, including mantram repetition.

Family Caregiver Study

18 16 family caregivers of Veterans with dementia completed a mantram program with added cognitive-behavioral skills and were assessed at pre-, post-, and 8 weeks posttreatment with phone interviews at 36-week follow-up (without com- parison group).



First-time Mothers During Labor

19 9 first-time mothers were randomized to childbirth  classes plus mantram (n = 5) or childbirth class only controls (n = 4) and were telephone interviewed at 6 months postdelivery.


HIV Studies

20 93 HIV-infected adults randomized to mantram (n = 46) and educational controls (n = 47). Both groups had similar levels of attention and were followed for 22 weeks.

 

7 of 13 (54%) providers reported that use of mantram helped them slow down and focus attention on the tasks at hand.



Caregivers reported significant improvements in caregiver burden, perceived stress, rumination, depression, and quality of life.

94% of caregivers reported still using mantram at 36 weeks posttreatment and 100% reported that mantram repetition was helpful.



All 5 mothers in mantram group reported using mantram to manage pain and moments of uncertainty during complicated labors. One used mantram during delivery. All 5 reported still using mantram at 6 months postdelivery.



Mantram group (compared to controls) had favorable changes in anger, faith/assurance, and spiritual connectedness.

Mantram practice was associated with increased quality of life, faith/assurance, spiritual meaning/peace, and decreased non-HIV intrusive thoughts.

 


 

 


 

 

10 93 HIV-infected adults randomized to mantram (n = 46) and educational controls (n = 47) for a secondary analysis that examined positive reappraisal and distance coping as mediators of anger reduction.



11 71 HIV adults randomized to mantram (n = 36) and educational controls (n = 35) for a secondary analysis of relationships among faith/assurance and daily average salivary cortisol levels over time.

Community-Dwelling Adults

22 61 healthy community volunteers were randomized to mantram group (n = 23), placebo mantram group (n = 19), and no-treatment controls (n = 19).

 

Mantram group reported a 25% increase in positive reappraisal and 15% reduction in anger from baseline. Positive reappraisal appeared to mediate the effect of mantram on decreased anger at 22-week follow-up.

Controls reported decreased positive reappraisal coping. Distance coping was not related to anger reduction.

Faith/assurance increased among mantram group but not controls. There was a lagged relationship between faith/ assurance and average daily cortisol levels, which may have been enhanced by mantram use.



Maha mantra repetition was associated with significantly less stress and depression compared to active controls or no-treatment controls at posttreatment and even after

4- week follow-up.

 


 

Note: PTSD = posttraumatic stress disorder.

 

APPLICATIONS/INTERVENTIONS


Early research on the benefits of frequent, silent mantram repetition has shown improvements in lowering perceived stress, anxiety, and anger while increasing quality of life and spiritual well-being in veterans with chronic illnesses13 and in health care providers.14 In these first two pilot studies, participants who received the mantram program were self- selected (not randomly assigned) and were not compared to a control group. Therefore, these positive outcomes may have been related to the therapeutic effects of group social support. These studies did pro- vide, however, initial support needed to conduct larger, randomized controlled trials and qualitative research yet to be described.

Another group of veterans and health care providers (N = 66) were

interviewed approximately two months after completing the mantram course. They were asked about the kinds of situations in which they used mantram repetition and found it helpful. Fifty-five (83%) reported a total of 139 helpful incidents including (a) managing emo- tions (54% of incidents) such as impatience, anger, frustration, feeling upset, disgruntled, or out of control; (b) managing stress (25% of inci- dents); (c) managing sleep/insomnia (14% of incidents); and managing unwanted thoughts (7% of incidents).15 Some examples are provided below:

To manage grief:

I recently lost my father to cancer and I have found it [mantram repetition] very helpful in coping with his death.

—health care employee


To focus attention:

The mantram helps me slow down, helps me think and reason because it allows me to focus. And without that focus, I might be thinking three to four things at the same time.

—veteran with chronic illness


To find perspective:

The mind always blows things out of proportion and so my recit- ing the mantram, it seems to settle everything down and keep it in perspective, because again, reality is never as bad as what you imagine it to be.

—veteran with chronic illness

 

MANTRAM FOR COMBAT VETERANS WITH PTSD


While there have been numerous studies of pharmacological and cognitive-behavioral interventions for treating PTSD, little attention has been given to spiritually based approaches for managing symptoms of PTSD. Spirituality may be important to the treatment of PTSD because of research indicating that combat trauma may challenge veter- ans’ religious faith and beliefs about life’s meaning and purpose.

Because earlier research in veterans showed promising results, a feasibility study in a small sample of combat veterans was conducted. Thirty-three veterans with  PTSD were  recruited  and  29  completed the study. They  were  randomly  assigned  to  the  mantram  group (n = 14) or a wait-list control group (n = 15). Results demonstrated that mantram repetition was acceptable  in  this  population  and  that the mantram group improved significantly more than controls in a number of  psychological  measures  including  a  clinician  assessment of having a PTSD diagnosis.16

These results supported a larger randomized trial testing the effects of the mantram program compared to usual care. A cohort of 136 outpatient veterans with PTSD were  assigned  to  either  the  mantram  program (n = 66) or the delayed-treatment control (n = 70). There were significant reductions in self-reported PTSD symptom severity in the mantram group compared to controls. Clinician assessment of PTSD diagnosis in the mantram group was reduced in 32 percent of the veterans compared to 15 percent in the control group. Mental health function and quality of life also improved in the mantram group. Spiritual well-being increased in the mantram group compared to a decrease in controls.17

Some examples of how veterans with PTSD used mantram are as follows:

To think clearly and rationally:

If I find myself getting into a bad mood or depressed .. . how can I say it ... when I have no patience with myself and I find myself going back and beat myself up over issues or whatever, I have to ... I do my mantram at that point in time. I get more relaxed where

I can start thinking other thoughts.

 


To manage anger:

 

—veteran with PTSD

 

I’m glad I learned the mantram. I don’t stay mad. I’m not angry. I’m not all stressed out. So I try and use the mantram the best

 

I can to relieve the pressure, you know, ’cause  we’re  like .. . steam, you know, once you turn the fire up .. . you got to get rid of it, you know, and the mantram really works well.

—veteran with PTSD


To manage various PTSD symptoms:

[I use mantram] any time I get agitated .. . any time I have any PTSD triggers .. . driving .. . situations in relationships .. . any- where I feel uncomfortable. Those types of things .. . in crowds when I am not comfortable in crowds .. . If I wake up in the night from a dream or nightmare .. . I wake up in sweat .. . I say my mantram and relax.

—veteran with PTSD



MANTRAM FOR FAMILY CAREGIVERS OF VETERANS


Family caregivers are another group who are in danger of poor health due to the stress of care giving. Caregivers frequently have total responsibility for their loved ones and are often unable to obtain support services because of their reluctance to leave care recipients alone. Therefore, a family caregiver support program was created using the structure of the mantram course and adding some cognitive behavioral skills. The program was delivered using teleconference calls in order to reach more caregivers, especially those from a distance.18

The caregiver study resulted in significant reductions in caregiver burden, depression, perceived stress, and rumination. There were sig- nificant improvements in quality of life satisfaction and enjoyment over time. The teleconference delivery of the mantram program was feasible, and improved access and participation for one caregiver who lived 160 miles away. All caregivers reported moderate to high satisfaction with the intervention.18 The following quotes were taken from telephone interviews to illustrate how mantram was used by caregivers:

To manage impatience:

I use mantram repetition during impatient incidences when my husband needs my attention.

—spouse as caregiver of veteran with dementia

 

To manage stressful situations:

Using my mantram has helped me to ward off any possible stress- ful situations, but when I do get stressed out over something, I concentrate on repeating my mantram numerous times .. . then I feel relaxed.

—family caregiver of veteran with dementia



MANTRAM REPETITION FOR MOTHERS IN LABOR


Another small pilot study was conducted to assess the effects of mantram repetition on labor in first-time pregnant women.19 Using mixed methods of quantitative and qualitative research, 9 out of 14 mothers (64%) completed the study. Five were assigned to the mantram group and four to the control group. Qualitative telephone interviews were conducted at six-month postdelivery with open- ended questions to assess mantram use.

Results of the interviews revealed that all five of the treatment group mothers had used mantram repetition during labor. They reported that mantram helped them clear their minds and not get con- sumed by experiences of pain, fear, stress, and anxiety. In return, they were able to use other measures such as deep breathing to help reduce the intensity of their physical and emotional experiences. The man- tram was also used to deal with moments of uncertainty. Mantram repetition gave them something “to do” during a time when they had no idea of what was going on. It also helped them be present to work with the doctors and the medical staff:

To manage labor:

The mantram has helped me make hard decisions .. . to think clearly and rationally. [It gave me] a platform to make good deci- sions and in return, know what is truly important.

—first-time mother during labor



ADULTS LIVING WITH HIV


The last study presented here provides the most rigorous test of ben- efits. With funding from the National Center of Complementary and Alternative Medicine, a randomized controlled trial of a mantram inter- vention on health outcomes in HIV-infected adults was conducted.20

 

Ninety-three participants interested in stress management  were recruited using flyers distributed in the community. They were ran- domly assigned to either the mantram intervention (n = 46) or an educa- tional control group (n = 47) with equal group support. Questionnaires were administered before,  during, and after the intervention and at three months follow-up. Compared to controls, the mantram group improved significantly more on anger, faith/assurance, and spiritual connectedness. Over time, both groups had significant reductions in perceived stress, anxiety, and depression.

As in earlier studies, mantram dose was measured using wrist coun- ters and logs. More frequent mantram practice was significantly asso- ciated with reduced non-HIV intrusive thoughts, increased quality of life enjoyment and satisfaction, faith/assurance, and sense of spiritual meaning/peace. Although these relationships could not be explained by demographics, baseline spiritual well-being, involvement in a religious group, or frequency of other religious practices, mantram prac- tice appeared to contribute to these improvements, but more research is needed. Examples of mantram practice include the following:

To help with nightmares or insomnia:

I was having trouble with nightmares .. . and those dreams were terrifying. I would wake up shaking and my hands would be clenching to my chest, stopping the blood circulation to my hands. And since I took the second week of class, the mantram started taking over and as of today, I no longer have those scary nightmares anymore.

—adult living with HIV


To manage frustration while waiting:

When I am really frustrated or in a line or something, I don’t let that bother me; I just say my mantram and before you know it, I am right up at the front of the line. It has really worked for me. I liked it. I really, really liked it.

—adult living with HIV


NEW RESEARCH DIRECTIONS


With findings that mantram repetition can enhance health and well-being in many people, new directions for research would be to examine the confidence one has in using a mantram for symptom

 

management, i.e., self-efficacy of mantram practice for various condi- tions. For example, there is no measure of self-efficacy for managing PTSD symptoms. Future research could assess the degree to which patients have confidence that mantram repetition can help them man- age their illness.

Another area for investigation is Comparative Effectiveness Research, a description used by the Institute of Medicine for research to improve the health care system in the United States. The Institute has published a list of research topics and priorities including complementary thera- pies. Although the mantram program is a complementary therapy and not a stand-alone treatment, the mantram program could be compared to the Mindfulness-Based Stress Reduction program by Jon Kabat- Zinn. Although both are meditative-related practices, there may be subtle differences in health outcomes between these interventions that would be interesting to identify.


CONCLUSIONS


Because mantram repetition is simple, inexpensive, and portable, it is an ideal contemplative practice for nearly everyone. It can be used actively with a mantram walk or quietly before sleep. Health-related outcomes from practicing mantram are most frequently reported as inner feelings of calm or peacefulness. Evenness of mind under stress and having more patience with others has been reported by many research participants. This is the trait of equanimity sought after by contemplatives. One final tip before sharing this technique with friends, family, patients, or students: make mantram repetition a regu- lar part of your life and test its benefits on your own.


ACKNOWLEDGMENTS


Studies cited in this chapter were conducted with support from the VA Office of Academic Affiliations; VA Office of Research and Devel- opment, Health Services Research and Development, Nursing Research Initiative (04-041-4); National Institutes of Health/National Center for Complementary and Alternative Medicine (R21AT01159); Gamma Gamma Chapter of Sigma Theta Tau International Research Award; Nurses of Veterans Affairs (NOVA) Foundation; and the San Diego State University School of Nursing’s Institute of Nursing Research (#900521). The views are those of the author and do not

 

necessarily represent the official views of the Department of Veterans Affairs, the U.S. government, or the National Center for Comple- mentary and Alternative Medicine.


REFERENCES


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3. Radha, S. (1996). Mantras: Words of power (revised ed.). Spokane, WA: Timeless Books.

4. Easwaran, E. (2008b). The mantram handbook: A practical guide to choosing your mantram and calming your mind (5th ed.). Tomales, CA: Nilgiri Press.

5. Easwaran, E. (2005a). Words to live by. Tomales, CA: Nilgiri Press.

6. Oman, D., & Driskill, J. D. (2003). Holy name repetition as a spiritual exercise and therapeutic technique. Journal of Psychology and Christianity, 22(1), 5–19.

7. Benson, H. (1996). Timeless healing. New York: Scriber.

8. Walton, K. G., Cavanaugh, K. L., & Pugh, N. D. (2005). Effect of group practice of the Transcendental Meditation program on biochemical indicators of stress in non-meditators: A prospective time series study. Journal of Social Behavior and Personality, 17, 339–373.

9. Lazar, S. W., Kerr, C. E., & Wasserman, R. H., et al. (2005). Meditation experience is associated with increased cortical thickness. Neurological Report, 16(17), 1893–1897.

10. Bormann, J. E., & Carrico, A. W. (2009). Increases in positive reappraisal coping during a group-based mantram intervention mediate sus- tained reductions in anger in HIV-positive persons. International Journal of Behavioral Medicine, 16, 74–80.

11. Bormann, J. E., Aschbacher, K., Wetherell, J. L., Roesch, S., & Redwine, L. (2009). Effects of faith/assurance on cortisol levels are enhanced by a spiritual mantram intervention in adults with HIV: A randomized trial. Journal of Psychosomatic Research, 66(2), 161–171

12. Easwaran, E. (2005b). Strength in the storm: Creating calm in difficult times. Tomales, CA: Nilgiri Press.

13. Bormann, J. E., Smith, T. L., Becker, S., Gershwin, M., Pada, L., Grudzinski, A., et al. (2005). Efficacy of frequent mantram repetition on stress, quality of life, and spiritual well-being in veterans: A pilot study. Journal of Holistic Nursing, 23(4), 394–413.

14. Bormann, J. E., Becker, S., Gershwin, M., Kelly, A.,  Pada,  L., Smith, T. L., et al. (2006). Relationship of frequent mantram repetition to emotional and spiritual well-being in healthcare workers. Journal of Continuing Education in Nursing, 37(5), 218–224.

 

15. Bormann, J. E., Oman, D., Kemppainen, J. K., Becker, S., Gershwin, M., & Kelly, A. (2006). Mantram repetition for stress management in veterans and employees: A critical incident study. Journal of Advanced Nursing, 53(5), 502–512.

16. Bormann, J., Thorp, S., Wetherell, J. L., & Golshan, S. (2008). A spir- itually based group intervention for combat veterans with posttraumatic stress disorder: Feasibility study. Journal of Holistic Nursing, 26(2), 109–116.

17. Bormann, J. E., Thorp, S., Wetherell, J. L., Golshan, S., Fellows, I., Lang, A., et al. (February 11–13, 2009). Efficacy of a spiritually-based mantram intervention on quality of life in veterans with military-related PTSD. Paper presented at the Health Services Research & Development 2009 National Meeting, Balitmore.

18. Bormann, J. E., Warren, K. A., Regalbuto, L., Glaser, D., Kelly, A., Schnack, J., et al. (in press). A spiritually-based caregiver intervention with telephone delivery for family caregivers of Veterans with dementia. Journal of Family and Community Health, 32(4), 345–353.

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20. Bormann, J. E., Gifford, A. L., Shively, M., Smith, T. L., Redwine, L., Kelly, A., et al. (2006). Effects of spiritual mantram repetition on HIV out- comes: A randomized controlled trial. Journal of Behavioral Medicine, 29(4), 359–376.

21. Richards, T. A., Oman, D., Hedberg, J., Thoresen, C. E., & Bowden, J. (2006). A qualitative examination of a spiritually-based intervention and self- management in the workplace. Nursing Science Quarterly, 19(3), 231–239.

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PART TWO

CONTEMPLATIVE TRADITIONS




PREFACE TO PART TWO


Part Two, Contemplative Traditions, examines practice traditions that have been transmitted for many centuries or millennia within major faith traditions. The earlier chapter by Oman (Part One, Chapter 2) noted that four shared elements are present within many of these tradi- tions, as well as in the integrated systems described in Part One. What distinguishes the chapters in this part is that they emphasize traditions that are too vast and deep for any one person to practice them in their entirety. For example, each tradition may contain so many variants of sitting meditation, or of formalized prayer, that an individual would almost never seek to practice them all on a regular, ongoing basis. In some cases (e.g., yoga), many practices can be easily used by people outside of the original religious tradition, and perhaps combined with adherence to a different religious tradition.

In the four chapters in this section, we are treated to key elements and

highlights from the Jewish tradition (Weiss and Levy), Islam (Hamdan), the yoga school of practice that developed within Hinduism (Richards), and the Zen school within Buddhism (Tamayo-Moraga and Cohen Roshi).

 








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CHAPTER 7