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www.sacredartofliving.org © 2020 Sacred Art of Living
HEALING THE HEALERSTHE ART OF LIVING & DYING
UNIT ONE
Understanding Spiritual Suffering
HEALING THE HEALERS SERIES
UNIT ONE
Understanding
Spiritual Suffering
UNIT TWO
Recognizing
Spiritual Suffering
UNIT THREE
Responding to
Spiritual Suffering
UNIT FOUR
Transforming
Spiritual Suffering
www.sacredartofliving.org © 2008 Sacred Art of Living Center & Institute
THE SACRED ART OF REMEMBERING
10/28/2020
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SACRED ART OF
LIVING CENTER
“BOOK OF LIFE”
www.sacredartofliving.org © 2018 Sacred Art of Living
PRAYERS SENT WORLD WIDE
10/28/2020
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Co-Founders Richard & Mary Groves
Bend, Oregon in 1996
RICHARD F. GROVESHospice Chaplain
Ordained Catholic Priest
History & World Religions Professor
Language Scholar
Medical Ethicist
Health Care Educator
Published Author
PASSING ON
MARY’S
UNIQUE LEGACY …
MARY GROVES(1939-2009)
Bereavement Educator
Professional Artist
Program Designer
Media Producer
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SACRED ART OF LIVING CENTER
MISSION HEALING THE HEALERS
by connecting our “soul & role”
VISION TRANSFORMING SUFFERING
in ourselves and our communities
The dying are our teachers…
in living with deeper meaning and purpose
www.sacredartofliving.org © 2018 Sacred Art of Living www.sacredartofliving.org © 2008 Sacred Art of Living Center & Institute
THE ART OF LIVING & DYING
A World Wide Education Series
22,000+ Graduates from North America,
Europe, India and Asia
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FINDING COMMON GROUND
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SACRED ART OF LIVING SPECIAL MENTORS
Rabbi Zalman
Richard Rohr, OFMBrother Roger of Taize
Dame Cicely Saunders
Parker Palmer
Center for Courage and Renewal
www.sacredartofliving.org © 2018 Sacred Art of Living
St Christopher's Hospice
51-59 Lawrie Park Road
Sydenham
London, England
SE26 6DZ
Sacred Art of Living and Dying
is essential because…
spirituality is the most overlooked factor
in relieving pain.
Dr. Cicely Saunders
August 15, 2004
Dear Richard and Mary:
It is my privilege once again to commend your superlative programs.
Since you visited St. Christopher’s Hospice last year, I have continually
made efforts to enlighten others both in Europe and North America
about these excellent training courses. I indeed share your passion and
conviction that the…
www.sacredartofliving.org © 2020 Sacred Art of Living
TOTAL PAIN MODEL
CAREGIVER PAIN
TOTAL PAIN
WHOSE PAIN IS IT ANYWAY?
PHYSICAL
SOCIAL
EMOTIONAL
SPIRITUAL
Cicely Saunders, MD
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www.sacredartofliving.org © 2018 Sacred Art of Living www.sacredartofliving.org © 2008 Sacred Art of Living Center & Institute
WE ARE THE MEDICINE
“The way in which care is given
can touch the most hidden places…”
Dr. Cicely Saunders
SESSION ONE
HISTORY OF LIFE & DEATH
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Wisd m Insight
When a person is born,
we rejoice.
When they are married,
we celebrate.
When they die,
we pretend nothing
happened.Margaret Mead
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10/28/2020
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“Death is psychologically
as important as birth.
Shrinking away from it is
both unhealthy and
abnormal… because it
robs the second half of
life of its meaning and
purpose.”
www.sacredartofliving.org © 2020 Sacred Art of Living
“I wonder whether
our Western
so-called civilized
attitude about death
is not a step
backwards in
evolution…
…causing us to live
psychologically
beyond our means.”
Thoughts for the Times
on War and Death, 1915
Dr. Sigmund Freud
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“Few societies in history
have managed to create
the illusion that death is
an option …such is
America’s naiveté about
mortality which is fed by
an unqualified
confidence in science.”
Memoirs on Visiting America, 1942Dr. Carl G. Jung
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WHERE WE DIE
13
7780
20
0
10
20
30
40
50
60
70
80
90
%Institutions
% Home
1900
Present
www.sacredartofliving.org © 2020 Sacred Art of Living
DEATH=
The
Physician’s
Enemy/Failure
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REMEMBERING OUR EXPERIENCE
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REMEMBERING OUR EXPERIENCE
• Recall your first experience of death
• Who died? Or maybe it was a pet
• How did your family react?
• What did death mean to you then?
• What questions did you have and
…were they answered?
www.sacredartofliving.org © 2020 Sacred Art of Living
Richard Groves
Henriette A. Klauser“Groves’ texts reveal ancient-modern
wisdom about living and dying…”
www.sacredartofliving.org © 2020 Sacred Art of Living
Ten Speed Press
INTERNATIONAL TRANSLATIONS…
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ANCIENT BOOKS OF LIVING & DYING
• Prehistoric
• Egyptian
• Celtic
• Abrahamic
• Tibetan
• Iberian
• The Ars Moriendi
www.sacredartofliving.org © 2020 Sacred Art of Living
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PREHISTORIC DEATH
Lascaux Caves:
Humanity’s First Hospices
14,500 BCE
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Native
Spiritualities of
Death & Dying
There is no death in the Circle of Life…
only Great Change
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WISDOM FROM OUR ANCESTORS
#1 THERE IS A UNIVERSAL
BELIEF THAT SOME FORM
OF CONSCIOUSNESS
SURVIVES THE DEATH OF
OUR PHYSICAL BODY.
Prehistoric Culture
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DR. CHARLES TART U.CAL. DAVIS SCIENTIST & RESEARCHER
ON NEAR DEATH EXPERIENCES
As a scientist, what do you believe about
the survival of consciousness after death?
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Translated by
Sir E. A. Wallace Budge
Egyptian Book of the
Dead
1240 BCE
“When the eye of
the body is shut,
it opens to a
Greater Light”
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“What you find now is what
you will find later…”
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LIFE AFTER DEATH
O Lord of Light, grant that I not enter the
place of destruction…may my body never know the
decay of death.
Prayer of Ra… Recorded in Psalm 116
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WISDOM FROM OUR ANCESTORS
#2 IT IS A PRIORITY THAT
HUMAN BEINGS ASSIST EACH
OTHER THROUGH THE MANY
STAGES OF LIVING & DYING.
Egyptian Book of the Dead
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ABRAHAMIC TRADITIONS
4000 YEARS OF
SPIRITUAL TRADITION
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HEBREW TORAH
“I set before you
life and death,
blessing
and curse.
Choose life…”
Deuteronomy 30:19
1240 BCE
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CHRISTIAN SCRIPTURES
“Blessed are those
who weep and
mourn…”
“Whoever loses their
life will save it…”
Gospel of Matthew, Chapters 5 & 16
1ST Century
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ISLAM & THE QUR’AN
Mohammed
“Die before you
die…”(So that when you die,
you will not die).
7TH cent CE
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WISDOM FROM OUR ANCESTORS
#3 “THE MOST IMPORTANT
LESSONS FOR THE DYING
ARE ALSO LESSONS FOR
THE LIVING.”From the Gospel according to Mary Magdalene
Abrahamic Traditionswww.sacredartofliving.org © 2020 Sacred Art of Living
THE
ANAMCARA
TRADITION
500 — 1000 AD
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Middle
Eastern —
Celtic
Connections
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Midwife
Counselor
Spiritual
Companion
ANAMCARA = SOUL FRIEND
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“May you have
the commitment
to know what
has hurt you, to
allow it to come
closer to you,
and, in the end,
become one
with you.”Celtic Book of Living & Dying
ANAMCARA TRADITION
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WISDOM FROM OUR ANCESTORS
#4 THE ONLY CURE FOR
SPIRITUAL SUFFERING IS
TO LEAN INTO THE PAIN
Celtic Books of Living & Dying
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BARDO THODOL
PadmasambhavaTHE
TIBETAN
BOOK
OF LIVING
AND DYING
Sogyal Rinpoche
8th Cent. CE
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Unbroken
spiritual
lineage of
twelve
centuries
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WISDOM FROM OUR ANCESTORS
#5 A “GOOD DEATH” IS THE
ABILITY TO MAINTAIN CLEAR
CONSCIOUSNESS DURING THE
LIFE-TO-LIFE TRANSITION
Tibetan Book of the Dead
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www.sacredartofliving.org © 2018 Sacred Art of Living
HAVE YOU EVER EXPERIENCED A ‘GOOD DEATH’ ?
IBERIAN BOOKS OF LIVING & DYING
ORNAMENT OF
THE WORLD
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INTERFAITH MELTING POT
711-1492 AD
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www.sacredartofliving.org © 2018 Sacred Art of Living
ARABIC & JEWISH SCIENCES
Psycho-Somatic Diagnoses Surgery Dentistry Morphine
WISDOM FROM OUR ANCESTORS
#6 THERE IS A CLEAR
RELATIONSHIP BETWEEN
THE CAUSES AND HEALING
OF PHYSICAL, EMOTIONAL
AND SPIRITUAL PAIN.
Iberian Books of Living & Dying
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MONASTIC BOOKS OF DYING
“Ars Moriendi”
1000-1492 AD
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WISDOM FROM THE ARS MORIENDI
The dying are
our teachers…
So we live with
greater meaning
and purpose
Monastic Books of Dying
11th century
“Magistri nobis moriendi sunt…”
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www.sacredartofliving.org © 2018 Sacred Art of Living
PRESCRIPTIVE PRACTICES
SPIRITUAL — MEDICAL SCIENCES
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WISDOM FROM OUR ANCESTORS
#7 IT IS NECESSARY FIRST
TO DIAGNOSE SPIRITUAL
PAIN BEFORE ATTEMPTING
TO RESPOND TO IT…
Monastic Books of Living & Dying
“Ars Moriendi”
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#7 FIRST DIAGNOSE SPIRITUAL PAIN BEFORE ATTEMPTING TO RESPOND TO IT
WISDOM FROM OUR ANCESTORS#1 A UNIVERSAL BELIEF THAT CONSCIOUSNESS SURVIVES THE DEATH OF OUR BODY
#2 PRIORITY THAT HUMAN BEINGS ASSIST EACH OTHER THROUGH THE STAGES OF DYING
#3 THE MOST IMPORTANT LESSONS FOR THE DYING ALSO APPLY TO THE LIVING
#4 THE ONLY CURE FOR SPIRITUAL SUFFERING IS TO LEAN INTO THE PAIN
#5 A “GOOD DEATH” IS THE ABILITY TO MAINTAIN CLEAR CONSCIOUSNESS DURING THE
LIFE-TO-LIFE TRANSITION
#6 THERE IS A CLEAR RELATIONSHIP BETWEEN THE CAUSES & HEALING OF PHYSICAL, EMOTIONAL AND SPIRITUAL PAIN
www.sacredartofliving.org © 2020 Sacred Art of Living
PERENNIAL WISDOM
DIE BEFORE YOU DIE…
So that when you die,
You will not die
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www.sacredartofliving.org © 2018 Sacred Art of Living
REDISCOVERING
OUR ANCIENT ROOTS
WISDOM OF THE ‘ARS MORIENDI’
Prof. Richard Groves
Blessed Fintan
803-878 AD
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Fintan Travels to Europe
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Anamcara Influences in Europe
Leinster
Monserrat
Switzerland
Galicia
Medical-Spiritual Manuscripts
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Rheinau
Stiftsbibliothek
Sacramentary
of Fintan
ca. 978 A.D.
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“May you have the
commitment to
know what has hurt
you, to allow it to
come close to you
and in the end,
become one with
you.”Fintan’s Blessing
www.sacredartofliving.org © 2020 Sacred Art of Living
PERENNIAL WISDOM
DIE BEFORE YOU DIE…
So that when you die,
You will not die
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CIRCLES OF TRUST
Dr. Parker Palmer
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CIRCLES OF TRUST
• Small group meetings during & between workshop modules
• A welcoming space for personal work in community
• A place to connect our “soul and role”
• Led by a group ‘animator’ who facilitates the process
TOUCHSTONES
FOR CIRCLES OF TRUST
• A place of WELCOME and support for EVERYONE
• Time to be fully PRESENT to each others’ stories
• Not a ‘share or die’ event but an INVITATION
• No FIXING, SAVING, ADVISING or CORRECTING
www.sacredartofliving.org © 2020 Sacred Art of Living
• Value CURIOSITY and WONDER over solutions
• Trust the each person has an INNER TEACHER
• SILENCE gives the gift of space to listen deeply
• CONFIDENTIALITY is essential for trust
TOUCHSTONES
FOR CIRCLES OF TRUST
www.sacredartofliving.org © 2020 Sacred Art of Living
10/28/2020
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A PERSONAL REFLECTION
• Bring to mind someplace in your
life where things are not working
well.
• Consider how the teaching “die
before you die” might apply to this
situation.
• How might any of the seven
wisdom points help with this
issue?
www.sacredartofliving.org © 2020 Sacred Art of Living
PERSONAL REFLECTION
Rec mmended Resource
CD NOW
PLAYING
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Music from
the 11th c.
Hospice
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www.sacredartofliving.org © 2008 Sacred Art of Living Center & Institute
FRANCE’S
SPIRITUAL TRIANGLE
Beaune
Taizé
Cluny
www.sacredartofliving.org © 2008 Sacred Art of Living Center & Institute
IN MEMORY
BROTHER ROGER1915-2005
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10/28/2020
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SESSION TWO
SCIENCE, SPIRITUALITY & HEALING
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SCIENCE, SPIRITUALITY & HEALING
• SPIRITUALITY VS. RELIGION
• Quantum Worldview
• Healing and Curing
• Universal Spiritual Elements
www.sacredartofliving.org © 2020 Sacred Art of Living
www.sacredartofliving.org © 2008 Sacred Art of Living Center & Institute
SPIRITUALITY
RELIGION
VS.
&
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SPIRITUALITYis a daily thing
about how we live our ordinary life
It is how we are…
– with our spouse
– with our children
– with the cab driver
IT IS WHATEVER GIVES A SENSE OF MEANING TO OUR LIVES
Rabbi Edwin Friedman
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Dr. James Fowler
Emory University
“FAITH is our way
of finding coherence
and meaning in the multitude of forces and relations that make up our lives.”
www.sacredartofliving.org © 2020 Sacred Art of Living
“RELIGION is a structure that provides persons with a framework for viewing the world as meaningful.”
www.sacredartofliving.org © 2020 Sacred Art of Living
Dr. James Fowler
Emory University
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THOMAS MERTON QUOTING MARTIN LUTHER
“The world cannot
survive without faith
but religion
has made it
inaccessible for the
average person.”
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Meister Eckhart, 13 century mystic
“I BEG TO
RELIEVE ME OF GOD.”
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POPE JOHN XXIII
I wonder if after all
is said and done,
whether religion
isn’t mankind’s
despair for not
having found God.
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SPIRITUALITY VS. RELIGION
HUSTON SMITH
“Grand Master”
of comparative world religions
“Perhaps Americans have gonetoo far in divorcing spirituality from religious tradition...”
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PRACTICAL DISTINCTIONS
LANGUAGE
vs.
language
________
SPIRITUALITY
vs.
religion
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MY EXPERIENCE OF “SPIRITUALITY”
1. What words or phrases do you associate with the
term “spirituality”? Can you remember the first time
the word began to have a meaning for you?
2. What feelings do you have, or do you associate
with spirituality?
3. Complete: “For me, spirituality is
____________________________________________
____________________________________________
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MY EXPERIENCE OF “SPIRITUALITY”
1. What words or phrases do you associate with the
term “spirituality”? Can you remember the first time
the word began to have a meaning for you?
2. What feelings do you have, or do you associate
with spirituality?
3. Complete: “For me, spirituality is
____________________________________________
____________________________________________
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SCIENCE, SPIRITUALITY & HEALING
• Spirituality vs. Religion
• QUANTUM WORLDVIEW
• Healing and Curing
• Universal Spiritual Elements
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“In the 21st century scientists
will become our theologians..”www.sacredartofliving.org © 2020 Sacred Art of Living
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www.sacredartofliving.org © 2018 Sacred Art of Living
CONFLICTING WORLD VIEWS
“World is Flat” Quantum Science
DUALISM
GRECO-ROMAN
WORLD VIEW
Body ― Mind
Self ― Others
True Self― False Self
Life ― Death
DIFFERENT WORLD VIEWS
NEWTONIAN
Observation/analysis of
concrete data
‘Lumps’ of matter banging
into each other
Whole is sum of parts
Particles OR Waves
QUANTUM
‘Fuzzy logic’ of contradictions and
chaos
Matter and energy are
interchangeable
Whole is greater than sum of parts
Non-duality of Light & Matter
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10/28/2020
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DIFFERENT METAPHORS
NEWTONIAN
Predictable
“Clockwork Universe”
Assembly line, organizational
charts, students in rows
Doctor – Patient relationship
QUANTUM
Statistical probabilities
“Relational Universe”
Teams, pods, interdisciplinary
systems
Impossible to isolate Observer
from the Observed
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MIRRORING: NEUROBIOLOGY OF EMPATHY
• Mirror neurons: A mirror neuron is a neuron that
fires both when an animal acts and when the animal
observes the same action performed by another.
• “…these same anterior cingulate neurons that
respond to my thumb being poked will also fire when
I watch you being poked.”
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THE “MIND” IS RELATIONAL
“The mind can be defined
as an embodied process
that regulates the flow of
energy and information…
Energy and information
can flow within one brain,
or between brains.”Dan Siegel, MD
The New Science of Personal
Transformation
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Rec mmended Resources
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AN INTEGRAL VISION OF HEALTH & HEALING
ORTHODOX ILLNESS
ALTERNATIVE PATIENT
INTEGRAL CLINICIAN
3 KINDS OF MEDICINE
Ken Wilber
Thomas Keating
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Sacred Art of Living
AN EXPERIENCE OF ENERGETIC HEALING
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LETTING GO: A HOSPICE JOURNEY
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“ LETTING GO” STORIES
• 62 year-old Ralph Armstrong, Sonoma, California
• 46 year-old Anna Turner, Queens, New York
• 8 year-old Michael Merseal, Missoula, Montana
Which story impacted you most?
Why?
What about this story is reflected in
your own life story?
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SCIENCE, SPIRITUALITY & HEALING
• Spirituality vs. Religion
• Quantum Worldview
• HEALING AND CURING
• Universal Spiritual Elements
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HEALING
VS.
CURING
OUR RELATIONSHIP TO DISEASE
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DEFINITION OF HEALTH
“The state of complete physical, mental, and
social well-being… not merely the absence
of disease or infirmity.”
World Health Organization
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DIS-EASE
OFFERS IMPORTANT DATA
WITH THE OPPORTUNITY
TO KNOW OUR SPIRIT
DISEASE IS A LANGUAGE
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DIMENSIONS OF PERSONHOOD
Eric Cassell NEJM 306:11, 1982
BODY
PAST MEMORIES
FAMILY & FRIENDS
PERSONALITY
CULTURE
SOCIAL ROLE
SECRET LIFE
PERCEIVED FUTURE
UNCONSCIOUS REALMS
SENSE OF TRANSCENDENT
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A NEW DEFINITION FOR HEALING
The ability to adapt and
self manage in the face of
social, physical,
emotional and spiritual
challenges
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JOB DESCRIPTION FOR HEALERS
Preparing and
holding the space
where a new
relationship with
your suffering
can occur
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SCIENCE, SPIRITUALITY & HEALING
• Spirituality vs. Religion
• Quantum Worldview
• Healing and Curing
• UNIVERSAL SPIRITUAL ELEMENTS
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Spiritual Element #1
AWARENESS OF “THE OTHER”
What is valued or “sacred”?
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Spiritual Element #2
SENSE OF RESPONSIBILITY
How am I responsible for the
world around me?
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Spiritual Element #3
SENSE OF VOCATION
What is my reason for being?
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Spiritual Element #4
SENSE OF COMMUNITY
Is there a sense of caring
and being cared for?
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Spiritual Element #5
SENSE OF REPENTANCE
What is my capacity for
reconciliation with self and others?
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Spiritual Element #6
ABILITY TO BE PRESENTIs my focus past, present
or future oriented?
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Spiritual Element #7
FAITH
What is the relationship between
my personal story and a Great Story”?
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HEALING — D.H. Lawrence
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I am not a mechanism, an assembly of various sections.
And it is not because the mechanism is working wrongly,
that I am ill.
I am ill because of wounds to the soul, to the deep
emotional self,
And the wounds to the soul take a long, long time,
only time can help
and patience, and a certain difficult repentance
A long difficult repentance, realizing life’s mistake, and
the freeing oneself
From the endless repetition of the mistake
which mankind at large has chosen to sanctify.
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WRITING YOUR OWN VIDUI
• Vidui – A Jewish practice at Yom Kippur –
“Day of At-one-ment” and death
• Statement making peace with God, the
Other or the Universe
• Communal or individual ritual
• A living spiritual will
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VIDUI: PRACTICING FOR DEATH
• We never know when it will be
• Whether alone or accompanied –
we are ultimately alone
• May it be peaceful
• A practice at surrender
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TO WHOM SHOULD I ADDRESS MY VIDUI?
• To who/what/where am I surrendering myself?
• What does spirituality/the Divine mean to me?
• Who would I want to see/read my VIDUI?
• Imagine if this was a document you might want
to be shared at the time of your passing
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FOUR ELEMENTS OF A VIDUIModified for this Workshop
• MEANING (my accomplishments)
Did I do what I came here to do?
• FORGIVENESS
What is it time to let go of?
Judgments, anger at others/self….?
• RELATEDNESS
Gratitude/grief – for others and self
• HOPE
Blessings and wisdom for those left behind
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A VIDUI CAN BE A NEW BEGINNING
• Writing a VIDUI takes time
• Rewrite/revisit your VIDUI regularly/annually
• Opportunity for enormous self compassion
• Start with your address, then proceed through
the four dimensions of spiritual suffering
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ARCHANGEL PROTECTORS
GABRIEL
RAPHAEL
MICHAEL
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URIEL: ANGEL OF LIGHT & DEATH
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Sacred Art of Living HEALING MUSIC OF RABBI ARYEH HIRSCHFIELD
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J
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HEALING THE HEALERS
THE ART OF LIVING & DYING
DAY TWO
CD NOW
PLAYING
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I am creating my day.
I am infecting the quantum field.
If You are watching me while I am doing this,
Show me a sign today that you paid attention
to any of the things I have created.
And bring them to me in a way that I won’t expect.
Let me be surprised at my ability to
recognize these things
And make it so that I have no doubt that the
sign has come from You.
A QUANTUM MORNING OFFERING
Dr. Joe Dispenza
Adapted by Mary Groves
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46
LOURDES SHRINE
MONKS CHANTING
ANGER & POLLUTION
SPIRITUALITY MEETS SCIENCE
Masaru Emoto
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WE ARE MOSTLY WATER
AQUA THERAPYwww.sacredartofliving.org © 2020 Sacred Art of Living
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SESSION THREE
DIAGNOSING SPIRITUAL PAIN
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TO DIAGNOSE…
Δια Γνώσις See through
Get to the bottom of
Know the origin
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VS.
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VS.
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PAIN IS BIOLOGIC
Pain is an unpleasant sensory
and/or emotional experience.
Physical pain is a body
experience.
Emotional pain can be
primary or secondary to
another dimension of total
pain.
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SUFFERING IS LINGUISTIC
Suffering occurs when
we assign meaning to
the experience of
physical or emotional
pain...
OR
When we generate physical or emotional
pain from our thoughts or stories.
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HUMAN SUFFERING
A unique human
capacity
to endure pain
‘for the sake
of another’
Victor Frankl
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Pain is inevitable
Suffering is optional
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Sacred Art of Living
REAL LIFE STORIES OF TRANSFORMATION
Annie
Andrew
Dorothy
Heather
MariaElena
Park
Larry
Henry
Sara
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Sacred Art of Living
Celtic Tradition
“You are healed through your wound… ”
Lean into the pain… to transform it into suffering
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Sacred Art of Living
Ars Moriendi
Creating a
Sacred Space
…where someone can suffer the suffering that they
have always needed to experience. Carl Jung quoting the Ars Moriendi
Tibetan
BuddhistParallels
The value of suffering is that it has the potential to connect us to
each other… in this place I am no longer separate from you
HOW IS IT THAT
PAIN & SUFFERING “ HEALS” ?
Alleviation of pain is good…
but not the Ultimate Good
From time to time a person
experiences transformation
out of tragedy
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HIPPOCRATES
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ALLOPATHIC MEDICAL MODEL
PAIN
SUFFERING
Responsive to interventions of the medical model
Unresponsive to interventions of the medical model
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CARE FOR THE SUFFERING
• Western Medicine has no model to help
someone live through their suffering
• Most suffering is not fixable… healing is
finding a way through the suffering
• If the dying person even begins to attend to
soul, the soul responds a thousand-fold
Michael Kearney, MD
Medical Director
Anamcara Project
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Wisd m Insight
If you get rid of the
PAIN
before you answer its question, you get rid of
SELF*
along with it.
*Self = Psyche = Soul
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PAIN WHICH IS
NOT
TRANSFORMED
IS ALWAYS
TRANSMITTED
Richard Rohr, OFM
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INSTRUCTION FOR AN ANAMCARA
“May you have the
commitment to know
what has hurt you,
To allow it to come closer
to you
And in the end, become
one with you.”
Celtic Book of Living & Dying
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WOUNDED HEALERS
STAFF PAIN
TOTAL PAIN
WE ARE THE MEDICINE
PHYSICAL
SOCIAL
EMOTIONAL
SPIRITUAL
Cecily Saunders
Henri Nouwen
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1 2 3 4 5 6 7 8 9 10
WORST
PAIN
NO
PAIN
PHYSICAL PAIN SCALE
VISUAL ANALOG SCALE
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EMOTIONAL PAIN SCALEHAPPY FACE - SAD FACE
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SPIRITUAL PAIN SCALE
COMPLETELY GENERAL EXTREME
PEACEFUL WELL-BEING ANXIETY
1 2 3 4 5
HOW ARE YOU WITHIN YOURSELF?
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FOUR QUALITIES OF SPIRITUAL PAIN
MEANING
HOPE
RELATEDNESS
FORGIVENESS
JUDGMENT
VS.
COMPASSION
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PATTERNS OF SPIRITUAL PAIN
BASED ON SELF EVALUATION OF PATIENTS
DURING PASTORAL CARE VISIT
Statistics based on SALC 2850 patient database [2008-12]
FORGIVENESSHOPE
RELATEDNESS
MEANING
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WHY AM I HERE?
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WISD M INSIGHT
“It is pertinent that concerns
about intimate areas of
relationship, life and death
decisions and ultimate human
values can be asked, answered
and recorded in the same way
as questions about fluid
balances, bowel functions and
bodily chemistry.”
Larry Dossey, MD
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CARE RECEIVER _______________________
CAREGIVER _______________________
DATE _______________________
CIRCLE THE FEELINGS THAT MOST ACCURATELY DESCRIBE “HOW YOU ARE
WITHIN YOURSELF” TODAY. PLEASE FEEL FREE TO ADD A MORE PERSONAL
COMMENT AFTER EACH SCALE.
MEANING PAIN SCALE
1 2 3 4 5
Life is filled with purpose I feel generally Life has become
and meaning. motivated. meaningless.
PERSONAL COMMENTS:
_____________________________________________________________
SPIRITUAL HEALTH ASSESSMENT
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BELIEFS ARE BIOLOGY
We are all tattooed in the cradle
with the beliefs of our tribe
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Meaningfulness
Makes Us Well
MeaninglessnessMakes Us Sick
MEANING OF ILLNESS
IF YOU HAVE CANCER IN
A SICK BODY
IF YOU HAVE CANCER IN
A WELL SELF
YOU
WILL
SUFFER
YOUCAN
THRIVE
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WHAT DO I NEED
TO LET GO OF?
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FORGIVENESS THERAPY
“Any attempt to access the
human capacity for
forgiveness is guaranteed to
enhance the immune
system… thereby enhancing
a person’s state of body-mind-
spirit balance.”
Joan Borysenko, PhD
“Seventy Times Seven”
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CARE RECEIVER _______________________
CAREGIVER _______________________
DATE _______________________
CIRCLE THE FEELINGS THAT MOST ACCURATELY DESCRIBE “HOW YOU ARE
WITHIN YOURSELF” TODAY. PLEASE FEEL FREE TO ADD A MORE PERSONAL
COMMENT AFTER EACH SCALE.
FORGIVENESS PAIN SCALE
1 2 3 4 5
I feel a deep sense There are no outstanding areas I feel a strong
of reconciliation that are calling for forgiveness sense of
towards myself and in my life. unforgiveness
others. towards
myself and/or
another.
PERSONAL COMMENTS:
_____________________________________________________________
SPIRITUAL HEALTH ASSESSMENT
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CARE RECEIVER _______________________
CAREGIVER _______________________
DATE _______________________
CIRCLE THE FEELINGS THAT MOST ACCURATELY DESCRIBE “HOW YOU ARE
WITHIN YOURSELF” TODAY. PLEASE FEEL FREE TO ADD A MORE PERSONAL
COMMENT AFTER EACH SCALE.
FORGIVENESS PAIN SCALE
1 2 3 4 5
I feel a deep sense There are no outstanding areas I feel a strong
of reconciliation that are calling for forgiveness sense of
towards myself and in my life. unforgiveness
others. towards
myself and/or
another.
PERSONAL COMMENTS:
_____________________________________________________________
SPIRITUAL HEALTH ASSESSMENT
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UNIVERSAL LAW OF FORGIVENESS
“Forgive us our faults…
as we forgive those who hurt us.”
The Lord’s Prayer
Dominant Forgiveness Issues
at the End-Of-Life ISSUE
PRESENTING ISSUE REPORTED TO BE RESOLVED
APPARENT LACK OF RESOLUTION
WITH SELF
66% 76% 24%
WITH OTHERS*
17% 88% 12%
WITH GOD
6% 17% 83%
MULTI-LEVEL
11% 27% 73%
* PERSONS STILL ALIVE: 65%, PERSONS DECEASED: 35% (Based on 500 patient database SALC/RFG)
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WHAT AM I COMMITTED TO
IN LIFE AND DEATH?
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RELATEDNESS THERAPY
• Spiritually it is who or what we are in relationship to that creates a sense of harmony and belonging. When core relationships, either with persons or things are out of balance, the emotional and physical bodies inevitably become dis-eased.
Thich Nhat Hanh
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GRIEF & THE PAIN OF
RELATEDNESS
Our response to
the loss of
someone or
something
which was
important to us
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CARE RECEIVER _______________________
CAREGIVER _______________________
DATE _______________________
CIRCLE THE FEELINGS THAT MOST ACCURATELY DESCRIBE “HOW YOU ARE
WITHIN YOURSELF” TODAY. PLEASE FEEL FREE TO ADD A MORE PERSONAL
COMMENT AFTER EACH SCALE.
RELATEDNESS SCALE
1 2 3 4 5
I feel a strong sense of Most important areas of I feel seriously alienated
connection with the my life seem balanced. from someone/thing that
persons and things that is important to me.
matter most to me.
PERSONAL COMMENTS:
_____________________________________________________________
SPIRITUAL HEALTH ASSESSMENT
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WHAT DOES THE
FUTURE HOLD FOR ME?
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RESILIENCE
The ability to…
To adapt to difficult situations
To lean into the pain
To step out of my comfort zone
To to see the bigger picture
To hold the paradox
To see beyond my immediate circumstances
To recover from setbacks
To keep living in the face of adversity
It is not about being alone in my suffering
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HOPE THERAPY
The degree to which hope plays
a role in dealing with cancer is
undeniable… yet there is a
reluctance to admit its influence
when the health care system
focuses exclusively on the
physiology of cancer.
O. Carl Simonton MD
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CARE RECEIVER _______________________
CAREGIVER _______________________
DATE _______________________
CIRCLE THE FEELINGS THAT MOST ACCURATELY DESCRIBE “HOW YOU ARE
WITHIN YOURSELF” TODAY. PLEASE FEEL FREE TO ADD A MORE PERSONAL
COMMENT AFTER EACH SCALE.
HOPE PAIN SCALE
1 2 3 4 5
I feel hope-filled and I generally trust what the I am experiencing
optimistic. future holds for me. deep depression and
hopelessness.
PERSONAL COMMENTS:
_____________________________________________________________
SPIRITUAL HEALTH ASSESSMENT
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HEALING ENERGY WOUNDS
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O HOPE, BE STILL
For to hope
would be
hope
for the
wrong thing
t.s. eliot
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HEALING HARP THERAPY
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CD NOW
PLAYING
LETTING GO: PART II
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“ LETTING GO” QUESTIONS
What were your emotional responses
to the caregivers or their situations?
What button was being pushed in you?
Why was something triggered in you?
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CIRCLES OF TRUST
• Value CURIOSITY and WONDER over solutions
• Trust the each person has an INNER TEACHER
• SILENCE gives the gift of space to listen deeply
• CONFIDENTIALITY is essential for trust
TOUCHSTONES
FOR CIRCLES OF TRUST
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CULTURE & WELLNESS
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TRANSLATION IS MORE THAN WORDS
• I hear the question
• I translate it into my
‘language’
• I think of answer in my
language
• I translate back to your
language
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• ANGLO .7 seconds
• JEWISH 0 = No Pause
• HISPANIC 1.5 seconds
• NATIVE
AMERICAN 3 seconds
• ASIAN
AMERICAN 6 seconds
CULTURAL “ PAUSE TIME”
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AFRICAN AMERICAN ISSUES
CULTURAL BLESSINGSFreedom & Celebration
Personal Empowerment
Spiritual Intuition
Matriarchy
Healthy Grieving
Strength of Will
CULTURAL BARRIERSLack of Trust/Fear
Hopelessness
Lack of Knowledge
Inability to Relate to Providers
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NATIVE AMERICAN ISSUES
CULTURAL BLESSINGSJourney around the sacred hoop of life
Inter-connectedness of all creation
Wisdom of the elders
Transitory nature of material things
Use of Food, Ritual, Music
CULTURAL BARRIERSAlienation from Tradition/Reservation
Alcoholism
Passive Communication
Lack of advocacy in Health Care System
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HISPANIC AMERICAN ISSUES
CULTURAL BLESSINGSRelationships: Poder es Servir
Death: La Noche entre los dos Dias
Suffering can be beneficial…purgative
Role of Curandero/a (Healer)
Goal: Morir con los ojos abiertos
Anniversary Celebrations:
Dias de los Muertos
CULTURAL BARRIERS:Fatalism
Gender Roles & Machismo
Bilingual Barriers
Presumptions of Anglo Communitywww.sacredartofliving.org © 2020 Sacred Art of Living
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ASIAN AMERICAN ISSUES
CULTURAL BLESSINGSTo die with Clear Mind
Belief in continuity/reincarnation
Strong work ethic
Impermanence of all things
Altar of remembrance
‘White’ grief
CULTURAL BARRIERSIsolation from culture
Work ethic
Cultural Taboos
Communication Issues
Ethnic Stereotypes
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CULTURAL ATTITUDES ABOUT DEATH
• Acceptable
Language about
death.
• Cultural/religious
concerns
• Dying at home
• Family as
caregivers
• Non-family
members as
caregivers
• Gender of caregivers
• Pain medications
• Medical assistance
• Alternative healing approaches
• Negative connotations about death.
• Volunteerism/
community
involvement
• Religious/
cultural views
re: afterlife
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www.sacredartofliving.org © 2008 Sacred Art of Living Center & Institute
“A new benchmark for professional and personal education
in the healing arts and sciences…”
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Co-Founders Richard & Mary Groves
Bend, Oregon in 1996
STUDENT
APPRENTICE
MASTER-ELDER
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To subscribe visit: soulandscience.com
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IN PARADISI…
“WHERE ALL THE DEAD ARE LIVING”
SESSION FOUR
RESPONDING TO SPIRITUAL
SUFFERINGwww.sacredartofliving.org © 2020 Sacred Art of Living
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FOUR QUALITIES OF SPIRITUAL PAIN
MEANING
HOPE
RELATEDNESS
FORGIVENESS
JUDGMENT
VS
COMPASSION
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RESPONDING TO SPIRITUAL
SUFFERING
SPIRITUAL CONDITION
(SOUL SUFFERING)
SPIRITUAL ELEMENT
(TRANSCENDENT VALUE)
SPIRITUAL DISCIPLINE (STORY & RITUAL)
SPIRITUAL CONSEQUENCES (RELATIONSHIPS)
1
2
3
4
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SPIRITUAL PAIN PATTERNS
• PAIN NEEDS TO BE PURIFIED
Fire of pain to cleanse the soul
• BATTLE WITH PAIN
Pain is the enemy, “work of the devil”
• EFFORT TO DEFEAT PAIN
Belief that pain robs quality of life
• PAIN IS A DIVINE MESSAGE
Life is good and bad - learn from both
• PAIN = FORSAKEN BY GOD
Most anguished pain of all
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RESPONDING TO MEANING PAIN
JOURNALING DREAM TENDING
LOGO THERAPY SPIRITUAL GEOGRAPHYING
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DREAMS & SPIRITUAL PAIN
19%
33%
11%
37%
According to
Spiritual
Health Scales
Based on 522
dreams
SALC/RFG
FORGIVENESSRELATEDNESS
MEANINGHOPE
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DREAM CONTENT RECALLBased on 500 patient database SALC/RFG
34% YES
61% NO
5% UNCERTAIN
45% 1-2 x WEEK
24% 3-4 x WEEK
12% 5-6 x WEEK
15% NIGHTLY
3% NEVER
% of Patients with NO RECALL
of a specific dream within past
week
% of Patients with NO RECALL
when integrated into a ‘Weekly
Plan of Care’
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RESPONDING TO FORGIVENESS PAIN
LIFE REVIEW BREATH WORK
12-STEP EXERCISES MEDITATION
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www.sacredartofliving.org © 2018
Sacred Art of Living
RESPONDING TO RELATEDNESS PAIN
NATURE QUEST RELIGIOUS RITUAL
HEALING ARTSTHERAPEUTIC TOUCH
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RITUALS FOR TIMES OF TRANSITION
DEATH
LOSS
SACRED (RITUAL) TIME
PATIENT MOVING
TOWARD DEATH
AS NORMALCY
DECREASES, NEED FOR
RITUAL INCREASES
AS NORMALCY
RETURNS, NEED FOR
RITUAL DECREASES
FAMILY MOVING AWAY
FROM DEATH
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RESPONDING TO HOPELESSNESS PAIN
MUSIC THERAPY VIGIL PRACTICES
POTLACHCOMA COMMUNICATION
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COMA COMMUNICATION
Chart used with permission of Coma Communicationswww.sacredartofliving.org © 2020 Sacred Art of Living
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LETTING GO: PART III
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REVISIT YOUR VIDUI
• Take a moment to allow the tears, sadness and
grief
• Encountering death changes our perspectives
on life
• Take this time to continue working on your VIDUI
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MORE QUESTIONS FOR YOUR VIDUI
• Name a significant gratitude in your life
• Consider/write what forgiveness issue is it
time for you to let go of?
• What blessings would you leave for others
when you die?
• What’s left undone in your life?
• What hope (resilience) have you found during
these 2 days?
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CD NOW
PLAYING
www.sacredartofliving.org © 2018 Sacred Art of Living
“ LETTING GO” QUESTIONS
What is your best guess as to
the “tap root” spiritual pain* issue
in your assigned character?
*Meaning, Forgiveness,
Relatedness or Hope
…and Why?
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A BLESSING FOR YOUR DEATH
1. You will be placed into a breakout room
with your circle of trust
2. Take a couple of minutes in silence to focus on the
final blessing exercise
3. The group animator is first to offer a blessing or wish for
themselves and every other person in the group:
“May I be blessed/may you be blessed with
_______at the end of life.”
4. The process goes around the group until everyone has
had a chance to speak (if they wish)
5. The group session ends with everyone saying to each
other “BAS SONA” (May you have a happy death)