This is the fourth article from a guest writer, Kadampa Buddhist and student social worker. For the others, see Guest Articles.
Who is mentally healthy?
My second placement in my social work training was for a mental health charity. I found myself being attracted to the ethos of this organisation. They believe that we all experience mental health, and at times mental ill health or mental health distress. Mental health distress only becomes a ‘mental health problem’ or mental ill health when our daily life is interfered with to such an extent that we are prevented from holding down a job or being able to live in stable accommodation.
Buddha would certainly agree with this ethos! In Joyful Path of Good Fortune, Geshe Kelsang Gyatso says we are all sick as we suffer from desirous attachment, hatred, ignorance, and other diseases of the mind (Gyatso, 2006). I think that it is good to remember every day that these so-called delusions are our only enemy and that we all get them and the daily habits that come with them. Geshe Kelsang reminds us to have this awareness before we meditate or go into a Dharma teaching, to seek medicine for our mind through Dharma.
These teachings can also help us develop compassion for people we come into contact with in our daily lives and especially have compassion for those with strong delusions. Working in a mental health care setting I believe I came across people with strong delusions and some who had had quite horrendous and negative lives but their delusions, behaviour and wishes were perhaps most of the time no different to mine.
Anger management classes
On this placement I found myself helping run anger management classes, encouraging young men that anger and violence were not the best ways of coping when having relationship problems. The classes were based upon CBT (Cognitive Behavioural Therapy) and I found the content and format quite similar to the practicalities of some of the teachings in the General Programme Classes run by Kadampa Buddhist Centres. I assisted the teacher in encouraging the service users to realise what triggers their anger, to recall/examine their thoughts and feelings the moment before they got angry and how to have nice thoughts about yourself.
During these classes I found my knowledge and experience of Shantideva’s teachings on anger in Guide to the Bodhisattva’s Way of Life very helpful and beneficial. I recalled teachings on the faults of anger from How to Solve Our Human Problems, Gyatso 2005:
Anger robs us of our reason and good sense.
and why we get angry:
Anger is a response to feelings of unhappiness.
I would put this experience into practice by relaying these ideas in more everyday language to them without mentioning Buddhism or that I am a Buddhist e.g.
“Have you ever wondered why you get angry? From my experience it is when I am disappointed and often my main triggers occur when I am tired.”
At times I could really relate to the guys on the course, the relationship problems they were having and the attachment that was causing their anger and jealousy. I didn’t see much difference between myself and them perhaps only in that I have in the past been aware enough not to do physical actions through anger whereas these men had acted out with their anger such as head-butting strangers, physically lashing out on their partners and attempting to commit suicide.
It’s been challenging coming across people who commit really negative actions but the Buddhist meditation on universal compassion has helped here. – that you can take a step back from the person or situation and see and feel a bigger picture leading to compassion for those who are creating the cause to experience suffering in the future as well as those who are experiencing suffering now (Transform Your Life, Gyatso, 2006). Also to distinguish between delusions and persons:
The fault I see is not the fault of the person, but the fault of delusion.
(Eight Steps to Happiness, Gyatso, 2006).
Through reading about mental health care and various therapies I can see similarities between them and Buddhism and I could relate to the more psychodynamic therapies that recognise that feelings precede thoughts. Meditation, relaxation and complimentary therapies are becoming popular in mental health care settings. At the end of the anger management classes I co-facilitated we went through relaxation exercises similar to meditation. I would encourage service users to do these exercises and I would talk about the benefits of meditation to them such as a calm and peaceful mind, less fluctuations of mood, improved health and better relationships with others (The New Meditation Handbook, Gyatso, 2008). The meditation CD’s that Tharpa Publications produce are becoming popular throughout the world and could be utilised more in the mental health care world.
Has anyone else got experience of using these CD’s in workplaces or with the general public?