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Video May 1993

In the main video interview transcript, an extract from which features at the beginning of the first post in this sequence, there is a very important passage focusing on one aspect of the impact of consultation on a key aspect of Ian’s difficulty with the voices. It concerns his memories of what he had done that made him feel so guilty.

I.: Well, when I was ill, it didn’t seem real. You know what I mean? My memory didn’t seem real. It was like a dream. And it was as if I’d never done anything. But talking to you reminded me that I’d actually done these things, you know? And that it was memory. And that I’d actually done the things.

P.: It was memory not imagination?

I.: That’s right. It was reality.

P.: And how did knowing that it was reality prove so helpful? What did it do?

I.: Well, it proved the voices wrong for a start.

P.: Ah. Why? Were they saying that they were real and your memories weren’t?

I.: Yeh. It proved the voices were wrong. And that my memory was right. And talking to you fetched it out into the open.

In a later video interview in September the following year, Ian explained that he felt as though talking helped get the feelings he had repressed ‘out into the open.’ He was in effect able to consult about them. Reflection had paved the way towards his being able to think about the feelings and begin to feel them. Talking about them brought them more fully into the open and enabled him to make better sense of them. The voices on the other hand fed on his habit of suppressing his feelings.

The September interview also explained how we had refined our understanding of his pattern of suppression. If he began to feel low, slightly depressed, he’d switch off his feelings which then brought the voices back.

But I must not make this process sound too simple. Yes, it is true that learning to reflect can pave the way both to a better understanding of our own mind and heart as well as potentially enabling us to share our discoveries with someone else and compare notes in a consultative fashion. But the transition is not necessarily automatic.

Video September 1994

The Importance of Trust

Take this extract from the May 1993 video. Jenny was his care worker.

P.: And it was in November that we first met, wasn’t it?

I.: Yeh. Jenny had started talking about you, you know? And it was coming up to the meeting with you. And I can remember going to the meeting with you that first time. And I can remember thinking who’s this bloke asking me all these questions, you know? And I didn’t trust you. But Jen was persistent that I could trust you, so I decided to trust Jenny . . .

P.: Right.

I.: . . . and to talk to you.

P.: And you actually asked if Jenny could come to sessions, didn’t you?

I.: Yeh, I asked if Jenny could come, yeh.

P.: Right. And I think she came about the second or third time you came.

I.: Yeh.

P.: And did you feel more comfortable with her there?

I.: I did, yeh.

P.: And did that make you feel more able to begin to trust me at least personally if not what I was doing?

I.: It took about a month to start to trust you. And that was with Jenny backing you up.

P.: And that was by being there in the sessions and by talking to you between whiles . . .

I.: With Jenny.

P.: . . . betweentimes.

I.: Inbetweentimes, yeh. And we’d talk about what we’d talked about, you know? And she supported you in what she said.

This extract testifies to how hard Ian found it to trust me. If it had not been for the fact that he had been living for some time, since his discharge from hospital, in a social services home specialising in the care of people with serious mental health problems, and if he had not had the time to build up a trust relationship with his care worker, Jenny, over that period, on an almost daily basis, who knows how long it would have taken him to trust me enough to work with me, or whether he would ever have been able to trust me enough at all, given we met only once a week. A sense of trust is not easy for someone who has been abused and a sense of safety is not easy for someone who has been traumatised. Ian had experienced both abuse and trauma.

After the May interview, the field of consultation had expanded beyond his Thursday meetings with me and his regular conversations with Jenny to include a Voicework Group, which had been set up at his instigation. He felt strongly that these opportunities for consultation were as important for him as his medication. Without Jenny, though, building sufficient trust to do effective work it would have taken far longer to reach this point, though he felt it would have happened in the end even so. I’m not so sure on that as he was.

Detachment

There is one quality that has been implicit in much that I’ve said so far. It is both the fruit of even the early stages of reflection and the soil from which a further ability to reflect more deeply springs. It is also an essential prerequisite of consultation. Those who are too attached to their own perspective will always find it hard to consult. I am speaking of the quality of detachment. Its power goes even further than this. Bahá’u’lláh, the Founder of the Bahá’í Faith, wrote (Arabic Hidden Words No 68 – my emphases):

Know ye not why We created you all from the same dust? That no one should exalt himself over the other. Ponder at all times in your hearts how ye were created. Since We have created you all from one same substance it is incumbent on you to be even as one soul, to walk with the same feet, eat with the same mouth and dwell in the same land, that from your inmost being, by your deeds and actions, the signs of oneness and the essence of detachment may be made manifest.’

If we are divided against ourselves we are also going to be in conflict with others. If we can, by a process of reflection, become both more detached and more integrated, we can transcend both our inner conflicts and our conflicts with others.

‘Abdu’l-Bahá describes this possibility in the following words (Selections from the Writings of ‘Abdu’l-Bahá 1978 – page 76):

. . . .all souls [must] become as one soul, and all hearts as one heart. Let all be set free from the multiple identities that were born of passion and desire, and in the oneness of their love for God find a new way of life.

Even if we do not believe in a God but at least have faith in the essential oneness of all humanity, this will help remedy our current conflicted state, wherein we are at war with ourselves as well as with others. This is Bahá’u’lláh’s description of the challenge we face compared with the reality most of us are blind to (Gleanings from the Writings of Bahá’u’lláh = CXII):

No two men can be found who may be said to be outwardly and inwardly united. The evidences of discord and malice are apparent everywhere, though all were made for harmony and union. The Great Being saith: O well-beloved ones! The tabernacle of unity hath been raised; regard ye not one another as strangers. Ye are the fruits of one tree, and the leaves of one branch.

This is another two way street. As individuals in harmony with ourselves we become more able to love and care for others, and as communities in harmony with one another we become more able to support and care for our fellow human beings.

Such levels of detachment, reflection and consultation are not easy to reach and are even harder to sustain, but the effort of attempting to do so is amply rewarded. Usually the effort is more than compensated for by the benefits gained.

Crucial Caveats

However, it would be too simplistic to suggest that people struggling with challenges as monumental as those Ian had to battle with can always achieve these benefits in a sustainable way. I am not arguing that reflection and consultation are always possible for people in such extreme distress.

Many of the contexts in which a person struggling with psychosis is placed seem neither safe not trustworthy. Sometimes the contents of a client’s consciousness prove so terrifying or distressing they cannot feel safe dealing with them nor trust their ability to manage them.

There came a point where the lady with the history of abuse chose mind-numbing medication rather than deal with the worst of her experiences.

After almost a year of our work together things seemed to be going well. Then came the unexpected. She found herself in a building that closely resembled the building strongly connected with the worst episode of abuse she had experienced at the hands of her father. Just being there was more than she could cope with. She became retraumatised in a way we none of us could have anticipated or prevented. The next time we met she could not stop sobbing.

We discussed what she might do. There were two main options.

She could, if she wished, continue on her current low levels of medication and move into a social services hostel where she would be well supported while we continued our work together, or she could be admitted onto the ward and given higher levels of medication in order to tranquillise her out of all awareness of her pain.

She chose the second option and I could not blame her in any way for doing so. It would be a betrayal of the word’s meaning to suppose she had any real choice at that point but to remain psychotic while the medication kicked in rather than deal with the toxic emotions in which she felt herself to be drowning.

Ian did the same when it came to his memories of slaughter from his army days. It was in June that he experienced a devastating return of the voices that led to his hospitalisation. Further exploration discovered a link between a traumatic army experience, which had occurred at that time of year, and an overwhelming reactivation of the voice-inducing guilt – far stronger than anything he had experienced in connection with his breach with his alcoholic partner. Each year after that he preferred to allow himself to become psychotic rather than attempt to process the intolerable guilt. He chose increased medication and admission to hospital till the anniversary effect was over, when he would be discharged to resume a relatively normal life until the next anniversary.

Graph of the Model that states Psychosis is on a continuum with Normal Functioning (Source: The route to psychosis by Dr Emmanuelle Peters)

A Genuine Help

What I am contending from my decades working with ‘psychosis’ in the NHS is that my CBT training was made more effective by my spiritual practice and the facilitation of those twin skills: reflection and consultation. The meanings achieved as a result facilitated flexibility and personal integration, as against the distressing rigidity and disturbing inner and outer conflict of the psychotic experience.

Hopefully one day these conclusions from personal practice will be validated in systematic studies.

An additional point to mention is that this is not just a model for psychosis. Take Laura for example, with her diagnosis of endogenous depression, ie one that her doctor felt was not explicable in terms of her life situation. She used to believe that her parents were more or less perfect. The work we were doing became very stuck and seemed to be going nowhere.

We had plateaued on bleak and distressing terrain, more tolerable than her previous habitat but too unwelcoming to live on comfortably for the rest of her life, and yet with no detectable path towards more hospitable ground.

Frustrated by the protracted lack of movement, I began to see discharge as a very attractive option. I discussed this with my peer supervision group.

Effective group supervision provides a context where fruitful consultation can take place and better decisions about the most fruitful line of action can be made. We decided that I should continue with the processes of exploration but make sure that I did not continue my habit of stepping in relatively early to rescue her in sessions from her frequent experiences of intense distress.

I continued to see her. Laura and I consulted carefully and jointly agreed that I would allow her to sink right into the “heart of darkness” in order to explore it more fully and understand it more clearly. The very next session, when we first put this plan into action, after I had left her alone in her silence for something like half an hour, Laura came to a powerful realisation at the heart of a very intense darkness. She said: “I think my mother threw me away even before I was born.” Thankfully consultation had helped me manage to avoid doing something similar by discharging her before we had resolved the causes of her depression.

This paved the way for deeper and more fruitful explorations of the reality of her childhood, continuing to use the same reflective and consultative process I have been describing in this sequence of posts.

Ian’s Last Word on the Matter

P.: Is there anything else that you feel that you want to say that I haven’t brought out by the questions I’ve asked you?

I.: No, except that the pain, you know, the questions you asked were painful. And I didn’t want to answer them.

P.: And you didn’t see the point of answering them either, did you?

I.: No, I didn’t see the point in answering them because I didn’t recognise myself that the problem lay there. But once I could see where the problem was I could bargain with the voices.

P.: Yeh. And you had to know where the problem lay, roughly . . .

I.: Yeh.

P.: . . . before you could bargain with them?

I.: And talking to you showed me where the problem was. So, I was able to deal with the voices in a positive way.

P.: Yeh. But before you had gone through this whole process there was no way you would have realised that the problems were what they turned out to be.

I.: No. I thought it was just schizophrenia.

P.: Yeh. And that was the end of it.

I.: And that was the end of it. I was schizophrenic and that was it. And I had nothing to look forward to except hospital and more medication. And I couldn’t stand the thought of that, you know? So that jumping under a train was looking very attractive. But it doesn’t look attractive now.

P.: Because life seems to have more to offer?

I.: Yeh.

I need to add here, though, to put all this fully into context, that I visited him in the hospice when he was dying of emphysema and other complications consequent upon what he knew was his self-damaging habit of heavy smoking. He was well aware of the implications of the injury to his lungs caused by the bomb blast that led to his being discharged from the army on health grounds.

I sat by his bed watching him breath in oxygen from the cylinder at his bedside. When he had taken in sufficient oxygen, I felt moved to ask him the question I had asked once before during our therapeutic relationship.

‘In the light of all you know now, were the gains you made worth the pain you had to go through?’

‘No,’ was the answer he gave. ‘They weren’t in the end.’

As he did not spell out exactly why not, I did not feel it right to press him for his reasons. Even so, his answer taught me a lot, not least how difficult it is to be sure you have obtained fully informed consent before embarking on any intervention.

I’ll leave it there until the New Year, and pause my posts until then as I did last year. I wish all my readers well over this festive season.

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PTSD and war

Before we plunge further in from where we got to last time, I need to look briefly at what is known about the impact of war trauma on those affected by killing other human beings. This will help clarify just how disabling the effects of Ian’s experiences were likely to be on someone who was already undoubtedly very vulnerable.

There was an in-depth look at this in a television documentary in the wake of the Falklands War. The programme adduced a wealth of evidence that most human beings have a powerful and deep-seated aversion to killing other people. Approximately 98% of us are to varying degrees averse. For example, there were soldiers in the days of muzzle-loading muskets, who died with their muskets in their hands, the barrel full of undischarged ammunition balls. They had faked reloading without firing, so reluctant were they to risk killing anyone. Others, using rifles, were known to aim to miss or to wound slightly rather than to kill.

There are two outliers, representing about 1% in each case, who have no such inhibitions. One such exception is, not surprisingly, the psychopath. The other exception, which is very surprising, is an otherwise morally and emotionally normal individual who has no compunction about killing.

Psychologists, to their shame, devised training methods, using probable battle scenarios, that made rapid and automatic shooting to kill seem easy and unproblematic. These scenarios were practiced repeatedly until the lethal reaction was instinctive. What no one predicted was how traumatic many soldiers found it, to be confronted in battle with the consequence of their training: a dead soldier they had killed without a moment’s thought. As with Ian, the post-traumatic reactions were often devastating, with guilt and horror as key components of flashbacks and nightmares. In his case the signs of trauma were the unrelenting voices, a waking nightmare in effect.

Some of the horror of this is captured in Keith Douglas’s poem of the Second World War, How to Kill.

keyesdouglas

Keith Douglas

Under the parabola of a ball,
a child turning into a man,
I looked into the air too long.
The ball fell in my hand, it sang
in the closed fist: Open Open
Behold a gift designed to kill.

Now in my dial of glass appears
the soldier who is going to die.
He smiles, and moves about in ways
his mother knows, habits of his.
The wires touch his face: I cry
NOW. Death, like a familiar, hears

And look, has made a man of dust
of a man of flesh. This sorcery
I do. Being damned, I am amused
to see the centre of love diffused
and the wave of love travel into vacancy.
How easy it is to make a ghost.

The weightless mosquito touches
her tiny shadow on the stone,
and with how like, how infinite
a lightness, man and shadow meet.
They fuse. A shadow is a man
when the mosquito death approaches.

This is an equally disturbing but different kind of trauma from the kind captured in Wilfred Owen’s poems, such as Dulce et Decorum Est.

The intense guilt Ian harboured about his army experiences was too hard to bear and he had buried it. However, his subsequent guilt over throwing his alcoholic partner out of the house because her drinking was consuming his income from three jobs and he couldn’t cope any longer, reactivated the earlier even more intense guilt, because he thought she might die on the street, meaning that he might in a sense have killed her.

During the first period of therapy he felt that he was dealing only with his guilt about her, and that this was the main problem in terms of his voices. This was hard enough. Only later did he come to realise, by the impact of an anniversary effect I’ll come to in the next post, that the far darker army experiences, that he hadn’t yet dealt with, lay still active in this respect underneath.

What use is religious practice here?

There is much evidence that faith and religion are beneficial to mental (and physical) health. They reduce amongst other difficulties: depression, anxiety, suicide, & psychosis. The protectors they provide include: greater meaning and purpose, higher self-esteem, social support, less loneliness and more hope. (Harold Koenig at al. in Religion and Health’ Chapter 15)

My focus now will be on two aspects: reflection and consultation. Buddhism offers the most obvious example of powerful reflective processes. There is also a wealth of information that suggests most strongly that the process of collaborative conversation (Andersen and Swim), of consultation in the Bahá’í sense (see John Kolstoe), of inquiry (see Senge), of interthinking, can achieve remarkable results: Neil Mercer talks of the crucial function of language and says:

it enables human brains to combine their intellects into a mega-brain, a problem-solving device whose power can be greater than that of its individual components. With language we are able not only to share or exchange information, but also to work together on it. We are able not only to influence the actions of other people, but also to alter their understandings. . . . . Language does not only enable us to interact, it enables us to interthink.

It is the special combination of both these processes that is unique to the Bahá’í Faith as far as I am aware, though variations of each alone can be found in other either religious or educational/therapeutic contexts.

After I qualified and became a member of the Bahá’í community, fully integrating my understanding and practice of these processes into my clinical repertoire took a couple of years. I came to feel the benefits of that were considerable.

These weren’t the only factors I tried to accommodate. The hardest to digest was the belief that the mind is not dependent upon the brain. I have dealt with that in detail elsewhere.

The easiest was the notion that not only is the spiritual core of all religions essentially the same, but also humanity is in essence one: we are all part of the human family and all interconnected, not just at a material level but at a spiritual one as well. This is relevant here. This concept of unity not only serves to dispel any residual sense we might have that someone with a diagnosis of schizophrenia is somehow a different kind of being from us, but it also clarified that being inwardly divided, as many of us are, is not only a betrayal of our own essential inner oneness but an obstacle to our connecting with others, not just as a therapist but in any relationship. Similarly a community that is at odds with itself with find it hard to connect with everyone on a harmonious basis. I will be returning to that point.

My shorthand description of reflection is to say that it involves separating consciousness from its contents. Consultation, in similarly brisk terms, is the dispassionate comparison of notes, with the emphasis here on the word ‘dispassionate.’

Reflection

In discussing the nature and power of reflection I usually start with Peter Koestenbaum’s book, New Image of the Person: Theory and Practice of Clinical Philosophy.

Reflection, he says (page 99): ‘. . . releases consciousness from its objects and gives us the opportunity to experience our conscious inwardness in all its purity.’ I will look more closely at exactly what this might mean in a moment. Before we move on from his take on the matter, what he says at another point is even more intriguing (page 49): ‘The name Western Civilisation has given to . . . the extreme inward region of consciousness is God.’

I am quoting this upfront so that, if you find what I’m going to say from a faith perspective hard to accept, this might help.

In earlier posts I have discussed how psychosis is a very rigid and inflexible state of mind. I believe it is simply at the end of a continuum along which we all are placed. We all to some degree at times overvalue our beliefs, our perceptions, our simulation of reality. This can bring about a degree of attachment to them that makes us inflexible and highly resistant to contradictory evidence or different perspectives. This does not create a huge problem if our take on reality is not also destructive or frightening or both.

Fixity in the face of often extremely unpleasant phenomena causes an unacceptable and virtually inescapable amount of distress to the sufferer and of anxiety in his friends and family. The distress is what brings the sufferer to the attention of the psychiatric services. Psychiatry then applies the label schizophrenia. This label, in my view, mixes up the content of the experiences with the person’s relationship to those experiences in what can be a most unhelpful way.

Just as it is important to separate our perceptions (voices, visions and other internally generated experiences in other sensory modalities) from our understanding (beliefs, models, assumptions, meaning systems etc), it is crucial also to separate out, from the nature of these experiences in themselves, this loss of perspective and flexibility which I am calling fixity.

I have examined elsewhere on this blog the various ways that this fixity can be dispelled. Here I plan to focus simply on reflection. This is not because they are irrelevant. One, which I term disowning, by which I meant discounting or suppressing uncomfortable contents of consciousness such as pain, grief or guilt, was something Ian described in in the process of our shared reflections: he saw himself as increasingly ‘recognising’ his feelings rather than ‘repressing’ them.

My focus though will be on how reflection enables us to contain unpleasant material in consciousness, giving us time to think about and explore it, prior to integrating it.

Bahá’u’lláh, the Founder of the Bahá’í Faith, in the Kitáb-i-Íqán (Book of Certitude) quoted a hadith from the Islamic tradition: ‘One hour’s reflection is preferable to 70 years’ pious worship.’

‘Abdu’l-Bahá

His son ‘Abdu’l-Bahá, explored this in a talk he gave at a Friends’ Meeting House in London in 1913. He spoke of reflection, meditation and contemplation as virtually equivalent concepts. He went on to explain their power (Paris Talks – pages 174-176):

This faculty of meditation frees man from the animal nature, discerns the reality of things, puts man in touch with God. . . .

Through this faculty man enters into the very Kingdom of God. . .

The meditative faculty is akin to the mirror; if you put it before earthly objects it will reflect them. Therefore if the spirit of man is contemplating earthly subjects he will be informed of these. . . .

What he says for me maps onto Koestenbaum but in more directly spiritual terms. It explains why reflection, also connected with meditation and contemplation, is so powerful from a Bahá’í point of view.

The mirror analogy along with Bahá’u’lláh’s various references to the human heart as a mirror, led me to ask: what are the possible similarities between consciousness and a mirror?

Basically, a mirror is NOT what is reflected in it. In the same way, consciousness is not its contents. We are not what we think, feel, sense, plan, intend, remember, imagine and so on. This is also known as Disidentification in Psychosynthesis. In Jessica Davidson’s very brief summary, the affirmation exercise this form of therapy uses reads like this:

I have a body and sensations, but I am not my body and sensations. I have feelings and emotions, but I am not my feelings and emotions. I have a mind and thoughts, but I am not my mind and thoughts. I am I, a centre of Pure Awareness and Power.

Less controversially for most people I suspect, I would prefer to affirm that I have sensations, but these change from moment to moment so I cannot be my sensations. I am the capacity to sense. And so on with feelings, thoughts, plans, memories and imaginings, including our ideas about ourselves and what or who we are. Assagioli’s final affirmation was, as I remember, ‘I am a centre of pure consciousness and will.’

Reflection enables us to find meaning in what we are tempted to call ‘madness.’ It gives us the freedom to examine it even if only in our own minds. Psychosis is almost always meaningfully rooted in a client’s experience.

How might reflection help us find meaning?

Reflection helps counteract the fixity of attachment to the contents of consciousness that characterises what is called the ‘psychotic’ experience. The crucial stepping back relates not just to the experiences themselves, such as visions and voices, but to the explanations the sufferer has created for the experiences, which then cease to be delusional.

What Ian thought was just schizophrenia had meaning. Understanding and integrating that meaning released him from his voices. To understand his psychotic experiences he had to neither suppress them nor surrender to them: he had to contain them so he could examine them.

Recognising that they were simply the contents of his consciousness enabled him to step back, experience and think about them. They no longer had power over him.

I will sharing some of his thoughts on this in the final post.

Consultation

But there is one step further we can go.

When Ian loosened his identification with his experiences, he was able not just to think about them, he could also compare notes with others about what they might mean: he could consult in a Bahá’í sense of that undervalued word.

The Bahá’í International Community, which represents the Faith at the United Nations, quotes Bahá’u’lláh on consultation (The Prosperity of Humankind Section III): ‘In all things it is necessary to consult. The maturity of the gift of understanding is made manifest through consultation.’

What might He mean by that. Paul Lample in his excellent book Revelation and Social Reality puts forward his view: (page 199):

Consultation is the method of Bahá’í discourse that allows decisions to be made from the bottom up and enacted, to the extent possible, through rational, dispassionate, and just means, while minimising personal machinations, argumentation, or self-interested manipulation.’

Key words and phrases here are: ‘from the bottom up’ which I take to mean not imposed in some condescending fashion by those who feel superior; ‘dispassionate’ meaning objective and detached (something I’ll come back to in more detail in the next and last post); and ‘minimising . . . manipulation,’ so no ulterior motives or advantage seeking creep in.

Later he adds further illumination (page 215):

[C]onsultation is the tool that enables a collective investigation of reality in order to search for truth and achieve a consensus of understanding in order to determine the best practical course of action to follow.… [C]onsultation serves to assess needs, apply principles, and make judgements in a manner suited to a particular context.’

The key concept here is the ‘collective investigation of reality.’ This means that all parties involved in consultation are comparing notes, sharing perspectives, without undue attachment to their own point of view and not in an attempt to win an argument but with a sincere striving to understand reality better.

Just as the client needs to reflect, so does the ‘therapist.’ It is a two way street. And the therapist needs to model what she wants the client to learn: reflection. If she does not consultation is not possible. She must be as detached from her conclusions as she wants the client to be. If both client and therapist can reflect together as equals they are genuinely consulting. They can achieve a higher level of understanding, a better simulation of reality, together, than they ever could alone.

We are now ready to explore the impact of these processes on Ian and to examine some other important factors and considerations. More of that next time.

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‘Reflection takes a collective form through consultation.’

(Paul Lample in Revelation and Social Reality – page 212)

One evening, towards the end of last month, I gave a talk at Birmingham University, concerning a Bahá’í perspective on making sense of mental illness as derived from my own clinical experience. Even though I had two hours at my disposal, I still had more planned than I had time to say. This was partly because some of the comments and questions sparked a lengthier diversion than I had intended. Anyway, I thought I’d publish everything I intended to say on this blog.

The quote at the top defines what processes this sequence of posts will be exploring in more depth in terms of their positive impact upon helping people find meaning in their experiences when they are struggling to cope with psychotic phenomena.

But before we home in on those we need a helicopter view of the overall context of the problems and processes we’ll be examining here.

Trauma, Transliminality and Psychosis

Previous posts on this blog have explored the possible relationship between the factors captured by this diagram. The focus though right now will be on trauma and psychosis.

Hearing voices and strange but strongly held beliefs are two key supposedly correlated signs we will be looking at today. Thought disorder and extreme withdrawal from contact with other people are also taken to be signs. I don’t propose to delve into the validity of the label all too frequently attached when more two or more of these come together in distressing form. For anyone interested, see Mary Boyle’s Schizophrenia: a scientific delusion for a clear exposition of the sceptical case against the idea these form a real syndrome.

For an understanding of the evidence for a relationship between psychotic phenomena and trauma see Longden and Read’s The Role of Social Adversity in the Etiology of Psychosis. They deal extensively with this problem (pages 7-8):

Large-scale population studies have shown that associations between adversity and psychotic experience remain significant when controlling for possible confounders, including: family history of psychosis and other mental health problems (which negates the notion that psychosis only occurs in those genetically predisposed), age, sex, ethnicity, marital status, exposure to discrimination, other psychiatric diagnoses, education level, neuroticism, and substance use. Furthermore, the association has repeatedly demonstrated a dose-response relationship; that is, the likelihood of psychosis increases relative to the extent of adversity exposure.

Transliminality refers to the permeability of the filters surrounding our consciousness, whether that be from beneath (the brain’s subconscious) or above (some kind of transcendent level). Helpful analogies that illustrate the idea of such thresholds of access are our eye/brain system’s limited perception of light’s spectrum, a receiver such as a radio that only translates into intelligible sound the frequencies it is tuned into, or a transceiver such as a computer that can access and decode appropriate data stored in a cloud site as well on its own hard drive. Accessing outside those given ranges is taken to be impossible for the manmade devices. However whether the brain can access outside its normal range is a vex question. Good sources for evidence that this might be so can be found in Mario Beauregard’s The Spiritual Brain or in Irreducible Mind by the Kellys.

Ian’s Experiences of Psychosis

There are two people who were tormented by so-called psychotic phenomena from whom I learned a great deal more than they probably learned from me about what these are and how to deal with them. The lady in the poem above is one: Ian, whom I’ll consider in a moment, was another.

The lady had asked for help to deal with her childhood experiences of extreme abuse. Unlike with Ian, I do not have her permission to go into detail. However, what I can say to illustrate the depth of her problem is that the one-hour sessions dealing with her work on the abuse had to be divided into three roughly equal parts. The first part checked up on how things were going and that she wanted to continue the painful work. The second part looked at the abuse and her intensely painful memories of it, and the third part involved calming her down sufficiently after this to dispel the powerful and reactivated visual and auditory hallucinations of her father, the abuser.

I will look later in the sequence at one other indication of the painful and powerful hold the past abuse still had over her.

I can directly use Ian’s own words to convey the kinds of experiences he was grappling with. This is an extract from the transcript of a video interview which took place in late May 1993. Obviously P is me and I is Ian.

P. Could I ask you to describe at first how things were, say, a year ago before there was ever any question of our meeting and when things were not too good for you?

I.: Well, I’d got the voices nearly all the time. They used to wake me up at night, you know?

P.: Yeh. And can you say what kind of things they used to say, just as an example?

I.: `Get out of bed, you lazy bastard. Get up and wake up. Come flying with us. Go and jump in front of a train,’ you know?

P.: Right. And they were saying this to you constantly, were they?

I.: Constantly, yeh.

P.: Were they constant in the day?

I.: Yeh.

P.: Were they very loud?

I.: Yeh. They got loud when I was ill, you know, they got loud.

P.: Right. So, say last May, or last Spring, May, June, July, is this how it was with the voices . . .

I.: Yeh. They were pretty bad. They were loud, you know? They were right down in my ears. And – er – I was seeing things as well. I was seeing what I call the – the `Boss’, you know? He only come at night, yeh.

P.: Right. Where did you think these voices came from?

I.: The spirit world.

P.: So you thought they were ghosts of some kind, or . . .

I.: I thought they were spirits, come from the spirit world for me, you know? And that they wanted me to go with them. I didn’t think that I was going to hurt myself by killing myself, you see? But something inside me just wouldn’t let me do it, you know?

P.: Yeh. You held back?

I.: I think it was because I was afraid of hurting myself.

P.: Right. Because you did say at the time that unless you actually did it instantly it wouldn’t really count, would it?

I.: No.

P.: Right. So it was very important to you that you didn’t end up injured or in a worse state.

I.: Yeh. It was important not to get injured. It had to be a certain thing, you know? And the Express train looked the part.

P.: Right.

In an earlier exchange that month on audiotape, in response to my question as to whether his ‘experiences . . . were shutting [him] out from the world and shutting [him] out from the future,’ he replied, ‘Yeh. I was living in a dream world, you know.’ He also described it in the same interview as ‘brainwashing.’ He said:

They were so loud that I couldn’t hold a conversation, you know. And I couldn’t listen to the radio. They just blocked everything out. And I couldn’t think because they just sidetracked me, you know, saying the same thing over and over and over.

In an interview in September of the following year, he clarified further by saying that he no longer did what the voices told him to do, as he had in the beginning. He knew now they were not spirits but the products of his own head. Even so it was still hard work to keep them at bay.

In working with people experiencing psychotic phenomena, I found it important to distinguish the experience, with which I never sought to argue, from the explanation, which could be modified in helpful ways, for instance here in terms of the power of the voices. It is possible that this will lead, as in Ian’s case, to a recognition that the voices come from inside the person’s own head. This though is neither necessary nor inevitable. It is sufficient that a more benign explanation of the voices is arrived at that gives them far less power and, if possible, reduces any malignity.

Ian’s Life

For those interested in the full back ground to his psychotic experiences and how far back in his life traumatic events and situations began helping to shape his sensibility I have included at the end here a brief summary, which I helped him write, of his life up to the point I worked with him.  

By the time I was 14 months old my mother was dying of tuberculosis and I was failing to thrive. I was abandoned by my dad. My aunt rescued me and took me to live with her. She applied to the courts to adopt me. My dad, at the 11th hour, began to contest this. The proceedings dragged on until I’d started school. My situation with my aunt was not secure until I was six years old.

When I was seven my grandfather died suddenly. I was extremely close to him.  The pain of that still haunts me.

When I was nine I was walking to school through a farmyard, when I saw the farmer hanging in his barn. Shortly after that, the voices started, but they were nice and friendly, and kept me company as I walked the hills near home.

I went down the mines as soon as I left school. I wasn’t happy with that and joined the army. Within the first couple of years a bullying sergeant major triggered a psychotic episode. The voices turned nasty. I heard the voice of the sergeant major mocking and insulting me all the time. I faked my way out the army hospital by denying I was hearing voices any longer.

The army didn’t know what to do with me. As they reckoned people with schizophrenia were antisocial, they decided a solitary job within the army would be the best thing for me. They came up with what they felt was the ideal solution: they’d train me to be a sniper. You spend long periods alone and when anyone comes along to disturb you, you kill them – a great idea in their view. There’d be none of that stressful social contact!

At least two incidents in which I was involved in the army left me with strong feelings of guilt. The pain of the deaths I caused, I know now,underlay the later experiences of psychosis.

I was discharged from the army after I was seriously injured walking towards a bomb. I did this deliberately. It was part of a pattern. From time to time I felt I didn’t deserve to live so I put myself in danger. If I lived I felt I was meant to live and maybe I deserved to do so. When the feeling built up again, as it kept on doing even in civvy street because the guilt about the deaths never left me, I’d play the same kind of Russian Roulette.

Once out of the army I used to do this by lying down on a railway line in the early hours of the morning. If no train came within a certain period of time, I reckoned I deserved to continue living.

After leaving the army my marriage broke up and I ended up living with someone with a serious drink problem. I held down three jobs, working all hours, in order to make ends meet and finance her habit. Eventually, I got completely exhausted and depressed. I couldn’t cope any longer and threw her out.

That didn’t finish it though. I was so convinced that she would die on the streets, I felt like I’d killed her. I became tortured by guilt. I shut himself away in my room with my dog. I survived on frozen chips for six weeks, until my boss became so concerned he got the police to break in. They found me completely psychotic, they say. I think I was determined to die this way. They sectioned me. That began an eight year history of sections, medications, with long and frequent admissions, until I felt that life had nothing to offer me.

At the end of this eight year period our work together began. At the end of the first phase, the May 1993 video interview took place.

We are now at a point to move onto examining how far we were able to help Ian make sense of his psychotic experiences in terms of his life history. More of that next time.

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One hour’s reflection is preferable to 70 years’ pious worship.’

(Hadith quoted by Bahá’u’lláh in the Kitáb-i-Íqán)

Central to the task of reconceptualizing the system of human relationships is the process that Bahá’u’lláh refers to as consultation. “In all things it is necessary to consult,” is His advice. “The maturity of the gift of understanding is made manifest through consultation.”

(The Prosperity of Humankind, Section III)

Reflection takes a collective form through consultation.

(Paul Lample in Revelation and Social Reality – page 212)

I explained last week that the talk I planned to give at the interfaith meeting in Holland House never happened. I gave a rather different one instead. These are the bare bones of what I said.

Introduction:

I began with a brief explanation of the core belief of the Bahá’í Faith: unity or oneness. This is rooted in our sense that there is only one God, the great world religions share the same spiritual core and the whole of humanity is basically one family.

In terms of the individual, unity extends from within each of us to what exists between us. Bahá’u’lláh explains this in these terms: ‘Since We have created you all from one same substance it is incumbent on you to be even as one soul, to walk with the same feet, eat with the same mouth and dwell in the same land, that from your inmost being, by your deeds and actions, the signs of oneness and the essence of detachment may be made manifest.’

My understanding of this includes the idea that we need to heal the divisions within us if we are to heal the divisions between us and vice versa. To contribute to the best of my ability to the creation of a supportive and united community I have to resolve the conflicts within me by bringing the ‘multiple identities that were born of passion and desire,’ as ‘Abdu’l-Bahá puts it, together in obedience to a higher and worthier power. Only in this way may ‘all souls become as one soul.’

Terraces on Mount Carmel

What does this mean in practice

We must all come to recognize the truth of what the Universal House of Justice conveyed to all those gathered on Mount Carmel to mark the completion of the project there on 24th May 2001:

Humanity’s crying need will not be met by a struggle among competing ambitions or by protest against one or another of the countless wrongs afflicting a desperate age. It calls, rather, for a fundamental change of consciousness, for a wholehearted embrace of Bahá’u’lláh’s teaching that the time has come when each human being on earth must learn to accept responsibility for the welfare of the entire human family.

They explain that a ‘commitment to this revolutionizing principle will increasingly empower’ us and enable us to awaken each other ‘to the latent spiritual and moral capacities that can change this world into another world.’

When we look at our local communities, which is where an active concern for the wellbeing of others starts, the Guardian of the Bahá’í Faith reinforces the message that we ‘must do [our] utmost to extend at all times the helping hand to the poor, the sick, the disabled, the orphan, the widow, irrespective of colour, caste and creed.’[1]

Within the Faith at local level the Bahá’í community and beyond often benefits, when the community is of sufficient size, from the guidance of a local Spiritual Assembly: at national level the National Assembly does the same. Even where a local community is too small to have an Assembly, all of its members, as far as humanly possible, should be actively safeguarding the wellbeing of everyone within that community, and beyond if within its capacity.

Two key components

There are two other key components about which I spoke briefly on the day. Without these two components community life would be that much the poorer.

I will deal as briefly with them here as I did on the day because I hope to return to them more deeply when I report on a recent talk I gave about the Bahá’í contribution to understanding mental illness. I’ve also explored them on this blog at some length in the past.

Reflection is the first, concerned as it is with the individual. Reflection is not just thinking more deeply about something outside ourselves: it also involves separating consciousness from its own contents. We come to realise our minds are like a mirror, and just as a mirror is not what is reflected in it, our minds are not what is reflected in them. We are not what we feel, think, imagine, sense, remember or plan. These change from moment to moment. We are the capacity to do all of those things. We are not even who we think or feel we are. We are the emotional and sensing thinker who lies beneath all thought.

The words reflection, contemplation and meditation are used in the Bahá’í Writings in closely related ways, and this is true of the talk ‘Abdu’l-Bahá gave at a Society of Friends’ meeting house in London in 1913. Amongst other things He is recorded as having said (Paris Talks – pages 174-176):

This faculty of meditation frees man from the animal nature, discerns the reality of things, puts man in touch with God. . . . The meditative faculty is akin to the mirror; if you put it before earthly objects it will reflect them. Therefore if the spirit of man is contemplating earthly subjects he will be informed of these. . . .’

Even if you find it hard to accept the existence of God, it still perhaps makes sense to see this process of reflection as putting us in touch with far deeper and wiser aspects of our being and as releasing us from the hold of shallower and more treacherous perceptions. His use of the image of the mirror is also significant in this context, and not just because of the possible pun in English on the word reflect.

For me, realising the power of reflection enables us to break out of our often divisive patterns of thought and become more in harmony with our deepest self, more united within. In that state of mind we can take better care of ourselves and others.

We become more able to compare notes with others in order to gain a clearer picture of reality and to formulate more effective plans for dealing with our problems. Reflection enables us to consult more effectively.

Paul Lample explains the exact benefits of consultation as follows (Revelation and Social Reality pages 199 & 215):

Consultation is the method of Bahá’í discourse that allows decisions to be made from the bottom up and enacted, to the extent possible, through rational, dispassionate, and just means, while minimising personal machinations, argumentation, or self-interested manipulation. . .

[C]onsultation is the tool that enables a collective investigation of reality in order to search for truth and achieve a consensus of understanding in order to determine the best practical course of action to follow.… [C]onsultation serves to assess needs, apply principles, and make judgements in a manner suited to a particular context.

It’s not difficult to see that in a community of any kind, whether Bahá’í or not, the exercise of these two skills will improve the wellbeing of all its members and enhance the quality of its community life.

The reciprocally potentiating combination of these two processes in this precise way is, as far as I know, unique to the Bahá’í Faith.

I hope to explain more about exactly how this might work in a therapeutic context at a later date.

Footnote:

[1] Shoghi Effendi Principles of Bahá’í Administration BPT UK 1976 Page 39.

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. . . . the role of the fine arts in a divine civilization must be of a higher order than the mere giving of pleasure, for if such were their ultimate aim, how could they ‘result in advantage to man, . . . ensure his progress and elevate his rank.’

(Ludwig Tulman – Mirror of the Divine – pages 29-30)

A Test

As I explained earlier in this sequence, I’m not contending that mapping consciousness is the sole criterion for judging a work of art but it is a key one for my purposes as a student of consciousness, as the mind map above illustrates. I’ll unpack what the mind map is about later.

My ability to apply to ongoing experience what I have learned in theory was about to be tested. How clearly could I catch hold of and write down an experience under pressure?

The day I sat planning at some point to work on this post proved interesting. Two letters plopped through our letterbox. They looked like the ones I had been expecting, telling me when my next hospital appointments were.

I didn’t pick them up straightaway as I was keeping an eye on the pressure cooker as it built up a head of steam, ready to turn it down when the whistle hissed. No, I don’t mean my brain as it coped with all my deadlines. We were beginning to get the food ready for the celebration of the Bicentenary of the Birth of Bahá’u’lláh in two days time. The lentils apparently needed cooking well ahead of time.

Once pressure cooker duty was over, I dashed upstairs to tweak the slide presentation for the following day. I’d been enlisted to do the presentation at a friend’s celebration event. While the slide show notes were printing, I thought I’d better check the hospital letters out, not my favourite activity. The first one I opened was as I expected, an appointment for the ophthalmology department. I moved on to the second one. When I opened it I saw it was identical, same date, same time.

‘They’ve messed up,’ I groaned inwardly. ‘I was supposed to go for an MRI scan as well. I’d better give them a ring.’

I stapled the slide show notes together, picked up my iPhone and rang the number they had given me on the letter. A robot answered.

‘Thank you for calling the orthoptic department. We are currently dealing with a new electronic patient record system [I didn’t relish being seen as an electronic patient] and may be delayed in returning your call, [change of voice undermining the impression of caring that was to follow] but your call is important to us. Please leave your hospital number, the name of the patient, and a brief message and we’ll get back to you as soon as we can. Thank you.’

I responded after the beep, fortunately also remembering to give them my number as I wasn’t convinced they’d pick that up automatically. Most robots check whether they have absorbed your number correctly.

Rather than waste time waiting, I got my laptop and brought it downstairs to rehearse my presentation. I set up AppleTV and was just about to set my timer and start, when my phone rang.

‘Orthoptic Department. How can I help?’ She sounded pleasant and surprisingly unstressed.

‘The new system must be taking some of the pressure off,’ I thought.

I explained that not only had I got double vision but I was also now getting my letters twice as well. Well, no not really. I told her I’d got two identical letters when I’d expected one to be for an MRI scan.

She checked out what I meant and then explained that the letter I’d got was for my routine appointment. The other was an error on their part. I should also be getting a letter for the MRI scan, I clarifed, but they did not know anything about that. I added that after that I should get an appointment from a consultant about the scan. She couldn’t help with that either, even though he was in her department.

She agreed to put me through to discuss the MRI.

‘Radiology here. How can I help?’

‘Is that where you do MRI scans?’ I asked, not being sure whether they counted as radiology or something else.

‘Yes, it is.’

I began my explanation.

‘I’m sorry. I need your name and date of birth.’

‘Will my hospital number do?’

‘Yes. That’s fine.’

Once she knew who I was, I told her my problem and asked when I could expect my scan to be as were we hoping to be away some time in December.

‘It’ll take 6-8 weeks from the time they sent the request.’

‘So when might that be?’

‘It’ll probably be the week beginning 27 November.’

‘And when will the consultant see me to discuss it after that.’

‘I can’t say because he wouldn’t send out appointments normally until he receives the scan.’

‘So how long is the gap likely to be then?’

‘We don’t deal with that. You’d have to speak to his secretary.’

She couldn’t put me through so I rang Ophthalmology again and got the robot. I hung up and rang the hospital switchboard and they put me through straightaway. Must remember that next time.

I spoke to the same person as before. She explained that she didn’t really know. She was just the receptionist. His secretary was off till next week. She’d leave a note for her and if I could ring back then she might help.

I hung up and made a note in my diary to ring next week.

Before this all happened, I’d jotted down in the notebook I always carry: ‘It doesn’t matter whether I’m enjoying myself or not, as long as I’m squeezing every drop of meaning out of the lemon of the present moment.’ The phone calls to the hospital where a particularly sour experience, so my note was intriguingly prophetic. I had managed to stay calm, and even found the whole experience slightly amusing with its many examples of ‘I don’t know. That’s not my department. You need to talk to…’

At last I was able to settle down and rehearse the presentation before finally returning to my plan to draft this post.

The whole episode highlighted for me the need not only to slow down and keep calm, but also to sharpen my focus. Not that I will ever be able to write as well as Virginia Woolf, but without that combination of skills I doubt that anyone would ever be able to capture consciousness in words on paper, or even in speech.

A Valid Criterion?

So now we come back to the critical question. Is its skill in conveying consciousness a valid criterion by which to judge a work of art? As I indicated earlier, I’m not arguing it is the only one, nor even necessarily the best. What I have come to realise is that it is a key one for me.

I also need to clarify that capturing consciousness is not the same as conveying a world view or meaning system. So, you might argue that when Alice Neel is painting people that the art world usually ignores, just as I gather Cézanne also did, while the act of painting itself is sending a clear ideological message that these people matter, unless the portrait is more than a realistic rendering of the subject’s appearance we have not been capturing the artist’s consciousness. If any distortions of sensory experience merely serve to strengthen the message, these would be more like propaganda than maps of consciousness. Also the culture in which we are immersed, as well as our upbringing and individual life experiences, influence the meaning systems we adopt, or perhaps more accurately are induced into evolving.

Capturing consciousness is also a tad more demanding than simply conveying a state of mind or feeling, whether that be the artist’s own or their subject’s, something which music can also do perfectly well. That is something I value very much, but it’s not my focus right now.

Taking that into account, what am I expecting?

Woolf gives us a clue in her diaries ((page 259):

I see there are four? dimensions: all to be produced, in human life: and that leads to a far richer grouping and proportion. I mean: I; and the not I; and the outer and the inner – … (18.11.35):

I have quoted this already in an earlier post of this sequence. I also added the date on which she wrote it to emphasise that it was after the completion of both To the Lighthouse and The Waves, as if she sensed that her approach up to that point had been too inward looking. Her question mark after ‘four’ suggests she was entertaining the possibility of more dimensions.

The diagram maps what Woolf said very crudely. Most of To the Lighthouse and The Waves takes place in the top right hand quadrant. They are brave experiments. In places they work beautifully but are uneven and at times disappointing. She sensed that I suspect.

However, other novels she wrote take more account of the other quadrants except possibly the one on the bottom right, although there are places where she seems almost to be attempting to tune into the inscape of natural objects.

Clearly then it might be appropriate to judge a novel by how well it balances the three main quadrants, ie excepting the bottom right.

There is a catch here though. It all depends upon on what the prevailing culture defines as ‘outer.’ Is this to be confined only to the material realm? Mysticism is present in all cultures to some degree, though its legitimacy has been downgraded in the West. The critically endorsed novel has, with some rare exceptions such as John Cowper Powys and perhaps what is termed ‘magical realism,’ been seen as needing to focus on the world of the senses, the stream of consciousness and social interaction.

Is that enough?

Woolf expresses this whole dilemma with wry humour in To the Lighthouse (page 152):

The mystic, the visionary, walking the beach on a fine night, stirring a puddle, looking at a stone, asking themselves “What am I,” “What is this?” had suddenly an answer vouchsafed them: (they could not say what it was) so that they were warm in the frost and had comfort in the desert. But Mrs McNab continued to drink and gossip as before.

Should a work of art, could a work of art, express some kind of world consciousness, for example? Should mysticism be normalised and not be either excluded or presented as eccentric?

Given that I think expanding our consciousness is the key to enabling us to mend our world I am sceptical of any school of thought that would devalue and marginalise novels that attempt to treat outlying ways of thought and experience as of equal interest and legitimacy. It has already been demonstrated that the novel, in its present form, enhances empathy. It helps connect us in a more understanding way with the experiences of others very different from ourselves. Art in general is one of the most powerful means we have for lifting or debasing consciousness. It reaches more people in the West probably than religion does, especially if we include television, cinema, computer games etc.

I must add a word of warning here. Consciousness can be seen as expanding in all sorts of different ways.

Sometimes, though, I feel that just by pandering to our desire for exciting new experiences we might not be expanding our consciousness at all, but narrowing it rather.

Alex Danchev, in his biography of Cézanne, quotes an intriguing passage from Hyppolyte Taine (page 104):

In open country I would rather meet a sheep than a lion; behind the bars of a cage I would rather see a lion than a sheep. Art is exactly that sort of cage: by removing the terror, it preserves the interest. Hence, safely and painlessly, we may contemplate the glorious passions, the heartbreaks, the titanic struggles, all the sound and fury of human nature elevated by remorseless battles and unrestrained desires. . . . It takes us out of ourselves; we leave the commonplace in which we are mired by the weakness of our faculties and the timidity of their instincts.

I draw back instinctively from the elevation of the titanic, the fury, the remorseless and the unrestrained in human life. Exploring those aspects of our nature unbalanced by other more compassionate and humane considerations is potentially dangerous for reasons I have explored elsewhere. To express it as briefly as I can, it’s probably enough to say that I can’t shake off the influence of my formative years under the ominous shadow of the Second World War. I’m left with a powerful and indelible aversion to any warlike and violent kind of idealism, and any idolising of the heroic can seem far too close to that for comfort to me. Suzy Klein’s recent brilliant BBC series on Tunes for Tyrants: Music and Power explores what can happen when the arts are harnessed to violent ends in the name of some dictator’s idea of progress.

And where does this leave me?

I am at a point where I have decided that I need to explore consciousness more consistently, perhaps more consistently than I have ever explored anything else in my life. It blends psychology, literature, faith as well as personal experience, and therefore makes use of most of my lifetime interests. This object of interest would give them a coherence they have so far lacked. Instead of flitting between them as though they had little real or deep connection, I could use them all as lenses of different kinds to focus on the one thing that fascinates me most.

I have ended up with the completely revised diagram of my priorities at the head of this post, repeated just to the left above in smaller size. The blurring at the edges represents its unfinished nature. It seems to express an interesting challenge. It shows that I am on a quest, still, to understand consciousness. Does the diagram suggest the idea that consciousness is both the driving force and destination of this quest? It looks as though consciousness is seeking to understand itself, in my case at least: that makes it both the archer and the target. Mmmmm! Not sure where that leads!

What is clear is that my mnemonic of the 3Rs needs expanding. It has to include a fourth R: relating. In the diagram I have spelt out what the key components are of each important R.

Relating

This involves consultation (something I have dwelt on at length elsewhere). It also entails opening up to a sense of the real interconnectedness of all forms of life, not just humanity as a whole. It has to entail some form of action as well, which I have labelled service, by which I mean seeking to take care of others.

Reflecting

How well a group can consult, as I have explained elsewhere, depends upon how well the individuals within it can reflect. My recent delving into Goleman and Davidson’s excellent book The Science of Meditation suggests that there is more than one form of meditation that would help me develop my reflective processes more efficiently (page 264): mindfulness I have tried to practice (see links for some examples), focusing I do everyday, using Alláh-u-Abhá as my mantra, and loving kindness or compassionate meditation is something I need to tackle, as it relates very much to becoming more motivated to act. I have baulked at it so far because it relies, as far as I can tell, upon being able to visualise, something I am not good at.

They also describe another pattern, which I’ve not been aware of before (ibid.): ‘Deconstructive. As with insight practice, these methods use self-observation to pierce the nature of experience. They include “non-dual” approaches that shift into a mode where ordinary cognition no longer dominates.’

Reading & Writing

Readers of this blog, or even just this sequence of posts, will be aware of how I use writing and reading in my quest for understanding so I don’t think I need to bang on about that here.

The Science of Meditation deals with the idea that long-term meditation turns transient states of mind into more permanent traits of character. I have placed altruism in the central space as for me, having read Matthieu Ricard’s book on the subject, altruism is compassion turned to trait: it is a disposition not a passing feeling. I am hopeful that insight may similarly turn to wisdom, but as I am not sure of that as yet, I just called it insight.

I am already aware that the diagram inadequately accounts for such things as the exact relationship between the 4Rs, understanding and effective and useful action. It does not emphasise enough that my desire to understand consciousness better is not purely academic. It is also fuelled by a strong desire to put what I have come to understand to good use.

I am also aware that I failed to register in my discussion as a whole that there are distinctions to be made between capturing consciousness in art and other closely related scenarios, such as describing experience in terms of its remembered emotional impact (conveying a state of mind) or giving an account of what happened through the lens of one’s meaning system (evaluating an event). It is perhaps also possible to attempt to convey only the basic details of what happened with all subjective elements removed (a ‘factual’ account).

I can’t take this exploration any further than this right now but hope to come back to the topic again soon. I also said in an earlier post that I might delve more deeply into the soul, mind, imagination issue. However, this post has gone on long enough, I think, so that will have to wait for another time.

Rita and Hubert 1954 (scanned from Alice Neel: painter of modern life edited by Jeremy Lewison)

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View of the River from the entrance of the Pavilion Centre

One hour’s reflection is preferable to seventy years’ pious worship.

Bahá’u’lláh quoting a hadith in Kitáb-i-Íqán – page 238).

Take ye counsel together in all matters, inasmuch as consultation is the lamp of guidance which leadeth the way, and is the bestower of understanding.

(Bahá’u’lláh – Tablets – page 168)

Reflection takes a collective form through consultation.

(Paul Lample in Revelation and Social Reality – page 212).

Last time I looked in some detail at the life of Bahá’u’lláh, as derived from the notes I made to prepare for a longer talk at the Pavilion Centre in Hereford that never happened! This is where I move to a brief consideration of the core teachings.

The Core Beliefs

The main tenets of Bahá’í belief can be summarised briefly here as follows:

The absolute core is a belief in the essential unity of God, Religion and Humanity:

O Children of Men! Know ye not why We created you all from the same dust? That no one should exalt himself over the other. Ponder at all times in your hearts how ye were created. Since We have created you all from one same substance it is incumbent on you to be even as one soul, to walk with the same feet, eat with the same mouth and dwell in the same land, that from your inmost being, by your deeds and actions, the signs of oneness and the essence of detachment may be made manifest. Such is My counsel to you, O concourse of light! Heed ye this counsel that ye may obtain the fruit of holiness from the tree of wondrous glory.

(“The Hidden Words of Bahá’u’lláh”, Arabic no. 68, rev. ed. (Wilmette: Bahá’í Publishing Trust, 1985), p. 20)

The earth is but one country and mankind its citizens.

(Gleanings – CXVII)

We are living in a single interconnected world. The challenges of globalism in its current form and the inequalities it fosters are causing many to regress to a harder line nationalism as the solution. This will definitely not work in the long term and probably won’t in the short term either.

Other important principles that stem from the concept of unity are:

The idea of a World Government; (this would not be an authoritarian bureaucracy – the local, national and international will each have their appropriate jurisdiction); the independent investigation of truth; the essential harmony of Religion and Science; the equality of men and women; the elimination of all prejudice; universal compulsory education; a spiritual solution to economic problems; and the need for a universal auxiliary language.

Questions Two, Three & Four

Two of the next three questions put to me before the talk were slightly more unusual:

How has your faith changed since travelling to the UK and do you practice in the same ways as originally defined? How can your belief be used to help us all create more understanding and a better world for us all – locally /nationally and beyond? What is your personal story for following your faith?

The answer to the first question is not a lot in terms of its fundamentals, and I’ve dealt with the second and third question on this blog many times.

The question that proved most intriguing, because the answer that popped into my head was not the one that I expected, was:

What is the most important aspect of your faith to you and why?

There is so much that I could’ve said including these: the Bahá’í Faith combines spirituality and activism in what seems to me to be a unique way; we have a global democratic administrative system that allows what we learn in one place to be applied in another and involves no priestly authority; its core concept of unity and interconnectedness is the key to our material survival as well as to our spiritual thriving; the idea of progressive revelation reduces the tensions and conflicts between people of different faiths; and service and community building are at the heart of the Faith’s approach to the social world. All of these matter to me a great deal and influenced my decision to attempt to tread the Bahá’í path. All of these depend for their effectiveness both upon nurturing the family and developing the educational system: even so I didn’t choose those either.

It may come as no surprise to readers of my blog that what I decided to say in the end, but never got the chance, focused upon the link between reflection and consultation, not just in the context of the administrative system, but as a consistent pattern of experiencing our inner and outer worlds and communicating with others, as skills that we need to use everywhere and all the time. It is part of the mystical core of the Bahá’í Faith, depending as both skills do on the development of the highest possible levels of detachment.

In a recent post I summarised the core of this insight briefly by saying:

. . . truthfulness requires the ability to reflect as an individual, which means stepping back, as we have described, from the immediate contents of our consciousness, so that we can gain a more objective and dispassionate perspective, and as a group it means consulting together as dispassionately as possible in order to lift our understanding to a higher level.

In fact, it is as though truth were, as John Donne wrote, ‘on a huge hill, cragged and steep.’ We are all approaching it from different sides. Just because your path looks nothing like mine it does not mean that, as long as you are moving upwards, it is any less viable than mine as a way to arrive at the truth. I might honestly feel you are completely mistaken and say so in the strongest possible terms. But I would be wrong to do so, even if I’m right. We would both move faster upwards if we compared notes more humbly and carefully. Reflection helps create the necessary humility: consultation makes the comparison of paths possible.

Of the key criteria that ‘Abdu’l-Bahá sets for the achievement of true consultation, I chose to emphasise, in this context, the capacity for detachment. This is simply because it underpins the process of reflection for us as individuals as well as the process of consultation for us as groups and communities. If I cannot step back from my passing thoughts and feelings, detach myself from them, I won’t be able to consult, and similarly if I am with people who cannot do that also, consultation will be impossible.

It is intriguingly difficult to convey these points briefly to those who have not had cause to think about them before. In the world as it stands it is increasingly important that more of us learn these skills than ever before. A constant focus of my current reflections is on how I can best work towards both honing my own reflection and consultation skills, and, just as importantly, how can I motivate others to do the same.

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Much has been happening this year to give me cause to reflect, whether I wanted to or not, on the meaning of life.

‘Judging by your blog posts, you do this anyway,’ I can almost hear you comment.

Yes, that’s true but only up to point, it seems.

I accept that I have explored at possibly excruciating length the importance of reflection, and kept coming back relentlessly to the issues of the afterlife, and the nature of the mind/brain relationship. I have banged on endlessly about the impact of my sister’s death before I was born and how grappling with my parents’ grief shaped my childhood.

The same kind of preoccupations persist, of course.

Time-Torn

Recently, when I was in Birmingham, I bought a book that I already owned. This is only the second time I’ve done so. It was the greeny-blue paperback edition of Claire Tomalin’s Thomas Hardy: the Time-torn Man. I knew I owned one book about his life but it didn’t look like this one, so I bought it, partly motivated by the BBC’s recent screening of a new version of Far from the Madding Crowd.

It took me a while to find the one I’d got. I combed my re-arranged shelves (we’ve been de-cluttering again), and was almost on the point of putting my name on the flyleaf of my new acquisition, when I spotted a cream coloured hard-back.

‘Found it!’ my mind shrieked.

I managed to get my money back from Waterstones and, afterwards, decided to check whether I’d read the book. My de-cluttering and reorganisation process is based partly on examining books to see when I bought them and if I’ve even looked at them. I’m operating a 10 year rule. If I’ve had it 10 years and not read it, I should consider taking it to the Oxfam shop.

This book surprised me. I’d bought it in 2006, but there was no evidence I’d ever read it, though I thought I had.

Next test: ‘Read the opening pages.’

I did.

There was no way this was going to charity.

Memories came flooding back, even more than had been triggered by the film, which linked only with the other novels. The biography brought back the poems, because they were the focus of the prologue, including a particularly haunting one, written after the death of his wife, from whom he had become increasingly estranged over the years, though they continued to live in the same house:

Woman much missed, how you call to me, call to me,
Saying that now you are not as you were
When you had changed from the one who was all to me,
But as at first, when our day was fair.

Can it be you that I hear? Let me view you, then,
Standing as when I drew near to the town
Where you would wait for me: yes, as I knew you then,
Even to the original air-blue gown!

Or is it only the breeze, in its listlessness
Travelling across the wet mead to me here,
You being ever dissolved to wan wistlessness,
Heard no more again far or near?

Thus I; faltering forward,
Leaves around me falling,
Wind oozing thin through the thorn from norward,
And the woman calling.

Tomalin doesn’t quote the whole poem, only the first and last verses, but my mind (or was it my heart?) filled in much of the rest.

I am now almost at the end of her engaging account of his life. The debt I owe to Hardy, who helped me place my family’s grief and suffering in a wider context as I grew up through adolescence to something closer to maturity, is very great indeed. It’s good to be reminded of that, even though I had much further to go than he could take me.

But even describing this, and mentioning the next book on my list, Night Falls Fast by Kay Redfield Jamison (another one rediscovered unread) which deals with suicide, doesn’t quite convey where I find I’m up to now.

Recent Experiences

To do that I need to touch briefly on some events of the last few months.

First, there was the series of colds that left me with a cough I couldn’t shake off, and a deep sense of fatigue. This overlapped with a health MOT that flagged up a highly elevated blood pressure, which I thought might have been triggered by the series of  infections.

Antibiotics, which cleared the cough, and Amlodipine, which brought down my blood pressure, levelled things off for a while. Even so something had shifted in my consciousness.

Maybe it was the evident panic of the nurses at the sight of a systolic BP in excess of 200, and the manic sequence of blood tests that followed to check out the state of my major organs, that changed my sense of my own body. Whereas before my body was something that I identified with so closely that I barely noticed it if it did not hurt, tingle or display some similarly intense experience, now I was aware of it plodding along most of the time.

But, and this is an important ‘but’, I do not feel I am my body. I have a body obviously, and depend upon it to get me around and carry my consciousness.

Somehow, though, the hand I write with and the feet I walk with, no longer feel part of who I really am. They are instruments I use, and I catch myself watching them as I write or walk, but they are not me. I need them, and as my body gets tired faster than it used to, I get impatient with them and frustrated by them more often. Yeats’ expression of feeling ‘fastened to a dying animal’ is taking on new meanings for me.

More recently, and literally the day before I was due to travel to Scotland to run a workshop on unity, I found myself needing to go to the doctor’s again, unable to drive myself because I was suddenly seeing two of everything. My GP couldn’t explain why it had suddenly occurred, though he knew the name for it: diplopia.

He referred me to the hospital and they confirmed my diagnosis but had no real idea either what might have caused it. They gave me a prism patch to place on the left lens of my spectacles. It deflects the light and corrects my double vision. I’ll need to wear it till the damaged nerve is repaired, which could take months.

This diplopia, perhaps predictably, redoubled the problem.

Not only was I feeling different about my body now, but the world had changed its appearance and was reinforcing the sense, which I have had for as long as I can remember, that all I have is a simulation of reality. When your simulation breaks down further, and doesn’t even fulfil its evolutionary purpose too well, there’s no get out.

Not only am I not my body, it feels, but I don’t even know what the world is really like anymore, if I ever did.

Reaffirmations

This has led me to reaffirm even more strongly the importance of reflection, stepping back from my identifications with the contents of my consciousness, and consultation, comparing simulations as dispassionately as possible with others in order to get closer to the truth. Learning to act reflectively has come to seem even more crucial.

Following on from that reminder, I added in my journal:

This needs to be held in mind along with my metaphor of the bees of reflection gathering the pollen of wisdom and the honey of love from the flowers of experience, and with my dream metaphor of the hearth (see link for a full description) with its associations of earth, heart, art, ear and hear, plus the peat that burns within the structure of the grate to provide light and warmth.

It was only as I re-read those words this morning that I realised another level of interpretation of that dream.

This was the dream:

I am sitting on a rag rug, the kind where you drag bits of cloth through a coarse fabric backing to build up a warm thick rug.  The rags used in this case were all dark browns, greys and blacks. It is the rug, made by my spinster aunt, that was in the family home where I grew up. I’m in the living room, facing the hearth with its chimney breast and its cast-iron grate and what would have been a coal fire burning brightly. I am at the left hand corner of the rug furthest from the fire. To my right are one or two other people, probably Bahá’ís, but I’m not sure who they are. We are praying. I am chewing gum. I suddenly realise that Bahá’u’lláh is behind my left shoulder. I absolutely know it. I am devastated to be ‘caught’ chewing gum during prayers but can see no way of getting rid of the gum unobserved.

My interpretation of ‘peat,’ as written down several years after, was that ‘the essence of my being – peat – is to fuel’ the process of’ ‘giving warmth to the mansion of being.’

Peat was perhaps not simply, as I had originally thought, a pun on my name that related to the idea of sacrificing an innate spiritual deeper self for a higher purpose (light/warmth): it now seemed to be pointing towards something more complex.

This is partly because there are implications concerning the time scales involved. The Wikipedia article explains: ‘In natural peatlands, the “annual rate of biomass production is greater than the rate of decomposition”, but it takes “thousands of years for peatlands to develop the deposits of 1.5 to 2.3 m [4.9 to 7.5 ft], which is the average depth of the boreal [northern] peatlands”.’

If I translate that into personal terms, peat, although derived from the earth, becomes to some degree at least an attribute painstakingly acquired, something that takes long periods of time to create or evolve. It is not already available nor can it be created impatiently, in a rush. Yes, it is the fuel which gives the energy to bring light (wisdom?) and warmth (love?) into the world of being but it needs work to bring it into existence.

In short, I am not burning something that is already there fully formed from birth, as it were, ‘the Soul that rises with’ me, as Wordsworth put it, but something that I have had to devote time to creating. It is almost certainly related to my soul and to spirit, but it is also involves something which I have a responsibility to develop, create, bring into being.

Perhaps I had only partly understood my dream all this time, glibly oversimplifying it. Why doesn’t what surprise me?

What had seemed like separate aspects of experience suddenly have come to seem connected.

Reflection requires patience. Long periods of practice are required to even begin to get the hang of it. Using it entails slowing down. Periods of silence, as quiet as the deep ground that holds the formation of peat, are essential prerequisites to reflection and the ultimate creation of its fruits.

I am still in the process of digesting these insights and refining them. I can’t yet articulate them clearly or exactly.

What it means for this blog is that I will only publish when I feel I really have something to say, not at the dictates of a calendar deadline. I am still not even sure exactly which direction my writing will now take.

There will be more silence and fewer words. Be patient with me. It may prove worth it.

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