Showing posts with label intoxicants. Show all posts
Showing posts with label intoxicants. Show all posts

Thursday, September 10, 2009

The Dharma Police

There is a post over at my friend Kyle's new blog about the precepts. I posted a comment, which I wanted to turn into a post of my own here about the subject because it is one that interests me a lot. I firmly believe that one can still drink a beer now and then and still be a very good, kind and serious Buddhist. As well as still take the precepts seriously. I aspire to lose weight but I still eat a cookie now and then. Does that mean all my efforts to eat healthy the rest of the time a waste and insincere? Of course not. Not everyone is able to commit to the precepts completely. So is it fair to say people who don't steal, kill, misuse sex or lie but do drink or smoke a cigar or even a joint from time to time aren't serious Buddhist practitioners??? They may not be eligible for monk hood but how many of us can say that anyway?

If someone isn't ready to give up alcohol completely then leave them be. Wouldn't it be better to encourage their Buddhist practice in other ways where the are making progress? Rather than say it's black and white and since you still drink or smoke you're not a sincere Buddhist? To do so isn't realistic, compassionate and in fact it's hypocritical. How about not eating meat? I keep all the precepts quite well except for the occasional drink, cigar or joint. Yet someone else might keep them all except still eat meat, which in my view isn't in keeping with the first precept of not killing. However, I would never call someone who does eat meat an "insincere" or "bad Buddhist." I have no moral ground to stand on to make such an accusation nor do many in the Buddhist community.

Personally, I dislike eating meat, however, I don't jump into someone else's underwear to chastise them for eating meat. It's none of my business and I know I don't like people being the "Dharma Police" with me. So if we're going to play Dharma Police then pray tell me, which of the two people is a "better Buddhist?" The non-meat eater of the non-intoxicant taker? Neither. We all have struggles with at least one of the precepts. Except maybe the Dalai Lama but even many monks I'm sure can't keep them all. We need to remember that none of us are living how we should because if we were we won't be here in samsara right now. I do think the precepts are good and helpful but they are not commandments except perhaps for monks. Rather they are recommendations on how best to live so that we reduce suffering as much as possible.

The foundation of the fifth precept is about intoxication and not everyone who has a beer or two after work get intoxicated. Not everyone drinks to the point of acting like a fool and in a headless manner. Yes, it's true that it has that potential but there is such a thing as moderation and the majority of people who drink, smoke a cigar or joint do so responsibly. The other issue at hand here is that not everyone's body is the same. Some people can't ingest these substances without doing it to excess, however, many can handle them without acting stupidly. For example, I am able to drink or smoke a joint without going crazy. However, I know that caffeine is one substance that I can't ingest much because the caffeine can increase my bouts of mania or actually trigger one to where I get anxious to the point of real suffering.

So, I stay away from caffeine for the most part but do I condemn the thousands of monks and millions of practitioners who drink tea or coffee? Of course not--It's not my business nor do I believe responsible use of such substances is always bad or a hindrance to our practice. Caffeine is very much an intoxicant and addictive if misused yet traditionally Buddhists not only don't add it to the intoxicant list; It's encouraged to stay alert and awake for meditation. Drugs are drugs so if we're going to condemn people who drink alcohol or smoke marijuana then we need to say the same for caffeine drinkers. If you have a problem with a substance then don't ingest it and get help if you need it. However, not everyone who ingests these things is doing them irresponsibly or dangerously.

And what about people who over-eat, which is damaging their body to the point of risking heart disease, high cholesterol, high blood pressure and obesity, which can all be deadly. Food can be an intoxicant because chocolate for example is stimulant with all the sugar in it. Excessive sugar intake can cause diabetes, which is another serious and harmful disease, which like heart disease, etc. causes people a lot of suffering. Yet who amongst us would frown upon obese people from attentinding sangha or trying to practice the Dharma to the best of their abilities? Wouldn't it be better to see people find relief in the Dharma even if it's not total relief than compeltely alienate them by comdeming them and calling them insincere, irresponsible or immoral Buddhists???

It's not realistic or our place to say people don't take the precepts seriously if they can't keep all of them 100% of the time but have a weakness with one or two of them. Even if you think it's a "sin" I would remind you of what Jesus said to the crowd quick to stone a woman who, "sinned" "He who is without sin, let him cast the first stone." If we are following them as best we can but still falling short like most of us then how can we not be sincere Buddhists? Who can say that they honestly keep them all at every moment of every day? None of us. I'm not encouraging killing by any means but even murderers aren't turned away from the Dharma while they serve their sentence for their crime. There are prison sanghas who embrace these folks. Yet who would call their interest in the Dharma "insincere?" Who wants to cast the first stone? I bet we could look into your life and find some stuff that you're not proud of or that would be objectionable to someone.

If you're not keeping each one of those precepts all the time then you don't have a leg to stand on when being so harsh toward others. Why not spend our time bolstering each other's practice and finding where we can come together and inspire each other rather than going around and keeping track of who's "sincere" and who isn't based on how they live their life? If the precepts were to be followed by the letter of the law then they'd be commandments. We all have to be careful not to think we're squeaky clean when it comes to our behavior. Even IF you keep all the precepts all the time I can assure you that you're doing something else that isn't "Buddha-like." Or will do something like that at some point between now and when you die. If you were doing everything, "right" then you'd be enlightened on the edge of never being reborn. I doubt many of us are in THAT boat. At least those who might not be perfect in your eyes have found the Dharma in the first place, which while they might realize enlightenment in this life at least they are trying their best to better themselves.

We all do what we can and it's not our job to question the sincerity of others unless we're enlightened like Buddha. At the same time I think it's admirable that many keep the alcohol and intoxicant precept. Just don't get too holier-than-thou about it all or I might rescind my admiration. Ha!! The reason that I think that the precepts are recommendations is in part because Buddha knew that not everyone could keep them but he didn't want to turn people away from his teachings that would bring them relief from suffering regardless. Perhaps keeping the precepts 100% and 100% of the time is the ideal and something we should all aspire to. However, moderation is a key in Buddhism too. Buddhism doesn't require us to be perfect nor does it say the asceticism of completely giving up worldly pleasures is skillful either. Buddha taught moderation and those of us who do still enjoy some worldly pleasures should at least get some credit for doing it in moderation rather than condemned as "faux Buddhists" or whatever else nonsense might be said about us. Let's just try and be more kind and compassionate toward each other. We're all doing our best.

~Peace to all beings~

Tuesday, February 3, 2009

Mental Illness: Meditation or Medication? Often, Both.

This is a long post but an important one because it touches on an issue--mental illnes, which some in spiritual circles choose to ignore. As many of you know I have been living with schizoaffective disorder for most of my life and have found great refuge, relief of symptoms and calm from Buddhism and meditation in particular. Of course, we all are "mentally ill" or else we wouldn't be here in samsara but some have severe, biological mental illnesses and require a hybrid approach of therapies and practices.

I notice that the more I meditate the easier it is to deal with my condition. Yet meditation alone isn't enough in my situation because despite meditating I still am debilitated by disabling symptoms such as paranoia, hallucinations, delusions (psychiatric delusions such as being convinced that you are the most horrible person on Earth), mood swings and chronic depression.

Thus I have found medications help fill the void and basically keep me alive because my depressive episodes easily lead to suicidal thoughts. I have found an excellent psychiatrist who has found a great balance of medications to keep myself as stable as can be expected outside finding a cure to the disease. In addition I talk regularly with a psychotherapist to help me keep track of my mood swings and give me tips on how to better manage my illness through establishing routines and developing other techniques. So I was excited when I read an excellent article in the current Buddhadharma magazine that arrived in my mailbox today about this very subject:
When Buddhism first came to the West, many teachers and practitioners initially dismissed psychotherapy as superficial, unnecessary and possibly counterproductive. As time went on...psychotherapy's relationship to spiritual practice started to undergo a reevaluation, and the two disciplines began to intermingle a bit more. In fact, many therapists and meditation teachers now agree that meditation and psychotherapy can be mutually facilitating. Meditators seem to progress more quickly in theraphy, while psychotherapy can improve the effectiveness of their meditation.
James: I am one of those meditators who have progressed more quickly in therapy thanks in part to my meditation practice. In fact, when I come into therapy and am having a difficult time with my mental illness she always asks if I'm meditating and the answer is often, "no." So in a lot of ways my meditation practice is a type of medication though I still do have episodes despite meditating. When I meditate on a regular basis it takes some of the severity out of my symptoms. That said, while meditation is very effective it isn't the entire solution and I think we Buddhists must admit that meditation isn't the solution to everthing--especially when medical issues are involved. It is true that meditation has been shown to reduce blood pressure, induce relaxation and other health benefits but it can not solve severe, biological mental illness symptoms in total.
Combining meditation and psychotherapy makes sense if we appreciate how they work in complementary ways. For the most part, meditation focuses primarily on developing capacities such as concentration and awareness, whereas psyschotherpay focuses primarily on changing the objects of awareness, such as emotions and beliefs. Of course there are significant overlaps, but this complimentarity suggests why combining both approaches can be very helpful. Meditative qualities can facilitate psychotherapeutic healing of painful patterns, while the psychotherapeutic healing of these painful patterns can reduce the disruption of spiritual practice.
James: Medication has toned down the volume of distracting stimuli in my head such as the hallucinations and calmed my nerves to enable me the opportunity to actually be able to practice. Before medications I wouldn't have had the patience to meditate due to manic episodes that kept my thoughts racing too fast to have the concentration needed to sit even for a few minutes. It's like trying to do meditation effectively after drinking four pots of coffee in an hour. Either that or I'd be so depressed that I couldn't get out of bed let alone have the motivation and intention to meditate.

So the medication has lowered the volume and reduced the static in my brain to put me in a position where meditation is actually even an option and be able to not just do it but find great benefit from it. I was drowning without medication and the water was up to my mouth and nose so the medications have drained the water down to my chest level. So while it's difficult to walk through chest deep water at least I can now (for the most part) breath comfortably, which gives me the freedom to meditate and have the ability to make progress upon the path that otherwise would be basically impossible. When it comes to using medication in combination with a Buddhist practice there are basically too camps according to the author of this article. First, the purists and second the pragmatists (I fall into pragmatist category):
Spiritual purists argue that if mental suffering is fundamentally spiritual and karmic, spiritual practice alone is appropriate to treat it. Moreover they are concerned that medication may dull or derail spiritual practice. They also worry that medications may reduce or distort awareness, and thereby make practice more difficult. In this view, medications can be novel forms of the "mind clouding intoxicants" prohibited by the lay precepts to which many Buddhists practitioners adhere. Therefore, taking these modern pharmacological agents is tantamount to violating this precept.
James: Let me say that I have found personally (and I've read that this is the case for many others) that my medications do the opposite of "dull or derail spiritual practice," "reduce or distort awarness." Without them I was so depressed, mislead by hallucinations (voices) and detached by dissociation that I was a nihilist believing in nothing and wanting the world to explode to end everyone's misery. At least that's what I thought at the time in my deluded mind.

It wasn't until I started to lower the static in my head through medications that I saw the benefits of spirituality and sought out Buddhism. Before then my mind was clogged and preoccupied with constant mental torment and anguish. It simply didn't have the stability at the time for a spiritual practice. Thus is was before medications that I had a dulled spiritual practice--not after. The medications increased my awareness of reality rather than dull it as they helped sharpen my concentration, focus and attention (I have Attention Deficit Disorder as well) to enable me to actually have a chance at understanding concepts like mindfulness. I know for certain that I'd be spiritual lost still without the addition of medication to give me a somewhat stable mind to build a spiritual foundation upon.
By contrast, pragmatists hold that spiritual practice alone is simply insufficient, or at least not optimal, for healing all mental suffering. While not denying the validity of some purist concerns, pragmatists argue that certain problems and pathologies respond best to other therapies, and one of those therapies can be medication.
James: Buddhism can indeed be more than enough for the regular depression and anxiety that occur with living in samsara. However, those diagnosed with a severe biological mental illness that involves chemical imbalances within the brain need the additional help that comes with proper medication and therapeutic monitoring. It can be very dangerous and irresponsible to prevent someone with severe deperssion from seeking psychiatric help because suicide is a very real threat and should never, EVER be ignored or blown off.

People with a severe mental illness who do not seek medication are usually playing with a loaded gun that could very easily go off in the form of suicide. Some people can get by with herbal supplements and vitamins but most people with severe mental troubles need stronger medicine. I tried the "natural route" and it didn't even cut the symptoms much at all.

The author who is a professor of psychiatry (and a Buddhist) did a study with Buddhist practitioners with suffer from mental illness: Our team of researchers, all physicians and long-term meditators, investigated a group of nineteen Buddhist practioneers (thirteen women and six men) diagnosed with major depression. These practioneers had all been doing meditation, mainly vipassana, for at least three years, had participated in two or more weeklong retreats, and had used antidepressants in the last two years.
Most of our subjects reported that antidepressants helped them with multiple emotional, motivational, and cognitive functions. Emotional changes were consistent with an antidepressant effect. The painful emotions of anger and sadness decreased significantly, but fear showed a smaller response. The positive emotions of happiness, joy, love, and compassion all increased, as did self-esteem. Subjects also felt calmer and that their awareness was clearer. One would expect this kind of result, given that the subjects were no longer wrestling with intense, painful emotions.

Clearly the large majority of these meditators felt that they, and their spiritual practitice, benefited significantly from taking antidepressants. Several subjects reported that the antidepressants enabled them to recommence or significantly improve their meditation and spiritual practice.
James: So while there still is no cure for schizoaffective disorder and while I still suffer from hallucinations, paranoia, bipolar, etc., the medications have given me my life back to where I can pursue things like spritituality. It has allowed me sharpen my awareness of reality and this life whereas before I was living in a kind of fog and everything was out of focus. So I can attest to the benefits of psychotherapy and medications. Thus, when added with meditation and other Buddhist practices it forms a powerful combination that has helped me greatly.

It's time that we realize that interdepenence includes science helping spirituality and spirituality helping science. The two working together can accomplish great things and don't necessarily have to be at odds. Sure there are some tensions between the two groups but there are areas where they fit perfectly and accent each other to benefit a great many people.

~Peace to all beings~