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256 pages, Paperback
First published April 1, 1989
Mindfulness by Ellen Langer illustrates how we often mindlessly go about our lives. Ellen Langer presents her case by using the research that has been done in psychology (many of which were partly conducted by her). There are many insights I could list, but here are a three of my favorite ones
We tend to categorize thingsEllen Langer proposes a situation in which somebody asks you for a three by seven feet piece of wood in exchange for a significant sum of money. You look around your house and find nothing resembling the specific item. Only later do you notice that your own door is about a three by seven feet piece of wood. Why didn’t you think of this? According to Langer, this is because we create categories to understand the world. For you, the door has been categorized as only a door, and not a piece of wood. Thus, we should be mindful in creating categories.
Imagine spitting a little bit of your saliva into a clean cup. Now drink it. Your mind will probably tell you that drinking saliva is disgusting. But think again: wasn’t that saliva already in your mouth? Our reaction is due to something called the premature cognitive commitment. This is basically when we take a fact for granted without thinking carefully about it. It’s probably something we were told when we were younger and have never closely thought about.
Often, we are told that some things are just true. Period. Langer argues that this can actually hinder our creativity. According to experiments, when a subject is told that something could be something (this might be a book) opposed to being introduced to an object with certainty (this is a book), they could think of more creative ways to use that specific object.
Overall, this was a very short yet eye-opening read. To think that much of our days are gone about on “autopilot” is certainly intriguing. As a side note, the way Ellen Langer demostrated a few psychology tricks by sneaking them upon you in the book made it that much more delightful.
"Another method of harnessing the healing powers of the body in an indirect or passive way is the use of placebos. As commonly used a placebo is an inert substance, prepared to resemble an active drug and given to patients in experiments so as to have a basis of comparison for the results of that drug. Most such experiments are "double-blind," meaning that neither the investigator nor the patient knows who is receiving the drug and who is receiving the placebo. Usually the placebos have an effect as well, and the difference in degree between this effect and that of the drug is taken as a measure of the drug's effectiveness. For a drug to be marketed, it must outperform the placebo. If the investigators find no difference between real pills and placebos, they are led to believe that the physical medication was ineffective. There is room for question here, however, because placebos can have powerful effects. In fact, a considerable part of the effect of most prescriptions is considered to be a placebo effect.
A well-known quip about new drugs warns doctors to use them as soon and as often as possible, while they still have the power to heal.
When patients are given a placebo and then get well, the illness is considered to be "only psychological." (Here we see the old mind/body dualism, alive and well.) It is interesting that no one tests the effectiveness of active drugs by telling patients that "this is only a placebo." (Is this implicit recognition of the power of the mind to change the effect of the drug?)
...Placebo effects are real and powerful. Who is doing the healing when one takes a placebo? Why can't we just say to our minds, "repair this ailing body"? Why must we fool our minds in order to enlist our own powers of self-healing?
Placebos, hypnosis, autosuggestion, faith healing, visualization, positive thinking, biofeedback are among the many ways we have learned to invoke these powers. Each can be seen as a device for changing mindsets, enabling us to move from an unhealthy to a healthy context. The more we can learn about how to accomplish this mindfully and deliberately, rather than having to rely on these elaborate, indirect strategies, the more control we will gain over our own health."
"I've implicitly described two ways in which we have learned to influence health: exchanging unhealthy mindsets for healthy ones and increasing a generally mindful state. The latter is more lasting and results in more personal control. The real value of "active placebos" will come when people put them to work for themselves.
Consider how you learned to ride a bike. Someone older and taller held on to the seat to keep you from falling, until you found your balance. Then, without your knowledge, that strong hand let go and you were on your own. You controlled the bicycle even without knowing it. The same is true for all of us most of our lives. We control our health, or the course of our diseases, without really knowing that we do. On the bike, however, at some point you realized that you were in control. Now may be the time to learn how to recognize and use our control over illness.
In a sense, we should be able to "take" a placebo instead of a pill. Conceiving of the mind and body as one means that wherever we put the mind, we may be able to put our bodies. For most of us, at present at least, the mind may have to be fooled to reach a healthy place.
Once we learn how to put it there consciously, the evidence suggests that the body may well follow..."
Mindfulness involves two key strategies for improving health: attention to context and attention to variability. Context can make a dramatic difference. As we have seen in the counterclockwise studies, by re-creating a time when we felt vital and healthy, we come to see that we can be vital once again. The second strategy involves paying attention to variability. When we observe changes in our symptoms, we may be able to gain more control over chronic illnesses for which we currently assume no control. By noticing when our symptoms are better or worse, then asking why that may be the case, two things happen. First, we go from thinking we have the symptoms all the time to realizing we don't, and second, when we ask why symptoms are greater or less under any given circumstances, we may be able to control those circumstances. The search for underlying causes in itself is mindful and as such helps us feel better whether or not it yields a solution.
A mindful approach to our health is particularly effective for "chronic" conditions. For example, consider depression. When people are depressed they tend to believe they are depressed all the time. Mindful attention to variability shows this is not the case, which itself is reassuring. By noticing specific moments or situations in which we feel worse or better, we can make changes in our lives. If every time that I speak on the telephone to Bob I feel worthless, for example, the solution may be obvious.
We found that subjects who were given information about a disease that was apparently irrelevant to them became more vulnerable to the symptoms. Once they discovered that they had the disorder they performed poorly. On the follow-up tests they performed only half as well as those comparison subjects who had assumed all along that they might have the disorder and thus had reason to reflect on how to compensate for it. These results confirmed our hypothesis: The way we first take in information (that is, mindfully or mindlessly) determines how we will use it later. In later chapters we will explore this kind of premature cognitive commitment as it relates to aging and such conditions as alcoholism.
Premature cognitive commitments are like photographs in which meaning rather than motion is frozen. When a child hears about stiff, testy old people, the snapshot is processed as is. The child has little stake in the issue. Later, in old age, the grown-up child question the image. The original picture can become the may not foundation for everything learned about old age. Even when corrected, so much else has been built on this foundation that a new attitude is difficult to form.
On a macroscopic level there appears to be gradual dissolution from organization to disorganization, a "growing older" if you will, at least in a closed system. But when we look at the atoms that make up a person (old or young), a tree, or a pillow, they stay the same over time. The behavioral and social sciences, however, are still largely entrenched in a linear conception of time and an associated image of universal entropy.
Cognitive skills and psychological and physical health are presumed to be curvilinearly related to age. In this view, the individual grows to maturity and then lives out the adult years of life adjusting to diminishing capacities. Some cultures incorporate the growth of wisdom into their accounts of human aging. However, this continuing growth of wisdom is usually seen as a stream of development that is either independent of, or occurs in reaction to, a process of decline that is taking place in other areas.
In one possible alternative view of the life cycle, the path that we traverse from birth to death is a series of goal-directed mini-trajectories, relatively independent of one another. In this view, the past has less overall influence on behavior. Within any one of these separate trajectories, the mind may be more powerful in shaping development.