Tuesday, April 24, 2012

TREATMENT OF FEAR, DIPRESSION, STRESS, THROUGH YOGA AND MEDITATION, YOGA AND MEDITATION AS A PSYCHOTHERAPY

TREATMENT OF FEAR, DIPRESSION, STRESS, THROUGH YOGA AND MEDITATION, YOGA AND MEDITATION AS A PSYCHOTHERAPY

Yoga Psychotherapy around the world Dr. Ganesh Shankar - Head - Department of Human Consciousness and Yogic Science
University of Sagar, Sagar-470003 (M.P.) India

Throughout Yoga’s long history, there have been many misconceptions which shrouded it in mystery until proper scientific research began in the beginning of 20thcentury. In India, people became aware of the need to revive old traditions and sciences which might otherwise die out and scientific research into Yoga was one of the areas which generated a lot of interest. Many western scholars too realized the utility of Yoga and made efforts to study its significance from scientific point of view. They made some longitudinal studies in this area and their research findings are available to us for further work in this area Kuvalyananda, 1925, 1928; Behanan, K.T.,1937; Bagchi,B.K.& Wenger,M.A. 1957; Hirai. T,1960; de Vries,H.A.1961; Giri, C, 1966; Wallace,R.K.1970; Joseph C and et al,1987; Meti, B.L. and et al, 1989; Joseph, S and et al,1993; Meti,B.L.1995). Swami Kuvalyananda reported sub-atmospheric pressure in the various internal cavities during Uddian Bandha and its extension of Nauli. He also took X rays to demonstrate the movements of the diaphragm during Uddiyana Bandha. A pupil of his, Behanana, undertook further research leading to a doctoral thesis of Yale University in 1937. He estimated the oxygen consumption during Pranayama practice and reported an increase during Ujjai, Bhastrika and Kapapbhati. He also brought different types of Pranayama on to kymographic record. The ability of Yogis to voluntarily stop the beating of the heart was considered- a fascinating feat, and aroused the interest of scientists in India and elsewhere. In 1936 an article by the French cardiologist, Brosse, reported studies on subjects of both Hatha and Raj Yoga, the former showing the more significant results.

Bagchi and Wenger (1957) studied practitioners of RajYoga in India. They found a lower respiratory rate and raised G.S.R (Galvanic Skin Resistance) with no consistent alterations 
in heart rate or blood pressure during meditation. During Meditation, the EEG showed an increase in alpha wave amplitude and activity and in some of the Yogis there was a loss of 
the alpha blocking response to all external stimuli. Around 1960, Maharishi Mahesh Yogi introduced Transcendental Meditation to the world. This technique is neither a religion nor 
a way of life. It is a natural effortless technique, which aims at improving all aspects of life. 

Adapted from ancient Indian technique, it gained in popularity and has spread all over the 
world. In 1968, R.K.Wallace undertook an investigation of physiological effects of TM, for 
his doctoral thesis, entitled, “The physiological effects of TM: A proposed fourth major 
state of consciousness”. In this as well as in later studies by him (Wallace et al,1971) the 
practice of TM was found to be associated with changes in the EEG. In some of the subjects during Meditation, there was an increase in alpha wave amplitude, associated with a slowing of the frequency. In some cases, there were brief periods of about 2.5. seconds during which theta waves predominated. There was also an increase in GSR, decrease in heart rate, decrease in oxygen consumption and carbondioxide elimination, along with a reduction in both rate and volume of respiration. Blood lactate levels were also reduced after Meditation. This led to TM being called a “Wakeful Hypometabolic State”. The changes were interpreted a signs of a functional trophotropic state, chiefly mediated by increased parasympathetic and decreased sympathetic discharge, rather like other assimilatory processes such as sleep and digestion. Kasamatsu (1973) categorised the EEG changes in Zen meditation as four stages. The first is the appearance of alpha rhythm in spite of the eyes being open. In the second stage, there is an increase in amplitude of persistent alpha frequency and finally, in the fourth stage the appearance of rhythmic theta train was observed. During the last 3-6 decades, the Hatha Yogic practices have been evaluated for their efficacy in the management of diabetes and found useful (Udupa & 
Singh, 1972; Malkote, 1973; Sahay, 1986; Gore, 1988). One may wonder how Yoga can effect all these responses. The practice of Asanas may send a volley of nerve impulses from muscles and joints, spine and other receptors located on the surface as well as inside the viscera. It can influence the haemodynamic mechanism improving blood circulation to vital organs like brain, heart, lungs, liver, kidney, pancreas etc. it may also act through the neuro-endocrine axis. Scientists like Anand,B.K. (1961) strongly feel that Yogic practices may modulate the cerebral corticolimbic system of the brain and strengthen the inhibitory components of the nervous 
system. More documentary evidences are required to consolidate these claims and assumptions. Whatever be the mechanism involved, it is established beyond doubt that regular practice of Yoga certainly has many beneficial effects on the human physiology, biochemistry and psychology.
It is true that Yoga is ancient. Infact, its origin is shrouded in antiquity. No one 
really knows when Yoga was first developed or who gave it to man. There are many 
historical conjectures which even suggest that the Gods themselves taught Yoga to man. 
The fact is that Yogic practices were unknown even in the Vedic times, and references to 
Yoga abound in the Vedas, in particular the Rig - Veda, and in the Upanishads and 
Bhagawad Gita. That they only prove how ancient Yoga is and consequently how much 
they evolved it , is the growth of Indian culture. Indian Rishis of old, recognised the 
unalterable fact of life, namely that man is not a mere body, not a mere mind, but a bodymind complex in which one reacts on the other end in which one can not be separated from 
each other. No modern educationist or thinker could possibly disagree with such a 
comprehensive view of man. Yoga even emphasizes that mind influences the body more 
than the body influences the mind. The knowledge of Yogic practices was handed down 
through the ages from generation to generation by word of mouth and by example through 
unbroken chain of devoted Guru- Chela relationship untill around 200 years before the 
Christian era or over 2000 years age, Patanjali, the founder of what is known as classic 
Yoga or Patanjala Yoga first systematised and codified the then existing knowledge of 
Yoga into 194 aphorism or sayings and gave it to the world the Yoga sutras.
The Yoga system of Patanjali which is also known as Raj Yoga, is a world view, a 
way of life and a set of practices for regulation of mind to achieve the highest goal of Yoga 
i.e. Kaivalya. The celebrated text, Yoga sutra of Patanjali virtually presents a psychological 
system. Gardner Murphy once remarked that the systematic development of Yoga by 
Patanjali “constitute one of the great psychological achievements of all times”(Murphy & 
Murphy,1968).
Patanjali has prescribed an eight fold path for achieving the goal of Kaivalya. 
Ashtanga Yoga involves: Yama (restraints), Niyama (discipline), Asana (body 
attitude/postures), Pranayama (breath regulation), Pratyhara (detachment of sensory 
activity from the external objects), Dharana (concentration), Dhyana (Yogic Meditation) 
and Samadhi (spiritual absorption). Patanjali describes the first five limbs as the external 
form of Yoga and that they are preparatory, the last three as internal and essential aspects. 
The foundations of Yoga practice lie in Abhyasa (practice) and Vairagya (detachment). The 
Yamas are : Ahimsa (non-injury), Satya (non-lying), Asteya (non-stealing), Brahamacharya 
(sexual abstinence) Aparigraha (non-posession). The Niyamas are : sauch (cleanliness), 
Santosh (contentment), Tapas (asceticism), Swadhyaya (self study) and Ishwarpranidhan 
(devotion to God). Asana is a body posture that is stable and comfortable. Patanjali devotes only one verse to it. The important point about asana is that it gives the body stability 
reducing physical effort to a minimum which may be distraction to meditation. Pranayama 
is a discipline of respiration. Patanjali devotes only three verses to it. It is the arrest of the 
movement of inhalation and exhalation which is practised after mastering the asana. 
Pratyahara, the withdrawl senses from external objects is the final stage of the external 
Yoga. The core of Yoga practice lies in Dharana (concentration), Dhyana (Yogic 
meditation) and Samadhi (absorption). Concentration involves attention to a single object 
or place, external or internal, like a lamp, the space between the eye brows, the tip of the 
nose or thought (like God or mantra). The continuous concentration is called Ekagrata (on a 
single point). When the mind flows towards the object of concentration uninterruptedly and 
effortlessly, it is the stage of meditation when it happens for a prolonged period of time, it 
leads to Samadhi. Samadhi is a state of absorption in which the subject/object distinction is 
lost. The state of Samadhi is believed to be characterised by the comprehension of the true 
nature of reality which ultimately emancipates the individual. A variety of stages in 
Samadhi have been described by Patanjali. In modern times, the meditative practices like 
Trancendental Meditation (T.M. of Mahesh Yogi,1963), Benson,s technique (Benson,1975) 
and Carrington,s clininically standardized Meditation (Carrignton,1977) among others are 
based on the system of Patanjali.
Hatha Yoga:
Techniques of Yoga have been practised for thousands of years mainly for the sake 
of the final goal of liberation from the cycle of rebirths and the pain associated with it. 
These techniques were intended to influence the mind more than the body. With the 
Hathayogis who flourished in comparatively later times in the history of Yoga (may be 
about the 15
th
century A.D.), there was greater emphasis on the body. Their ultimate aim 
was also the same namely, attainment of the state of Samadhi. But their means were more 
suited to the abilities of the common man. Gorksha Shataka of Gorakhnath (Briggs,1973) 
of 10
th
century A.D.; Gherands Samhita of 12
th
century (Vasu,1974), Hatha Yoga Pradipika 
of Swatmarama (Brahmanda,1989) of 15
th
century are three important texts of Hatha Yoga 
school. Hatha Yoga as a holistic system does not consists of mere Kriyas, Asanas, 
Pranayamas, Bandhas, Mudras and Meditation etc. but lays great stress on control of diet 
social attitude and personal habits so as to bring about beneficial changes in the whole of 
the metabolic process. It is truly a integrated approach, treating man as a whole 
(Kuvalyananda & Vinekar,1971).
Asana:
These are certain special pattern of postures that stabilizes the mind and body. Their 
aim is to establish proper rhythm in the neromuscular tonic impulses and to improve the 
general tone of the muscles. Asana, as a preventive medicine can be used for avoiding the 
causation of postural deformities like cervical spondylosis (by Bhujanga/ Dhanura/Matsya/ 
Ustrasana etc.), lordosis (Hala/Pawanmukta/ Paschimottan asana etc.). Asanas can be used 
for release of physical stress resulted from day-today negative emotions of behavioural 
pattern. This will help to avoid psychosomatic or psychological disorders like hypertension, 
gastric acidity, depression neurosis etc. The regular correct practice of Asanas also help to 
prevent constipation, arthritis, asthma, diabetes, obesity etc.

Pranayama : These are practices to control respiratory impulses which form one of the main 
channels of the flow of the autonomic nerve currents. Pranayama have important role in 
prevention of the diseases. The various diseases caused by disturbed homeostatic state of autonomic nervous system like obesity, hypertension, hyperthyirodism, diabetes, gastric 
acidity etc. can be prevented by Nadishodhan Pranayama, Bhastrika Pranayama etc. The 
imbalaced state of Doshas caused Suryabhedan and Bhastrika Pranayamas. The intensity 
of psychosomatic ailments can be prevented by restoring the normal rhythmic breathing.

Bandhas and Mudras : In these practices one tries to consciously control certain semi-voluntary and involuntary muscles in the body. These influence the activity of the autonomic nervous 
system which functions as a whole. These tone up the internal organs, decongest them and 
stimulate their healthy functioning.

Shatakarma: These are purificatory processes usually classified into six divisions, each of which 
consists of many sub-sections. They bring in control over the autonomic nervous system. 
Neti is an important means to develop resistance against environmental offending factors 
like temperature, dust, pollen grains, humidity and other particles to prevent the respiratory 
disorder, for example, the Neti in the evening by the labourer working at flour mills, cotton 
textiles mills mines, dusty roads, harvesting rains in the fields, libraries etc. can wash out 
the inhaled particles and thereby preventing their decay and decomposition in nasal passage 
and Pharynz for viral and bacterial infection. The use of neti helps also in development of 
resistance against seasonal change by using water of different temperature in Neti lota 
during the period of change of season as it would increase the adaptability of inner lining of 
nasal passage for vaso-constriction and dilution in response to temperature variation of 
environment. Similarly, one can prevent digestive disorders by the use of Shankhprakhshalana at time of start of new season, Basti once in a month, daily practice of Nauli etc. in case of dyspepsia, the Vaman Dhouti/Vyaghra Dhoti will be useful to prevent intensity of digestive disorder. The regular practice of Tratak and Kapalbhati can be used to prevent the eye and respiratory disorders respectively. 

Meditation : It involves mental practice from initial withdrawal of the senses to the complete 
oblivion of the external environment. There are innumerable states and practices which 
could be included under this head. Meditation is a great tranquilliser. The regular practice 
of meditation by any of the various techniques, the inherent defence mechanism to fight 
with external physical, mental, emotional and environmental factors for causation of 
diseases can be developed. The meditation provides physical and mental resting pause to 
restore and revitalize the bodily organs for their normal functioning. Meditation practices 
have been widely used to counteract the day-today stress and strains of modern life. 
Therefore, the Meditation can be used for prevention of psychological and psychosomatic 
disorders like depression anxiety, neurosis, hypertension, asthma, arthritis, angina etc. 

Swara Yogic And Dietary Norms: Various norms of SwaraYoga and Yoga dietetics also helps in prevention of diseases. 

Some important norms are:  The moderation of diet, intake of meal during Surya Swara, observance of sequence • while taking food; viz. Sweet articles taken firstly, sour and saline in middle and pungent and astringent lastly; helps in digestion avoids causation of digestive disorder. 
Taking water after ½ to ¾ hrs of meals, avoiding sweet dishes at the end of meals, taking hot potency articles during Chandra Swara and cold potency articles in Surya Swara also prevents the causation of disease in respect of digestive disorders, respiratory disorders etc. Sleeping by keeping the head in geographical south direction and lying on lift side of •the body helps to maintain health and prevents the causation of cardiovascular ailments especially. Taking bath during the Surya Swara also prevents the causation common colds, • digestive disorders arthritis etc. 

Avoidig the intake of betel during Surya Swara prevents the diseases of bile’s and pitta Doshas like hypertension, acidity etc.

Conclusion: Indian tradition, Scientific research and clinical experience all point out that Yoga 
practices are probably the most important and effective self-help tools available to man. It appears that the Indian practitioners of psychotherapy, who have been looking for a conceptual framework and a set of procedures which are not alien but intimate to the Indian mind would definitely find an alternative in Yoga. The importance of Yoga is coming into light in the west in the comparative analysis of different systems by psychologists to find out meaningful answers to some problems of life. We seem to be very close to a behavior technology and self reliance in the domain of Yoga. The main principle of Yoga therapy is that it seems to establish the homeostasis in the organism as a whole. As yet, however, it has not been established exactly how this is accomplished. But when proper investigation along scientific lines has been set up in several places throughout the world, Yoga therapy will be properly recognized as a valid form of treatment. The doors of Yoga therapy have already been knocked and opened up. Only earnest research and therapeutic pursuits by scientists and clinicians may perfect the ages old Yoga and make it more and more refined and suitable to people all over the world.

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