Category Archives: Health

We need to see emotions as bodily

16 Sunday Feb 2025

Posted by in Anger, Compassion, Emotion, External Goods, Fear, Health, Meditation, Mindfulness, Modernized Buddhism, Practice, Psychology, Stoicism, Unconscious Mind

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The most important lesson I ever learned was back in Thailand in 1997: that the biggest contributor to my unhappiness wasn’t external problems like being single or unemployed, but my own mental states like craving. Fixing those mental states was a surer path to happiness and reducing suffering.

But the question that has played an ever-increasing role in the three ensuing decades has been: okay, but how? It is one thing to recognize that your craving and anger – or fear or self-pity or shame or other negative emotions – are the main thing keeping you down. It is quite another to do something about them. Our animal natures make those states quite recalcitrant.

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The philosopher takes the same psych meds as his dog

09 Sunday Feb 2025

Posted by in Action, Biology, Emotion, Health, Human Nature, Psychology, Unconscious Mind

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Over the years I’ve managed to treat my insomnia in various ways, to the point that nowadays I can get a reasonably good sleep most nights. Mindfulness meditation – prescribed to me medically before I called myself a Buddhist – has been one big help with that. But just as big has been a medication called trazodone: primarily used as an antidepressant, trazodone in smaller doses helps one stay asleep and avoid the typical insomniac anxiety spiral where you wake up and worry that you can’t get to sleep and find that the worry makes it harder to get to sleep so you worry more. It does a great deal to take the edge off.

Meanwhile my dog, Christmas Belle (so named because we got her in a snowstorm on December 22), faced various anxiety issues that made her resistant and fearful to getting in the car and going to the vet. To help her cope with those situations the vet recommended… trazodone.

Christmas Belle Feeley-Lele, when not feeling anxiety. Photo by author.
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Getting psychedelic spirituality right

29 Sunday Dec 2024

Posted by in Health, M.T.S.R., Metaphysics, Politics, Psychology

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American psychedelic advocates received a great disappointment a couple months ago when the Food and Drug Administration refused to approve MDMA (ecstasy) as a treatment for post-traumatic stress disorder. The disappointment was great enough to lead Jules Evans of the Ecstatic Integration Substack to ask: “Is the psychedelic renaissance over?“

It seems silly to me to read too much into this one decision. It is not final; a new application could be made in a few years. More importantly, it is one decision, about one substance, by one agency in one country – for one purpose. (It was also a great disappointment for us in Massachusetts that our state voted down the ballot question to legalize psychedelics, but it too is just one state, where the question was extremely poorly promoted; Oregon and Colorado have proceeded with decriminalizing psilocybin.) If the entire “psychedelic renaissance” hung on the outcome of one agency’s decision or one state referendum, it would have been a shallow “renaissance” indeed. Even within the US there are already many other avenues for improving the legal status of psychedelics.

Public-domain AP photo of Timothy Leary.

That said: Michael Pollan’s book How To Change Your Mind probably did more to kick off the supposed current renaissance than anything else, and one of Pollan’s most important takeaways in the book was, let’s not screw this up. Psychedelics were famously popular in the 1960s, but the messages around them were dominated by overenthusiastic salespeople like Timothy Leary, who had little sense of caution. The resulting backlash was so strong that it created the ignorant world I grew up in, in the 1980s and 1990s, where even video games felt the importance of including a heavy-handed “don’t do drugs” message – extending even to cannabis. What the FDA ruling should remind us of, is the importance of avoiding the mistakes of the ’60s – so that the renaissance can lead to an enlightenment, if you will.

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Mysticism vs. magic

14 Sunday Jan 2024

Posted by in Epistemology, Health, M.T.S.R., Metaphysics, Philosophy of Science, Psychology, Supernatural

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While lecturing at Stonehill I made a comment about some traditional practice, I don’t remember which, that it was “less mystical and more magical.” Or maybe it was the reverse. What I remember clearly is that, as I was about to move on, one brave and perceptive student raised her hand to ask “Could you maybe explain the difference between magical and mystical?”

I paused for a moment, a little stunned by the reminder that I hadn’t explained that distinction. I was very grateful for the question: of course I should have explained the distinction, how could I have expected them to know it? The question reminded me that the distinction between magic and mysticism is something I tend to take for granted – even though it is not at all obvious to a layperson. It’s also quite important – for the key reason that the claims of mysticism are more likely to be true than those of magic. Or at the least, they are less unscientific – likely to conflict with the evidence of natural science. So it’s a key distinction I keep in mind when I read works like Jeffrey Kripal’s The Flip, which argue for viewing the world in ways that go beyond the natural-sceintific.

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On f***ing Daoism

22 Sunday Oct 2023

Posted by in Action, Anger, Buddhism, Confucianism, Daoism, Family, Health, Meditation, Practice, Psychology, Virtue

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In previous years I have aimed to provide what are now known as content warnings when my posts contained swear or curse words. But just in the years since LoAW began, English swear words have undergone a striking shift; the formerly shocking F-word has become relatively unremarkable, while a six-letter derogatory term for black people is now regarded with horror. In keeping with the likely shift in audience expectations, in future posts I will be warning only about the new crop of swear words rather than the old. I use this post as an occasion to make this transition because the F-word appears in it quite frequently, as the title indicates. That title is probably the last time I will mark that word with asterisks; the word is uncensored in the text.

My wife’s previous round of cancer treatment, in 2015, was one of the most difficult periods in my life. Near the beginning of it I started describing myself as a Buddhist, based on a mere passing question in her hospital survey. But by the end I had become a practising Buddhist, having derived a great deal of support and comfort from Buddhism and its practices.

In the middle, though, I was still experimenting with a variety of ideas and practices from different traditions. The Neo-Confucian Zhu Xi reminded me of the spiritual benefit of practising scriptural reading, and I turned to multiple traditions for help in that regard. Buddhism proved the most valuable by the end, after a long period of learning from other traditions. Among these, I had a particularly powerful reaction to Daoism – perhaps I should say, against Daoism.

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Of mental health and medical models

24 Sunday Apr 2022

Posted by in Early and Theravāda, Epicureanism, Flourishing, Health, Human Nature, Psychology, Skepticism, Stoicism, Therapy

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The concept of mental health – and even more so its converse of mental illness – has become ubiquitous in the modern West, and it deserves serious examination by philosophers. Many, probably most, cultures would not recognize the claim that a mind that sees demons or refuses to speak or commits suicide is in a condition analogous to a body with a fever or a broken limb.

The idea of mental health and illness is the central idea in the psychological approach that we typically refer to as the medical model. The term “medical model”, in its most basic sense, means that one approaches a given field of human endeavour in the manner associated with medicine: that field may then be considered a part of medicine, or simply analogous to it. I believe the term was coined by R.D. Laing, the prominent critic of psychiatry, and so it often takes on a negative cast, for the application of specific aspects of modern medicine in areas where it is inappropriate to do so.

It does not have to, though. Unless we reject modern medicine in its entirety (which would be a stupid idea), we are going to accept some aspects of the medical model for at least the practice of medicine itself. Modern medicine has accomplished a great deal, even in its application to phenomena of the mind: antipsychotics and antidepressants are not cure-alls by any means, but for a great many people, their mental lives are much improved as a result of these medicines.

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The Buddhist oxygen mask

15 Sunday Aug 2021

Posted by in Early and Theravāda, Family, Foundations of Ethics, Generosity, Health, Mahāyāna

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If you are travelling with a child or someone who requires assistance, secure your oxygen mask on first, and then assist the other person.

Anyone who has flown on a commercial airline has heard this instruction; anyone who flies frequently has heard it so often that it becomes background noise, though relatively few of us have ever had the chance to put it into practice. If the plane cabin depressurizes and the oxygen masks drop, one has only seconds before running out of oxygen oneself; if one tries to put the oxygen mask on a child first, hypoxia may inhibit one’s ability to put the mask on the child correctly, to say nothing of the risk to oneself. One can best save both people by attending to oneself first – running against any parent’s natural instinct to protect his own child.

I’m not the first to see this advice as a metaphor for other forms of ethical conduct in relationships: “the oxygen-mask principle”. Often we can take care of others most effectively by taking care of ourselves. What I also see, though, is that this principle is deeply Buddhist.

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Health, wealth, time, and their purposes

30 Sunday May 2021

Posted by in External Goods, Flourishing, Health, Monasticism, Politics

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Sandro Galea, the dean of BU’s School of Public Health, recently wrote a wonderful (free) Substack post reflecting on the nature of health in the pandemic and post-pandemic era. I’m writing about Galea’s post here because the questions it raises are absolutely philosophical ones.

He closes with the important comment: “we do not live to be healthy—we aspire to be healthy so we can live.” In other circumstances this might seem a truism. But the past fourteen months have made it all too clear how much this needs to be said. For we have all become all too aware of just how much can be given up for the sake of health. Government restrictions already placed major limits on our activity. Most people I know, myself included, limited their activity considerably further than what was required by the government. And most of us also know others whose restrictions went even further than our own. A number of people effectively became voluntary shut-ins, losing all physical contact with the outside world out of fear of a dread disease.

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The light is coming

20 Sunday Dec 2020

Posted by in Aesthetics, Deity, Happiness, Health, Hope, Judaism, Politics, Rites

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Tomorrow is the winter solstice: the shortest, darkest day of the year. After that, everything will slowly start getting lighter and brighter. And never in my lifetime has that felt like more of a perfect metaphor.

Christmas is perhaps the festival that most obviously commemorates the light in the darkness at this time of year, but it is not the only festival to acknowledge the darkest days and prepare for the light. Hanukkah is a smaller part of the Jewish ritual year than North Americans typically make it out to be – it is not nearly as important as Passover – but it is a real Jewish festival of light at the darkest time of the year. So too, Westerners mark a new year beginning just as the old year is at its darkest.

All these events happen every year. But this is a year like no other.

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Why I am a Buddhist

07 Sunday Jun 2020

Posted by in Buddhism, Faith, Family, Health, Humility, M.T.S.R., Metaphilosophy, Philosophy of Science, Prayer, Reading and Recitation, Therapy

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On Facebook, Seth Segall commented in response to my posts on Evan Thompson:

I agree with all the arguments you have made, but I think there is one maining major issue that divides you from Evan that transcends all the other issues. That is, as a “lover of all wisdom,” why would you define yourself as a Buddhist as opposed to someone who is informed by many wisdom traditions but holds a special place in his heart for Buddhism—in another words, how is your stance different from a more cosmopolitan one that is Buddhist-friendly, but not, strictly speaking, Buddhist?

I think I have answered this question before, but there is more to say on it. For a long time – including the first six years of writing this blog – I defined myself in just such a way, as Thompson does. Like Thompson, I went so far as to say I don’t identify as a Buddhist.

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