Spirituality and Healing in Medicine Dr. Phil Shapiro.

Spirituality and Spirituality and Healing in MedicineHealing in Medicine

Dr. Phil ShapiroDr. Phil Shapiro

The Convergence of The Convergence of Spirituality, Healing, and Spirituality, Healing, and

MedicineMedicine The convergence of spirituality, The convergence of spirituality,

healing, and medicine offers exciting healing, and medicine offers exciting new possibilities.new possibilities.• The Seeker: a personal, private spiritual The Seeker: a personal, private spiritual

experience becomes medically relevant experience becomes medically relevant with the advent of mind-body medicine. with the advent of mind-body medicine.

• Mind-body medicine:Mind-body medicine: People with an active faith or belief People with an active faith or belief

system have better outcomes in system have better outcomes in medicine, surgery, mental health, and medicine, surgery, mental health, and addiction.addiction.

Mind-body MedicineMind-body Medicine The scientific connection between spirituality The scientific connection between spirituality

and healing has been made. and healing has been made. Spiritual belief systems have a role in healing Spiritual belief systems have a role in healing

body, mind, and soul.body, mind, and soul. When we activate or intensify our spiritual When we activate or intensify our spiritual

belief systems, healing power expands.belief systems, healing power expands. This gives health care professionals, patients, This gives health care professionals, patients,

and everyone access to an expanded and everyone access to an expanded reservoir of healing power.reservoir of healing power.

This is very good news. However, this is not This is very good news. However, this is not easy to do in medical practice. easy to do in medical practice.

There are many barriers. There are many barriers.

Problems Entering the Spiritual Problems Entering the Spiritual DomainDomain

We don’t work with Spirit.We don’t work with Spirit. We are not comfortable talking about religion.We are not comfortable talking about religion. We have no language or map. We have no language or map. We ignore or refer to spiritual counselors.We ignore or refer to spiritual counselors. Lack of trainingLack of training Belief systems are personal, intimate, complex.Belief systems are personal, intimate, complex. Many have a traumatic religious history.Many have a traumatic religious history. Fierce feelings and defensivenessFierce feelings and defensiveness Fear of unravel to the abyss (The Cheeseburger)Fear of unravel to the abyss (The Cheeseburger) Enormous variation and level of commitmentEnormous variation and level of commitment There is no time—brief appointments, paper There is no time—brief appointments, paper

work…work… How to enter without losing life, limb, or property.How to enter without losing life, limb, or property.

Guidelines for Approaching Guidelines for Approaching Belief SystemsBelief Systems

Access: we need models that give us safe, Access: we need models that give us safe, efficient, effective access to the territory of efficient, effective access to the territory of belief systems.belief systems.

• Map: how to get thereMap: how to get there• Language: how to talk to each other and our Language: how to talk to each other and our

patients about religion and spiritualitypatients about religion and spirituality• Keys: to enter the territory of belief systems so Keys: to enter the territory of belief systems so

we can get in and out we can get in and out safelysafely and and effectivelyeffectively..• An An efficientefficient delivery system: so we can help delivery system: so we can help

our patients learn how to do this work when we our patients learn how to do this work when we are already too busyare already too busy

Guidelines for Approaching Guidelines for Approaching Belief SystemsBelief Systems

Universal and inclusiveUniversal and inclusive• Look for universal of near-universal Look for universal of near-universal

spiritual healing principles, methods, spiritual healing principles, methods, and qualities.and qualities.

• Design models that can work for as Design models that can work for as many as possible.many as possible.

• Include atheist, agnostic, religious, and Include atheist, agnostic, religious, and spiritual persons.spiritual persons.

Guidelines for Approaching Guidelines for Approaching Belief Systems Belief Systems

IndividualizeIndividualize• Stay in religion of origin and expand Stay in religion of origin and expand

practice orpractice or• Build your own program.Build your own program.

Root cause and solutionRoot cause and solution• Look for root causes and solutions to our Look for root causes and solutions to our

deepest suffering.deepest suffering. User-friendlyUser-friendly

• Yet remain user-friendly and non-Yet remain user-friendly and non-invasive as possible.invasive as possible.

Universal Spiritual Healing Universal Spiritual Healing ModelsModels

To address these issues, I will To address these issues, I will present two models:present two models:

1.1. Brutal Reality and the Illusion of Brutal Reality and the Illusion of Safety, Security, and Immortality Safety, Security, and Immortality (1980)(1980)

2.2. Healing Power: Ten Steps to Pain Healing Power: Ten Steps to Pain Management and Spiritual Evolution Management and Spiritual Evolution (2005) (2005)

Integrative MedicineIntegrative Medicine

Where Spirituality fits in the spectrum Where Spirituality fits in the spectrum of medical practiceof medical practice

Biological high-tech medicine has great Biological high-tech medicine has great power but alone can be reductionistic, often power but alone can be reductionistic, often leading to symptom management without leading to symptom management without getting to the root causes of disease. getting to the root causes of disease.

Integrative medicine includes Integrative medicine includes biopsychosocial and spiritual aspects.biopsychosocial and spiritual aspects.• Look for the root causes of disease and Look for the root causes of disease and

healing here.healing here.

Integrative MedicineIntegrative Medicine

Four evidence based healing universesFour evidence based healing universes1.1. BiologicalBiological

a.a. Traditional medicineTraditional medicine

b.b. CAM: Complimentary and alternative CAM: Complimentary and alternative medicinemedicine

2.2. PsychologicalPsychological

3.3. SocialSocial

4.4. SpiritualSpirituala.a. Mind-body medicineMind-body medicine

Spirituality and HealingSpirituality and HealingEvidence-based: the dataEvidence-based: the data

It is now scientifically validated that It is now scientifically validated that people with an active faith or belief people with an active faith or belief system have better outcomes in medicine, system have better outcomes in medicine, surgery, mental health, and addiction.surgery, mental health, and addiction.• Includes cancer, coronary artery disease, Includes cancer, coronary artery disease,

cerebrovascular disease, hypertension, cerebrovascular disease, hypertension, asthma, COPD, infectious diseases, kidney asthma, COPD, infectious diseases, kidney disease, and more. disease, and more.

• Lower medication ratesLower medication rates• Lower length of stayLower length of stay• Higher quality of lifeHigher quality of life• Much moreMuch more

Spirituality and HealingSpirituality and HealingEvidence-based: the dataEvidence-based: the data

Suggested readingSuggested reading::

• Herbert Benson M.D.: Herbert Benson M.D.: Timeless Healing: Timeless Healing: the Power and Biology of Beliefthe Power and Biology of Belief

• Jeff Levin PhD: Jeff Levin PhD: God, Faith, and HealthGod, Faith, and Health• David Larson M.D.David Larson M.D.• Larry Dossey M.D.Larry Dossey M.D.• Dale Mathews M.D.Dale Mathews M.D.• Harold Koenig M.D.Harold Koenig M.D.

Spirituality and HealingSpirituality and HealingThe MechanismThe Mechanism

Community: support from like-minded peopleCommunity: support from like-minded people Behavior: good habits such as no smoking, Behavior: good habits such as no smoking,

drinking, or drugs; healthy dietdrinking, or drugs; healthy diet Thought: the power of positive thought--faith, Thought: the power of positive thought--faith,

hope, belief, optimism, and much morehope, belief, optimism, and much more Feeling: the healing power of positive emotion Feeling: the healing power of positive emotion

such as peace, love, joy, compassionsuch as peace, love, joy, compassion Spiritual practice: expansion of the healing Spiritual practice: expansion of the healing

power from spiritual practices such as yoga, power from spiritual practices such as yoga, meditation, mindfulness, and prayer meditation, mindfulness, and prayer

Mind-body MedicineMind-body Medicine

Mind-body medicine teaches us how to Mind-body medicine teaches us how to apply the power of the mind to healing apply the power of the mind to healing and pain management. and pain management.

Most medical schools now address mind-Most medical schools now address mind-body principles in their general curricula.body principles in their general curricula.

Mind-body Medicine Mind-body Medicine PrinciplesPrinciples

There is no separation between mind and There is no separation between mind and body.body.• The mind is connected to every cell in The mind is connected to every cell in

the body.the body.• In some yet to be determined way, In some yet to be determined way,

thoughts have leverage in the inner thoughts have leverage in the inner workings of our cells having to do with:workings of our cells having to do with:

1.1.disease and healingdisease and healing2.2.pain managementpain management


We can harness the untapped power of We can harness the untapped power of the mind for:the mind for:

1.1. expansion of healing powerexpansion of healing power

2.2. pain controlpain control


Pain ManagementPain Management• Often we cannot take disease away, but Often we cannot take disease away, but

we can always help with pain we can always help with pain management. management.

• Pain is both physical and psychological.Pain is both physical and psychological.• All pain is experienced in the mind and All pain is experienced in the mind and

can therefore be modulated by the mind. can therefore be modulated by the mind. • We can control pain so pain does not We can control pain so pain does not

control our lives. control our lives.


Pain ManagementPain Management• The fear factor: we are afraid of disease, The fear factor: we are afraid of disease,

disability, suffering, the unknown, and disability, suffering, the unknown, and death.death.

• This This mental distress slows down healing mental distress slows down healing and makes the pain worse. and makes the pain worse.

• When disease persists, we can teach When disease persists, we can teach people to people to slow down and relaxslow down and relax so they so they can can stay in charge and get their lives stay in charge and get their lives back.back.

Mind-body Medicine Mind-body Medicine Principles Principles

We think of high-tech medicine as real and We think of high-tech medicine as real and mind-body principles as touchy-feely. This is mind-body principles as touchy-feely. This is reductionistic and wrong. reductionistic and wrong.

We are biopsychosocial and spiritual beings. We are biopsychosocial and spiritual beings. A disturbance in any one of these leads to A disturbance in any one of these leads to disturbances in the others.disturbances in the others.• Therefore, comprehensive treatment planning Therefore, comprehensive treatment planning

includes biopsychosocial and spiritual includes biopsychosocial and spiritual interventions. interventions.

• There are many ways to do this. No one way There are many ways to do this. No one way works for all peopleworks for all people

Activating Healing PowerActivating Healing PowerIn Four Domains In Four Domains

There is an explosion of knowledge and There is an explosion of knowledge and models having to do with healing in each models having to do with healing in each of the four domains: biopsychosocial and of the four domains: biopsychosocial and spiritualspiritual

However, there is no time to do it all: However, there is no time to do it all: Managed care, fifteen minute Managed care, fifteen minute appointments, paper work, and so onappointments, paper work, and so on

How can we activate healing power in all How can we activate healing power in all four domains given the limitation of time four domains given the limitation of time and system problems?and system problems?

Good news: it can be done through skills Good news: it can be done through skills training and self-helptraining and self-help

Self-help and Skills TrainingSelf-help and Skills Training

Self-help: much of the healing in the Self-help: much of the healing in the psycho-social-spiritual domain is self-psycho-social-spiritual domain is self-helphelp

Skills training: classes, groups, books, Skills training: classes, groups, books, manuals, internet, tapes, CD’s, DVD’smanuals, internet, tapes, CD’s, DVD’s

We can teach people how to increase We can teach people how to increase healing power while in the comfort of healing power while in the comfort of their own homes or during the day their own homes or during the day while performing their routine activitieswhile performing their routine activities

Personal Spiritual historyPersonal Spiritual history

Before discussing the models, a brief Before discussing the models, a brief personal historypersonal history

From personal to universalFrom personal to universal• To enter the spiritual domain, we need to learn To enter the spiritual domain, we need to learn

how to move with facility from our personal how to move with facility from our personal religious or spiritual experience to the religious or spiritual experience to the universal.universal.

• In that light, I will share with you a very brief In that light, I will share with you a very brief history of my religious-spiritual journey as it history of my religious-spiritual journey as it relates to professional work. relates to professional work.

• As you listen, find yourself and your patients in As you listen, find yourself and your patients in these stories and models. these stories and models.

Personal Spiritual HistoryPersonal Spiritual History

Seventh month of fetal life: an early Seventh month of fetal life: an early introduction to brutal realityintroduction to brutal reality

Conservative JudaismConservative Judaism The dynamics of unraveling a belief The dynamics of unraveling a belief

systemsystem• The CheeseburgerThe Cheeseburger• The Chess game: the King goes downThe Chess game: the King goes down• The Abyss: the unknown, the great The Abyss: the unknown, the great

mystery of lifemystery of life


Whether we stay in our religion of origin or Whether we stay in our religion of origin or not, belief systems remain monumentally not, belief systems remain monumentally important.important.

Belief systems give us: Belief systems give us: • The meaning and purpose of lifeThe meaning and purpose of life• Story and metaphorStory and metaphor• Cultivation of spiritual qualitiesCultivation of spiritual qualities• InspirationInspiration• Protection and guidanceProtection and guidance• TruthTruth• HealingHealing• Community and serviceCommunity and service• Much moreMuch more


The SeekerThe Seeker• Mining the great religious fields for pearls.Mining the great religious fields for pearls.• Studies in Christianity, Hinduism, Studies in Christianity, Hinduism,

Buddhism, Judaism, Native American Buddhism, Judaism, Native American Spirituality, othersSpirituality, others

• Review the lives of saints, sages, Review the lives of saints, sages, teachers, masters.teachers, masters.

• Develop a spiritual practice: meditation, Develop a spiritual practice: meditation, mindfulness, affirmations, prayer.mindfulness, affirmations, prayer.

Brutal Reality and the Illusion Brutal Reality and the Illusion of Safety, Security, and of Safety, Security, and

Immortality Immortality Dual diagnosis process group at Dual diagnosis process group at

Harlem HospitalHarlem Hospital The emergence of a modelThe emergence of a model CriteriaCriteria

• Brutal reality and higher states of Brutal reality and higher states of consciousnessconsciousness

• Connect the dots between pain and Connect the dots between pain and healinghealing

• Healing power: where is the leverageHealing power: where is the leverage

Brutal Reality and the Illusion Brutal Reality and the Illusion of Safety, Security, and of Safety, Security, and

Immortality Immortality

1.1. PeoplePeople

2.2. ActivitiesActivities

3.3. Belief SystemBelief System

4.4. Self-knowledgeSelf-knowledge

5.5. Brutal Reality Brutal Reality

6.6. The Illusion of Safety, Security, and The Illusion of Safety, Security, and ImmortalityImmortality

Belief SystemsBelief Systems Spiritual, religious, political, national, Spiritual, religious, political, national,

cultural, racial, familial, psychological, cultural, racial, familial, psychological, personalpersonal

Mechanism of perpetuation in health and Mechanism of perpetuation in health and diseasedisease• Thought repetition with denial and repression of Thought repetition with denial and repression of

conflicting dataconflicting data• The cheeseburger effect: a single countervailing The cheeseburger effect: a single countervailing

thought or action has the potential to unravel thought or action has the potential to unravel an entire belief system, thrusting the individual an entire belief system, thrusting the individual into the unknown, the abyss. This is equivalent into the unknown, the abyss. This is equivalent to psychological annihilation or death. to psychological annihilation or death.

Belief SystemsBelief Systems

Defense and resistanceDefense and resistance• The Living RoomThe Living Room

Simple fixed belief systemsSimple fixed belief systems Eclectic synthetic belief systemsEclectic synthetic belief systems The abyss between simple fixed and The abyss between simple fixed and

eclectic synthetic systemseclectic synthetic systems Intra-psychic battle for healingIntra-psychic battle for healing

A Universal Prescription For A Universal Prescription For Any Pain, Problem, or Any Pain, Problem, or

SymptomSymptom Tell your patients they can enhance Tell your patients they can enhance

healing when these four domains are healing when these four domains are active and positive: active and positive:

PeoplePeople ActivitiesActivities Belief SystemBelief System Self-knowledgeSelf-knowledge

You can prescribe these with confidence: You can prescribe these with confidence: each is evidence-based.each is evidence-based.

A Quick Assessment for the A Quick Assessment for the Busy PractitionerBusy Practitioner

A quick, efficient, and safe entry into theA quick, efficient, and safe entry into the

psychosocial and spiritual domain for the busy psychosocial and spiritual domain for the busy

practitioner:practitioner:1.1. People: Who is in your life that you can really People: Who is in your life that you can really

talk to?talk to?

2.2. Activities: What is your day like?Activities: What is your day like?

3.3. Belief system: Do you have a spiritual activity Belief system: Do you have a spiritual activity such as church, personal system, prayer, etc.such as church, personal system, prayer, etc.

4.4. Self-knowledge: How do you handle emotions Self-knowledge: How do you handle emotions such as anger, depression, fear, and guilt? such as anger, depression, fear, and guilt?

Brutal Reality and the Illusion Brutal Reality and the Illusion ofof

Safety, Security, and Safety, Security, and ImmortalityImmortality

ExerciseExercise1.1. Describe how the six components weave Describe how the six components weave

the fabric of your life. the fabric of your life. • Focus on how you use people, Focus on how you use people,

activities, belief system, and self-activities, belief system, and self-knowledge to shift from brutal reality knowledge to shift from brutal reality to a feeling of safety. You might to a feeling of safety. You might want to use the handout to help you want to use the handout to help you diagram your story.diagram your story.

2.2. Describe how the six components drive Describe how the six components drive the lives of patients, family, friends, the lives of patients, family, friends, strangers, and enemies.strangers, and enemies.

Mind-body MedicineMind-body MedicineHerbert Benson M.D.Herbert Benson M.D.

Conference in Chicago on spirituality Conference in Chicago on spirituality and healing in medicineand healing in medicine

Day one: scienceDay one: science Day two: religionDay two: religion Day three: applicationsDay three: applications


Day one: scientific proof of the Day one: scientific proof of the healing power of faith and beliefhealing power of faith and belief

Research data: people with an active Research data: people with an active faith or belief system have better faith or belief system have better outcomes in medicine, surgery, outcomes in medicine, surgery, mental health, and addiction.mental health, and addiction.


Day two: religionDay two: religion• Rabbi, priest, Hispanic Pentecostal, Rabbi, priest, Hispanic Pentecostal,

Florence Nightingale mystic, Tibetan Florence Nightingale mystic, Tibetan Buddhist PHD—former secretary of the Buddhist PHD—former secretary of the Dalai Lama, Islamic professor and Dalai Lama, Islamic professor and teacherteacher

• Each discussed healing principles, Each discussed healing principles, methods, and qualities within their methods, and qualities within their tradition.tradition.


Day three: applicationDay three: application• Extract the healing principles, methods, Extract the healing principles, methods,

and qualities from the great faith and qualities from the great faith traditions, organize them into cognitive-traditions, organize them into cognitive-behavioral or mind-body medicine behavioral or mind-body medicine practices.practices.

• Practice these ourselves and teach them Practice these ourselves and teach them to our patients.to our patients.

Cascadia: Spirituality and Cascadia: Spirituality and Healing GroupHealing Group

Clinic surveyClinic survey Create a group and manual using the Create a group and manual using the

criteria described earlier.criteria described earlier. Two groups:Two groups:

• One is now consumer runOne is now consumer run• The other is ongoing at the Northwest The other is ongoing at the Northwest

Institute for Healing PowerInstitute for Healing Power The Ten Step ModelThe Ten Step Model

Healing Power: Ten Steps to Healing Power: Ten Steps to Pain Management and Spiritual Pain Management and Spiritual

EvolutionEvolution

Steps 1-5: The evolution of sufferingSteps 1-5: The evolution of suffering

1.1. The Core DriveThe Core Drive

2.2. Duality and Brutal RealityDuality and Brutal Reality

3.3. The CompromiseThe Compromise

4.4. Bad HabitsBad Habits

5.5. Tools Become BarriersTools Become Barriers

Ten StepsTen Steps

Steps 6-10: Spirituality and healingSteps 6-10: Spirituality and healing

6.6. The SeekerThe Seeker

7.7. Soul and SpiritSoul and Spirit

8.8. The School of LifeThe School of Life

9.9. Spiritual PracticeSpiritual Practice

10.10. Spiritual ExperienceSpiritual Experience

Step 1: The Core DriveStep 1: The Core Drive

We want: We want: a.a. Unlimited peace, love, joy, and Unlimited peace, love, joy, and

safetysafety

b.b. No sufferingNo suffering

c.c. Immortality: more timeImmortality: more time This is our motivation whether This is our motivation whether

robbing a bank or serving the poor.robbing a bank or serving the poor.

Step 2: Duality and Brutal Step 2: Duality and Brutal RealityReality

Life on the physical plane is dual and brutal.Life on the physical plane is dual and brutal. DualityDuality

• The ups and downs of lifeThe ups and downs of life• Pleasure and pain, good and evil, health and Pleasure and pain, good and evil, health and

disease, success and failure, wealth and poverty, disease, success and failure, wealth and poverty, gain and loss, praise and blame, joy and gain and loss, praise and blame, joy and sadness, love and hate, war and peace, and so sadness, love and hate, war and peace, and so onon

Brutal RealityBrutal Reality• Death, pain and suffering, and the unknownDeath, pain and suffering, and the unknown• The down side of dualityThe down side of duality

Step 3: The CompromiseStep 3: The Compromise

There is a collision between the core There is a collision between the core drive and duality.drive and duality.

We can’t get everything we want on We can’t get everything we want on the physical plane.the physical plane.

We compromise by creating the We compromise by creating the illusion of safety through relationship illusion of safety through relationship and activities.and activities.

In the compromise, we may feel In the compromise, we may feel comfortable and safe.comfortable and safe.

Step 3: The CompromiseStep 3: The Compromise

However, suffering is unavoidable.However, suffering is unavoidable. Often we do not accept the inevitable Often we do not accept the inevitable

suffering of life.suffering of life. Instead, we make a desperate Instead, we make a desperate

attempt to eliminate attempt to eliminate all of our all of our sufferingsuffering through faulty mechanisms through faulty mechanisms such as the cultivation of bad habits.such as the cultivation of bad habits.

Step 4: HabitsStep 4: Habits

We seek We seek eternal love and safetyeternal love and safety in a in a world where impermanence and world where impermanence and limitation are the rule.limitation are the rule.

In a mighty but misguided effort to In a mighty but misguided effort to eliminate suffering, we develop bad eliminate suffering, we develop bad habits.habits.

Bad habits have a profound effect on Bad habits have a profound effect on our health and our response to our health and our response to health care interventions.health care interventions.

Step 4: HabitsStep 4: Habits

AlcoholAlcohol

DrugsDrugs

FoodFood

SexSex

PowerPower

ShoppingShopping

GamblingGambling

MoneyMoney

MaterialismMaterialism

Computers/Computers/InternetInternet

TVTV

WorkWork

CodependencyCodependency

Hyperactivity Hyperactivity

ViolenceViolence

CrimeCrime

Step 5: Tools Become Step 5: Tools Become BarriersBarriers

We use six tools to achieve the core We use six tools to achieve the core drive.drive.

While these tools are useful in While these tools are useful in helping us find some measure of helping us find some measure of peace, love, safety, and pain relief, peace, love, safety, and pain relief, they become problems themselves they become problems themselves and add to our suffering.and add to our suffering.

Step 5: Tools Become Step 5: Tools Become Barriers Barriers

The six tools are:The six tools are:

1.1. MindMind

2.2. EmotionEmotion

3.3. DesireDesire

4.4. BodyBody

5.5. ActivityActivity

6.6. EgoEgo

Step 5: Tools Become BarriersStep 5: Tools Become BarriersIn AlignmentIn Alignment

The six tools in alignmentThe six tools in alignment::1.1. Mind: when positive, calm, and focused, it is Mind: when positive, calm, and focused, it is

brilliant at solving problems and shaping brilliant at solving problems and shaping meaning. meaning.

2.2. Emotion: a source of self-knowledgeEmotion: a source of self-knowledge3.3. Desire: health, prosperity, and loveDesire: health, prosperity, and love4.4. Body: engage life, the doer of all of our activities, Body: engage life, the doer of all of our activities,

carrier of higher states of consciousness; the carrier of higher states of consciousness; the source of our potential liberation and source of our potential liberation and enlightenmentenlightenment

5.5. Activity: work, recreation, culture, hobbiesActivity: work, recreation, culture, hobbies6.6. Ego: establish our place in the world of work and Ego: establish our place in the world of work and

relationships relationships

Step 5: Tools Become BarriersStep 5: Tools Become BarriersOut of AlignmentOut of Alignment

The six tools out of alignment:The six tools out of alignment:1.1. Mind: restless, relentless, a life of its ownMind: restless, relentless, a life of its own2.2. Emotion: high emotional reactivityEmotion: high emotional reactivity3.3. Desire: excessive material desire resulting Desire: excessive material desire resulting

in attachments and bad habitsin attachments and bad habits4.4. Body: heavy, tired, hurts, disability, deathBody: heavy, tired, hurts, disability, death5.5. Activity: hyperactivityActivity: hyperactivity6.6. Ego: separation, selfishness, territorial, Ego: separation, selfishness, territorial,

self-importantself-important

Step 5: Tools Become BarriersStep 5: Tools Become Barriers

The six tools out of alignment: The six tools out of alignment: • The universal patient: does anyone not The universal patient: does anyone not

have this? have this? • Fixation: pin us to the mat of the status Fixation: pin us to the mat of the status

quoquo• Root cause: the root cause of much of Root cause: the root cause of much of

our sufferingour suffering• Add ons: some people refer to these as Add ons: some people refer to these as

add ons.add ons.• the suffering that we add to the the suffering that we add to the

inevitable suffering of life. inevitable suffering of life.

Step 5: Tools Become Step 5: Tools Become BarriersBarriers

We can get the six tools back in We can get the six tools back in alignment by: alignment by: • Step 8: The School of LifeStep 8: The School of Life• Step 9. Spiritual PracticeStep 9. Spiritual Practice

Summary of Steps 1-5Summary of Steps 1-5

Three levels of sufferingThree levels of suffering• The inevitable suffering of life: steps 1-3The inevitable suffering of life: steps 1-3• Bad habits: step 4Bad habits: step 4• The six helpful tools spin out of control: The six helpful tools spin out of control:

step 5.step 5. We cannot control duality and brutal We cannot control duality and brutal

reality-i.e.-the inevitable suffering of reality-i.e.-the inevitable suffering of life.life.

Summary of Steps 1-5Summary of Steps 1-5

However, However, we can control how we we can control how we respondrespond

We can We can intervene at steps 4 and 5intervene at steps 4 and 5 A comprehensive program must A comprehensive program must

address steps 4 and 5address steps 4 and 5 The great religions tell us howThe great religions tell us how This is This is very good newsvery good news as as we add a lot we add a lot

of suffering to the inevitable suffering of of suffering to the inevitable suffering of lifelife

Step 6: The SeekerStep 6: The Seeker

Step 6: The SeekerStep 6: The Seeker The three layers of pain commingleThe three layers of pain commingle Our pain deepensOur pain deepens We may develop symptoms that invade We may develop symptoms that invade

functioningfunctioning Our suffering leads to a period of Our suffering leads to a period of

questioningquestioning We recognize the need to get helpWe recognize the need to get help We become seekers We become seekers

Step 6: The SeekerStep 6: The Seeker

Our search takes us to spiritual belief Our search takes us to spiritual belief systemssystems

World religions delve into the heart of the World religions delve into the heart of the mystery of life and suffering and emerge mystery of life and suffering and emerge with a prescription for our difficultieswith a prescription for our difficulties

We can heal ourselves, religion teaches, if We can heal ourselves, religion teaches, if we learn how to manage our pain more we learn how to manage our pain more skillfully by developing a spiritual practice skillfully by developing a spiritual practice

But first, we must define the nature of the But first, we must define the nature of the soul and spiritsoul and spirit

Step 7: Soul and SpiritStep 7: Soul and Spirit

Soul or Higher SelfSoul or Higher Self• Spiritual qualities:Spiritual qualities: religious traditions religious traditions

point to spiritual qualities as the nature point to spiritual qualities as the nature of soul and Spirit and recognize these as of soul and Spirit and recognize these as the goal of all spiritual work.the goal of all spiritual work.

• Spiritual alphabet Spiritual alphabet • Periodic table of spiritual elementsPeriodic table of spiritual elements


Soul or Higher SelfSoul or Higher Self• Extract the essenceExtract the essence from the texts and from the texts and

stories of the sacred traditions and stories of the sacred traditions and summarize in one-word qualities summarize in one-word qualities

• Tincture of religionTincture of religion• Call it Love, Truth, Power, Wisdom, Call it Love, Truth, Power, Wisdom,

Knowledge, Spiritual Qualities, Soul, Knowledge, Spiritual Qualities, Soul, Higher Self, The Buddha, Atman, the Higher Self, The Buddha, Atman, the Image of God, or whatever you prefer. Image of God, or whatever you prefer.


Spirit or Higher PowerSpirit or Higher Power• The God of your understandingThe God of your understanding

• Omniscient, Omnipotent, OmnipresentOmniscient, Omnipotent, Omnipresent• The God of LoveThe God of Love• Christ, Buddha, Krishna, Mohammed, Bal Christ, Buddha, Krishna, Mohammed, Bal

Shem TovShem Tov• The Infinite Mysterious Unknown The Infinite Mysterious Unknown • Many other concepts, images, aspectsMany other concepts, images, aspects

• Higher states of consciousnessHigher states of consciousness• Higher or true self Higher or true self • Higher meaning and purposeHigher meaning and purpose

Step 8: The School of LifeStep 8: The School of Life

Life is school.Life is school. Pain is the teacher if we let it be.Pain is the teacher if we let it be. Lessons have to do with the Lessons have to do with the

cultivation of spiritual qualities.cultivation of spiritual qualities.

Step 9: Spiritual PracticeStep 9: Spiritual PracticeExternalExternal

Synagogue, church, mosqueSynagogue, church, mosque RitualsRituals Sermons, singing, chantingSermons, singing, chanting Organizational work, committeesOrganizational work, committees Social gatheringsSocial gatherings Community serviceCommunity service

Step 9: Spiritual PracticeStep 9: Spiritual PracticeInternalInternal

1.1. AffirmationsAffirmations

2.2. HabitsHabits

3.3. BreathworkBreathwork

4.4. Progressive Progressive muscle relaxationmuscle relaxation

5.5. ContemplationContemplation

6.6. MeditationMeditation

7.7. PrayerPrayer

8.8. MindfulnessMindfulness

9.9. Practicing the Practicing the presence of Godpresence of God

10.10. ServiceService

11.11. YogaYoga

12.12. The The Transformation of Transformation of EmotionEmotion

Step 9: Spiritual PracticeStep 9: Spiritual PracticeInternalInternal

Recall the purpose of spiritual practice:Recall the purpose of spiritual practice:• Getting the six tools back in alignment.Getting the six tools back in alignment.

This is difficult. This is difficult. • It requires discipline and long-term practice.It requires discipline and long-term practice.• However, persevere and the reward is great. However, persevere and the reward is great.

The Promise: Step 10 Spiritual ExperienceThe Promise: Step 10 Spiritual Experience• The cultivation of spiritual qualitiesThe cultivation of spiritual qualities• Conquer the inner worldConquer the inner world• Become master of yourselfBecome master of yourself

Step 10: Spiritual Step 10: Spiritual ExperienceExperience

Expansion of spiritual qualities in four stages:Expansion of spiritual qualities in four stages:1.1. No change is noticeable. Spiritual qualities are No change is noticeable. Spiritual qualities are

expanding but the increase is subtle and expanding but the increase is subtle and imperceptible. Many people quit here. imperceptible. Many people quit here.

2.2. You feel better. There is a tangible experience You feel better. There is a tangible experience of ever-expanding peace, love, strength, of ever-expanding peace, love, strength, courage, compassion, and other qualities from courage, compassion, and other qualities from the spiritual alphabet. the spiritual alphabet.

3.3. Transformation of consciousness: the peace Transformation of consciousness: the peace that surpasses understanding, pure love, that surpasses understanding, pure love, ecstatic joy, intuitive wisdom, a feeling of ecstatic joy, intuitive wisdom, a feeling of oneness with everything, and other wonderful oneness with everything, and other wonderful expressions of Spirit. expressions of Spirit.

4.4. Mastery: a state of sustained Mastery: a state of sustained superconsciousnesssuperconsciousness

Key Principles of the Ten Key Principles of the Ten StepsSteps

Steps 1-3: We want love and safety in an Steps 1-3: We want love and safety in an uncertain world where suffering is uncertain world where suffering is inevitable.inevitable.

Steps 4-5: We manage our pain poorly and Steps 4-5: We manage our pain poorly and make it worse.make it worse.

Steps 6-7: The wisdom of the ages found Steps 6-7: The wisdom of the ages found in the worlds great religious traditions in the worlds great religious traditions offers a solution to this dilemma.offers a solution to this dilemma.

Step 8: Religions teach us how to use the Step 8: Religions teach us how to use the inevitable suffering of life to cultivate inevitable suffering of life to cultivate peace, power, and strength.peace, power, and strength.


Step 9: Pain is the route to healing if we Step 9: Pain is the route to healing if we develop a spiritual practice.develop a spiritual practice.

Step 10: Spiritual qualities such as love, Step 10: Spiritual qualities such as love, compassion, courage, strength, and compassion, courage, strength, and humility are the healers: they help us humility are the healers: they help us broker and buffer the pain of this life.broker and buffer the pain of this life.

Steps 1-10: Through a series of painful Steps 1-10: Through a series of painful lessons, life teaches us that the peace, lessons, life teaches us that the peace, love, and joy we seek in the outer world, love, and joy we seek in the outer world, can and must ultimately be found within.can and must ultimately be found within.


Spiritual work results in a shift in the locus of Spiritual work results in a shift in the locus of control from the outer world of people, places, control from the outer world of people, places, and things to the inner world of peace, power, and things to the inner world of peace, power, and strengthand strength

Skillful pain management (step 8) and spiritual Skillful pain management (step 8) and spiritual practice (step 9) lead to the discovery of the practice (step 9) lead to the discovery of the soul and Higher Power (step 7) as the peace, soul and Higher Power (step 7) as the peace, love, and joy we crave (step 10)love, and joy we crave (step 10)

Step 10 is the Core Drive (step 1) resurrected, Step 10 is the Core Drive (step 1) resurrected, but now we understand that getting the but now we understand that getting the peace, love, and joy we crave, necessitates a peace, love, and joy we crave, necessitates a shift in the locus of control from outside to shift in the locus of control from outside to inside. inside.

The Universal Wheel:The Universal Wheel:Problem, Method, QualityProblem, Method, Quality

The Universal Wheel: The Universal Wheel: 1.1. Problem: choose any problem or painProblem: choose any problem or pain

2.2. Method: choose any one or combination of Method: choose any one or combination of the twelve methodsthe twelve methods

3.3. Quality: cultivate any one or combination of Quality: cultivate any one or combination of spiritual qualities in response to the problemspiritual qualities in response to the problem

ExampleExample1.1. I am anxiousI am anxious

2.2. I practice mindfulness and meditationI practice mindfulness and meditation

3.3. I cultivate peace of mindI cultivate peace of mind

The Universal WheelThe Universal Wheel

You can drive any car on this wheel: You can drive any car on this wheel: atheist, agnostic, spiritual, or atheist, agnostic, spiritual, or religious.religious.

For many, the universal wheel is: For many, the universal wheel is: • least invasive, threatening, or toxicleast invasive, threatening, or toxic• addresses the root cause of much of our addresses the root cause of much of our

trouble. trouble. • necessary and sufficientnecessary and sufficient

For others, this is not enough. For others, this is not enough.

Traction DevicesTraction Devices

Some people need theological Some people need theological traction devices.traction devices.• Story, metaphor, languageStory, metaphor, language• Concepts, images, aspects.Concepts, images, aspects.• RitualsRituals


Omniscience, Omnipotence, Omniscience, Omnipotence, OmnipresenceOmnipresence

The God of LoveThe God of Love A personal God as Father, Mother, A personal God as Father, Mother,

Friend, Beloved, Teacher, Guide, Friend, Beloved, Teacher, Guide, Protector, ConfidantProtector, Confidant

Saints, sages, masters, teachers, and Saints, sages, masters, teachers, and gurusgurus

Christ, Buddha, Krishna, Mohammed, Christ, Buddha, Krishna, Mohammed, Bal Shem TovBal Shem Tov


An impersonal God as peace, love, An impersonal God as peace, love, joy, power, wisdom, or other joy, power, wisdom, or other combinations of spiritual qualitiescombinations of spiritual qualities

Nature, reason, and the Nature, reason, and the subconscioussubconscious

Collective unconscious and Collective unconscious and archetypesarchetypes

The MysteryThe Mystery


Karma and reincarnationKarma and reincarnation GraceGrace Mystical experiences: eternal peace, Mystical experiences: eternal peace,

pure love, ecstatic joy, intuitive pure love, ecstatic joy, intuitive wisdom, protection, guidance, wisdom, protection, guidance, prophetic dreams, many othersprophetic dreams, many others

And moreAnd more

Inclusion and Inclusion and IndividualizationIndividualization

Inclusion: All of the options cited above Inclusion: All of the options cited above are referred to in the ten-step model.are referred to in the ten-step model.

One person’s One person’s traction devicetraction device is the next is the next person’s person’s gag reflexgag reflex..

Take what you needTake what you need and and leave the restleave the rest.. Don’t let language knock you out of the Don’t let language knock you out of the

game: game: nuke offensive languagenuke offensive language and and substitute your ownsubstitute your own..

Group RulesGroup Rules We do not promote a particular religion.We do not promote a particular religion. We do promote your individual approach.We do promote your individual approach. We have respect and tolerance for the great variety We have respect and tolerance for the great variety

of ways to understand and practice spirituality.of ways to understand and practice spirituality. We do not proselytize.We do not proselytize. We engage in discussion without debate.We engage in discussion without debate. Take what you need and leave the rest.Take what you need and leave the rest. We avoid giving advice or trying to fix other people’s We avoid giving advice or trying to fix other people’s

problems.problems. We are not here to change others. We are not here to change others. We are here to figure out how to change ourselves.We are here to figure out how to change ourselves.

Three Universal OutcomesThree Universal Outcomes

No matter your theology or lack of No matter your theology or lack of theology, with a spiritual practice, you theology, with a spiritual practice, you accomplish three goals: accomplish three goals:

1.1. Expansion of the healing powerExpansion of the healing power

2.2. More skillful pain managementMore skillful pain management

3.3. Spiritual evolutionSpiritual evolution

Three Universal OutcomesThree Universal Outcomes These three non-denominational These three non-denominational

variables move together.variables move together. 1.1. Healing Power: expansion of the Healing Power: expansion of the

healing power for body, mind, and healing power for body, mind, and soul.soul.

2.2. Pain management: managing any Pain management: managing any physical, mental, or spiritual pain or physical, mental, or spiritual pain or problem.problem.

3.3. Spiritual Evolution: becoming a Spiritual Evolution: becoming a better person through the cultivation better person through the cultivation of spiritual qualities such as of spiritual qualities such as compassion, strength, and peace.compassion, strength, and peace.

ConclusionConclusion

Healthcare Professionals: The ten-step model Healthcare Professionals: The ten-step model supplements the healing practices of all supplements the healing practices of all medical specialties.medical specialties.• Healthcare professionals can teach the ten Healthcare professionals can teach the ten

steps to their patients in hospitals and steps to their patients in hospitals and clinics.clinics.

Self-help groups: The model is suited for self-Self-help groups: The model is suited for self-help groups in the community help groups in the community

Individual study: We do not need a group or Individual study: We do not need a group or teacher. We can do this work at home, alone. teacher. We can do this work at home, alone.

The Car and the MountainThe Car and the Mountain

The car and the mountainThe car and the mountain• The universal wheelThe universal wheel• The body of the car: atheist, agnostic, The body of the car: atheist, agnostic,

spiritual, or religiousspiritual, or religious• Traction devicesTraction devices

Exercise: Finding Yourself and Exercise: Finding Yourself and Your Patients in the Ten StepsYour Patients in the Ten Steps

1.1. What is your core drive?What is your core drive?2.2. How does step 3, The Compromise, play How does step 3, The Compromise, play

itself out in your life? itself out in your life? 3.3. What are some examples in your life of What are some examples in your life of

how desire led to attachment and a bad how desire led to attachment and a bad habit or two?habit or two?

4.4. Step 5 describes how the six tools are Step 5 describes how the six tools are assets that become liabilities. Review assets that become liabilities. Review how each of these tools presents both how each of these tools presents both opportunities and challenges in your life.opportunities and challenges in your life.


5.5. Would you like to be able to control your Would you like to be able to control your mind but don’t know how?mind but don’t know how?

6.6. Do you fill your waking life with Do you fill your waking life with continuous activity?continuous activity?

7.7. Do you have built-in periods of retreat and Do you have built-in periods of retreat and solitude for rest and regeneration?solitude for rest and regeneration?

8.8. Describe how your ego gets you into Describe how your ego gets you into trouble. trouble.

9.9. Has your suffering led you to search for Has your suffering led you to search for meaning and purpose? meaning and purpose?


10.10. What is the meaning and purpose of your What is the meaning and purpose of your life?life?

11.11. Describe how your belief system gives you Describe how your belief system gives you meaning and purpose.meaning and purpose.

12.12. What is your concept of soul or higher self?What is your concept of soul or higher self?

13.13. Do you have a Higher Power?Do you have a Higher Power?

14.14. What is your concept of a Higher Power?What is your concept of a Higher Power?

15.15. Using the metaphor of life as a school, how Using the metaphor of life as a school, how would you describe some of the classes that would you describe some of the classes that you are in at this time?you are in at this time?


16.16. What lessons are your learning?What lessons are your learning?

17.17. Discuss pain as a stimulant for the Discuss pain as a stimulant for the growth of spiritual power.growth of spiritual power.

18.18. Do you have a spiritual practice?Do you have a spiritual practice?

19.19. What spiritual methods do you use?What spiritual methods do you use?

20.20. Would you like to expand your Would you like to expand your practice?practice?

21.21. Review the list of spiritual qualities. Review the list of spiritual qualities. Which of these would you like to grow?Which of these would you like to grow?


22.22. Build your own carBuild your own car Universal Wheel: choose a problem, Universal Wheel: choose a problem,

method, or qualitymethod, or quality Body of the car: atheist, agnostic, Body of the car: atheist, agnostic,

religious, spiritualreligious, spiritual Traction devicesTraction devices

Where Do We Go From HereWhere Do We Go From Here

Healthcare professional: If not interested Healthcare professional: If not interested or don’t have enough time, refer patients or don’t have enough time, refer patients to self-help books or skills trainers.to self-help books or skills trainers.

Those who are interested can follow the Those who are interested can follow the data from two sources:data from two sources:

1.1. Scientific studies on spirituality and healing.Scientific studies on spirituality and healing.

2.2. The scientific method in metaphysics: The scientific method in metaphysics: spiritual practice leads to direct personal spiritual practice leads to direct personal experience. experience. • These two work together. These two work together.

Where Do We Go From HereWhere Do We Go From Here

““Heal thyself”Heal thyself”• Healthcare professionals and Healthcare professionals and

consumers, seekers, individuals in crisis, consumers, seekers, individuals in crisis, all peopleall people

• Develop a spiritual practice. Develop a spiritual practice. • Form study groups. Form study groups. • Follow the scientific method in Follow the scientific method in

metaphysics.metaphysics.

The Scientific Method The Scientific Method in Metaphysicsin Metaphysics

We can decipher spiritual fiction from fact. We can decipher spiritual fiction from fact. How to do this without labs tests or x-rays?How to do this without labs tests or x-rays? We can put profoundly important questions We can put profoundly important questions

to the test of direct personal experience in to the test of direct personal experience in the laboratory of life. the laboratory of life. • Does compassionate service to humanity give us Does compassionate service to humanity give us

peace of mind and strength?peace of mind and strength?• Does meditation work?Does meditation work?• Do higher states of consciousness actually exist? Do higher states of consciousness actually exist? • Does the body-temple harbor the God of the Does the body-temple harbor the God of the

universe?universe?

The Scientific MethodThe Scientific Methodin Metaphysicsin Metaphysics

1.1. Test a theory by practicing a spiritual method.Test a theory by practicing a spiritual method.2.2. Assume the agnostic position.Assume the agnostic position.

• Do not accept or reject the theory.Do not accept or reject the theory.• Stay opened and receptive. Stay opened and receptive.

3.3. The body is the test tube.The body is the test tube.4.4. The experiment is on the life force itself, consciousness, The experiment is on the life force itself, consciousness,

energy, thought, feeling, desire, and behavior.energy, thought, feeling, desire, and behavior.5.5. Prove or disprove it to yourself through direct personal Prove or disprove it to yourself through direct personal

experience.experience.6.6. If a method or concept works, we keep it and teach it to our If a method or concept works, we keep it and teach it to our

patients. If not, we discard it. patients. If not, we discard it. 7.7. We trust our ability to tell the difference. We trust our ability to tell the difference.

How to Use the BookHow to Use the BookOverviewOverview

The book is an instruction manual for The book is an instruction manual for developing a spiritual practice.developing a spiritual practice.

There are ten steps, 12 methods, and There are ten steps, 12 methods, and 100 spiritual qualities.100 spiritual qualities.

10 qualities have their own chapter.10 qualities have their own chapter. The first 89 pages set the stage for The first 89 pages set the stage for

the rest of the book. the rest of the book. Chapter 3-6: The Ten StepsChapter 3-6: The Ten Steps

How to Use the BookHow to Use the BookIntroduction to Spiritual Introduction to Spiritual

PracticePractice Chapter 7: Getting StartedChapter 7: Getting Started

• Eight suggestions for starting a spiritual Eight suggestions for starting a spiritual practicepractice

Chapter 8: The Serenity PrayerChapter 8: The Serenity Prayer• Will: how to cultivate will powerWill: how to cultivate will power• Surrender: how to live with what we Surrender: how to live with what we

cannot changecannot change Chapter 9: A Universal Spiritual Chapter 9: A Universal Spiritual

MethodMethod

How to Use the BookHow to Use the BookMethodsMethods

Change your destinyChange your destiny• AffirmationsAffirmations• HabitsHabits

How to Use the BookHow to Use the BookMethodsMethods

Morning and Morning and evening program evening program • Progressive Muscle Progressive Muscle

RelaxationRelaxation• BreathworkBreathwork• ContemplationContemplation• MeditationMeditation• PrayerPrayer

Daily activity Daily activity

programprogram• MindfulnessMindfulness• Practicing the Practicing the

Presence of GodPresence of God• ServiceService• YogaYoga• The Transformation The Transformation

of Emotionof Emotion

How to Use the BookHow to Use the BookQualitiesQualities

LoveLove PeacePeace HumilityHumility FaithFaith CourageCourage

ForgivenessForgiveness TruthTruth IntuitionIntuition OnenessOneness HealingHealing

HomeworkHomeworkHow to Use the BookHow to Use the BookStep 5: Tools become barriersStep 5: Tools become barriers

This is the ‘universal problem.’ This is the ‘universal problem.’ Leverage: with any one or combination of Leverage: with any one or combination of

the 12 methods, you can get the six tools the 12 methods, you can get the six tools back in alignment.back in alignment.1.1. Mind: from mental restlessness to Mind: from mental restlessness to

positive, calm, strong, resilientpositive, calm, strong, resilient2.2. Emotion: from excessive reactivity to Emotion: from excessive reactivity to

information about our problems and information about our problems and solutions, issues and strategiessolutions, issues and strategies

HomeworkHomeworkHow to Use the BookHow to Use the Book

3.3. Desire: from excessive material desire, Desire: from excessive material desire, bad habits, and attachments to peace bad habits, and attachments to peace and contentmentand contentment

4.4. Body: from trouble and fear to a temple Body: from trouble and fear to a temple housing the God of the universe or housing the God of the universe or higher stages of consciousnesshigher stages of consciousness

5.5. Activity: from compulsive and addictive Activity: from compulsive and addictive to stillness, silence, spaciousness, and to stillness, silence, spaciousness, and serenityserenity

6.6. Ego: from fear, insecurity, worry, and Ego: from fear, insecurity, worry, and doubt to the expansion of soul qualitiesdoubt to the expansion of soul qualities


When the six tools are back in alignment, When the six tools are back in alignment, serenity, strength, compassion, joy and a serenity, strength, compassion, joy and a host of other spiritual qualities slowly host of other spiritual qualities slowly expand. expand.

You have unlimited power here but you You have unlimited power here but you must work for it.must work for it.

• Begin building your morning, day, and Begin building your morning, day, and evening program.evening program.

• Warm up before work.Warm up before work.• Practice when you are stuck.Practice when you are stuck.


Some final adviceSome final advice Spiritual work is not easy. Spiritual work is not easy. It takes time to dissolve barriers. It takes time to dissolve barriers. Quick fixes are usually not real. Quick fixes are usually not real. However, if you are patient and However, if you are patient and

diligent, the rewards are profound.diligent, the rewards are profound.


Some final adviceSome final advice For most, it takes crisis and pain to start a For most, it takes crisis and pain to start a

practice but don’t wait. Do your homework practice but don’t wait. Do your homework now.now.• Practice one or a combination of the Practice one or a combination of the

methods every day.methods every day.• Work on cultivating one or a combination Work on cultivating one or a combination

of spiritual qualities every day. of spiritual qualities every day. • Even if you are very busy, try to read one Even if you are very busy, try to read one

or a few pages every day. or a few pages every day.

HomeworkHomeworkHow to Use the bookHow to Use the book

Some final adviceSome final advice This is a self-help model. You can and This is a self-help model. You can and

must ultimately do the work alone. must ultimately do the work alone. For those who might want ongoing For those who might want ongoing

support and guidance, consider support and guidance, consider forming a study group.forming a study group.

Above all, remain compassionate, Above all, remain compassionate, patient, and gentle with yourself. patient, and gentle with yourself.

Spirituality and Healing in Medicine Dr. Phil Shapiro.

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Transcript of Spirituality and Healing in Medicine Dr. Phil Shapiro.