Spirituality in Healthcare eBook Red

7/31/2019 Spirituality in Healthcare eBook Red

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Pre-press - Canvas, Bangalore.

Cover Design - Litna Das.


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Spirituality inHealtHcare

perSpectiveS

Compiledand editedby:

Uh RaDm o cosg

S Sh S is o Hgh Md SsWhd, Bgo, id


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Acknowledgments

to o og d omsso lod, Bhgw S Sh S Bb,o mos s d h gd o hg g s hs q soo s osos hs tm o Hg, d so mkg hso h.

O s hks o

TheSriSathyaSaiMedicalTrustforgrantingpermissiontood hs wo-d o.

Dr.A.S.Hegde,ourDirector,forhisunstintedsupportandogm.

Theconferencespeakersfortheirspontaneousresponseto hs o s o h bs shds.

Awonderfulaudiencewhocametothistwodayconferencefrom os o id d bod.

Ourhospitalstaffandtheseveralotheragencieswhocontributedsg o mk hs o hmk .

cogh 2010 b S Sh S is o Hgh Md Ss, Whd, Bgo.a ghs sd. no o hs book m b odd om b o omh ms, dg omo sog o ssms, x o b ssgsqod b ws.


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An oering with love and dedication at theLotus Feet o our beloved Bhagawan

Sri Sathya Sai Baba

From the presentations made atThe International Conerence 2009

on

Spirituality in Healthcare

The Department o Counselling,Sri Sathya Sai Institute o Higher Medical Sciences,

Whitefeld, Bangalore, India.


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sPeAkeRs At tHe conFeRence

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contents

1. An Introduction and Conerence Overview 1Umesh Rao, Conerence Coordinator, Department o Counselling,SSSIHMS, Whiteeld, Bangalore.

2. Conerence Inaugural Address 9Dr. A.S. Hegde, Director SSSIHMS, Whiteeld,Bangalore and Chairman, Department o Neurosciences.

3. Conerence Keynote Address 15Caring or the Soul as the Keystone in HealthcareDr. Mia Leijssen, Proessor o Psychotherapy and Counselling,University o Leuven, Belgium.

4. Chronic Stress The Ultimate Risk Factor, 24Soul Medicine The Ultimate SolaceDr. E.V. Joshy, Head, Department o Neurology, SSSIHMS,Whiteeld, Bangalore.

5. Following a Shining Star - Inspiration and Guidance or 36Clinical Research using Music, Imagery, Touch and Prayerin High-tech Cardiovascular CareDr. M.W. Kruco, MD, FACC, Proessor Medicine / Cardiology,Duke University Medical Centre, Durham, North Carolina, USA.

6. Counselling the SAI Way a Spirituality Based Patient 56Centred Complementary TherapyGita Umesh, Senior Counsellor, Department o Counselling,SSSIHMS, Whiteeld, Bangalore.

7. Healthcare Reorm and The Evaluation o Complex 70Healthcare Interventions Integrative CareDr. Torkel Falkenberg, Associate Proessor in Healthcare Research,Department o Neurobiology, Karolinska Institute, Sweden.

8. Work is Worship 81Dr. Joe Phaneu, Chie o Medical Sta Education,Kaiser Permanente, Union City, CA, USA.


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9. MindBody Medicine in the US 91 A Mayo Clinic PerspectiveDr. Kavitha Prasad, Department o Internal Medicine,

Mayo Clinic, Rochester, MN, USA.

10. Spiritual Support Reduces the Burden o Cardiac Disease 98Dr. Shekar Rao, Senior Consultant, Department o PediatricCardiac Surgery, Narayana Hrudyalaya, Bangalore.

11. Role o Spirituality in Controlling Chronic Diseases 111with reerence to DiabetesDr. V. Mohan, Chairman and Chie Diabetologist,Dr. Mohans Diabetes Specialities Centre, Chennai.(WHO Collaborating Centre or Non-communicable

Diseases Prevention and Control).

12. Spirituality - A Potent Power in Palliative Care 124Dr. S.N. Simha, Chairman and Medical Director,Bangalore Hospice Trust, Bangalore.

13. Spirituality and Illness 130Dr. B. Barooah, Senior Consultant, Department oCardiology, SSSIHMS, Whiteeld, Bangalore.

14. Role o Counseling in Neurosurgical Outcome 134Dr. Ganesh Murthy, Consultant, Department oNeurosurgery, SSSIHMS, Whiteeld, Bangalore.

15. Research in Spirituality Based Complementary 141Therapies to create an Evidence Base Perspectives

16. The Spiritual Dimension in Preventive Medical Care 144 Perspectives

17. Selected Bibliography or Further Reading 148


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An IntRodUctIonAnd conFeRence oVeRVIew

Umesh RaoConferenCe Coordinator,

departmentof Counselling, sssiHms, WHitefield, Bangalore

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wha i piriuai?

S bg o h hm o h o boms ssh sbj m sh s s s xmd s os dmsos. is

bs o hm ? Dos f hm bho? How dos ogo? c f hh d omo hg? th o oddm oo o f, db d dsss o hs d oh d sss.i d s om o shg xs od md .

to s h sg s wod b o h d omsg domdoos, do d xo o s ws sd, s odd bh ro cog o pshss uK, whh ds s oows:

In health care spirituality is identied with experiencing a deep seated senseo meaning and purpose in lie, together with a sense o belonging. It is aboutacceptance, integration and wholeness. Spiritual practices oster an awarenessthat identiy and promote values. Values such as creativity, patience, perseverance,honesty, kindness, compassion, wisdom, equanimity, hope and joy. All promote goodhealth practice.

O s h sm bw h bo dso o s dh o hm s s oodd b Swm o Sh (th), Dhm

(rgh cod), Shh (p), pm (lo) d ahms (no-vo).W h dod hs o hm s s bs o s, ghs s s s s d o who s hs s s sso. D os s so s sd Fg i.

spiritualityand Counselling

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3

dIVIne gRAce

dIVIne gRAce - A sHelteR FoR tHe sPIRItUAl

FIgURe - I

tRUtH

loVe PeAce

sPIRItUAlIty

non

VIolence

RIgHt

condUct


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DIFFERENT

RELIGIONS

CULTURAL

DIFFERENCES

LOW

LITERACY

DIVERSE

DIALECTS

BELIEF IN

DIVINE GRACE

NO UNIVERSAL

METHODOLOGY

PATIENTS

UNDER STRESS

COUNSELLING

CONTEXT

MUST FIT

LOCAL CULTURE

- LIFESTYLE

LOW

SOCIOECONOMIC

STATUS

FIgURe - II

FIgURe - III

Fostering the innate Spirituality to help heal The Essence of Counselling.

Reaching out to the patients to help them reach within todraw upon their inner strength.

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i os d shs h s om ds o ss wswh h oom h wod ss b b odg h sgh dog o d o. i odos h md o sd h bodososss d o b d o hgh s whh d

oom, s Swm ss, h ssg ods o o s d bos.

S d go o oos osdd s bgsomos. S sks xssd h ws o hs. aodg oD. Smh There are multiple denitions o spirituality and there is always conusionbetween religion and spirituality are they dierent concepts or are they the same?Religion is an organized system o belies and worship which a person practices. Whereasspirituality is that aspect o humanity that reers to the way individuals seek and expressmeaning and purpose and the way they experience the connectedness to the moment,

to sel, to others, to nature and to the signicant or sacred. cog h sm D. v. Moh ss, o b s o do h o b gos d doss h o o God. Qog Swm h ss Hands that help are holierthan lips that prays s - wh o h d o somo wh osg o o mh.

cui h sAI wa

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omm h. cod d dod b Swms G d DW h hs hos h ss o hs osg ogm s d Fg ii.

Swms hgs mhssg o h omo o God ommo o gos d h h sgh o h hm s, gd wh hrog pso cd cosg s h dm mod os hbss o cosg h Sai W, odg moo so d osgh s h s - o h h. Sai cosg s s

Awss Igo osg bgg h b mssg dmsoo s s o shoh d osg. pg h ohm s h, ghosss, , o d o-o s sss. lo s dm o hm d h ohd omwhh m hg moos.

Swms hgs bo h hm md, whh os h bdoko whh Sai osg s bsd, o o ood h o b so hzd b d d sm whh gs hm s

. th md s h k o h o o ss d hs wod bo o som o Swms sgs hs gd, o whh s dsdg b h s o h bod-md-s oo d howh ow so o s sgh h hm h hmss.

an introduCtionand ConferenCe overvieW UmeshRao

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Mind alone is the cause or either bondage or liberation.

The body and the mind are so closely interrelated that Physical Health is aprerequisite or Mental Health and Mental Health ensures Physical Health.

The human body is a very complex organisation. There are our importantworkers in this organisation, namely the body, the senses, the mind and the intellect.The body can be compared to a chariot, the senses to the horses, mind to the bridle andthe intellect to the charioteer. On this analogy, the charioteer called intellect is yokingthe horses (senses) to the chariot (body) and driving it careully holding the bridle(mind). This is the proper method. On the other hand i the mind is given charge othe charioteer, it will lead to disastrous consequences.

Just as exercise is necessary or the well-being o the physical body, so also pure

(positive) eelings (thoughts), good company, and good deeds are necessary or regulatingthe nature o the mind, contributing to nourishment and well being o the mind.

Our Inner Consciousness (Spirit) is comparable to a twin bullock cart, ourmind and intellect being the two bullocks. It is only when these two bullocks aretrained in Truth, Right Conduct, Peace and Love, the cart o our Inner Consciousnesscan reach its destination saely.

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th qss o h ogm ssd dog -hososo g ogm. S oso sks qd o ddsss dom o ow soo-oom ss hzd b ow ,

ds ggs d ds. W sd wh o osos dod w h w s, o, d h sbsq w hosos who dw h -hos g h b sod hogh hs wg o h S Sh S S Ogso, Kk.


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ps osd o dmsso o o sg, os sg d od o dshg. a moo-s o o dmd om s md d d wh h s md od hsh s o s kd hos d d oss h

wod. t o g od o- o s osd d. c x om g o h hosd s hsodd m d o os h h s sg mom h hos x d h q o sg.

spiriuai i hahar - th wr sari

Dg h wo ds o h o w hd som x hoghookg d x shg sos om d s o h gob.D. Hgd hs g ddss kg bo wh obd o hg

hghghd h h Spiritual consciousness has an eect on mind and body andis a very important aspect o healing. All religions recognize the presence o the Divinein healing. It is not specic to any particular religion.ehog h sm hoghsD. M ljss h ko ddss d dh wh h bod-md-sosh d odd wh hs mssg o h doos - The ultimatehealing process involves a connection between and beyond the counsellor/client (doctor/patient) relationship, including the possibility o a Divine Intervention.

D. Mh Ko shd som dgs om hs Mantra

ii oj sh Dk us Md Shoo. O h o ms,mg d oh s d -pi h h sd What you see here is thati nothing else music, imagery and touch open label participatory at the bedsideprooundly reduces the patients sense o distress prior to the procedure. In terms o theclinical outcomes MIT v/s none, we observed a 60% reduction in mortality six monthslater. Again, this is not proo that it resulted rom the MIT, but is very interesting.Hghd s o h obsd os ooms d ptca oswh s dw -pi h wh h. Wh h hm o sh h smmd sg We must still ask: what do all o these data really

tell us? What do we learn? Is it the music? Is it the imagery? Is it the touch? Or is itjust having a compassionate human being spend thirty minutes with you beore yourprocedure? Are these healers simply connected to another level o intuitive diagnosisthat clearly goes much deeper than the classical risk actor and predictive models?These are all questions, not answers developed by this research.

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og h os dmsos o g md d s hghghgh hh ds dog os. Wh h m g md s ommo sg od D. Fkbg sd ws D. adw W, hDo o h c o ig Md h us o azo who

an introduCtionand ConferenCe overvieW UmeshRao

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BMJ do s sggsd h m g md sg s bsmogs whh w Consideration o all actors that infuence health, wellness anddisease, including body, mind and spirit and a philosophy that neither rejects conventionalmedicine nor accepts alternative medicine uncritically.D. Fkbg so sd

som sg wok gog o Kosk is Swd. cos ohom w hd D. Smh g s bo hs hos Ksh Bgo, d D. Shk ro bo hs xs Swms S SHos ph. D. v. Moh md ow so o hmg s h d o t ii dbs id wh sss bg mjosk o. Sss, h sd, od b ddssd b s bsdosg ogmm. Fom wh h hs hos D. Booh shd hsxs s o doogs d w hd D. Gsh Mh dG umsh s s hsos boh og d hogh ookg o h o

d b s mod md .

cg d bs hs sg s hgg b hss wd sg . D. tok Fkbg d D. M ljss h oddb gds dg hs o. aoh dmso h mgdom h o ws so o s bsd osg sh scosg h Sai W s omm h md.D. v.Moh d D. Shk ro shd h kowdg d x ogwh odg b gds hs .

wha ha r r hi r i r?

Thatspiritualcareisintegraltomedicalcareandintegrativemedicinewhereinmodern high tech medicare together with spiritual care is the way ahead.

That there is considerable amount of work being done in theWest in thisregard, although there is ambiguity concerning spirituality and religion. Thework being done is relevant to their patient categories, their cultures and withinthe ramework o their regulatory agencies.

ThathereinIndiaattheSriSathyaSaiInstituteofHigherMedicalSciences,similar work o the same caliber in patient care pertinent to the local culturesand conditions is happening based on Sai Babas teachings that all religionslead to the same goal and recognizing the underlying spirituality in thatThere is only one religion, the religion o love. There is only one God, He isomnipresent.

Thatthereisamplescopeandopportunityfortakingupcollaborativeprogramsor research and or integrating the spiritual dimension into preventive medicalcare or global societal well being.


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conFeRence InAUgURAl AddRess

DR. a.s. hegDedireCtor, sssiHms, Bangalore, CHairman

departmentof neurosCienCes

Swm HiS wsdom ddd h wh s d os o hh wod b d o h ommo m o h ss o sg d mdm d dsss d oog dsods. So He d hs s

s hos s go o 19h J 2001. Swm o o wdo mo h hh o h oo b so od d dmsossd wh o d omsso. th gdg s o HiS hhmsso :-

HumanizationofHealthcare:Intodayshealthcarewhichhasbecomecompletelyommsd, omsso d o o d. Hm s oog sb d o hh. Swm ws h hh b ddwh dm hm s s h bss.

GlobalizationofHealthcare:HEbelievesthatapersonwhoisnotwell,whetherh s dod o dog o gos hogh h sm . So wshod h o bs gdg o, s, d o go. Whowks o hs hoss dg md m s bg d who qsos bg skd

ThethirdpointwhatHEhighlightsisspiritualizationofhealthcaretoprovideom o h - o js o b o h h .

Lastlydecommercialization:Todaymajorityofhealthcareistakenoverbythe

so d oss o o h mdd ss o go o hs hoss o m. Hg sos k hs, wh hgs s bb. i sos omg h d sk whh s om !

th Sh S Hh isos o d h do o 240,000sgs/ods h o hoss d bow. ths S SHos hs o cd s d nos whs h o ph hs oh dms k uoog, Ohmoog, Ohods,

Dgos Gsooog d cd Ss. Bsds hs wo SS Hoss w h wo g hoss o Whd d hoh ph. th Sh S Md ts so mgs mob hh bsd ph.

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i jod hs so 2001 d bm o Swms msso,d hg os wokd oo hos i ws ssd k osos h hos s dd o h s. th s o bgso h, o hdhs h o hs o d mo mo o sss

o h s o h doos s h do h o wo bo sghos bs h hos s hs o b xdd.

comg o h o hm o S Hh, hso md hg ws ws ssod wh God. i G h ws Godo hg, ass, d id ws Sh h om o vdshw,wh ms b o hs Gods. e h Gods hd h ow hss kDh d ashw. i ws do d som o k h so h ms o m, whh s o hs d m hogh

o s wh sh sss. How wh ds md ds ogss s d s q ook d hs. ths ss o hg o od o m h b sdd bs oh o w dgs, w hqs d h d hgs h swod.

tdo odg o h ss h hs ss o ss os, oxs d m, h m ss , wo, gd moo dshmo d h s ss b md so skss.So skss s bb o ms go o hs osh whGod d h sgs ms bd h ss s mb o h g. Doos d o h hs sd o ss wh md osomms b sg, h m d s dmsos o ss ws ok o osdo. a ms h go b b h dss d.O sgs h od d h h mds d md od h md ow d h o h hs ss, whs s ow h h md d h so.

th qs o doo ssm mo d sg bs o

h d o k osso o o o s b mos do oh osdos. a doo shod h ommm, omsso, o,ddo o hs wok, s d o os mos mo jo wok - hshod jo h wok. i s o js job o bsss o b do. i id doos ws hd s so, whh s odhs d. H h sg vdo no Hh mgdoo s God sm hod somms od b s bg d. i gh hs s d o os md ossh w hm bgs, o k s o o ob. H o s doowho ss hs s sfss m.

a doo b , g md bw God dh . Doos od o o h s g h


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o m, odg h m d oowg hogh b sog dg hogh h o sg. Swm s o Hs dsoss hsdsbd h ds o doos d h objs o hh. H hs sd:

Educationismeantforservingtheneedy.YouhavetheGodgivenpoweralwaysbereadytoservethepatientDoctorsareembodimentsofDivine.TakedutyasGodandWorkasworship.Diseasepreventionisanimportantpartofdoctorsduty.

tm shod d dg o h s o h dss d o moh s. Md s o h hs omoso o h bod ; doso bg bo hgs h los o wh sgs d g

g, o p s d o Ssk.

Sgs h so sggsd s gdg gs dss d how o ss:-

Properfoodhabits&sleep.Exerciseeveryday.Drinkadequatewater&fruitscontainingminerals.Periodicfastingtorejuvenateyoursystem.Exposuretosunrayseverydayatleastfor10minutesAlwayshaveselfcontrolregardingyourhabits,dietandactivities.Smile.The Power of a Smile is often not understood.When you smile

hos d s h s jo om wh g h ow o God.a sm dsbs h osm o o p, whh gsjd. a doo dos hm o hms b bg gm d gmbg h m.

W w h m hg oms om God, h mos o s

bom sdd God od o gos wh w dsss - oojs omd, s od d w bg wh God o oomg hsobm. Wh s dd s oos h d sg s. God sh o o who h g. uss o sd o hm d hoos h s . H m so w d wh o s wh o w do.tho wh obs o hg?

Prayertherearestudiestoshowthatthesearereligionspecicandthatevenoh o o .

Meditationdonebytheindividual.Apositiveframeofmind.Assurgeonswesometimeshaveapatientwhorepeatedlytellsthedoctorthat

somhg s gog o go wog d s o o b . th oo

ConferenCe inaugural address hegde

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ods w b h s s o good bs h s ghd, hsbod dss ow d g hoghs wos h so.Spiritualconsciousnesshasaneffectonmindandbodyandisaveryimportant

s o hg.

AllreligionsrecognizethepresenceoftheDivineinhealing.Itisnotspecicto go.

How dos doo d wh dh? M m w go hogh hso dsso osg d o . W goz bo whhw d o odg m m o wh w wog. W d odsd h dh s o o h doo, odd hg ossbhs b do b h doo. W d o z h dh s ssg o ohdmso, h so hs o dh, d h h s ds o h dg.

ps somms hg o o wg o h somhg o o s od obo h dd o go. Wh od o sh s b hdhogh s oh.

i s mo o kow d z h h s o o q b so q dh. abo o s go i dd sk bsd sgo dd b hgh o osgos om o h wod. thws d Js osgo who sd ss o ss go s gh s d bo, som o hm fd wh mgomo som oh mo. H osd gg qso whh hs s

shod h o go hogh h sg sbjg hm o o o sss.H ood h sh ss o d sg dsss h hs o gosomwh d hs dh s oo. O os h ggss ogosgos od o hm d h hd o whdw qk. B i hkh s ss wh h sd. i s somms w h o dsd ds h d hs dso o hs ms dso.

Who shod b Doo s qso h ms sos osdo.nowds o do k o osso bs h k , h oh

sss sh s omg h bs o d ossos - whh s h bosso, whh hs ss wok d mo mo, . - d somms h hoo osso s md b h s. th s s w h o who dssd md, bdg md . po who h hgossos shod h ss o oo d omsso; o b s jss o bsss k s oh ds. i s so mo mdshoos shod oo s h m so h wh mdsds gd h qd o ddss hs dmso so o omoom hg o h . i oso w d o z:

There is a power that will light your way to health, happiness, peace and success,but you can achieve all these only i you turn towards this light.

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conFeRence keynote AddRess

cARIng FoR tHe soUl

As tHe keystone In HeAltHcARe

DR. miaLeijssenprofessorof psyCHotHerapyand Counseling,

universityof leuven, Belgium.

i m hood o b h wh o o od, ookg owd o mgo d shg o wok s w. i m g o h hs ooo f o wh mos ms o m. thogh m wok s shohsd hogh d xs m so d m , h sdmso hs bom h o o m wok d . M os od s o how osg oss ob o dso h so d whg o h so s o hg d somo.

l m s b xg h d dmsos o hm xs.Hm bgs sm o do om oo wh hs s,hogh g how o wh ohs d bg go, o dsogdd, d m o dg h s. ths o dmsoso hm xs: h hs, so, shoog d s, hod m dom hos d d h dos. th od s gd o mg hm os: om s o omo d hh,om ogo o bogg d o, om oom o d d dom,

om dg mg o h d wsdom. i , o oo , o o hs dmsos s s. B hg dom d o kok-o hgs h ohs. Fo xm, so whoboms sd b dmg m ds o bg ddo ohs d osg hs oom. th sg ss gg h sdmso.

a hg oss ds h hs, so d shoog dmsoso m, wh h m hg sms o om om og o hs dmso, so bod h o o ow w, s sdso. th h o hh b dd d hd, somd, wh h s dmso s ddssd h m.

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H a pri h piriua ii?

Bo og o ddss h s dmso hh, i wo o w qsos so h o b o h s os o so . ths qsos whh h sos,dsos, sggs d somos o d h ossb o d dmso.

Whatgivesyoupeaceorcomfort;strengthorcourageinyourlife? Forwhatareyoudeeplygrateful? Whatmakesyoufeeljoyful? Whatareyoustrivingforinyourlife? Howwouldyoulikepeopletorememberyouwhenyouaregone? Whoorwhatdoyouputyourfaithandhopein?

Towhom,orwhat,doyoumostfreelyexpresslove? Whenhaveyoufeltmostdeeplyandfullyalive? Whataretheexperienceswhichchangedyourlife? Whataremomentswhichyoufoundextremelydifcultorwhichyouregret? Whatwouldyouliketobeabletoletgoofinyourlife? Whatgivesyouthefeelingthatyouaremakingthebestoflife?

Wh sm qsos o sos s sos o gd sos h g o h oboghs od o xo wh somos ssss o h o s. th qsos do o d ohgh ows, gos sos o gos s. isd h mk so shoog gg, shoog mg os g mooow ooos. ths w o wokg gos hd hd wh h s oos shoog. pos shoog fs hg ohg hh.

tkg sos h obos o s d sghs ogsd msd b s dgm sh. How, h qsos g bo dgd h s s h go pos shoog. ths qsos ok hs dmso, bs h o o os so.

wha I a b h su?

commo, h s sggsd h bod, md d so d ods o , h wh s ow s. th bods ossso ssos d moos, whs h o h md osss o hoghs, gsd dss. O x s mo h ombo o hs, how, so hw d o dsgsh hd s, h o h so. th so s bomg , wh w do wh o hs d m ss, wh h mo s o ds sbj. W s bod d md s oos o g, b h

so s bo how w , wh s k o s o , d bo wh mso s. i s bod ososss whh s d om sgh.th so s o gb b q o dmso o xg d oss; hs o do wh dh, , dss d h.

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th so s h sb, omg d ogsg dd .i s h o whh show s os xs. i s hh gs do d mg o h dd . i sds h mds hogh h x o bogg o g oss. So, o h o hd,

h so s gb s so o omss, bod so. O hoh hd h wd-od mom s sb kd o owd-od mom o odss wh somhg h sds h so.ths moms go ogh k h oss o bhg d bhgo.

th ddo o h o so omd o, o s, ho o so s h h so s bod o so s w s bg s-so. i dos o so h bods o h so; sds h

so. i os o h ms dmso o hm x. Mssm s oss hogh whh odss o g oss s xd. thso x h so s m o h d g h oh hm so.

ths m o h d xss s hogh o hkg, ogs, o os, d s wh w d oososss. ths o d hs o s: h h o hkg,h h o g, h h o os, d h h o s. a ddmgh h o som s h(s) o sd h md s.

th s sd x s o wdg odo; s x whh s s godd o h xs d wh b bod . Bg md o wh ss s h h d ow mosh oo o so o h h dom o h so. th so bxd s bod bo.

ths mmd x show s h om o jo, og,gd, soshm, oo, b so s mos, g, g,

dsom. Fo xm, sdss o g h sd oss o oo.ad mos o , h so xsss s hogh o o gg dg o. lo s h k o ss h hg o d o o sgos.

H a a ui pr prvi h ii r vi hpiriua ii?

Fs o : osg s bo bdg osh, mkg oo.c rogs omd h gds o hg osh:

, mh, d og. ths ds bog o h mosd bsd gds o h oh. S ogzs hswh s dos s mhszd s h mo o o, omsso,h. c rogs ws ms mkg x h odos o hg

17

CaringfortHe soulastHe Keystonein HealtH Care mia Leijssen


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oshs. l hs h bm mo d mo gd b h sdmoms whh oso od h h o. M Bb(1970), h hosoh who dsgshd bw wo s o osh: i-d i-tho, mhszd h o sod o s o s tho.

i hs kd o i-tho osh o om os o o wh hd. i dog wh h hoog p th, c rogs dmd: Ieel at times when Im really being helpul to a client o mine there is somethingapproximating an I-Thou relationship between us, then I eel as though I am somehowin tune with the orces o the universe or that orces are operating through me in regardto this helping relationship(rogs, 1989, .74).

B g o s, hss m x hmss s g sd . i m x h g d o h sso s

b h oom hos moms o ood mg wh dhs xssg h so. Wh w s h h osh hs, hs soh w o xssg h h s so-o so o.

th mmd o wh h sd s mo h m o h md; s d bod d hd o o wods. rogs dsod h wh so ss o oh h oss o gowh d dom s s. B odg mh, s, g, , hos h hss h s so.

O o h s o hs ds s h h bg mo wsso h ogog xg oss. Oh s h h m s mo bo ox d os h so o hs/h . th osh hs ds how d wh s bg xd.

l hs h rogs (1980) dsod s. to qohm: I nd that when I am closest to my inner, intuitive sel, when I am somehowin touch with the unknown in me, when perhaps I am in a slightly altered state oconsciousness, then whatever I do seems to be ull o healing. Then, simply my presence

is releasing and helpul to the other(.129).i s o m o osos o o wow. i o mk s

h. B i mk h ho o b mo o ss d o , moo ss o, mo o ss d o o h. i o w hs hsmos o m s oso, so h h bgg o o iosos mk m o s bk om h sh d sh m wss.i somms sg som m o go o m oog md d bg mososss o oh . i so mk oo wh hgh so owsdom, smbo o abso ps, whh s o m h d Moh M,o whh b om o h d h s o o.

th m ws o o hs abso ps. M obogh chs s s d smbos om h chs

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do wh h md. chss somms osd Bddhss dHds o b mm bs h h o d so God;Bddhss d Hds wod s h sm o chss bs h s sk o so God. Wh s bo h? i s bo abso ps. Wh

o who ms, so, sso, bod h sso hs so h o. ths s bo h. th h s h o om mg, o h mg s; s o wh os h o g h d wh d x. Fo xm, h G Mohh o h m s o h d s om hsh o dd, h o sh w o b d o ms God-mg.th moh h s sso od mhoogs dgos dos. Sh s g o ms d oog, b, gdss o hm, h s ws d wh G Moh o Goddss who ssh m s o h d; k M, Soh, Shh, K, Dg,Q y, t, d so o. Fom h wo, hs ds m d om sm m o o oko d mhss. th msos o h sm dg h .

ex hs gh m h mkg oo wh hs s-sdgso hs m o b s o xm oms o sg o whh ssomms sk h. i sos m sdg o h oss o . i sohs m o o m h o o o hgs wh whom i mgh o s

w o mk oo.

i h h o somms i x q jm; i o h m s shs o mo ood dom , shomsso wssg, mo sk-kg h, sg oos osho, h h gg o omd h soos.M og B tho (2006) s hs dsdg o hos moms sg h h d h gh sm o o. Wh hs smh oms oss o dsdg, d wh s soshg s

how omx hs dsdg b. Wokg om o so-o-soo ss m dom s w s h o h . th od i gowh mo i s s s h o odo o hg d gowh, d ix o s h mos ow h o h sg so.

i sh ow x b mo bo h x o h so s bod oss od o hghgh h q o o h bods kowg h ogoghm jo o s. Fo m so, ws g-o m wh i dsod dg woksho wh hd wh h os o o

hgd o h wd bod. i ws omd dm omwh h o oh ws s-d. lsg o h bod odd w dom m ososss. th gg og o h bodhs hd hod o m s h. i h d o s mo d mo.

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th d ws o g o o h bod. Wokg wh hbod mmd oks h . i mks o o wh s b, d . i ss s-wss, hs sow dow soss d dom bho. Sog mmo b ggd; so

boks d h s. i hs sss-dg, godg dg . ad, , ohs h sd god o o s s s doow o h m o osm ososss.

th oso o hm bgs ms o h og s hogh mh shoh hogh. B s q h hog s o js wh s mos hs o hm bgs. ashm bgs w do o sm o o sogs dss o s, o k hhomos s o h os whh g o s. Fo hm bgsdss d s o sm gs: h o o ssssm d o.Som o hm w wsh o ; ohs w wsh o wd o. nzsh ssh h hm so s k gd. to gd h gd hs ok o osdo h oss o os s, h modos d so o. cg gd o b od, mh bsss.th og s s . B h gd dos o js hgs gow s hw - h wod od somhg, b wod o gd. coqs m wh h oms d os so, bso so h w som h so. Wh mks h gd d

om m og ssm s h so o h gd. i w hs ohm w s h o h h o som h dss dsos h gh o wh h x s good o b.

So hm bg mk h ho o d hs o h wss owdh bod ososss. Ws s hs bg o dso h moo bod wss. Wh s o s d ow mdss s h wsom o wsdom o h es. th o b w o wh s gogo h bod, hs bom d bsd m o h hg.

Gd (1996) md hs bod wss oss osg. Fosgs h oss b whh w bom w o h sb o kowg whhsks o s hogh h bod. th wod bod s sd h, o o d homx mh w ook om h osd, b h wd bod,h g oss h gows b s o wh s om. thbod h kows bo wh w , bo wh hs h s d how o h. th bod h kows h gh x s o bg s o mo g dwdg . th hm bg, h bod, s dsood s oss h som om h bgg; h bod o xs who s

om. W o sos wh o bods d h bod kows how shod b d.

Gd (1984) so g h w m ss o h x o bodssos whh mg. th ss s hos hs ss o

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so. i sds wh s kow o h s o bho, mood ogo, d bgs mg om w wh hs om o who bod ss. as h so sds m wh h ss, w d mgs mg. th bod ss o o

who d o ds d, o s ow od, bgs h x wod,mg, mmo, dsdg, w d, o o s whh s dd. thhs bod, sos, w x som sg o s o so s gss h ghss o wh oms om h ss. th hgs bod d s good, h o w dg wh s . thssg o so s wh s s h w h md o wh hs d o wss d h w o h gh h.

th sog smbs bw dsos o h so d Gds

o o h ss. Gd odd h w wod ss o oh os h o wh gd o go o om o md who hs h wod so. Wh o ss h b kow gg, oo ossb b sh wod xss somhg h s oss o omg.ad h wod so s wod whh od kds o os d mgshogh h s h bok om bg dsood sh.

Fo ms, s i s h h osg oss d o m xgm so o d w. M g h so d ss sm osss ws omd b m ogs who s h h sos o shohd o x. Fosg sms o bg o os o oo s hm, whb bod sms o so d so o bod. Soh hm bod s mkb o dog wss o s.Wh s h hm ogsm sg ds o bodg o hx d d dg o mg. Wh w ow wh s ,o bod os o lg Bod d shs o w s. O o hoo w w omo whh d s s sd o d h oh o s h h s w g whh d

dos s d o s g. B dg o xso od b d owd h gd sm wh h ss o bg bod som lg poss od. ths x ogs h bodb hs bod h bods ms: h so s hm- o hs o b o lg poss. i h wods o Gd (1984): th ss h i so h dg o wss s h o h so. i oms bw hosos so d h d s hs o hm wh w o og oss. i s o o wh oms om hos ss, b sk m (.81). th ssg bod, h so, s od o h who

s. i os oss whh ms mo h w dsb wodsd whh s s o h o mhos, smbos o mgs o xss hmo. th hos mhos dd o wh s o s oom.

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th bod x ss s g, d h d o d, o-jdgg s wh s xd h d ow s ds . Wh w h osg, dg os osh o hxg oss b bg smbg bok o h . idd, h

ss o h oss dds g d o h q o h o.th s wh o mos o h s o omo s o dg g womg d o h bod xg oss. O, mo;h oss gs osdb mo dh h s o good s. Bbgg g d sd s h osh wh h ,h oso hs h o s o h sh mgg mgs hso h oss. cs dg mh mo d o dsssg ss o hbkgod, bs h s h s o s h wod h x o-jdgm w. So b odg hs s kd

o osh d b g h o o o h wd xg oss, h oso os h w o h o z h o o h so.

F i w o s h hogh i o d bsd osg - mdsdg o hg d hg s d om h ss dsdgo h o hg. i m oh, h mhss s js o h osossosss. rh h osos soss o h os o hgh b s o hs/h ow x d dg h w o hs o h

so. i s bo g og osh; h b o h ob s o hs o h ow mg x womg, ojdgmw. ths s mo o h dom o h s o sd kow s, d s wh o s o wh s mggsd. ths s so ss o ssg ss o h Msd sg o h mom o h S o h D. as oso i msg o h sos odg oss d i m so o o h hghdmso, wh s m s h sks o s.

thogh h oss o og bw h ss o h d h ms o h Hgh S, i h o s how h HghS s obg o hs oss o hg. i w o ss oss oh b, mmsb, o h D h woks bodo ws, o hqs, d o dsdg. th m hg ossos oo bw d bod h oso/ osh,dg h ossb o D io.

thk o o sg o m, d wh m, o wh h Hgh S wss o b o.

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P prai rap-up b si criar:

D. Ms hs b ood s m o how w d o ookwh whh sos wh Swms hgs o h mo o s somo o h dd. th ss o h k s d h sm How a counselling process can contribute to discover the souland why caring or the soul is crucial or healing and transormation. Fo hg h s somo hs o k . Wh sh ks oodo os gd (upr) o h /, whh s o o ho ms o h rog h so kow s pso cd cosg, s b odo o o S hosoh . Who upr oodo o o o b o-jdgm whh s so ss od- osh.

How dos o hs g sd o d osg s bgsd h hs hos? to s wh xm dg osgssso wh h s od o b hb smok h s o gosd s bd so d dmoshd. isd b skg o dd qsos k whd wh dos h k smokg, h bgs o b hh s sombod who s sd sg o wh s hg hs . asD. M ss Clients (patients) can dig much more deeply into distressing aspects otheir background, because they eel secure in the presence o a listener that would treattheir experience in a non-judgmental way.Wh o s d s ss,o d smokg b s o sss h wok, hom, . Wd ho o h h ddss h sss.

aoh ow oo s o whh s g moo. as D. M ljsssd The older I grow the more ...... I experience love as the most powerul healero the suering soul. a hs sd h k d dgosg h oso os o h o h hs sd bod dmg,whs h bod ogs o hs m, hs od os, o d. Howh m , x d sg h dw ws os, h sd,

d s o goom o h m. th o h hs o hsm, whh dos w h m o b h, boms moo owdsh somo o mkg hgs wh hms owds hhd h .

i w bom sg h h m bg sd hso b smss wo o h o md.

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cHRonIc stRess tHe UltImAte RIsk FActoR

soUl medIcIne tHe UltImAte solAce

DR. joshye.V.seniorConsultant, departmentof neurology,

sssiHms, Bangalore.

i h b bssd o b o S ogzo d Bhgws msso.a m ow s jo, i ws xog o , kbw md d s. i od h gh k - cho sss.th d og h wo s h md s hs ds s qm o xss -dmso . cho sss so dss b dg odo whh ds o dss o whh mks dss wos. i w show o how ho sss s h m sk odg o h k d sok d h w w o h ho sss h w o h bgg d ook moo o, s mhsm

d h hm odo h w d . Wh i s hm odo ms hm sgg o s. i h sod , w w ook wh smssg hs hm odo d wh ms o b Hm Bg? Ww xo dso bw hm d bg. Wh s mssg s h Bg o So d w w o So Mdh. th hm s dd h oowg wo smm sds.

l s s wh aho-homboss, dg s o dh wodwd s d om Wod Hh Ogso. aho-homboss (bood og)

s h mmd s o H k d b k. th dg skos dg o hs odo hgh bood ss (hso), hghbood sg (dbs), d hgh s (hdm) h bood. i bdomobs (b ) s ddd o h bo, s d Mbo sdom. thsodo hs mgd s h sg mos mo sk o o h kd sok.

th sss hws h oo bw b d h homos.as show hs dgm om S am sss hws ds

d o m gos o h b dbk oos h sommsg m sss sos. th oss bgs wh o dh s h sso d hgh sog s h B. thb ox h sds mssg o h mgd, h mdo o

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25

CHroniC stress - tHe ultimate risKfaCtor joshy

Summary Part-1

Heartattacks&Strokes#

rsk Fos: Mbo Sdom#

cho Sss#

emoo ro (F)#

S Mhsm#

Hm codo

Summary Part-2

Hm codo$

Whs Mssg ?$

Hm Bg$

Hm vs. Bg$

So$

So Md


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h sss sos. S osos sg m hmgd. th mgd ggs hohm ooo-sg homo(crH), whh sms h b sm o h smh osssm. i sos h d gds od h homo h. a

d hw smos ggs h ds o s gooods.th wo s o homos o h mss, h d gs o hbod o gh o fgh whh s d h sss sos. i h sss bomsho, gooods d h os-os o s oh hdbk o h mgd smg mo o crH d ogog oo h sss hws.

th s d bw sss d ho sss. th bohmso sss s d om h bohms o ho sss. a sss

ggs qk sos, wh sods om h smh os ssmsg h s o h homo d (h) whh bsh bod o od gh o fgh o. cho sss o h oh hdggs mh sow sos, ms o hos, sg h s o hhomo oosod.

as doos w m wh sods o oso sbd o shm ooh omm dsss, h h oowg sd s:

Central(Abdominal)obesity

HypertensionInsulinResistance(Diabetes)Hyperlipidemia

th oo o mbo sdom s obos- ho sss s qo kg sod mdos d! a ss bzd s bdomobs s so bomk o ho sss. Fm d o so om s o ood ws h ho sss o o sos. abdom obso ssmg b ws hs h bods w o omog h bd hb dg h sss (sog o ood s o h d).

How, h sod om s d md o h hogh ho o mk g b o mg. B h obm s hd mg o gds s ox dm bs sd s ox dhs xs h fmmo omo o aho-homboss.

i w ow show o som d om osso md jos, howho sss s kd o obs d mbo sdom. n Md h J 2007 ss hs od h sss xggs d-dd obshogh h mhsm h bdom wh dos ss (mbo

sdom) h s mdd b od y. a mjo sd bshd b ham Jo o edmoog a 2007 whh oowd 7000 m d3500 wom o 19 s sbshd d osh bw wok sss dsk o g obs (BMi>30) d bdom obs hzd b ws

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m xdg 40 hs m d 35 hs wom,h ws g dd ooh os. i Swdsh sd o

x, dsso d obs do 2002 x d dssow so od o s h sko obs. is d bood-sgs w hgh hos who wxos d dssd.

Sm h oobw moo sss, g,

x, wo d d dssd s w sbshd bshd md . th sds odd h moo sss ws mo d o dhom d dos dss h smokg. po who w bo mg h sss hd 40% hgh dh h o-sssddds. a Hd Md Shoo Sd o 1623 h k sosod h wh sbjs go g dg moo ofs, h sk osbsq h ks ws mo h dob h o hos h md m.

a 20 sd o o 1700 od m odd b h Hd Shoo opb Hh od h wo bo so odos, hh d sos sg sd h sk o oo h dss. O o-h o oo dsss o xd b h sdd sk os, sh shgh hoso, smokg o sd s. aodg o Mo csd o dds wh h dss, shoog sss ws h sogsdo o d s, sh s d dh, d s d h ks.th nw egd Jo o Md Fb 2005 bshd ogdg 19 ss o Mod Sg d o sdd moo sss.

th od moo sss s h k s who oodss, xggd smh smo (sss sos) bg h s ohs sdom.

Wh s sss sos d xo sos? Wh h bod s oodb sss, gh o fgh so s sos s o s h h ,bood ss, mbosm, bood gos d gg mo g. thss h sss sos. O h oh hd h xo sos s js hoos wh h , bood ss, mbosm, ds. eg s

osd, d jo ks h bod. th sss soss mdd b h smh os ssm whs h xo sosb h smh os ssm. th oowg sd ods ghso o h hsoog.

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Wh i h d o do so s o o h ho sss o h sk

os, mbo sdom dg o aho-homboss dg o h kd sok.

Chronic Stress4Risk Factors: Metabolic Syndrome 4Atherothrombosis 4Heart attack & Stroke.

d I hav chri sr?

How o d o hs ho sss? a sss s s o s o bw. th obm wh ho sss s h mos o o w o hsodo. W o o o k dm bb wh h og s ow. Howdo o w kow w g o sss? th oowg b ds h ssssgs-hs, bho, og d moo?

Iii r ia

Phia Bhavira ciiv eia

ShortnessofBhMuscletension

HeadachesHeartburnUpsetstomach

EatingpatternsAlcohol/SmokingGrindingteeth

NailbitingNeglectingaProcrastination

PoorcooMemorylapse

NegativeAttitudeForgetfulnessConfusionWorrying

NervousnessAnxietyIrritability

CryingeasilyImpatienceSensitive

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Iii r v

High Stress Levels Ioftenloseperspective Ifeelirritable&onedge Icomplainandgrumbleregularly IworklongerhoursbutgetlessdoneMyhome/workbalanceissuffering Ihaverepeatedminorailments,achesandpains IdontthinkasclearlyasIusedto Ihavesleepproblems IfeellikeImoperatinginasurvivalmode

Moderate StressLevels

Ifeeldriven,hyperactive,andrestless Itendtomakesnapdecisionbutwitherrors Ifeelover-burdenedbutcantstillsayNo

Ioftenfeeltiredbutamtakingstepstorecover Ioftentrytosqueezeafewextradropsoutofmy

om Discipline,tness,socialpressure&stimulantsplayagreater

o m b o om Mysleepisjustaboutadequate Othersseemeastiredyetsuccessful

Low Stress Levels Ifeelwell Iamabletorelax

Physicalrecreationbringsmepleasure Increasingpressureenhancemyperformance MythinkingisclearandIlearneasily IamabletosayNo Othersfeelmemoreadaptableandapproachable Othersseememoreenergeticandsuccessful

chri Rvr Pari - wha i i ?

tw s go Hbs-idoogs om co, Kh Smh

dsod w o d ho sd o d ho sss s hk omo hs odo. a sh h o o h bod h hgsh w odo fows hogh h s. O bod hs oh dsoh o, js s h h dos. Wh somhg ss sh o ssm,(s m o sss os ) o xs so hgs, hs oos h sd d o bod o o h mos w.

Wh h smoms o ho s o? ths s mo.e d o wok o s s wh ho dsods, bo ho sss, hg h smoms o ho s o sh s:

Feelingtired,havingnoenergy Wakingupseveraltimesatnight Notfeelingrefreshedaftersleeping

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Feelingconstantlystressed Irritability,especiallywhenunderpressure Lossoflibido Susceptibilitytocatchingcoldsandcoughs

Inability Inabilitytothrowoffmildillnesses Short-termmemoryloss(wheredidIleavethecarkey) FeelingFog-brained Pronetodepressionorthesads

cho sss Md p ss s:

EnergyDisorderslike- cho Fg Sdom

- pos m sss dsod Autoimmunedisorderslike- M soss o sodg o m

Cancer Diabetes

i s mjo o d dbs. i h sk s o hosd o, mds do wok s shod, sg dos o h odo. a xm s h Fd bk sdom wh sg oodo o bk s. ths hs wh h dg mhs

s o h bk s o ddssd. ths od b so, kho s -o mo s o o bk b o bk. aoh sh dg od h nw egd Jo o Md sbo h mo o o odg d s o sss, gg dodg dsss md s o odg dsods.

a sm w o s os d md o ho sd o oho sss sabdominal breathing.p o hd o o hs, ogh hd o o b d k w d bhs. S whh hd s mog.

i h hs hd s mog h ms h o hs odo sddow o sd bhg . i bdom bhg o dhgmbhg, whh s od om o h ow, wh o k dbh o b shod om o s dd b h mom o h bhd. i b s h sg mos mo soo o ho sss. ps h q o d d d sgg wh d h b odo hs who g. to b ssd h hs s h gh kd o bhg,js ook bb bhg wh s sg s b bhg. as wgow o b ds, w m h ssss om d s d bom

sd.

ls ook h bss/ so o ho sss. th so o sss - is om osd o sd o o? Wh w ook osd s s h so o

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sss, h sss s sd b o ow emotional reaction o h s.i s o h s o sos h do h hm; s how o sod o hss, whh s h k o sss. Mo s, s how o bo hmh dm whh o bom sssd o o. ths ms h o h

som oo o hs o!

emoo s o oo o x , moo so ms g mooh g moos d os moos. th g moos, o owb-g, g, sm, so, s d dsso whsh os moos, o hgh-b g, d o, d o.

l s ook h moo b hogh h oo s o hmb. th h s - b, dog b d hm b gd o o. r b s h m, g bsd b sm, whs

h dog b s h mb ssm kg bod d moos boh dh oo o om sb-osos mhsm dsgd o s. thhd o h hm b s h o osos md wh h bo hoos o bho. eh o h h s omsg h hmb hs s dd os d bs ds s sd h oowgsd.

th s b s dsgd o h mmo o moo, s g x. th mgd h mb ssm, so g d

xs h m h hd os . Fo xm o w

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b b dog o hdhood h hs s d o moo mmo,d wh o om oss dog o osos g omob,xd sos ks o wh swg d hds shg. thmgd (moo b) ks o d sms h oom os

ssm o sd sss sos d h bod sods b sss o,o whh o h o oo. anS oos h bod os sh sdos, dgs, bhg, . ths mhsm s h bs s komsg h bod d moo b s o ssm wh sss/ hs, ood o sx. i h s h bod wh h hohmssg sss homos d h smh os ssm g h bodsos hogh om, sbosos oss. th dds oSss sh b posso rob Sosk Sod us dd sd o bboos a hs shd o o gh o h dom o hosss mod m. uk ms, hms b o sh dow h ssssos h sss s o. Mos mo sk o o ho ssss og-m so soo, obod o o o oh wods o bod oo o b od.

su mii th Uia sa

Human Condition 4Survival mechanism 4Emotional reaction (Fear)4Chronic Stress4Risk Factors4Heart attacks & Strokes

So wh w dd ws o h k dsss o s so th hmodo o sgg d s, h hm bg h ho sss.now s ook whs mssg?

wha ii ?n In Hua yun Prain Fr Iin min Bi n I a muin ma ciu

n yun divi yun Bin Hihr sn yur en sun I a Prn g-s

99% 1%

Wh s mssg o s s wh s wh, h yOu o h

D yo, h Bg, h Hgh S, yo ess, So, ps oGod-s mg h sm. uo, 99% o h m w d h hm odo. Who ho d w b o sso .

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So yOu h cososss o wss (ssg o g o hkg).th md ososss o md wss mks o hm whh ds h s md, h hm s d h gos bssod b. i bo kowg d s kowdg bsd. W h o ss

o Bg. th xdd ososss d xdd wss whh dsh md, hgh s, h s gh b bb o h bgo so. th pow o Bg s msd wh o s dsdg hdso d s g s show h sd.

Hm bgs dowd wh h b o hoos d h h owo o ow . Do o w o o b bsd s dgb o ho sss o do o hoos o w o os bsdo o dg o jo d ? So h bg qso s - o d o o?

B bg mo w, o s h ow o ho o som h gmoos o os whh w m o hh b dg o w omsss d s dso owds d good hh.

diii Hua BiHua Bi

Hua (Prai) Hihr s4Ra yu

Purp: surviva epri & craFar Ba lv Ba

Jui / vauai Hur vrhi & vrb

li vi / huh Prii / rai

Raiv craiv - Vii r ur i

Hua cii-sru Fuf / h

opi chi

Ipra & uu Quai i

sur a r sur Pa & Hah

IntegRAtIng i h key

Rraii h Aaa ba hri r

How do w hd h om sss os mdd hogh omoo b? B g h amgd o omb ho sss. th bhd hs hq s o osd h bod d h s b s ghd hd d k o hm odg. B w o h g

hoghs d g smoms d m od o os - so, so, soo g o o hs oog hoghs. th do bdom bhg d x.th hk o o od o js o sh h g. th ss ws o os o s d hk o od o, hs o hd, g gs

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o o d . Mo o x o h ho o. choos h h o s-od h sz o s d hh. F go o h whooss d mo o o h x sk.

wha i u ii? is bo So-bod so. i h so o soq o s o o . ig h so; so s h osossso g. cososss s h ms, ososss ommds g, o mso. How do o g? Js bh o d. Bssg hmd bs wh h md o kow God. e s md d w d w o bss h md d bh d. Wh sh oss? tk m o o h so, hoos h so wh , so km, d dso h sso. a o s d s, xs qm s o so g od h mg s o o

Dna. th w gs hs nw g, w h msso, wh h h o oHgh-s o go o o o s o m d o h bso hh o oh q h w q d bg o xs, o hs . Ko s Mg o aksh ods. r o bshdKo hg wok o s 20 s. th so mkb sm, h oobm bg h o s o .

i hs b bssg o s hs sm m o o d m. is so sm h b ogo, so sm h o o m hk dos wok d bo s so sm h o md d go w somhgmh mo omx. B o hos who w o s wh - Breathe in yourdivinity right now.

i ook owd o m wh w w z h ar g a, s Swmhs sd I am God. And you too are God. The only dierence between you and Me isthat while I am aware o it, you are completely unaware.

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P prai Q&A si:

Q. How o b so osos wh omg d ds?

A. i s sm. Wh o h so o

s o o . i h so wh o do bd hgs obgg h so o so o obm b g h so o .th o g o h w h o oom bd hb shs smokg, dkg, . yo g sd wh h bh d o h mdwhh hs o b bssd. tk d bh d h so.

Q. a od hods d kg m o h sw o h sd sss mod ?

A. ths o sho s. log m soos dd h h w

o g o o hs s sdom, whh s .

Q. t s mo bo wss o sg o o omb sss d how b d who h.

A. Sm bdom bhg o.

F b h si criar:

th k-hom mssg s w g oo mh g o sgo, sho s, hd-m d bsd s xs. W

ds d o hg hs s.

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FollowIng A sHInIng stAR -InsPIRAtIon And gUIdAnce FoR

clInIcAl ReseARcH UsIng mUsIc,ImAgeRy, toUcH And PRAyeR In HIgH

tecH cARdIoVAscUlAR cARe

DR. mitch KRUcoffprofessormediCine/Cardiology, duKe universitymediCal Center,

durHam, n. Carolina, usa.

tw s go Swm ohd m d gh s go o Hs 65hbhd Swm hgd m . th i h k o od ws o wh w wo o ss o SwssMd bg h s o Hs hosh Whd. ths hos og wh s dsso ph kshg ss d gdg ghs mg om h og so. asos o doog w h o o sg ds d ws w

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hk w mo hh. B h s d bw hs dsbg hosohs h mk smosms o k bo d bgss o d o d bk d mo hh h b ddmg who omomss. th w xms o wh i m

gog o k bo od h k hs wo hoss.

ths s mo o ss dgmm do o wh i mdshoo h s go.

Wh i ws o ogz h ws omx o mhd wh h o mh bok, i ws good doo, i hd som hgh h oo h i od d x hm. i do w o o hkh i m o g do o b h ms o mod mdhoog. i m o doogs d i hs d ss

os hs gh ms d o g od o od h ksd do h d o sg. i wok o h Food d Dg ag (FDa) uSa g hs hoogs. B h id, d Bbs hoss,w d o sk how mh b o s hoog mgh om , ddo, w d mo ssm o o h s o h hm bg o h gb ss o h hm bg.

Hso h s mh d o hs s ths m o ookk h o o x book o md b h s x wh hs

s. ths s h o h hg Bddh md. ths s h o o h

37

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B B. th B B s 17h omo o bo 2000 s omd wsdom om noh id d tb.

ths s h b o os d wh s dsbd hs s ooow oo d k bh s h g h o md d whs s dd o h g h h kds o s who ow s d h h mds d sks h o w o .

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i h B B m o h dgms mkb dogzb o Ws s, dg h mss d h bos o hms-sk ssm, h s d h od ogs. adh h oh dwgs. Show bow dgms o h h hk

d h oos o h os ssm d ssm dgm oh do o h 500 oos bw h md, h bod d hs. i g o h o w o d hs dgm wh Gsxbook o om.

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i hk s mo h w wok hd hs mod hoogwod o g o h d h somhow o h s so Or hoog so, h somhow o o hd h h owg hhd o h h o h km, h s wh w h m b s

md. th s h wog os. th s o wh w kgbo hs mog. W sdg h s hs o md hoog,w kg bo mbg d oxzg h hoog wh mosos d mo g wss o how s ogh wh h gbhm bs h w h d h w od o . ths ws sbj o os h book, ig cdoog h i bshd whD. Jk vog om co. i h d md ssm h bod sss d oss h og ms osg h ms h, w, , d h. th bod s s sod s osm o m h s s ogd b bo g odom o o osm so, h am. ths os m sdd b bo fs o g od b o omd, d mho, o h mod ws md dsdg o hgom. So i hk o o hs s qso o how w . i s k hsm h w o hm bgs kg bo hg s xs,w s bgs who h om o d hm xs.

i ws h id d o h ws h hs so bg

o m. i h ghs dmoog d id, md h oo dss ws mh mo h, h h g g o hs os o h s Mi (mod o) o dh id m ws h g o o s, h s mo h s og h uSa, dw bd. th h ox h d o h os oho bokg oo s d oo sg d o h oo omo h 120 d hzo boos id, w osd ss h h s. i ws o g o om o h s m o o sdd og ods som o hs hbs, i hos dmwh w s m o h o hs wok w m o hkg w w omgo h b o mos o h x w s w h om o hmos o . O o h hgs w dd ws h h id o sh obm w h h u S wh mdsbo o hh d s w hdhs mog hg o o h oo h b s d hg o o hoo mo so h s ws somhg h ssm hhdos o do w h o o os. ad o os i do h o o h w o 130 kms om wh sm ow h mdd o

ds, 320 bd 2 dg hbs, 5 og hs hos wsbo 1991, h dsso o hs hos, h Whd, bo d h sm msso. i o wk o h d hb ph di ook o o room 3 h Dk us Md c Dhm,

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n.c, o obb od h d, h s d, bs o m om.

W d o b h s o oo o hs hos 3000o h s hzos d mo h 1300 o h o h oos,od o hd wh og oms o h h d o og womwh m soss bs o hm h dss, hd b do. a hd o h s s w dd h ods hs hos ws o hhoog h ws h mss - ws h shg bmg s!

to do ods doog s wd wh hd sm; whms do h ; wh x hs b mod om h qo - i o h s o wh ods Dk k. Wh w do h ods doog s wd Dk s xos d h s s sssd.

W d o o hoog b wh w do h ods o wds dosook k hs. as w dd h ods o h s s o h hos ph ws q wh - h s x wss o bg Gods hos, d x wss o s omhos swg h foos o sgos og hs o dog h wok Gods hos. ths wss oss s d s o soms hd o hgh h , so ood h w bm sd whhhs s o how ss hs, o how fmmo ssms ggd, oo how hshods xd, od b sdd.

W s bk d s ws d s dos somo h ods d mos wdsd hg d h bs o hmbgs gb d ogzb s , h, h s gch, h d w o , mg d h bo .

i 1978 h nw egd Jo o Md (neJM), m ddsgshd Hd doogs D. H. Bso bshd o bo dob bd bo . ps hg g wh h g sg

b h wh od sd doo go b bs h doo od h hs ws h ws h h s o g. now h obm dhs h s bk o o sos oo o h bo ws ho hd o o o s d h s b mod o hh.B h no is o Hh bo w s go xmd hs ssb wg o ook hs d. Wh s w ggg h? Wh sh bo ? Wh s h o mhsm sd o hm bgh b ggd js b sg somo wh h o s o? ad bo sh hs hs bom mo o md

sh o gb hm bs. W so h bs h o js h sod bs h i m b b o mobz sd msb . ad os s w hd od s h xsoo o o h s wod w o h osos wod w b h

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ombg o hs wo wod ws o o h h- osh,o, omsso, omosh, oh. W so h ws md sow,gd m b b ood wkg . How w msogz h h o dsos o mod, ssm ws md

s d. D ds osso so gds, bdgdsos, d mgg hh o dsos.

D o h o gb hm hg s hsogss mgd. i o gos omm wh ohs, o dssd, o sssd, o wh hos s sos, o o d o h h dss h dms o hs ogb s oo wh h dss s o whsmokg o o wo ks o gs d ms o sd mo om

h dss.cos wh gb moo d s m o h bod o

oodoo. th w kow hsoog o h sss sos wh ggd osd o h bood, whh ss h bood ss o os, ss hbood o hk, h sms fmmo ssms, sms h h ob hd d s, hg h s good o o o zb gw om o. B o hs s bd o o o h h k o wh doo s g o oo s sd o bokd .

Shod w d w sd hs gb hogh smhods? i h 1990s h hos ph d m odd hgd o so o h-h hh. W m bk hom o o o sog os d qsos. is h o d sd God? a sd s mhods so dm dos h hs dmhm oo dsood d s bs od bmg d sg s mhods?

ths good qsos. is h dos sos o ? i o o ho dos mk o h s h o o ms?

i o h 250 md sds g o o o h ogs h,s h ss h wh w g osd cm s towso, Md who do ohg b h s o o hg.Dos m who o g o? Dos m who o o s w h o g o hm? Dos m who o g odos o w o o o hm?

W hd om D. Hgd hs mog h wh w k bosh w k bo dos. i doog d om FDa

o o w o o h dos s dh. i g o h wh d go o h uSFDa d hm h o h ss dh s wh h dss h uSFDa w sk o o go w, d h w oo o h.

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B s w hd om D. Hgd w h o s bk d ogz hmo h h mjo o h hm bgs o h o h h do hk o dh s do b s so o o ood kd. So w gog o do s sh o s o wh h os

m b hg h h g whh o o dh s sb do s mo qso o osd. O o h wss mos ghd ssab es wo Hso o s d o ook o s dgo s ob goss. i m h osm gos g sh sogs d obs m o s sh.

ad h s d hg b h ph hos 1993 womd Moog d aso o no tg (Mantra) sdoj. th s o wok w dd ws bshd am H Jo

2001. i ws sd o s who m o h hos d dd ghzo. ths s who w h hg h k o mh gh o h dg o hg h k. So o oss hw gog o h h-b. So w go d w hm w gog o k 50 m og h d hd hogh o g o h h d hs 5 % h o mkg wos h b d h sks o h od dh, sok . i h sg h sd h w odd wh swh omd os ws o domz hm o 4:1 d sbjd hm oo gb hs- mg, oh h, sss mgm d ds

sso - o js sdd h o whh w od. th qso hs om s wh ddo o h bs h-h h w h o o, w w o ssm dd gb hs boh od. th o hs ods - mg, sss xo d hgoh w o b wh o o od h bdsd oh d h g kowg. i h oh wo ms oh - ds sso d sdd - h s kw bomd os h o o m o h oom h ws 50-50 hh h h w h m go o h w o.

th w w h mg ks o o h wh s sk dhdg o hb m s hg. So o b b o mghg s bod sho od o m, d mh k h osso h os ws o s mk o wh h o do s ogh wh h d h h. ad sod o do somhg so do s o bh om h xd bdom d oh hs. O sos o hd o o mm wh o bh mk o mm sh o hd o e sk so xd

bdom bh bo 30 ss. th h mg oho h wssd o mg h mos b o h b o . ad s o go o h hb wh o bh bg h mg oos d wh o bh o s oxos sm h hd o

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b o wss whh o h hs d o bh o hw skg d o o g o wh. Wh o bh s hsb , wh o bh o go o wh o d o go. Sssxo s sm hq b h h mg ss hs

m m, h m s sd o h dd so h h goo s o h o o d wh s mg hs o h ;o gos mgh b om o sd th wb do, o mo s mgh b sm hs s dos .ad g wh bhg xd om h bdom o bg h hs omd, wh bhg o o go wh o d o go. i toh hh m mods o hg oh d h oh w dod o hs o ws hds o h bod 10-22 osos o bo 45 sodsh o do wh o hk oh h dos- mobz g,sh g, so g - wh mho o k.

isso ws o o h dob bd ms. Wh h somd os d msso w s h m, g d ss o gh oggos od h wod. eh s m, g d ss wo gh gos. Fo h o sd h gos dd hcm sss towso, Md. ths s h ods osd cho h uS dg bk o h og 13 oos. th abd l

chs s hsm chs go noh co. th uhh Msso hs od s h 24/7 ds wk o d o mo h 200 s. th Ko d nd moss h n d h ss ogzo h soh o F d bo 150Bddhs moks d s. th w h hs o h Bs mss h soh s. ad h v Jsm wbs s mgd Jsmwh h w k s o h , o o o d k h Ko, h Ws Wg W h Jwshdo.

ths h d om h o d i oms o hs mog i m ogog o mk oo d h. B i do w o b h w sosbo hs. ad d s h o gg hs kds o os dmod md d d qs h wok o dog sh.

So wh o s h h bow h om s w od 150s d o x, domzd 4:1. W h 30 h sdd go d 120 h o hs gos. a hs hozo s

h bd hgs h hd o h s hs sgs. th mdd oSt s odogm dg h ws sd bdd o boo.Mace (Mjo ads cdos edos) h ds dh, Mi,h d d o g sg o ace (a cdos es)

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sg sm o hos wo. Wh o s s h o o hs h o h go h ws bo 30% do.

now hs o d h oo o ss h hb obsd sd om h o hs. Fo o sd ws s ogg d dd h s dsd wh w sho, wh w ddwog d wh w od do b od o g mo dsdg o ho o gb hs o s. th sm mb o sws mo, d qsos bo how gsb hs dgs?aso, wh sd o o h o oh w od ow ombos ohs o wok ogh? ad wh bo h bo ? ps hdob bd m h mgd h w gg somhg h w o.

ao o h mos o h o d o h dsg o o sodsd wh ms g oo o 750 s do o o b s h ws os, h Mdws, h ohs d h sohso g mh bod gogh dsbo - comb us, Dkus, Wshgo H c h Ss c, wh soddm dos ogms. th dsg o hs sd s wh w 2x2o domzo. a h moog ms s h sg ws domzd 50:50 o ooo ssgd o o d wsso domzd 50:50 o o b o bdsd o o o. Wh

h 2x2 gs o h s 4 qds o s o qd o s gsh o o hs hs, o qd h gs o o h oh o hshs d o qd h bohgd go g boh hs dogh o ook sg, gosm o oh o m os.

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ths sod sd ws bshd h l 2005 s h s mdomsd o h wod.

two hs w sd Mantra ii. th o bdsd h bm

ombo o ms, mg d oh (Mit), wh s kowg xwh ws gog o. th os sso mod ws d s dobbd, hogh w xdd om 8 o 12 oggos wh h so oMsm gos. W sbshd sddzd qms o hg ohg, d odd ss wh ms d mg s so h hMit h od b d s sob homogos om o. th s o d hdhos owd boh h h d o so h sm ms d h sm mg h sm m. ths ws h oowdb h oh ssso.

Fo hs sod ooo w sdd mo s gog o hhb o oo o, d so w g h hs mo mh w dd o h -s o. Foowg h mg ssso h wd o h od o o w h hdhos d s o ms whh h hb.

abo wo hds hogh hs sd chg d ogs om combus bshd s mod h Jo o rod

Md. i ws wh h d wo-d mod. th sd wsodd , wh mohs who w g -o h. th sd ooms w hh m bbs. th sd od h ws ood d h d d o- d gos. thwo d os sdg h o h ho moh o o - so h h - hd mg o h mom. B h h sd dsg sod sod - who ws o g h , d h sod -sjob ws o o h s o h - g s o h mom. Sow ookd od d h o dgm w od d h s hs s

h cho chh wh h s do o h Sss g oh s o h Fhs. Fo h Mantra ii sd, w dod hs s md-sd hg, h 500h ws od, d h d d hswo-d mhod h hgh dos mod. to x hs hg,w ggd ddo w oggos who d o h s o hw oggos who d o h s s b m.

th sd ws owd o ook m ombo d o o -hos omos o o sx moh dh d - hoszos. th

s h sd w w ookg o 35%, h ds h oows 37% so ss w d h g o s w hod o o.Sod dos w sd s sbgos o hs omos mos bs o go w s xog o o bs hgs. Fo s,

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i domz 10 ook h mog d h hm hb b11:00 m b h cm Sss do s h vs s 5:00 m,s h oo ? So w sd gos m m zos odh wod d so os dod sod d os h owd s

o ook sho m d og m ooms d oh mo s.

a h Dk c rsh u w do o o wok h s sbmd oFDa o o o w hs. W sos bo q ood h ss ohs d d h w wok wh d h Mantrasd oj s o d. O ommm s o s who h hdss. ths s d gdg h s s o job w gogo do hm sh. So w goos bo how w mg d.W so ookd Mantra ii o som oh bs h mgh h d

hs ooms. Fo s hs w s mos q o hs bo h od h oom, d 89% o o s w w osomo g o hm h hd ohg o do wh h sd ooo. ads ssssm o bo , b qso bo 2/3 o h s whohd o b ssgd b ooo bd h h w.

ths s K-M xssg o sx moh m o hhozo xs h obb o s o h m og h god h o go- d d bk. yo s h bso d

o d , kg md h 90% o h s h o-go hd h h kw bo omg w osd o h ooo.

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ths d s h hgh dos - hs s h wo s hom wh 90% o h s h oh og osdooo. Ds h, hs ooks m b h h ohs. Whs sg bo hs s h h hgh dos w o o h s1/3 o h s, d ws omd o o h o hm. So hdomo o hs go s sm d o who kows ssskows h s domo gs sm s o ss gs ss.ths ss h sggso h h s 92% khood h hdo o hs d s mom oom h mghb d o h h h h js o h.

Fo h bdsd ms, mg d oh (Mit) w so od go bs ddo o h ooms bs. W hd s og so

(vaS) sh wh sm w hz how h, how o s h hk o dog o g o moods. thsmood ssssms so b ombd s o dsss so. th vaS sdmsd mmd o sd d h g gh bo gog oh hb (pci). i h hd Mit ssgd b ooo, h hd bw h wo vaS ssssms, o bo g o 35 ms . adhs s bo h pci od s omd. Wh o s h s h ohg s ms, mg d oh o b o h bdsdood ds h s ss o dsss o o h od.

i ms o h ooms Mit /s o, w obsd 60% do mo sx mohs . ag, hs s o oo h sd om hMit, b s sg.

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th s o d i w show s h os sb sd d oh hg oh d h hs hmss. as o wok wh hs who sgb hs, s h ossos, o g h mssoh hs o b h h kow wh h dog. ad h o

h hogh o mhos. ch-Gog os w k bo hb o mo o mobz ch. Ohs m o p d s do h s, o h mo. rsoo o og o dsd mds do chs md, o o sog hk moo d gghks, o o sg d g oos o s o fg g. a ohs mhos sd b d os hs gb ggs b o hm og s hs mhos wok m .So w hm o h s. W skd o o o hs h Mitssso o o h h od o js g 0-10 s s do ohk hs wokd. yo h h, o dd h ssso o o omho o o 0-10 how good do o hk hs ssso ws. How w dd go? ad s w od hos sos wh ooms ook k hs.

ths s h m omos do o h . i h hs so o o h od h d o h ssso ws 10 h dsoom ws dd b mos 50%. ths kd o dos hgh h hs s obb o h js o h. ad s wookd o h os sod dos g o hd ssso

bo h od o hs ook ood b. Wh i ws s hddhs d b m s o, bs hs ws h d, i sd hw hs sm: hs ms o k od o, bs dos h ds d oos o omos d os dos h d b g. Wh smd k, hs h dsos d.

th g dsbo oss h d o gos bsod. i ss sk o h s kow o f 6 moh

ooms os oom h /s h o- go hdsbo s bso d.

ad s o s mb og gsso mod o ssss o hsbs whh w kow w ooms, h sogs sgdo h mod ws h hs so o bo h od.

W ms s sk: wh do o hs d s? Wh do w? is h ms? is h mg? is h oh? O s js hg omsso hm bg sd 30 ms wh o bo o od.

is hs h? O hs hs sm od o oh o dgoss h gos mh d h h ss sk o dd mods? a hs dgs odb? Wh h mhsms oo? ths qsos, o sws dod b hs sh.

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es wo The airest thing we can experience is the mysterious. It is theundamental emotion which stands at the cradle o the true art and true science.In my view it is the most important part o art and science to awaken this eeling andkeep it alive.

So s wh h w d bo hg s? Wo hg w s s h o sd hs. Wh tmmgz s m o os o Dk Md c o s wh h mooom oo d mod oom oss md o mjomd h so s h go w, who s wo wks wh s.ths ws bo w hd od h ss o hs sd.

W so d o dd osd wh oss hg ss boh o d s. Wh Kh chow h Bsh ah

dsgd h hos ph h dsgd h m wgs o h hosh o s Gods oshd ms hg o mb owho hs o wk o h hos. Wh h dsgd h m od hh dsgd o s h wh s x od o God. adh s m w md ods hs so d h ch o cdoogKsh psd wkd s hogh h doo w dd o d omoo gso booh. W wkd o sh. ad s h wkd wh s hs m, h od g o h gmg mb foos d sd, hs wod q w, Hg ss h. th w d o, w go o hh b.

O h s sd w d om o os who mdh s o h o sd - s, ss, shss who w wgo 24/7 bss o g. i w hd oo whows gog o h h b h wod do wh h w dog d omg o h ccu, s m ms h mgm o hs s. adhs o hs o so wod so wh h hd h ccu dwh bh d h wod h s bo h

d s s! So om h mod w sd bk d sd who doo w shg hs o o moh- wod mos doogswho hs m gs, h gs d o md sds o odshds, o h sm wom who hs h wsdom o o h hos h oo oom bo sh wks o h hb wh o moh?So w dod o ow b hs om Moh tss ohg, s oo o h s k s 20 sods o s, o o s, boh hzo od. i w od wh h hs .

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Dear Lord and Great Healer,

I kneel beore you, Since every great git must come rom You, I pray, give skill tomy hand, clear vision to my mind, kindness and meekness to my heart.

Give me singleness o purpose, strength to lit up a part o the burden o mysuering ellow men, and a true realization o the privilege that is mine.

Take rom my heart all guile and worldliness that, with the simple aith o achild, I may rely on You.

Mother Teresa.

P prai Q&A si:

Q. wha i h iifa h hii ar?

a. th shg ss hs wo hoss hs o h Whd d h oh ph. Shg ss h dk o ghh gdd os sos o hdds o s. ths wo hoss m, bk d mo, dg o o d bss hs s mo

h js k, hs s o js hosoh; hs s oo hgh hmd h hs so gd hs hgh d osg.

ci rar b si criar:

D. Ko hs xqs d h ss o h owh h ss I think it is important that we all work very hard in this moderntechnology world to get over the idea that somehow you are either a spiritual personOR a technology person, that somehow i you pray or a child rather than allowing thechild to have therapy or its leukemia, that is what we mean by spiritual medicine.

That is the wrong construct. That certainly is not what we are talking about thismorning. We are standing in the nest halls o medical technology, we are talkingabout embracing and contextualizing that technology with a more serious and moreintegrative awareness o how it ts together with the intangible human capabilitiesthat we all have and that we could learn to practice.

D. Ko d hs m bk Dk Md c h o b hogd o hs x sh o h Mantra-i d Mantra-ii sds- whh d h h s os o o ommhs mod h-h md . i s o o h h soo hs sh o m om D. Kos ssoo wh Swms ss hos ph 1993. phs ws d sk.

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i o s h h s s hos Whd ws dHs sk h odd osg dm b s gh omo 2001. cosg h Sai W ogm whh ws od ddod h s ow g o h m odd o s

dmd o sg o o. thogh dod dd h sms wh D. Kos mhods. H so d bdombhg s sdd o xo wh mg s do d.th os s o h md, s Swm o ss the mind alone is solely responsibleboth or your bondage and your liberation. th hogh oss h md sshozd wh h bh so s o s h md o g hoghswh xhg d o bh os hg hoghs. p o h God oh ho b h s d h ds s ogd d sssd o

b h osos. Ms s d oos hogh h hos pa ssmo h b o . isso s h ws b o h h d wd hogh s o o hos m.

Wh oms o md ho s h mo sh hs s wddg o wd m o b hh .


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coUnsellIng tHe sAI wAy A sPIRItUAlIty BAsed PAtIent centRed

comPlementARy tHeRAPy

gitaUmeshseniorCounsellor, departmentof Counselling, sssiHms,

WHitefield, Bangalore.

Swms omsso d o hs sd s o os s odsos d S Sh S is o Hgh Md Ss (SSSiHMS),Whd, s o o h hoss odd b Swm 2001. thhos szs d d oss d h s h hg o bg d h o o os.

Swms o o h s w bg dd o so wh h doosg h ss d g hm b so xdd hg h sd m o m omosd d o m h g d xos s o

md, s w. Swm dsd h h s moo w bg ws qmo d h d h o oom h sog g gs dmoos. So o wh s d wh h hg o hgss o ho dss gs s o sog g gs o , x,sdss, dsso, g, g, oss, bodom, wo, . th s omd wh d d o b xssd d o sssd. Sds show h hsoss o xssg d sd gs s b h d h h b d s. Fgs moms o g h fows wh o s, how d d o how og s o h dd.

th og, g d ssg wods d s o mh s h h h s. Moo ss d o s mos dd m s o h m o od os. H SSSiHMS Swm wd hs d o h s d h gs o bddssd.

Swms D ms o hs hos ho dd osgs ddd dmso o o ddss h md d h s om kg o h bod, o om hg. aodg h Dm

o cosg m o xs hs hos 2001 h o so wh o osos. eh o h o osos sd hd moh h dds o m d x wh Bbs hgs d h Shosoh, b h ws o d; h w o osg dms

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h oh S hoss. th w o sbshd oss md shooso swh s o osg h hh so o s d bsd o s. W ook h hg wh o gdod odd o o shkb h Swm.

udd b h mgd o h sk, wokg skg wh sd shg o mhodoogs, d wh Swms gd, w h ogh h cosg h Sai W ogm bsd o Swms hgs dsg h pso cd pshoh o c rogs s h dm mod.W bhmkd o wok o gob b sg d mkg sos o d md sos sh s h Kosk is Swd, Mo c, Sod Md Shoo, ucSF md shoo co d s ohs uSa. i 2008 w md so Wodco o pshohss uK. to gm o s w h dos om h s wg o h SSSSO d d hm. tod w w s osos os d osg w ggs.

th oo o do s (s) hd b bsowd o s. How ddw g sd? th omos hogh o mds ws Manava seva is Madhavasevas xod o ss d s hod h om abo B admBy serving man you serve god.a s d wh w God dGods o o o s. Wh o wk wh Gods o wh o bgs ooh hos od o hb g . ad wh lo s sd

o o boms S. Swms o hd ohd o s - hs hoghhs w go sd d ohd h hs o s d h gs ddg w dmso d mg o h s.

l s dw d od o h oowg d om Bb, whh sh o o omzs Sai cosg b s so h bss o s ood s.

Look upon them (the patients) as your own kith and kin, as our special guestsand as your closest riend. Attend to them lovingly and with unfinching care. Your

words should enthuse, encourage and inspire the patients. You cannot always oblige,but you can always speak obligingly. Your loving attitude towards the patients willbring in a sea change in them.

thos m wh h gd shohs c rogs d hrog h, so kow s so d osg, so mwh h h o ms o so d h s oodd b rog odo os gd, mh d og. ths ms so ood h bo d o gs g b Bb d gd h S hosoh whh d s o do h w sbshd so dosg s h dm mod.

Look upon them as your own kith and kin - sg hs o osd osos dog sog ss o mh owds h

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s d h ms - h b o b ss d b b o d hgs o h om o-b s om whh h oso bd good o wh h . Attend to them lovingly, with unfinchingcare sss h h s odo os gd o oh wods

odo o o h om h oso. cog s o b hmo om wh d who, s om whh ms h d bwhh ws b dd so wh hms h s whohg.

lo s dm o hm d h bss o o hms. th oowg sg o Swm bm o gd o osg.

Love in Thought is Sathya (Truth), Love in Action is Dharma (RightConduct), Love in Feeling is Shanthi (Peace), Love in Understanding is Ahimsa

(Non-Violence).

Live with love, Move with love, Speak with love, Think with love, Act with love.This is the most ruitul sadhana (service).

th oos w sd w bsd o h d s s oodd bSwm o Sh, Dhm, Shh, pm d ahms.

Genuine interestinknowing thepersonwhois thepatient, thepersonbhd h bod ss.

Maintainingcondentiality,distanceandboundariesduringthesessionswh h d m.

Creatinganawarenessoftheinnerspacewithinthepatienttocontemplated jo h xsg sgh d wh.

Active listening with empathy and unconditional love which help thes bd h d sd x d s.

Caretoremainsensitivetothepatientsneedswhichpavesthewaytowardsbdg sg osh

asg osos ms h o hm s o h, ghod, , o d hms - h bss o o osg g ogm.th osos o o hos d os dsg hmsso , do d hs o osg sk whh o o hsh s b so hs h osos h ow s gowh. th om hs ohd h s, d h o sk h oso doo ws bh hs w hom? th sk o sg ss ddsdg wh mh h so who s h bgs bo h hd

m o og o os. a sg osh s b hogh so os d bg o-jdgm. th s h s hoso dds ow o h oss o osg d hs h s h os d h do os m o md.

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th osos d hs, ss wh s o h gs o hmo wh hmss. l m s wh s hso.a w mohs go, s od , og g, ws dgosd whho mgs d hdohs d ws dmd o hos. H

bd h ws dg o h wh h oso m hm soo dmsso. as o , h s sg osg omsgo bod xo d md sg ommd o h h dh h h omg d x d ssd. th osossd s so d osss h hs dmo. H dd o xd os od hs hmb wh hs gh hd hg .a bod xo hogh sow bdom bhg d md sg hs qsd b h oso o odo h md hogh so h god o h ho. a hs sg h oso sw h hs s

mos, sh obsd h o hs s h jod hs hds gh mk o h oss ood o h sd o hs hmb g h God ohs ho d hs go. H ws hs o h h h dhs go hs dgh mgh o b d h hos! th h hhos d h osg do s s gd dwd oh h dg h osg ssso s h shd s o d jo.

Wh do w m b s d s osg? i ls ms bh h whh gs . Swm hs mod so b o wh God. cosg h Sai W hs h xo wh God b og o h gg bh. a md dod odsg hoghs om wh d who hs h b o x hs s o God.

chh Shdh g wss h o h d o s hmd o g hoghs oms g o cosg h Sai W.

th oss bgs wh h d bod xo mhod wh h s o x h bod d bdom bhg i s d s ogd o d om bod xo. Wh h s o x hhs bod h d o h x sg o bomg w o h sbgs wh hm h hoghs, gs, os, ow o sog,. th bh s s h bdg og h goss bod wh h sbgs. th o gd x g hoghs, whdwg hsss om h osd wod o ook wh d h h sgho d s. Bod rxo (Br) s Md csg (Mc) hshm q h md d s hm o h x sg - h xo ossg o sg hogh. i S hosoh hs s o md s dkh bhkh.

Detach yoursel rom thoughts o the body and things around you and you cometo the stage o ekantha bhakthi. It is that state o mind without thoughts and desireswhen it is concentrated on god - Baba.

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ths oss hs o h g moos d s h odoso mo d d sb o o h so - h gw oh xg h d h hm. th bod d md oo ssbshd d xd b h s, g h s o md owds

s wss go.

th md s Swm hs xssd so o hs ood m o whw d how w h wod - yath bhawam tat bhawathi.

i 1842, h Gm hsoogs Johs M wo, the things weknow are only the essences o our senses; o outer objects we only know their actionson us in terms o our own energies.to hs d hs hows gh o h sdsdg o o.

Itisthesenseorgansthathelpthebrainperceivetheshape,smell,soundo x o o objs. Thebrainhasnocapacitytoperceiveindependentofthesenseorgans. It is the energies of themind that determine the content of sensory

o.

th o o o s dmd o o b h ss ogshmss, b b h w h s o h b ossd d wh h d o ososss h s o md. cod o Br dMc ods sh owds f mod om h o o. thsdos o h o b o-m hg - h dd s h bod, o s bd b s ss, h h h sss h jo.

th s SSSiHMS, Whd h h b o h ososjog wh hm o h hm m h o o dgh s h hos.

a q o o osg oss s g o o osd whh doms h s moo, s dbs hs ss. Wh o o ms o o mo. H h o. th s h dm o osg ws sd hhos, w odd h s o - h o s ow o hmd ods o h h hos (s ax). W h d oms h o osg. Dos osg mk d oh s h o sh sss hogh h hos? th o hs kgh d d w h zd h h s g sh o dd, d osg h bo sg dos h hm x b. as w m o w s o osos osg s

h sgs - o h d o dmsso, h d s om icu d oh d o dshg. th osos jo wh h s hogho hs h hos gg hm h moo so s d wh dd. iss wh h ogoss s ob os-o h s g d

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o h oso o wh h d m. Wh h osgssso h hs b g mkd mom h s hs,m d moo odo wh ob sh o omg o os moos.

th obg os o h sh owds hg od b:

Theawarenessofthespiritualambienceofthehospital, The relief that they are receiving the best medical care, without any

bd. Thelovingnatureofcaregivenherebytheentirestaff. Andthecounsellingsessionswhichenablesthemtorealizethespiritual

sgh h hm.

O wok omms h oo md ods d hs bgd o h ssm s o o h m. e whos dmd s m o h d o dmsso b oso, who s f hs gg d moh og h gw o bdg o whh d g. th gh h w o g d bdombhg hq wh ogss bod xo, whh hs h x. th h sh s owds ossg h hoghs d sgh md o ox moos chh shdh - whh Swm ssss o.ubdg h sss d so g wh hs h s

hgs d s h sd o h god o h ho d om o mswh h hgs o . th m o bod d md s hd hoghoo d os o h bh h whh gs . th sd sbmd s ow o h hshod o xg hgh s o ososss. thosd md s h s o s g oss. th xshmo o bod, md d s whh ogh wh h og s o hoso bgs bo h oo s hg hm. th s xd, ssd d d o sg.

th osg s dd sg s h d s om icu. ths s ssso wh h bds d sd gs dmoos, sss sg. ths sg osg so b s h ogoss s ob os-o.

Wh h osg ssso h hs b g mkd mom h s hs, moo d s odo wh ob sh o om ox o o moos.

th osg ssso o h d o dshg os mo o

, mss, ds o b oowd os o o mhh d hg, os o b k, xo hqs .

How do w d dom h omo o h s o oh s? H som o h qsos osd o h d g

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whh hs h oso dsd h s w bg o h dm.

Whom do h dd o o go o o moo so wh oodwh ds h ? -s h dg qso.

Wh mks hm h, xd d od?

Wh s hg o hs hd h s sg d sss, woo m?

Wh do h s h os whh ds mg o h ?

How h h d hgs d sgs h ?

Do h b go?

Do h g, od o ?

Dd h sgh h mds hogh s bo ss? Dg ssdd h h d o mo, ss o dd h g ogh?

Hs hd hm x sd h, hg o, sgh, sd o h w o god d ?

ths hs hm os d ook bod h obos. a o hsomo s domd h o. th h wh h

hms o hs s dog h bod xo, md sg, oso,md odog, osg o os so b d sdg o h godo ho o h d xg h sgh s ho s g oss. Swm hs sd when the heart is puried the consciousness isillumined. i gds o o ook bod h hozo, o dw sgh om hss o os whh s s.

th h b hgg moms o sssos o osgwh h o h g s o sod o b o h om

mhods o osg. tg bsd o o o h o hm s,h o dw sgh om wh, odo o od whqm o md sg om bg h sss h hd h oso h h sg os ooms.Hssss o h o h m o h o oo ogoss sxssd hogh g obss sg osd d mddd jdgmsb h o m.

l m h s o og , 26 s o g, sg hdo o mss dg who ws od h o hos o gho s soom gd3.th sdd os o sod o szd h sbsq dgoss o hs sos ss hs hho hh do dgh o wh f s dsd h m d

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hm o s o hssss. th od d ho ws sdwh h hd bo o hos d h om o o osgos.th sg ws sss d h h, who hd omd hs dgh sh d, ws d d ws h m o md h go o s h

o h s m os-o.

H od o om o ms wh h sgh o hs dgh s ,wh sh hd s sh h icu. H ws oom b o go hssss. i hs h hd xd hs g o o bg oo o so. Wos ws oowd wh h hsohoog odg mg whh ssd hs dgh dg doh dhmoh - o h od h hd os s mg. H dd o kow howo xss hs ds, hssss d . H d o h so h w

h kw bs, h od d d wh g hg d bodh h m o wh h hos. th s o g ws h bo h ogoss d osg oo o h so, sgm hd ohs dghs osd hd, whh ws qs o h sg, oosg hs hd o d h m o h os o oow wh ooogs - hs d mo ws d b h oso who ws osdo g o dsd h gs o g xhbd b h h o h d odshg.

How dd h oso hd h so? Wh d sssg d bod gg ssd wh o h oso gd mdh h w o h hg hd sh ws xdg owds hs ow hd- sggg ds o d d g o so o so d so. Shossd h h hogh bod xo, g oowd b md odogd wh h s h osd o hs ow ox moos h ws b os wh ws hg hm mos - ws o h sg whh ws xmsss b h ogoss o whh h sgos hd o oo. Whh sd osg mo d mo o wh ws hg hm h w k hd.i ws mos s h food gs o hg w od; owds h d hoso skd hm o os o h h whh g hm sgh od b oh god o hs ho o od b js . H sd g wh gd o o so mh so owds h d h js m o o h dssd sd h b hs h d md ws om wshd w. H skdo Swms d som sd d h wd h dgh o os h d o h hg d hh.

Faith is the bird that eels the light and sings when the dawn is still dark.ths s qoo om rbdh tgo. Fh hs mms ow. thshs b o x o h s s s om osg hosds os - h h o s xm mo.

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i h s o od hd who jd hs b hom d h h s qg mmd sg. Sh ws shd o ohos wh h sg ws omd sss. How h sgh hd ws d; sh js dd o w o g o o h bd, h

moh d h d h bs o mk h sd, h hsohsws g hs bs o s hg h hd mo h mbs b hd jsdd o w o oo. a hs o h oso hd wkd , w hdd domd som mo o omo bo h hd d bo hss, bo h hobbs - h sh m om Msm m d sd oh om h Q. W dd o do h g md odog o bodxo - h hd bg o wod o b oso o dsdd oow. isd w skd h o h om h Q. Sh hd od wh h d moh hodg h hds. as sh ws hg

h bd sd h ws g bz om h o wdow h wd whhjs ohd h d sh shook h h jog h bz. thoso kd h d sd o b h k hs ssso. th oso h skd h hd sh od h g bzo h wh hg h Q. th hd oddd, s hodg o gho h moh d h . th oso h od sg W ahs g ohg o, H s g o, H s hg o. th ws b sh ow h hd wh sh hd hs. H o bm sod h h sow, sh gd d hs om h moh d ,

g go o o hd s d h h x d sh ws sdg o hwo dd! Wh bogh bo hs sh d ws h h h god o h ho - ah.

i cosg h Sai W Sai s o om osAwss Igo o h osg oss. i hs hdhosds o s o wh h hgs . th s mkdd h s d, o d oook h osgsssos. th s d sh o - h om wh h o

o h gss bg h m d osg h wh h oo h sm gss bg h !

th o h dj g o wo s om d hs sgx o h oh dg osg ssso, mmsd h s o hs gods, sks o s gdg how h o s ss d h hos. i ss how h cosg h SaiW ogm s wss s d d d hmo whdd gos hs bg od. as Swm ss: I you are a Hindu bea better Hindu, i you are a Christian be a better Christian and i you are a Muslimbe a better Muslim.

Wh s o h d o dmsso so o w s h h sd wh ox moos, s obos om h hds hd ogh gh

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whs o h d o dshg h hds d ogh o sdo h D d wh o h dod o ox moos s b s hs h bo .

l m hs s s hso bo odg. th g os h wok o og 26 s o g. H s d d m s bh dhs b sg . H ws dgosd wh oog obm

d ws dmd o o hos wh h dw sss sg o gh mo so. th osos oh wh o d os gdhd h mdos bo sg. O m wod how osoomms wh who s hg d sh md - Swmsmssg There is only one language, the language o the heartd s xssdb h osos bod gg s xm mo o h. thoso dd x job o ommg wh hm d h d o hssso h bodd xm w wh h oso. pos-oh ws mh od, whh h wod b b o sm hs

s s. to ss hm d o so hs s od smghs wok h oso g hm m d skd hm o s hs wok wh g h hos. th bow ws h oom ohs o h hos whh h gd o h osg dm s oko hs gd. H ws owhmd wh jo wh h zd h h wsom who oog d os-o.

cosg h Sai W, s d o hos h, mos h o hs x o h ss d, h s hg

oss owds bomg who s gd om wh hogh h wsso h ow o h hm w d h s - h d. th s mkd sh h s ososss, o, sso d o,h so om h ox owds o moos, dg hm owds

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mss o md. th wss o h s dmso h hm sobos o h h osg ssso, whh hs h hgoss.

i oso o x wh cosg h Sai w o h s s osg hs hos h hs show h:

CounsellingtheSAIWaybasedonSwamisteachings,Saiphilosophyd so d osg s md . The Person behind the illness can be identied and addressed with

. Patientsofalldenominationsareveryreceptiveandcomfortablewiththe

s s oh. Patients respondwell to the four processesof themind after thebody

xo h - h md sg d md odog oowdb s d oso.

Patientfeedbackconrmsthatthespiritualambienceofthebuildinghas h hg .

Thebeneciariesarenotonlythepatientsbutalsothecounsellors.

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Currentlyashorttermtherapyitcanbeexpandedforalongertermtod hbo d md ogms.

Itneednotberestrictedtotertiarymedicalcareandmaybereplicableinoh sgs.

l m d wh h w h d h osg dm h d o h d.

Asathoma Sathgamaya From The Unreal To The RealThamasoma Jyothirgamaya From Darkness To LightMrithyoma Amrithamgamaya From Death To Immortality.

P prai Q&A si:

Q. wi r bf r ui?

a. i ods wod o hoog d md d wh m s mm doos o o sss d bo, whh bddssd d d b s bsd osg. D. l Ssbook th Hm Sd o Md, w s o doos, s

omhs, hoogh d s .

Q. Ar hp-hrap a a rri u i sAI cui?

a. nh s sd. W do o gd h s o do somhg h w whm o do, b h ow h s o bom w o h ow sgh d do o o h ow. aog wh h xd sowd d bdom bhg w k h s hogh h oss oosg, owg hm o oss h hoghs d gs gd o o wh h sh h o os om wh s h bom

w o h ow sgh. How m b osd s om os-hoss s d b D. Sg o Sod Md Shoo whw md so h bo o osg.

Q. Ar hr a aii avaiab pai ir rii biu?

a. ys s s domd h moo-s o h smd o dmd o h hos.

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AnnexURe (Pa 2 2)


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HeAltH cARe ReFoRm And tHeeVAlUAtIon oF comPlex HeAltH cARe

InteRVentIons IntegRAtIVe cARe

DR. toRKeLfaLKenbeRgassoCiate professor/aCademiC leader researCH unitforstudies

of integrative HealtH Care, KarolinsKainstitute, stoCKHolm, sWeden

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