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2009 Symposium
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Tom Nevola
MDFMR
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Workshop sessions

Acceptance and Commitment Therapy: Analysis and treatment of “dug-in” chronic pain problems (2-part workshop) Joanne Dahl, PhD
This two-part workshop provides detailed, experiential follow up on Dr. Dahl’s keynote presentation. The workshop gives participants the experience of identifying valued directions and developing more psychological flexibility with recurrent pain problems. Participants may apply these skills personally and for patients and other people around them. As we move through life, inevitable discomfort such as pain occurs, creating unpleasant feelings. The characteristic ways in which we handle those feelings can get us into far more trouble than the actual events that elicited the feelings. Identifying valued directions in life dimensions can help keep our behavior on track rather than off track in avoidance detours. In this workshop you will learn how to distinguish valued directions from goals, thoughts and feelings. Together we will create a personal values compass, which can be used as a diagnostic tool for determining “values illness.” Thoughts and verbal rules used as obstacles to valued living will be examined and approached in a functional manner. Participants will practice defusion and acceptance of verbal obstacles as they begin to take steps in valued directions. Mindfulness or meditation exercises aiming at acceptance of pain will be practiced.

The sacred honoring of pain: The role and impact of ritual in comfort care practice The Rev. Dr. Rachel Taber-Hamilton
Through lecture, discussion and example, workshop participants will learn the role, essential elements and structure of ritual and discuss the liminal (and sacred) nature of pain in the human experience. As healers in Western culture, we have the opportunity to help others transition emotionally and spiritually from a condition of suffering and isolation to a condition of empowerment and connection using key symbols applied within a ritual format. The role of ritual practice should be understood as palliative, not curative, which in itself can have therapeutic effect. Participants will identify meaningful key symbols within their clinical practice and create a ritual of spiritual care.

Emotion, meaning and the transition from acute to chronic headaches Jonathan Borkum, PhD and Stacy Whitcomb-Smith, PhD
Migraines and tension-type headaches lie at the intersection of genetic vulnerability, pathophysiology and the physical effects of stress. Further, they are subject to the same physiological and emotional risk factors that can cause acute pain to become chronic. In this workshop we will review the main variables that influence benign headache disorders and their transition from acute to chronic form. We will then explore some of the cognitive-behavioral tools that people have used to reverse chronic headaches, and the role of deep engagement in meaningful activities.

Coming back to the rhythms of the earth: Releasing pain through Native American drumming Tammy SingingStone and Cheryl Autumn Wind
This workshop will include traditional teachings and hands-on experience on the connection between the People, the Drum and the Earth. Renewing that connection within our communities bring us back into the rhythms of the Earth and assist in releasing pain.

Intractable suffering at the end of life Jim Schneid, MD, Jackie Fournier, NP and Julianne Bousquet, MDiv
Suffering at the end of life is a complex condition that requires the understanding and care of a multidisciplinary team. Spiritual, cultural, economic and medical issues interweave to create unique challenges and needs for every patient and family. In this workshop, we will explore the partnership among multidisciplinary team members working with spiritual and medical aspects of intractable suffering in end-oflife care. We will discuss family interventions, palliative sedation and other approaches to achieving quality of care and comfort at the end of life.

Creating a healing environment to renew the sacred space of work Becky Bell, RN, MSN, HN-BC
The workplace environment is making headline news. What once made for a source of meaning and purpose in American culture has become a primary source of mind/body/spirit stress and discontent for many. This workshop will explore the connection between spiritual pain and the work environment and share experiential ways to create a caring, healing work environment for self, peers and those we serve.

Waking up in pain Gretchen Breyller Hegeman, PhD
Physical pain is a major focus in dealing with a lifethreatening illness, often overshadowing the accompanying emotional, mental and spiritual dimensions of pain. Yet the multi-dimensionality of pain blends along a continuum, from "too much" to "mystical experiences," as pain expands consciousness to explore the meaning of life. Told in first person using narrative storytelling, Waking up in pain describes an 18-month experience of intimacy with intense pain and healing.

The traditional Chinese medicine approach to pain and suffering Rick Hobbs, MD, FAAFP, DABMA
In Chinese medicine, the underlying mechanisms for physical, emotional and spiritual pain are the same and there are powerful interactions among the three spheres. This workshop will provide a very basic introduction to the precepts of traditional Chinese medicine. These concepts will provide the foundation for a discussion of how pain and suffering are viewed in the TCM paradigm and, in general terms, how they are treated. The principles will be illustrated in one or two case discussions.

A shamanic approach to pain Marc Felix, PhD and Celia McLay, DO
This workshop will offer participants an experience of a shamanic state of consciousness, accessed through drumming, with guided facilitation and structure about how to use that state in treating chronic pain.

After lunch activities

Create your own network! Come together in open space Jenifer Van Deusen, MEd
Networks offer us the opportunity to learn with and from each others of like mind, and to build on what energizes us. This brief session will enable participants to find those kindred spirits, share thoughts and feelings on a topic of mutual interest and find ways to grow that network beyond today's meeting. Bring an idea you would like to explore or just your curious mind.

A chakra balancing meditation Brenda Colfer, CH, RMT
This session offers a meditation by Deepak Chopra that guides you through the chakra system. Brenda will sound seven different crystal singing bowls as we journey through the chakras. The bowls' sacred sounds have a profound effect on the mind, body and spirit.

Coming back to the rhythms of the earth: A celebration in Native American drumming Tammy SingingStone and Cheryl Autumn Wind
This session will provide an additional experience of the celebration and energy of a Native American drumming/singing circle.

A meditative walk around the lovely campus