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Breathwork is a term [1] [2] for various breathing practices in which the conscious control of breathing is said to influence a person's mental, emotional, or physical state, with a therapeutic effect. [3]
Edzard Ernst writes that breathwork (or 'rebirthing') is a form of alternative medicine first devised by Leonard Orr in the 1970s. [4] [ inconsistent ]
Breathwork is the use of breathing techniques in order to achieve altered states of consciousness and to have a variety of effects on physical and mental well-being. [3] Breathwork has been seen as derived from multiple spiritual and pre-scientific traditions from around the world. [3] According to Jack Raso, breathwork is described by proponents as a multiform "healing modality" characterized by stylized breathing. Its purported design is to effect physical, emotional, and spiritual change. Such a process can allegedly "dissolve limiting programs" that are "stored" in the mind and body, and increases one's ability to handle more "energy". [5] [ full citation needed ] Breathwork practitioners believe that an individual's particular pattern of passive breathing can lead to insights about their unconscious mind. [3]
During a breathwork session, individuals will typically lie down and be instructed to breathe using particular methods, depending on the sub-type of breathwork. [6] Most breathwork sessions last around an hour. [6] Alternatively breathwork is advocated to be done by individuals alone, for shorter periods. [7]
A practice that uses rapid breathing and other elements such as music to put individuals in altered states of consciousness. It was developed by Stanislav Grof as a successor to his LSD-based psychedelic therapy, following the suppression of legal LSD use in the late 1960s. [8] Side effects of the hyperventilation aspect of holotropic breathwork can include cramping in the hands and around the mouth. [3] As the expressed goal of holotropic breathwork is to attain an altered state, it should not be attempted alone. [3] Following a 1993 report commissioned by the Scottish Charities Office, concerns about the risk that the hyperventilation technique could cause seizure or lead to psychosis in vulnerable people caused the Findhorn Foundation to suspend its breathwork programme. [9]
A process described as releasing suppressed traumatic childhood memories, especially those related to one's own birth. [10] Orr proposed that correct breathing can cure disease and relieve pain. [11] Orr devised rebirthing therapy in the 1970s after he supposedly re-lived his own birth while in the bath. [10] He believed that breathing techniques could be used to purge traumatic childhood memories that had been repressed. [10] [12] There is no evidence that individuals can remember their births. [13] Memories of one's birth that appear to resurface during a rebirthing-breathwork practice are believed to be the result of false memories. [14] Rebirthing-breathwork is one of the practices critiqued by anti-cult experts Margaret Singer and Janja Lalich in the book Crazy Therapies: What Are They? Do They Work? [11] Singer and Lalich write that proponents of such "bizarre" practices are proud of their non-scientific approach, and that this finds favor with an irrational clientele. [11] In 2006, a panel that consisted of over one hundred experts participated in a survey of psychological treatments; they considered rebirthing therapy to be discredited. [15]
In addition to a practitioner, breathwork sessions will often have "sitters" present. Sitters are individuals who provide emotional or physical support to those practicing breathwork. [3]
Some common side effects include "sleepiness; tingling in the hands, feet, or face; and a sense of altered consciousness that can be distressing to some." [6] Breathwork is generally considered safe if done with a skilled practitioner, but there are contraindications such as cardiovascular disease, glaucoma, high blood pressure, mental illness, severe asthma, or seizure disorders, among others. [3] [6]
A 2018 review found that research to date had been limited, and that studies showed "limited evidence of a relationship between physiological parameters and psychological/behavioral outcomes in healthy subjects undergoing slow breathing techniques." [16] A 2023 review said that results showed that breathwork may be effective for improving stress and mental health, but urged caution until more research has been done. [17]
Breathwork may be helpful for relaxation and stress in a similar way to meditation. [6] [18] Anxiety may be helped by breathwork. [19]
Cognitive behavioral therapy (CBT) is a form of psychotherapy that aims to reduce symptoms of various mental health conditions, primarily depression, PTSD and anxiety disorders. Cognitive behavioral therapy focuses on challenging and changing cognitive distortions and their associated behaviors to improve emotional regulation and develop personal coping strategies that target solving current problems. Though it was originally designed as an approach to treat depression, CBT is often prescribed for the evidence-informed treatment of many mental health and other conditions, including anxiety, substance use disorders, marital problems, ADHD, and eating disorders. CBT includes a number of cognitive or behavioral psychotherapies that treat defined psychopathologies using evidence-based techniques and strategies.
Meditation is a practice in which an individual uses a technique to train attention and awareness and detach from reflexive, "discursive thinking," achieving a mentally clear and emotionally calm and stable state, while not judging the meditation process itself.
Panic attacks are sudden periods of intense fear and discomfort that may include palpitations, otherwise defined as a rapid, irregular heartbeat, sweating, chest pain or discomfort, shortness of breath, trembling, dizziness, numbness, confusion, or a sense of impending doom or loss of control. Typically, these symptoms are the worst within ten minutes of onset and can last for roughly 30 minutes, though they can vary anywhere from seconds to hours. While they can be extremely distressing, panic attacks themselves are not physically dangerous.
Primal therapy is a trauma-based psychotherapy created by Arthur Janov during the 1960s, who argued that neurosis is caused by the repressed pain of childhood trauma. Janov argued that repressed pain can be sequentially brought to conscious awareness for resolution through re-experiencing specific incidents and fully expressing the resulting pain during therapy. Primal therapy was developed as a means of eliciting the repressed pain; the term Pain is capitalized in discussions of primal therapy when referring to any repressed emotional distress and its purported long-lasting psychological effects. Janov believed that talking therapies deal primarily with the cerebral cortex and higher-reasoning areas and do not access the source of Pain within the more basic parts of the central nervous system.
Stanislav "Stan" Grof is a Czech born American psychiatrist. Grof is one of the principal developers of transpersonal psychology and research into the use of non-ordinary states of consciousness for purposes of psychological healing, deep self-exploration, and obtaining growth and insights into the human psyche.
Mindfulness is the cognitive skill, usually developed through meditation, of sustaining meta-attentive awareness towards the contents of one's own mind in the present moment. Mindfulness derives from sati, a significant element of Hindu and Buddhist traditions, and is based on Chan, Guān, and Tibetan meditation techniques. Though definitions and techniques of mindfulness are wide-ranging, Buddhist traditions describe what constitutes mindfulness, such as how perceptions of the past, present and future arise and cease as momentary sense-impressions and mental phenomena. Individuals who have contributed to the popularity of mindfulness in the modern Western context include Thích Nhất Hạnh, Joseph Goldstein, Herbert Benson, Jon Kabat-Zinn, and Richard J. Davidson.
A relaxation technique is any method, process, procedure, or activity that helps a person to relax; attain a state of increased calmness; or otherwise reduce levels of pain, anxiety, stress or anger. Relaxation techniques are often employed as one element of a wider stress management program and can decrease muscle tension, lower blood pressure, and slow heart and breath rates, among other health benefits.
Somatic psychology or, more precisely, "somatic clinical psychotherapy" is a form of psychotherapy that focuses on somatic experience, including therapeutic and holistic approaches to the body. It seeks to explore and heal mental and physical injury and trauma through body awareness and movement. Wilhelm Reich was first to try to develop a clear psychodynamic approach that included the body.
Conscious breathing encompasses techniques directing awareness toward the breathing process, serving purposes from improving respiration to building mindfulness. In martial arts like tai chi and qigong, breathing exercises are said to strengthen diaphragm muscles and protect organs, with reverse breathing being a common method. Meditation traditions, including yoga and Buddhist meditation, emphasize breath control. Yoga's pranayama is believed by practitioners to elevate life energies, while Buddhist vipassanā uses anapanasati for mindfulness of breathing.
The psychological and physiological effects of meditation have been studied. In recent years, studies of meditation have increasingly involved the use of modern instruments, such as functional magnetic resonance imaging and electroencephalography, which are able to observe brain physiology and neural activity in living subjects, either during the act of meditation itself or before and after meditation. Correlations can thus be established between meditative practices and brain structure or function.
Buddhism includes an analysis of human psychology, emotion, cognition, behavior and motivation along with therapeutic practices. Buddhist psychology is embedded within the greater Buddhist ethical and philosophical system, and its psychological terminology is colored by ethical overtones. Buddhist psychology has two therapeutic goals: the healthy and virtuous life of a householder and the ultimate goal of nirvana, the total cessation of dissatisfaction and suffering (dukkha).
Panic disorder is a mental and behavioral disorder, specifically an anxiety disorder characterized by reoccurring unexpected panic attacks. Panic attacks are sudden periods of intense fear that may include palpitations, sweating, shaking, shortness of breath, numbness, or a feeling that something terrible is going to happen. The maximum degree of symptoms occurs within minutes. There may be ongoing worries about having further attacks and avoidance of places where attacks have occurred in the past.
In psychology, relaxation is the emotional state of low tension, in which there is an absence of arousal, particularly from negative sources such as anger, anxiety, or fear.
Richard C. Miller is an American clinical psychologist, author, yoga scholar and advocate of yoga as therapy.
Management of post-traumatic stress disorder refers to the evidence-based therapeutic and pharmacological interventions aimed at reducing symptoms of post-traumatic stress disorder (PTSD) and improving the quality of life for individuals affected by it. Effective approaches include trauma-focused psychotherapy as a first-line treatment, with options such as cognitive behavioral therapy (CBT), prolonged exposure therapy, and cognitive processing therapy (CPT) demonstrating strong evidence for reducing PTSD symptoms.
Pain psychology is the study of psychological and behavioral processes in chronic pain. Pain psychology involves the implementation of treatments for chronic pain. Pain psychology can also be regarded as a branch of medical psychology, as many conditions associated with chronic pain have significant medical outcomes. Untreated pain or ineffective treatment of pain can result in symptoms of anxiety and depression, thus it is vital that appropriate pain management occur in a timely fashion following symptom onset.
Trauma-sensitive yoga is yoga as exercise, adapted from 2002 onwards for work with individuals affected by psychological trauma. Its goal is to help trauma survivors to develop a greater sense of mind-body connection, to ease their physiological experiences of trauma, to gain a greater sense of ownership over their bodies, and to augment their overall well-being. However, a 2019 systematic review found that the studies to date were not sufficiently robustly designed to provide strong evidence of yoga's effectiveness as a therapy; it called for further research.
The science of yoga is the scientific basis of modern yoga as physical exercise in human sciences such as anatomy, physiology, and psychology. Yoga's effects are to some extent shared with other forms of exercise, though it differs in the amount of stretching involved, and because of its frequent use of long holds and relaxation, in its ability to reduce stress. Yoga is here treated separately from meditation, which has effects of its own, though yoga and meditation are combined in some schools of yoga.
Mindfulness-based pain management (MBPM) is a mindfulness-based intervention (MBI) providing specific applications for people living with chronic pain and illness. Adapting the core concepts and practices of mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT), MBPM includes a distinctive emphasis on the practice of 'loving-kindness', and has been seen as sensitive to concerns about removing mindfulness teaching from its original ethical framework. It was developed by Vidyamala Burch and is delivered through the programs of Breathworks. It has been subject to a range of clinical studies demonstrating its effectiveness.