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Mental Fitness
The Journey of Mental Fitness
Mental Fitness
Mental Struggle
TODAY’S FOCUS
TRAUMA
CULTURE
TOOLS / SKILLS
Group Values
• Share your experiences and be mindful of your personal limits
• Listen to other people’s opinions, values, and limits
• Be aware that we have all experienced trauma at some time
• Be prepared for movement & participation
• Respect confidentiality
• Mobiles on silent, please
• Please disagree; respectful difference = new learning
• There are no daft questions!
Welcome & Introduction Exercise
Mad tea
Attribution: Liberating Structure developed by Henri Lipmanowicz and Keith McCandless. Strategy Questions inspired by Chris McGoff (The Primes)
Structure
• Form two circles, one facing in and one facing out
• one person completes the sentence on the screen
while the other expresses keen interest and curiosity
• one person in each pair to finish the sentence # 1 first
• When bell dings once at 30 seconds, switch roles to do
the same for sentence #1
• When bells dings twice at 1 minute, move two spaces
to the right
#1.
My name is…and a bold idea I
recommend is…
#2.
An action helping us move
forward in mental health is…
#3.
If we do nothing, the worst
thing that can happen for
mental health is…
#4.
What I find challenging in our
current way of working with
mental health is…
#5.
When all is said and done, I
want to...
MAD TEA - DEBRIEF
What is Mental Fitness
It’s like having a map. You still have to get there
yourself, but with awareness we can plan the way.
Sustainability is the key and practise develops skills.
Group Discussion
What is Mental Health? What is Fitness?
Mental Health
Doctors
Suicide
Anxiety
Mental
Illness
Crazy
Stigma
Medication
Diagnosis
Unstable
Weakness
Insanity
Patient
Emotional
Damaged
Prozac
Disorder
Therapy
Drugs
Crisis
Depression
Psychopath
Disorder
Therapy
Mental Fitness
Adaptability
Flexibility
Best You
Consistency
Healthy
Grit
Motivation
Performance
Discipline
Winner
Strength
Training
Personal
Goals
Stamina
CONCEPTUALISING AND MEASURING MENTAL
FITNESS: A DELPHI STUDY (2015)
Paula Robinson, Lindsay Oades, Peter Caputi
4 Guiding Principles:
(1) fitness is a positive term without connotations of illness implied by
mental health or mental illness
(2) mental fitness could be understood by the wider community in a
similar way to physical fitness
(3) mental fitness is measurable - what is measurable can be changed
(4) mental fitness can be improved, in a similar way to physical
fitness
The Four Keys to Well-Being
RICHARD J. DAVIDSON | MARCH 21, 2016
• Resilience - the rapidity with which we
recover from adversity
• Outlook - the ability to savour positive
experiences, the ability to see another
human being as a human being who has
innate basic goodness
• Attention – focusing attention on a task
makes you happier
• Generosity - engaging in generous and
altruistic behaviour activates circuits in the
brain that are key to fostering well-being
SKILL
8
Well-Being
Indicators
Focusing
Playing
Connecting
Exercising
Reflecting
Relaxing
Sleeping
Eating
Practice meeting
your needs
• 1 minute in the hour
• 1 hour in the day
• 1 day in the week
• 1 week in the month
• 1 month in the year
• 1 year in the decade
Trauma
A response to a deeply
impacting event that has an
ongoing effect on coping
ComprehensiveResourceModel.com
– Lisa Schwartz
(PTSD)
A psychiatric
condition
characterised by
extreme levels of
anxiety,
flashbacks, and
nightmares which
persist for
months.
- Royal College of
Psychiatrists
An experience,
or pattern of
experiences, that
impairs the
proper
functioning of the
person’s stress-
response
system, making it
more reactive or
sensitive
- Bruce Perry
(childtrauma.org)
Triune Brain
Polyvagal
theory:
New insights
into adaptive
reactions of
the
autonomic
nervous
system
(2009 )
STEPHEN W.
PORGES, PhD
Peter Levine
Stimulating the Vagus Nerve:
• 3 stages of breath activity
• Breathing
• 6 x per/min = lower BP
• Slower breath = slower thinking/actions
• Smile with eyes and mouth
• Cold shower – regulating breath
• Chanting – stimulate VN motor fibres
• Gag (pharyngeal) reflex / gargling
• Eat – whilst regulating breath (rest & digest)
.
The Vagus Nerve
ACES
aka Childhood
Trauma
Research has shown that traumatic
childhood experiences not only are
extremely common but also have a
profound impact on many different
areas of functioning.
UK (ACES)
• Scotland has no ACES study yet
• – Polishing the Diamonds
• England – almost 50% experienced
1 ACE and over 8% 4 or more.
• Wales - almost 50% experienced 1
ACE and 14% experienced 4 or
more
A breakdown of
results
from the
San Diego study
11% emotionally abused as a child,
30.1% reported physical abuse
19.9% sexual abuse.
23.5% reported being exposed to family
alcohol abuse
18.8% exposed to mental illness
12.5% witnessed their mothers being
battered
4.9% reported family drug abuse
Trauma as
Symptoms
Memory and
Coping
1. Think about a person that displays one of these ‘symptoms’
2. Ask the question – ‘how did (SYMPTOM - e.g,
depression, irritability, numbing) help this person to survive
as a child?
3. How does this symptom get in their way now?
Exercise 1-2-all
Culture
What is TRIZ?
What do we do?
What can we stop doing?
Challenging assumptions
Critically analysing practice
Creative thinking
TRIZ is…
How?
1. Make a list of all you can do to make sure that you achieve the
worst culture of trust imaginable.
2. Share with the group via post its.
3. As a group, ask the question “is there anything we are
currently doing in our approach to mental health that
resembles any of the items on the list”?
4. Make a list of what first steps you would take to stop the
undesirable results?
5. Share between groups.
TRIBAL
CULTURE
“There’s no team without trust”
- Paul Santagata, Head of Industry at Google
Google’s two-year study on team performance revealed that the
highest-performing teams have one thing in common:
• Psychological Safety, the belief that you won’t be punished
when you make a mistake.
• Studies show that psychological safety allows for moderate
risk-taking, speaking your mind, creativity, and taking the risk
to ‘stick your neck out’.
• We become more open-minded, resilient, motivated, and
persistent when we feel safe.
Write down 10 questions relating to
Psychological Safety. 1-2
How confident am I that I won’t receive retaliation or criticism if
I admit an error or make a mistake?
How can I communicate safety to the people I work with?
What feedback do I need from others about how I support their
safety?
Movement
• Embodying emotions – Bessel Van
der Kolk
• Neck Movement
• Spinal movement
• Qi Gong
• Tai Chi
• Yoga
Reflective Practice? (all)
WHAT?
A way of studying your own
experiences to improve the way you
work.
A way of recognising and articulating
what we learn on a moment by
moment basis.
Theme = Awareness
HOW?
• Learning to pay attention
(self/others)
• listening to (self/others)
• Coming face to face with our own
assumptions
• Noticing patterns in emotion /
thought / response
• Accepting that we are just like
others
• Changing the way we view the
world
Reflective Questions
• How do you give yourself and your
colleagues the time to reflect and
respond to emotionally impacting
work?
• Is this support enough for you /
them?
• What could you do differently to
change the culture?
Standing chat: 4-2-1-all
Culture of Reflection
o Supervision is
o a formalized reflective space.
o Other ways to support a
culture of reflection:
• Tea & Talk  Reveal a bit more
• Informal meet ups
• Peer Group Meeting / Walking
• Critical Reflection Groups
Tools / Skills
TOOLS & SKILLS
Intrapersonal
Self-Awareness – why, how and when do I
engage my head, heart and body?
Breathing - Using mindful breathing to focus on
body responses from the inside
Visualization - stabilize, resource, and attune
with self-compassion
Self-assessment – 8 WB indicators
Interpersonal
Dialogic relationship
Understanding
Compassion
WHY
?
Between stimulus and response there is a space.
In that space is our power to choose our response.
In our response lies our growth and our freedom.
― Viktor E. Frankl
VF’s 3 objective sources of meaning:
1) the experience of goodness or beauty, or of loving others
2) creative deeds or work
3) the attitude we take towards unavoidable suffering
• What is your why? 5 Why’s exercise!
• Person 1 state one thing you do in life, e.g., job / hobby
• Person 2 ask ‘why’ or ‘what do you get from that’ x 5
Outlook & Attention
Guided Exercise:
• Earth Breathing
• Ocean Breathing
• 3 centres check-in
• Heart Breathing
• Scorching Breath
BreathingVisualising – A Sacred Space in Nature
Dialogue
Presence - the impact of
self in a relationship
Underpinned by:
• Life experiences
• Interests
• Skills & strengths
• Weaknesses & vulnerabilities
• Values & beliefs
• Physical presence
We all have it, regardless of our actions:
• We bring our selves every time
• We cannot be neutral either proactively or reactively
• We CAN be aware - slow down, make space, and ‘respond’
Inclusion –
Swinging in
and out
with
‘Empathy’
Attitudes of Understanding & Compassion
HARSH Part
- Can be
critical of
self / others
HURT part
- HURT by
others in past /
harsh self
CONNECT
CONNECT
1.
Understanding
Of
2.
Understanding
towards
FAIR
REFLECTIVE
CLEAR THINKING
COMPASSIONATE
OTHER
SYMPTOMS
Heard, Seen,
Respected
practice deeper listening and empathy with colleagues
Our purpose:
To practice listening without
trying to fix anything or
make any judgments.
1. Find someone who you do not know well:
Tell a story to your partner about a time
when you felt that you were NOT heard,
seen, or respected.
5- 7 min each - 15 min
total
2. Partners share with one another the
experiences of listening and storytelling:
What did it feel like to tell my story; what
did it feel like to listen to your story?
5 min.
3. In a foursome, participants share
reflections using 1-2-4, asking:
What patterns are revealed in the stories?
What importance do you assign to the
pattern? (be as concrete as you can)
5 min.
4. As a whole group, participants reflect on
the questions:
What patterns did you notice?
5 min.
Heard, seen,
respected debrief
What stood out to you?
Could you imagine using this at work? In what
circumstances?
Morning Routine
• What is your current morning routine?
• What routine would you ideally want to create?
• Pick one action and include this in your morning to be more like
your ideal?

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Mental fitness 5.0

  • 2. The Journey of Mental Fitness Mental Fitness Mental Struggle
  • 4. Group Values • Share your experiences and be mindful of your personal limits • Listen to other people’s opinions, values, and limits • Be aware that we have all experienced trauma at some time • Be prepared for movement & participation • Respect confidentiality • Mobiles on silent, please • Please disagree; respectful difference = new learning • There are no daft questions!
  • 6. Mad tea Attribution: Liberating Structure developed by Henri Lipmanowicz and Keith McCandless. Strategy Questions inspired by Chris McGoff (The Primes)
  • 7. Structure • Form two circles, one facing in and one facing out • one person completes the sentence on the screen while the other expresses keen interest and curiosity • one person in each pair to finish the sentence # 1 first • When bell dings once at 30 seconds, switch roles to do the same for sentence #1 • When bells dings twice at 1 minute, move two spaces to the right
  • 8. #1. My name is…and a bold idea I recommend is…
  • 9. #2. An action helping us move forward in mental health is…
  • 10. #3. If we do nothing, the worst thing that can happen for mental health is…
  • 11. #4. What I find challenging in our current way of working with mental health is…
  • 12. #5. When all is said and done, I want to...
  • 13. MAD TEA - DEBRIEF
  • 14. What is Mental Fitness It’s like having a map. You still have to get there yourself, but with awareness we can plan the way. Sustainability is the key and practise develops skills.
  • 15. Group Discussion What is Mental Health? What is Fitness?
  • 18. CONCEPTUALISING AND MEASURING MENTAL FITNESS: A DELPHI STUDY (2015) Paula Robinson, Lindsay Oades, Peter Caputi 4 Guiding Principles: (1) fitness is a positive term without connotations of illness implied by mental health or mental illness (2) mental fitness could be understood by the wider community in a similar way to physical fitness (3) mental fitness is measurable - what is measurable can be changed (4) mental fitness can be improved, in a similar way to physical fitness
  • 19. The Four Keys to Well-Being RICHARD J. DAVIDSON | MARCH 21, 2016 • Resilience - the rapidity with which we recover from adversity • Outlook - the ability to savour positive experiences, the ability to see another human being as a human being who has innate basic goodness • Attention – focusing attention on a task makes you happier • Generosity - engaging in generous and altruistic behaviour activates circuits in the brain that are key to fostering well-being SKILL
  • 21. Practice meeting your needs • 1 minute in the hour • 1 hour in the day • 1 day in the week • 1 week in the month • 1 month in the year • 1 year in the decade
  • 23. A response to a deeply impacting event that has an ongoing effect on coping ComprehensiveResourceModel.com – Lisa Schwartz (PTSD) A psychiatric condition characterised by extreme levels of anxiety, flashbacks, and nightmares which persist for months. - Royal College of Psychiatrists An experience, or pattern of experiences, that impairs the proper functioning of the person’s stress- response system, making it more reactive or sensitive - Bruce Perry (childtrauma.org)
  • 25. Polyvagal theory: New insights into adaptive reactions of the autonomic nervous system (2009 ) STEPHEN W. PORGES, PhD
  • 27. Stimulating the Vagus Nerve: • 3 stages of breath activity • Breathing • 6 x per/min = lower BP • Slower breath = slower thinking/actions • Smile with eyes and mouth • Cold shower – regulating breath • Chanting – stimulate VN motor fibres • Gag (pharyngeal) reflex / gargling • Eat – whilst regulating breath (rest & digest) . The Vagus Nerve
  • 28. ACES aka Childhood Trauma Research has shown that traumatic childhood experiences not only are extremely common but also have a profound impact on many different areas of functioning.
  • 29. UK (ACES) • Scotland has no ACES study yet • – Polishing the Diamonds • England – almost 50% experienced 1 ACE and over 8% 4 or more. • Wales - almost 50% experienced 1 ACE and 14% experienced 4 or more
  • 30. A breakdown of results from the San Diego study 11% emotionally abused as a child, 30.1% reported physical abuse 19.9% sexual abuse. 23.5% reported being exposed to family alcohol abuse 18.8% exposed to mental illness 12.5% witnessed their mothers being battered 4.9% reported family drug abuse
  • 32. 1. Think about a person that displays one of these ‘symptoms’ 2. Ask the question – ‘how did (SYMPTOM - e.g, depression, irritability, numbing) help this person to survive as a child? 3. How does this symptom get in their way now? Exercise 1-2-all
  • 34.
  • 35. What is TRIZ? What do we do? What can we stop doing? Challenging assumptions Critically analysing practice Creative thinking TRIZ is…
  • 36. How? 1. Make a list of all you can do to make sure that you achieve the worst culture of trust imaginable. 2. Share with the group via post its. 3. As a group, ask the question “is there anything we are currently doing in our approach to mental health that resembles any of the items on the list”? 4. Make a list of what first steps you would take to stop the undesirable results? 5. Share between groups.
  • 38. “There’s no team without trust” - Paul Santagata, Head of Industry at Google Google’s two-year study on team performance revealed that the highest-performing teams have one thing in common: • Psychological Safety, the belief that you won’t be punished when you make a mistake. • Studies show that psychological safety allows for moderate risk-taking, speaking your mind, creativity, and taking the risk to ‘stick your neck out’. • We become more open-minded, resilient, motivated, and persistent when we feel safe.
  • 39. Write down 10 questions relating to Psychological Safety. 1-2 How confident am I that I won’t receive retaliation or criticism if I admit an error or make a mistake? How can I communicate safety to the people I work with? What feedback do I need from others about how I support their safety?
  • 40. Movement • Embodying emotions – Bessel Van der Kolk • Neck Movement • Spinal movement • Qi Gong • Tai Chi • Yoga
  • 41. Reflective Practice? (all) WHAT? A way of studying your own experiences to improve the way you work. A way of recognising and articulating what we learn on a moment by moment basis. Theme = Awareness HOW? • Learning to pay attention (self/others) • listening to (self/others) • Coming face to face with our own assumptions • Noticing patterns in emotion / thought / response • Accepting that we are just like others • Changing the way we view the world
  • 42. Reflective Questions • How do you give yourself and your colleagues the time to reflect and respond to emotionally impacting work? • Is this support enough for you / them? • What could you do differently to change the culture? Standing chat: 4-2-1-all
  • 43. Culture of Reflection o Supervision is o a formalized reflective space. o Other ways to support a culture of reflection: • Tea & Talk  Reveal a bit more • Informal meet ups • Peer Group Meeting / Walking • Critical Reflection Groups
  • 45. TOOLS & SKILLS Intrapersonal Self-Awareness – why, how and when do I engage my head, heart and body? Breathing - Using mindful breathing to focus on body responses from the inside Visualization - stabilize, resource, and attune with self-compassion Self-assessment – 8 WB indicators Interpersonal Dialogic relationship Understanding Compassion
  • 46. WHY ? Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom. ― Viktor E. Frankl
  • 47. VF’s 3 objective sources of meaning: 1) the experience of goodness or beauty, or of loving others 2) creative deeds or work 3) the attitude we take towards unavoidable suffering • What is your why? 5 Why’s exercise! • Person 1 state one thing you do in life, e.g., job / hobby • Person 2 ask ‘why’ or ‘what do you get from that’ x 5
  • 48.
  • 49. Outlook & Attention Guided Exercise: • Earth Breathing • Ocean Breathing • 3 centres check-in • Heart Breathing • Scorching Breath
  • 50. BreathingVisualising – A Sacred Space in Nature
  • 52. Presence - the impact of self in a relationship Underpinned by: • Life experiences • Interests • Skills & strengths • Weaknesses & vulnerabilities • Values & beliefs • Physical presence We all have it, regardless of our actions: • We bring our selves every time • We cannot be neutral either proactively or reactively • We CAN be aware - slow down, make space, and ‘respond’
  • 53. Inclusion – Swinging in and out with ‘Empathy’
  • 54.
  • 55. Attitudes of Understanding & Compassion HARSH Part - Can be critical of self / others HURT part - HURT by others in past / harsh self CONNECT CONNECT 1. Understanding Of 2. Understanding towards FAIR REFLECTIVE CLEAR THINKING COMPASSIONATE OTHER SYMPTOMS
  • 56. Heard, Seen, Respected practice deeper listening and empathy with colleagues
  • 57. Our purpose: To practice listening without trying to fix anything or make any judgments.
  • 58. 1. Find someone who you do not know well: Tell a story to your partner about a time when you felt that you were NOT heard, seen, or respected. 5- 7 min each - 15 min total
  • 59. 2. Partners share with one another the experiences of listening and storytelling: What did it feel like to tell my story; what did it feel like to listen to your story? 5 min.
  • 60. 3. In a foursome, participants share reflections using 1-2-4, asking: What patterns are revealed in the stories? What importance do you assign to the pattern? (be as concrete as you can) 5 min.
  • 61. 4. As a whole group, participants reflect on the questions: What patterns did you notice? 5 min.
  • 63. What stood out to you? Could you imagine using this at work? In what circumstances?
  • 64. Morning Routine • What is your current morning routine? • What routine would you ideally want to create? • Pick one action and include this in your morning to be more like your ideal?