Eight Worldly Thoughts

Being happy when….

we get something

we feel good

we become well known

someone speaks well of us

 

Being unhappy when…

we don’t get something

we feel sick

we aren’t well known

someone puts us down

These are the things that keep us chained in samsara or cyclic life.  To be free of the eight worldly thoughts is to be free or close to freedom.

Co-Occurring Disorders

A co-occurring disorder (formerly referred to as dual diagnosis) is when someone has a mental health disorder at the same time as a substance use disorder (e.g. alcoholism, drug addiction).  For instance, a person that abuses alcohol and is also schizophrenic would be said to have a co-occurring disorder.

Mental disorders that can co-occur with substances use disorders include:  major depression, bipolar disorder, schizophrenia and other psychotic disorders, eating disorders (although I personally would class those as a substance use disorder), general anxiety disorder, post-traumatic stress disorder, personality disorders, attention-deficit/hyperactivity disorder, and pathological gambling disorder.

Fifty to 75 percent of people in treatment for a substance use disorder also have a co-occurring mental health disorder.  And 20 to 50 percent of people that are treated for a mental health disorder also have a substance use disorder.  My favorite statistic is that 60 percent of people with three or more disorders (identified by survey) never received any treatment. Although, people with a co-occurring disorder are more likely to seek treatment than people with just one problem.

Coming from an alternative health perspective the idea of diagnosing and labeling people with disease names seems weird to me and somewhat funny.  People do not have diseases, they have a set of problems or issues that are interconnected and need to be considered as a whole.

The big thing in mainstream medicine is how we need to consider all disorders that co-occur when treating a person.  A step in the right direction, but it still seems bizarre to me that anyone would think about reducing a person to specific sets of symptoms so they can label and treat each condition separately. This reductionist approach is supported by the medical practitioners, drug companies and insurance companies that seem to feel it is necessary to have this system in order to communicate with each other.

I also imagine that this reductionist approach may be due to the limitation of humans to handle complexity.  It is simpler to label a disease and match it with a treatment than to understand what is happening with a person and create a unique treatment to address it.  We see this same reductionist approach applied by herbalists as well.  Often times a beginner or Western herbalist will just use a treatment that matches a disease name, unless they have training in a system that uses a constitutional approach (e.g. traditional Chinese medicine, etc.)

REFERENCES
Center for Substance Abuse Treatment. Substance Abuse Treatment for Persons with Co-Occurring Disorders. (2013). Treatment Improvement Protocol (TIP) Series, No. 42 (DHHS Publication No. (SMA) 13-3992). Rockville, MD: Substance Abuse and Mental Health Services Administration (US).

Samsara

Samsara is the Sanskrit for “cyclic life” or korwa (Tibetan)

The definition in Tibetan is:
sakche nyerlen gyi pungpoy gyun yagne yangdu lenpa ni korwa yin

which is translated:

Samsara is the condition of having to take on, over and over again, a stream of impure parts (heaps or aggregates) which were forced on you.

The Tibetan word pungpoy refers to something like a heap or pile.  The Sanskrit is skandha which is usually translated as aggregates.

The Tibetan word nyerlen implies that you are forced (by karma in this case) to take on the impure parts.

The idea of samsara and being forced to be reborn is central to the Buddha’s teachings and in contrast to some spiritual schools of thought that believe we choose to come into this world in order to learn lessons that we have likewise chosen to learn.  This is an interesting samsaric idea, but closer examination of the mind reveals how little choice we have in our unenlightened state.

Enlightenment marks the end of samsara as evidenced in the Buddha’s words:

Through countless births in the cycle of existence I have run, not finding although seeking the builder of this house; and again and again I have faced the suffering of new birth.

Oh housebuilder! Now you are seen.
You shall not build a house again for me.
All your beams are broken, the ridgepole is shattered.
The mind has become freed from conditioning; the end of craving has been reached.

—Dhammapada XI. 8&9 (153&154)