Yoga is Good Medicine – new post @ CLOSLER!

CLOSLER just published a new essay of mine, “Yoga is Good Medicine,” this is an excerpt I re-worked from the section “The Yoga of Burnout” that is part of J. Greg Serpa’s and my chapter on “Clinician Resilience” in the forthcoming 5th Edition of Dave Rakel’s Integrative Medicine text.

“In this way joy isn’t the opposite of burnout, but arises out of connecting (yoking) mind, body, and soul, deeply feeling the experience of being fully human. By rejoining our feeling soul with our functioning body, we can experience joy even in the midst of suffering.”

You can read the whole essay, here, and below is the full painting that the detail in the banner was taken from: 

Enlightenment, D. Kopacz (2015)

Becoming Medicine Available as eBook!

Becoming Medicine: Pathways of Initiation into a Living Spirituality by David R. Kopacz MD & Joseph Rael (Beautiful Painted Arrow) is now available as an eBook through Amazon, Barnes & Noble, and Apple Books/iTunes.

The eBook is an adaptation of the full color Art Medicine edition and the artwork really is luminous on the screen.

The eBook is specially priced until October as a new release.

Medical Activism: A Draft of a Working Paper

Activism: A Foundational Element of Professional Identity

Over the past year I have been thinking about the idea of medical activism. I started drafting a paper and have wanted to pursue some of the sub-topics in greater depth and breadth, but I have lacked the time to put this together due to numerous other projects. Still, I believe that these ideas should be circulating at this particular time in history. I do not mean this as a definitive statement on medical activism, but rather I mean it to open a conversation.

Abstract:

The idea of medical activism has been criticized lately, from both inside[1] and outside[2] of the medical field. This paper takes the position that medical activism is a foundational element of professional identity – it defines who we are as professionals as opposed to being technicians or employees of institutions. Medical activism prioritizes caring and advocacy in the face of competing priorities of productivity and profit. Activism can take many forms, but its essence is when caring and healing extend  beyond the internal biochemistry and inner thoughts of the client to include all the factors that we know influence individual and public health: childhood history, trauma, relationships, human rights, toxin exposures, environmental influences, and access to education and self-care. Two broad categories of medical activism are: 1) the reform of health care delivery systems, and 2) action in the political, cultural, legal, relational, and natural environments. These can also be conceptualized as internal (medicine in the clinic & hospital: having to do with the practice and delivery of health care) and external (medicine in the world: addressing public health issues outside the clinic or hospital). Examples of health care reform that will be considered are the movements of holistic and integrative medicine, Whole Health at the VA, the recovery movement in mental health, trauma-informed care, and addressing physician and health care worker burnout and suicide. Medical activism is born, again and again, when circumstances demand, from the identity of the physician/clinician as a professional and a moral agent in society whose “lane” is to treat disease, alleviate suffering, and to promote population health and well-being at local, national, and global levels. We need to make sure that the practice of medicine remains focused on healing and not just on making healthy profits or meeting institutional needs. Since the original conceptualization of this paper, new threats have arisen to the professionalism of medicine: fascism and political attacks on science. These political events, more than ever, remind us that if we do not use our voices we may lose them. Nourishing medical activism keeps the focus on care and compassion in health care and society. We must all adopt identities of what Parker Palmer calls “the new professional” and Robert Jay Lifton calls the “witnessing professional” in which we become moral agents within our world, tearing ourselves away from the never-ending demands of the Electronic Medical Records system, raising our gaze from the computer screen to the world we all live in.

Introduction:

The practice of medicine has changed greatly over the last 75 years, shifting from a practice of largely general practitioners who knew their patients over their whole lives to a fragmentation into sub-specialties, and the proliferation of multiple profit-deriving entities: the pharmaceutical industry, the insurance industry, and for-profit hospital and medical industry. During this time, doctors’ roles have shifted from independent healers engaged and embedded in communities to interchangeable and expendable bit-workers on ever more “efficient” medical assembly lines. Medicine has shifted from a focus on long-term healing relationships to a transactional, technician-based delivery system in which doctors are protocol-managers and data entry clerks.

The idea of medical activism encompasses the role of the physician as a moral agent, a member of a profession who answers to a higher calling. A professional has a moral calling that goes beyond the marketplace of the exchange of money or the influence of power. In speaking of medical activism, we wish to ground our discussion in the ancient profession of medicine, however we do also want to be inclusive and also use “medicine” in a larger context of health care professionals. The term, “healthcare activism,”[3] is a much larger term encompassing grass roots and activist/organizer movements. We do not mean to neglect this critical cultural force of health and healing, however for the purposes of this paper we are concerned with the identity of health care professionals as activists and medical activists.

In this paper we will develop the idea of medical activism as a form of moral agency which is a foundational element of professional identity. While there are many different forms of medical activism, we will focus on a few forms, such as, speaking out, bearing witness, critiquing systems and practices that contribute to disease and suffering, developing innovative delivery systems, reformulating philosophies of care and treatment, and advocacy to promote the health and well-being of individuals, local, national communities, and in this ever-more connected world, the global community. More recent public health issues have arisen with the Covid-19 coronavirus pandemic, the politicizing of sound public health measures (such as wearing masks and social distancing). Another growing public health concern is the growing fascist tendencies in the United States and abroad. We have a number of diagnostic manuals on fascism and we know that fascism is a public health issue: first it affects marginalized groups (Muslims, immigrants, Native Americans, African Americans, the LGBTQ community), then it affects those deemed dangerous to the regime (the “liberal” press, intellectuals, teachers, scientists, “liberal” politicians), and then it starts infecting more and more people with side effects of racism, xenophobia, hate speech toward the above groups, and eventually violence toward the above groups. To the end of cautioning the public about the public health risks of fascism, the formation of the professional organization, Doctors Against Fascism is proposed.

What it Means to be a Professional

To be a professional means that one is constantly professing – similarly if one is a profess-or. The roots of the word “profession” have to do with taking vows and declaring openly and to make public statement. The etymology of the word is related to “profess” and “prophet” going back to the ancient Proto-Indo-European root, *bha-, meaning “to speak, tell, say.”[4] What we are doing as professionals is continual professing – to declare openly and to speak, tell, say.

            Our job as professionals it to profess, to declare openly, to speak, tell, say, to be prophets of health (which is different than focusing on the profits of the health care industry). The industry, the organization, the institution is not an inherently moral creation, it is more like a machine than a holder of morality, and it is the jobs of those professionals within the system to be the moral authority, the moral leadership of the institution.

De-professionalism

            With the rise of economic and productivity medicine we have seen a deprofessionalization[5] and dehumanization[6] of physicians and health care professionals. Corporate medicine is not interested in moral agents or medical activists, but rather what Foucault called “docile bodies,” to play limited roles within the institution. Moral agents and medical activists function independently or semi-autonomously, rather than as interchangeable technicians who dispense the same, generic, non-individualized treatment interventions. While corporate medicine pushes propaganda of customer service, true caring, compassion, and patient-centered care can only be given by individuals to individuals in the context of human relationships. Individuality and humanity are extraneous and problematic variables to corporate, machine medicine. 

Witnessing Professional

            Throughout his career, Robert Jay Lifton has written about the idea of the witnessing professional. He describes the shift toward “malignant normality,” “the imposition of a norm of destructive or violent behavior, so that such behavior is expected or required of people”.[7]

As citizens, and especially as professionals, we need to bear witness to malignant normality and expose it. We then become what I call “witnessing professionals,” who draw upon their knowledge and experience to reveal the danger of that malignant normality and actively oppose it. That inevitably includes entering into social and political struggles against expressions of malignant normality.[8]

The New Professional

In order to teach the next generation of doctors, healers, and clinicians, we need to provide good role models for students to emulate. This is the transmission of knowledge and wisdom that happens from one generation to the next. Without medical professionalism, medical ethics, medical morals, students are left morally adrift. Author and educator, Parker Palmer speaks of the new professional, “a person who not only is competent in his or her discipline but also has the skill and the will to resist and help transform the institutional pathologies that threaten the profession’s highest standards.”[9]

Palmer states that “the very institutions in which we practice our crafts pose some of the gravest threats to professional standards and personal integrity. Yet higher education does little if anything, to prepare students to confront, challenge, and help change the institutional conditions under which they will soon be working.”[10]      

“The notion of a ‘new professional’ revives the root meaning of the word. This person can say, ‘In the midst of the powerful force- field of institutional life, where so much conspires to compromise the core values of my work, I have found firm ground on which to stand―the ground of personal and professional identity and integrity―and from which I can call myself, my colleagues, and my profession back to our true mission.’”[11]

Science presents itself as “value-free” but the practice of medicine is one of moral agency.

Medical students enter the profession of medicine with idealism (which we know our medical education system diminishes) and yet they also enter having cultural biases. Research has been done on medical student attitudes toward homosexuality,[12] AIDS,[13] abortion,[14] the homeless,[15] immigrants,[16] and torture[17],[18] and how those attitudes might shape clinical care decision.

The Practice of Medicine as Continual Revolution & Reform

The beginning of Western Medicine is often said to have begun with Hippocrates who, rejected supernatural causes of illness, establishing the beginning of the scientific method and initiating a revolution of the truth which vanquished the other, competing, schools of medicine. The choice of Hippocrates as the “Father of Medicine” is somewhat arbitrary, as the study of nature, health, illness, and healing is ancient and has been practiced by all cultures. Hippocrates stands out as a medical activist in the musings of writers of history, as a medical activist championing science, rationalism, empiricism, and materialism.

The Structure of Scientific Revolutions

Thomas Kuhn, in The Structure of Scientific Revolutions, describes the stages of progress in science, starting with “normal science,” which mainly consists of technical puzzle solving. There comes a time when enough anomalies accumulate which do not fit the current scientific paradigm, which eventually leads to a crisis point. At the crisis point, the majority of scientists continue to adhere to a paradigm which is no longer as helpful as it once was, while a smaller group of scientists begin exploring new paradigms. Scientific revolution occurs when a new viable paradigm arises and there is conflict between the old and the new.

Semmelweis

Before the acceptance of germ theory, in the mid-1800s, Semmelweis tried to convince doctors that they should wash their hands after leaving off doing autopsies and before examining mothers who had just given birth. Although this seems common sense to us from our vantage point, Semmelweis was ridiculed, lost his appointment, and died in a mental institution. The concept of invisible pathogens was not part of the existing paradigm of understanding disease. We can consider Semmelweis as a medical activist who tried to protect the well-being of his patients and challenged the medical establishment.

Virchow

In the late 1800s, Virchow was tasked by the Prussian government to research an outbreak of typhus, in Upper Silesia, which had a large minority of Polish people living in poverty. His prescription was social and political: elimination of social inequality.[19] He came back with recommendations regarding poverty, services, and even political recommendations. This resulted in him losing his job. He wrote, “Medicine is a social science and politics is nothing more than medicine on a large scale,”[20] and that doctors “are the natural attorneys of the poor.”[21]

Social Determinants of Health

In addressing social determinants of health, Vicente Navarro writes that “we need to broaden health strategies to include political, social and cultural interventions that touch on the social (as distinct from the individual) determinants of health,” (15).[22]

Moral Determinants of Health

Berwick’s recent article, “The Moral Determinants of Health,” argues for an expansion of the role of professionals to include societal reform. “Healers are called to heal. When the fabric of communities upon which health depends is torn, then healers are called to mend it. The moral law within insists so.”[23]

Refounding: Reinvigorating the Founding Principles of Health Care

Another line of support for viewing medical activism as a core element of medical professionalism comes from anthropologist Gerald Arbuckle’s work on the concept of “refounding” in organizations. Arbuckle has observed that, over time, organizations and institutions lose touch with their original founding vision. A crisis-time comes and a “refounding individual” arises who challenges the status quo and seeks to revitalize the institution by bringing it back in line with the original, founding vision. The new state is a hybrid integration, though, of the new state of the surrounding culture and the original vision. This is to say it is not simply a return to the historic founding rules of the institution, but is a creative adaptation of the founding vision with a modern re-interpretation. An opposite way of trying to resolve the institutional crisis is a literal and rigid return to the past, which Arbuckle describes as the root of fundamentalism. Fundamentalism is reactionary and resists any change, growth, or adaptation. Refounding is a hybrid, bringing the spirit of the old into a new formulation within a new time and place. Arbuckle’s descriptions of the “refounding person” are consistent with the idea of the medical activist that we are discussing.

The ongoing health of institutions requires “refounding persons,” who remember the “original instructions” of the institution, the principles and ideals upon which the organization was founded but periodically loses its way. The refounding person is like the hero or heroine in Joseph Campbell’s hero’s journey – an individual who takes on what seems like an individual challenge that turns out to be healing for the entire community and places the people back in harmony with sacred and with the world. The refounding person is a person whose job it is to declare openly, to speak, say, tell, that we have lost our way, we have gone out of balance, and that we have to work to get ourselves back in balance, internally as individuals, in our relationships, in our community, and within our larger culture and our interrelationships with the world.

Cultural Models of Medicine within Contemporary Health Care

Interestingly, Arbuckle has worked in medical institutions as a consultant and this led to his book, Humanizing Healthcare Reforms. One of the challenges in healthcare reform, he finds, is that there are multiple cultures at play within modern medical settings and that in discussions between various clinical staff, accountants, and leadership, people bring different cultural world views, however these views are not clearly articulated and defined, so they are like invisible walls that impair discussion. He describes different cultural models of healthcare: traditional (indigenous medicine), foundational (Western values of care for the poor, sick, and suffering), biomedical (scientific, evidence-based medicine), social (living environment and inequalities), and economic rationalist (the business model of medicine with a focus on efficiency and productivity). These different cultural models of healthcare inevitably lead to cultural clash and crisis. Medical activism, or refounding,  in healthcare would be a revitalization of some of the models of medicine (e.g. the traditional, foundational, and social) that have been neglected and suffered under the dominance of the economic rationalist and biomedical models. “In healthcare,” Arbuckle writes, “the need to refocus on moral and spiritual ideals means returning to a mission based on founding values such as solidarity, equity, respect and compassion,” (16).

Examples of Health Care Critique & Reform

An ongoing critique of the contemporary practice of medicine is a moral duty of physicians. It is up to us, as professionals, to hold true to the mission and purpose of health care: caring for people who are suffering and ill. Institutions may have vision and mission statements but they are incapable of moral agency and compassion because those are human traits, not bureaucratic functions. Within this critique of contemporary medicine, we will look at several issues: burnout, physician suicide, the pressure on physicians and health care workers to become narrowly defined technicians rather than healers, and the general loss of caring within the practice of health care.

Holistic and Integrative medicine are examples of reform and refounding. Many advocates of holistic and integrative medicine have felt corporate and biological reductionistic medicine have lost touch with the heart and soul of what it means to be a healer. The science of medicine has nearly eclipsed the art of medicine.

The following are some bullet points to be more fully developed:

  • Limits of evidence-based medicine
    • Groopman, How Doctors Think
    • Beahr, The Limits of Scientific Psychiatry
    • Pathological Objectivity
      • Scientism – scientific fundamentalism
      • Defensive mechanism
      • As part of burnout triad – extreme form of emotional distancing
  • Re-humanizing Medicine
    • Healer vs. Technician
    • Counter-curriculum of re-humanization
    • Compassion Revolution
  • Holistic & Integrative Medicine
  • Recovery Model in mental health
  • Physicians for a National Health Program
  • Micropractice, Ideal Medical Practice
    • Work of L. Gordon Moore[24]
  • Burnout
    • Institutional factors
    • Danielle Ofri: “The Business of Healthcare Depends on Exploiting Doctors and Nurses” [25]
  • Physician suicide
    • 300-400 suicides/year, size of three average medical school classes

Medicine in the World – Possible sections

The “first task of the doctor is therefore political: the struggle against disease must begin with a war against bad government,” (Foucault).[30]

Samuel Shem, in his essay, “Fiction as Resistance,” writes:

“We believed that if we saw an injustice, we could organize, take action, and change things for the better…When we entered our internship, we were told to treat our patients in ways that we didn’t think were humane. We ran smack into the conflict between the received wisdom of the medical system and the call of the human heart.”[31] Shem describes turning to fiction writing as a resistance to “brutality and inhumanity, to isolation and disconnection.” His recommendations on how to resist “the inhumanities in medicine” are four suggestions: 1) “Learn our trade, in the world” to be aware that “Medicine is part of life, not vice versa;” 2) “Beware of isolation. Isolation is deadly; connection heals;” 3) “Speak up…speaking up is essential for our survival as human beings;” 4) “Resist self-centeredness…learn empathy.”[32]

Bullet points to more fully develop examples:

  • Human Rights
    • Human Rights Medicine & Psychiatry, e.g. international trauma work
    • LGBT Rights
    • Women’s Rights
    • Culture, Diversity, Religious Tolerance – addressing racism and intolerance
    • Immigration policy and public health
  • Racism
    • Black Lives Matter
  • Trauma-Informed Care
  • Judith Herman’s view of the tendency to forget trauma and the need to for those who work with traumatized populations to bear witness and be moral agents.
  • Peace/Recovery from War & Violence
    • The influence of Buddhism and Mindfulness in Health Care
    • Gun Violence
  • Preserving/Continuing Healing Traditions
    • e.g. Shamanic work, physicians working with indigenous cultures who have written on benefits of incorporating elements into contemporary medicine
    • Lewis Mehl-Madrona, in a study of Indigenous elders, learned that “Healers have to maintain some independence from political structures.”[33]
    • Medical Pluralism[34]
  • Social, Climate, Environment
    • Flint, Michigan – lead in drinking water
    • Poverty
    • Homelessness
    • Promoting the health of the Earth
  • Public Safety

A recent example of professional activism is found in the book, The Dangerous Case of Donald Trump: 37 Psychiatrists and Mental Health Experts assess the President. Many well-respected researchers and clinicians came together to raise awareness of public health and safety concerns stemming from their view of the dangerousness of the 45th president of the United States. Stephen Soldz and Brandy Lee write that

“Professionals are an important component…helping to provide checks on powerful institutions and alerting the public to wrongs. Professions operate with an implicit social contract with the broader society to contribute their special knowledge and training for the greater good.”[35]

They caution that what “is often missing from [ethics] training is any deep engagement with fundamental ethics principles and ethical thinking.” They see the comments and actions of the 45th President as a risk to public health and safety and feel that the safety risk comprises a duty to warn which overrides the past Goldwater rule which prohibits psychiatrists from diagnosing public figures.

They argue that the ethical principles of justice and universality “direct health professionals to pay attention to the wider world beyond the clinic as they call upon us to serve the broader public, not just those who become our patients. And they direct us toward the world of public policy and of ‘politics,’ broadly defined, as a way of collectively improving public health.”[36]

            Soldz and Lee mention a number of recent examples of health professional activism, including opposing the involvement of psychologists and health professionals in torture under the Bush administration; opposing the use of psychiatrists in the Soviet Union to punish dissidents; physicians against nuclear war; physicians against land mines; and physicians supporting civil rights and health equity; and physicians for a national health plan.[37] They write that these examples illustrate that “activism by health providers is compatible with and even integral to professional responsibility toward society.”[38]

            In this same volume, Robert Jay Lifton writes of the ideal of “witnessing professionals” who combine a “sense of outrage with a disciplined use of our professional knowledge and expertise.”[39] Lifton cautions that if we define ourselves too narrowly, as technicians, we lose our sense of identity as witnessing professionals. This is a caution alongside those who argue that many professions are being deprofessionalized.

  • Doctors Against Fascism
    • Proposed founding of this organization based on the systemic fascism in politics affecting public health
  • Doctors as Public Health Advocates
  • The Institute of Peace Medicine

I have long thought of writing a book called, Re-spiritualizing Medicine. This does not mean going backwards into religious fundamentalism, but rather recognizing that human beings are inherently spiritual creatures. By spirituality I do not mean religion, but rather a sense of aliveness, vitality, connection to other people, connection to the natural world, connection to something larger than our own egos. The spiritual underlies our sense of interconnectivity with humanity and all life.

Since 2016 I have been working with Southern Ute visionary artist and healer, Joseph Rael (Beautiful Painted Arrow). His work since the 1980’s building Sound Peace Chambers around the world led to him being recognized by the United Nations for his work for world peace. Ultimately, peace is a public health issue, although we do not often think of it that way. War, violence, hatred, oppression, racism – all these are the opposite of peace. Perhaps we should found an Institute of Peace Medicine to address the social and moral determinants of health, but also to promote peace, unity, and non-duality as core human principles to protect and nurture human life and the life of the planet.

Spiritual Democracy

Joseph and I borrowed the term, spiritual democracy from Steven Herrmann. This idea of spiritual democracy also addresses many of the social and moral determinants of health. It also is an antidote to fascism. Fascism is founded on division and separation of us and them and on the priority of the will of the leader, and a small group of people defined to be like the leader, over the social good of the global community. Here is what Herrmann writes about spiritual democracy:

“Adopting the big idea of Spiritual Democracy, the realization of oneness of humanity with the universe and all its forces, can help people feel joy, peace, and interconnectedness on an individual basis. It can also inspire us to undertake sacred activism, the channeling of such forces into callings that are compassionate, just, and of equitable heart and conscience, and give us some tools to start solving some of these grave global problems, while uniting people on the planet.”[40]

Sacred Activism

            The idea of spiritual democracy is related to the idea of sacred activism. This goes a step beyond professional or medical activism, but grows out of a common love and care for humanity and our environment. Herrmann credits Andrew Harvey for originating this term:

“Each of us, it seems, is guided by such a star and it varies in its fixed orbits, in different fields of sacred action, in every person’s life. A central existential task is to discover what that star is and to make its light, the inner fire of human love, burn brightly against the darkness, as a calling to live by. . . . Sacred activism is a spiritual practice for bringing about planetary changes through a receptivity to, and response to, experiences of a mysterious energy, force, or power, which move through the human body, psyche, and entire cosmos in an effort to bring about alterations of consciousness, cultural transformation, and ultimately: world peace.”[41]

World peace may seem like a big goal, but would that not bring about the greatest improvement in public, global health? The current US administration pulling out of the World Health Organization and the UN Human Rights Council is the opposite of what will heal us – as individuals, as communities, and as a stewards of the global ecosystem. Spiritual democracy, sacred activism, re-spiritualizing medicine and an Institute of Peace Medicine are logical extensions of the doctor and clinician as moral agents and profess-ors of public health.

Conclusion

We stand at a unique time in history – a global pandemic, smear campaigns against public health experts, attempts to silence or manipulate science for political ends, the politicization of basic, scientific principles of public health. We also stand at a time when fascist words are turning into fascist behaviors.[42] We have seen these early symptoms in the 20th Century and they can become fulminant and more deadly than a viral pandemic. Now, more than ever, we as physicians, we as clinicians, need to re-claim activism as a core identity. We need to speak, tell, say, to speak openly, to speak publicly about the public health threats of this time in history. We have guidance of those physicians and clinicians who have gone before us and how they have spoken up for the health of the people and the public.

            We can draw on Robert Jay Lifton’s development of the witnessing professional. We can draw on Parker J. Palmer’s development of the new professional. We can draw on the moral foundations of our professions, to become moral agents for social change as we diagnosis and treat the moral determinants of health and the public health threats of the day.


[1] “Take Two Aspirin and Call Me by My Pronouns: At ‘woke’ medical schools, curricula are increasingly focused on social justice rather than treating illness,” Stanley Goldfarb, Wall Street Journal, 9/12/19

[2] “Doctors Revolt After N.R.A. Tells Them to ‘Stay in Their Lane’ on Gun Policy,” Matthew Haag, The New York Times, Nov. 13, 2018. The original criticism was in a Tweet from the NRA, “Someone should tell self-important  anti-gun doctors to stay in their lane. Half of the articles in Annals of Internal Medicine are pushing for gun control. Most upsetting, however, the medical community seems to have consulted NO ONE but themselves.” https://twitter.com/NRA/status/1060256567914909702

[3] Laverack, Glenn. Health Activism: Foundations and Strategies. Sage: Thousand Oaks, 2013.

[4] Online Etymology Dictionary for “profession,” “profess,” “prophet.” https://www.etymonline.com/search?q=profession

[5] http://www.professionalsaustralia.org.au/blog/deprofessionalisation-matter/

[6] Kopacz, David. Re-humanizing Medicine: A Holistic Framework for Transforming Your Self, Your Practice, and the Culture of Medicine. Washington DC: Ayni Books, 2014.

[7] Lifton, Robert Jay. Losing Reality: On Cults, Cultism, and the Mindset of Political and Religious Zealotry. New York: The New Press, 2019, p. 189.

[8] Lifton, Robert Jay. Losing Reality: On Cults, Cultism, and the Mindset of Political and Religious Zealotry. New York: The New Press, 2019, p. 190.

[9] Palmer, Parker. The Courage to Teach: Exploring the Inner Landscape of a Teacher’s Life. San Francisco: Jossey-Bass, 2007, p. 202.

[10] Palmer, Parker. The Courage to Teach: Exploring the Inner Landscape of a Teacher’s Life. San Francisco: Jossey-Bass, 2007, p. 199.

[11] Palmer, Parker. “A New Professional: The Aims of Education Revisited.” Change, Vol. 39, No. 6 (Nov-Dec, 2007), pp. 6-12.

[12] Klamen, D, Grossman, L, and Kopacz, D. (1999). Medical student homophobia. Journal of Homosexuality, 37 (1): 53-63.

[13] Kopacz, D., Klamen, D., & Grossman, L. (1999). Medical students and AIDS: Knowledge, attitudes and implications for education. Health, Education & Research, 14 (1): 1-6.

[14] Klamen, D, Grossman, L, & Kopacz, D. (1996). Attitudes about abortion among second-year medical students. Medical Teacher, 18 (4): 345-346.

[15] Morrison, A., Roman, B. & Borges, N. Psychiatry and Emergency Medicine: Medical Student and Physician Attitudes Toward Homeless Persons. Acad Psychiatry 36,211–215 (2012) doi:10.1176/appi.ap.10080112

[16] Hudelson, P, Perron, NJ, & Perneger, TV. (2010). Measuring Physicians’ and Medical Students’ Attitudes Toward Caring for Immigrant Patients. Evaluation & the Health Professions, 33(4), 452–472. https://doi.org/10.1177/0163278710370157

[17] Dubin K, Milewski AR, Shin J, Kalman TP. Medical Students’ Attitudes toward Torture, Revisited. Health Hum Rights. 2017;19(2):265–277.

[18] Bean J, Ng D, Demirtas H, Guinan P. “Medical students’ attitudes toward torture,” Torture 18/2 (2008) pp. 99–103.

[19] Mackenbach, J. (2009). Politics is nothing but medicine at a larger scale: Reflections on public health’s biggest idea. Journal of Epidemiology and Community Health (1979-), 63(3), 181-184. Retrieved August 8, 2020, from http://www.jstor.org/stable/20720916

[20] Quoted in Vicente Navarro. What we mean by social determinants of health. Global Health Promotion Vol. 16 (1):5-16; 2009. Original reference: Virchow R. Die medizinische Reform, 2 in Henry Ernest Sigerist, Medicine and Human Welfare 1941:93.

[21] Mackenbach, J. (2009). Politics is nothing but medicine at a larger scale: Reflections on public health’s biggest idea. Journal of Epidemiology and Community Health (1979-), 63(3), 181-184. Retrieved August 8, 2020, from http://www.jstor.org/stable/20720916

[22] Vicente Navarro. What we mean by social determinants of health. Global Health Promotion Vol. 16 (1):5-16; 2009

[23] Berwick DM. The Moral Determinants of Health. JAMA. 2020;324(3):225–226. doi:10.1001/jama.2020.11129.

[24] L. Gordon Moore, ‘Going Solo: Making the Leap,’ Family Practice Management. February 2002, American Academy ofFamily Physicians website, accessed April 7, 2012.http://www.aafp.org/fpm/2002/0200/p29.html .

[25] Ofri D. The Business of Healthcare Depends on Exploiting Doctors and Nurses: One resource seems infinite and free: the professionalism of caregivers. The New York Times, June 8, 2019.

[26] Dean W, Talbot S, Dean A. Reframing clinician distress: Moral injury not burnout. [published correction appears in Fed Pract. 2019 Oct;36(10):447]. Fed Pract. 2019;36(9):400-402.

[27] Norman SB. Moral Injury. National Center for PTSD website. https://www.ptsd.va.gov/professional/treat/cooccurring/moral_injury.asp. Accessed April 27, 2020.

[28] ZDoggMD. It’s Not Burnout, It’s Moral Injury. March 18, 2019. https://zdoggmd.com/moral-injury/47 . Accessed July 30, 2020.

[29] Talbot SG, Dean W. Physicians aren’t ‘burning out.’ They’re suffering from moral injury. STAT. July 26, 2018. https://www.statnews.com/2018/07/26/physicians-not-burning-out-they-are-suffering-moral-injury/. Accessed July 30, 2020.

[30] Michel Foucault, The Birth of the Clinic (New York: Vintage Books, 1994), 38.

[31] Shem, Samuel. Fiction as Resistance. Annals of Internal Medicine. Vol 37(11):934-937; 2002.

[32] Shem, Samuel. Fiction as Resistance. Annals of Internal Medicine. Vol 37(11):934-937; 2002.

[33] Mehl-Madrona, L. “What Traditional Indigenous Elders Say About Cross-Cultural Mental Health Training,” Explore, 2009, 5:20-29.

[34] Michael H. Cohen, Healing at the Borderland of Medicine and Religion (Chapel Hill: University of North Carolina Press,2006), 3.

[35] Lee, Brandy X (ed). The Dangerous Case of Donald Trump: 37 Psychiatrists and Mental Health Experts Assess a President, Updated and Expanded with New Essays. New York: Thomas Dunne Books; 2019, p. xxviii.

[36]  Lee, Brandy X (ed). The Dangerous Case of Donald Trump: 37 Psychiatrists and Mental Health Experts Assess a President, Updated and Expanded with New Essays. New York: Thomas Dunne Books; 2019, p. xxxi.

[37] Lee, Brandy X (ed). The Dangerous Case of Donald Trump: 37 Psychiatrists and Mental Health Experts Assess a President, Updated and Expanded with New Essays. New York: Thomas Dunne Books; 2019, p. xxxiv – xxxv.

[38] Lee, Brandy X (ed). The Dangerous Case of Donald Trump: 37 Psychiatrists and Mental Health Experts Assess a President, Updated and Expanded with New Essays. New York: Thomas Dunne Books; 2019, p. xxxv.

[39] Lee, Brandy X (ed). The Dangerous Case of Donald Trump: 37 Psychiatrists and Mental Health Experts Assess a President, Updated and Expanded with New Essays. New York: Thomas Dunne Books; 2019, p. xlix.

[40] Steven Herrmann, Spiritual Democracy: The Wisdom of Early American Visionaries for the Journey Forward, xiii.

[41] Herrmann, Spiritual Democracy, xvii–xviii.

[42] I have been writing a series of essay under the heading, “Words Create Worlds,” in the online magazine The Badger, https://beingfullyhuman.com/?s=words+create+worlds&submit=Search.

Spiritual Democracy – Happy Interdependence Day!

We are into the July 4th Weekend of the Pandemic. Will this weekend be any different than any other weekend of the pandemic? Social Distancing, we keep to ourselves, we turn inwards – and yet the birthday of when this nation was established (recognizing that we invaded other nations that were already here on this land) is usually about going out, barbequeing with friends, watching fireworks in crowds.

We have our independence from Britain – but what are we using it for? What are we doing with this independence? We are not independent of our acts of aggression, genocide, and slavery – those are intertwined with the founding of the United States of America.

Maybe we have taken independence as far as it can safely go. The current political regime in power in the USA gives us pause to consider this. Maybe it is time that we stopped celebrating independence and started celebrating Interdependence.

We would start by acknowleding our interdependence with Mother Earth and her children, this land that we live on which we took from our Native American brothers & sisters. Then it would lead to acknowledging our interdependence with Africa and her children whom our ancestors captured and enslaved, prospering off of their labor. Then it would lead to acknowledging our interdependence with all the people of the Earth.

This Interdependence Day weekend, we offer to you Chapter 14: Spiritual Democracy, from our book, Becoming Medicine: Pathways of Initiation into a Living Spirituality.

Earth Child of Spiritual Democracy, Joseph Rael (1997)

“Spiritual Democracy is a living connection, allowing the flow of spirituality through our lives, embracing the divinity in all creatures and the divinity of the Earth. Spiritual democracy is the way we treat others when we learn to see the divine in all things and that we, too, are part of divinity. It is a sacred way of being. Periodically, we forget that we are divine as we live in this world of matter and go through its trials and travails. We, as individuals, as well as we as people, need periodic renewal at the font of spiritual democracy.” (p. 381)

We invite you to use this holiday weekend to renew our Spiritual Democracy. Let’s put the “we” back in “We the people…”

If you’d like to read the chapter, just download the pdf below.

Happy Interdependence Day!

“Becoming Medicine: When There is no Treatment, You are the Medicine” – Essay in Kosmos

Joseph Rael and I have a new essay in Kosmos: Journal for Global Transformation, called “Becoming Medicine: When There is no Treatment, You are the Medicine.”

Detail from In The Many Windows of the Dream Time of Mother Earth, J. Rael, 2005

I just came across Kosmos: Journal of Global Transformation in the past few months and we are so excited and honored to have this essay published in this journal with such a needed and important focus. You need to set up an account to view our article, but it is free of charge and Kosmos does not have any advertising in it – just pure ideas of goodness & transformation! I loved the first article I read, “What if the Virus is the Medicine: Humanity’s Next Initiation,” by Julia Hartsell & Jonathan Hadas Edwards – it seemed so resonant with the work that Joseph & I have been doing in our book, Becoming Medicine: Pathways of Initiation into A Living Spirituality. Then I read Martin Winiecki’s “Searching for the Anti-Virus: Covid-19 as Quantum Phenomenon,” which was also very good and features images from Jung’s Red Book along the margin of the page.

This current issue of Kosmos: Journal of Global Transformation has a beautiful essay by Llewellyn Vaughan-Lee, “The Labyrinth and the Black Madonna: Love and Earth Magic.” Vaughan-Lee, a Sufi mystic, is a wonderful writer, whose work I discovered late in the game of writing our last book, we cite his work a few times. He has written a number of great books, including The Return of the Feminine and the World Soul and Spiritual Ecology: the Cry of the Earth. Take a look at this and some of the other great articles as well in this issue of Kosmos, In the Labyrinth: Pathways to Healing.

And you can check out Joseph’s and my article, “Becoming Medicine: When There is no Treatment, You are the Medicine.”

“We are living in disruptive times, yet there have been other times as equally disruptive. People lived through pandemics, plagues, pestilence, famines, natural disasters, slavery, genocide, oppression, and wars upon wars. How did they do it? I believe there is a secret well of resilience and wisdom within the human being—located in the heart—where we find our medicine.” (Kopacz & Rael)

Binding Sites of Coronavirus COVID-19, D. Kopacz, 2020
Dream of a Bat, D. Kopacz 2020

Coniunctionis: Truma, Transformation & Punk Rock

Mental Contagion is publishing online some of its archive. Coniunctionis: Trauma, Transformation & Punk Rock was a column that I wrote from 2000 – 2002. My sister, Karen Kopacz started editing and publishing Mental Contagion and brought together a great group of writers, including Gene Dillon, Wendy Lewis, Dean Pajevic, and Eric Hoffman, as well as many others over the years.

I wrote a new introduction for this collection of essays and I’ll let it speak for itself as you can find it below along with the table of contents. You can download the complete archive through this link. I also have the individual essays on my website under the Creativity section.

CONIUNCTIONIS

Trauma, Transformation & Punk Rock

(2000 – 2002)

David R. Kopacz, MD

Table of Contents

.0  :    Introduction

.1  :     Why Coniunctionis? (November, 2000)

.2  :    Is Reality Real? (I) (December, 2000)

.3  :     Is Reality Real?  (II) (January, 2001)

.4  :     How Can Ugliness and Disharmony, Which Are the Content of Tragic Myth [and punk rock], Inspire Esthetic Delight?” (Joy Division, Punk Rock, Violence, Despair & Transformation Part I) (February, 2001)

.5  :     Why is Revolt Necessary? (Joy Division, Punk Rock, Violence, Despair & Transformation Part II) (March, 2001)

.6  :    Is Alienation Necessary for Creativity? (Joy Division, Punk Rock, Violence, Despair & Transformation Part III) (April, 2001)

.7  :      Is There an Inside/Outside? (Joy Division, Punk Rock, Violence, Despair & Transformation Part IV) (May, 2001)

.8  :     What is the Meaning of Ian Curtis’ Death?  Where is the line between the Art Object and the Artist? (Joy Division, Punk Rock, Violence, Despair & Transformation Part V) (June, 2001)

.9  :     What is Punk Rock? What is Not Punk Rock? (Joy Division, Punk Rock, Violence, Despair & Transformation Part VI) (July, 2001)

.10:     What Does the Shadow Know? (Joy Division, Punk Rock, Violence, Despair & Transformation Part VII) (August, 2001)

.11:      What is the Relationship Between Music and Religion? (Joy Division, Punk Rock, Violence, Despair & Transformation Part VIII) (September, 2001)

.12:      What Are We to Do? Quotations (October, 2001)

I:          Interview: Ouroboros (Houston) by David Kopacz – for Mental Contagion (MC) (November, 2001)

.13:      What Does Religion have to do with Rock? A review of Dan Graham’s Rock My Religion (December, 2001)

.14:     What Did You See There? Ian Curtis and the Visionary Quest of the Shaman (Joy Division, Punk Rock, Violence, Despair & Transformation Part IX) (January, 2002)

I:          Interview: Poster Children by David Kopacz (With Special Guests Doug McCarver and Mike Barry) (February 2002)

.15:     Afterwords

CONIUNCTIONIS.0

On stranger waves, the lows and highs Our vision touched the sky. “A Means to an End,” Joy Division, Closer, 1980.

There is a movement within me, a current and flow that lives through me. I have felt the pull to be inside, where everything is happening. I have felt the pull to be outside of it all, where nothing is happening. These essays, written between 2000-2002 for the online journal Mental Contagion, are attempts to understand the inside and the outside and the power that flows from outside to inside and from inside to outside. These essays are investigations into the nature of reality through Joy Division, trauma, transformation, and punk rock. 

There is a pull that some people feel, to go deeply inward, sometimes that pull is a push, from alienation or trauma in the outer world. Going into this inner wilderness is a kind of darkness and it can overlap with despair. Maybe despair is the cause of the inwardness or maybe despair is a station along the path of inwardness, like a phase of grief that one goes through, leaving the communal and collective world and entering into the sacred inner cave of consciousness and being. Jung wrote,

“As a child I felt myself to be alone, and I am still, because I know things and must hint at things which others apparently know nothing of, and for the most part do not want to know. Loneliness does not come from having no people about one, but from being unable to communicate the things that seem important to oneself, or from holding certain views which others find inadmissible. The loneliness began with the experiences of my early dreams, and reached its climax at the time I was working on the unconscious. . . . It is important to have a secret, a premonition of things unknown. If fills life with something impersonal, a numinosum,” (Carl Jung, Memories, Dreams, Reflections, 356).

For Jung, this loneliness was difficult to bear, but it was a source of learning and experience that he would not have traded for fitting in. Ian Curtis, the lead singer of Joy Division, also found a creativity in the darkness and the loneliness and he sent back missives from the depths, as a lone astronaut exploring space might send back scratchy transmissions from another galaxy:

“You’ve been seeking things in darkness, not in learning(No Love Lost)

“I’ve been waiting for a guide to come and take me by the hand. Could these sensation make me feel the pleasures of a normal man?These sensations barely interest me for another day I’ve got the spirit, lose the feeling, take the shock away” (Disorder)

Depending on how this pull is engaged in, one goes on an inner journey. If one goes deep enough, there is an inner well of transformation, drinking that water of the deep self is like a form of rebirth, but rebirth infers that there has been a death. Without guidance, many are lost on this path and there is untold loss of human potential. Yet, these brave souls, these inner warriors, can serve as heroes as well as cautionary tales. To give one’s self over to this inner secret is like taking the steps of what Joseph Campbell called the “Hero’s Journey,” with steps of 1) separating from the everyday world; 2) entering into a magical world or the underworld and going through an initiation and transformation into a new way of being; and 3) a return and reintegration into society. Jung’s process of individuation would say that the hero brings back energy and ideas from the collective unconscious, and yet the hero bringing this back is alone, because no one else made that journey and no one else yet understands the beauty and value of what the hero or heroine has brought back from the unconscious into the light of day. Joseph Campbell felt that the hero is rejected by society, because he or she has gone places that most people do not know or understand. Herman Hesse, in Steppenwolf, wrote of a similar concept, that creativity is infused into society by the lone wolf, the liminal being, the misfit.

“We are psychiatrists; we are German; we have read Nietzsche; we know that to gaze too long at monsters is to risk becoming one – that is what we get paid for,” (Huelsenbeck, quoted in Greil Marcus, Lipstick Traces, 226).

I was a young psychiatrist when I was writing these columns and I was trying to find my path as an artist, a writer, a professional and a person. I was not German, but I had read Nietzsche, Jung, and a number of other writers you’ll find in these pages. I had listened to Joy Division and punk rock and post-punk. I was gazing at monsters, both inner and outer, as Richard Huelsenbeck, the Dadaist Psychiatrist.

These essays were about me trying to figure some things out, but they are really more explorations than answers. Over the years, the topics in these essays have resurfaced and recurred in my life in various ways. After a period of some years, I found that I had more to write on these topics and began writing additional columns.

For the purpose of this archival collection, I have just collected those essays published in Mental Contagion 2000 – 2002. Post 9/11/2001, I mostly shifted to doing interviews for the column, for this collection I have kept just a few interviews as many of them seem more specific to that time and that place (Champain-Urbana, Illinois). You can read more recent Coniunctionis essays on my blog Being Fully Human. My website www.davidkopacz.com also has the original Coniunctionis essays, along with artwork, photography, poetry, publications, and other work. The work of Coniunctionis prefigures my current work with Joseph Rael (Beautiful Painted Arrow) and has continued to influence my writing and published work:

Re-humanizing Medicine: A Holistic Framework for Transforming Your Self, Your Practice and the Culture of Medicine (2014)

Walking the Medicine Wheel: Healing Trauma & PTSD (2016) with Joseph Rael (Beautiful Painted Arrow)

Becoming Medicine: Pathways of Initiation into a Living Spirituality (2020) with Joseph Rael (Beautiful Painted Arrow)


Becoming A True Human: Podcast on Future Primitive

A Million Human Songs, Joseph Rael (Beautiful Painted Arrow)

 It was a great pleasure and honor to be interviewed by Joanna Harcourt-Smith on the Future Primitive Podcast!

We talked about Joseph Rael’s and my new book, Becoming Medicine: Pathways of Initiation into A Living Spirituality and many other things as well…

Here is the intro text for the podcast and you can listen to Becoming A True Human, here.

We are happy to come back!

In this week’s episode David Kopacz speaks with Joanna about: encouraging children to plant green living things; dancing with the trees; the dormant seed inside oneself; walking the medicine wheel; becoming a true human being; we are medicine bags; being and vibration; the cycle of rejuvenation; separation is illness, healing is coming back together; the archetypal template of spiritual democracy; the Refounding Mothers of Democracy; coming home to peace.

Joanna had taken a break for a while and this was her first podcast interview, or gaialogue in a few months, so it was extra special. Thanks to Joanna Harcourt-Smith and co-producer, José Luis Gómez Soler. Here are Joanna’s and José’s bios, take a listen to my interview and check out the many other great podcasts, such as with Steven Herrmann, Charles Eisenstein, Frédérique Apffel-Marglin, Richard Katz, Neela Bhattacharya Saxena, Roshi Joan Halifax, Francoise Bourzat, Lyla June Johnston, and many, many others…

Joanna was born high up in the Swiss mountains on a snowy January evening. She grew up in Paris and speaks 5 languages. School was boring but her curiosity about life was not extinguished by the dullness of the education system. Nature was her teacher, trees, horses, dogs and the ocean gave her a sense of belonging that she did not feel within her birth family.

Joanna turned fourteen in 1960, she was in love with Marlon Brando and Rock and Roll. During her adolescence she was torn between a desire to die and an intense love of life. Because she felt lost between despair and passion she wrote poetry and continues to do so up to this day. During the early 1960s she lived in Spain and wrote “The Little Green Book” an answer to Mao Tse Tong’s “Little Red Book”. The Book was published in 4 languages and widely sold in France, the Netherlands, England and Germany.

In 1968 moved by the music of the times and the spirit of revolution sweeping through her generation she emigrated to the United States. Her exploration of mind liberating substances led her to find Dr. Timothy Leary who was a fugitive from prison in the US. They became in love and were kidnapped by American authorities in Afghanistan and returned to California where Timothy Leary went back to prison to serve a sentence of possession of 0.01 grams of marijuana. During TL’s three and a half years in prison Joanna worked tirelessly to secure his release, she lived in San Francisco where she collaborated, published and distributed the 6 books he wrote in prison. In addition, Joanna traveled to England, Italy and across the United states lecturing about the imprisonment of Dr. Leary.

In 1977 Timothy and Joanna’s love affair came to an end after he was released from prison. She then went down to the Caribbean and bough a magnificent wooden sailboat named Kentra. For several years she lived on her boat and sailed around the islands attempting to heal her broken heart. In 1983 she returned to the United States, surrendered herself into the path of life long sobriety and became a celebrated chef in Philadelphia and Santa Fe.

She practices Buddhism and the elusive way of loving kindness and compassion mainly for herself and for others around her. Joanna’s great question in life is “What is true Kindness?”

In October 2013 Joanna published a memoir about her adventures with Timothy Leary entitled Tripping the Bardo with Timothy Leary . Her book been has been optioned by the Oscar winner director Errol Morris. Filming began in December 2019.

She his currently writing another book entitled “Change your beliefs, change your life” Surviving Timothy Leary“.

She is also featured in Gay Dillingham’s movie “Dying to Know”, a documentary about Leary and Ram Dass’ lifelong exploration and friendship.

She is the author of several articles published in the online magazine “Reality Sandwich”.

The co-founder of the podcast is her partner, José Luis G. Soler.

Joanna has three amazing children.

She likes to remember that “if you don’t like the media, be the media”.

Life is short, but it’s wide!

José Luis Gómez Soler is the co-producer of Future Primitive. Since 2006 he has supported the podcast with research, recording, guest coordination and audio editing of these wonderful episodes.

José Luis studied Audiovisual Media Studies at the University of Sevilla, Spain. Since a young age, he has been deeply interested in mysticism and Nature.

The Call/The Invitation: Podcast (Part III) with Suzanne Richman, David Kopacz & Beth Turner

Part III of the Transformative Language Arts Network podcast

Sun Through Tree near Sol Duc River (D. Kopacz, 2020)

The Call/The Invitation Part III

David and Suzanne continue their moving discussion around ‘doing better than rushing to return to normal’ after things shift once again with COVID 19.

This episode dwells in the land of opportunity: What could things look like for us as a people, a world, an environment should we thoughtfully, purposefully move with the new things ushered in despite the chaos vs desperately trying to ‘get back’ to what was once upon a time—back then?

There is such beauty in their words!

I will borrow a saying from David: “Like  pinatas of wisdom…”

Listen to the podcast here

——————-

David Kopacz is an author, painter, TLA member and psychiatrist. He lives in Seattle, WA.

Twitter: @davidkopaczmd

Blog: https://beingfullyhuman.com/

Website: https://www.davidkopacz.com/

Instagram: davidkopaczmd

———————

Suzanne Richman is an education consultant, had founding roles within Goddard College in Vermont, she has expertise and passions within the realms of trauma, grief, social activism. She is a self-confessed recovering academic. You can contact Suzanne at :   Suzannehummingbird@gmail.com.

The Call/The Invitation: Podcast (Part II) with Suzanne Richman, David Kopacz & Beth Turner

This is part II of the Transformative Language Arts Network podcast.

Binding Sites of Coronavirus COVID-19 (D. Kopacz, 2020)

The Call/The Invitation, Part II

David and Suzanne do some wrestling for us in this episode: 

The push to ‘return to normal’ after a stretch of chaos. 

*What could we miss as a people, a nation, a world? 

*What questions could we be asking of ourselves right now, and one another? 

*What gems could be squandered if we skip past this pause before the return?

Their thoughts will cause you to slow your pace and move ahead with more intention and quite possibly in a different direction.

Listening to them share is very centering.  And probably something you will want to repeat!

Enjoy~

You can listen to Part II of the podcast here

————————————————–

David Kopacz is a psychiatrist, a painter and an author. He lives in Seattle where he does transformation work with veterans and their stories. He is a TLA member.

Twitter: @davidkopaczmd

Blog: https://beingfullyhuman.com/

Website: https://www.davidkopacz.com/

Instagram: davidkopaczmd

————————–

Suzanne Richman is a passionate teacher within such realms as: Ethnobotany, Social and Ecological Medicine, Community Health Systems, Trauma and Transformational Leadership. She lives in Vermont, and is a TLA member. Suzannehummingbird@gmail.com.

The Call/The Invitation: Podcast (Part I) with Suzanne Richman, David Kopacz & Beth Turner

Transformative Language Arts Network Podcast

Path through thicket, St Davids, Pembrokeshire, Wales (D. Kopacz, 2018)

The Call/The Invitation:

*What happens if we did something better?

 *Better than return to what was before COVID 19? 

*What if we slowed the rush to return?

Seattle psychiatrist David Kopacz and Vermont educator/community activist Suzanne Richman extend an invitation to us all. It is not a passive request. By its very essence, the word ‘invitation’ suggests action, a response. These powerful TLA thought leaders ask us to RSVP to the call to reflect before we return.

There are 3 parts to the core invitation. Each part is a meal-of-thought in itself.

Listen to the podcast here

You are invited to savor!

—————————————–

Twitter: @davidkopaczmd

Blog: https://beingfullyhuman.com/

Website: https://www.davidkopacz.com/

Instagram: davidkopaczmd

——————————————-

Suzanne Richman has her roots in education. She was the co-creator of the Earth Justice and Health Learning Alliance, and facilitated learning in fields such as grief and dying, trauma, social activism, and community health systems.  Suzannehummingbird@gmail.com.