Big Medicine: Transforming Your Relationship with Your Body, Health, and Community

By Pierre Morin

Big Medicine is a guide for anyone who is interested in health and healing, including patients, providers, and caregivers who want to uncover the deeper meaning of physical symptoms and build a new relationship with their bodies. Author Pierre Morin, MD, PhD, revolutionizes the field of medicine by explaining the body's manifestations as a Process—one that is neither bad nor good, neither sick nor healthy. Dr. Morin explores how, through our body's innate intelligence, we can gain creative and spiritual insights that help us appreciate our inner diversity and understand our most profound selves. These powerful discoveries will not only stimulate our own personal healing—they can also inspire us to foster community, systemic, and social change.

• Language: English
• Publisher: Independent Publishers Group
• Release date: Sep 1, 2019
• ISBN: 9780999809471

Book preview

Medicine.

INTRODUCTION

LINNEA, A FIERY red-haired Scott, is literally burning. Her skin is on fire. She has suffered since her early childhood from chronic atopic eczema. As a baby, she was cranky and colicky and couldn’t tolerate cow’s milk. Her life is an endless litany of doctor’s visits — nightmares of needles puncturing her skin hoping to desensitize her body to the attacking allergens. She almost resented giving birth to her daughter because her pregnancy was the only respite she’d experienced from the constant itchy flares that make her scratch her skin raw and bloody.

But with help from her coach, she enters the world of the burning flame, becomes the blaze that lifts and dissipates in flowing motions into the sky. On that journey, she shrieks with anger and passion, transforms into smoke, and liberates herself from her earthly body to join Nature,³ who calls her to advocate for her more forcefully.

Linnea presents with all the typical medical symptoms, genetic attributes, and grueling illness narratives of someone with severe chronic eczema, a condition that conventional medicine has few remedies for. Patients like Linnea run from one medical professional to another and succumb again and again to the burning skin flares. They become discouraged and get depressed, and some even think of suicide as a way out of the relentless bad dream.

This book offers an alternative way of thinking about health, disease, and medicine and will transform your relationship with your body. I call this approach Big Medicine, in contrast to small medicine, or mainstream Western medicine. For Linnea, Big Medicine meant to embrace the burning, explore its world, and discover a renewed purpose as an ambassador for Nature. Her lifelong struggles with chronic illness have led her to moments of despair and depression but finally also allowed her to dive deeply into her own being and find a new sense of self. Big Medicine doesn’t replace all the benefits of small medicine. Rather, it is an invitation to also uncover the embodied mind and resourcefulness that comes from the body’s lived experience even when small medicine says we have a disease and asks us to reject it.

Big Medicine continues the inquiry into health that I began with my book Health in Sickness, Sickness in Health.⁴ The latter proposes that there are valuable aspects to sickness, and that our concepts of health have problematic side effects that add a burden of suffering. I concluded Health in Sickness with a new definition of health that I called, in alignment with the German philosopher Nietzsche, grosse Gesundheit, or Big Health. Big Health is an awareness approach to health and sickness that facilitates all facets of someone’s experience in a holistic way, including the community and social ones.

With Big Medicine, I am deepening the conversation to explore medicine and healing in a radical new way that starts with the core subjective experience of feeling sick and follows the process in which sickness is embedded. (For Linnea, this is feeling the burning sensation, embodying the flame, transforming into its smoke, etc.) Big Medicine explores the current mainstream topography of health and illness and lays out the foundation of a new holistic and non-pathologizing approach to venturing through the experience of illness — one that is informed by process-oriented psychology. I then discuss Process, the science of inner experiences, and the practice of presence. As the journey continues, I look at relationships and communities both as medicine and as creators of sickness. I conclude by advocating for a new colorful, communal fabric of health, medicine, and healing.

My most ardent wish is for you, the reader, to find some insights about your own path and processes. If you are a patient, I want to help you develop an attitude toward your health that values all medical approaches and the need for diagnosis and treatment whenever necessary. In addition, I want to offer you a new way of exploring illness that does not pathologize it — one that is interested in the deeper wisdom that lies hidden underneath the bedrock of disease, pain, and suffering. If you are a healthcare provider, I want to stimulate you to think of health in a non-dual, holistic way and give you tools that will help you facilitate your clients’ journeys through illness toward true healing.

The Origins of Big Medicine

Today’s version of medicine, what I call small medicine, has lost its art. It has turned into the provision of healthcare, which has morphed into a practice that is dominated by technologies, process flow charts, decision trees, and lists of best practices. It is based on the idea that the body is a machine built as a collection of machines. Healthcare supplies the mechanics that repair the failing or broken machine. This version of medicine is very powerful and often successful; we still need to use it. But medicine has lost its depth, art, and soul, as well as its human and social connection.

I began to form the concept of Big Medicine as a young resident just out of medical school, after responding to an invitation from my physician friend Martin Vosseler. Martin was an unconventional doctor, in many ways like the American physician, comedian, and social activist Patch Adams, who founded the Gesundheit Institute in 1971.

Martin had a one-man private practice on the Rhine border in Basel. As part of his medical practice, he invited a person of interest to speak each month, such as a politician, poet, environmentalist, or social activist. They would share their views and practices and we, the invited circle of friends, would discuss how these ideas could inform our lives and medical practices.

One evening, he invited Arnold Mindell, the founder of process-oriented psychology, to demonstrate his uncanny approach to body symptoms. Martin volunteered to explore his own symptoms of repetitive strain injury (RSI), and 35 years later, I still vividly remember the fascination I felt as I witnessed Arny unveiling the story and process, the depth and meaning that lay beneath what medically was an uncomplicated condition that would probably resolve easily with some rest.

Many years later, Martin told me how life-changing this experience had been for him. His RSI had stemmed from filling thousands of envelopes with political leaflets. Arny helped Martin unfold the pain in his hand, which required him to stop in his tracks, rest, and re-examine the scope of his involvement in medicine, relationships, and political action. This experience spurred Martin to eventually leave medicine and devote his life to environmental activism.

This represented a paradigm shift for me. A body experience was not only a nuisance or a symptom of something broken that needed to be fixed. It had its own relevance that was deeply embedded in Martin’s history, personality, current life situation, and aspirations. Big Medicine started that evening and has evolved through my 35 years of studies in process-oriented psychology and medicine.

The first seminar in process-oriented psychology I attended after that watershed night was a seminar on group dynamics and conflict resolution led by Arnold Mindell. It was a five-day seminar in Tschierv, a remote village in the Swiss Alps. We were about 45 participants all staying under the same roof in a big Swiss mountain cabin and working together on issues within our group, such as gender and class. There was also one African-American woman who brought race to the forefront, an issue that was, in those days, little spoken about in Switzerland. The interactions were wild, intense, and transformational. I remember glass shattering and people screaming and running out into the Alpine meadows.

Medicine, at that time, tended to attract shy, introverted, and conforming individuals into its studies and practice, and I was one of them. The group dynamics I witnessed in Tschierv were deeply disturbing to me, but I stayed and survived. The experience sparked in me a curiosity about the social and community aspects of medicine that later led to my doctoral studies in social medicine and health psychology. In these studies, I learned about the injustices of our social arrangements that create health disparities. Thus, individual health and community health are the two pillars of my version of medicine.

How to Read This Book

Big Medicine is meant to inspire your thinking and stimulate self-reflection. To complement the insights and anecdotes in each chapter, I give some coaching guidance in the form of inner work exercises. In this way, you can use it as a self-help book. If you are a patient, please use the exercises along with your own common sense and intuition, and consult with your health providers. If you are a provider, you can use the exercises to learn more about yourself and to find new creative and Process-informed ways you can assist your clients and patients.

As illustrations, I rely on examples from my own experience and on stories from people I have coached and counseled. While they have consented to have their stories published, I have kept their demographic information private and changed their names.

I begin by sharing my personal perspective on health. I discuss some features of small medicine, or what I call bell curve medicine, and contrast them with concepts of Big Health and Big Medicine. After exploring the wisdom of inner experiences through the lens of process-oriented psychology, I delve into the practice of presence — the source of Big Medicine’s healing powers. This all leads to an examination of how we can use the Big Medicine paradigm — not only in our individual lives, but also in our relationships with others and our communities.

Chapter 1

THE LANDSCAPE OF HEALTH, MEDICINE, AND HEALING

ON N OVEMBER 7, 2016, the poet and singer Leonard Cohen passed on. The chorus of my favorite Leonard Cohen song, Anthem, goes like this: Ring the bells that still can ring; forget your perfect offering; there is a crack, a crack in everything; that’s how the light gets in. In my book Health in Sickness, Sickness in Health, I shared these lines as a metaphor for valuing our imperfections and cracks. Cracks are where light gets in, where awareness can emerge. Could there be some value to the cracks in our health — that is, our illnesses? The upset of a disease, I explained in the book, is an overture for a new understanding and learning. Thus, health in sickness.

As an immigrant from Switzerland with English as my third language, I work in a very diverse environment helping refugees resettle in the United States. I am passionate about medicine and the world. My loving uncle Pierre Girard was an acclaimed doctor, but a mountain farmer and vintner at heart. He inspired me to study medicine. Although I am not currently working as a medical doctor, I have served as such in the past in various mainstream medical settings.

Health, medicine, and healing have been my central professional focus for the past 45 years. I have experienced the benefits of Western medicine up close. But I have also seen the limitations of Western medicine, how its benefits are unequally distributed, how most medical interventions treat the individual and ignore their family and community, and how our narrow emphasis on health marginalizes so many aspects of our lives. My perspective changed after Arnold Mindell introduced me to his radical paradigm shift around body symptoms, medicine, and health. This encounter led me to transition my work from mainstream medicine into counseling, coaching, and consulting with individuals and groups, employing the methods of process-oriented psychology and Big Medicine.

Throughout my conventional medical career, never did I learn that illness could be anything other than an enemy, much less an opportunity for growth and heightened awareness.

Thus, I am excited to present you with my unique and very personal perspective on the landscape of health, medicine, and healing. Big Medicine draws on the theories and concepts of process-oriented psychology, which was developed by Arny and Amy Mindell and their colleagues. In this book, I will share my own journey and bring a distinctive note to the topic. I will first lay out the mainstream thinking of health and illness, and then contrast them with my own viewpoints, which I draw from process-oriented psychology.

Also known as Process Work, process-oriented psychology views every experience as one worth exploring to uncover its potential for new learning and meaning. Its approach is strictly non-pathological, which allows us as patients and providers to shift our mindset and begin to see ill health as more than disease.

With Big Medicine, I make the case that health has been elevated to the dominant culture of our experience and that disease has been relegated to refugee status. We marginalize disease and illness as foreign and try to keep them out as best we can. We exclude the language and culture of disease from our notion of health. In Big Medicine, disease is not only failed health but also a new cultural experience that has its own language and meaning.

Some Definitions

Before I continue, let me in broad strokes explain some of the concepts I will use throughout the book. I will detail the definitions in later chapters. Health is a theoretical construct that describes an ideal state of your body and mind. As we will see, that ideal state is actually a fallacy that adds a layer of suffering for those who experience ill health. I define health as a theory and medicine as the application of health sciences for the purposes of healing. For example, in my case, health is an idea of a state without asthma, and medicine is the use of my asthma inhaler to get relief.

Small health is a term that stresses the reductionist and mechanistic features of mainstream Western or allopathic medicine. In Chapter 2, I discuss the bell curve model of health, which highlights the normative elements of small health. Big Health, as stated earlier, endorses a more inclusive concept of health — one that sees disease and illness as a path toward health. Big Medicine is my take on a multi-layered, holistic approach to healing that is based on Big Health concepts.

Big Medicine is the application of Big Health. In addition, Big Medicine uses theories and methods from process-oriented psychology to explore and facilitate a person’s and community’s experiences of health and sickness. Big Medicine is Process-informed, as it highlights the dynamic, forward-moving qualities of life and looks at the manifestations of life with a value-neutral ethical lens.

Small health and medicine see the body as a complex machine that needs maintenance to remain tuned and repair when it’s broken. Symptoms are indicators that something is wrong; they help health professionals identify which parts are malfunctioning or broken. Medications, surgeries, and other interventions are tools for fixing the problems. Secondary to all of this are the body’s owner, his or her psychology, and the environment and community he or she lives in. These factors are rarely addressed as part of the health issue. If at all, the social, emotional, and psychological aspects of ill health are referred to social workers and counselors — healthcare providers who have less status than their physical health counterparts and who are poorly compensated for their services. The dominance of small health thinking and values is maintained by ingrained political and economic structures that protect the profits of the corporate health industry.

Health is a complex and multi-layered story. It is a figment of our imagination, an ideal that may not be helpful any longer. Or better, we need to rethink the concept of health and find new modes of relating to all the existential processes that surround our notion of health. I want to suggest a way we can retake ownership of our bodies, the experiences they present us with, and our community relationships around health.

For this purpose, I propose to differentiate between small health and medicine and Big Health and Medicine. Small health and medicine are the conventional approaches. For Linnea, my client with eczema, these approaches included avoiding cow’s milk and other foods; enduring many harrowing courses of desensitization to allergens; treating the symptoms with antibiotics, cortisone, and an array of topical ointments; and trying acupuncture, homeopathy, and several other modalities. Such treatments are invaluable, and, as we will see, problematic. They confined Linnea into the identity of a diseased person: someone who is not whole, someone who (besides enduring the excruciating pain) must hide her body and its rashes.

Big Health and Medicine accept the need for small health and medicine, but combine it with a new Process-informed approach that places each individual and community at the center. Our inner experiences and personal stories are the backbone of this new approach. In small medicine, our subjective knowledge has been disenfranchised in favor of objective test results. Big Medicine reintegrates the psychological and emotional know-how of us as individuals and communities.

In mainstream culture, health has a dominant and favored standing. The majority perspective turns against illness, disease, and (ultimately) death. This makes good sense. Nobody in their right mind wants to fall ill, suffer, and die. It doesn’t seem right to embrace disease. On the other hand, we have no choice. Ill health and death are part of the fabric of life. Why not then be curious, learn a new language, and discover a new landscape and culture? Big Medicine aims to take you on a journey that will help you deepen your grasp of the diverse and multifaceted manifestations of your being. Over time, this will include drifting through health and pausing at disease. Getting to know a symptom is like traveling to a foreign country. Some of its manifestations are difficult, while others open up new insights and perspectives.

Culture and Health

Culture not only shapes our attitude toward health, illness, and death — it also contributes to the burden of disease. Cultural structures of systemic oppression, including racism, sexism, and classism, create physiological stress that translates into disease and adds to health disparities. The politics and policies of governments that support unequal sharing of resources and opportunities foster marginalization and create a more discriminatory distribution of disease. In this way, politics and policies are directly linked to life expectancies and our individual likelihood of staying healthy. Cultural, psychosocial, and psychopolitical forces can actually influence our physiologies and the metabolisms of our bodies by causing, for example, trauma, stress, tension, anxiety, and depression.⁵

Diseases, from a Process-informed perspective, express marginalized aspects of our identity. These marginalized aspects embrace a diverse set of values and beliefs, creating (in a way) their own culture. In addition, community relationships can help keep us healthy or make us sick. Big Medicine therefore uses a cultural lens to better understand our illness experience and the systemic structures that affect our bodies and minds. Life is a playground in which health and illness coexist. In Big Medicine, both are seen as an articulation of a deeper Process that is present in individual and communal experiences.

In Western culture, we think that to be normal is to be healthy. The media floods us with information and images of idealized young, healthy, and immortal bodies. We assign doctors, chiropractors, naturopaths, psychologists, and fitness trainers with the responsibility to keep us healthy, and we blame them if they don’t succeed. And cultural ideas about health — such as norms for fitness levels, weight, and body size — are used constantly to privilege some people over others. What is going on?

The Israeli sociologist Aaron Antonovsky said, "People are as good