![]() ‘ I don’t like it.’ So you feel very uncomfortable.” He called the untrained mind “a bundle of knots, Gordian knots”-an engine of tension and agitation. ‘ I don’t like it.’ The mind starts revolting. “Diligently, ardently, patiently, but persistently, continuously.” He spoke of the difficulties students would encounter in the coming days. “To get the best result of your stay here, you have to work very hard,” he said. “You have nine more left to work.” His voice was gravelly, his demeanor almost soporific. Goenka died in 2013, but students on his retreats still receive much of their instruction from grainy recordings of the master himself. Satya Narayan Goenka, a Burmese businessman turned guru, had taken up meditation in the Fifties, hoping to alleviate his chronic migraines, and was so happy with the results that he went on to establish a global network of more than one hundred vipassana centers. On the screen was an elderly man with soft, hooded eyes, sitting cross-legged on the floor. That evening, everyone gathered in the meditation hall and an instructor inserted a videotape into an old VCR. ![]() During breaks, she walked among the beech trees and orange lilies on the center’s thirteen acres. For a cumulative ten hours and forty-five minutes, she sat cross-legged on a rug, her spine erect, and tried to focus on her breath. On the first day of the retreat, Megan, a cheerful twenty-five-year-old with blue eyes and shoulder-length hair dyed a cardinal red, woke at four o’clock in the morning to the chiming of a bell. “I love you, I love you, I love you,” she said. upon finding the discipline too difficult.” Megan knew that she’d have to forfeit her cell phone and observe a mandatory “noble silence,” so she called her mother one last time. She was on her way to a silent retreat at Dhamma Pubbananda, a meditation center specializing in a practice called vipassana, which its website describes as a “universal remedy for universal ills” that provides “total liberation from all defilements, all impurities, all suffering.” Those who attend Dhamma Pubbananda’s retreats pledge to observe strict rules (no reading, no dancing, no praying) and to stay for the whole ten days, as it is “both disadvantageous and inadvisable to leave . . . We'll work on what is going on in your life to find out why it's happened.On a cloudless afternoon in March 2017, Megan Vogt drove her truck toward a Delaware town between the coastal plain and the foothills of the Appalachians. "Your problem is real but there is no physical basis for it. You may feel better if you realize the problem is psychological, not physical." "It must be awful not to be able to move your legs. "It isn't uncommon for someone with your personality to develop this disorder during times of stress." ![]() You must deal with this conflict if you want to walk again." "You've developed this paralysis so you can stay with your parents. ![]() The client asks the nurse, "Why has this happened to me?" What is the most appropriate response? When physical examination rules out a physical cause for her paralysis, the physician admits her to the psychiatric unit where she is diagnosed with functional neurologic symptom disorder. Shortly before the fall semester starts, she complains that her legs are paralyzed and is rushed to the emergency department. A woman, age 18, is highly dependent on her parents and fears leaving home to go away to college. ![]()
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