What’s Your Ikigai?

by Don Fausel

It’s never been easy to be a human being! We have always had to wrestle with strong and painful fears. Now if we face ourselves honestly, or if we merely eavesdrop on the secret murmurings of our heart, isn’t this what we discover—that one of our basic fears, the fear beneath many fears is the dread of being nothing, of having no real importance, no lasting worth, no purpose in life.

It is precisely to this fear of being nobody, having no worth, that our Judeo-Christian-Humanitarian ethic reminds us that our basic value is not something we achieve in competition with everyone else, but something we gratefully accept along with everyone else. We need not become important, we are important. We need not become somebody, we are somebody. No matter what others may say or think about us, or do to us, we are somebody.

As we grow older and become less able to function physically or mentally as we did in our younger years, we need to remind ourselves, that we are still somebody, with the same dignity and worth, with the same God-given inalienable rights. Sometimes when we’re not able to do a lot of the things we used to do, when our body is failing us and our short term memory is not as good as our long term memory, it’s hard for us to accept the fact that we are somebody worthwhile. That’s why it’s particularly important for us Elders to periodically ask ourselves, what is my purpose in life?

Several years ago I discovered a Japanese word that captures the importance of having a positive attitude and purpose in our life. The word is Ikigai, (pronounced ee-ki-guy) the Japanese word used to describe why I get up in the morning, what my sense of purpose is. I love the word Ikigai! I like saying it! I like writing it! Ikigai, Ikigai! I think it was the beginning of my interest in happiness. I realized if you don’t have an Ikigai, you’re not going to be happy. But more about that in another blog.

I was even more impressed with the origin of the word and its application for us elders. Researchers have identified what they call Blue Zones. These are areas throughout the world with a high percentage of centenarians; places where people enjoy remarkably long full lives. Their lives are not only longer but physically and mentally, they are more active than elders in other areas of the world. National Geographic’s Dan Buettner has traveled the globe to uncover the best strategies for longevity found in these Blue Zones. One of those areas is the Japanese island of Okinawa. It was there that he discovered that one of the characteristics for a long healthy life was having an Ikigai. To a resident of Okinawa, Ikigai can be anything from tending their vegetable garden, taking care of great grandchildren, to walking and exercising every day. Whatever it is that motivated them to remain involved, they give credit to their Ikigai. After years of research Dan Buettner concludes:

One of the biggest revolutions in thought in our time is the changing of emphasis from physical health to mental health in connection to longevity. The effects of negative stress and ‘inflammation’ are cited more and more frequently as the cause of early death and lowered quality of life. One of the most important methods for counteracting that is Ikigai, a sense of purpose. … Ikigai is something that brings joy and contentment. It fills a person with resolve and a sense of satisfaction in what they are doing. Most of all, it brings happiness.”

Here’s a TED TALK by Dan Buettner titled Okinawa, Ikigai, and the Secrets of Longevity . As usual, one TED TALK is worth pages of my words.

Finally, I’d like to introduce you to one of my all time heroes, who exemplifies what it means to have an Ikigai. She was known as Granny D. If you don’t remember her, she was a social activist,  whose real name was Doris Haddock, from Dublin, New Hampshire. In 1999, at the age of ninety, Granny D. walked 3,200 miles across America to raise awareness about a campaign for political finance reform. She walked ten miles a day for 14 months. She is widely credited for galvanizing the public support that helped pass the McCain-Feingold Campaign Finance Reform Act in 2002.

In 2003 at the age of 94, she drove around the country on a 22,000 mile voter registration effort targeting working women and minorities. She cut her tour short to challenge the incumbent New Hampshire senator, Judd Gregg, in the 2004 election. Her grassroots campaign earned her 34% of the vote. In her later years she published a book entitled, You’re Never Too Old to Raise a Little Hell. She died peacefully in her home six weeks after she turned 100 in 2010. Former president Jimmy Carter described her as “…a true patriot, and our nation has been blessed by her remarkable life. Her story will inspire people of all ages for generations to come.”

I’m not suggesting that we all need to follow in Granny D’s footsteps, by walking 3,200 miles for a righteous cause, or running for the Senate. But we can all be motivated by the spirit she modeled by following her Ikigai, and in our own way, seriously consider identifying our own Ikigai. We need to know and follow our values, passions and talents–and to share them by example on a regular basis. It might be by living our lives, with our physical and mental restrictions, as a legacy for our grandchildren or great grandchildren, or showing compassion for those in need, who are less fortunate than we are. Whatever we choose to do, it’s our Ikigai. So what is it that gives your life a sense of worth? What gets you out of bed in the morning?

Since I retired, my major Ikigai for the past five years or so has been writing. To paraphrase the French philosopher, Descartes, “I write, therefore I am!” What’s your Ikigai?

Musings on Spiritual Health

by Kelly Kahlstrom

“To heal, a person must first be a person”

As some of you know, in my Monday through Friday 8-5 life I am a nurse case manager for one of the state Medicaid programs. I work with women who have high risk pregnancies. These risk factors can be physical, like diabetes or high blood pressure; it can be emotional like anxiety/depression or other mood disorders; or social, like being homeless. Bella* is typical of many of the women with whom I have the privilege to speak. She is a 22-year old who is 3 months pregnant with her second child. Her oldest child, Rocky, is 15 months old. Bella’s pre-pregnancy weight was 215 and she was just diagnosed with Type II Diabetes. Her mother is her primary support both emotionally and financially while she stays home to care for her son. Bella and the father of the baby are not getting along since the news of this second, unplanned pregnancy. She has a history of anxiety but has never sought treatment for this. She has had one year of college and eventually would like to go back to school but her first pregnancy interrupted her studies.  Historically my conversations with her would center on her diabetes and how it affects her pregnancy. I would offer behavioral health support and most of the time the offer would be declined by saying “I can manage it on my own; I just need to stay positive”. And I would leave it at that.

Recently however there has been a push within Medicaid to “integrate” disciplines so we do a better job of addressing more domains of health, noting that physical health, emotional health, spiritual health, and social health are all interrelated. Statistically, patterns have emerged which indicate that symptoms in one domain usually cascade through the other domains in fairly predictable ways. For instance, if one has a food addiction like Belle, it can be predicted that one might also suffer from physical limitations such as obesity and diabetes. Prescription drug use from back or joint pain is likely. Often there is a history of untreated anxiety/depression or other mood disorders and maintaining close relationships with others can be difficult. As you can see, an illness in one domain affects all domains of health. Illness is a spiritual event.

Now if we visualize the domains of health on a horizontal axis, as a snapshot in time, it is also helpful to remember that health throughout a person’s lifetime lies on the vertical axis. There is good reason to believe that two-thirds of us experienced at least one traumatic event in childhood. We now know that the more trauma a child has experienced, the greater the change to the neurobiology of the brain. This affects the body’s ability to process and recover from stress, especially chronic, unpredictable, toxic stress. Chronic exposure to this type of inflammation correlates significantly with auto-immune diseases, mood disorders, as well as substance use in adulthood decades after the initial exposure. So, with Belle, like many of the women I talk to, it is best to assume a history of trauma rather than not. This information radically broadens the conversation. The starting point may indeed be in the physical domain but, as rapport is established, the conversation can move across to other domains or backward to previous experiences and how these experiences might affect present and future health. It is here that I learned she was ridiculed as a child for her weight and she witnessed her older brother die of a heroin overdose. Often interpreted in childhood as a defect in their character, these types of experiences contribute to an ongoing angst in adulthood, pushed from thought by “being positive”, belied by reaching for the 8th cookie on the plate.

Which brings me to my real area of interest…spiritual health, and alas, it is the one domain of health I cannot talk openly about at work so I’ll muse about it here instead. Spiritual health is the point of origin, in my humble opinion, of both the horizontal dimensions of health and the vertical history of “how your biography becomes your biology”.

What exactly is Spiritual Health? Spiritual health is something that we all have a sense of but it is not always easy to articulate. I am drawn to Rabbi Abraham Heschel’s quote “To heal, a person must first be a person”.  Could it perhaps be said then that spiritual malaise looks like a forgetting of what it means to be human?  Without a protracted discussion with the philosophers amongst us, I would argue that one aspect of personhood is the need to make sense of the experiences in our lives. As Lord Rabbi Jonathan Sacks reminds us, “religion survives because it answers three questions that every reflective person must ask. Who am I? Why am I here? How then shall I live.” When we have forgotten who we are, what we are put on earth to do, and are unable to live up to our identified values, we have experiences but often miss the meaning of these experiences in our lives. Experiences without meaning leave us feeling empty, anxious, apathetic, conflicted, hurried or harried, self-absorbed or feeling we have something to prove. These disembodied feelings can originate from events that have occurred on either axis.

So if spiritual malaise is a forgetting of who we are, either from not recognizing that each domain of health affects the others, or by not understanding how events from childhood shape our adult health, what is the prescription? How do we recover the meaning by which we are able to re-interpret our experiences? “To heal, a person must first be a person” and awaken (again) to their own identity.  I offer these as possibilities but this hardly represents an exhaustive list.

  • A remembrance can happen through engaging in activities of quietude such as meditation, prayer, visualization, stretching, yoga, dream work, labyrinths, and mandalas.
  • A remembrance can happen through a flash of insight while engaged in the profane or mundane tasks of our lives.
  • A remembrance can happen when we take our faith seriously and actively work to deepen our spiritual life.
  • A remembrance can happen through the development of strong social ties to a community that makes room for questions about identity, purpose and ethics.
  • A remembrance can happen through consciously seeking ways to exercise each domain of health every day, i.e., eating well, participating in the spiritual practice of your choice, reaching out to a friend, or volunteering with an organization.  
  • A remembrance can happen when we work with professionals like spiritual directors and counselors who help us recognize and name the patterns of our experience.

Spiritual health opens up space to fully claim our humanity in the moments when we are awake. It allows us to be more fully in relationship with God or the Divine. It allows us to feel grounded in our purpose, to live with a sense of wonder and joy, to befriend death, to be a global citizen, and to practice forgiveness, compassion, and unconditional love. Not too shabby, huh?

I would argue that Bella is not unique to the population I work with. Her story, while uniquely hers, has elements that ring true for many of us. In fact, she is our colleague, our neighbor, our fellow congregants, and committee members. Perhaps even ourselves.

To heal a person must first be a person. Blessings on your journey!

* Names have been changed.