By Pete Anthony Gryffin, PhD
July 8, 2024
Tai Chi also has many benefits as a mindfulness-based practice for dealing with post-traumatic stress disorder (PTSD). 6 Min. ReadAside from the many physical benefits for health, Tai Chi also has many benefits as a mindfulness-based practice for dealing with post-traumatic stress disorder (PTSD). As stated by the National Institute of Mental Health, PTSD can develop in people who have seen or lived through a shocking, scary, or dangerous event. Chan/Zen (meditative) practices have a long history for dealing with trauma, being rooted in learning to deal with suffering. In many ways these practices are as much or even more psychological as they are philosophical, as exemplified in David Brazier’s book Zen Therapy, or Zen Meditation and Psychotherapy by Tomio Hirai.
The Four Noble Truths
Suffering is seen as the first “Noble Truth” of Zen Buddhism – that life is full of mental and physical suffering. Zen (mindful or meditative) practices create a mind-state separate from suffering through non-judgment, which allows one to transcend stress and trauma (the fourth “Noble Truth).” Truths two and three are understanding of the causes of suffering, and that it is possible to end suffering, leading to Truth four, how to end suffering (for example through meditative or mindful practices).
The basic premise or goal is to become an “empty vessel,” to achieve a state of “no mind.” If the mind is a blank slate – an empty vessel free from thought – it is also free from anguish, stress, and reliving past trauma. The idea is that being free from the past, one can live fully in the present. This also includes being able to feel joy in the moment. But sometimes just a sense of peace is more than enough.
Several studies have been conducted using Tai Chi as a mindful practice for PTSD, noting potential benefits for reducing symptoms and improving functioning for those exposed to trauma, although Niles and colleagues note that more vigorous research is needed in this area. A study conducted by Pao-Feng Tsai and others noted in their study that Tai Chi practice demonstrated a significant benefit for PTSD, as well as for musculoskeletal pain. In my book Mindful Exercise: Metarobics, Healing, and the Power of Tai Chi (YMAA Publication Center) the focus is on research, case stories, and recommendations for researching, teaching, and learning Tai Chi for physical health. But I also discuss the mental health benefits of Tai Chi as a mindfulness-based practice, including enhanced awareness and control of addiction. Focusing on the leading hand during Tai Chi works to focus and center the mind similar to counting the breath and other focal points used in sitting meditation.
Awareness is a major component in Buddhist philosophy, as a means of eliminating destructive behavior and thoughts. Meditation is used as a tool to develop awareness of negative reactions and destructive habits. As discussed in my book, essentially a mental “stepping back,” allowing space for purposeful action, as opposed to uncontrolled and unconscious reaction.
Change is unlikely without an awareness of the unconscious roots of destructive or negative behavior. Even something as obvious as putting a cigarette in your mouth can be an unconscious habit. Awareness of smoking related cues and triggers can develop a conscious control of smoking behavior. One of the nice things about Tai Chi, is that as a moving form of meditation, Tai Chi can be an effective tool for creating mindful awareness for breaking unconscious habits, and also for dealing with stress and PTSD, while also providing many ancillary health benefits.
Tai Chi for Veterans
Several studies have been conducted on the benefits of meditation for Veterans. Dr. Kathi Heffner and colleagues documented findings from a meditation program at six Veterans Affairs sites. The authors concluded that VA-sponsored meditation programs show promise for reducing PTSD severity in Veterans receiving mental health services. Another study examined the effects of a Yoga based mindfulness meditation program for women who had experienced sexual trauma and were being treated at a Veteran’s Medical Center. Participants in this study showed a statistically significant reduction in symptoms of PTSD, including negative thoughts of self-blame and depression. Participants also reported decreased body tension, improved sleep, keeping out intrusive thoughts, better ability to manage stress, and most encouraging, an increased feeling of joy.
This is the ideal goal of Zen or any meditative or mindful practice – to eliminate suffering caused by traumatic experiences and emotions and enhance the ability to focus on the moment and the joyful aspects of life. The participants in the program gave it an enthusiastic endorsement, and recommended such practices to anyone who was dealing with issues of PTSD.
Another study examined the effects of a breathing-based meditation program on male veterans of the Iraq or Afghanistan war. Measurements at the one month and one year follow up showed a statistically significant effect on reductions in PTSD scores, anxiety symptoms, eye-blink startle, and respiration rate. A control group which did not practice meditation experienced no change in scores. The researchers also noted that there has been limited success in conventional psychological treatments for veterans with post-traumatic stress disorder, and stated there was a need for further research and programs related to mindfulness-based practices.
Tai Chi is an optimal practice for developing a mindful state of being. In Tai Chi, rather than focusing on the sensation of the breath, or counting the breath, the focus is on the leading hand. As one slowly moves through the range of postures (breathing slowly and deeply from the diaphragm), the eyes shift from right hand to left, as the hands move across the field of vision. This acts to focus the mind, creating an empty state free from constant thought and mental static. And even more important for PTSD, is the potential for freedom from flashbacks, stress, fear, and anxiety. When totally focused on the leading hand, there is no room for thoughts, worry or fear. One becomes an empty vessel, which in time can be focused on any moment, and can be filled with the positive emotions of joy and happiness.
For more information on what happens with the mind during Tai Chi and other mindful practices, and benefits for the mind, see the references below, the last chapter on future directions in my book Mindful Exercise: Metarobics, Healing, and the Power of Tai Chi, or the Mind/Body Research Pageof the Metarobic Institute website.
If you or someone you know is in crises, here is a link to the Suicide and Crisis Lifeline: https://988lifeline.org/chat/
The above is an original article by Peter Anthony “Tony” Gryffin, PhD, author of Mindful Exercise: Metarobics, Healing, and the Power of Tai Chi, Pub Date 2018, YMAA Publication Center, ISBN: 9781594396175.
REFERENCES
Brazier, D. (1995). Zen therapy: Transcending the sorrows of the human mind. John Wiley & Sons.
Heffner KL, Crean HF, Kemp JE. Meditation programs for veterans with posttraumatic stress disorder: Aggregate findings from a multi-site evaluation. Psychol Trauma. 2016 May;8(3):365-74. doi: 10.1037/tra0000106. Epub 2016 Jan 11.
Hirai, T. (1989). Zen meditation and psychotherapy. Tokyo, Japan : Japan Publications
Gryffin PA. Mindful Exercise: Metarobics, Healing, and the Power of Tai Chi. YMAA Publications, August 2018.
Gryffin, PA Metarobics: The Future of T'ai Chi for Health. Qi Journal, 2018, Autumn, 44-56.
Niles, B. L., Reid, K. F., Whitworth, J. W., Alligood, E., Williston, S. K., Grossman, D. H., McQuade, M. M., & Mori, D. L. (2022). Tai Chi and Qigong for trauma exposed populations: A systematic review. Mental health and physical activity, 22, 10.1016/j.mhpa.2022.100449. https://doi.org/10.1016/j.mhpa.2022.100449
Pence PG, Katz LS, Huffman C, Cojucar G. Delivering Integrative Restoration-Yoga Nidra Meditation (iRest®) to Women with Sexual Trauma at a Veteran's Medical Center: A Pilot Study. Int J Yoga Therap. 2014;24:53-62.
Seppälä EM, Nitschke JB, Tudorascu DL, Hayes A, Goldstein MR, Nguyen DT, Perlman D, Davidson RJ. Breathing-based meditation decreases posttraumatic stress disorder symptoms in U.S. military veterans: a randomized controlled longitudinal study. J Trauma Stress. 2014 Aug;27(4):397-405. doi: 10.1002/jts.21936.
Tsai, P. F., Kitch, S., Chang, J. Y., James, G. A., Dubbert, P., Roca, J. V., & Powers, C. H. (2018). Tai Chi for Posttraumatic Stress Disorder and Chronic Musculoskeletal Pain: A Pilot Study. Journal of holistic nursing: official journal of the American Holistic Nurses' Association, 36(2), 147–158. https://doi.org/10.1177/0898010117697617