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Mark Epstein - Advice not given: a guide to getting over yourself

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Mark Epstein Advice not given: a guide to getting over yourself
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Most people will never find a great psychiatrist or a great Buddhist teacher, but Mark Epstein is both, and the wisdom he imparts in Advice Not Given is an act of generosity and compassion. The book is a tonic for the ailments of our time.--Ann Patchett, New York Times bestselling author of Commonwealth Our ego, and its accompanying sense of nagging self-doubt as we work to be bigger, better, smarter, and more in control, is one affliction we all share. And while our ego claims to have our best interests at heart, in its never-ending pursuit of attention and power, it sabotages the very goals it sets to achieve. In Advice Not Given, renowned psychiatrist and author Dr. Mark Epstein reveals how Buddhism and Western psychotherapy, two traditions that developed in entirely different times and places and, until recently, had nothing to do with each other, both identify the ego as the limiting factor in our well-being, and both come to the same conclusion: When we give the ego free reign, we suffer; but when it learns to let go, we are free. With great insight, and in a deeply personal style, Epstein offers readers a how-to guide that refuses a quick fix, grounded in two traditions devoted to maximizing the human potential for living a better life. Using the Eightfold Path, eight areas of self-reflection that Buddhists believe necessary for enlightenment, as his scaffolding, Epstein looks back productively on his own experience and that of his patients. While the ideas of the Eightfold Path are as old as Buddhism itself, when informed by the sensibility of Western psychotherapy, they become something more: a road map for spiritual and psychological growth, a way of dealing with the intractable problem of the ego. Breaking down the wall between East and West, Epstein brings a Buddhist sensibility to therapy and a therapists practicality to Buddhism. Speaking clearly and directly, he offers a rethinking of mindfulness that encourages people to be more watchful of their ego, an idea with a strong foothold in Buddhism but now for the first time applied in the context of psychotherapy. Our ego is at once our biggest obstacle and our greatest hope. We can be at its mercy or we can learn to mold it. Completely unique and practical, Epsteins advice can be used by all--each in his or her own way--and will provide wise counsel in a confusing world. After all, as he says, Our egos can use all the help they can get.;Introduction -- Right view -- Right motivation -- Right speech -- Right action -- Right livelihood -- Right effort -- Right mindfulness -- Right concentration -- Epilogue.

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A LSO BY M ARK E PSTEIN

The Trauma of Everyday Life

Thoughts without a Thinker: Psychotherapy from a Buddhist Perspective

Going to Pieces without Falling Apart: A Buddhist Perspective on Wholeness

Going on Being: Buddhism and the Way of Change

Open to Desire: The Truth About What the Buddha Taught

Psychotherapy without the Self: A Buddhist Perspective

PENGUIN PRESS An imprint of Penguin Random House LLC 375 Hudson Street New - photo 1

PENGUIN PRESS

An imprint of Penguin Random House LLC

375 Hudson Street

New York, New York 10014

penguin.com

Copyright 2018 by Mark Epstein

Penguin supports copyright. Copyright fuels creativity, encourages diverse voices, promotes free speech, and creates a vibrant culture. Thank you for buying an authorized edition of this book and for complying with copyright laws by not reproducing, scanning, or distributing any part of it in any form without permission. You are supporting writers and allowing Penguin to continue to publish books for every reader.

A portion of Chapter 3 first appeared under the title The Trauma of Being Alive in The New York Times, August 3, 2013, and a portion of Chapter 6 appeared as Beyond Blame in Tricycle: The Buddhist Review, Summer 2009.

Excerpt from The Sword in the Stone from Faithful and Virtuous Night by Louise Glck. Copyright 2014 by Louise Glck. Reprinted by permission of Farrar, Straus and Giroux and Carcanet Press Limited.

LIBRARY OF CONGRESS CATALOGING-IN-PUBLICATION DATA

Names: Epstein, Mark, 1953 author.

Title: Advice not given : a guide to getting over yourself / Mark Epstein, MD.

Description: New York : Penguin Press, [2018] | Includes bibliographical references and index.

Identifiers: LCCN 2017025261 (print) | LCCN 2017037517 (ebook) | ISBN 9780399564338 (ebook) | ISBN 9780399564321 (hardcover)

Subjects: LCSH: BuddhismPsychology. | PsychotherapyReligious aspectsBuddhism. | EgoismReligious aspectsBuddhism. | BuddhismDoctrines.

Classification: LCC BQ4570.P76 (ebook) | LCC BQ4570.P76 E662 2018 (print) | DDC 294.3/444dc23

LC record available at https://lccn.loc.gov/2017025261

Version_1

ForArlene

Praise andblame, gain and loss, pleasure and sorrow come and golike the wind. To be happy, rest like a gianttree in the midst of them all.

T HE B UDDHA

Authors Note

Except in the case of those introduced by first and last names, I have changed names and other identifying details or constructed composites in order to protect privacy.

A paragraph of Chapter 1 and a portion of Chapter 3 first appeared in the New York Times on August 3, 2013, under the title The Trauma of Being Alive. A portion of Chapter 6 first appeared in the summer 2009 issue of Tricycle: The Buddhist Review under the title Beyond Blame.

CONTENTS

INTRODUCTION

Ego is the one affliction we all have in common. Because of our understandable efforts to be bigger, better, smarter, stronger, richer, or more attractive, we are shadowed by a nagging sense of weariness and self-doubt. Our very efforts at self-improvement orient us in an unsustainable direction since we can never be certain whether we have achieved enough. We want our lives to be better but we are hamstrung in our approach. Disappointment is the inevitable consequence of endless ambition, and bitterness a common refrain when things do not work out. Dreams are a good window into this. They hurl us into situations in which we feel stuck, exposed, embarrassed, or humiliated, feelings we do our best to keep at bay during our waking hours. Our disturbing dreams are trying to tell us something, however. The ego is not an innocent bystander. While it claims to have our own best interests at heart, in its relentless pursuit of attention and power it undermines the very goals it sets out to achieve. The ego needs our help. If we want a more satisfying existence, we have to teach it to loosen its grip.

There are many things in life we can do nothing aboutthe circumstances of our childhoods; natural events in the outer world; the chaos and catastrophe of illness, accident, loss, and abusebut there is one thing we can change. How we interact with our own egos is up to us. We get very little help with this in life. No one really teaches us how to be with ourselves in a constructive way. There is a lot of encouragement in our culture for developing a stronger sense of self. Self-love, self-esteem, self-confidence, and the ability to aggressively get ones needs met are all goals that most people subscribe to. As important as these accomplishments may be, however, they are not enough to guarantee well-being. People with a strong sense of self still suffer. They may look like they have it all together, but they cannot relax without drinking or taking drugs. They cannot unwind, give affection, improvise, create, or sympathize with others if they are steadfastly focused only on themselves. Simply building up the ego leaves a person stranded. The most important events in our lives, from falling in love to giving birth to facing death, all require the ego to let go.

This is not something the ego knows how to do. If it had a mind of its own, it would not see this as its mission. But there is no reason for the untutored ego to hold sway over our lives, no reason for a permanently selfish agenda to be our bottom line. The very ego whose fears and attachments drive us is also capable of a profound and far-reaching development. We have the capacity, as conscious and self-reflecting individuals, to talk back to the ego. Instead of focusing solely on success in the external world, we can direct ourselves to the internal one. There is much self-esteem to be gained from learning how and when to surrender.

While our culture does not generally support the conscious de-escalation of the ego, there are silent advocates for it in our midst. Buddhist psychology and Western psychotherapy both hold out hope for a more flexible ego, one that does not pit the individual against everyone else in a futile attempt to gain total surety. These two traditions developed in completely different times and places and, until relatively recently, had nothing to do with each other. But the originators of each traditionSiddhartha Gautama, the South Asian prince who renounced his luxurious lifestyle to seek an escape from the indignities of old age, illness, and death; and Sigmund Freud, the Viennese doctor whose interpretation of his own dreams set him on a path to illuminate the dark undercurrents of the human psycheboth identified the untrammeled ego as the limiting factor in our well-being. As different as these two individuals were, they came to a virtually identical conclusion. When we let the ego have free rein, we suffer. But when it learns to let go, we are free.

Neither Buddhism nor psychotherapy seeks to eradicate the ego. To do so would render us either helpless or psychotic. We need our egos to navigate the world, to regulate our instincts, to exercise our executive function, and to mediate the conflicting demands of self and other. The therapeutic practices of both Buddhism and psychotherapy are often used to build up the ego in just these ways. When someone is depressed or suffers from low self-esteem because he or she has been mistreated, for example, therapy must focus on repairing a battered ego. Similarly, many people have embraced the meditation practices of the East to help build up their self-confidence. Focus and concentration diminish stress and anxiety and help people adapt to challenging home and work environments. Meditation has found a place in hospitals, on Wall Street, in the armed forces, and in sports arenas, and much of its benefit lies in the ego strength it confers by giving people more control over their minds and bodies. The ego-enhancing aspects of both of these approaches are not to be minimized. But ego enhancement, by itself, can get us only so far.

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