Page 106 - Journal of Special Operations Medicine - Spring 2015
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Figure 2  A depiction of how mindfulness can benefit     selection  of  the  best  course  of  action  among  a  multi­
          everyday life.                                     tude of choices. Mindfulness has applications to specific
                                                             tasks; for example, saving a combatant under fire us­
                                                             ing Tactical Combat Casualty Care. SOF medics likely
                                                             practice mindfulness throughout their training without
                                                             having attached a name to it; they filter out all distract­
                                                             ing information and concentrate on the casualty; they
                                                             are aware and attending to the task. Mindfulness can
                                                             be used to control breathing, to release tension in body
                                                             parts, and to focus attention on the surroundings. Cer­
                                                             tain exercises and skills could be learned to augment
                                                             attention for many mission­specific tasks. Interestingly,
                                                             Academi LLC (www.academi.com) introduced a mind­
                                                             fulness course into its training and has been reporting
                                                             excellent results.  MT is also being used for building re­
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                                                             siliency in police officers.  The police force in Hillsboro,
                                                                                  52
                                                             Oregon, is offering one of the “nation’s first on­the­job
                                                             mindfulness training program specifically tailored to
            science is needed for a better understanding and quan­  law enforcement and based on a widely recognized cur­
          tification of this benefit, but what is clear is that being   riculum.”  A graduate of the class noted that he learned
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          mindful can only help with overcoming attention lapses,   to “take a few moments to breathe, pause and scan his
          sustaining working memory and more.                feelings” and “notice what’s important now,” in terms
                                                             of “on the job” actions.  It is like Michael Jordan, the
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                                                             great basketball star, who saw in his mind the arc of the
          Applications of Mindfulness
                                                             ball going into the basket before each free throw.
          So how can you use mindfulness (situational awareness)
          to improve performance and other various aspects of   Importantly, MT is being offered in other military ven­
          your life? How can this tool be useful to an SOF medic   ues, with positive  results. COL David Hodne, Com­
          restocking his medic bag, reviewing treatment protocols,   mander of the 1st Stryker Brigade Combat Team at Ft.
          engaging in combat, or returning from deployment?   Carson,  Colorado,  examined  the  suitability  of  mind­
          First, it may be useful to differentiate mindfulness into   fulness training toward broader leader development
          two realms: a practice or tool, and a way of living in the   efforts during his US Army War College Fellowship at
          world. For SOF, indeed, for all of us, both applications   Georgetown University. COL Hodne maintained that
          may be critical. Mindfulness can be a tool to enhance   the stressor of deployment “undermined resilience, and
          various aspects of performance, but it also needs to part   the prioritization of operational experience over self­
          of daily living, so everything going on in your surround­  development and institutional opportunities might limit
          ing environment is taken in, at least when on missions.   successful combat leaders from achieving their full po­
          Importantly, it may be that SOF come into this world   tential as strategic  leaders” (personal communication)
          more mindful than others: mindfulness appears to be an   Table 3 presents additional thoughts of COL Hodne
          inherent attribute or characteristic in some, 23,49,50  and this   about the benefits of mindfulness. He is in the forefront
          may reflect self­selection or the SOF selection process.   of encouraging these efforts, believing, as we do, that
          Living mindfully means trying to consider every deci­  mindfulness will increase the intellectual capacity of the
          sion and action fully and carefully, rather than allowing   military and better prepare leaders for a dynamic and
          fear, pride, ego, and negative emotions to dictate how   uncertain future.
          we respond and react. Thus, mindfulness can be applied
          to virtually every aspect of daily life: training, missions,   Another area where mindfulness skills can be used is
          lifestyle behaviors, relationships, and recreation. Most   with eating and drinking. How many times each week
          people are not able to be mindful all of the time (this   do you sit down and just gobble up your food without
          evokes images of contemplating one’s navel), and mind­  even thinking about how it tastes? How often do you
          fulness skills may need to be learned and then practiced.  grab a bag of chips or a tub of ice cream and manage
                                                             to consume far more than intended—mindlessly? How
          Mindfulness skills can be used for a multitude of mis­  often do you grab a beer and then drink several, without
          sion­related activities.  Agile and adaptive reasoning,   really considering if it tastes good or not? Have you tried
          which is required for mission planning and execution,   to savor one sip of beer or truly taste a small sample of
          surely can benefit from improvements in attentive­  chocolate? Try it; you might be surprised! A number of
          ness and the working memory of factors influencing   mindfulness skills can be taught for “mindful” eating



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