Meditative Yoga.

Introduction In the modern age of scientific developments and clinical tests and trials, the acceptance of the complementary medication and alternative medicine has been authoritatively integrated as part of treatment and diagnosis of many psychological and psychosomatic diseases. In this reference the use of Meditative Yoga has been widespread in its use and practice for many clinical therapies in different dimensions of medical science. The community has accepted this as a complementary mode of treatment as the rising use of stimulants and other stronger sedatives in the management of the treatment led to drug abuse, dependency and many long term side effects which could be controlled by the integration of techniques of meditative yoga and visualization. The interventions have been provided with sound historical basis and theoretical support which makes it acceptable as an alternative mode of complementary treatment. Chan (2002) has very accurately described meditation as selected number one mind - body therapy which has the capacity to induce relaxation as well reduce hyper stimulation or arousal from a stressful stimulant. The theory tends to combine the techniques of relaxation as well meditation to induce therapeutic modifications within the physiology which can harness the harmful effects of the stressful factors.

History Meditation is the ancient technique of scientific techniques formulated in 2nd century BC by sage Patanjali which have been highly effective in treating psychological and psychiatric disorders as we acknowledge them today. The classical form of yoga focuses on the yoga sutras of Patanjali which has been the basis of the classical yoga and consists of 195 aphorisms or sutras which has been based on the eightfold principles of classical yoga.
   
The classical form of yoga as propounded by Sage Patanjali believed that an individual is made of composite matter which is composed of prakriti (the matter) and purusha (the spirit). The method of union between spirit and matter has been presented in the form of yoga aphorisms which leads to the union of the body and the mind. Meditation has been the essence of the yoga sutras propounded by Patanjali, the techniques were used to perfect the union between the body and the mind. Many yogis made and attempt to perfect their body and mind to eh level of immortality. The transformations were physiological, psychological and psychosomatic.

Theory The technique of Meditative Yoga involves combined integration of meditation techniques and breathing techniques in harmony with the medical treatment to address specific psychiatric issues like OCD (Obsessive Compulsive Disorder). The techniques are designed for specific treatment in relation to anxiety, emotional imbalance, chronic diseases and fatigue. The key theory is aimed at creating harmony in the person by addressing the mind of the person through physical and mental techniques. The intuitive mind is given command to address the psychosomatic issue which can help regenerate the central nervous system.
   
The techniques help mastery over self by a series of breathing techniques which induces relaxation and helps reduce stress which merges recurrently in the modern lifestyle. The objective is to manage fear, control anger, encourage positive thoughts and accept challenges with positive frame of mind. The techniques are designed in such a manner that they lead from one to another in a manner to bring the individual, community and medical science in harmony to deal with the specific disorder within a specified timeframe. These techniques can be applied to different phobias, psychiatric disorders, insomnia, grief and other major psychosomatic disorders of psychological and physiological nature. The objective is to induce personal healing through the use of breathing and meditative techniques which can uplift the patient and inspire him to take action and control of his personal condition with dedication and faith.
    
The theory involves mindfulness based stress reduction techniques and therapy as well as cognitive behavioral stress disorder. It has been observed that an eight week program results in significant control of the stress factors. It involves savasana which induces perfect relaxation practice of postures or asanas which prepares and trains the body for proper functioning of internal organs pranayama which focuses on proper control of breathing which helps control the mind proper diet and meditation which includes positive control of thought waves of the mind which enhances the psychological performance of an individual.
   
Essentially the principles of yoga were more community oriented and gradually took an inward route which helped transform the physical and psychological disorders existing within the human body and mind. Now it has been accepted by medical science through proven clinical trials and research as an effective method of treating many psychological disorders which cannot be controlled with the use of medication to control stress related ailments by induction of relaxation and meditative techniques. Meditative yoga has emerged as a very rapid movement which has been accepted by people to counter the dramatically changed lifestyle related issues which encompass everyday life of people.
   
Two critical summarized studies The case studies undertaken for evaluation and critical assessment have been the basis of clinical trials conducted to evaluate mindfulness based intervention in the light of the scientific impact observed and seen in the outcomes related to stress induced medical conditions.
Case study 1 The title of the case study was A Pilot study comparing the effects of mindfulness-based and cognitive behavior stress reduction by Smith BW, Shelley BM, Wiggins K, Tooley E, Bernard J. J Attern Complement Med. 2008, Apr, 14(3) 251-258. 
   
The objective of the pilot study was to do comparative evaluation of mind-body intervention in assessment of mindfulness-based stress reduction (MBSR) and cognitive-behavioral stress reduction (CBSR) (Smith et al, 2008). The pilot study was conducted on 50 subjects who were voluntarily recruited from the community and were enrolled in the MBSR and CBSR courses which were taught for eight weeks at different time intervals. The gender, income and education were not the criteria for selection. The MBSR course comprised of eight week program which used meditation, gentle yoga and body visualization or scanning to increase the level of awareness and mindfulness. This was also integrated with CBSR scientific cognitive and behavioral techniques which could transform thinking and lead to reduction in stress levels. The study was designed to address the perceived levels of stress, energy levels, neuroticism, pain and any reporting of binge eating (Smith. Et al, 2008). The results indicated that MBSR subjects improved well on all eight levels of outcome, while CBSR subjects improved only on six outcomes. The level of differences in their outcomes was very significant. The multivariate analysis indicated MBSR subjects indicating better outcomes across all variables, in comparison to CBSR subjects. The univariate analysis showed MBSR subjects surpassed CBSR subjects in their outcomes with regard to Mindfulness, energy, pain and a trend for binge eating(Smith. et al, 2008).  It was evident that both MBSR and CBSR were effective in reduction of perceived levels of stress and depression, MBSR proved to be more effective in raising the levels with regard to mindfulness and energy levels which helped in pain reduction.

Case Study 2 The case study two includes various articles on effectiveness of meditative techniques as presented based on various clinical trials . The title of the article by  Shannahoff-Khalsa DS, An Introduction to Kundalini Yoga Meditation Techniques That Are Specific for the Treatment of Psychiatric Disorders , THE JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE Volume 10, Number 1, 2004, pp. 91101.
   
The article focuses on the ancient system of meditative technique which involves the arousal of the Kundalini, which has been studied through several clinical trials as an effective technique for treating psychiatric disorders. This has had very positive and specific outcome in treating obsessive-compulsive disorder (OCD). The paper focuses on two clinical trials which have been aimed addressing such disorder. The protocol and technique which is used to address OCD have also been found to be effective in treating other disorders of psychiatric nature like phobias, addictive and substance abuse disorders, major depressive disorders, dyslexia, grief, insomnia and other sleep disorders.( Shannahoff-Khalsa, 2004). Many Meditative techniques have been used to address the specific disorder and have been recognized by the specific medical community and scientific world.
   
The first pilot study was conducted by Shannahoff-Khalsa DS, Beckett LR. Clinical case report Efficacy of yogic techniques in the treatment of obsessive compulsive disorder. Int J Neurosci 199685117. This study involved eight patients out of which five completed the 12 month trial. The checklist of the symptoms was maintained and the severity index was also recorded. The role of Fluoxetine in controlling the symptoms was determined. The randomized study indicated that the meditative techniques helped those who did not drop out of the program. Those who completed the program were successful in observation of significant improvement clinically. It also confirmed that mediation protocol was important to maintaining the effectiveness of the outcome.

Critical Assessment of clinical trials It is important to recognize the fact that the Meditative Yoga techniques are complementary to the medical care and scientific intervention. It is important to integrate this technique under the knowledge of the medical care consultant and health care professionals. The meditation techniques in integration with medical intervention and control are an excellent tool for effectively controlling the symptoms which are found in addictive disorders, phobias and other mental disorders. The mediation protocol thus soundly asserts the and supports the medical and scientific approach with better and more long term stability in patients suffering from mental disorders.
   
The future demands that medical society integrate mediation as part of the treatment to alleviate different forms of mental and physical afflictions which have been rising with the modern age lifestyle. There is significant evidence which proves that mediation protocols have capacity to control the symptoms to a measurable degree. The knowledge and practice of this technique will help the medical and scientific community as well as the patients to a greater degree.

Conclusion There has been tremendous awareness based on scientific confirmation of the positive impacts of meditative yoga in overcoming the degenerating attitudes and the way of life in which people worldwide have slipped into. The everyday problems and the stress factors have grown to magnanimous leaps leading to change in attitude which concerns health and way of life. Spirituality has taken a back seat and morals have degenerated. The survival in these chaotic and stressful times requires nurturing of principles which provides protection from the sufferings and the psychical and psychological stressful situations which human beings are encountered with. The emergence and epidemic of new disease which have been mushrooming with vengeance against human race has led to lethal use of antibiotics and other medicines to the point of no return. Under these trying circumstances which afflicts human race meditative yoga provides a technique and methodology which can help curb the impact of these social and psychical ailments afflicting human race.

There is need for reform and positive change in attitude which is lifestyle based and in harmony with the body and mind requirements and has simplicity which merges with the environment. This is the only solution to the overdramatic life which magnifies everyday problems.

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