Good health and a happy life are determined by the balance of the four quadrants of life – physical, emotional, mental, and spiritual.

The spiritual is best described as the awareness of the divine in one’s surroundings, an awareness of the transcendent in the here and now of our environment. The success of John O’Donohue’s book Anam Cara bears testimony to the awareness of, and desire for, this experience in our surroundings.

The spiritual and divine in nature are experienced through the other three quadrants in the circle of life. It is through our physical and emotional senses that we open ourselves to spirituality, and acknowledgement and integration of this gift is achieved through our mental faculties.

Celtic spirituality has always been associated with nature. Nature nourishes us, and the annual cycle of feasts and festivals in the Irish calendar convey this. These seasons follow the length of the day, with each day beginning at sunset. This reminds us that all nourishment and healing takes place in the dark, unknown to us. The seed begins its growth in the dark of the earth long before the first leaf appears overhead. Likewise, the Celtic year commences in winter, on November 1, the feast of Samhain, a time when the veil between worlds is lifted and it is easier to communicate with those who have passed from this life.

The first day of spring is still marked in many Irish households by placing a St. Bridgid’s cross on the door. The young, pliable green rushes are bent and twisted into the familiar cross shape, but their very freshness captures the rising sap and the commencement of the new farming season.

This rhythm of life and the balance inherent in the recurring journey of the sun is captured in the Celtic cross. The horizontal shaft spreads out to the ends of the earth, and the vertical from the depths of the underworld to the vault of heaven. These two shafts are intersected by the circle symbolizing the annual cycle of the seasons, which in turn encloses the four quadrants of life.

Most people nourish the spiritual quadrant without realizing it. A morning run through a park or wood nourishes the soul for the day ahead. A quiet evening spent gazing at the setting sun brings peace and completion to the day’s activities.

In Ireland we have such a close awareness of the continuum of life that the island abounds with places that are deemed sacred. The holy wells are seen as sacred spaces. No graffiti is to be found in their environs. It is from the wells that the Goddess Anu pours forth the water to nourish the crops and give life to the land.

In his book The Lightening Tree (2006), P.J. Curtis writes of his cousin, the healer Mariah Curtis, who hastened to a certain secret well on the first day of May each year to gather the water that had been touched by the first ray of the sun. This water was particularly efficacious in healing and it was guarded carefully so that not one drop was spilt on the journey home.

There are wells for taking away warts and wells for healing sore eyes and there is also the famous well, in Gleann na Gealt in Kerry, which helps cure depression. It does not matter that we now know that the water in this well contains high levels of lithium, so it is a natural anti-depressant. It is far more important to know that our forebears went there in times of travail so that they might experience the healing hand of nature. This trusting in the beneficence of nature continues – even today, many of my patients will go to a well to heal certain ailments.

According to cultural geography, therapeutic landscapes are those places or settings that foster healing through their physical and psychological impact. They do not always have to be in nature, but here in Ireland most of them are. It is impossible to visit Newgrange during the winter solstice, and watch the sliver of light enter the chamber, gradually filling it, and not be in awe of the people who designed and built it.

This goes for any stone circle with their careful alignment of stones so as to mark the depths of winter, the equinoxes or the high point of summer.

The last Sunday in July is the traditional day for climbing Croagh Patrick, five miles from Westport in County Mayo. Over 25,000 people climb “the reek,” and some climb the stony ground in their bare feet. This tradition has continued for over 5,000 years and it is the ordinary people of Ireland who continue this custom. This pilgrimage helps to illustrate another factor about a sacred space. Man himself is instrumental in creating it and maintaining it, so both consciously and subconsciously, he influences and is influenced by his environment.

Modern bio-medicine is ordered, organized, and coherent to its practitioners. It is born of a particular cultural context and it gains significance and power from this. The patient is, for the most part, a passive recipient of the information and the proposed therapy.
The illness is defined and classified, the therapy is proposed, and the whole experience is expected to follow along certain lines with no deviation. The expectation is that the patient will be compliant and no departure from the defined path followed. It can be seen in this scenario that two of the four quadrants are neglected. These are the emotional and the spiritual. Yet these are as important to our health as the physical.

Healing will not take place unless the four are integrated and this is where the symbolism associated with sacred space can be so valuable. In many parts of rural Ireland today, a coffin is taken to the grave in an east west direction. This is called “a deiseal” or “to the right.” It symbolizes man’s journey from birth in the east, the journey through life, to the setting sun in the west. Attending any funeral in an old graveyard will thus reinforce the realization that all life is but a journey.

Ascertaining the sacred landscapes and symbolism that are important to a patient means that it is easier to integrate a healing therapy into their whole being. Places of peace and renewal can allow patients to channel their vital energy to the task of healing, but it is the job of the physician to identify and help the patient in this direction. It is this area of medical training that is sadly lacking and it is not only the patient who suffers by it. The modern health care professional is trained to be stringently scientific and there is no shortage of blood work, scans and tests undertaken to find an answer and offer a solution.

This very training leaves the physician yearning for something more, something that allows him to offer that very elusive gift called healing as distinct from curing. The modern health care professional would therefore serve themselves, and their patients well, by applying some of the same rigor to the spiritual and emotional states of their patients. This would result in a more rounded and holistic care that would bring fulfillment to both the health care provider and the patient.

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