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Counterclockwise

Counterclockwise

Mindful Health and the Power of Possibility
by Ellen J. Langer 2009 242 pages
3.85
500+ ratings
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Key Takeaways

1. Mindfulness can reverse aging and improve health

If we put the mind back twenty years, would the body reflect this change?

Counterclockwise study: In a groundbreaking experiment, elderly men lived as if it were twenty years earlier for one week. The results were remarkable:

  • Improved physical strength, manual dexterity, gait, and posture
  • Enhanced perception, memory, cognition, and sensory acuity
  • Participants appeared visibly younger in photographs

This study demonstrates that our mental state significantly influences our physical well-being. By cultivating mindfulness and challenging our assumptions about aging, we can potentially reverse some of its negative effects.

Mindfulness defined: Actively noticing new things in our environment and experiences. This simple practice:

  • Increases engagement with the present moment
  • Enhances awareness of context and perspective
  • Opens us up to new possibilities and opportunities
  • Energizes rather than exhausts us

2. Our mindsets shape our physical reality

If we put the mind in a truly healthy place, the body would be as well—and so we could change our physical health by changing our minds.

Self-fulfilling prophecies: Our beliefs about health and aging can become reality. Research shows:

  • People with positive views on aging live 7.5 years longer on average
  • Negative stereotypes about aging can lead to poorer cognitive performance and physical health

Mindset interventions: Simple changes in perspective can have profound effects:

  • Hotel room attendants who were told their work qualified as exercise showed improved health markers without changing their behavior
  • Elderly adults given more control and responsibility in nursing homes showed significant improvements in well-being and longevity

By consciously adopting more positive and empowering mindsets about our health and capabilities, we can create tangible improvements in our physical condition.

3. Language and labels influence our health outcomes

Words differently arranged have a different meaning and meanings differently arranged have a different effect.

Power of language: The words we use to describe our health conditions can significantly impact our experience and outcomes:

  • "Remission" vs. "cured" for cancer patients
  • "Recovering" vs. "recovered" for addiction
  • "Terminal" vs. "indeterminate" for serious illnesses

Reframing health language: We can take control of our health narratives by:

  • Using conditional language (e.g., "could be" instead of "is")
  • Focusing on specific symptoms rather than broad labels
  • Describing our state as "how we are" rather than "who we are"

By mindfully choosing our words and questioning the labels given to us, we can maintain a more empowering and flexible view of our health, potentially improving our outcomes.

4. Attention to variability enhances control over health

When we notice new things, we become mindful, and mindfulness begets more mindfulness.

Recognizing fluctuations: Our health is not static, but constantly changing. By paying attention to these variations, we can:

  • Identify patterns and triggers in our symptoms
  • Discover periods of improvement or control
  • Find opportunities for intervention and management

Strategies for attention:

  • Keep a health diary noting symptoms and circumstances
  • Practice "behavioral monitoring" by focusing on choices, even in routine activities
  • Look for small, incremental changes rather than dramatic shifts

This mindful attention to variability empowers us to take a more active role in our health, moving from passive patients to engaged health learners.

5. Reframing aging as development, not decay

Aging means change, but change does not mean decay.

Challenging age stereotypes: Many negative beliefs about aging are culturally conditioned, not biological inevitabilities:

  • Cognitive decline is often exaggerated or misattributed
  • Physical limitations may be due to environmental design, not personal deficits
  • Older adults can continue to grow, learn, and develop new skills

Positive aging mindset:

  • Focus on gained wisdom and experience rather than lost abilities
  • Adapt activities and goals to changing capacities
  • Seek out new challenges and learning opportunities

By viewing aging as a process of ongoing development rather than decline, we can maintain a more positive and empowering perspective on later life.

6. Challenging medical assumptions and becoming health learners

Diagnosis: A Starting Point

Limitations of medical knowledge:

  • Diagnoses are based on probabilities, not absolute truths
  • Medical "facts" change over time as new research emerges
  • Individual experiences may differ significantly from statistical norms

Becoming a health learner:

  • View doctors as consultants rather than absolute authorities
  • Ask questions and seek multiple opinions
  • Offer relevant information about your specific case
  • Stay informed about current research and treatment options

By taking a more active and questioning approach to our health care, we can make more informed decisions and potentially discover overlooked solutions.

7. Small steps lead to significant health improvements

There is always a step small enough from where we are to get us to where we want to be.

Reverse Zeno's Strategy: Instead of seeing health goals as overwhelming, focus on taking small, manageable steps:

  • Break larger goals into tiny, achievable actions
  • Celebrate small victories and progress
  • Use incremental improvements to build momentum and confidence

Examples:

  • Instead of trying to lose 50 pounds, focus on losing one ounce at a time
  • Rather than immediately carrying heavy luggage, move it a few inches at a time
  • Practice noticing subtle changes in your body to catch potential issues early

This approach makes health improvements feel more attainable and sustainable, leading to long-term positive changes.

8. Priming and placebo effects demonstrate mind-body connection

If we put the mind back twenty years, would the body reflect this change?

Power of priming: Our thoughts and environment can unconsciously influence our health:

  • Positive age stereotypes can improve memory and physical function in older adults
  • Expectations about medication effectiveness can enhance its actual impact
  • Environmental cues can trigger healthier or unhealthier behaviors

Harnessing the placebo effect:

  • Recognize that our beliefs play a significant role in treatment outcomes
  • Cultivate positive expectations about health interventions
  • Explore ways to directly activate our innate healing abilities without relying on inert substances

Understanding these phenomena allows us to intentionally create more health-promoting mental and physical environments.

9. Institutional environments often reinforce negative health outcomes

Many of the care systems created to provide treatment for older adults perpetuate feelings of dependence and loss of control.

Problems with institutional care:

  • Overly routinized schedules limit autonomy and engagement
  • Helping behaviors can inadvertently reinforce dependence
  • Environments designed for efficiency often neglect individual needs

Creating more mindful care settings:

  • Provide opportunities for choice and control, even in small matters
  • Design spaces that promote independence and social interaction
  • Train staff to recognize and support individual capabilities

By reimagining institutional care environments, we can create spaces that promote health, autonomy, and well-being for older adults and others requiring long-term care.

10. Expanding self-definition promotes healthier aging

Broadening both our understanding of identity-defining categories and the variety of environmental and motivational influences that shape behavior may allow older individuals to focus on continuity across the life span, rather than loss.

Dangers of narrow self-definition: As we age, we may limit ourselves by equating identity with specific activities or abilities that become more challenging.

Strategies for broader self-concept:

  • Focus on underlying values and motivations rather than specific actions
  • Explore new ways to express longstanding interests and skills
  • Embrace evolving roles and relationships

Benefits of expansion:

  • Increased resilience in the face of age-related changes
  • Greater openness to new experiences and learning
  • Improved sense of continuity and purpose throughout life

By cultivating a more flexible and expansive sense of self, we can navigate the changes of aging with greater adaptability and satisfaction.

Last updated:

Review Summary

3.85 out of 5
Average of 500+ ratings from Goodreads and Amazon.

Counter Clockwise presents Langer's research on mindfulness and its effects on aging and health. While some readers found it thought-provoking and inspiring, others criticized its scientific rigor and potential to encourage distrust in medicine. The book explores how perception and mindset can influence physical health and aging, drawing on various studies. Readers appreciated the novel perspectives on aging and health, but some found the arguments unconvincing or repetitive. Overall, the book challenges conventional thinking about aging and encourages readers to take an active role in their health.

Your rating:

About the Author

Ellen J. Langer is a renowned psychologist and Harvard professor known for her pioneering work on mindfulness. She has authored numerous books and research articles, focusing on topics such as perceived control, successful aging, and decision-making. Langer's research demonstrates the positive effects of actively noticing new things on health, well-being, and competence. Her work has earned her multiple awards and honors, including a Guggenheim Fellowship and Distinguished Scientist Awards. Langer has lectured internationally and is recognized for revealing the profound effects of increasing mindful behavior. Her contributions have offered new hope to those facing seemingly unalterable problems, challenging conventional limits and inspiring millions.

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