Tuesday, January 19, 2010

Journalists as First Responders...

Health care and allied professionals are not the only caregivers to feel the effects of traumatic stress in their work. What happens when journalists, as first responders, are thrust into the role of temporary caregivers, responding to calls for assistance, helping to find resources, calming wounded trapped under the rubble?

We have seen the effects of traumatic stress in the faces and stories of countless reporters, camera operators, drivers and translators over the past week in Haiti. They are as much at risk for Compassion Fatigue as are the medics and the rescue teams. Perhaps more so, in some ways, because they are not trained or equipped to actively save lives, causing profound feelings of helplessness. Apart from the trauma of being physically present in such a disaster, they also live with the ongoing conflict between the responsibility for doing their jobs, getting the story out, and actively participating in the rescue.

Fortunately, despite the machismo for which journalism is famous, there is a growing awareness of the need for CF prevention and resiliency within the field, an awareness championed by such organizations as the Dart Center for Journalism and Trauma, a project of Columbia University Graduate School of Journalism. Their excellent website is well worth a visit by any journalists affected by the tragedies upon which they report and also by those who love and support them.

As physician, Rachel Remen, MD, says:

The expectation that we can be immersed in suffering and loss
daily and not be touched by it is as unrealistic as expecting to be able
to walk through water without getting wet. (1996)





Friday, January 15, 2010

Haitian Earthquake...

My heart goes out to the people of Haiti and to all who wait in an agony of uncertainty for news of loved ones. As the horror of the Haitian earthquake reverberates around the world, two important thoughts come immediately to mind:

First, that the way we can best help to ease suffering in that impoverished, broken but courageous land is to donate as much as we are able to established organizations such as the Canadian Red Cross who are able to make on-the-ground assessments and to purchase, in bulk, what is needed most.

Secondly, that it is important not to create a population of the secondarily traumatized here at home through our over exposure to scenes of injury and devastation in the media. Here are some suggestions for mediating the effects of this exposure:

1. Reduce the trauma exposure wherever possible.

Especially for those who are already trauma survivors, TV coverage of major traumatic events can have a magnetic pull. This is a time to consciously limit your trauma exposure based on your body's responses. If you notice that your heart is pounding, your muscles are rigid and you are holding your breath as you watch TV, that you're becoming frightened about your own safety or irritable with family and friends, that you're sleeping poorly or having intrusive images or nightmares like the ones in the media, it might be time to turn off the tube for a while. (Pacing your exposure before any of these symptoms occur is a good "ounce of prevention" as well).

Keep a particular eye on what your kids are watching and reading. Research shows a positive correlation between children viewing traumatic scenes and the development of PTSD symptoms.

2. Practice exceptional self care.

During a time of shock and horror, there are few things more important than focusing on good self care. Get enough sleep. (I heard a friend say that he'd sat up to 1:00 in the morning yesterday, watching the news.) Eat balanced, low salt, low sugar, low fat meals. Get the stress out of your body with some large muscle exercise. Maintain your spiritual practices. Talk or write about your feelings.

3. Engage in some comforting activities.

Think of things that have helped you to switch from "fight or flight" to "the relaxation response" in the past and do them. Walk in nature. Meditate. Pray. Spend time with children. Gather together with people you love, in person, on the phone, via the internet. Create in this time of destruction. Garden. Knit. Do woodwork. Paint. Write poetry. Cook. Dance. Listen to music. Write music. Chop wood.

Monday, January 11, 2010

What's Up....?

Happy New Year, everyone! Just a note to share with you some of the exciting happenings coming up in late winter and spring 2010:

1. Over the past few months I've had the pleasure and privilege of corresponding with American author and Certified Instructor of Journal to the Self, Barbara Stahura, who writes an excellent blog for people affected by traumatic brain injury, Journal After Brain Injury. She asked if I would be willing to write an email interview on Anniversary Reactions for her blog and I'm happy to invite you to read that interview, in two parts, in her past two blog posts.

2. It appears that we will be engaging with the dreaded HST sometime this summer so I am hopeful that my Little eBook on Chronic Sorrow will be available in September at the latest.

3. Inspired by the continuing positive response to the Caring on Empty Compassion Fatigue Workshops, I am in the process of planning the first two of the new Compassion Fatigue: Going Deeper workshop series: Going Deeper I: Understanding Your Reactions Through the Enneagram and Going Deeper II: A Compassion Fatigue Journalling Workshop. I hope to be able to offer the first workshop in the Vancouver area in late April or early May - watch this space for details!

4. I have had several requests for an Retreat for family carepartners in the Vancouver area. I would love to offer an overnight retreat but haven't yet found a suitable venue at a reasonable price. If anyone has or knows of a quiet, comfortable, restful space for a one or two day retreat that is accessible to folks in greater Vancouver, I would be very grateful to hear from you....

5. The Spring teaching schedule is filling but there are still slots available so if you are looking to spend your end-of-the-fiscal-year education funds in a way that will benefit both staff and patients/clients/families I invite you to contact me for a Speaker's Information Kit with workshop details and rates at caregiverwellness@shaw.ca or (604) 297-0609.

That's all for now. Remember to do one good thing for yourself today!



Tuesday, January 5, 2010

Promise ...

For many, the New Year is a time of promise and expectation, one of hope and possibility. But for some carepartners - family, volunteer or professional - the New Year seems to bring with it only fear and worry. Times are uncertain. Will my loved one suffer this year, or even die? Will I have the energy to keep going? Will my job be "re-structured" out of existence? Will I be able to continue caring in the face of so much loss and trauma?

In her excellent book, Daily Comforts for Caregivers, speaker and author, Pat Samples, responds to the New Year anxieties of family carepartners this way:


Hope seems out of reach. Yet I'd like to find a way to
keep a brighter outlook...

The truth is, I can't depend on anything "out there"
to create a sense of promise. That's an inside job. It's
possible I can find hope if I trust in the generosity
of life. Not that I can expect any particular outcome just
because I want it. But I can expect to find gifts in every
situation I face, no matter how difficult the circumstances seem.
My window on the world determines whether or not I notice them.
I could start the year by cleaning my window
and looking above the clouds.

When I let in more light, I see more promise.


I think Pat Samples' wise words apply to all who provide care for others, though years ago, in the midst of great emotional pain and physical exhaustion, it was hard for me to recognize these words as anything other than "sentimental drivel". (Forgive me, Pat!). Fortunately, with carepartnering can come growth and, today, I have learned how important it is to look for gifts in even impossible situations, not because they necessarily cancel out the anxiety but because they provide a counter-balance to it and are, thus, a source of energy and hope for the hour, day or year ahead.

So, in this first week of the New Year why not take a moment to write down a list of the gifts - large or small - that you've received through your experience of caring in the past year. And then let yourself feel the promise for 2010...

With every good wish for the New Year!

Jan








Friday, December 18, 2009

Peace...

Peace, according to a variety of dictionaries, means freedom from war, mental calm, quiet tranquility, and living harmoniously in relationships and in society.

At this time of year it is easy to lose track of our sense of peace so I leave you for the next two weeks with the gift of two poems - poems that I hope will help you to rest in the moment, to b-r-e-a-t h-e out the stress and to b-r-e-a-t-h-e in the peace. The first is an adaptation of an old Celtic prayer and the second was written by Mattie Stepanek, a 10 year old boy with muscular dystrophy whose writing touched the hearts of thousands during his short life.


Deep Peace

Deep peace of the running wave to you.

Deep peace of the flowing air to you.

Deep peace of the quiet earth to you.

Deep peace of the shining stars to you.

Deep peace of the infinite peace to you.



December Prayer

No matter who you are,
Say a prayer this season.
No matter what your faith,
Say a prayer this season.
No matter how you celebrate,
Say a prayer this season.
There are so many ways
To celebrate faiths,
There are so many faiths
To celebrate life.
No matter who
No matter what,
No matter how...
You pray.
Let's say a prayer
This season,
Together, for peace.

Mattie Stepanek, December, 1999


Warmest blessings and deep peace to you and yours this holiday season,

Jan



Tuesday, December 8, 2009

Healing Compassion Fatigue...

Every year, I drive across Vancouver on the first Saturday morning in December to attend the Open House at the Vine & Fig Tree, a small bookshop owned by my friend, Elaine Perry. As I drive, I happily anticipate the twinkling fairy lights, the spicy aroma of mulled cider, the home baking donated by grateful customers, Elaine's welcoming hug and, of course, her eclectic mix of books, (eastern and western spirituality, current fine fiction and poetry, children's books), and gifts, ( Advent calendars, fair trade African bracelets, beeswax candles, Buddhist singing bowls, journals, and Chor Leone and Electra CD's , among others). The air hums with holiday greetings and wide ranging conversations and there's a sense of happy "community" throughout the shop.

This year, I was fortunate to meet a lovely woman, a fellow adult educator, while pausing between purchases to sip a cup of cider. She is involved in teaching instructors to be better educators and she generously shared her philosophy of teacher development with me - in a nutshell, that learning the theory and technique of teaching is much less important than our individual development as human beings. That it is our healing and wholeness, our individual growth and development, that make us into good and credible educators. I was very grateful for this conversation, and for a similar one (by email) with CF Specialist, Eric Gentry, PhD, for I believe that both have a light to shine on the paths of those of us seeking to build compassion fatigue resiliency.

As with the process of creating better educators, the process of building CF resilience must, to my mind, focus first on the individual health and wholeness of the helper. There is no question that systemic issues and toxicity in the workplace must be addressed wherever found, but, ultimately, it is our individual wellness, our capacity to regulate our traumatic stress, that determines our CF resilience.

CF is, primarily, an individual trauma issue. We are secondarily traumatized in our work because our personal trauma and loss history has taught us to perceive personal threat where none exists. ie Due our previous personal trauma, our autonomic nervous systems mistakenly activate upon hearing stories of threat to others and we become symptomatic.

So, if trauma is the core problem in compassion fatigue, the solutions must center around the healing of that trauma. If we work successfully on our individual trauma recovery, we will ultimately make better systemic decisions and our workplaces will improve.

Some will object to this viewpoint, believing that in stating it, I am "blaming the victim". I do not believe this to be so. As Eric Gentry says, "People in recovery have resolved this paradox better than anyone: Addicts are not responsible for having the disease of addiction but are responsible for their recovery from it." In the same sense, we who experience CF are not responsible for developing CF, but we are responsible for our own recovery.

So, what am I saying here? Just that if we are to solve a problem, we must be able to state that problem clearly. Once we've done that, we have the resources of the universe at our disposal for our healing, growth and development. The grace that is recovery is available to each of us if we can find the courage to seek it out. There is a light in the darkness beckoning each of us to a place of greater wholeness and wellness this holiday season.





Tuesday, December 1, 2009

Book Review: The Housekeeper and the Professor...

I have just finished reading a lovely book called, The Housekeeper and the Professor. It's a wonderful, gentle read for anyone interested in relationships and how they develop, but particularly wonderful for anyone interested in the subtleties of the caregiving relationship.

The story, itself, is that of a Japanese housekeeper and her 10 year old son who care for an aging mathematics professor with a traumatic brain injury. As the result of the injury, the Professor has a short term memory of only 80 minutes, requiring a re-introduction to the Housekeeper every morning as she arrives to do her work.

Behind foreground themes of mathematics and baseball, Yoko Ogawa's spare but beautiful writing explores the caregiving relationship in all it's complexity. Themes of love, loyalty, fierce protectiveness, vulnerability, denial, humanity, respect, perseverance, and caring are all dealt with in a lean and sometimes poetic hand. We are drawn into the chronic sorrow that is a part of all permanent injuries, the joys and difficulties of life's simplest things, and the day-to- day creativity required for adjusting to lost abilities.

If you are someone who requires action and excitement to make "a good read", this is not the book for you. If, on the other hand, good writing, keen observation and the gift of story telling are the elements of a good book, you will find them here.