Showing posts with label mental health. Show all posts
Showing posts with label mental health. Show all posts

Sunday, August 19, 2012

The Burden of Secrets

I keep secrets so they (the audience) don't have to. I carry a burden of secrets that literally destroys my ability to see the world in a magical way....
- Derek DelGuadio, Magician

At one point in my life, I imagined wanting to become a magician.  Most young boys go through this and successfully emerge at the other end of adolescence with more realistic career goals; me, I'm still thinking some four decades later, that if I could only find enough time to practice....

Magic continues to fascinate me because of the power of its secrets.

This is more than being compelled to know how particular effects are accomplished, but why they work.  Why, for example, can Penn & Teller disclose their methods and yet continue to entertain and amaze?

Famous TV Magic pitchman Marshall Brodien would punctuate his commercials with the line "Magic is easy once you know the secret."  This was a back-handed assurance that even the least-dexterous would be able to impress with his merchandise.  What he should have added is that, in most respects, magic is stupid once you know the secret.

This is not to say that the secrets are stupid because they are not.  Often the method(s) used in a particular effect are based on quite sophisticated concepts.  Once you know the secret, magic can make you feel stupid for having been fooled by what are pretty straightforward methods.  Anyone who has ever learned the "Illusion of the Stolen Nose" or the "Mystery of the Removable Thumb" has some sense of what I mean and what Mr. DelGuadio is talking about.



Since I was not going to be a performer, I chose what I thought would be a compromise career path.  I went to work in the theatre creating illusions of time and place to help the performers tell their stories.  I was not the sorcerer, nor his apprentice, nor even the broom carrying the bucket of water; I was the guy who made the broom.

To be sure, we were not making the Statue of Liberty disappear, or anything like that, but, by the same token, it was surprising to learn what little it takes to deceive the eye so that it takes as solid something that is flimsy, or three-dimensional when it has only two.

As with magic, the early focus of this work is on technique.  What size of brush, or type of sponge, is used to create "realistic" bricks?  What is the best way to make river rocks out of joint compound?  How do you make a root beer float that won't spill during a dance routine?  Each in their own way is a kind of magic trick, a small illusion designed to transport the audience seamlessly into the world of the story.

After I left the theatre, I then spent some time working for attorneys.  As I was to find out, this was not such a radical career change as it might, at first, have appeared.  Success in this field too depends on secret knowledge and mastery of technique.  I don't want to succumb to the conventional wisdom about the legal profession, because, to that time, it was one of the best jobs I had had and it more than prepared me for my next career which was in municipal government.

Here again were the familiar components of secrets, illusion and misdirection.  And here too was a disappointing similarity to the removable thumb and stolen nose tricks.

Also common among these worlds is the concept of secrecy as power, as advantage, as leverage.  Knowing something that others do not is what makes it possible to make things possible like illusion or profit, or public policy.

As I was also to learn, secrets are never free.  There is a price to be paid in acquiring them and there is another for keeping them.  This is the side that I see far too frequently in the work I do now.

To work in mental health is to deal in secrets. 

Almost every day, people come to our offices because they have learned a secret about themselves, or a loved one and they need help figuring out what to do with their secret knowledge.  People who live with mental health conditions exist in the same world as the rest of us.  Whether they are the person who has received the diagnosis, or a family member of that person, they know precisely what society's prejudices are.  They know what you think of them and so they don't want you to know that they're sick.  They know that a diagnosis of a mental health condition is the lens through which the rest of their life will be viewed.  Their diagnosis will be the clause at the end of ever sentence, the discount for every achievement and the rationale for every setback.  "Pencils successfully sharpened by mental patient."  "Applicant with mental illness makes typos on job application."

Is it any wonder that people are reluctant to engage with treatment?  Accepting help means letting go and entrusting your secrets to others.  This can often be a challenge with low-value secrets such as a password, or a romantic crush; can you imagine the stakes where mental health is concerned?  And lingering in the background is the specter of hospitalization, involuntary confinement and forced medication.

Never mind that the standards needed for confinement and medication, not to mention the shortage of psychiatric beds, have made that an increasingly unlikely outcome, this notion is so deeply embedded in the culture that people are often surprised to learn that instead of depression leading inevitably to the straitjacket, it can be successfully treated and could be no more of an inconvenience than are seasonal allergies. 

When people disclose their mental health conditions to us, or more frequently, their personal stories that have helped to shape those conditions, they are relying upon us to keep them.  The very process of help-seeking demands that, in order to access treatment, the consumer has to surrender some, or all, of their burden of secrets.  For most, this is just as difficult as it would be for David Copperfield to disclose how he floated across the Grand Canyon, or walked through the Great Wall of China.

And disclosure is not always a guarantee of relief.  If a consumer, or prospective consumer, discloses information about their racing thoughts, or hallucinations, or plans for suicide, they reveal themselves to prejudice and bias.  Their diagnosis, or diagnoses, become part of their identities, a classification, a membership card in the Separate and No Longer Equal club.

To work in mental health is to understand that secrets are also kept because their exposure, their disclosure, would provide unwelcome advantage to another and reveal a vulnerability.  To work in mental health is to recognize that people build their sense of themselves and their place in the world on a foundation of secrets.  Disclosing these secrets is surrendering power to others.

My boss, Paddy Kutz, has been helping people who live with secrets for four decades.  People often come to her because she is a familiar face in the community and because she is not a doctor or a counselor.  When they recognize that they are up against a problem and don't know what to do, they come to our offices and go into closed-door conference with Paddy to develop a strategy of response.  Can they get the help they need without disclosing their secrets?  Can their family member be "fixed" without it having to come out that they have a "problem?"

She has had lots of these conversations with people in all walks of public and private life.  She always has the Kleenex at the ready as she patiently explains that "secrets keep us sick."  Some of her visitors remain unconvinced and leave the office with their secrets clutched ever-closer to their breast, but many, many more, leave with a brochure and some phone numbers and a strategy for moving ahead.

It is common knowledge even among those who would not be caught dead at a magic show that magicians are sworn never to reveal their secrets.  The assertion is that if the audience knows how the trick is done, their appreciation of the effect and its performer are diminished.  If the public knows what the magician knows then there is no reason to pay to see their performances.  Jobs for magicians will disappear and the art form will die.

This position insulates the role of magician as keeper of special knowledge unavailable to "civilians."  This position places an emphasis on the trick and not on the experience of magic.  With this perspective, we focus on how Copperfield might have made the Statue of Liberty disappear rather than that he did--that we could be convinced that something that monumental in scale could vanish by the wave of his hand.  This position reduces the role of the performer from that of the artist to one of mere expert technician.  This position also relieves the performer of the responsibility of innovation:  if the secrets are protected then they can be endlessly recycled.

Some years ago, there was a manufactured scandal when Fox ran a series of specials featuring the Masked Magician.  In each of these programs, the performer exposed a variety of magic tricks ranging from the close-up effects of the tabletop to mega-illusions seen only on TV.  His stated motive for "breaking the magician's code" was to promote innovation and creativity and to help move the art forward.

What's true is true.  Secrets may create the illusion of power and control, but in their hoarding comes the responsibility of protecting and defending them and this, in time, becomes its own full time job.

I became interested in magic because of the secrets--this is not surprising for someone keenly aware of how powerless they were--but four decades later I remain interested in magic because of the opportunity to tell stories and create wonder.

There is no question that secrets provide, for a time, the illusion of power, but like most things built on an illusion, there is no permanence, no security, only, as DelGuadio says, "burden."



--Graham Campbell
Associate Director

PS - I was prompted to write this because some very significant secrets were disclosed to me.  As a result, I wanted to take action, but because they were disclosed in confidence, I could do nothing that would not betray that confidence.  As a result, I was left with homilies about secrecy and an imperfect analogy to magic.  My intent in ending with Penn & Teller  was to make the point that the secrets only have the power we give to them and, in disclosure, the "magic" is not diminished.

Thursday, July 19, 2012

Under the Microscope

Member of Congress Jesse Jackson, Jr. has been in the news recently as he continues his month-long leave of absence from the House of Representatives and receives care for a “mood disorder” at an undisclosed in-patient treatment facility.
That this man-gets-sick-man-gets-treatment story is getting more attention than it might otherwise merit is because the “man” is a Member of Congress and son of a famous leader in the Civil Rights movement and because, in an effort to recover away from the spotlight, decisions have been made to keep some aspects of his illness confidential—fewer, one might argue, than most of us would be comfortable with. 

In the absence of actual facts, we have speculation and an apparent green light to make an arm’s length diagnosis about the man and his mental health.  The echoes with last year’s open season on Charlie Sheen are unavoidable.

A Google search on Rep. Jackson and “mood disorder” or “mental health” will bring up plenty of hits.  Some will focus on the political implications (Mr. Jackson is up for re-election in November), some the mental health implications, some will talk about mental health disparities between African-Americans and the general population.  Should he resign his seat?  Why don’t they tell us where he is being treated and for what?  Shouldn’t his doctor be forced to release Jackson’s medical records?

As it happens, July is Minority Mental Health Awareness Month which means that irrespective of whether Mr. Jackson’s actions are consistent with our attitudes towards mental health, we have an opportunity to consider questions of mental health and mental illness from a more culturally appropriate perspective.

While different segments of the U.S. population as a whole appear to experience mental health conditions at similar rates (20-25%), treatment-seeking behavior varies significantly across cultural and ethnic groups.  For example, from the website of the American Psychiatric Association, we are told that “one out of three African Americans who need mental health care receives it.”

It is interesting to note that one study recently reported that Hispanic immigrants who have lived in the United States for an extended period of time, who have been “acculturated,” experience depression at significantly higher rates than do newly arrived immigrants.  The study’s authors suggest that the newly-arrived are sustained by their ties to their country of origin, their language, culture and family.  As the length of stay increases, those connections, that “social network”, begins to erode and the resulting isolation can impact the immigrant’s mental health.

The model of independence and self-sufficiency that informs the American character and the dominant culture’s attitudes towards healthcare runs counter to the cultural norms of many minority groups.

Diane Woods, founding president of the California-based African American Health Institute of San Bernardino County and author of a recently-released study of ways to reduce disparities in mental health care for black Californians, said in a recent interview:
We congregate together as groups and we like to be in groups. We like to interact with other people of like-mind and of like-thought,” Woods said. “The concept that even though you are not biologically related to an individual, because of our culture, and you come from African heritage, you come from a larger family. So you hear the terms, ‘brother, sister.’

When taken together with the central role that religion plays in many African-American communities it is easy to understand why persons experiencing a mental health condition might first go to their pastor or other member of their faith community before seeking a conventional behavioral health intervention.

It is also important to recognize that minority and immigrant communities experience higher rates of unemployment and poverty which also limit access to healthcare of any kind.

There are also historical biases to consider when trying to impact mental health in minority communities.  To be a member of any minority group is to be sensitive to the labels assigned by the dominant culture and this can extend from language-based misunderstandings to pejoratives like “snowback” and a diagnosis like “schizophrenic”:  each further marginalize and segregate. 

Proper diagnosis and treatment depend on a trust-based relationship between the patient and the provider of mental health services.  Absent reliable scientific tests to determine the state of the client’s mental health, the provider must make a determination based on interviews and, for populations that are too-often judged and found lacking, the disclosure of symptoms that suggest less than perfect mental health can be an impossible disclosure to make.

Rep. Jackson is in a tough spot that can make any recovery that much more difficult. 

Being an African-America public figure from a famous family means that there is no shortage of people watching his every action.  And, regardless of your culture of origin, one thing you can’t see under a microscope is recovery.

--Paddy Kutz
Executive Director 

Monday, March 26, 2012

Really Good Article on Workplace Mental Health in the U.K.

http://youcanstressless.com/wp-content/uploads/2011/11/How-to-relieve-stress.gif
This is from the HR Magazine website and was published on Valentine's Day this year. 

The piece makes the case that managers can play an important role in impacting employee stress and thereby reduce the employer's costs associated with absenteeism and presenteeism.

We especially appreciated this bit:
Hilary Bright, head of HR services at City College Norwich, adds: "We don't find those with mental problems ever underperform consistently in the longer term. We have some who are bipolar, but we don't find it a problem as we can arrange for them to have time off or to take annual leave when they are feeling very down. Or they can start later in the morning if they are tired because they are changing drugs. It is no more inconvenient than dealing with employees who have bad backs and I think employers that find it a problem are scared and haven't had sufficient practical experience."

Wednesday, December 28, 2011

Business Can Lead the Way on Addressing Mental Health

From theSpec.com comes this post about workplace mental health concerns and how corporations may be in a better position to do something about it.

Here is a link to an executive summary of the report referenced in the above item.

Friday, December 10, 2010

Thinking About those who are Struggling, Especially Children!

For 29 years, I have been writing about holiday stress and offered strategies on coping. There now are many sources of learning how to deal with life, some in the newspaper, some on the radio, some on television, and tons on the internet. Be sure to check out our website at www.mhalc.org to Live Your Life Well using our 10 tools which will help you to cope better. Let me offer my advice and referrals if you need it by calling me at 740-522-1341 or send me an email at Paddykutz@alink.com

All year long, not just during the holidays, it is appropriate to stretch beyond your own problems and issues and think of those less fortunate, especially children and youth. One way is to consider the poem by Ina J. Hughs who is often quoted, but not given credit. As you give thanks remember to:


Give thanks for children who
sneak popsicles before supper,
erase holes in math workbooks,
never find their shoes.
And offer love and hope to those who
stare at photographers from behind barbed wire,
can’t bound down the street in a new pair of sneakers,
are born in places we wouldn’t be caught dead,
never go to the circus,
live in an X-rated world.
Give thanks for children who
  bring us sticky kisses and fistfuls of dandelions,
  hug us in a hurry and forget their lunch money.
And offer love and hope to those who
never get dessert,
have no safe blanket to drag behind them,
watch their parents watch them die,
can’t find any bread to steal,
don’t have any rooms to clean up,
whose pictures aren’t on anybody’s dresser.
Give thanks for children who
spend all their allowance before Tuesday,
throw tantrums in the grocery store and pick at their food,
like ghost stories,
shove dirty clothes under the bed and never rinse out the tub,
get visits from the tooth fairy,
don’t like to get kissed in front of the carpool,
squirm in church or temple and scream in the phone,
whose tears we sometimes laugh at and whose smiles can make us cry.
And offer love and hope to those who
will eat anything,
have never seen a dentist,
aren’t spoiled by anybody,
go to bed hungry and cry themselves to sleep,
live and move, but have no being,
whose nightmares come in the daytime.
Give thanks for and love and hope to children who
want to be carried and for those who must,
we never give up on and for those who don’t get a second chance,
we smother….and for those who will grab the hand of anybody kind enough to offer!

We are grateful for our volunteers, consumers, Board members and donors to help us keep on helping for 57 more years in Licking County. I also appreciate the author, Ina Hughs. Remember, there is no health without mental health so look after yours and when you need help let me know. I’ll be waiting for your calls and your checks. Thank you.

Mental Health America of Licking County is partially funded by United Way and the Community Mental Health & Recovery Board of Licking/Knox Co.

--by Paddy Kutz
Executive Director

Thursday, March 26, 2009

Got Ahead


From: Jason mehringer
Sent: Tuesday, March 17, 2009 8:27 AM
To: Judith Allee
Subject: GA


Judith,
It is hard to ascertain everything that the GA class did for me but I will give it a shot.

Working with this class first eliminated any bias I may have had constructed towards people in poverty. Working with them one on one demonstrated to me how driven and resourceful the working poor are and how willing and driven they are to elevate themselves, given the proper tools, out of poverty (so many times you hear in society that many are lazy, and working the system). Through my interaction I was also able to look at my problems through a different lens and was able to take their suggestions to help achieve the goals I have placed for myself.

The class really solidified to me that I am on the correct career path and that I truly do want to work within the field of social work and mental health. It helped me set goals of my own and work towards them. The class also gave me a real sense of accomplishment because I learned that I have useful knowledge to assist people in realizing their potential and that I can teach and be a useful member of our community.

Throughout this class I watched as many of the participants blossomed. So many of them started the classes in sweet pants and T-shirts and by the end were dressing up and putting on makeup. This to me demonstrated that many of them had found a new sense of optimism in their life. Many of them also started using a more formal register to speak to both myself and their classmates reinforcing the techniques they had been taught and would need in the world outside of class. Throughout the class I also witnessed many of the class members going above and beyond their assignments and seeking out new information that would be helpful for both themselves and their classmates. They openly supported one another and, if any prejudices were there to begin with, they consciously let them go, excepting each individual as their equal and partner in the fight to reach out of poverty.

I witnessed many of these individuals regain their passion for life and success. The class really seemed to invoke a new type of thinking. Switching from that I can't to I can attitude. The class really fostered positivity in all of us, both teachers and students. The GA class gave them back, I believe, their sense of power over their lives (internal Locus of Control). They already knew it would be a hard road, but through class I saw them realize that things are obtainable. The techniques the class and you taught us all about baby steps to goals are goals themselves, as well as the idea of writing things down, and that learning the language is ever on going and useful endeavor, I believe will continue to be a valuable asset to them the rest of their lives.

Through it all I witnessed a large change in their behaviors. No longer did they seem beaten but charged up for what ever life had to offer them, both good and bad. The same way I feel from participating in the class.

I hope this is what you are looking for Judith the class really did have a profound effect on me, as did you. I am forever grateful that I was able to be a part of the GA class and for the opportunity to work with such a driven and knowledgeable mentor.As a side note how is my letter or recommendation coming??? If you need anything further let me know, I am as ever at your service just as you were there for me. Talk to you soon.

Jason

"Life is either a Daring Adventure or Nothing"
Helen Keller

Wednesday, October 22, 2008

Cobbler's Children



My grandfather, an electrician for Pennsylvania Railroads, never seemed to get around to completing the wiring in his own home, where he and my grandmother raised five children. The wires were looped onto nails and the switches didn't get boxes until he died, at which point my grandmother hired someone to do it. It was a case of "the cobbler's children get no shoes," according to my grandmother.

In the same way, I sometimes catch myself doing a poor job of caring for my own mental health, even though I've learned a lot about mental health by working at MHA for 11 years.

For example, I tend to scarf down my lunch at the computer instead of taking a lunch break. It seems that I will get more done that way, but research says I would probably get more done (and have to re-do fewer things) if I would take regular breaks from my desk.

I need to exercise, eat right, drink enough water, get enough sleep, and find healthy ways to deal with stress to stay healthy, and that includes being mentally healthy.

I need to keep my work area and home a pleasurable place to be in; mess is depressing. I need to make time to spend with my family and friends. Come to think of it, those are the same things I suggest to parents and others that I work with at MHA.

So, I'm going to publicly state my goals for the next few months:
  • Start a success team for 4-6 people to meet with me weekly. We will brainstorm with each other about problems and solutions and share goals and successes

  • Start an acoustic jam session once a month to get more music back in my life

I invite you to ask me about those goals if we talk. I don't know if it's mentally healthy or not, but for me, fear of mortification is a powerful incentive for following through and a disincentive against procrastination.

Happy trails,

Judith Allee

Parent Support Coordinator

Friday, September 5, 2008

Sloggin through Bloggin


Good mental health is always on the top of my mind and I want every Licking Countian to be there with me. After all, there is NO health without mental health. Wouldn’t it be wonderful if we all worked hard every day on our own wellness?

Mental Health must be integrated into physical health because, of course, the most important organ in the body is the brain. Your brain regulates everything including your thoughts and emotions. Brain health improves when you exercise, when you eat right and when you sleep right, but it also improves when you develop a positive attitude, build self esteem, when you get along with others and when you cope with stress appropriately.

That’s a big order, but it is all possible. Balancing life is up to you. Take charge of your surroundings. If you are falling short and can’t cope, reach out for help. It is United Way campaign time and the theme is “Live United.” Part of our financial support comes from the Licking County United Way and the funds raised are to help all citizens (men, women and children) to live full and productive lives.

Part of our financial support comes from the Community Mental Health & Recovery Board whose goal is to provide services to help people with mental health conditions, alcohol and other drug struggles. The services are available to help you; you pay for them (via donations or taxes), so use them. Call me if you need referrals for services at 740-522-1341 or call 211.

For 55 years we have been here to promote good mental health, provide education and prevention, and to advocate on behalf of those who need someone to stand up for them. Help us to do this by volunteering, sending a financial donation, attending our annual dinner meeting at Cherry Valley Lodge on November 13th at 6 pm ($20.00 per person).

Mental Health America of Licking County is Bringing Wellness Home by spreading the word that there is No health without mental health. Let me hear from you by calling or emailing to: paddykutz@alink.com.

Paddy Kutz
Executive Director