Investment in Therapy pt 1

Running the Black Men’s Therapy Group has gifted me and my co counsel Sheila Samuels with more evidence of how necessary the Introductory course/workshop is for Black Men.

A previous post Jitters, observed the negative side of what too often happens, when someone does not get the help so often not looked at as a support. Therapy is often a last resort and sometimes barely that. How can therapy be successful when there is so much at stake? There are a number of reasons for the reluctance to engage. Cost. Culture. Cures and Cons.

Cost
Therapy is not generally a low cost investment. See Kwanda’s initiative to redress this. IAPT was seen as a possible panacea for the masses to engage with psychologically trained individuals to access C.B.T. (Cognitive Behavioural Therapy).

Helping those who wanted psychological support to begin resolving and managing their experiences of depression and anxiety well. The NHS support was provided through GP services for those who either expressed need or were found to be able to access C.B.T. support. The cost for a person wanting C.B.T. is nothing but time. Current waiting lists are between 6 – 18 months in some areas.

Culture
For many people there is a sense of unknowing and unconscious/conscious fear when thinking to access talking therapy (a stigma). TV shows like In Treatment, Queer Eye, In Conversation with John Bishop and Couples Therapy allow viewers to see the process outside of themselves. Sort of like a fly on the wall. Viewers don’t get the first hand raw experience of what therapy does. Therapy can often be a truly eye opening experience. It can be scary too. Don’t let fear prevent you doing great things, again!

Uncoupling
However living with the pain of what potentially is lying hidden could be seen as worse. On a number of levels the person living with the pain knows this too.

Many cultures across the globe have differing ways of managing internal scars. Some attend to these scars in community settings, some go to see a Doctor or psychotherapist, some a faith healer, shaman or spiritual leader a wise elder in the community. The aim is similar – to unbuckle the experience of (emotional, physical, psychological, historic) pain from the present.

Not for Me
Therapy supports a person or group to achieve this aim of unbuckling. In a Western technology filled world. Some cultures have developed a socially accepted space in the minds of their people for therapy to be an acceptable form of treatment. For some cultures including the African Diaspora, Asian Diaspora and South East Asian Diaspora, therapy is often seen as something that is not to be touched. Therapy is for other peoples.
“We don’t speak our family matters to outsiders.”
“It makes us weaker as a community that has already suffered and is going through our own ongoing struggles with it’s identity purpose, history and future.”

Cures
Therapy is not a cure. It has helpful elements that have curative affects for individuals and for groups but it by no means can wipe out past traumas and pains in a single shot. The process can take time – sometimes for a few years.The accumulative effects are like a river cutting through rock or an overnight heavy snowfall. Therapy cannot undo centuries of pain. What therapy can do is support a better understanding to support groups and communities resolve current and past experiences.

Finding a Heart

It is Written
Books like The Body Keeps The Score and It’s Not Always Depression support an individual and groups to begin reviewing their current lived experience and review them critically. The two books highlighted above and therapeutic encounters generally encourage people to take out the parts that are not working for them anymore. Observe the learning from an array of differing experiences. Begin implementing another way to live and live well. I can think about a number of clients I have worked with for 1 – 5 seasons who have all gained somethings from therapy and found a way to let their past demons die and accept their now to live as best as they can making improved choices.

Cons
Therapy has it’s good, bad, and indifferent encounters between therapists and clients. The right mix often happens when skilled therapists meet willing clients to address their difficulties. At times an incompatible mix can happen of cultures, sexes, compassion fatigue of therapists, unconscious biases, identities and egos are amiss and both the client and therapist cannot make the therapeutic encounter work. The fatigued battle weary therapist and enthusiastic risk aware client would be an interesting dynamic to supervise.

Cons?
The thinking behind IAPT’s 6 appointment model is that a short focused piece of work can be effective when a single problem is looked at solely. This is equal to 300minutes of considered time and can be effective to resolve an issue. The difficulty arises when more than one primary concern is activated or pulled through. Which can happen as a result of discussing the other factors around the initial reason a person engages in therapy.

Time is a valuable commodity as is a
successful outcome for the work for client and therapist.

Cons??
Six appointments at times does not touch the sides of heavily affected people’s challenges like complex post-traumatic stress disorder (CPTSD). Another difficulty that the Global Majority has with encountering therapy are the historic experiences of colonisation, criminalisation, cultural appropriation and theft, villainizing communities and splitting groups of people along tribal, ethnic and gender lines. An implicit encouragement of groups to fight politically or physically inside of these constructed divisions, and then them to be offered a westernized approach to heal communities seems like an insult to a historic injury.

Cons!
Where would trust exist within these paradigms to complete a piece of effective work? Western approaches to therapeutic outcomes were developed originally for a small group of people in Europe!

If we were to widen the lens and take in the planet through a global and pan view, communities from Central and South America, the indigenous populations of Australasia, Inuit communities, Sub Saharan Africans and Northern African communities may not access therapy marginally or fully because of their own senses of culture, their community understandings, religions, beliefs, sense of collectivism and historical legacy experiences with the West. A Eurocentric approach with therapy would need to be de-colonised and become incorporated within the cultures therapy hopes to support.

Cons!!
There are also the experiences of what White psychiatrists, and White therapists have perpetrated against Global Majority communities which adds to the sense of historic mistrust against westernised approaches to healing.

Resources
Black Issues in the Therapeutic Process – Dr Isha McKenzie-Mavinga
Black Bodies TEDx Devante Sanders

Images
Photo by Shane Avery on Unsplash
Photo by Roman Kraft@romankraft Unsplash Autumn Love Signs

Breaking the Line

Quick Dip

And stop. First listen to the podcast (The Stoop) and then read on.

Twinned

Someone who reads my blogs said to me that they enjoy reading my words as their mind works similarly. A thought and then digression, never knowing if and when the return may arrive. Travelling in too many to count directions that could be interconnected.

Possibly…

Spores Spread

My posts on LinkedIn, Twitter and my counselling page on Facebook break a few lines. The most notable is that posting a story featuring a woman or man from the African Diaspora including an image of that person, does that thing of breaking the line. Here in the West seeing, hearing, being aware of the thinking of the European is common. In fact it is everywhere! Unquestioned and unsanctioned. 

Problematic?

Possibly.

Mechanism of Oppression

The image, the stories, the experiences are unapologetic and veer in to territory that is uncomfortable, uplifting, informative. Angie’s line from a talk held recently “it is not our job to inform and educate White people about racism.” We Africans did not put in place the structurally oppressive systems that provide stability for one group of people and that leaves everyone else not from that group destabilized and struggling in Westernized societies. It is not our job to deconstruct and do the work.

Again

Share

Breaking the line is an invitation to note what happens when an image of a person of colour is brought before your/ our/ my minds eye. Do thoughts that surprise and dismay also follow? But I am not prejudiced/racist I have so and so person in my life is a common answer and offering. Suggesting leniency and clemency for all wrongs. Malcolm Gladwell shares his insight in this podcast stating that the liberal is possibly the worst offender.

An Education

Books like ‘Why I’m No Longer Talking To White People About Race’ and follow up podcasts About Race, books such as ‘The Good Immigrant’ and ‘The Colour of Madness’ invite readers/listeners to immerse themselves into another’s view of life.

In Comparison

I have invited those that I work with to invest time in reading these works. As Marlon James said at an event in March ‘if a people can go through 400 years of dehumanising pain, suffering through 3 books exploring racism’s affects may be uncomfortable, but cannot compare to a race’s continued victimisation and vilification at the hands of systemic oppression of difference. Being othered by race, culture, religion or where ones parents originate is a factor in my life and for millions of others.

Marching

Remaining with the idea of being human first is difficult when other barbs are thrown. If Breaking the line happens to be another move to represent all experiences – the work, the journey is a step closer, but not yet done.

Possibly…

Tactical Empathy and Effective Altruism

blue-masque-2.jpg

Flow state thinking

An interesting blending experience happened after I listened to two of my favourite podcastsPhilosophy Bites and Pod Save the World. One was the thought that both ideas appeared similar and could be done to support those who through no fault of their own are facing unsurmountable challenges. The other was is there something here about listening for the solution in a way that supports a peaceful outcome. Tactical Empathy merged with Effective altruism…

A definition of both Tactical Empathy and Affective Altruism follow.

There are plenty of ways to get what you want in a negotiation — kicking and screaming, threats, and bribery among them. But perhaps the most effective strategy is one that’s pretty counterintuitive: Focus on what the other person wants instead – Chris Voss Author of Never Split the Difference.

Or  “Tactical Empathy” is the ability to share someone else’s feelings while executing a specific plan to achieve a particular goal. LEO Hearted T-shirts

Affective altruism is a philosophy and social movement that uses evidence and reason to determine the most effective ways to benefit others. Effective altruism encourages individuals to consider all causes and actions and to act in the way that brings about the greatest positive impact, based upon their values. Wikepedia

Blending

The first podcast is a 15-20 minute show discussing our responses to those in need with Larry Temkin on Philosophy bites. The second is an incredible story of a reporter Arwa Damon who was under siege in Mosul for 28 hours, her rescuers bravery and her desire to support Syrian refugees.

I had the chance to listen to both podcasts within a few days of each other and arrived at a similar point. Both podcasts discuss: tribalism, humanity, decision making and a desire to better understand choice that affect us the individual and the choices we make/could make that effect humanity.

Choice with Others in Mind

Interestingly the ideas of tactical empathy and effective altruism were discussed by both Larry and Arwa. For Larry there was the experience of appropriately understanding choice and making decisions that ultimately serve the greater good. One could look and feel bad for a period but the delay to look after a larger number of people is the better outcome for the many.

The idea of effective altruism or tactical empathy is a challenge to our sensibilities, compassion, recognition of the plight of fellow humans. There are a number of stories Larry Temkin discusses throughout the podcast that nudge a few uncomfortable ideas towards our awareness. The $5,000 watch and the drowning child was particularly distressing and also informing.

Links to Social Responsibility

Previously I wrote about the School to Prison Production Line. The need for interrupters to change the direction, influence and flow of the components that can produce those that make up a forensic population taps into the idea of tactical empathy and effective altruism. By putting the needs of a disaffected displaced over represented group of peoples alongside our own, perhaps even before, then significant derailment of the production line can and will occur.

For Arwa the understanding I arrived at was a sense of compassion that even though one might live in an area affected by conflict, war, and civil unrest. Life is still lived. A birthday is still celebrated, a new visitor treated like a very welcome guest. Arwa’s description of her experiences with the people that were able to offer her a safe place to hide from threat of capture and death are ‘clutch’ moments. If we were to apply tactical empathy and a degree of critical thinking to Arwa’s story we would note that her job was to collect a story. The story became about her survival.

Tactical empathy – effective altruism. Two concepts that are in mind as a continuum. Arwa setting up a foundation recognises that her efforts to raise awareness and create change for the many she had to organise her thoughts and other people to offer more. The Return to Mosul documentary and frying an egg appear as a reminder of humans caring about other humans.

The Call

The aim here then, could be to encourage critical thinking, being aware of our altruistic natures and when necessary use tactical empathy to listen and create change for self and others.

Resources
Philosophy Bites – Larry Temkin
Arwa Damon – The Seige

School to Prison Production Line

The above phrase I heard recently thank you Luke Roberts for introducing the phrase to me. ThSchool to Prisone School to Prison Pipeline I have been dimly aware of after I started working at a secondary boys school in 2004 as a learning mentor. My experience as a learning mentor a role that supported me in discovering my innate ability to listen intently. I did more than just  listen, I also supported young men to resolve their difficulties at school.

Resolution

The challenges they were attempting to resolve were impulse control, anger management, school attendance, completion of school work, issues at home affecting attitudes to learning. My understanding about these young men was if school as a place of learning was unable to meet their needs (socialisation) other opportunities would present. These extra -curricular opportunities would and did offer the socialisation, learning, excitement, experimentation and ego fulfillment that these young men sought.

Water Pipes

There are a number of ideas that leap from my mind in relation to a production line and a pipeline. A pipeline generally is uni-directional in that it flows from one direction to another, think of an oil line or water pipe. A production line like the ones witnessed at a factory are omni-directional largely dependent on what stage of the process the product has arrived.

Ron Brown College

I introduce the 1st episode of a Code Switch Podcast 3 part series. Code Switch is a podcast I have reviewed before in a blog entitled Deliciously Displayed Information.  Code Switch https://www.npr.org/sections/codeswitch/2017/10/18/558104287/a-year-of-love-and-struggle-in-a-new-high-school The podcast centres on a new school Ron Brown College Preparatory High School in Washington that is looking to address the disparity of young men of colour that do not graduate from high school due to suspensions and other impediments.

A Global Trend

Unsurprisingly a similar trend exists in the UK as well as other places across the globe. The tendency is, those that do not complete school can find themselves being educated by the streets. Hence entering the pipeline. If a student is removed from either a primary or secondary school, education is continued at another educational setting.

Educated Men PrisonP.R.U. (Pupil Referral Unit), once referred to a PRU – students can be provided with a reduced time table (curriculum) and reduced number of hours to attend school. Some students who achieve a satisfactory level of behaviour at the PRU can be returned to their former school after a determined period of time. If a student has been permanently excluded and are able to attain a satisfactory level of behaviour, they could be placed in another school. Some students do not return to mainstream education. Steaming along the production line.

Black Male Love

During the 30 minute show I found myself hopeful of the prospect of the school. The aim to educate and uphold a value for the Kings in attendance and for the communities that they live within. ‘Work with us and we can help you to be great, able to achieve with the tools at your disposal and overcome the set of circumstances that have be felled many before you.’ The expression of love from black men to other black men is an uncommon and uncomfortable sharing. Experiencing love from another man is rare and due to the rarity difficult to process.

Often during the podcast there are expressions and experiences that challenge the notion of black on black love, wholeheartedly challenge the premise of setting, circumstance and time that appears to wear the resolve of the teaching staff. I am hopeful that the mission of the school will overturn the students hearts and minds. Maybe the hearts and minds of their community.

Healing to Health

An aside, the film Black Panther holds a promise of the utopia of a fictional African nation determining it’s own future echoes the hopes and aspirations of not only the Ron Brown school or the Black Panther Movement or the Black Lives Matter movement but also the ideal that by offering love from self to self an individual and a community can heal. Episodes 2 and 3 shall be revealing…