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Maui 2008 178

One of the sticking points with some folks in AA is the step that says you will surrender to a power greater than yourself. Surrender is not the American way, or maybe more accurately, not the Protestant work ethic way. You must give 110% even though that is not really possible. For example in running, you bonk before your glycogen levels fully deplete. Your brain takes care of you by telling you to take it easy. Think of what happens to the motherboard on your computer when you overclock the processor to increase power. You overheat and fry it. And yet, if we don’t succeed we are encouraged to keep trying to the point of attempting to get out of a hole by continuing to dig. I think of it as a Vietnam syndrome – just keep sending troops and keep bombing and victory will inevitably come. Somehow we didn’t learn much from that experience.

In Chinese philosophy there is the concept of wu wei or nonaction, trying not to try, or effortless effort. A similar state in western psychology is the flow state described by Mihály Csíkszentmihályi. It is when you are in the zone. You cannot force yourself into flow or wu wei, you have to let go – surrender – and just be with it. When you become aware you are in that state, you are out of the moment and you lose it.

We have known for a long time that outcomes for people diagnosed as mentally ill have better outcomes in third world countries than in the west. People are treated differently in the “less advanced” cultures. In the west, we also put labels on people and then try to force them to behave in what we consider socially appropriate ways. For over 50 years the work of Brown, Birley, Vaughan, Leff, Wing and others found that the expressed emotion in families was a primary causative factor in rehospitalization in psychiatric facilities. Behaviors that got on family members’ nerves were more likely to cause trouble than the psychiatric symptoms. I came across their research in the late 1970s while working on a rehospitalization factors study at a state hospital. Expressed emotion was not touted as a factor in causing mental illness – no schizophrenogenic mother theory. It was just that when someone is criticized in certain ways, even when caring and concern are at the heart – sometimes feeling judged and pushed does not lead to the outcomes that are desired by the one expressing concern. And that is true regardless of whether one is ill or not.

In the recovery movement, the shift is to treat people with dignity and respect. Ezra E. H. Griffith has edited a comprehensive book that covers issues like involuntary commitment. It is called Ethics Challenges in Forensic Psychiatry and Psychology Practice. It is an excellent read addressing all the variables we face in social control when we treat people with psychological problems differently than those with physical problems, for example, diabetes.

It also got me to wondering about how wu wei might come into being when treating those considered chronically and seriously mentally ill. The July 1, 2016 Invisibilia episode has an intriguing take. You can listen to it here. It is called The Problem With the Solution. It starts with an American dream kind of product invention, and then looks at solutions in mental illness. It reminded me of Scott Miller saying that once something is defined as a problem, it gets worse. Could a reframing, a surrender into acceptance, be one solution? The podcast looks at the story of Ellen Baxter and her search for understanding with her family. That search took her to college and to Geel, Belgium, where people diagnosed with mental illness live with foster families who accept them for who they are and have no idea of the person’s diagnosis. Does Geel, Belgium have a humane, kind and respectful solution? Baxter began a project in New York called the Broadway Housing Project. It is not only humane, it is also cost effective. Also mentioned is Jackie Goldstein and Voices of Hope. You can read more about Jackie Goldstein and Voices of Hope here. Be sure to listen to the bonus story of William Kitt at Invisibilia. Information about the Broadway Housing Project and Ellen Baxter is at http://www.broadwayhousing.org/. There is also this 1993 New York Times article – https://www.nytimes.com/1993/12/19/magazine/ellen-baxter.html.

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Leo Copy

Uncle Leo

We are less than a year from the end of the centennial of World War I, the war to end all wars that ironically in many ways still continues to this day. My great uncle, Leo, was in the National Guard in Chase City serving as a medic when his unit was called. They were first sent to Camp McClellan in Anniston, Alabama for training. One day, his horse caught a hoof in the tracks at a railway crossing. Leo tried to free his horse and in the process, the horse fell on him crushing Leo’s kidneys. He lingered for three painful days with my great grandparents getting updates via telegram. He died April 28, 1918. My great grandmother was devastated. The soldiers who went to Europe and lived to return received a great welcome home. One of the soldiers from Mecklenburg County received particular acclaim. For his actions in capturing guns and twenty-two of the enemy on October 8 during the Meuse-Argonne Offensive, Sergeant Earl Davis Gregory received the Medal of Honor. He was the war’s only Virginia recipient.

 

Not everyone got a welcome home, or even a loving send off. In “Water Tossing Boulders,” Adrienne Berard writes about how in Mississippi, black men had a choice of work on plantations, be arrested (and work on plantations) or be drafted into the Army. Nate Shaw, a black sharecropper, recalled that whites would meet the returning veterans “at these stations where they was gettin off, comin back to the United States, and cut the buttons and armaments off of their clothes, make em get out of them clothes, make em pull them uniforms off and if they didn’t have another suit of clothes – quite naturally, if they was colored men they was poor and they might not a had a thread of clothes in the world but them uniforms – make em walk in their underwear.”

Berard further writes: “In the spring of 1919, a band of white men in Blakely, Georgia, confronted a black soldier named Wilbur Little as he returned home from his tour of duty in World War I. When they ordered him to take off his uniform, he refused, A few days later, a mob attacked Little at a celebration for his achievements during the war. He was found beaten to death on the outskirts of town, still wearing his uniform. In the Mississippi Delta, a black coast guardsman returning on leave to visit his grandmother in Greenwood was stopped in Tchula and arrested for ‘trespassing without money.’ When it was discovered that he did, in fact, have money, the charge was changed to vagrancy. He was sentenced to thirty days of hard labor at a cotton plantation. Thirty-six days later, he was released, haven been beaten on several occasions with a ‘seven pound strap,’ once for writing a letter to his commanding officer.” These men were treated far better in France than in the country of their birth.

Not only do the repercussions of that war linger on in this world, but the struggle for equal justice and treatment with dignity, compassion, and respect for all continues as well.

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