The text below is
cross-posted under the title “Dismiss, Delay, or Distract – Client
Autonomy and the Desire to Discuss the Unspeakable”
at “Death Pastor’s Passion,” where it’s emphasis on bereavement care merits the
exclusion of these additional thoughts. I am including it also here at “Death
Pastor’s Diversions” in response to Paul Louis
Metzger’s recent post (found here: http://www.patheos.com/blogs/uncommongodcommongood/2014/10/kyogen-carlson-bridge-builder-over-troubled-waters/)
regarding the role of his friend, Buddhist Abbot Kyogen Carlson, as a
bridge-builder. I was privileged to meet Abbot Carlson on several occasions
through Dr. Metzger’s involvements, and share a similar appreciation for what I
found to be too-brief encounters between our two religious communities. Those
who are geographically closer have had greater opportunity to witness the
dialogue that Abbot Carlson and Dr. Metzger fostered. But all of us can learn
from their friendship, and seek to build similar bridges ourselves in whatever
communities we are called to serve.
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"Solitude" - Not just the name, but the reason for the boat. |
While those who live in the
Portland and San Francisco areas will likely think of having long-since built bridges
as the means to “get us where I want to go,” I am mindful of a process that is
immensely simpler, and yet oddly more complex. Bridging the gap between two
sailing vessels is often necessitated by mutual needs of skippers and crews who
would prefer, at best, to remain independently isolated to themselves, but who also
often find themselves in conflict with one another (whether in sanctioned
competition or in armed conflict). The method of bridging that gap is far
different than the single-minded purposes that spanned The Golden Gate or the Columbia River. It requires the collaboration of two
incompatible, or even conflicting parties. Before any lattice-work can join the
two, there must be one who throws the first line across, and the other who not
only receives it, but secures it to their, formerly sovereign, territory.
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"Secure those lines." |
The story that follows the
pedantic “Three Ds” section acknowledges, I hope, the willingness of another
whom I now count as a friend, who was willing to sort through the lines I threw
across the divide, find their own hawsers for me to draw across to myself, and
eventually build a strong enough bond to allow for the authentic, transparent,
and vulnerable exchanges we have had subsequently. A great deal of my recent
ministry involvements are directly attributable to those who could be
considered part of her crew, whose lives I would never have encountered, and
who would never have impacted mine, had there not been just one of us on each
side willing to establish those first fragile cords by which the stronger cables
were eventually intertwined.
I
am currently teaching “Bereavement Intervention Skills” for Mayers Memorial
Hospital. It’s the third
time I’ve done so, and there continue to be adjustments to the course content
and presentation. But one thing that I have recognized in the course of Hospice
chaplaincy (probably having originally learned it from instructors with American Academy of Bereavement) is the
importance of allowing the patient and/or family member to discuss what they
want to discuss, when they want to discuss it. Especially with regard to those
who volunteer to offer services to the bereaved, the assumption that our “best time to talk” always matches theirs can prove disastrous.
The Three Ds
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"Could we talk?" (No means no.) |
And
so, I remind my students at least once in each of our six sessions that our
clients have the right to “dismiss, delay, or distract” when we arrive with an
offer or support, encouragement, or assistance, or even at any subsequent point
while we serve them.
Dismiss:
A client may dismiss us by saying, “No, I’m fine. Really.” There are variations
on that theme, and it may occasionally be stated somewhat vaguely. Sometimes it
even turns out that they mean, “I’m fairly sure I do want some help with this,
but I have no idea who you are. I hope you leave a card or brochure. I may call
if I start to feel more desperately in need.” But our polite compliance with
“Please leave” is essential to any hope of future assistance to that client.
(Still, I’ve been known to ask, “Are you sure?” Not that I should, though.)
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"Is this a good time...?" |
Delay:
More often, a client may delay our assistance. We may hear, “Now really isn’t a
good time,” or “I don’t think I’m quite ready to discuss that yet,” or even
“That’s already being taken care of, thank you.” On this last point, we need to
remember that clients are sometimes mistaken about the resources and support
think will be available or adequate. When the client chooses to delay, we
should always seek an opportunity to “check-in on them” at a (not very much)
later time.
Distract:
Most often, even before “getting down to business” in a scheduled session with
a client, s/he may want to distract the
conversation from the topic at hand (i.e., the effects of and efforts toward
dealing with a significant loss). “Could we talk about anything else but that?” is a frequent request. Why? Because, it
seems, every coworker, classmate, friend and/or family member feels compelled
to put on a pained expression and ask, “So, how are you doing?” (to which there is rarely a ready answer). Any
other topic can be a welcome relief from the constant analysis and expression
of their moment-by-moment experience of bereavement, grief, and mourning.
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"Patience. We'll get there." |
An Example
I
was recently asked to speak to an early-adolescent domestic violence refugee.
(If you need a clearer definition of that, feel free to email me at deathpastor@frontier.com.) When I asked her if she wanted to talk, she declined. My first inclination was
to accept this as a dismissal. But it wasn’t an outright, “Go away,” so I said,
“Okay,” and continued to sit across from her.
She
began showing me what she’d like to order from her school’s most recent
book-order form. When she noted that a boxed set of six books was thirty-five
dollars, she added that if there were seven books they would be five dollars
each. I asked if she was always able to do math that quickly, and she ran to
her room to get her math homework. It was done and graded, and she was clearly
doing well. I said so. But then she asked, as long as I was there, if I would
help her with her spelling homework. I agreed.
There
were some wonderful opportunities to explain the I before E rhyme—especially since
the word “weird” also appeared on her list. She almost has it memorized now.
But she seemed especially interesting in another word on the list. “Mourn,” she
explained, was not the time of day when the sun arose. It had to do with
feeling sad, she told me, but she wasn’t sure quite how.
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Let the client determine direction & timing. |
In
due course, I was able to explain the connection between bereavement (the condition of having experienced a significant
loss—not always by death, but including the kinds of upheavals she had been
experiencing), grief (the reactions
we have to bereavement), and mourning
(the proactive response we make to our grief, primarily through discussing its
elements and effects aloud).
(For
those wondering how to express these concepts to an eleven year-old, I would
first suggest simpler vocabulary, of course. But again, I’d be willing to pass
along some ideas for developmentally-appropriate bereavement care. Feel free to
let me know.)
There
is still a lot for my young friend to process, and her circumstances continue
to shift and spiral. But my point in sharing this brief experience is to note
what can happen when we honor the client’s autonomy—allowing them to dismiss,
delay, or distract, in order to be available to them when they do decide it’s time to discuss what we
might know about the process in which they find
themselves.
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"Will that line hold?" "It only needs to hold the other vessel's line." |
Who Will Throw? Who Will
Catch?
Again, this last section is
unique to our discussion of bridges and gaps, and the need to find what Jesus
referred to as “a person of peace” (Luke
10:1-12, esp. v6) on the far side to receive our offering
of engagement.
Before the gap between
vessels can be bridged, one must first throw a line, however inadequate it may
be, across to another. Ideally, that first fragile cord is used to draw a far
more sturdy rope across from another who is willing to respond. Eventually, a
lattice-work of lines may bind two vessels together for their mutual benefit.
But it never exists without first risking some of our precious running rigging
to be shared across the gunwales.