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I am a therapist in Louisville, KY USA.

Friday, December 11, 2015

I Want a Relationship with You but I Don’t Want a Relationship with You if You are Going to Be that Way! (Grief in Relationships)

In positive terms, families that are disengaged are more about the individual success than the family sticking together.  The positively disengaged family is about “You can do it. Go for it. Be all you can be!” 

In negative terms, the disengaged family is more about, you and I do not get along and so, someone is leaving.  Existentially this can look like
  1. I am going to get away from you because you are abusive, and controlling, and oppressive.   
  2.  Leave if you are going to be that way (we often call the departed one a prodigal-but it goes both ways).

Regrettable Rediscoveries

Many kids become adults who attempt to rediscover estranged parents and grandparents.  Sometimes the re-connection is a wonderful discovery and sometimes it is an epiphany as to why the custodial parent left.  The reunion with the estranged parent is often short and painful.

In my work, I have had numerous clients complain and lament about the absent mom or dad.  The mom or dad does not seem to care or makes promises that he or she does not keep. 

Sometimes, the estranged parent is a defensive jerk who fails to understand that for them to give suggestions or criticisms; they need to develop credibility before they spew the unsolicited advice.  The defensive jerk may portray himself or herself as a victim of the situation.  Sometimes they actually think they have valid points but miss the fact they are not credible.  The estranged parent generally fails to understand that he or she may need to apologize for failing to be there; procreating a new life impulsively brings a plethora of long-term, emotional consequences for the shunned responsibility.    Given the parent’s inability to understand such an apology is never coming and never will.

With many of my current patients, a recurring theme is that the absent parent is a drug addict, incarcerated sociopath, or convicted felon on the lam.  This absent parent also tends to be behind on child support payments. That parent is too busy smoking pot, shooting heroin, surviving penitentiary, or working the next angle that there is nothing to contribute.  The sad reality is that there is a cycle of dysfunction driven by a modicum of victimhood in that that the kid who was abused and neglected—often becomes the abusive and neglecting absent parent.

Other than the absent biological parent, there is the issue of the in-law.  Many do not get along with in-laws.  There is often a dynamic where the mother in-law or father in-law is too much like you and you repel each other because there is a competition for control or attention. 
Sometimes you marry someone with the baggage of the absent or dysfunctional parent.  You find that the absent or dysfunctional parent does or says stupid and abusive things and you hear about it afterwards.  It is also a real wakeup call when the dysfunctional in-law starts drama at a holiday, or excludes you and your spouse from family events or they keep secrets like they have a terminal illness or other important family medical information.
Another slice of the in-law issue is the disruptive sister or brother-in-law.  Maybe they were the favorite or maybe they are the black sheep.  Maybe they are a malignant drama queen who yells and throws a tantrum when they do not get their ways (they will be the defensive ones who disrupt family gatherings).

Trying to talk to these people is often futile

If you try and talk to these people about your feelings and you are trying to get change or at least an apology, you may find yourself having a futile conversation.  The hope is that they will be listening and apologetic with a pledge to do better.  What you will likely get is a number of red herrings to get off of the topic.  The end result is that the difficult person will turn into a defensive, self-righteous victim who will try to turn it all on you as being the problem.     The victim can find often find emotional and naïve rescuers who will jump in and attack you without understanding or knowing the whole truth and a firestorm exists.

If you do not get the immediate firestorm, you may get a later confrontation from a third family member who blames you for starting drama.  The person you just confronted may go to a third person for emotional rescue and make some vague emotional complaint about you that had little to do with your original confrontation.  You did . . . but you did not  . . . start the drama.

At least one more possibility is you get the hypocritical, plastic-faced family member who avoids you for years after the confrontation.  While they may sound religious and together, they are too invested in looking good than being real and genuine, and your confrontation likely poked through the paper-thin gift box that hides the empty box inside.  Part of their lack of integrity is to run because they do not have the character to apologize and admit they are not perfect.

Tying grief in—

Trying to talk to these people can be akin the bargaining phase of grief.  Some of us want to take responsibility to do what we can in our relationships.  Since these are family relationships we do tend to take them very personal and take a lot of responsibility, so talking to them about the problems seems to be the right thing to do.

Maybe we realize that there is not going to be a good relationship, and maybe we keep trying.  Maybe we keep hurting because that other person is abusive and controlling and negative and may be spreading unfair and ignorant rumors about us.  Maybe we wanted our kids to have relationships with their grandparents but the grandparents seem to have their heads stuck up their rear-ends as to how neglectful they have been.

A painful flip side of the neglect is that even if we were to have a relationship with these people, it would be on their emotional  terms.   They want control and there is no acceptance.  They would not have anything to say to us unless it was abusive and critical and non-accepting, and so many of us come to the painful conclusion: I want a relationship with you but I don’t want a relationship with you if you are going to be that way.

Trying to figure out what to do?

There are no easy answers when it comes to this situation.  The practical task at hand though seems to be managing our feelings.  We can get involved in other things to get our mind away from the pain.  We can try not to ruminate too much on what is not and what could have been.  We can get ourselves busy—but hopefully not meaninglessly busy in mindless driven behavior which is likely to burn us out.  So, we may have to practice a sense of emotional survival in the face of these situations. 


I hope that these thoughts were helpful to you.  For those of us in these situations, we are not alone.  Feel free to peruse the rest of the blog for other coping ideas.  If you like this post, feel free to re-post on your own social media—pass it on. 

Monday, November 30, 2015

Anhedonia. Grief and Loss in the time of Feasting, Snacking, and Partying.

We were not listening to the most religious music going to church yesterday, but there could not have a better "teachable moment."  My son and daughter were actually listening to the words of Santa Baby as sung by Eartha Kitt.  The woman in Santa Baby wants it all and as my daughter astutely noted, she wanted it now!   My daughter is a smart girl.

Stuff is supposed to make people good at the holidays.  It is either supposed to get us in touch with our inner child or it is touching that someone was thoughtful of us and what we like-- and it shows that they cared.

The holidays also have an emphasis on food.  There are many special holiday dishes, snacks, desserts, and drinks.  The food is more than just about the taste (especially if the tradition is Lutefisk), it is the tradition.

With grief and loss A 50-cent word that seems appropriate to consider at the holidays is Anhedonia, which is the inability to experience pleasure.  Presents and holiday cuisine do not bring pleasure or the Christmas spirit and the song Santa Baby does not fit where you are. Holiday food and drink does not taste great.  Parties are just not fun and you may not want to be around people.   The following are possible ways people in grief show anhedonia.

If someone is in the shock/denial stage, there is often little to no room to think about presents.  The world has just been rocked and the thoughts are just somewhere else.

In the anger stage, there may be a number of different manifestations of this uncomfortable emotion. There may be a preoccupation of guilt with anger towards oneself.  There may be anger towards others in your family for their disrespect or apparent thoughtlessness. It may very well be possible that someone is not interested in looking at the Christmas Story and its theology because of anger towards God.  There is too much anger to be able enjoy the season and the meaning.

In the bargaining stage it may be possible that people go overboard trying to recreate Christmas in the way it has always been.  This is the chase of nostalgia. Some people may just wear themselves out trying to do it all, buying it all and recreating the feeling.  Some people may claim that this is really putting off their own grief to be strong for others, and there is no satisfaction.

In the depression phase there is the out and out depression.  Nothing is good. Nothing is pleasurable. Things are empty and numb without feeling.

With anhedonia, the Christmas music can seem like irritating noise. No, it's not the happiest time of the year, and you can take your jingle bells and cram them where the sun does not shine.  Shut up about what you want Santa baby to bring you.  If this is you . . . you hopefully show self-control and keep the words inside your head versus actually saying them and creating collateral damage.

How do we deal with it?  Accept It. 

Sometimes there is nothing wrong with saying that we are in grief and that we are feeling grief.  We have to give ourselves permission to feel grief.   Grief is the normal emotional reaction to the loss of something significant.

The feelings are going to come.  The feelings are going to go.  The feelings come and go when they do.

We don't have permission to say and do anything we want, but it is up to each of us to give ourselves permission to feel.  Stuffing feelings is not always an act of showing strength or maturity.

Accepting that we are in grief means telling ourselves that it is okay to feel what we are feeling. We are affirming that it is normal to feel anhedonia in grief and loss and that we are normal people. Yes, we feel Bah-humbug, but that does not make us an Ebenezer Scrooge.

For the record, if you are having thoughts of suicide, you may want to call your local or regional mental health hotline. If you live in the United States there is a National Suicide Prevention Hotline: 1-800-273-8255.

Stuck in Grief? 

Being stuck in grief is a little tricky.  Opinions vary as to how long grief should last.  Some people continue to grieve years past the loss to the cost of normal functioning.  There is often a point where the grief is no longer about the actual loss but some secondary gain.  If you wonder if you are stuck in grief, it may be in your interest to go visit a therapist or counselor and explore this.

I hope that this has met a need.  If you like it and think it would help others, feel free to re-post it and pass it along.


Wednesday, November 25, 2015

Are you happy now Fred? It's Anarchy! How Thanksgiving will be some places.

For the past four years in my work, I have used episodes of the TV show Suburgatory in my therapy groups with kids. It centers around the life of a 15-year-old girl named Tessa, who gets moved from New York City to a suburb by a father thinking it is going to protect her. It ran for three seasons on ABC and in other countries.

At Thanksgiving Tessa is lamenting the loss of her New York City tradition.  However, Lisa, her neighbor and friend appears to have it worse.  Lisa is dreading a number of holiday family traditions which include wearing a dress that makes her look like a Puritan Pilgrim.

One third of the episode is devoted to Lisa's struggle with her mother, Shelia.  Lisa takes Tessa's suggestion to tell Shelia that Lisa is not wearing the dress.  Lisa's brother Ryan then refuses to wear his vest that complements the dress.  Shelia takes her anger out on her husband Fred.  "Are you happy now? It's anarchy!"

Shelia sends Lisa to her room, and then turns up the thermostat to be persuasive.  Lisa goes over the top to prove her point  (You will have to see it for yourself) and disrupts Thanksgiving Dinner.

Subgatory is a comedy, but it anything like it happens at your house, people will likely do anything but laugh.  When over the top stuff happens at your holiday, chances are you cringe.

Shelia

Many mothers, matriarchs, and queen bees act like Shelia.  They are so determined to preserve traditions that they are willing to dominate and decimate to get people to conform at the cost of the relationship.  Shelia makes you want to hate her because she does not care what other people feel.  It is her way or she will punish you or destroy you.

Lisa

Like Lisa, many people feel that some traditions are humiliating or embarrassing and uncomfortable. They want the holidays to be fun and not beholden to some old tradition that has no comfort or security to it. They are willing to fight for change even if others suffer from the collateral damage.

Tessa

A side plot of this episode is Tessa missing what used to be.  Like Tessa, some of us grieve the loss of traditions sometimes. There were times when people got together.  Those were good times. They had meaning.  We don't have them now.

Us.

Sometimes watching something we relate to can be helpful as we survive.  We may need to laugh.

If you are interested in finding the show Suburgatory online, It is Thanksgiving, Season #1.  There are a number of online video sources that claim to offer this show.  I cannot guarantee how safe they are.   I make the usual disclaimer that I have no financial stake in your watching this show or buying a copy of it.

I hope that you were helped by this, and if you liked it, feel free to repost and pass it on.


Tuesday, November 24, 2015

Thanksgiving: The Attitude of Half-Full

Thanksgiving in the United States is one of the holidays where there are a lot of cultural traditions.  It is characterized as a family holiday where families get together and eat hearty, savory, and flavorful foods. Maybe people will pray a prayer of thanksgiving to God or the God of their understanding.

It seems that in a search to make it more meaningful or interesting, some reflection will be done upon the story of the Puritans or Pilgrims who sailed over in and landed in what is now the Massachusetts in 1621. They came for their religious freedom and almost all died except for the beneficence of the aboriginal people who showed them how to grow food and survive the harsh winter.  They held a feast and invited the aboriginals we still call (albeit erroneously) Indians (or now political correctly native Americans) in the name of gratitude and celebration.

The United States holiday of Thanksgiving came into existence in 1863 by the declaration of Abraham Lincoln as a day of

Thanksgiving and Praise to our beneficent Father who dwelleth in the Heavens. And I recommend to them that while offering up the ascriptions justly due to Him for such singular deliverances and blessings, they do also, with humble penitence for our national           perverseness and disobedience, commend to His tender care all those who have become widows, orphans, mourners or sufferers in the  lamentable civil strife in which we are unavoidably engaged, and fervently implore the interposition of the Almighty Hand to heal the wounds of the nation and to restore it as soon as may be consistent with the Divine purposes to the full enjoyment of peace, harmony, tranquility and Union.  (http://www.abrahamlincolnonline.org/lincoln/speeches/thanks.htm)

Advertising: the Shaping of our Attitudes 

Moving forward to the 21st century, it has amazed me that it has become another day for commercialism, oh yes, there will be many people who will gather with close families and have their family traditions, but there will be far more people focused on the Black Friday and Cyber Monday shopping.

 The retail advertising machine has been pumping out commercials and ads for the past few weeks of fantastic sounding deals for this year’s hot deals on electronics, toys, and clothes.  The commercials as part of the Macys Thanksgiving Day Parade Broadcast will be bright and festive and imparting a message that buying great gifts for the ones you love will make you complete because you are not complete.

We live in a world where the information overload of advertising has pointed out to the majority of us that there is more stuff that we do not have than have.  We are faced with the temptation of an attitude of focusing on the negative and the emptiness. 

Advertisers sadly do not encourage a positive attitude of fulfillment, they create an attitude of perceived need and discontent to motivate us to spend our money on their product.   One of the outcomes of the messages is that you and I do not have everything they think we are supposed to have.   They paint us as having a glass that is half empty.  We do not have everything to fill the glass, and they often create the illusion that they can fill the glass with their good or service that we should buy.


                Attitude: What you think and what you feel about it. 

Thanksgiving as an Attitude

In my job I have to think a lot about attitude.  Many parents come in and say, "my kid's got an attitude."  In those cases it is really an adolescent being defiant and oppositional towards the parent and the kid not really having "an attitude." To get some change going, I have to challenge the use of the term "attitude" and "what it means" if I am going to get the family to consider changes. 

I have came up with my own simplified definition of attitude as "what you think combined by what you feel". Our attitudes are dynamic--always shaped by our times, situations and expectations, but I hold that we can manage them. 

Thanksgiving seems to imply that we know we do not and cannot have everything: Our glass is simultaneously half-empty and half-full.  We recognize that we have something in the glass.  We look at what we have combined by how much worse it could be.  

Sometimes we do not truly have thanksgiving until we have suffered or been afraid in some form or capacity.  

Thanksgiving suggests our vulnerability as human beings.  Yes, we worked for things that we have, but as the book of Ecclesiastes in the Bible notes, time and chance happen to all.  It could be worse as corporations fold, people lose their jobs, and do not have the money the use to.  People in other parts of the world do not have the food they need because of droughts and blights and war.  Suffering has taught us that we are subject to conditions outside of our control. 

If it is not suffering that has engendered the attitude of thanksgiving, it may be fear.  Many of us has had the near misses where our imaginations have taken us to the "what if" thought.  Our imaginations create the worst case scenarios.  We we pull ourselves back to reality, we might feel some relief and thanksgiving, and realize our glass is half full. . 

Sometimes We Must Count Our Blessings and Make Our Glass Half Full. 

The piece that I have tried to fit in is that when we are emotional, we tend to be concrete or black and white in our thinking.  We tend not to see the shades of gray.  It is all this or all that.  This can be the case when there has been a death.  We may have to drag ourselves to count our blessings in a way to get our minds into a better attitude. 

Counting blessings can be difficult if not seemingly in possible.  You are getting your mind on what you do have. There is an old Christian hymn "Count Your Blessings."  It suggests, to "name them one by one."   

As I mentioned my previous post, my father died about three months ago. I won’t be able to call him.  I may think about calling him a few times during the day because that is what people in grief and loss may do. Otherwise
  • I aim to be thankful for my having had my father around for as long as he was. 
  • I will be thankful for the times he put up with me.
  • I will be thankful for the lessons he taught and the love he showed in the way that he could show. 
  • I will be thankful that my mother is still with us.
  • I will be thankful for my wife and kids.
  • I will be thankful for my health.
  • I will be thankful for what I have. 
I will be counting my blessings.

As noted before I have written 85 other posts about other topics.  Feel free to browse and see if there is something that may help you.  One more thing, if you like this, feel free to re-post and pass it on.

Monday, November 23, 2015

Grief and Loss: It is real this holiday season

In evaluating whether I want to add to the this blog this year, I looked at the good old Google Analytics, there have been almost 2400 views of the blog, and that is enough for my vain self’s ego to write again this year. I myself feel more reason to write and reflect this year with the passing of my father on Labor Day. (For those of you outside of the United States, Labor Day is the first Monday of September.)  For me grief and loss is real this year and I think I wanted to share my journey this year at the holidays—and maybe that will lend some personal credibility and not just because I am also a professional.

It serves to say here that my family is spread out. For you technical types we are “disengaged.”  We all live our lives in different states—hours or days away from each other.  For reference I live in Kentucky and my parents live/lived in Florida.  We occasionally if but rarely talk as a family, and if my family members talk amongst themselves about this—I doubt they will tell me, or one of them will act as a spokesperson (approved or unapproved).  If you are that self-appointed spokesperson, keep it to yourself unless you are going to compliment me about what a great writer I am.

The following account is my personal story line.  I have shown respect to not share much of what my family members have said or expressed; their feelings are not my feelings. It frames where I am going in this year's posts on surviving the holidays.

The Story

On the day Dad died, I had an answering machine message from mother that she had called the emergency medical services to take dad to the hospital.  I could not contact her because her cell phone was not working and apparently she did not have Dad’s cell phone.  I called my brother in another state and my brother who is a minister (and who knows some tricks having to do a lot of hospital visitation) was able to figure out which hospital to which Dad was taken.

I posted on Facebook a prayer request for my father.   A bunch of my ‘friends’ clicked on like and commented that they were praying.  I remember feeling numb but I continued with my errands and tasks since it was a holiday.  We did not go downtown to the riverfront as planned because we were waiting on information.

I talked with nurses a few times during the day in the Emergency Department and then in the Critical Care Unit. I could not actually talk with Dad or mom.  The emergency room nurse repeatedly told me that Dad was stable the two times I called. On the third occasion I was told Dad had been transferred to the Critical Care Unit and I was forwarded there.  The Critical Care nurse told me that mom had left the hospital to go let out the dog, and I could not talk with Dad.  I then finally got mom at home at about 8:00 that night.  She discussed Dad’s grave condition and that Dad may not make it and if he did make it he would have to be in a nursing home.   I got mom’s permission to call my uncle/dad’s younger brother in another state to inform him of Dad’s condition.  In the midst of the phone call to my uncle, mother rang in (through call waiting) to let me know in a desperate voice that she was going back to the hospital because they called and said that Dad was dying.

I had shut down my computer for the night by about 10pm.  I was waiting to hear back from mother. I got no phone call. I did not sleep well, waiting in suspense as to whether or not Dad made it through the night.

The day after

I got up 5:00 a.m. because it was my normal time and I had responsibilities with getting the kids to school and work. I still had the number of the Critical Care Unit.  I called and talked to the nurse I had talked to the night before.  She told me in a patronizing and annoyed tone of voice that my father had died the previous night at 8:39 and my mother had already released his body by phone to the mortuary.  I then numbly and ignorantly texted my uncle and copied my brother on it that I had information from the hospital that Dad had died the night before.   My brother called immediately asking if I meant for him to get the text.  I told my brother that I had not had a call back from mom and I called myself, and I assumed nothing.  My brother apologized that I had not been called last night.
My uncle texted back that he had learned from Facebook the night before that my father had died.  I then got online and found that one of my nephews and nieces had posted that my father/their grandfather had died.
Yes, I was annoyed and irritated about having been kept in suspense. But I was trying to be mindful and understanding that we were all in shock.  When we are in shock, we are not detailed oriented and not necessarily empathetic as people; we are not in a giving place.  My first impulse was that I really wanted to call the hospital administrator in Florida and complain about the insensitivity of the borderline personality nurse who should have had a lot more tact in telling a son that his father had died.  Telling me stuff may have been a HIPPAA violation, and that could have been especially punishing of the nurse and cost the hospital, but I try not to be a malevolent type; she was the safer object for my anger at the time.  Okay, I was moving from the shock stage to the anger stage of grief within 10 hours, I likened myself to the author of Ecclesiastes who kept his mind sharp even when he was getting drunk on wine.
My wife had told our kids while I was riding the exercise bike that my Dad had died.  I would have liked to be the one to have said it, but okay.  
I decided to go ahead and go to work.  There was no house to go to and sit with other family members and cry, and I was not one for sitting home alone.   While waiting at my son’s bus stop I heard George Strait singing

Let me tell you a secret about a father's love
A secret that my daddy said was just between us
You see daddies don't just love their children every now and then
It's a love without end, Amen, it's a love without end, Amen
 (Love without end Amen Aaron Barker writer, Muy Bueno)

I asked myself, as I fought the tears, whether going to work was a good idea?   I was a stubborn person who had fought through office politics and a doctorate, and I was going summon the stubbornness today. 
 I told my immediate coworkers that my father had died. A few of them expressed anger as to why I was working.  I emailed my boss and told him of the situation and that I would let him know of family plans.

There was nothing more self-righteously gratifying in giving her the intangible bitch-slap of telling her in almost a whisper that my father died last night.  The information morphed her stupid smile into embarrassed shock.  

One self-righteously satisfying moment was when one of the school teachers on the hospital unit I work came up with a cheesy smile and told me to smile in a playful tone.  There was nothing more self-righteously gratifying in giving her the intangible bitch-slap of telling her in almost a whisper that my father died last night.  The information morphed her stupid smile into embarrassed shock.  She apologized and then went into an angry “why I was at work?”   The correct response would have been for her to immediately shut up and creep away, but she silenced herself within 10 seconds.   

Awkward Following Days

I asked for permission to place an obituary in the daily paper of the metropolitan area in Iowa where we grew up and called home before Mom and Dad moved to Florida.  Even though connections had died or dispersed, I thought Dad needed to be honored.   I chose a recent picture of Dad instead of some picture from long ago.   Only two parties made comment on the online registry book, well Dad did not spend his time and effort there being a civic pillar of the community.

I also went on a retreat with my son to a church camp on the Friday following Labor Day.  I felt somewhat awkward, but I was going to press on. I was not going to sit at home and do nothing.

As the days went by I got sympathetic comments from people at church.  Some of the condolences were smooth and some were awkward.  Some were patronizing and some were respectful.  One that particularly struck me as awkward was from one of the older, self-righteous types, with a hearing impairment who continues to refuse to use the microphone at church business meetings.  He gave his condolences with poor eye contact and embarrassed smile and almost joking tone of voice.  Overall, it was awkward, because some of the people who never talk to me  . . . talked to me.

My mother announced about a week later that she was not going to have a memorial service for Dad.  She was going to hold onto the ashes and we could in-urn them together after she died.  She mentioned that we should move on and not hold onto anger.   It is not in good taste here to go into the dirty laundry, but on the one hand I thought one ill-mannered family member’s utterance was reminding me why we live the distances that we do, but then another part of me said, “What’s the difference anyway?”

Family aside, different people in my community wanted to do something for me.  The flowers from the church were nice but awkward.   The office wanted to give me a gift—I told them to make a donation somewhere.  As far as I was concerned, as part of my disengaged family life, I was moving on and I was focused on my own business and my own life as I had always done.

My brother the minister flew down to Florida and got some of my father’s things.  He came back through Kentucky on the way home driving Dad’s van with some of Dad’s possessions.  I accepted a number of things that had meaning to me.  Among his possessions I have Dad’s slide projector and film projector (still in their original boxes), his tool box and some of his Bibles (the man had about 30 of them).  I also asked to have his college annuals as he and I graduated from Iowa State University.  It was surreal that I had possession of some of Dad’s things that he cherished and protected, my kids will get my stuff one day too.

Still in Process

I got to talk with Dad on his 80th birthday.  He had gotten his copy of my book that I had published through the Springer Publishing Company.  He had already read the publisher’s proofs of it and he said that he was proud of what I wrote.     

I don’t have any regrets—I came to appreciate Dad as a human being with all of his weaknesses and quirks, but also his character and his values.  He was not an athletic person and tolerated my high school macho pursuits of baseball, football and wrestling and he sat smiling as I struck out, got pinned in wrestling matches or warmed the bench.   He did cheer me on as I got my masters degrees and was there to see me get my doctorate. I was fortunate to have him in my life—even if it was from a two-day travel distance and in the form of five minute conversations every few months.  

For the past 10 years, I knew that time was limited.  I hugged dad whenever I saw him and I made sure to have told him that I loved him.  I made the most of those moments as I knew that many of my peers had lost their parents by then. 

As I write this I admit that I am still grieving Dad and I will grieve him.  There were days early on where I felt essentially like I had just woken up from anesthesia and as if I was wearing concrete shoes.   Short of the George Strait moment, I am myself but more tired and not exactly motivated to do all that much--even work on my next book idea.  

Because he has passed on, the holidays will be different. This Christmas, going to Florida is off the list. I will not be sending Dad a playful novelty or thoughtful book as a Christmas gift.  I will not be talking to him at Thanksgiving or Christmas on the phone.   How I experience those differences is yet to happen--and I plan to blog on them tastefully.

Going up the letter of abstraction one rung, I have personally realized when writing this, that when you are from a disengaged family, you keep the distances from each other because it is about you living the way you want to live or you are surviving the crap from when you were close. So even in the midst of being struck with grief you are more likely able to continue living the way you do because the deceased loved one was out of sight--out of mind anyway when he or she was alive.  It follows that when you stop and ruminate, you get distracted from the life you have sought to create and live by moving away, therefore, the holidays present the challenge and thus the journey of surviving. 

Closing note:

I have written about many different topics on this blog over the past three years.  Feel free to go back in the blog.  The most popular post has been my one on Ebenezer Scrooge.  I hope that you are helped by reading this. 

Saturday, December 20, 2014

The Prodigal Addict at Christmas and Coming to Believe


In addition to my regular position, I have been working part-time in a psychiatric hospital's admission department for almost the past three years.  I do assessment interviews and then consult with a psychiatrist by phone whether or not the patient meets criteria to be admitted to the hospital.

I have interviewed hundreds of patients who are wanting to come in to "detox" off of either Alcohol or Heroin.  It is like I am watching a lot of people die and their families suffering.  It is my window to the world of suffering.

The Worlds of Addicts

I sometimes get a patient who has a blood alcohol level of .240 or higher who is beginning to go through detox symptoms already.  This person is drinking hard liquor such as Vodka or Whisky to the tune of one pint to one fifth daily.  The significance of this is that the person is three times the legal limit of blood alcohol and thoroughly drunk but the body is ironically saying it is dependent and craving more Alcohol to stop the detox symptoms.   There are people who die of alcohol poisoning (a BAL of 400 or higher) or other alcohol-related disorder because they have to drink more and more to feel drunk or to stop from going into detox and they go over the cliff of .400.

My experience of the Heroin addict is somewhat different and I have pieced together the average process.  From what I can tell this stuff is expensive and addicts have to engage in all manner of illegal activities to keep the money flowing to get the next hit.  Many started out with pain pills and when the pain pills run out, they moved to Heroin. They first snorted or smoked Heroin, but the vast majority of them go straight to injecting it for the full effect.  They need more and more of it because their body develops tolerance and they have to avoid detox.  I hear a statistic from time to time of how many people die of Heroin overdose in my home of Louisville, Kentucky USA, and I wonder how many of them I met?

The majority of Heroin addicts are homeless.  They are unable to hold down a job because being high or going through detox. They have stolen money, cherished items, and anything else that can be sold quickly from almost everyone in their healthy social network and estranged themselves from families and friends.  The drug has cost them everything.

I have met Heroin addicts who are good actors.  One guy I interviewed sounded and looked like he was going through detox and I got him accepted by a doctor and a bed in the hospital.  When he learned that his girlfriend was not being admitted, he immediately said he wanted to leave.  I saw him after the interview in the hallway and he looked normal as without detox symptoms.  It seems that Heroin addicts lose themselves in their slavery to the substance.

Heroin addicts tend to engage in a chaotically bond with other Heroin addicts and they collectively engage in a pursuit of the drug.  They hustle and prostitute themselves.  They shed their dignity for the next hit when necessary such as a lesbian prostituting herself to men.  They share drugs, needles and blood-borne pathogens such Hepatitis C with each other. They are traveling along the road to death.

From what I can tell, the average addict has at least one criminal charge.  Many of them have felonies that will disqualify them from getting many well-paying jobs and rental properties in which to rebuild lives and repay debts.

The addict wanting to be in recovery almost has to move heaven and earth to get back in a stable situation.  In most locations the resources are stretched to the limit.  Halfway houses have no room. The newly detoxed addict needs a lot more to maintain absence and sobriety than what it available. Furthermore, the family they would otherwise depend on for support will logically not trust them because of all the dishonesty and perfidy.  For the repeat patients I have interviewed more than one time,  I have not been surprised that they relapsed because it presents as their only option.

Somewhere in here I should mention Marijuana.  There are lot of proponents of legal marijuana.  I am not one of them, While it does not always have the severe symptoms of Heroin and Alcohol, I am seeing how it is distracting kids from school and parents from their kids.  It too causes problems.

The Family

We typically think about the family member of the addict more than the addict.  I occasionally have a family member come with an addicted person.  Most family members have been burned out or exploited by the addict to the degree that they have kicked the addict out and will refuse to the addict come home.

Many family members tend to be both mad and sad because of the addict.  The addict is not getting his or her act together.  The addict is not listening.  The addict keeps blowing it and the cycle repeats. Many family members still love the addict and the pain is real.

Parents of addicts struggle with guilt.  I have had older adult patients lament how their adult children messed up and ended up in jail.

Children of prodigal addicts are left with voids in that addicted fathers or mothers do not come around and do not call.  They are torn between anger and longing for a relationship with the parent. Many children hold out a hope that the missing mother or father will come and fulfill their emotional longing and emptiness.

Otherwise, resident alcoholic parents are stale potato chips.  They are drunk, hungover or emotionally unavailable.  The alcohol parent raises a scapegoat, comedian, lost child, and wonder child who all survive the situation.

Surviving Christmas: Coming to Believe

The pain of addiction can be amplified at the holidays.  As our society has the ideal that all of family is supposed to together at Christmas.  While many of us will have to deal with a drunk family member, the absent, addicted family member is the spoiler for many of us.

Some of us who very angry have unequivocally resolved that we will not miss them.  Some of us still have a tender spot for the addicted family member because we still see the good in them and have good memories with them.   There will possibly be arguments when family talk about the prodigal addict.  

The addict is symbolic of the need for Christmas.  The world in and of itself is lacking serenity and is powerless over sin and it has become unmanageable.  The question is will people come to believe that a Power greater than all us could restore us to sanity?

The religious icons of Christmas are everywhere, but do people believe?  The baby in the manger grew up eventually, had, and still has the power to make a way for people to have peace, salvation, and serenity.  

Even though some of us may have our holidays marred by the existence of a prodigal addict, there is still peace and joy that can be felt at Christmas. The power of the babe in the manger seems to be made most real in our weakness because we cannot do it on our own.  




Sunday, December 14, 2014

Oh Joy.

When the downstairs cat and the battery alarm on my pager woke me up at 3 am this morning,  I went back to bed with the ear buds in listening to my local news and information station.  The news was on and the lead story was that this was the two year anniversary of the mass shooting at the Sandy Hook Elementary School in Connecticut.   Oh joy.

Hold it.  Today is the Sunday of Joy in Advent.  What a bizarre coincidence.

Along with loneliness, Joy has been another one of those strange curiosities of mine for the past few years.  The term does hold a number of personal traumas including my mean late aunt, Joy, whose most common statement to me was "Hush."

There is the suggestion that even if you do not feel like rocking around the Christmas tree, or decking the halls, there can still be joy.  The Christmas spirit of the secular carols does not necessarily fill the emptiness.

Nevertheless, Joy is a foreign concept to many of us in the driven 21st century.  Many of us are busy and chasing many objectives and goals and do not necessarily reflect on joy.  We tend to reflect on happiness, which is not the same as Joy.  Joy is an attitude and happiness is a feeling.

Feelings do rise and fall.  We can be happy some moments and depressed, sad, or mad at other moments.

Many people are just not happy and have good reason to be unhappy due to tragedy, disappointment, abuse, and pain.   Furthermore, despite all of the material wealth and achievement, people are still not happy and asking "Is this all there is?"  They do not have joy.

I have concluded for the moment that as an attitude,  Joy has a close association with Gratitude.
With joy there is some sense of fulfillment in the moment even in the midst of bleakness.

Joy is stronger some moments than others.  It depends on the moment and what is happening.  Joy can be overwhelming to the point of tears, and it can be enough to keep someone who is feeling hopeless from entertaining or following through on suicide.

Joy is highly existential.  What may be joy for me may not necessarily be joy for you. A person who is overwhelmed in pain and grief is not necessarily going to appreciate someone else's joy.

Joy is an individual responsibility.  It is a choice.  We can dwell on our issues, problems, and trials,
but Joy does require us to reflect on what we have and what could be worse.

The spiritual joy of the message of Christmas is that there is forgiveness and salvation. Christmas calls us to look at our spiritual condition and offers us the opportunity of joy despite how bad we feel about ourselves and our sinful condition.

There are still no easy answers about why a young man with mental illness decided to kill his mother and then massacre a group of innocent first-graders, some school staff, and then himself.  Pondering it makes me want to hug my kids right now, and I am feeling gratitude that my wife and I have children and that God has kept them safe.

However, today, I can have joy because God loved me first to send the baby to the manger, grow up to die on the cross in order to save me from my sin and give me eternal life.