In Reality

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Recently, I found myself sitting with a teenage girl after she had requested to speak with me about her failed attempt to communicate her needs. With an agitated affect, and a irritated tone, she explained her situation to me. She had, on top of all her significant life and environmental stressors, experienced a normal and typical adolescent setback.

Under most circumstances, this setback would have been manageable. Any other typically developing child would have addressed their concerns and had their needs met in a relatively short period of time. For this child it was the proverbial straw that broke the camel’s back. Although, when you consider her trauma history, this young girl actually handled it quite well. She reported her concerns to an adult, and developed a reasonable plan to address them. Unfortunately, the adults did not communicate the plan with one another, and this girl, whose hopelessness and despair frequently results in depressive mood and self-harm behaviors, did not get her needs met. She instead got stuck defending herself to one adult, when the first had left without explaining the circumstances. The subsequent dispute, spiraled into an argument that evolved into a power struggle, and ended in undesired consequences. Then, she cried out for a therapist, and that is when I entered, as one adult was trying to explain a convoluted miscommunication to a teenager who'd lost all hope.

I stepped in, pulled her out of the stressful environment, and into a quiet room. We sat on the backs of chairs and looked out the window as she explained the entire scenario to me. I nodded along and reflected to the best of my recently conferred master's level ability. Then she finished her story. The room went silent. She hung her head, picked at her finger nails, and waited for my little bit of wisdom. After what felt like an eternity, I said the only thing I could think of.

"This sucks."

At first, I felt horrible. Here I am: the newly anointed therapist with fresh education. I had been coaching this kid on using her assertive communication skills for weeks. I come into a confusing situation, and all I can say to her is "this sucks." What the hell did I think I was doing? She needed answers, and I was giving her nothing.

So, I combed my mind, trying to come up with something, anything, that solved or explained the situation. We sat in silence again. She shifted on the back of her chair, tracing the crease of the material with her finger as she moved. Clearly she was done talking. It was my turn now.

I watched her tilt her head as she peered out the window; avoiding my eye contact. Think of something, I thought to myself, anything. Don't let her give up, not now. But, every intervention I devised felt like a lie. The truth was this was a real life issue. No matter what level of care you require, or how out of control your emotions are, there's always going to be the potential for others to let you down and that sucks. So, I told her that.

I said, "I can tell how hard you tried to communicate your concerns, and it's really frustrating to hear that the adults involved let you down. That's not fair." I went on to tell her how proud I was of her attempts to solve the problem. I reflected that the resulting scenario probably felt like a failure that brought about consequences she didn't want. Ultimately, my final message to her was probably more for me than anyone else. Though, I think it helped us both.

I told her that we can't control what other people do with the information we give them. All we can do is try our best to control what comes off on our end, and that's why it's important to keep at it. You've got to practice the skills to get better at them, but no one can promise that you'll always be successful. Sometimes, despite our best efforts, things don't work out. That's when it sucks the most. When we tried really hard, did everything we could, and it still didn't turn out right. But, if we keep on trying, one day we will limit those interactions as much as possible, and our successes will outweigh the setbacks.

My Objectives

In my previous job it was typical for staff to repeatedly remind the kids of their daily and long-term treatment and behavioral objectives. Imagine things like:

"Oops, remember you are working on putting your own journal away."
"You are learning to use your words."
"We're going to practice ignoring friends that tease, because that's kinda hard today."
and
"You are working on asking a teacher for help."

You get the idea, but there were also the incredibly frequent and surprisingly requisite lessons on social norms. (ex. "We don't ask strangers to lick our faces").

Well, I've decided that I need a specialist to follow me around doing just this. Today my goals would be something like:

"Oops, remember you don't have a maid. So it's your job to do the dishes.."
"You're learning to be self-sufficient. That means you should probably stop calling your mommy every time you are confused about life."
"We're going to practice not embarrassing the crap out of yourself, because that seems to be hard for you."
and

"You are working on remembering if you took your allergy medicine, and therefore not accidentally overdosing."

Okay, my "special teacher" might have more sass than the average treatment professional, but it's all a matter of meeting the client where they're at right? That's especially true when the person is an easily amused self-deprecating therapist in training.

Actually, I might be able to do most of these reminders myself, but I have yet to come up with a solution for the lessons in social norms. Clearly I can't do this alone. If I could I wouldn't have recently asked someone at a bar to smell me. So, who's up for the job? I'll pay you in sardonic comments.

Anyone? Anyone? No?

Acceptance

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For more reasons than I can describe one of the children I have previously known sticks in my mind as remarkably significant. He was a darling, yet slightly awkward, 5 year old boy. Because of the profound neglect and exposure to violence he had experienced, this child struggled to relate to others. His subsequent home disruptions, and rejection by caregivers left him feeling isolated and at fault for all of the troubles he faced. As a result, he often sabotaged relationships just to control the inevitable.  About four years ago, I walked into the quiet area of our classroom, and sat down to ask if I could play with him.

"No thank you," he sighed.  "I want to play with a human."

Understandably, I balked at this response. I tried to explain to him that even though I was, in his eyes, a teacher, I was a member of the homosapien species with which he identified.

He didn't believe me.  A nearby colleague, having heard the conversation, attempted to assist by explaining that despite his beliefs "teachers are humans too," but the tow-headed child just looked at us sympathetically and shook his head.  His expression was clear: these creatures don't understand what I'm saying. So, we agreed to disagree, and I sat quietly by as I watched this perpetually lonely boy wait for another (human) child to ask him to play.

I initially struggled to understand this interaction, and I ultimately wrote it off as a "kids will be kids" expression. When I pause to reflect upon this amusing memory now, I am struck with how incongruent that interpretation is with my own beliefs.

I wholeheartedly believe that children are amazingly intelligent. Children hold a special kind of intelligence that is remarkably self-aware and intuitive when you are able to interpret it.  It seems to me that, often, children struggle emotionally because they do not have the words to communicate what they know and what they feel.  Many times we, as adults, do not understand what they are saying to us, and we respond with patronizing laughs that disregard their experiences.

When I remember this outlook, and think about my role in this boy's life.  His meaning was actually quite clear. He may as well have said:

"You're not the same as me."  

"You don't know what it's like."

"I want to belong."

Now that this message is clear, I think it's an important one to remember.  The truth is, no matter how my rapport with this boy was, no matter how much he felt supported by me, and no matter how much he claimed to like me, I could never truly understand where he was coming from.  The sense of belonging and relief that comes from being understood on that level is a support that cannot be manufactured or taught in school.

Dorothy

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I don't remember much about my first day of kindergarten. Mostly, I have information that has been given to me enough times over the years that my brain can now formulate what it thinks is a memory. For instance, I know I walked the 0.4 miles to school with my older brother. I know that he took me to my classroom, and that my teacher was a friendly woman named Mrs. Savage. She played a kanun during story time. I know those things as if they are memories. What I remember, is a frail little girl named Dorothy.

I was nervous, but I came from a family that valued education. So, I acted eager. Learning was always a priority in my house. I have early memories of books at bedtime, word games at dinner, educational toys, and math challenges. So, when it was my turn to go to school I understood that I was supposed to be excited. Learning had always been fun. Therefore, I was supposed to be happy about leaving home to do it full time, and I generally was. However, change is hard. For a petite, securely-attached, and introverted 5 year old girl, leaving home for school can be the most difficult kind of change. Grappling with the emotions associated with this lifestyle upheaval was very confusing. Internally, I was scared, but I was externally happy because I knew I needed to be.

This is where Dorothy comes in. When my brother and I arrived at the door to the classroom that crisp September day, she stood outside, a fragile-looking girl clinging to a worn-down plush bunny, sobbing uncontrollably. Like me, Dorothy was small for her age. She also had a pale complexion. Her eyes were a similar shade of blue, and her tear-streaked cheeks were spattered with freckles like mine. Naturally, I identified with her as she clung to her grandmother's leg and hid her face from the affable school teacher crouched before her.

Though I admired him greatly, a quick comparison to the caring adults surrounding this girl had my own escort seeming emotionally inefficient for the intensity of this transition. Eventually, the teacher managed to coax Dorothy across the threshold with the understanding that her ragged bunny could remain by her side as a reminder of home, and kept it she did. Throughout the day, she grasped that thing so tightly I occasionally worried it would lose its second eye. She never stopped crying either. She clutched her transitional bunny with all her might, and sniffled her way through the entire day. For weeks, she isolated herself, and remained always near the teacher wearing a fearful expression.

On some level, I sympathized with Dorothy. I remember feeling bad for her as I watched her cry quietly on the curb at recess. I watched her with that bunny. I understood that, without it, she would never have been able to leave her family behind each day. I pitied Dorothy and her bunny for their inability to attend school the way the rest of us could.

But, if I’m being entirely honest, Dorothy irritated me. Not because she stood out, or because her incessant crying interfered with my learning. Dorothy annoyed me because she got to be what I couldn't. She got to be scared. For reasons I would not understand for many years, she was permitted to act as nervous and frightened as I felt. She didn't have to justify herself to anyone, and she didn't need to act strong for a family who was excited for her burgeoning education. She was scared of change, and it was accepted. Her feelings were allowed, and her behavior was justified.

At age 5 the differences between Dorothy and I were subtle, but worth noting. Though we experienced a similar transition and faced similar emotional challenges related to this developmental experience, I had an implicit understanding of a very important aspect of life. Even as children, we sometimes have to choose between what we want and how we feel. Unfortunately, doing so often means suppressing an honest reaction in favor of a productive one. It’s uncomfortable. It’s hard, and it’s done almost every day.