Saturday, December 15, 2012

Gaining a Perspective on Current Politics and World Affairs: Why I Don’t Take Things So Seriously




I “came of age” in the tumultuous 60’s.  I don’t believe politics had any impact on me at all at this time.  I was totally self-absorbed, as most teenagers are, and dealing with angst of adolescence and adjusting to a new high school.  Events like the building of the Berlin Wall, astronaut John H. Glenn’s orbit of the earth, and the assassination of John F. Kennedy by Lee Harvey Oswald, the escalation of the war in Viet Nam were all momentous times in our history.  They surely rival current events with the election of our first black President, the ongoing unrest in the Middle East and the assassination of the US Ambassador, and three other Americans in Libya. But I have no recollection of discussing them over the dinner table with my parents, hearing about them in school or watching them over and over again on the nightly news.  In fact I never read a newspaper and rarely watched the evening news on TV back then.  I must confess I was totally unaware of (and probably would not have cared) what was going on in the larger world around me.  Such things as the formation of the National Organization for Women (NOW), and the first successful heart transplant went unnoticed by me.  What I do remember was when the Beatles stormed America and appeared on "The Ed Sullivan Show."  I was shocked and saddened by the assassination of Martin Luther King and Robert F. Kennedy (I remember going to view his body at St. Patrick’s Cathedral).  I also remember watching Neil Armstrong’s walk on the moon and the coverage of Woodstock-"Three Days of Peace and Love" that drew hundreds of thousands to a farm in upstate New York (I was on the wrong coast at the time).  Even though I was of voting age during these years, I don’t remember ever doing so.

The decade of the 70’s I think mirrors current events on the world stage- the antiwar movement with riots on college campuses and a huge protest march on Washington, legalization of abortion by the Supreme Court, the Arab oil embargo which caused severe shortages and skyrocketing energy prices, and the economy in the worst recession in forty years.  Several scandals during this decade seem eerily similar to the current intrigue with Libya. The Pentagon papers scandal in 1971 involved the unauthorized release of a 7000 page document to the press. The papers were top secret US Department of Defense documents pertaining to the US involvement in the Vietnam War spanning a period of 1945 to 1971, commissioned by the Secretary of Defense Robert S. McNamara. Daniel Ellsberg, a worker with this department leaked the ultra-secret information to the New York Times when he became disillusioned with the role played by the US in the war.

The Watergate scandal, however, is probably the most infamous political scandal that US has ever witnessed. It left such a long lasting impression on the collective consciousness of the American public that ‘Watergate’ became synonymous with scandal. The Watergate scandal was basically a botched bid to re-elect the then president Richard Nixon to office in the approaching elections.  Five former CIA operatives and a former NY district attorney broke into the Democratic National Committee headquarters on May 27, 1972.  The men tapped phones, photographed documents and indulged in shadow practices.  A second break in attempt was spotted by a vigilant security guard who called in the Washington police. The five men were arrested and with their arrest, subsequent investigation began to unravel what was one of the worst scandals that the US had ever seen.  The President’s involvement in the affair was proved beyond doubt by tapes which had recorded his private conversations with top ranking officials of the government. Coming on the heels of a complete denial by the President of any knowledge of the affair, these tapes sealed his fate. Faced with imminent impeachment, Richard Nixon was left with no choice but to resign as President of the United States on August 9, 1974.  The scandal is also well known for the mystery source that fed the investigative Washington Post reporters, Bob Woodward and Carl Bernstein, most of the critical information. The unidentified source was simply known as the ‘Deep Throat’.  It was an era of social and political upheaval (aren’t we hearing the same said about this present era?).

There was upheaval in my life during these years too.  I married an alcoholic, gave birth to my son Jason, divorced and became a single mother, got caught up in the drug culture for a brief time, and started nursing school in Los Angeles-again (3rd time is a charm).  No wonder I had only a passing interest in world events and still didn’t bother to vote.

The 1980’s were known as the “Me” generation of status seekers. During this decade hostile takeovers, leveraged buyouts, and mega-mergers spawned a new breed of billionaire. Personalities like Donald Trump and Leona Helmsley epitomized the meteoric rise and fall of the rich and famous. “If you've got it, flaunt it” and “Shop Till you Drop” became watchwords of the day. Cocaine was the drug of choice and disco clubs like Studio 54 became famous for the hedonistic lifestyle of the decade. The sexual revolution, ushered in during the 60’s, with its dictum of free sex, led to the AIDS epidemic, devastating the gay community. The decade began with double-digit inflation, and high unemployment. The Iran-Contra Affair (86-87) had all the earmarks of the current Libyan embassy scandal. This scandal took place when Ronald Reagan was in the White House. Many of the murkier details of the scandal are still hidden thanks to a thorough hush up job by loyal Reagan officials and it is still not clear to what extent the President’s complicity goes in the affair.  The scandal revolved around the arms-for-hostages deal which the US government allegedly arranged with some politically influential Iranian groups. The plan was to facilitate the safe return of US hostages who were being held in Iran by terrorists. The profits from these deals were going into funding the Nicaraguan contras, for whom President Reagan had expressed support earlier.  Although a direct link was never established connecting the President with the dealings, critics believe that the orders did come from high up in the line of command and that Reagan was in the know all the while. The President did publicly accept moral responsibility for all the dealings even though he was ‘unaware’ of them.  An investigative committee was appointed by Reagan himself, which, understandably, declared him innocent.  On a more positive note, at the very end of the decade the Berlin Wall came down!

I spent the decade getting serious about parenting and building my career. I watched the news more but was not greatly affected by it. I was making enough money to live comfortably for the first time and I was enjoying my life. I was living first in Boston with a childhood friend, after purchasing our apt. when it went condo, and later in a lovely house in Great Barrington in the beautiful Berkshire Mountains in Western Mass. As the decade came to an end, I remarried. I seemed to have reigned in my inner demons enough to live a less chaotic lifestyle and I was beginning to see that my life could be stable- financially and emotionally. As I think about it, I have never been afraid of a downturn in the economy or of being unemployed. I never gave much thought to what politicians in Washington were up to either.

The 90’s are known as the electronic age with the birth of the World Wide Web in 1992 changing forever how we communicate. Other highlights in the 1990's included the United States playing the role of world policeman, sometimes alone but more often in alliances. The decade began with Saddam Hussein's invasion of Kuwait and the resultant Gulf War. In 1993, war was in the African country of Somalia, as television images of starving children led to an attempt to oust the warlord, General Mohamed Farrah Aidid. By September, 1994, the U.S. was once again sending troops to a foreign country to overthrow a military dictatorship, this time in Haiti. In 1996 about 20,000 American troops were deployed to Bosnia as part of a NATO peace keeping force. In late March 1999, the U.S. joined NATO in air strikes against Yugoslavia in an effort to halt the Yugoslavian government's policy of ethnic cleansing in its province of Kosovo. The decade was to end much as it began with U.S. forces deployed in many countries, and the U.S. playing arbitrator, enforcer, and peace keeper throughout the world.

On the domestic front the big issues were health care, social security reform, and gun control - debated and unresolved throughout the whole decade. Violence and sex scandals dominated the media throughout the decade. President Clinton’s sexual misconduct led the pack, especially the Monica Lewinsky scandal. The country was shocked by the blatant perjury that the President had committed by lying under oath after the evidence was made public. He narrowly escaped impeachment for perjury and obstruction of justice. Incidence of violence included riots in South-Central Los Angeles after four white policemen were acquitted of video-taped assault charges for beating a black motorist, Rodney King, a bomb was detonated in the garage beneath the World Trade Center, the trial of football hero, O.J. Simpson for the murder of his ex-wife, Nicole, and her male friend, Ron Goldman pitted whites against blacks when he was acquitted, the Oklahoma City bombing by Timothy McVeigh, and a disturbing rise in school shootings, the most lethal of which was at Columbine High School in Littleton, Colorado. On the positive side, the booming economy led to record low unemployment and the stock market reached an all-time high as individuals learned to buy and trade via the Internet.

Personally, my career reached an all-time high too when I was appointed Director of Patient Services at the Austen Riggs Center. My second marriage threatened to end as badly as my first until a move to Little Rock and some counseling and a recovery program gave us both a new lease on our relationship. So once again, personal issues took precedence in my life and world events were only of mild concern.

The New Millennium began with Y2K fears proving to be unfounded and George W. Bush taking over the Presidency. On Sept. 11, 2011 Al Qaeda terrorists crash three planes into New York’s World Trade Center and the Pentagon. Other significant events included the devastation of Hurricane Katrina, the expansion of the war in Afghanistan to Iraq with the subsequent scandal over faulty Intel. Sound familiar? 2007-2008 is notable for the election of Barack Obama as America’s first black President and the financial crisis, considered by many economists to be the worst since the Great Depression of the 1930s. It resulted in the threat of total collapse of large financial institutions, the bailout of banks by national governments, and downturns in stock markets around the world. In many areas, the housing market also suffered, resulting in evictions, foreclosures and prolonged unemployment. I had begun to vote at last, but never enthusiastically. I didn’t believe it meant much or would really change things for the better in America or the world.

Political corruption may be defined as bribery, graft, extortion, robbery, patronage, nepotism, cronyism, conflict of interest and kickbacks. Political corruption in particular has a long history in America dating back to before the American Revolution. Ethically questionable behaviors have haunted American politics from the time Europeans settled the country. With the availability of land, bribery and graft led to highly unethical practices. Royal governors and officials used their positions to enrich themselves and Colonial merchants ignored tariff duties and mercantile regulations. The taming of corruption was a major feature of the federal Constitution of 1787.

By the early nineteenth century, governmental contracts provided possibilities for official malfeasance. For example, fraud, corruption and greed in the Bureau of Indian Affairs was rampant in the 1800’s. Agents accepted bribes from companies with licenses to trade on the reservations of many Native American tribes. The scandals of the Ulysses S. Grant presidency are legendary. One such scandal involved Grant’s brother-in-law. In 1869 speculators Jim Fisk and Jay Gould attempted to corner the nation’s gold market. They enlisted the help of Grant’s brother-in-law, who had pledged to prevent the President from acting to ruin the scheme. The scandal became known as Black Friday.

Another was the Credit Mobilier scandal. A dummy corporation was set up for the completion of the last 600 miles of the transcontinental railway by Congressman Oakes Ames of Massachusetts. The scheme was to have Credit Mobilier, which was entirely controlled by the same people, bill the Union Pacific for the costs of constructing the railroad. There were no other bidders for the work, so UP paid much more than Credit Mobilier spent. As a publicly traded company, Credit Mobilier could point to a record of profits that demonstrated that it was efficient and profitable, so its shares traded at a high price. Ames distributed shares to members of Congress at prices well below market. Those members merely had to sell the stock at market to reap large profits. During the subsequent Congressional investigation, it was found that more than thirty individuals representing both parties had received benefits, including the future president James A. Garfield. Stockholders, as well as the federal government, were bilked out of millions of dollars. Despite the loss of $20 million (a huge sum in the 1870s), no prosecutions ever occurred.

FYI: This type of corruption still goes on, for example, with members of government profiting from insider trading. With public confidence in Congress at an all-time low, a bill was recently introduced (The Stop Trading on Congressional Knowledge- STOCK- Act), which makes it illegal for members of Congress and their staffs to trade stocks based on inside information learned on the job. The very fact that this bill has been drafted makes it clear that such practices are common.

Here are a few more examples from the past: President Lincoln, at the height of the Civil War, replaced department head Simon Cameron with Edwin M. Stanton because of corruption concerns. The disputed election of Rutherford B. Hayes in 1876, who lost the popular vote but won the presidency with one electoral vote, was the worst political corruption (until the 2000 presidential election). The election season degenerated into the opposing sides launching vicious personal attacks on the opposition candidate- just like today. Is the practice of special interest groups making large donations to campaigns to ensure their candidates victory new to the election process? Think again. In the Presidential Election of 1896, the financial titans of the time period—John D. Rockefeller, Andrew Carnegie, J P Morgan—gave financial support to the Republican Presidential nominee, William McKinley, to defeat Democratic nominee William Jennings Bryan, and even threatened their workers with lost jobs and closed down industries if Bryan won. Corruption is not limited to the federal government either. Local governments, such as the infamous Tammany Hall in New York and the Daley political machine in Chicago were corrupt and accepted illegal contributions from business and others.

Sexual scandals are nothing new either. Here are a few highlights from further back in our America’s history: Alexander Hamilton, Secretary of the Treasury, had an affair while he was married to a woman who was also married. He was blackmailed by her husband, forcing Hamilton to confess and tarnishing his career. Thomas Jefferson was accused of fathering the children of his slave. President James Buchanan (D) and future Vice President William Rufus King (D-NC) were the subject of scandalous gossip alleging a homosexual affair in Washington, D.C. for many years. Andrew Jackson referred to them as Miss Nancy and Aunt Fancy (1850s). The list goes on and on and on.

Conclusions: There is an old adage that says, “Be careful what you ask for.” The Bible tells us that the leaders of Israel wanted a king like all the other nations had. Samuel the prophet was very upset with their request and asked the Lord for advice. The Lord told him to give them what they requested, “But solemnly warn them about how a king will treat them.” The Lord then goes on to describe the misuse of power, the servitude, and the taxes that would break the people’s backs. He knew what kind of rulers they would have and what sort of government. He ended by saying “You will beg for relief from this king you are demanding, but the Lord will not help you. And so it was and so it still is (I Samuel 8: 4-18).

I do not think it is a coincidence that the end times will be ushered in by the Antichrist coming to power as a political leader! There is nothing new under the sun, what seems so disturbing now with our federal and local government leaders has been done before- many times. We live in a fallen world and it is the nature of politics and politicians to breed corruption.

Saturday, November 24, 2012

When the Sun Stood Still: A Short Story


The heat rose like a living, breathing thing, expanding across the land as the day brightened by degrees.  The early morning clatter of the birds faded, perhaps muted by the competing sounds of awakening life. 

The boys began to stir; a light film of perspiration already covered their brows.  It was going to be another Midwest scorcher.  The glare of the sun slid fluidly, like liquid gold, beneath the shades in their bedroom, casting glowing fingers across their limbs. 

Tommy woke first, flinging an arm out and kicking the bed sheet aside.  Sitting up, he rubbed the sleep from his eyes and shook his twin brother Bobby. 

"C'mon, no more school, remember?  Let's go fishing!"

Bobby woke from almost complete somnolence to alertness in one abrupt moment. 

“Yeah, let’s go,” he responded, leaping out of bed.  

Both boys were towheads with fair skin and freckled faces. When awake, they were in perpetual motion, the rough-and-tumble play typical of ten-year olds.
   
A sense of excitement spurred the boys into action as they scrambled for shorts, sneakers and yesterday's socks, discarded in a ball under their beds. 

They raced each other down the stairs, accompanied by shouts of joy, grabbed their fishing poles from the back porch and were gone.  The slam of the screen door punctuated their departure.

Ellen stood in the boys' bedroom doorway, hands thrust deep in her jeans pockets.  The commotion had been like the burst of a machine gun, shattering her nerves.  The sudden and complete silence that followed helped restore her equilibrium. 

At 27, Ellen looked much older.  Her sandy hair was pulled severely back into a ponytail.  Her slender build and pale complexion made her look frail and vulnerable. 

"God how I love them,” she thought to herself, "but sometimes it's just so hard to cope with their energy and exuberance.” 

She leaned against the doorframe, shoulders slumped, as if she needed the solidness of the wood to keep her erect and connected to her surroundings.  The tiredness in her eyes spoke of hard times and lost hope. 

She loved summertime, the illusion that the sun is standing still and the future is keeping its distance.  It was as if the planet had come lazily to a stop enabling her to hear the buzzing of the dragonflies and breathe in the sweet smell of the wisteria and honeysuckle in the yard. 

The long, slow days made her feel there was time for everything.  She watched hypnotically as the twin model airplanes, suspended from the ceiling in the boys' room, slowly turned in half arcs, moving on air currents neither seen nor felt. 

She daydreamed about her own childhood summers on her parent's farm.  She remembered how the period from June to September seemed an eternity.  Kids were free to just be themselves, without school to tell them who they were.  You could spend an entire morning stone skipping on the pond, watching them bounce off the surface of the water before sinking. Or lie on your back in a field of clover watching clouds scud across the sky, and maybe later go for a Good Humor.  You could lose your watch and not miss it for days. 

She moved slowly to the boys’ beds and bent to straighten the disheveled covers. Glancing up at the wall, her eyes fastened on a picture of a clipper ship, sails billowing as it rode the open sea.  She remembered fondly a similar print, which had hung over her bed as a girl.  Her's had the figure of Christ in the background, with outstretched arms, and the motto, "He is the Captain of my ship, the Master of my fate,” stenciled on the bottom. 

The memory caused her to unconsciously straighten her back as a gentle smile graced her face, softening its lines.  She let out a sigh as the heat of the day warmed her bones and the light pressed down on her, bringing her focus back to the present. 

Life was somehow bearable once more, perhaps only for a few hours, but right now, that was all that mattered.



Tuesday, October 9, 2012

California Dreamin': A Short Story



In the early seventies California was a place of radical political views, fashion fads, new age healing techniques, "designer" diets and non-conformist lifestyles.  In my view, Los Angeles was the hub of all this extremism.  It was also a company town; Hollywood held out the promise of dreams-come-true, and for a time, I too fell under its spell and believed my marriage could be saved by a fresh start in a new location. 

My husband Bill and I had recently reconciled after a year of separation and had moved here from New York City.  We were living temporarily with my sister and brother‑in‑law after the birth of our son.  Bill was a journeyman carpenter and cabinet maker so in exchange for our room and board, he agreed to build floor to ceiling oak bookcases and cabinets in my brother-in-law’s den.  The house was located in an upwardly mobile, middle class housing development in the Agoura Hills.

The housing development sat in a bowl of sun‑scorched hills, brown and dry, except for a few brief weeks following the rainy season when they turned verdant. It looked like it might have been used as the movie set for E.T.  Kids, like the ones in the movie, raced their bikes through winding streets and cul‑de‑sacs leading to dirt trails that climbed into the hills where rattlesnakes and coyotes roamed.

During the week Bill worked for a contractor building a house in the exclusive horse community of Calabasas, a few miles away. Sometimes, on a Sunday when the crew was off, he would take me to see the progress they were making. The guard at the gate to this private enclave knew Bill and he would let us drive through. It gave me a glimpse of a way of life that reflected it's wealth in the thoroughbreds grazing in the acres of fenced in yard, rather than by the Porsche in the driveway beside a manicured lawn.

With a new baby and a limited budget, our favorite pastime was taking long rides exploring the surrounding hills and canyons. We often went along the twisting Topanga Canyon road, which cut through the hills from the valley to the coast. We would find a spot to park the car and hike up into the hills feeling like we were leaving civilization behind. I still remember the profound solitude and stillness which magnified the sounds of chirping birds, buzzing insects, and the occasional rustle of a small animal in the underbrush.  Heat would envelop me like a heavy overcoat; it felt luxurious rather than oppressive.

The houses here were hidden from view by the thick foliage of eucalyptus, wisteria, honeysuckle and scrub pine. The only access to them was by steep driveways that disappeared under a dark canopy of trees. The air smelled wet and menthol‑clean.  I could understand why the remoteness that characterized canyon living in L.A. attracted an odd assortment of residents: nudists, celebrities, covens of witches, EST enthusiasts and even lunatics. 

On one such trek we stumbled upon the abandoned movie ranch where years earlier Charles Manson and his "family" had lived for a time plotting their Helter Skelter conspiracy. It frightened me to think about the horror of what they had done and how the isolation of the canyons had made it easy for them to melt away from public scrutiny.

Later that same summer, when I returned to work part time as a nurse at a valley hospital, I discovered one of my co‑workers was a former member of that infamous family. Barbara Hoyt had lived at the ranch, but had not participated in the murderous sprees. Charlie's girls had tried, unsuccessfully, to kill her with an overdose of LSD to prevent her from testifying at the trials which came later.  Where else but in Los Angeles could you find a former member of the Manson family, dressed in a white nurse's uniform, standing next to you drawing up a shot of Demerol for a patient!

Ironically, I was soon to face my own day in court when I filed for a divorce and put an end to my dream of saving my marriage.







Thursday, September 20, 2012

Mental Illness and the Homeless Part II: Is Stigma Still With Us?





(Article published in Street Speech by the Columbus Coalition for the Homeless) 

Robert was a homeless man who hung out across from the old Big Bear on High Street in Clintonville.  Local residents, however, called him “the dancer.”  He gyrated to his own beat, like someone listening with headphones to music no one else could hears, except Robert had no headphones.  He usually seemed happy, why else would he dance?  But there were other times when something, who knew what, spooked him and he became agitated- shouting and gesturing wildly.  Pedestrians tended to give him a wide berth.  He was well known to the police.  Mostly they left him alone, but if they received enough   complaints they would pick him up and take him to Netcare for a psychiatric evaluation.  Usually he was back on the street dancing at his spot within 24-48 hours.  

What are most people’s reactions to seeing someone like Robert? Are they afraid and try to avoid getting near him? Do they feel sympathy and want to help him? The answer, we said in Part I of this series, was not an easy one since the issues involved are complex. We began to try and understand the situation by taking a brief historical look at society’s treatment of mental illness right here in America. We saw that except for a brief period of time in the early 19th century when “the moral treatment” approach was in vogue, the attitude of most of society was one of “out of sight, out of mind.” Thus asylums, as they were called then, were generally located way out in the country away from populous city centers. The objective was to limit the disturbing behaviors, not restore the patient to a productive life in the community. Patients were routinely confined to these institutions, many times for life. They were buried in grave yards on the grounds with only a number instead of a name- the ultimate indignity.

Following the closure of these large state-run psychiatric hospitals, patients were discharged into the community without adequate resources in place to care for them. Unfortunately, many of us saw both the mentally ill and the indigent as “throw away” populations.

How have things changed- or have they?

People tend to fear what they do not understand, and in the case of mental illness in particular, our superstitions and ignorance have led to many beliefs that influenced our perceptions of the mentally ill and in turn, our behavior toward them. Let’s look at just a few of those beliefs and see if any of them are still with us and contribute to the stigma many people still have toward the mentally ill.

Early History

Ancient civilizations in Babylonia, Assyria, Egypt, and the Mediterranean-Near East attributed mental illness to some supernatural force, generally a displeased deity or demonic possession. Demons or "foul spirits" were believed to attach themselves to individuals and make them "mad." The word mad became an early synonym for psychosis. The insane were treated through magical rituals, prayer and exorcism. In Greek and Roman cultures mental illness was thought to be the result of an imbalance in the 4 essential fluids in the body: blood, phlegm, bile, and black bile. Treatments consisted of emetics, laxatives, bloodletting with leeches and cupping to return balance. Even at present in some regions of the world, illnesses, both mental and physical, are thought to be caused by malevolent or misguided spirits, and healers base their practice on removing those entities from the patient. Almost every religion has its 'exorcists' who drive out the bad spirits.

Middle Ages

During this period mental illness was viewed with fear. Affected persons were thought to be influenced and controlled by the moon, thus the term lunatic emerged to describe them. Treatment was influenced by the belief that the mentally ill were evil, witches or heretics. They were therefore excluded from society and confined to institutions where harsh treatment was the norm. They were treated as criminals and punished for their behaviors.

18th and 19th Century

Physicians began to ascribe both moral and physical causes to mental illness. The hospital records for 1876 at the Athens Lunatic Asylum in Athens, Ohio list the leading physical causes of insanity among the male patients as masturbation, intemperance (excessive drinking) or drunkenness. The leading physical causes of insanity among female patients as "puerperal condition" (any condition that affects a mother from the period of the birth of her child until the uterus returns to normal), "change of life," and "menstrual derangements." Other physical causes listed in the record included epilepsy, bathing while overheated, fording a cold creek while menstruating, overwork and the strain of bearing too many children. Moral causes were thought to stem from bad character and included jealousy, religious excitement, disappointment in love, unmarried life, and financial troubles. Family members could have a loved one committed for something as simple as punishment for stealing or disruptive behavior. Even today many people still believe that some forms of mental illness, like depression and anxiety disorders, for example, are attributed to a weak character and can be overcome by sheer will power and determination.

Modern Views

In the first half of the twentieth century, psychiatry was advanced by the discovery of medications that helped to alleviate depression, mania, and psychosis. As often occurs in the history of medicine, physicians stumbled upon solutions before they understood the mechanisms that made the treatment work. Later studies began to reveal that certain patients responded to medications that increased certain neurotransmitters in the brain. Drugs that increased the levels of the neurotransmitters norepinephrine and serotonin seemed to help depressed patients. Similarly, medications that blocked the transmission of dopamine, another neurotransmitter, provided relief for patients suffering from hallucinations and paranoia. These insights have led to the present emphasis on the biochemistry of the human brain and its role in mental illness.

Today we also know that genetics play a big role in the development of psychiatric disorders. Research, for example, has revealed there is a specific gene associated with bipolar disorder (also known as manic-depressive disorder). Similarly, research done on identical twins has provided strong support for a genetic component in the development of schizophrenia.

Current attitudes

Opinions are shaped in large measure by what we read in newspapers, what we hear on the radio, and what we see on television and in the movies. Images of mental illness in the mass media are rarely accurate however. Movie characters like Norman Bates in Psycho or Dr. Hannibal Lecter in The Silence of the Lambs perpetuated myths about mental illness and people’s fears about those suffering from them.

News stories about psychotic-gunman-on-the-rampage also compound the negative stereotypes of the mentally ill and lead to the misconception that people with mental illnesses are violent and have limited potential for positive participation in society.

In actuality, studies have shown that only a minuscule percentage of the violence in American society can be attributed to people who have mental illnesses. In contrast, drug abuse is strongly linked to violence.

These kinds of depictions do not tell the whole story. Hollywood and the news media need to tone down their bias and not just focus on the negative. There is good news out there to report too. Patients do get better with medication and people with mental illness can go on to lead full, productive lives.

As more and more celebrities and public figures reveal their own experiences with psychiatric illness and drug abuse, perhaps the public’s attitude will change. Recent examples include Brooke Shields, journalist Mike Wallace, and Tipper Gore speaking out about their battles with depression and Patty Duke and Jane Pauley sharing their struggles with bipolar disorder.

Studies show that stigma is the greatest barrier to seeking treatment for mental and addictive disorders. No one wants to be the butt of a joke, called “wacko” or “psycho “ or have others avoid them or whisper about them behind their back. Stigma is something that both the homeless and the mentally ill in our community have in common.

Yet even as the medicine and therapy for mental health disorders have made remarkable progress, the ancient social stigma of psychological illness remains largely intact. Families are loath to talk about it and, in movies and the media, stereotypes about the mentally ill still reign.

This was made abundantly clear to a group of nursing students who recently ran an education group for psychiatric patients and their families on the topic of stigma. The patients talked openly about the fear, rejection and misunderstanding they encountered from both family members and employers regarding their mental illness.

Why do we have empathy for someone with a debilitating physical illness, but not a mental one? Despite our modern understanding of a biomedical view of the causes for mental illness, Americans are apparently no more tolerant of the mentally ill than they were a decade ago.

A study at the University of Pennsylvania (Social Science and Medicine, 2008) conducted by sociology professor Jason Schnitker) reveals that in the case of schizophrenia, genetic findings do nothing to assuage people’s fears of violence associated with this disorder. However, when applied to depression the condition seems more real and less blameworthy.

The study went on further to state that, “While the stigma surrounding mental illness has not diminished, the culture surrounding it has become more treatment focused with medications now a mainstay of popular media, but at the same time aren’t associated with increased tolerance levels.”

The study goes on to explore tolerance in terms of social distancing: unwillingness to live next door to a mentally ill person, have a group home for the mentally ill in the neighborhood, socialize or work closely with such a person or have a mentally ill person marry into the family. In all these areas Americans remain basically intolerant. It appears that the “out of sight, out of mind” attitude of generations ago still prevails.

One cannot help but wonder if our continued lack of tolerance accounts for our unwillingness to provide the community services needed to treat those suffering from mental illness. Is this why so many of them are homeless and left to live on the streets, like Robert?



Friday, August 17, 2012

Mental Illness and the Homeless Part I: A History of Treatment in America




(Article published in Street Speech by the Columbus Coalition for the Homeless) 

According to the Substance Abuse and Mental Health Services Administration, 20 to 25% of the homeless population in the United States suffers from some form of severe mental illness. But since more than half of all homeless people are without any heath care insurance, most would not have been able to be diagnosed, and even of those who were diagnosed, many of them deny the diagnosis. Thus, we should amend the statistic to say that the amount of homeless that are mentally ill is unknown, but the number might reach as much as half.

Why you might ask are so many homeless also mentally ill? Isn’t this inhumane of society to let this segment of the population remain “out there” untreated and unprotected? The answer is not an easy one since the issues involved in the problem are complex. To begin to try and understand the situation we need to take a brief historical look at society’s view of mental illness in America.

In the mid-1800’s, and in some places, the early 1900’s, mentally ill men and women of all ages used to be confined either to prisons, where conditions were often abysmal, or poorhouses (tax-supported residential institutions where indigent people were sent. During these years in America the aim was not to provide treatment or even basic care for the mentally ill, but simply to remove them from society- an “out of sight, out of mind” mentality.

In prison patients were often treated like animals. They were shackled to the wall in dark, cramped cells with no heat or bathrooms. Little thought was given to whether they were adequately fed or clothed. Cells were rarely if ever cleaned so inmates were forced to live in their own waste.

The alternatives to prison for some mentally ill were poorhouses. Every county in Ohio established one or more poorhouses during the 19th century. Some were clean and had plenty of food. Others were filthy places where people often went hungry. It all depended on where you lived, and who was on the county board. In the 1920s, the federal government sent volunteers to examine more than 2,000 poorhouses around the country. A report concluded that conditions were shameful.

Activists for the mentally ill lobbied for more humane treatment and in the early nineteenth century. This led to the creation of a progressive environment which fostered the establishment of many public "lunatic asylums" throughout the country. These asylums (meaning a retreat or place of refuge or protection) gradually replaced cruder methods of coping with the mentally ill.

“The Ridges,” a mental hospital in Athens, Ohio, is an example of such a place. It operated from 1874 until 1993. It was called the Athens Lunatic Asylum, then renamed Athens Asylum for the Insane. Later it became the Athens State Hospital. It is representative of a style of mental hospital common at this time known as “Kirkbrides” (named after Dr. Thomas Story Kirkbride, an influential advocate of an asylum system) built on large plots of isolated land where patients took care of the land. Many Kirkbrides like the Athens State Hospital featured self- sustaining apple orchards, gardens, and dairy farms. Positive behavior was rewarded, and patients were expected to exercise self-control.

This new “moral treatment” approach was marked by a well-ordered daily routine in which patients followed a therapeutic regiment of work and leisure activities. It was believed crucial to place patients in a more natural environment away from the pollutants and hectic energy of urban centers. Abundant fresh air and natural light not only contributed to a healthy environment, but also served to promote a more cheerful atmosphere.

Patients were also encouraged to take part in recreations, games, and entertainments which would also engage their minds, make their stay more pleasant, and perhaps help foster and maintain social skills. The patients with the most self-control participated in recreational activities like boating, painting, dances, and picnics. Church services were also offered in the asylum chapel building. Most of the nurses who worked at the hospital also lived there in order to provide better 24 hour care for the patients.

Columbus too had a similar Kirkbride asylum completed in 1877 after the first hospital, called the Lunatic Asylum of Ohio, burned to the ground in 1868. The building was similar in appearance to the Athens State Hospital Kirkbride, although it was significantly larger. The institution closed in the late 1980s. Unfortunately, attempts at preservation of the historic structure failed and the Kirkbride was razed in 1991. The Ohio Department of Public Safety and Department of Transportation now call the former asylum grounds home.

The failure of the moral treatment method to produce permanent cures and eventual overcrowding (patient records show an increase from the original 200 hundred patients to nearly 2000 patients by the early 1900’s) led to the demise of this treatment approach.

In the early to mid-1900’s a new generation of asylum superintendents began advocating different forms of new and "better" treatments for patients. These included water treatments (consisted of patients being thrust into ice cold water for extended periods of time or wrapped and restrained by sheets that had been soaked in the ice water), shock therapy (also known as electroconvulsive therapy or ECT, used to induce a seizure in a patient for therapeutic effect), and the infamous lobotomy.

Around 1950, people from the medical field began to speak out against Dr. Freeman’s lobotomies, suggesting that there was no evidence to prove the procedure actually worked, and in some cases, resulted in death. The lobotomy was finally declared barbaric, and a new wave of psychotropic drugs, like Thorazine, replaced it. Although the heavy drugs administered in hospitals at this time weren’t perfect, they were far more humane than electric shock or radical brain surgery.

Psychiatric hospitals, as they were now called, gradually became notorious for poor living conditions, lack of hygiene, overcrowding, and ill-treatment and abuse of patients. Custodial care once again superseded humane treatment. Controlling a patient’s behavior by the administration of medication and the use of behavior modification techniques, like the use of restraints and seclusion rooms, were the norm. The 1975 movie, One Flew Over the Cuckoo’s Nest, depicts this era graphically.

I saw this first hand during my student nursing days when I did my psychiatric nursing rotation on the back ward of a state hospital. Drugged patients paced listlessly or lay on their beds staring off into space. Time was measured by the burning of cigarettes, and days were organized around the dispensing of scheduled medications and mealtimes. The lack of stimulation and activity was, I thought, like being in prison. The locked doors were another striking similarity. The objective was to limit the disturbing behaviors, not restore the patient to a productive life in the community.

It was not until the 1960’s that humane treatments began reappearing in psychiatric hospitals when class action lawsuits, patient advocacy groups and government agencies helped expose the poor conditions and treatment in state hospitals.

Around the same time, sociologists and others argued that long term hospitalization maintained or created dependency, passivity, exclusion and disability, causing people to become "institutionalized." There was an argument that community services would be cheaper. Anti-psychotic drugs made it possible to begin discharging large numbers of patients back into the community. Deinstitutionalization is the name given to the policy of moving severely mentally ill people out of large state institutions and then closing part or all of those institutions. It began in 1955 and escalated in the 60’s and early 70’s.

The 1980’s were the final days of the Ridges, as well as many other state mental hospitals all over America. The final patients left in 1993 (the buildings and grounds have been taken over by the Ohio University). However, because of inadequate housing and follow-up care, many of these patients became homeless or went to prison. We have come full circle.

The magnitude of deinstitutionalization of the severely mentally ill qualifies it as one of the largest social experiments in American history. Many consider it to be a major contributing factor to the current mental illness crisis. The most striking evidence of this crisis was the dramatic appearance of large numbers of obviously mentally ill people on city streets, people who were dirty, who wore torn or inappropriate clothing, who hallucinated and talked to themselves or shouted to others, and who in general acted in a strange or bizarre way. In many places, huge ghettos of discharged patients were created in areas of low-cost housing, proprietary homes, or deteriorating neighborhoods. It has been said that instead of "community psychiatry," reforms established a "psychiatric community."

The majority of those who would have been under continuous care in long-stay psychiatric hospitals are often paranoid and delusional to the point that they refuse help and do not believe they need it, which makes it difficult to treat them in the community. Community services were often uncoordinated and unable to meet complex needs and existing patients were often discharged without sufficient preparation or support.

This has led to two new syndromes: "falling between the cracks" and the "revolving door," the former indicating a total lack of follow-up and aftercare for discharged patients, and the latter their continued readmissions, usually due to noncompliance with treatment. Thus deinstitutionalization is part of a process sometimes called transinstutionalization- the transfer of institutional populations from hospitals to jails, nursing homes, and shelters.

Our society as a whole still grapples with the dilemma of what to do with its mentally ill members. Both long-term hospitalization and community mental health services have, in large measure, been a failure. This population remains vulnerable and at risk.

Thursday, July 19, 2012

Reflections of a Middle-Aged Woman



Yes, according to Gail Sheehy, the 60’s are the new middle age.  That aside, what I want to reflect on here is what happened to that wide-eyed, twenty-something young woman I used to be who protested the war in Vietnam and marched for civil rights and actually believed that people could change the world for the better? When did I stop believing the world was full of promise and hope?  Did I want to become this cynical? No, I did not! But here I am just the same.

I believe in God.  I clutch onto that belief with a death grip because it is the only path I see that still leads to wonder.  Without wonder life is boring, riddled with anxieties and fears and disappointments.  “All is futile,” Solomon tells us, “a chasing after the wind.”  Remember back to childhood when everything was new?   “Look,” my grandson cried out excitedly when he was three from his car seat looking out the window, “a red car!”  A few seconds later, “Look,”  just as excitedly, “a cow! “  That phase passes all too quickly.  We become jaded.  But there is still wonder in the world, you just have to look harder for it.  My husband and I just returned from a trip to the Cotswold’s in England.  I felt a sense of wonder driving along one-tract country roads past bucolic scenes of green rolling hills dotted with sheep grazing.  It was like a slice of heaven.   “To see a world in a grain of sand, a heaven in a wildflower” William Blake says. 

Back in my “normal” life after our all too brief idyllic vacation, I was assaulted with the news of the world- and none of it good of course.  Good news doesn’t sell so we rarely hear about it.  In the weeks after we returned a violent freak storm hit shutting down power to thousands in our city in the middle of one of the worst heat waves, gas prices reached another all-time high, new information on the Penn State child molestation case against Sandusky had come to light, Iran was making threats again, the national debt was still climbing and our politicians were still running smear campaigns against each other.  

I know it’s an election year, but does that mean all other problems go on hold while we focus on hidden bank accounts and birth certificates?  When did American politics sink to this appalling level?  When did candidate debates revolve around character assassination instead of their respective plans for running the country?  That’s what I want to hear.  I could care less about the rest of it.  Since when did a candidate’s morals mean so much to us anyway?  Was there ever a bigger womanizer than JFK?  Yet he’s a national icon.  The Kennedys are our version of American royalty.  Even the campaign ads are an insult to our intelligence.  Here’s a my hypothetical example of the childish depths our leaders have sunk to:  A candidate is making a speech at a rally and says something like, “I hate American’s who lie and cheat and think they are above the law.  If I’m elected I will change that!”  The opposition then runs an ad that plays only a small portion of that speech taken out of context, like “I hate Americans.” The ad then goes on to say, “Why would you elect a President who feels this way about his fellow Americans?”  There’s more and more of this trickery going on, truth is now so elusive in politics that it is virtually nonexistent.  

Here’s what really bugs me – why does anyone believe that a politian of any ilk who is running for office, whether Republican or Democrat, presidential candidate, congressman or senator, speaks the truth?  Is there even one naïve person out there over the age of ten who really believes that?  And if not, why in hell aren’t we protesting the lies and deceptions coming from both sides?  We are more concerned with loyalty to a particular party or ideology than demanding changes be made in the entire system

Isn’t that what this president campaigned on- hope and change?  Why do I look around and still see business as usual in Washington?  “Let’s pass the healthcare bill and then read it,” our speaker of the house tells us.

The U.S. Supreme Court, by the admission of several members, failed to read the law before ruling on it. Give me a break! This is NOT about liberalism versus capitalism. It’s about blatant corruption on every level. Our system of government is broken! It has been for a long time. When are we going to wake up and do something about it? Even in the unlikely event that someone with character is elected to office, once they get to Washington D.C. they get swept up in the graft and greed and the buying and selling of favors. It’s like a modern day Babylon. It needs to be taken down and rebuilt from the bottom up. And therein lies the root cause of my cynicism. I don’t believe people in general in our society today care enough to do anything about it. They are more concerned with making their own life more comfortable. They are too busy to be concerned with what’s going on somewhere else. They would rather just turn on the news and delude themselves that the media is actually telling them the truth. Does anyone really believe in the fairy tale of “fair and balanced” news reporting anymore? People today are like those sheep we saw in the Cotswold’s, following whomever says what they want to hear, ignoring the obvious evidence that we as a country are sliding further and further into ruin.

If only I could believe again in the power of a protest march.  But alas, I do not.  So I hold out for wonder.  I believe it is there if we but have eyes to see it. And it keeps me going when I do.

Sunday, July 1, 2012

Women of the Street


(Article published in Street Speech by the Columbus Coalition for the Homeless) 

If you drive at night around the Hilltop area of Columbus or East Broad or East Main you will see them- women who are working the streets.  Human trafficking is second only to drug trafficking in America.  National statistics on prostitution are alarming:  96% of women who become prostitutes begin as youthful runaways.  33% enter prostitution before the age of 15, and 62 % before the age of 18 (many, some right here in Columbus, have histories of being sold by their parents to support a drug habit).  82% are physically assaulted, 68% have been raped while working, and 27% by multiple assailants.  83% of women have been threatened with a weapon.  75% of women who work as prostitutes will attempt suicide.  The average life expectancy of a women engaged in prostitution is age 34 and almost all the women who work in this trade are addicted to drugs and alcohol.  In Columbus, Ohio approximately 1,200 women year face solicitation charges, while the johns remain in the shadows. 

Most communities are not prepared to address the complex needs of these women, including chemical dependency, post-traumatic stress disorder (PTSD), traumatic brain injuries from frequent beatings, homelessness, estrangement from families, loss of children taken into custody by social services, and a lack of education and vocational training.  However, women here in Columbus charged with prostitution are receiving a unique opportunity to address their plethora of needs through an innovative docket court run by a very special judge. 

Judge Paul Herbert of Franklin County Municipal Court, after years of listening to the stories of the women who appeared before him in court, became convinced that their stories were not stories about choice, but of survival.  He says, “I used to be one of those people who said it [prostitution] was a victimless crime- that’s not true.”  Most, he found, had a history of childhood abuse and poverty.  Young girls run away from home to escape, but once on the street they often fall victim to “dope boys” (the term that has replaced “pimp) who exploit them, drawing them into the violent world of human trafficking, addiction, and dehumanization.  These women are typically arrested repeatedly.  They clog the courts, overflow the jails and cost the taxpayer a considerable sum.  Thus in August of 2009 Judge Herbert decided to try a different approach to the problem.  He joined with other groups like Doma International, which seeks to break the orphan cycle by empowering women to care for themselves and their children around the world, and Amethyst, a local residential program for women and their children transitioning out of homelessness, substance abuse and domestic violence.  He put together a community support team with training and experience working with trauma victims and chemical dependency and created an innovative alternative approach to help women caught up in this cycle.  Now women who face solicitation charges in a Columbus, Ohio courtroom are offered a choice between jail time (between 30 days to six months), or the opportunity to enter the Changing Actions to Habits Program (CATCH),  a voluntary two-year program. 

The CATCH program provides a chance for recovery.  The majority are referred to Amethyst Inc. because it is a long-term treatment program, there is no quick fix to the multiplicity of issues these woman must address, not the least of which is not having any concept of any other kind of life.  Nanon Morrison, Development Director at Amethyst said, “Our program is unique because women are usually in it for an average of two to three years, or longer.  Besides getting substance abuse treatment, the women receive treatment for post-traumatic stress disorder (PTSD) and take parenting classes. ” The CATCH program also requires the women to wear an ankle bracelet with a GPS so authorities know where they are at all times.  They must agree to be drug tested on a regular basis, have curfews, and must comply with stay away zones (areas of the city they must avoid).  Participants must also appear each Thursday in court to report their progress. 

Judge Herbert explains the goals of the program this way: “I’m not minimizing the fact that they have committed a crime, in fact, I’m pretty tough when I need to be to separate them from whatever is causing them to backslide or relapse.  I’ll put them in jail-  I have no qualms about that.  What I am attempting to do here, what this experiment is trying to do, is to build up the personal accountability of the individual, yet also exact restorative justice in the process so the end result is a more self-sufficient citizen who is giving back to the community.”

For women who complete the program successfully, most have their conviction dismissed and expunged.   The Ohio legislature appears to be getting in line with this new enlightened approach too since the House just passed a bill increasing penalties for those profiting from human trafficking, while also increasing help for the victims.  A fund has been established from money seized from convicted drug trafficking offenders to help pay for services for the victims.

I had the opportunity to attend CATCH court recently to see firsthand how it works.  It meets every Thursday from 1:30-3:30 at 375 North High Street, courtroom 12C, and is open to the public (all women- men need advance approval to attend).  All of the women in the CATCH program the day I was there shared their stories with everyone in the courtroom. Some had positive accomplishments to report; one woman talked about making contact with estranged family members and her attempts at reconciliation with them (her mother and son were there in court for the first time that day).  Another woman talked about how she was finally on the verge of obtaining her GED.  Others shared personal insights they had gained about their life choices and their struggle to heal from their painful pasts.  Sometimes Judge Herbert asked a question or made a comment; always each woman’s summary of her progress included how many days she had been clean.  This was followed by a rousing round of applause from everyone in the courtroom.  I was struck by the willingness of these women to be so transparent about themselves and their lives in a public forum.  I could sense real love and support coming from the women for each other and the compassion of this judge, who remembered each woman’s name and story, was heartwarming.  At some point in the proceedings the bailiff began to bring in a few prisoners in shackles.  A newly arrested woman was given the opportunity to consider participating in CATCH and to hear directly from the other women in the program about it.  She was willing to give it a try and was returned to jail to complete the process.  Another woman, who had completed six months in the program, had recently been re-arrested after returning to the streets.  Judge Herbert remembered her and told her how sorry he was that she had relapsed. He told her how much potential he saw in her and how afraid he was for her chances of survival on the streets. As if to emphasize his point, he told her about a recent murder of a young woman who had gotten into a car with a man and was later found dead.  It was a chilling account but his concern for the prisoner felt genuine.  The other women chimed in offering encouragement, but also confronting her directly, as only they could, about her denial and her self-pity.

This program has been paying off in more ways than one.  Besides being cost effective, Herbert believes its real value is in saving lost souls.  He says, “Right now we know that 60% who have entered our program are continuing in their recovery.  People say, compare that to the success rate you had before.  That’s pretty difficult, but probably there was little to no success rate- only a death rate, how long are they going to live.”
I was told that it is not uncommon for women to turn down a time-served sentence in favor of Judge Herbert’s 2-year program of recovery.  I can see why given the success stories I heard.  As Judge Herbert once said in an interview, “We want women in our program to know they are important and special.”  He certainly conveyed that to the women he interacted with in court the day I was there.  One woman in the program expressed it this way, “CATCH court is like my own personal church every week.  It uplifts me.  It makes me feel like I’m not alone.  Just having a judge proud of me…I can’t say enough good things about the CATCH court program.”  Having observed it first hand, neither can I.

For more information about programs that support and work with the CATCH program go to:

Thursday, May 24, 2012

Retirement


5-22-2012
I retired from teaching on 3-17-2012 (our 23rd wedding anniversary).  To my surprise I discovered that retirement is not what I thought it would be.  It is sort of similar to anticipating a special vacation.  But when you get to actually go on it the reality does not live up to your expectations.  Here’s what I mean.  Travel is exhausting, I always get sick at some point, I miss whoever I have left behind and living out of a suitcase gets old real quick.  I feel the same way about my retirement, when it finally came, it was not all I had built it up to be in my mind. 

The last couple of years at Columbus State I actually marked off the quarters like a prison sentence in my Day Planner.  I was holding on- just waiting for my time there to be over.  I especially hated the early mornings in winter on clinical days or when I had an eight o’clock lecture.  I would have to leave the house for work in the cold or rain when it was barely light out.  I hated the dysfunctional nursing department and how codependent my co-workers were.   And then there were the rude and disrespectful students.  Not all of them course, but even just a few were enough to ruin it for me for the quarter.  I hated that nothing worked on campus- the audio/visual equipment in the lecture hall, the toilets in the bathroom, the elevator in Union Hall- I could go on, but you get the picture.  Working at Columbus State was an exercise in dealing with constant frustration.   After ten years I was even sick of doing my same lectures.  I was ready for a change!  

Ok, so I am now officially retired.  What does it feel like, what does it look like?  At first it just felt like I was on a break between quarters.  Every quarter runs 15 weeks, followed by a break of anywhere from one to three weeks in duration.  So it felt like just another break at first.  Then I began to feel at loose ends.  It’s like being on a permanent vacation- and not in a good way!

I feel as though I have lost my identity.   For thirty something years I was a nurse, then an administrator and finally a college professor.  Now what am I?  In addition, when my son married and became a parent himself, my relationship with him also changed drastically.  I no longer had my maternal role to augment my professional persona.  In some ways, the ending of my maternal responsibilities made my professional identity even more important.  With it now gone too I am at a loss to define myself.  That feels uncomfortable. 

So, while I am struggling to come to terms with all this, I am simultaneously grappling with a bunch of legal, healthcare and financial affairs that I need to get in order.  Much of it I don’t entirely understand and that makes me feel vulnerable.  When I was an administrator I earned a hefty salary and had a great benefits package.  I didn’t worry about expenses and a budget.  When I changed careers and went into teaching I took a huge salary cut.  But even then, it was a livable wage and it was dependable.  Now my income is in flux and I’m not confident it is sufficient.  So there is anxiety.  But more than that, for the first time since my early twenties, I am not depending on myself- my own earning power- to support myself.   I’m looking to the government and to my pensions and my IRA’s to do that and in this present financial climate, that is less than a sure bet.  If money was not an issue, I would still have the identity crisis to deal with, but as it is I also have financial worries to contend with.
 
The other disconcerting thing about this retirement is what happens to time.  Suddenly all the days blur together.  I never know what day it is and weekends are the same as Mondays!  It’s all very strange.  I’m slowly putting together a schedule of sorts – who knew how crucial schedules were to one’s sense of stability?  So now three mornings a week (Mon-Wed-Fri) Chris and I go to our fitness center and take an aerobics class, followed by a swim in the pool and/or soak in the hot tub.  Tuesdays I have my yoga class and Thursdays is my Celebrate Recovery group.  I am currently taking an online writing course but it ends in a couple of weeks.  We have joined a home group that meets twice a month and of course there is church on Sundays.  This still leaves a lot of empty time, but it’s a start.

What about our business, In Awe Shop?  Well that is a puzzle too.  Maybe it’s the ambivalence that I have felt about it from the start; maybe it’s an unconscious desire to avoid facing the reality that we don’t really know how to move ahead with it.  One thing I do know is that the situation with the business is stressful!  When I was teaching I did not have to focus solely on this, now I do.

So here I am sending out resumes again- something I last did in 2002!  I need to get an online teaching job to offset the cost of our supplemental health insurance and to make up some of the difference from the reduction in my social security (it got cut by $600 a month).  Nothing like a little financial pressure to lighten the mood!  This is not the carefree escape from the working grind I was expecting.  I hope when I next add to this, I am feeling more positive about things.
   
5-23-2012
I remember some years ago I read a book called Sacred Marriage by Gary Thomas.  In it he said, “What if marriage was not meant to make us happy, but holy?”  What if there is something similar here with retirement?  What if retirement was not meant to make me happy but was meant instead to grow my faith?  What if God wants to use it to change me?  Now this has given me something to think about.  How might this play out?

The first thing that comes to mind is something our pastor said recently about change.  He said change is good.  Otherwise we would stay as we are.  Transformation involves change.  He doesn’t call us to safe, familiar paths.  He calls us into the unknown.  Obedience and risk always go together.  Maybe I need to begin seeing this new phase in my life in this way. 

The second thing I am reminded of is the removal of distractions in my life.  John Eldredge says that the god of this age is busyness.  With so much to keep me occupied, finding time for God in my life has always been a challenge.  I remember when I first lost my job in Little Rock how panicked I was.  But then I came to love that time of quiet and solitude I had with Him alone each day.  I began to unwind and revel in the absence of the stress and pressure in my life.  I was able to do my student teaching practicum at UAMS without the conflict of my job at the state hospital and I found myself again.  I knew I had made the right decision in leaving my career in administration and switching to teaching.  I knew (as in really trusting) God would provide for us financially, and he did even with that six months of unemployment.  I got just enough per diem work with Eli Lilly and Co. doing workshops, coupled with Chris’ job at Sears, to pay our bills.  It became a special time of blessing in my life that I still treasure the memory of.  I think this just might be a similar season. 

So in this slowed down time what do I think God might be trying to show me?  I think one thing might be to find my identity in him, rather than in a role or a title.  I think God might be showing me that what I do is not as important as who I am.  Who did God create me to be?  “In quietness and confidence is your strength” (Is. 30:15).

5-24-2012
Came across another great quote that seems to apply to what I am dealing with and continues the theme of change.  It's from Wayne Jacobsen’s, The Deepest Freedom:  “I wanted him to change my circumstances so I would never have to feel insecure or afraid.  He wants to change me so no circumstance would ever make me afraid again.”