Gaslighting and Empathy

Gaslighting is a word we hear a lot about these days. Diminishing another’s experience, making them question their reality, causing cognitive dissonance and redefining language. We talk about medical gaslighting a lot within the chronic illness community when medical professionals undermine symptoms, minimise what we’re going through or simply choose not to listen as they’ve already made their conclusions. For me, it seems to come down to a lack of empathy. In wider society we hear about gaslighting in relation to #metoo, harassment and sexual abuse.

Chopping logs in the disused grain silo, 2017

In my social work career during training I learnt about how effectively this is used by an abuser to make the victim question their reality. It’s only more recently we’ve had a word to encapsulate the mechanism used and the lived experience. Gaslighting seems to come on a spectrum. It’s an effective tool for the abuser, the term comes from a 1938 stage production and later 1994 psychological movie called Gaslight whereby a husband frequently dimmed a gaslamp to confuse and manipulate his wife, saying it hadn’t happened. However, I think it can come through damaging forms of leadership in a wider societal form through group think and subset social norms where ideas are cascaded and unwittingly, individuals may not be aware that they are gaslighting others. High control religion is a good example where individuals will take a world view from the stage and lead others to question their experience of reality and personal understanding when they step beyond approved doctrine. 

Having been attending therapy, either in person or more latterly via Skype over the last 18 months, I’ve realised that I have needed to explore my adolescent years and come to terms with seven years of ME, or Chronic Fatigue Syndrome as its sometimes known, between the ages of ten and seventeen (I recovered for twenty years before becoming ill again in 2018). Some psychological language can sound rather silly and talk of an inner child almost creepy but there’s something powerful in the analogy. I have had to revisit my eleven or fourteen, or sixteen year old self and try to grasp what he was going through. I’ve also had to consider how my adult self, pre-ME, viewed that chubby, curtain-hair clad, chirpy Northern boy.

My teenage experiences definitely impacted on my life choices, I chose to become a social worker out of a wider desire to, at some point, make a difference for chronically ill and disabled young people, and to some extent I achieved this. As a supervising social worker in fostering I stepped into a role overseeing a scheme to support carers who were looking after children with disabilities and in another job I worked as a senior practitioner for a local authority’s short break scheme, where disabled children had time away from home for a few hours, or overnight with specialist foster carers. So yay me, I was able to turn my awful childhood illness and lack of substantial education for six years into something that benefited others. 

However as time went on and I became more distant from that young lad, did I start to lose empathy for him? Was I so busy with family and work and other endeavours that the mountains of paperwork obscured my ability to see where I’d come from? Did I start to judge parents of children who used our service or assess their experiences against those of others? In a way, yes, because it was my job to do so. We had to make sure children were safe and that takes judgement. It also takes judgement to make hard decisions on access to services based on limited resources and eligibility criteria. Yet, somehow, I think when you are process driven you can lose sight of the human element. I don’t think anyone would say I overtly did this, but sometimes that ability to see a person in their true humanity can become shrouded behind forms and process.  

I think sometimes I would look back at my own younger experience and think, ‘It wasn’t that bad’.

I think sometimes I would look back at my own younger experience and think, ‘It wasn’t that bad’. My seven years of ME, characterised by positive spells and then massive relapses had been nicely boxed up and stored away. My life with ME, or selective memories of it could be edited down to a sixty minute documentary if needed. That was another life. Now I had reports to write, panels to attend and auditing to do. Not to mention get my daughter to the swimming pool or Brownies! Did I gaslight my former self, my inner child? I’m not sure gaslight is the right word because I’m not time travelling but I think I did negate his experiences. 

Cragside House, 2017

Last year when skyping with a group of men with ME, we talked briefly about those rare few who recover and how they don’t like to revisit their time with ME. Anecdotally they often don’t seem to campaign for funding, awareness or greater understanding, when ideally they’re best placed to do that. Someone suggested that it’s almost a bodily and psychological defense mechanism to allow themselves to move on because the reality of what they went through is too traumatic to face. Maybe over time you just forget and move on. Maybe the forgetting is about managing the grief of lost years. I don’t think I liked to look back. Maybe there was always a tiny part of me that feared it would return. Those fears proved to be correct but you can’t live out of fear. 

I think true empathy is most effectively expressed when an individual has lived recent experience of a situation: we’re honestly able to put ourselves in another’s shoes because we’ve walked in them and felt the pain. That pain eases over time and empathy is borne instead out of memory instead of embodiment. Maybe eventually it’s just a memory of a memory. Empathy takes conscious effort and self awareness and doesn’t necessarily require you to have lived experience of someone else’s situation. We have seen recently how many have demonstrated a complete lack of empathy through bulk purchasing of essential items in the wake of Coronavirus fears, or statements over the virus ‘only’ affecting the old and vulnerable. 

There’s a lack of ability to reflect and wonder ‘what if I came to the shop and there was no hand wash?’. 

I think empathy is my favourite word. It’s a powerful thing and can make a huge impact when we’re able to stop and reflect and place ourselves in another’s shoes. Recently when I was a mess on the floor having collapsed from exhaustion I found myself apologising to my younger ME self, my inner child who was gaslit left right and centre by medical and education professionals and members of my wider family.

“It was this bad, and I’m sorry for what you went through”.

It was a bit weird but it was an important thing to do. I think it released trauma I wasn’t even aware of, acknowledging the grief of lost years. 

Simonside

I think, living with a chronic illness we can all gaslight ourselves sometimes. We have a good couple of days and all of a sudden we’re wondering what all the fuss was about and making plans for the future, “it’s not that bad”… until we’re hit with the usual exhaustion aftershock a day or two later. So these mind games are tricky to navigate and we have to step back and acknowledge the reality of the bigger picture. It’s only through real self awareness and acceptance that we can balance all these thought processes and frustrations. 

Writing about gaslighting and empathy in the same blog seems like an odd combination but I think sometimes gaslighting occurs out of a fear of the unknown, or of difference. We don’t like to admit that we’re not in control so fear is manifested and projected onto others. When we try to actually see someone for who they are and utilise empathy, maybe the need to gaslight others reduces, but self awareness is vital. 

While we see an actual example of empathylessness (that’s surely not a word) playing out in the shops and online, may we be those who express empathy towards ourselves and others.

Even if they did take the last toilet rolls?! 

When you’re a people person but you can’t be a people person.

It was my wife’s 40th birthday party last weekend. I’d spent most of the previous week in bed, partly because I was trying to minimise my energy output so that I was in a good place to go, and partly because I didn’t have any energy to do otherwise!

This was the first time out in the evening for me past 8pm for a very long time. I soon realised that I was running on adrenalin. After half an hour of trying to converse with old friends against the DJ, who had already been asked to turn it down, and my words coming out slowly, I retreated to the car with my pint of cider in hand. As I escaped inside my noise cancelling headphones I could feel my heart thumping in my chest. This was not good. I did enter the fray again to hear a dear friend play his guitar and sing a song he’d written especially for the occasion, and to eat some good food. I seemed to acclimatise a bit but the environment still felt like a head-spinning torture of sensory overload. Instead I spent time in the foyer of the rugby club sitting on the stairs and people joined me to chat on the way to the toilet! 

The ‘Post Exertional Malaise’ or ‘Post Exertional Neurological Exhaustion’ is still hitting hard and I’ve hardly left my bed since the party three days ago. However, my wife was so pleased I was there as so often she has been out with the kids and felt sad that we’re not able to do things as a family. There was no way I’d miss her 40th. We’ve been together for twenty years this year! 

Takeaways

There are two big takeaways for me from this experience: 

1) A little bit of grief at how far away I am from being able to go to a gig and enjoy live music in a busy venue. 

2) How hard it is to be a people person when you can’t really be a people person. 

Point one is what it is. I can only hope that I can work back to being able to at least go to an acoustic set in a quiet venue one evening. 

Point two has deeper, more profound implications. I’ve often heard it said anecdotally that most people with ME tend to have been active, outgoing individuals before they became ill. I have no idea whether this is statistically true or just a bit of a myth. However, I must have decided to go into social work as it suited my character and desire to help and interact with others to bring about positive social change. I spent seven years of my adolescence with ME before recovering, so I got used to spending time alone. I can hack it because I had to, and those years were probably good preparation for being able to deal with the isolation over twenty years later as an adult with ME. Don’t get me wrong, I have my wife and kids and my parents close by and I know so many heroes with chronic illness who may not interact with anyone in person for days or weeks, so I’m fortunate. Yet, I love engaging with people, hearing their stories and walking with them, both physically and metaphorically! It feels so hard not being able to relate in a truly meaningful way without the risk of repercussions to one’s health.

In rural Northumberland we have some of the best skies for star gazing and I was recently sat outside in the cold just looking at the stars and thinking how wasted my skills were. Not in any proud or arrogant way, or even in profound grief this time, but almost in a detached, pragmatic way. I ploughed 18 years into building a career and skill base. I hope I was always looking to improve at what I did, and increase my knowledge, communication skills and learning. I’ve always been passionate about supporting foster carers to be the best they could be in helping the kids in their care and I feel that I was quite good at it. If I’m struggling to even find the words at a party to tell someone about some carpet the fitters laid in the spare bedroom, how could I possibly competently do the things necessary to be a paid professional in a complex role? The reality of that career loss hits home. It’s a quieter and calmer sort of sadness now though: just a recognition that the universe is missing my contribution.

My daughter watching from a distance. I love this photo from before I became ill. There’s beauty and a sense of melancholy. It parallels a sense of detachment we can experience when living with a chronic illness.

Lone working

So what if you’re really a people person but this living hell has given you the worst job ever: caring for your own body on a lone working basis? 

I don’t really have any 12 point list or snappy catchphrase. “Be the change you want to see” feels contrived in these circumstances because just getting to the toilet can be an achievement for many of us, so making efforts to build community takes energy we often just don’t have. On Maslow’s hierarchy of needs, a psychological model used in teaching most caring professions, it’s acknowledged that an individual’s basic needs have to be met before they can start to truly consider any meaningful purpose-led activity, or reach the top tier of ‘self actualisation.’ For example, on a basic level this helps explain why children cannot learn effectively without having eaten breakfast! When living with ME, we have to cheat the model: scrape the energy barrel and find a way to ensure our basic needs for food, warmth and shelter are met, while also finding meaning in something.

Online lifeline

For me, Twitter has been massive in helping to develop friendships and stem the isolation. It feels like a different beast to Facebook as my online communities are so different. I feel like Twitter is where I find my chronic illness tribe who just understand, while Facebook is full of people who appear to be moving on with their lives: holiday snaps and family outings. 

One thing Facebook is great for is groups. I’m part of a few non-ME related groups for specific interests. While these relationships are far flung, I do find these online friendships are really important to me now. Last night I took part in a video conference call with about eight others. We had a shared interest and although I was in bed, I felt able to engage in a meaningful way without all the exertion of going out of the house. It was a great time and made such a difference to my psyche. I’m wondering if there’s a way we can bring these group video calls into our wonderful ME community. 

Positive psychology

Beyond utilising online services to develop relationships, for me, life is about dealing with the emotional frustration of being dumped out of society by this illness. 

Prolific blogger Jo Moss recently wrote an excellent piece about self-care which is definitely worth checking out. For me, meditation is really helpful. I know I bang on about it, but If I can come to a place of contentment, acknowledging my grief and exhaustion and metaphorically letting go of it, then I find I’m in a much better place to interact joyfully with my wife and kids at the end of the day. A few months ago I drew the words Be Here Now and got it framed. I’m no artist but it hangs in our kitchen as a reminder, not only of Ram Das, the recently deceased guru who popularised the phrase, but to remain present, to focus on the relationships I do have and can manage, and so as not to strive for something which is out of reach.

Reframing negative thought pathways can also be helpful. Rather than regret my lost career, I can be grateful for the career I have had and hope that my work made a lasting difference to some of those children and young people I worked with. If I matched even one child with some foster carers I’d assessed, who made a profound lasting impact on the child’s life, then maybe the whole thing was worth it. Some days the grief enters and it’s not as simple as just thinking positively, as sometimes it’s all encompassing and far beyond just making a choice. Maybe then, we don’t have a choice as to how we feel on some days, but perhaps we do get a choice as to how we respond to those feelings. 

Finally, one thing I love to do is be an encourager. If I see someone post on twitter that they’re struggling and no one else has commented in the last hour, I jump in there with a comment or funny gif. Sometimes it’s hard to motivate ourselves to encourage others when we’re in a tough place but I think it helps to develop a positive culture and its good for us! 

The reality is, being a people person when we cannot be is tough. Conversation can be acutely exhausting but it’s also something we need for human flourishing. We need each other because deep down most of us need relationship. My hope is that we’re able to creatively find ways to continue to build community when the odds are stacked so heavily against us. 

A Long December

As I write this, fires are spreading quickly across numerous states all over Australia. Those living near a spreading fire are doing what they can to protect their homes and remove valuables, not knowing what the next few hours bring. Ultimately the raging inferno decides what happens, and of course, the climate, as people can only hope for rain. My phone tells me that the forecast for here in the North East of England is rain. 

My uncle has been a dairy farmer in New South Wales, Australia for over forty years. He recently sold his herd because water to keep them hydrated and irrigate the land was just too expensive. 

These issues make us realise how fragile our existence really is and how our lives are dependent on so many outside factors. A bitter political war has been fought here in the UK over recent months leading up to a general election, and in recent years, as Brexit has continued to distract from important domestic issues. It’s like the whole nation has been living in a state of perpetual ambiguity. Will the rain fall any time soon? No one really knows. 

Like with the weather and politics, living with a chronic illness means we are in a constant state of not knowing what tomorrow brings. For many, new year is a time of looking back, and then looking forward. What bright future will the year ahead hold? For some of us, these questions are too painful to even ask of ourselves.
One of my favourite songs of all time is by the band Counting Crows. ‘A Long December’ is a song I’ve listened to at the end of December probably every year for the last twenty years.

I can’t remember all the times I tried to tell myself to hold on to these moments as they pass.
A Long December and there’s reason to believe maybe this year will be better than the last…

The smell of hospitals in the winter and the feeling that its all a lot of Oysters and no pearls.
Its so long since I’ve seen the ocean, I guess I should.

We could reasonably ask ourselves if there are any reasons to really believe next year will be better. The political climate spells a bleak future for those of us with chronic illness and disability. For those of us with ME, it can feel like there hasn’t been much progress with doctors and other medical professionals in understanding and empathising with our situations. Twitter hashtags over the past year, such as #DoctorsAreD*ckheads and other online initiatives, while sometimes a little crude, have highlighted how marginalised many of us are made to feel.

Some in the mind/body crusade may say that it’s all about attitude and positive thinking. If we have a positive outlook then there’s an improved chance that 2020 will be a better year than 2019. Targets, lists and resolutions all hold little water though when you come to learn that knowledge of reality isn’t negativity but actually just cold hard survivalist pragmatism. But then we can quite easily slip from reality into a negative headspace if we’re not careful. I know I can.


As I write this, I look out onto the front field of the farm where I grew up. The sun is shining on the dewy grass as a pheasant preens herself. The same sunlight hits the poinsettia on the window sill and lights up its greens and reds. I can’t help but be inspired. These days can be long and we can easily slip into despair, but right now I’m just thankful for the warm sunlight on my chest. It feels like a while since the sun shone. For me, this mindfullness and medatative approach to life is what keeps me going. I remember how fortunate I am to be alive and try to employ gratitude. Taking time to focus on my breath and visualise breathing in light while breathing out those dark and negative thought processes can bring me to a more peaceful place. If this all sounds like woo to you and not your thing, that’s fine. Each of us can develop our own way to find the inner peace that we need. So really, we cannot know what the future brings, and there’s little point of trying to figure it all out. This moment is all we really have anyway. Eckhart Tolle talks about ‘The Power of Now’… If we remain solidly in the present then maybe we don’t have to measure last year with the one before, or set expectations for the year ahead. We can take each moment as it comes. 

New Year can be huge for us in experiencing grief we weren’t expecting. It can remind us of what we’ve lost and what we might miss out on going forward. There’s a new anxiety-laden phrase that’s popular these days in the ‘fear of missing out’ or FOMO. Many people’s lives are self-assessed by the outward identity of who they’re with or what they’re seen to be doing. Over the past year I’ve learned to find peace in the present moment. I still avoid facebook at times for the grief it can trigger in seeing families climbing hills or hitting the beach together, and I still feel frustrated by all I’ve lost but experiencing the power of now finds me like an anchor. Maybe at least I can be that anchor for my wife and kids, unswayed by yesterday, or what tomorrow brings. Unswayed by the ambiguity. 

I hope you continue to find your own ways of dealing with the ambiguity of the future and experience peace in your present moment. May you be surprised by the sun through your window this week.

It’s OK to just leave

This morning I attended my son’s school Christmas production ‘Lights, Camel, Action!’

There were around one hundred kids and eighty or more parents and family members squidged into the little village school hall. The heat, the hubbub, the crying baby (It wasn’t Jesus). If you live with a chronic illness I can imagine you imagining this scenario. In come the tiny four year old angels for their amazing rendition of Twinkle Twinkle. Its quintessential Christmas… Something that can’t be bought or bottled. I didn’t come for that though, I came to see my son as a wise man doing a funky camel dance (whatever happened to the sanctity of the classic Nativity eh?)

I’d pushed myself hard to be there after tremors and restless legs kept me awake until sometime after two AM last night and I’d been out the Sunday afternoon before for my only social gathering of the season. This school event was important for me though as my son leaves first school at the end of this year, and my daughter already had her final Nativity two years ago. So it’s the end of an era, the last Nativity. 

Through the various segments of line dancing by Nazareans and Ballet by angels we went, all being judged, ‘strictly style’ by an innkeeper’s wife, a cow and a donkey. One of the children held up a huge board encouraging the audience to cheer the acts, or boo the final judge, Caesar, for ordering a census. It was all wonderful and really enjoyable. The kids put so much effort in, especially Mary and Joseph who sang a duet together. Then came my son’s funky camel dance. I’d spent the previous twenty minutes feeling like I was crumpling inside. Do you ever have that experience of being detached from yourself, like you’re computing reality through a lens attached to a 1990s pentium processor? Or watching on a giant screen? Yet seeing this hilarious camel dance was so worth it. My son nailed it, especially the John Travolta dance fever move. The show moved on. More clapping, another baby behind me crying, the heat rising.

I had a decision to make. Do I endure the rest of this, including the raffle at the end, knowing that every minute in the place was exhausting me further or do I just get up and walk out? Thankfully I was close to the door. The next time the ‘cheer’ board went up, I made my move. Like a ninja with a walking stick, I kept my head low and dived for the door. Great, I was out of the hall. Next I had to leave the building and finally out of the gates. Thankfully I didn’t set any alarms off and before I knew it I was sat in the car. What made things worse was the fact that I’d totally not had breakfast before I left! I never functioned well without breakfast even before ME. It had been one of those mornings. My evacuation was complete though and I’m now back in bed. 

Sometimes I have those weird moments where I wonder how it came to this, not being able to survive a school Nativity. Rather then feel down about it though, I feel really proud of myself, that I put my health above my pride. For me it took guts to walk out of a Nativity, but I saw my son as a rather unconventional wise man and for that I’m so pleased. 

I feel like someone reading this needs to know, it’s Ok to walk out of something when you need, it’s OK to look a bit unusual, it’s OK to quit while you’re ahead, it’s OK to let go of other people’s expectations of you, it’s OK to let go of your own expectations of yourself. 

Recently I went to a retail park discount shop but forgot my walking stick. They were selling plastic chairs for 6 quid at the entrance. I put one in the trolley and sat down on it three times around the shop and then at the queue for the tills. I would have felt so awkward doing something like that a year ago. I knew I was getting some funny looks but it was either that or risking my legs going to jelly or choosing to not even enter the shop once I realised I didn’t have my stick. 

These oddities are all moments on the road to self acceptance and more effective management of ME. 

If you need to leave a social event or family gathering early this Christmas, just do it. If you need to send apologies because you know if you do go the repercussions might last months, then please know, you have permission to not go. You have permission to do whatever you need to do to get through Christmas unscathed. 

It’s OK to just leave.

Monday 08:53 or Invisible ME

Out there flights are landing and people are departing. On an evening I see the air machines descending twenty miles away. 

Out there its Monday morning and a continent of workers rise from their beds to engage in a human creation, civilisation. 

Out there children are lining up, all excitement and anxiety. Teachers, counting down the bells till home. 

Out there my former colleagues are hunting for desks on the open plan floor. Team meetings and phone calls. Mopping up the weekend with keyboard and pen. 

Out there the world keeps turning with the dog walkers and the hung-overs, the shift workers and the amazon drivers. 

Out there the buses are late, or maybe right on time. The politicians continue with their regurgitated bile. 

Out there the dentist begins her first appointment, the librarian unlocks the doors for the ones without broadband and the mums with buggies. 

Life goes on, out there. 

In here, I’ve returned to bed. Sore eyes and weak knees message me that it’s not my day. 

In here the Sunday dishes remain crusty and unwashed. The weekend vanished and I’m not sure if I stepped outside. 

In here I feel like residue. A ghost of myself, kidnapped and incapable. Double socked and disabled. 

In here there’s blessed silence. I’m miles from anywhere. Miles from any emotional or constant landmark. Two miles from the pub. It might as well be a million. 

In here my prison is made of beauty, but it’s still a prison. Sometimes I’m let out on day release to wander like the undead. There but not really, the length of my sentence, unknown. 

In here I’m wrapped in a cloak of invisibility. If I vanished virtually, would I still be me? 

In here I thump on metaphorical walls, lost in my own maze. The world goes on without me. I’m missing from my own heartbeat. A shift in time stole me away. 

In here I wonder if there’s another me, in another dimension, out there, where I was never sent to my beautiful dungeon. He’s just walking around, getting on with life, earning money. 

In here I’m always on my mind. 

Book Review: A Girl Behind Dark Glasses

I’ve previously blogged briefly about my own traumatic experiences as a hospital in-patient as an 11 year old following diagnosis of M.E. It was the early 90s then and I only received an ME diagnosis because my parents read an article in the local newspaper about a footballer who had developed ME and then, supported by our wonderful, rural family GP, took me privately to see a specialist 40 miles away. Some months later and following a decline in my health I found myself admitted to a children’s ward. A psychiatrist had me lifting medicine balls and pedalling hard on an exercise bike. I’d been there a week but my parents decided enough was enough, that this treatment was damaging me and so signed a discharge form and walked me out of there. The psychiatrist wrote later in notes (which my mum demanded to see) that I was a ‘school refuser’. He never spoke to my school to gain feedback about how much I enjoyed school and engaged in my learning. A term previous to becoming ill I’d been to France on a school trip and raced my friends up the Eiffel tower.

I count myself fortunate that a social worker never came knocking. Many others found themselves amidst child protection procedures and parents accused of fabricated illness (previously known as munchausen’s by proxy). Some still do.
While my seven year stretch of adolescent ME didn’t become severe like Jessica’s (although I did miss five years of school), I knew that reading Jessica’s book would drag up some distant memories. I’d wanted to read it, I just wasn’t sure I was ready.

A girl Behind Dark Glasses creatively tells the story of Jessica Taylor-Bearman’s life between the ages of 14 and 19, whereby her severe M.E. invaded every part of her existence and hauled her to three hospitals for long term stays as she was too ill to live at home. The journey through those years feels excruciating as Jessica narrates one medical emergency after another as her body progressively shut down on her. Use of diary entries narrated to her mum and on her electronic Dictaphone add colour to the memoir but it’s Jessica’s skillful weaving of her own story which made this such a page turner of a book. I felt like I was on the hospital wards, as a witness, intruding on some incredibly personal moments. However, Jessica asserts that her story must be told and she gives us permission to see her at her most vulnerable. She declares from the pages that we must see her, we must hear her story.


I read this book over two days and I’m still processing it. It was an unusual experience for me, as there was much I could identify with in Jessica’s book. I’m 10 years older than the author, but looking back, I also had the same irrepressible hope that I would recover, or at least that one day things would be different. Things would be better. Maybe it was the ideal of youth. Jessica writes that she wanted to scream at professionals that she wasn’t depressed. I also felt that I had to persuade every doctor, tutor and education psychologist I came across that I wasn’t depressed. Yes, I got ‘down’ some days, but never depressed. See me. Hear me.

So I come to the second lens through which I read Jessica’s book: that of being a social worker with 11 years of experience behind me. While I ached in solidarity as a fellow ME body, it was my social worker self who was on the verge of tears, my social worker self who was silently shouting ‘No, No, No!’ at the book. A Girl Behind Dark Glasses is about Jessica’s journey but it’s also ultimately telling a meta narrative about the dire need for person centred care and compassion in our health and social care services. While I was sitting in university lectures and learning about evidence based practice, social models of disability and holistic solution focussed intervention in 2006, Jessica was being subjected to some of the most inhumane treatment possible. The author tells of her experiences in a slightly off-kilter comic way via the creative names ascribed to her captors, sorry, carers. Some of the various workers on the ward remind me of characters from one of my daughter’s favourite books ‘The midnight gang’ by David Walliams, where a young group of hospital in-patients get up to a lot of mischief during the night by evading their lazy and sadistic nurse. Except, Jessica’s experiences were all too real and she paints a picture of staff who were ego driven, just did not care, or sought to actively harm her. Jessica was blamed for her own lack of progress. As I read, I had to remind myself that what I was reading happened in the mid naughties, not the seventies or eighties. The contrast between the staff and atmosphere of the second, abusive, hospital and the third, caring hospital couldn’t have been starker. With my social work hat on I couldn’t help but note some of the important themes for professionals to consider when caring for vulnerable and severely ill and non-verbal young people:

  • How do we work to establish competency of young people, to enable them to make decisions for themselves when they have difficulty communicating? (Are they Frazer competent?)
  • How hard are we trying to genuinely communicate with young people who cannot do so through usual means? How can we be creative in establishing a young person’s needs, wishes and feelings?
  • How do we demonstrate true person centred care which places the young person as the co-author of their care plan?
  • How do we challenge established cultures of respect and hierarchy whereby it is presumed that doctors always know best, when really there needs to be genuine partnership approach to care and openness to challenge.
  • Can we admit that sometimes we don’t know, taking a holistic and cautious approach to care rather than a plan of action which could cause harm?
  • How can we convey difficult news clearly to young people and ensure they understand the information?
  • Are we willing to take the time to notice very subtle changes in a non-verbal young person which may indicate they are subject to abuse?
  • Are parents and siblings utilised as part of the circle around the child or young person to meet their emotional needs? If not, why not? Are the reasons documented?
  • Are we demonstrating compassion, unconditional positive regard and ensuring that we’re doing everything possible to avoid de-humanising a young person?

Really, this stuff isn’t complicated. While cultural norms of apathy and institutionalisation of staff within caring frameworks can become entrenched, it doesn’t mean that change cannot and shouldn’t be a priority. Jessica has every right to be angry about her experiences, yet throughout the book she draws the focus away from the terrible thing that she’s just shared, to the possibility of a brighter future. The word that consistently came to mind whilst I read this unique book was ‘fortitude’. It’s a really old fashioned-sounding word which was a criteria by which I used to have to review foster carer’s progress. Did they demonstrate fortitude? That is, ‘courage in pain or adversity’. Jessica showed with humility and warmth that she has fortitude by the bucket load.
This book may make painful reading for some who are still working through memories of childhood trauma, however I believe it is essential reading for every professional who works with the most vulnerable children and young people in society. Hopefully it will be an important part of a process of personal reflection for many and a further tool for challenging ableism. There is still a long way to go.

[A few months ago my Dad and I were on the way to an event and we drove past the site where I’d been in hospital when I was 11. I hadn’t been up that road for a decade or more. Most of the hospital has been knocked down and the rest appeared to be being used as office space. I felt strangely satisfied about this. These symbolic moments are sometimes helpful for us in putting the past to bed. Have you had similar moments which have helped you to move on from difficult childhood experiences? Feel free to share in the comments]

Crippled by Frances Ryan – a review

I bought a book earlier this year, not long after it was released. I knew I had to read this book, yet I put it off. I’ve read more books this year than in perhaps the last ten years put together and I’ll probably write more about my (largely non-fiction) reading explorations more as the year closes out. Since I started my epic reading journey last Christmas and developed a goal to read 40 books this year, when I found out about Crippled: Austerity and the demonization of disabled people, I knew it was a book that would contribute to my list of 40. Somehow, for me, there was no getting away from it. As a practicing social worker of 10 years, my politics have generally been left-leaning. Now, as an individual who is unable to work and receives disability benefits due to moderate (sometimes edging towards severe) ME I’ve both been involved in the commissioning of public services to families with disabled children, and experienced the tortuous and demoralising process of applying for disability benefits myself.

Having often read Frances’ Guardian articles, I knew this book would be well written and well researched, and I knew that it would be tough. After reading the introduction and the first chapter on poverty, I tweeted that I’d put off reading the book as I knew it wouldn’t be easy and that I found so much of my righteous anger had somehow run away (perhaps along with my energy and social work career!) and instead I just felt sad. If you want escapism, this isn’t the book for you! Francis throws statistic after statistic and research and professional analysis at the reader in a damning onslaught towards the policy makers and by association, the voters who have been subject to a comprehensive propaganda campaign by ministers, MPs and the media in order to scapegoat the most vulnerable people in society.

What makes this book so powerful is that it is written by an insider. Frances doesn’t discuss her own disability in the book in great detail, however she frequently refers to ‘we’ when writing about disabled people and occasionally mentions her own experiences. The dozens of individual stories gathered in the writing of the book and through the author’s journalistic career bring the statistics and qualitative research to life and I learned a great deal, such as the numbers of disabled women who resort to sex work just to pay the bills and feed themselves as benefit cuts mean that they have been unable to make ends meet. Other matters covered, such as the lack of accommodation and access to services were striking. One particular story of a professional man who developed ME brought me to the edge of tears. He became homeless after falling ill and went from sleeping in his car, to spending nights at Heathrow airport and on night buses to stay warm, having to store his wheelchair in a lock-up for when he needed it. Under the Tory government over the last decade if you found yourself with a chronic illness or became disabled and you didn’t have support around you, evidence shows that you would become vulnerable very quickly and the safety nets which may have existed just a few years ago were quickly disappearing.

While on holiday recently, just prior to reading Crippled, I read a book called Sapiens: a brief history of humankind. It has sold a million copies and is endorsed by Bill Gates (I think you could spend all your time reading only books that are endorsed by Mr Microsoft!) Sapiens was a fascinating journey through pre-history and evolution to the development of language, finance, infrastructure and biosciences. The book hinted at what the collective ‘we’ may become in the future. What about Artificial Intelligence, Cyborgs? These are no longer things of science fiction but rather very real morality matters to be wrestled with. Sapiens ends by asking some stark questions about humanity’s potential evolution:

“…since we might soon be able to engineer our desires…the real question facing us is not ‘what do we want to become?’ but ‘what do we want to want?’”

Harari (Sapiens, 2014)

With the potential to create a future race of perfectly performing human/machine hybrids with unlimited lifespans, where does eugenics come in, and how is disability viewed in the future? Will there be a greater push to inclusion and accessibility or will some areas of society continue to find ways to ‘other’ disabled people by limiting and curtailing disability and scapegoating neurodiverse individuals, for example?

Youval Noah Harari, the author of Sapiens talks about ancient hunter gatherer tribes who would leave elderly and infirm family members behind to die if they could not keep up. It was a necessity but it was also brutal. I guess I’d be left behind immediately to fend off the sabre tooth tigers on my own! It was highlighted that some societies throughout history have been more dispassionate and others have been more caring. I wonder what would define the history of early 21st century human Britain? Somehow, Crippled felt like the British updated final chapter to Sapiens. Ryan concludes her book by considering how disabled people are perceived and how substantial change can only happen if perceptions are challenged. I was surprised to discover that research finds public perception of disabled people to be slowly changing for the better. More members of the public believe that disabled people should be receiving benefits to support them and fewer are seeing disabled people as scroungers. As Francis Ryan tweeted in reply to my note of sadness after reading and commenting on the first chapter “I hope the book brings more than sadness soon (Hope to come, I promise).” We have to hope that moving forward our society sees the important role disability plays in all our lives. I have to hope that the young disabled people I worked with until 18 months ago, who experience both physical and learning disabilities, have a future lined with more opportunity than the scorn the government of the last decade has shown towards them.

If you have any doubt about the disdain shown towards our most vulnerable by those in leadership of our nation (bedroom tax, withdrawal of services, benefit cuts) and the reality that things could and should have been much different (far more money was spent on trying to reduce benefit fraud than tax evasion, where reducing tax evasion would have improved short falls for social care), please read this book. Then make sure you vote.

This body will self destruct in 5,4,3,2….

It occurred to me this week that pacing and energy management with ME isn’t a natural thing to do. There isn’t some ingrained evolutionarily mechanism which sets off a big alarm and flashing red light in our head saying “you’ve done enough for today”. It’s a weird life skill most never need to consider. For most, If they need to do stuff, they eat healthily and exercise and generally their body allows them to do the things they need to do. Without getting into the mind/body connection discussion, we were made to develop in order to perform rather impressive feats.

Yet here we are, somehow having to decide how to use our ‘spoons’: or energy allowance for the day. It’s like those of us with ME are on some sort of rationing system because the universe forgot we’re no longer at an intergalactic energy war.

I’ve now been living with ME for the second time, for just over 18 months. This week I’ve had perhaps the ‘best’ week I’ve had since I became ill. It has also coincided with us moving house. I’ve been carrying boxes, putting up curtains and doing blokey things. Have I paced myself? Not really, even though I’ve maintained my strict afternoon rest schedule, I know I’ve been doing too much. On the whole, the constant ache hasn’t been there, the brain fog is reduced and I’ve had a spring in my step. The best thing has been having the ability to enjoy interactions with my kids rather than me being irritated by them due to exhaustion. My mother in law has been staying and (I don’t think she’ll read this!) I think it’s fair to say we’ve really enjoyed each other’s company!

Having said all that, I’m writing this blog post in bed. Is this the start of a crash? Too much too soon? I bloody ripped up the energy envelope and set it on fire. I’d go to the stationery cupboard and get a bigger one but we haven’t decided where the stationery cupboard is going to be and lots of things are still in boxes!

So no, we don’t have this internal ability to regulate our energy output without strict enforced religious-levels of observance. I had seven years of learning the art as an adolescent, but I certainly was nowhere near mastering the discipline then.

The best way I’ve found to keep on top of reducing my activity levels when I have energy? Other people. I don’t yet have the self discipline to slow myself down. Talking with my therapist has been useful as I’ve discovered that I have the personality type where I feel the need to give of myself. So if I can’t give out to others, when I suddenly have energy, I’m pushing too hard too soon. I suspect a lot of people with ME have a similar personality type.

I’m fortunate to have family around who know how this all works. Even my kids understand the output/punishment formula and will caution me. I slung an old electric radiator from prehistoric times into a skip the other day and unfortunately for me, both my mum and mother-in-law saw and I was severely reprimanded! Even though I know this cause and effect system inside out, of exertion and exhaustion, those around me are able to more effectively step back and see the ultimate consequences of my actions while I’m happily running on the fumes of adrenalin.

I know so many Spoonies don’t have a close physical support system. If you don’t, I’d urge you to use social media to make connections and allow the spooniehood to keep you accountable. We’re all part of one big ‘Energy Addicts’ community. During this past week I explained on twitter that I’d had an upsurge in energy and that we were also moving into the farmhouse where I grew up. I asked people to tell me to slow down. A lot of people responded and I felt genuinely supported. Some even tweeted me randomly during the week asking if I was doing too much! I’d like to thank everyone who tried to keep me in check. I know there’s been times when I could have pushed myself further but didn’t. Sometimes I got the balance right but often I didn’t.

If like me you’re an Energy Addict, please listen to your body, plan your day or week, give yourself alloted rest times and keep to them, even if you’re feeling OK(ish) and try to do a bit less than planned if you know you’ve been too ambitious. If those around you understand and know you’re on an energy binge, stop and listen to them, they probably care about you!

Balance well my friends.

As for expecting a crash that may or may not come and wondering how long this is going to last, I guess that’s for another blog, all I’ll say is, optimism seems to be a currency we spoonies can’t afford. The exchange rate is too damaging to our energy pockets. If we’re not careful though, all we’re left with is pessimism. There must be a middle ground, where our spiritual and emotional reality can rest.

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Picture of footbridge over the Thames with St Paul’s Cathedral in the background and various groups of people walking over the bridge. The sky is full of grey clouds. I took this picture when I visited London with my daughter in summer 2017 before I became ill. We enjoyed visiting the Tate Modern and St Paul’s.

Social media for spoonie survivalists

I had a couple of twitter conversations with online spoonie friends recently where we had a bit of a mutual love-in. We shared our appreciation for each other and emphasised the support provided by this odd international community of chronic illness survivalists. I said that it would be amazing if we could actually meet up in real life and just spend time chatting. There was much agreement.

Community is important in any walk of life. People need each other and I think we evolved in a way whereby the individual could only thrive when part of a group.

Going back to the time of hunter gatherers and then into periods of agriculture and modernity, there has always been an emphasis on mutual community, co-operation and shared ritual.

I was recently reading about the ancient cave paintings in the South of France which were discovered in the past few years. These paintings are high up on the ceiling, so, very difficult to reach. There are hundreds of paintings which are thought to have been created between 90 and 30 thousand years ago. It’s not clear why people squeezed through tunnels in the dark and painted these images of animals, birds and people by flame light. Why go to the bother when you need to eat and clothe yourself as a priority? Estimations include prayers to the spirits, initiation ceremonies and initial indications of the human proclivity to create art. There was though something in the human drive for communal ritual. I think this is somehow innate in the human spirit.

Since I became ill 18 months ago, social media and Twitter in particular has become a vital part of my life. As increasingly I’ve lost friends and colleagues in the physical space, I’ve gained important friends online who understand the Chronic illness way. While the hunter-gatherers of prehistoric times depended on each other for survival, I think we spoonies do depend on each other for mutual encouragement and empathy. I know my journey would have been so much tougher without the amazing friends I’ve made and communities I’ve become a part of. I feel honoured to have been welcomed into these spaces.

One person commented during our discussion about online support, how they didn’t know how people coped with chronic illness before social media. I do. As an adolescent with ME for 7 years in the 90s (prior to recovering in my late teens), one of the biggest issues was isolation. It was compounded for me due to living on a farm, miles from civilisation so mates couldn’t just pop in on the way home from school. I became involved in a support group for young people with ME, initially as part of the ME Association. Things were well organised, but we mostly depended on the postman. We had pen pals and the pen pal section of the group’s magazine was full of young people looking to connect with other young people. As one of the few lads who enjoyed letter writing I ended up with quite a few female pen pals! I had pen pals from the North East, Scotland, Wales, London and the Midlands. One of my friends used to even make her own perfumed paper which she used to write on! These connections were so important, especially when we all shared the social stigma of having an illness which was either unknown or largely disbelieved.

Years later, I was able to regularly visit my friend in London as my energy levels increased. After I recovered and moved to the Midlands with my wife, we ended up living near my former pen pal there and my wife and I were honoured to be asked to be Godparents to her son. He’s now 17 and I feel I’ve been a rubbish Godparent!

Back in the mid 90s when all this paper based activity was going on, we were only just getting to grips with the Internet and dial up modems. If you were on the Internet, no one else could use the phone, and rural Internet was terrible, so mostly limited to emails, and we were just getting our heads around that! We could support each other via email, you just might have to wait until your mum was off the phone, and then check back later to see if your friend had responded to your message!

Considering how technology has evolved, while I have real concerns about data protection and the practices of Facebook in particular, our online platforms are so important and I’m so grateful for our spoonie communities, for podcasts and those who are have enough guts to share their lives on you tube.

I think the one thing that really stands out about Twitter is the immediacy of the support there. I recently tweeted that I ‘Fing hated ME’. I don’t usually feel that peeved as it’s not a healthy state to be in all the time, but right then I needed to get it out there. It was amazing how much this resonated with others and there seemed to be this communal release valve which activated as people commented on how, while we all do often put on a brave face, it’s good and healthy to share our frustration and hatred towards our illnesses.

I’m not sure that social media can truly replace the need for friendship and association which comes through face to face interactions and I think we can have thousands of online friends and still be lonely, so it’s important to reach out to local groups and friends if possible.

In the meantime, let’s continue to make our online communities amazing. Let’s be welcoming. Let’s get our paint brushes out and paint our cave ceilings together to let others know that they’re not alone, and to create something for future generations to know we were here.

What do you appreciate about online support? Are there things that organisations can do to improve opportunities for connection? Let me know in the comments!

Living in a caravan over the winter, we needed to scrape snow and ice off the Internet extender box to be able to tweet and interact with the outside world!

MEversary

It struck me late last night that today is another MEversary for me. It’s exactly 18 months since I rang in sick and didn’t go back to work. I know, it seems a bit odd marking a half year, like a parent who tells you their child is 30 months old, and you wonder how quickly you can exit the conversion (She’s 2 and a half for goodness sake!) Somehow though, a year and a half feels significant in the ME journey. It’s a long enough time to pretty much put any concept of Post Viral Fatigue Syndrome behind me and accept that yes, I’m in this for the long haul. 

Even 18 months later I occasionally get an odd feeling that I’ve neglected to go into work, and, what will my boss say?! I wonder whether this is because I never really managed a proper ‘ending’ and endings are so important when it comes to managing grief. 

Sometimes random work-based tasks come to mind and I have that sad but then also comforting realisation that it’s not my problem anymore. My work is now to rest. I have to take a professional approach to my work. This includes being disciplined, timely and diligent in my responsibility. If I don’t rest then I won’t be able to cook dinner for my family as I’ll use my energy resources too soon and crash out. Seeing rest as a job has been a good analogy for me, as I no longer feel guilty about going to bed and shutting down. 

It seems that amongst the online ME community MEversaries are really significant. Many people put how many years they’ve been ill on their twitter bio, or mention it during a Facebook interaction. I think, rather than the parent with the 37 month old child who’s fastidiously marking milestones off and measuring development on their iPhone app (they’re deffo iPhone people, sorry!), marking time is a way of dealing with grief. I think it’s also so that others can recognise the ME/CFS war veterans and know that this is a person we can trust to talk to us honestly and without illusion about the realities of life with ME. I don’t really like the language of war or battle when it comes to ME as it places an emphasis on striving and activity, which in turn reminds us of the risks associated with over-exertion. Yet, sometimes a soldier analogy is needed. 

To those who have fought on through years and years of this nasty illness, I salute you! 

I’m not sure how to mark this day. When I hit a year, I made sure I had a chill-out day. I think I did myself a fry up at lunchtime, like the comforting thought of going to a greasy spoon cafe without the noise and energy drain of getting there. Those places are timeless and somehow so is a fry up… we step outside the constraints of time and become present and at one with the experience of the all-day breakfast, even if it makes us that tiny bit fatter and doesn’t help our healthy eating regime. 

If you have an illness anniversary coming up this summer, I hope you still have some hope. I hope that hope finds you when you need it. I find that when I’m hopeful, I’m in a much better place in myself and my interactions with others are more positive than when I’m dwelling on the frustration. Hope doesn’t have to be about full recovery, but of getting out tomorrow, of seeing an owl in flight, of the sun shining and of further funding into research. Here’s to acknowledging the journey, while hoping for a better day. 

How do you manage ‘self care’ when it comes to Spoonieversaries? Do you mark the occasion or try hard not to think about it? Let me know in the comments.