DOUGLAS RACIONZER
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The paradox of caring too much

5/26/2022

2 Comments

 
The other day, a colleague of mine in the legal profession asked me for advice about a client.  The client has been depressed for many years and has had many interventions from a variety of medical and social services professionals.  Her ongoing abuse of alcohol and various drugs, coupled with bouts of depression has led her to the brink of despair.  My colleague fears that this person, who is clearly in great pain, will commit suicide.

I listened attentively but could not work out what exactly my colleague wanted from me?  We talked about depression, trauma, the effects various drugs have and their interactions with alcohol.  We also shared how personal transformation ultimately requires the person to want to change.  

I also shared my concern that my colleague may be wanting to "rescue" the client.  We discussed the drama triangle and how toxic that relational game is to real  personal transformation.

As I walked away from this interaction, my sense is that nothing really had changed.  I wondered what use I had been? 
I guess sometimes simply accompanying colleagues and clients along their journeys without trying to rescue them is an important skill to practice.  

This stance of "witholding".  Of standing with. Of simply being with the other as Other can be difficult for those of us so accustomed to "helping".  We may in fact, be dignifying the autonomy of others when we allow them to live their own storied lives without our "help"? 
Obviously I am not suggesting we refuse to assist people in imminent danger to themsleves and others.  It just seems to me that sometimes caring less and standing back from rushing in to rescue others whilst nonetheless accompanying them as they live their own lives, is the best we can do?
2 Comments
Kevin
5/26/2022 01:37:24 pm

Motivational Interviewing is an approach that helps people develop and maintain the motivation to change their behaviour. We don't need people to identify the nature of their problems in order to support them. It is often the case that people know their life isn't going the way they want, and need a bit of support to work out how this is happening to them.

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Steve Atherton
5/28/2022 10:03:09 am

There are many factors at all play in these situations. For example, am I being a friend, am I a friend with professional insight my friend wants to benefit from, am I in my professional role, am I being me? The last one underpins them all. In all our roles, in all the various versions of ourselves, the one that makes the greatest impact is the genuine self. Whatever the person you are with wants from you, when they experience the real you, then they & you benefit the most.

Being genuine requires self knowledge. The knowledge to know today this interaction is not right for me. The knowledge to know this situation is not safe for me. The knowledge to know now is the time to finish as I have given as much as I can. The knowledge to know I have helped & feel satisfied with whatever you have done.

In all these situations where the personal, the professional or a hybrid of both are shared being genuine, with a sound knowledge of one’s self appear key to me.

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    Douglas Racionzer is an Ashoka fellow and social worker 

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