Tag Archives: PTSD

Wild Zen and a Journey through Aid Worker Archetypes

I recently finished reading the book Wild Zen: An Inner Roadmap to Humanity by Claire Higgins, which charts the experiences of humanitarian workers, including herself, and others who have undergone – and been transformed by – trauma, violence and other forms of extreme suffering.

Claire worked for more than ten years on humanitarian and human rights programmes, and now works as an executive coach. She has tested and trained in many different therapeutic methods as a means to healing herself as well as others; and Carl Jung’s twelve archetypes, which are the guideposts for this book, is one such method. In the book we learn about archetypes such as the Caregiver, the Explorer (also known as the Adventurer or Seeker), the Warrior (also known as the Hero) and the Sage through the eyes of some of the people Clare meets. These include a humanitarian worker who was shot in Chechnya, a bowel cancer survivor, a former political prisoner and several people who now provide healing modalities such as martial arts, yoga and health coaching to others. We each have dominant archetypes in our personality, and whilst there are many positive aspects to all twelve of them, we have to be mindful of the pitfalls that exist when each archetype is in excess.

This is a book about self-development and empowerment. It wasn’t always easy to keep up with where Claire was going with her memories and accounts of her experiences; but nevertheless I felt pretty hooked in from the start, seeing immediately that here was a story – or rather, a compilation of stories with a common thread – that somehow resonated with me and that I could learn from. I am fortunate enough to have never been through anything quite as serious or heart-breaking as some of the real-life characters in this book. But there were moments I could identify with, and I imagine so could many people working in the aid sector.

For example, the propensity for many aid workers to play the role of Caregiver, one of Jung’s archetypes. Caring for others is no bad thing; but for many aid workers this often translates into an abandonment of care of the self. As we hold the space for others, we need to learn more how to hold the space for ourselves. Related to this is the need to be honest with our feelings, which is also acknowledged in the archetype of the Innocent. In Wild Zen, Claire refers to radical truth as part of the Innocent’s journey; the ongoing quest we must all go on for greater self-awareness so we can see where old habits may be damaging us and should be released. This may include unhealthy relationships, or ways of interacting in the world; to change, we may have to be more truthful to others as well as ourselves. The alternative is often to bottle up grievances – a habit which I, and I’m sure many other aid workers, are very familiar with. A lot of the lessons here – relevant to anyone in the helping or caring professions – are about maintaining healthy boundaries, about being able to recognise and respond to our own needs as much as we respond to the needs of another. Being honest with others needn’t be confrontational; it is about allowing ourselves to open our hearts and tell people how we feel.

Another familiar trait in aid workers is the Revolutionary. How many of us prioritise our work over our personal lives, and with such zeal? This is down to the passion and commitment that so many aid workers have in ending war, poverty or injustice; it is what drives their work and their determination to stick with it, no matter how many times they may be forced to question whether there is any hope left. But this commitment often comes at the price of personal relationships; whilst we focus on ending wars on a global scale, we may fail to stop the conflicts that arise under our own roof because we lose connection with those we are closest to. I have seen these problems play out among the aid workers I spoke to during my field research in Kenya, many of whom are struggling in their romantic and family relationships. As aid workers navigate a world that appears to be full of evil and enmity, the anger that forces them into action may not always be productive. We must recognise where – in our own lives and in the working environments we inhabit – we can be more compassionate and encourage dialogue and peace over division and hostility.

This also relates to another archetype, the Ruler, because ultimately we have to decide how we are to live our lives in an authentic way and become masters of our own destiny. This is crucial for aid workers because our professional lives can be so caught up in the expectations of others; whether this be the admiration of our family and friends, the pressures of our employers, or the needs of aid beneficiaries. Amidst all this, aid workers often lose sight of who they really want to be and instead struggle to act out whatever image they think is worthy and honourable. The Ruler archetype helps us to find our place and purpose in life and stick to it. For many aid workers, this may result in leaving the sector altogether, or finding new ways of engaging with it more compassionately.

I see this journey play out in my own life, as I seek to find a role for myself within the aid sector. My new role, yet to be fully defined, may no longer be on the frontline among the populations who are suffering or within the corridors of government power, but will be articulated from a place of deeper inner wisdom, self-acceptance and trust. As Claire says in Wild Zen:

What all this means is that only we can set the standards for our lives. Only we can determine what is good enough in each moment and phase of our journey. We cannot keep measuring ourselves by benchmarks set in place by others who do not know us like we know ourselves. The Ruler understands that he must set his own standards and criteria for living. It isn’t the right or role of others to do that for him.

Wild Zen contains many reflections and lessons for anyone who has struggled to break free of inner suffering as much as for those who have experienced suffering at the hands of others. Ultimately its stories tell us that we are not alone in these experiences. And it also teaches us how storytelling can be healing and transformative.

As I read the book, I took the Pearson-Marr Archetype Indicator (PMAI) test, the instrument used to identify which of Carl Jung’s twelve archetypes are most dominant in your personality. I’ve learned a lot from that process too, and it’s a helpful way of understanding a little more about the value of this tried and tested psychological modality applied in Wild Zen. The PMAI is also used in psychotherapy and life-coaching, and for some people it may well be better to use it with the support of a therapist rather than taking the test alone.

The PMAI, and Claire Higgins’ book Wild Zen, are not to be taken lightly. Both reveal some of the darker places we all inhabit as human beings, but they also offer hope and tools with which to navigate our way through those places and emerge more courageous and true to ourselves.

What do Stress and Wellbeing mean to Aid Workers?

In the last few weeks I’ve been engaging in discussions that have put the question of how aid workers interpret stress and wellbeing at centre stage. In August I ran a stress management workshop with an Italian NGO in Kenya which was attended by Kenyan, Somali and European staff. Aside from that, I’ve been talking to various people who have an interest in or are working on providing stress relief for aid workers and social change makers.

The question of how stress and wellbeing is understood by different people is important because in a world that is flooded with information about ‘alternative therapies’ such as yoga and meditation, as well as the western psychotherapy models, we can forget the hundreds of cultural traditions around the world that have handled emotional difficulties and mental health problems in their own, localised way. We can also forget that what works for one culture or society may not work for another. And in the aid sector, where the majority of staff are nationals from the southern hemisphere, we perhaps therefore still have a lot to learn about what interventions (if any) are appropriate for dealing with work-related stress.

The tendency is to assume that standard psycho-social models are a sufficient mechanism for addressing staff mental health. But there is a counter-argument that suggests that Western models of trauma healing are not always appropriate, nor healing, for some individuals from post-conflict countries. This has been argued in various literature (for instance, here) and was a point made by an Italian doctor I met recently who was conducting a training for humanitarian workers in body, mind and spirit practices for stress, trauma and compassion fatigue. During the training she related how in previous trainings in Rwanda and Burundi, some of the participants had commented how traumatising they had found the counselling given by Western psychotherapists.

’Stress’ and ’counselling’ are pretty familiar terms in European and American societies. Whilst there is still stigma around issues of mental health – people don’t talk openly about their depression, for instance –  there is an assumption that stress is part of everyday life, and that chronic forms of stress affect some of us and require clinical intervention in the form of one-to-one counselling.

The personal perception of stress and the way one deals with it is, in many ways, culturally and socially rooted. Whilst many NGOs provide some form of counselling for their staff, it would seem that ‘talking therapies’ are not necessarily the answer for a lot of aid workers.

Here are a couple of quotes from my data:

“There are those of us like me who come from nomadic background which thinks that talking about it is…is being a bit of a sissy. But, there are those of us that come from that culture of expressing yourself and you can see that people do grieve with each other, with different cultures.”

Somali UN worker (male)

“They pay for our counselling…but since it’s not so African to go for such things, most people don’t go for…debriefing. You can go during your R and R but nobody seems to ever get to it […] We as Africans we handle our stress differently – everyone has their own issues so why do you think yours is bigger? […] I think people just learn to handle their stress on their own, in case it’s there. Because for one we don’t open up that much, and especially here in Kakuma who would you open up to, especially if stress is work-related [….] basically you have to learn to handle your stress by yourself.”

Kenyan humanitarian NGO worker (male) (Kakuma)

Stress is not only culturally rooted; it is a gendered concept too. In the stress management workshop I recently ran, the Kenyan women remarked that stress in their society is largely seen as a women’s issue and associated with marital pressures, and with being of the ‘weaker sex’. This not only denigrates stress to the female experience, it also sends out the message that men do not suffer from stress, and therefore should certainly not talk about it.

I have been wondering about self-care practices too. ‘Self-care’ is in itself a dirty word for some aid workers. If it’s not seen as a bit ’new age’ or ‘hippy’, it’s seen as self-indulgent and completely at odds with a sector supposedly focused solely on helping others, not oneself.

There is a growing interest in yoga, meditation and similar self-care practices as a means to relieve stress, build resilience and encourage deeper self-awareness and compassion among aid workers and other social change makers. Regular yoga and mindfulness practices have certainly helped me in the last few years; the way I approach my work as a human rights defender has been transformed by following a daily practice that cultivates presence and a more mindful response to my own emotions and to the challenges around me.  And I continue to explore these further as a means to engage more fully in the world as well as to bring inner wellbeing.

But can these sorts of practices be adapted, and adopted, in African cultures? Are there traditions within African cultures which in fact use some of these practices already but give them a different name? I’m conscious that here in Kenya, for instance, trying to impose yoga or mindfulness as a stress relief tool may be seen as an effort to convert people to Hindu or Buddhist religions. Yet some of the techniques used in both these practices can probably be found in many other ancient cultures, including in Africa.

There are examples where the use of yoga and mindfulness have been introduced in different cultures, among aid workers and the communities they serve, with positive results – as this video from a woman who worked in Afghanistan suggests. Capacitar training also uses yoga, tai chi and other practices for trauma healing in communities that may be otherwise unaware of these traditions.

Self-care needn’t require a commitment to these increasingly popular practices however. As this blog by an Afrofeminist writer eloquently describes, there are many ways of practising self-care without having to devote oneself to yoga, and without necessarily having to completely change one’s lifestyle. Spending more time with family and loved ones is  important for aid workers and any other social change makers; because one of the big symptoms of stress and burnout is social detachment and disengagement, triggered by repeated exposure to the brutality and injustice that represent the darkest elements of human behaviour.  After such exposure, it is vital to seek out community and friendship. This can restore one’s faith in humanity and help cultivate compassion in a working environment that can be susceptible to ‘compassion fatigue.’ This video by the Headington Institute provides some advice to aid workers on how to maintain relationships with loved ones as a means of self-care.

Stress and how one responds to it is in some ways a complex matter. In the aid sector, both the individual and the organisation need to listen more – to themselves, to their staff, and what forms of support and healing are appropriate. It could take some time before aid agencies  go beyond a ‘one size fits all’ approach to staff care, but in the meantime there is a lot aid workers can do to help themselves. The starting point is that old adage, ‘Know Thyself’. What is your body trying to tell you and are you willing to stop and listen?

 

 

Aid Worker Wellbeing: Reflections on the Guardian Survey and Steve Dennis case

This past week has seen a real shake-up in the aid sector. First last Monday the publication of the Guardian’s survey on aid worker wellbeing, which found that 79% of its 754 respondents claimed to suffer from mental health problems, including diagnosed depression, anxiety and post-traumatic stress disorder (PTSD). Then on Wednesday came the news that an Oslo court had found the humanitarian organisation Norwegian Refugee Council guilty of ‘gross negligence’ in the treatment of former employee Steve Dennis and others who were kidnapped by armed groups in Dadaab refugee camp in Kenya in 2012. Steve Dennis was awarded $500,000 in compensation plus costs.

Both pieces of news point to the same issue – that aid organisations are not giving nearly enough attention to the wellbeing of their staff, particularly those who are doing the frontline relief work in emergency areas, and that individuals are not getting the support they need when they experience serious stress and mental health conditions such as burnout and PTSD.

But before aid organisations quickly rush to demonstrate that they have all the right policies and structures in place to support their staff (I’m sure this is happening already, particularly given the legal implications of the Steve Dennis case) it’s worth reflecting on a few issues that are relevant but have not been so highly pronounced or exposed in these two pieces of news.

Which aid workers are being referred to in the Guardian’s survey? We are given little detail about who the 754 respondents are, except that most of them were female and expatriate. This in itself is hardly an accurate reflection of the broader aid sector, in which approximately 90% are nationals. I am also interested to know who these ‘aid workers’ were exactly. Only those working in disaster areas? Or development workers? They may not be exposed to the acute suffering that one witnesses in a disaster area, but are certainly likely to witness the human misery that arises from extreme poverty. Or human rights workers? They too are bearing witness to ongoing injustices. The survey did not make clear what jobs these 754 respondents were doing. For me this is of interest because the assumption is often that it is humanitarian workers who suffer the most from the work they do. And yet my own research is already demonstrating that you don’t have to be on the frontlines of war and disaster to suffer from burnout or post-traumatic stress disorder.

Can the causes of mental health problems be so easily defined? The main factors contributing to serious mental health conditions according to the Guardian survey were security incidents and the witnessing of human tragedy. Yet it is also becoming clear, in the Guardian’s own reports and elsewhere, that different people – women and nationals in particular – experience different challenges in this work. Given the Guardian’s own reporting on sexual assaults within the aid industry, a question we should be asking when addressing aid worker wellbeing is what specific challenges have women faced and what sort of support do they need? The same could be said about nationals. It is quite possible that some nationals are directly affected by the issues their organisations are working on; perhaps they are refugees themselves, or they or their family have been victims of domestic violence. These factors are important as mental health conditions cannot be fully understood unless we consider the individual’s background and identity and how these impact on their experiences in the workplace.

What are aid workers doing to address their challenges and difficulties? Both the Guardian survey and the Steve Dennis case may provide damning evidence that aid organisations need to be doing more to support their staff. And certainly the survey findings are pretty critical about the insufficient response given by aid organisations to staff who have suffered from mental health issues. But tightened security procedures, regular debriefings and staff counselling are not the only solutions aid organisations should be seeking. Staff themselves need to be considering what they must do to address the challenges they face in their work. As aid workers, we all like to moan about how our managers don’t have time for us and aren’t supporting us enough – and this may well be accurate a lot of the time – but are we also giving time and support to ourselves? In a culture that can often seem competitive and macho in its pressure to work the longest hours and be the most dedicated, what role can we play in caring for ourselves and stepping back, or seeking help, when we need to? With any big emotional challenges in our lives, it can be far easier to point fingers and blame situations or other people. It is harder, but just as important, to reflect on who we are and how we approach our work as possible factors in why we struggle in certain ways. As aid workers, our personal motivations, expectations and approach to work may say a lot about whether we eventually suffer disillusionment, guilt or burnout. And likewise reflecting on these and what needs to change within ourselves may help overcome some of our darkest moments.

These comments are not seeking to belittle individual experiences, nor undermine the serious mental health conditions that many are suffering in this work, including the staff of Norwegian Refugee Council who were kidnapped and those who responded to the Guardian survey. But I do believe we need a more nuanced approach to aid worker wellbeing that recognises that the challenges of this work are not simply related to security incidents and operating within conflict settings; I believe the experiences within the sector are far more complex. Nor are better security procedures or counselling services the only solutions. As the Guardian survey recognises, the culture within aid organisations must change. This not only means creating a space where it is safe and acceptable to admit you are struggling or not coping; it also means cultivating an environment in which people continue to feel valued and maintain a sense of purpose and meaning in what they do. This is the work of everybody – organisations and staff – who have an interest in reducing serious mental health and stress conditions and the resulting staff absenteeism and turnover; and who wish to encourage a spirit of humanity – not only in the field but also in the office.