Thursday, May 7, 2009

What is unique?

This is still a work in progress:

Earlier this week I was asked to answer the question, "What is unique about you?" This was the third in a series of questions that I was asked to answer before attending an orientation session for the doctoral program I will start in the fall.

My first thought was, "I'm a forty year old, middle-class white woman with two kids - there's nothing unique about me," and I still stand by this initial gut response but in the end, I talked about a previous job I had and how it affected me - and still does to this day.

In my early twenties, I thought that I wanted to become a family therapist. In order to test this out, I took a job as direct care staff at a local mental health agency. I had two different positions. Part of the time, I worked one-on-one with teens and young adults who had mental health issues but were able to function in the world. I spent time helping them to have "normal" lives...

At the same time, I also worked at a respite facility. I joke that it's the place you go when you aren't crazy enough to be hospitalized or where you go when you are ready to leave the hospital but not quite ready to go home. I met a lot of different people through this work. It was often difficult to tell who was a client and who was an employee. The work brings interesting people to it - all of them trying to figure out who they are. Some succeeded better than others.

There are many memorable moments from those years, but there is one that sticks out in my mind as an example of the kind of pain people experience and also as an example of just how messed up this job was.

Lorraine came to the respite site one day. She was about my age, mid-twenties, a slender, blonde, lovely girl with an Irish accent. It was hard to figure out what was going on with her but it was evident that she was truly sad - the kind of deep sadness that transcends one's whole being. The only time we saw even a glimmer of light in her eyes was when she spoke about her brother.

Lorraine had attempted to kill herself before she came to us but she was judged to be relatively safe when she was admitted. No one would have guessed that she would take off out the door of the house just as soon as she had the chance, but that's what she did. The next thing I knew, my supervisor dumped a handful of change into my hand and said, "Follow her. And, call us when you can." So, without questioning this charge, that's what I did.

I quickly caught up to Lorraine as she headed down the street. I tried to talk to her but she refused. She quickly crossed the main thoroughfare and I followed (this was pretty scary). She wandered into downtown and I followed. The whole time I kept talking to her. Asking her anything that came into my mind - I don't even remember now what I was saying, I just kept up a steady stream of conversation. At one point, we stopped by this little park and I was sure she was going to talk to me but I think she was just getting tired and confused. Finally, we started heading back to where the respite house was and we found ourselves in front of a convenience store. Lorraine had finally realized that I wasn't leaving her side and she seemed to be ready to come back with me. I stopped at the pay phone to call in and was talking to the shift supervisor when I glanced over at Lorraine and saw that she was trying to cut her wrists with some broken glass she had found on the ground. I don't even have words to describe my dread at that sight.

We ended up in an ambulance, heading to the hospital. The rest of the day is a bit murky but I will never forget how awful it felt to see her cutting herself. Eventually, Lorraine seemed to stabilize, maybe with our help, but who really knows. She left the respite and we thought she went home to be well and live a long life. It came as a shock to me when, about a year later, I saw her obituary in the paper. We can never really know what is going on in someone else's head and how much pain they are in. I won't ever forget that sad young woman and I'll always wonder what else I could have done - although I know that there probably was nothing I could do.

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