Friday, April 5, 2013

How Not to Say Offensive Things - Part 2

The slogan of people with visible disability is "See the person, not the disability." When it's invisible illness it's important to "See the person, acknowledge the disability." 


If
you've survived Part 1, here is Part 2 of my rant on the Top 7 Offensive Things
people have said to me about my illness.
 



4.   
Look on the bright side



Yes I know children are starving
in Africa and I should be grateful that at least I have [ type consolation here … ]



Call me harsh, but surely it’s up
to me to pipe up with the “there are people who are worse off’ line?
 I am indeed genuinely grateful for everything I have. The more I lose,
the more gratitude I discover. But it is zero consolation when someone else
points this out. I can point it out to myself thanks very much. 



A variation on 'there are people
worse off' is 'everyone has something to deal with' and 'things happen for a
reason'. If that's what you believe, fine. But don't insult the sick person who
is struggling to get through every day and wondering whether it is all
worthwhile, by triviliasing their illness and telling them to look on the
bright side.



5.   
Uninformed advice



The best advice I receive is informed advice that takes into account the long journey I’ve been on. The worst advice is uninformed, ignores where I’ve been and
assumes there is a quick fix to my condition that I stupidly haven't
considered. 



Those remaining in my life know I'm an
encyclopedia of digestive illness and loathe being patronised by people with
so-called good intentions. So beware if you read an article in a women's
magazine about Yakult and feel the need to insist that I try it, because the
odds are I'm streets ahead of you.  At least engage in my journey for a nano-second and take the time to
ask ‘have you tried it?” 



Don't get me wrong, if there’s
something I haven’t considered I DO want to know about it and will be forever
grateful if you stumble across the Silver Bullet I haven't. However context is
everything and the proverbial road to hell is paved with good intentions. It seems that others want to wash away the discomfort they feel around your
illness by offering a quick fix so they can feel like they’ve cared – and move
on. If they really wanted to help, they would stop and ask.






6.   
Try to Relax / Meditate



Like Forrest Gump and his box of
chocolates, people with digestive illness never know what they're going to get.
The end result is that our days are often a physical and mental roller coaster
that follows the digestion of our food. Each twist and turn must be deftly
negotiated or we crash. Add to this the unpredictable mood swings and fatigue
that go with digestive illness and we often end up a mess.



There is nothing relaxing about
life on a roller coaster or the financial, employment and relationship challenges it poses. Try meditating on a roller coaster and see how long
you last.  If you are a sick person who has managed to do this I applaud you,
but it's not possible for everyone.



Not Saying Offensive Things means
feeling the person’s pain without needing to fix, judge or run away. It doesn’t
mean you have to carry their pain, but do the person you love a favour and
don’t invalidate what they are feeling. It’s hard enough to talk about the
journey of invisible chronic illness in a world that thinks there is nothing
wrong with you because you don’t have a satisfactory label and look perfectly
normal. 



7.    You don't look sick


As they say in TV News:  No Vision = No Story.  


I have learned that no matter how
often I try and explain my invisible illness, words cannot replace the
appearance that I am well and coping. Nothing reinforced this like the YouTube farewell message from author Bryce
Courtenay who looked and sounded remarkably well only a week before dying of stomach cancer. 



Invisible illness has opened my eyes to the many lives of quiet desperation lived by seemingly normal people going through all manner of private hell.  People with invisible illness live in a world that expects us to cope, so we do. We try to avoid
unleashing too much of an emotional burden on our loved ones when there's
nothing they can do to fix us.  We also fear that many relationships would not withstand
the truth. 



Yes we often seem well. That’s because we choose to engage with others when we're coping, not
when we're falling apart. Yet coping is not as easy as we make it look. 
Should we have to collapse in a screaming heap to have our limitations taken
seriously?  No. It would be embarrassing for us, awkward for
those involved and serve no purpose whatsoever.



Yet when we do tell how it is, our reality is so
often deflected in the form of uninformed advice, look on the bright side, an
invitation to dinner or to go and get laid (!)  Not to mention those who simply
disappear. In the face of this we have little choice but to stay silent or
isolate ourselves from those who have proven unable to listen and unwilling to ask.



The people I’m most grateful for
are those who accept me the way I (now) am without making a fuss. They don't
judge me, try to fix me up or ask me to do things I can't enjoy. Common to these
relationships is mutual respect of boundaries. They respect my independence,
remember my limitations and check in occasionally to let me know they care. In
turn I respect that they have busy lives, avoid burdening them overly with my illness
and don't expect them to fix my problems. 



Advice for friends partners &
family?



The next time you feel like
telling a chronically ill person that they seem fine, phrase it in a way that
acknowledges how they say they are, not just what they look like. Acknowledge
the inner daily battle they endure.



"You seem fine, you do a
fantastic job of coping."

"You look well, you are doing a great job of holding it together."
 "You seem fine, so please
tell me if I can help because I would like to."



The sick person will then have
space to respond "Well there are worse things / everyone has something to deal
with / things happen for a reason etc – if they want to.



The best advice I can give to
friends, partners and family to support a loved one with a frustrating
invisible illness is to deal with your own emotions first. Fix yourself up
before you start on them. If you don't find a place for your
emotions, then you are likely to inadvertently dump them on your loved one. So
whether it be powerlessness, grief, denial, martyrdom, resentment, rage, frustration, disbelief  – acknowledge it and put it in a place where it won't
sabotage your relationship. If necessary get professional help or join a
support group. Write a blog.  But don't inflict it on the sick person in
your life.



Of course if someone takes
advantage of your kindness, you may need to set boundaries. But most sick people
know it's their job to take care of themselves.  We just want acceptance
and a sympathetic ear occasionally. 



How Not to Say Offensive Things – Part 1


I used to think the
worst thing in life was to end up all alone. 
It's not.
The worst thing in
life is to end up with people who make you feel all alone.
Robin Williams

How Not to Say Offensive Things - Part 1



I recently discovered an article by Psychologist Tamara McClintock Greenberg on Providing Support: How To Talk About Illness  and
chuckled as I read her concluding advice “Be present and try not to say
offensive things”.  Her article immediately inspired a rant on the Top 7 Offensive Things people have said to me about my illness.

1. Come out to dinner, we just want
you to feel included



At the top of my list of
offensive things to say to someone with major digestive illness is “Come
out to dinner we just want you to feel included.”  Yeah right. I
really feel included sitting there exercising supreme self-control
watching you gorge yourselves while I eat a lettuce leaf.

You wouldn't ask a person in a
wheelchair to dance without considering their limitation. Why
ask someone with digestive illness to a meal without considering theirs?
 Sure, some will appreciate the invitation and only require minor
modifications to their meal or venue, but for others the Russian Roulette of
food intolerances, the temptation of foods that will end in disaster and the need to constantly explain themselves or
inconvenience others may be something they prefer to avoid. The only way to
know, is to ask.


There are so many things people can
do together, and so many ways to stay in touch. If you want someone with major dietary limitations to feel included why not choose something that doesn't involve food.  Dining out is not a spectator
sport.

2. Go find a Man

An amusing variation on
“Come out to Dinner” is "Why don’t you start dating / go and
get laid “. I kid you not. These comments were unleashed on me by close
girlfriends in circumstances where I had repeatedly told them how I was
struggling with my health. Initially I accepted their invitations to
go-find-a-man with good humour, until I realised they were indifferent
to my protests as to why this was out of the question. 

Without TMI, suffice to say that
every mucus membrane in my body has been affected by years of digestive
illness, not to mention the affect this condition has had on my energy,
hormones and mood. To suggest I am well enough to enjoy a bit of rumpy pumpy
(possibly after enjoying a robust meal?) is as good as telling me that I’m a
total hypochondriac.  Frankly, if that's support then I can do without it.


It's understandable that we with
invisible illness and vague diagnosis will be doubted. What hurts is not being
given the benefit of the doubt by those who say they care. It seems
no matter how many times you tell some that you are (unfortunately) no longer
the person you used to be, they still expect you to be that person. Most of us are already grieving for what we have lost – we don't need to
be reminded about it. 

3. Silence

One reader wrote:

No one ever said
anything offensive to me, but rather had nothing to say and even just
disappeared from my life.

I am exceedingly grateful for
those who have stood by me. They don't fuss, but nor do they ignore my illness
and the affect it's had on my life. They accept the new me. They regularly make
the effort to pick up the phone or invest a minute in an email or text message
to see how I'm going.


"How are you feeling?"

“Haven’t heard from you for
a while, are you still sick?”

“How’s it going? Are you
well enough to catch up?”

"No? Hey that's tough. So what's
the latest?"

 "Hang in there!"

Any contact that acknowledges
rather than invalidates my reality is welcome.


Anyone can be a good-time friend.
But when the party’s over the clean-up begins and the rubbish is put in a bag
and thrown out.  That’s how relationships work and that’s the relationship
journey we with chronic illness navigate. 

Advice for friends partners &
family?


If you are the person who has not walked away and has chosen to stay in
the life of a person with chronic invisible illness, then I commend you for
your loyalty.  But I also urge you to
take responsibility for your choice. Otherwise you many end up burdened by a martyred sense of duty that is transparent,
unsatisfying and unfair.

After all, there is no point
hanging around to be indifferent or passive aggressive, pouring salt on a wound
and inflicting a slow cruel death on the relationship anyway. No one is
served.  If you choose to continue the relationship you must know your
limits, boundaries and how much that person is worth to you.  You may be in
for a long haul.  Chronic illness is not for wimps. 


If you're still determined to
stay, here's my advice.  The slogan of people with visible disability is
"See the person, not the disability." When it's invisible illness it's
important to "See the person, acknowledge the disability."


DO show concern and
consideration, without making a fuss. Acknowledge the reality of your sick
loved one's life, don't invalidate it. No one is saying you have to be a
doormat, but don't make things worse for your loved one by ignoring the
limitations their illness imposes.


DON'T make their illness bigger
than it is either. Leave space for them to talk about it, but don't force it.
Don't embarrass them in front of others by drawing attention to their special
needs or expecting their illness to come with a large print user-guide and
calendar. Don't make your loved one feel bad for being sick.  Beware the
passive aggressive eye-roll and the pregnant pause.


DO quietly get on with what has
to be done to accommodate the unwelcome visitor in both your lives and DO take
responsibility for your emotions. There is a limit to what you can do for a
sick loved one and this can be very hard to accept. DO seek support outside the
relationship if you need it.


Most importantly DON'T kid
yourself that you mean well or are just trying to help if what you're offering
is not what the sick person wants or needs.  DON’T put your loved one in a situation where on top of everything
else they are dealing with, they must humour your good intentions. To do so is
to indulge in an act of gratuitous self-stimulation along the lines of "this
feels so good for me it must be good for you too".


By now you are thinking
“Well Tracy, err… you're rather harsh. Everyone’s different – how am I
supposed to know what someone else needs to feel supported?" Well err.. just ask, listen and remember rather than assuming, dismissing and forgetting.
 It's quite simple really.



How Not to Say Offensive Things – Part 2


              Friends are those rare people who ask how you are and then wait
for the answer.

                                                              Author Unknown


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