Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Necessary Adaptations
Acquiescence and inaction
Aggression
Dependence
Reluctant Acceptance
Complete Reliance
Necessary Adaptations:
Acquiescence & Inaction - Mark
R: Then when I was in the hospital and the guy across the street (the
hallway) from me, he was a older guy too, maybe 60 somewhere, you
know, there. From his window, he’s trying to talk to me, he’s going like
this: “Give me some water, water,water, water.” And I’m saying, “how
can I give you some water?” [Laughs] I’m locked in. . . . And the guard
comes, and they open the guy’s room. He was dead. . . . So that’s what
happened . . . he tried to get from the bed to the toilet, and that’s when
he had his heart attack. So . . . that was a hell of an experience . . .
I: And why was it such an experience for you?
R: Because they made a big issue out of it . . . they made me sign
papers. . . . Like saying that . . . it was a accident—I told them, I don’t
hear, I don’t see, I don’t know, man. “All right, sign here,” you know?
And . . . they had the people (other inmates) to sign papers too . . . that
they (the prison) were not the cause of his dying, you see what I’m
saying? When actually maybe they coulda helped him. Had the door
been open. See?
Complicity with the system provided protection from its
brutality. Tacit consent led to inaction: moral action
was pointless and would result in more punishment.
Class Question
How do you think this incident
influenced Mark’s ability to function in
free society? (This was only one of
many in his life.)
Necessary Adaptations:
Aggression - Matthew
R: . . . prison made me a very violent person . . . I learned that
you don’t stop until somebody else has stopped . . . that’s what
prison did to me when I first went in. It made me into a predator.
. .. the first time I actually seen somebody get stuck, stabbed.
Fucked with me for over a month . . . I’m standing on the yard
and one of the guys come said “Excuse me, you know, I have to
get something” and he pulls out a rusty piece of steel and
virtually goes, puncturing it into this guy. He sticks it in about 27
times, and it’s like I’m new in the system, and everyone else has
just adapted to it; it’s a common thing, and I’m over there
freaking out . . . It took me to actually do another violation
(another sentence) and to actually have to do it to someone else
for me to get used to it. This is just common. You would prey on
someone or they would prey on you.
An aggressive stance garners respect (fear
from others) and creates safety in prison. At
home, it can lead to alienation and
reincarceration.
Dependence:
Reluctant Acceptance
Did not want to acknowledge their acceptance
of and reliance on the correctional system to
take care of them
Participants were unable to succeed or remain
in their home communities for long periods
Dependence:
Reluctant Acceptance - Louis
R:. . . I start getting scared about leaving (prison) . . .
’Cause I don’t know where to go. So I know I’m gonna
be homeless. Nowhere to sleep. Do you know what it
feels like, not having nowhere to sleep? Or waking up
somewheres and it’s cold or rainy, and you don’t know
where you’re gonna go? You’re stuck outside. So I’m not
really looking forward to going to the streets sometimes.
So I get to—you know, I don’t care. So what I do is what
I do best—is go get some drugs and don’t worry about
when I go back.
Prison may be unwanted but community life is
often marked by isolation, poverty, and addiction.
Class Question
If you were Matthew’s or Louis’s clinician
what else would you want to know
about them to better understand their
experiences and circumstances?
Dependence: Complete
Reliance
Dependence: Complete
Reliance
Dependent on prison system to meet
basic needs and higher-level activities
Correctional system provided a
structure not available in the free world
Dependence:
Complete Reliance - Luke
R: I’ve made life-long friends there. You can learn a lotta things, and
there’s programs you can take advantage of . . . prison can be helpful. .
. . You’re gonna learn to go to work on time. . . . There’s things that you
have to do there that you don’t have to do on the streets. And it makes
you somewhat be more responsible and be a man . . .
I: Why does all of that fall away when you get out?
R: It’s easy. You don’t have to pay for your room and board. You don’t
have to get a job. It’s gonna be provided for you. When you come out
of prison, there’s not resources available to you. Your job’s not like right
around the corner, a quarter block away at the kitchen. Or your
laundry’s not gonna be brought back to your dorm, and you’re just
sitting on the bed, so you fold it. And you gotta go out and get meals
and have a place to cook them. It’s not at the chow hall, where
somebody can make it and wipe your table. So there’s lots that’s
provided for you that, when you come out the gate, it’s not provided for
you no more. And it’s a lotta stress to find those things.
Prison provides a structure and support system
often not available in the free community.
Conclusion
Necessary adaptations were useful for prison life but ineffective for life in free
world.
Unconcerned about what happened to them upon release from prison and often
used drugs to manage the alienation and stress of free world life.
Reluctant but grateful. Prison was unwanted, but it provided security, comfort,
and companionship not accessible to them in their home communities.
Interest in and understanding of parolees’
complex circumstances can encourage their
engagement with the health care system.
Overview
What empathy is
Why is it important to your practice
NVC Empathy - a way of using empathy
Empathic listening exercises - (Fun!)
What is empathy?
What is empathy
Identification with and understanding of another’s
situation, feelings and motives
The action of understanding, being aware of, being
sensitive to and vicariously experiencing the feelings,
thoughts, and experience of another without having
the feelings, thoughts, and experience fully
communicated in an objectively explicit manner.
What is empathy?
There is then a direct grasp of what is
right there before you that can never be
heard with the ear or understood with
the mind.
- Chuang-Tzu
What is empathy?
The parolees say, “do you feel me?”.
Empathy is a powerful
healing tool.
Why is empathy important?
When…someone really hears you without passing
judgment on you, without trying to take responsibility
for you, without trying to mold you, it feels damn
good…When I have been listened to and when I
have been heard, I am able to perceive my world in a
new way and go on.
- Carl Rogers in Rosenberg (2005), p. 113
Other reasons why empathy
is useful
Allows for a full understanding of the
patient’s problem or need
Equalizes the power dynamic
Offers you protection
Sustains you in your practice (self-
empathy)
NVC Empathy - A way to use empathy in
your practice
Observations
Feelings
Needs
Requests