The Huntington's Scene In
New Zealand
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Graham Taylor
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Articles taken from the MARCH
2005 Huntington's News. The Quarterly Newsletter of the Huntington's
Disease Associations of New Zealand |
Emotional
Support for Carers
Adam McLean, Counselling Co-ordinator, Carers NSW
Relinquishing care
You begin with all this compass/on but as time goes on, my nerves have
dried up and Im on a tight wire, ready to go off at any moment. A carer speaks
of caring for her son. As time goes on she is left wondering how long she can continue,
and what alternatives there are. The compassion she began with has eroded and she finds
that she is fearful as her own health begins to fail. She cant afford to get ill.
She is getting older, more tired and is exhausted. She is fearful of the future - will she
be able to continue doing what she is doing indefinitely? Relinquishing care is not an
option as she has committed herself to see the care of her son to the end. Her son has
lived longer than expected - a great and wonderful validation of her love and care that
she has provided.
But what happens when the carer is no longer able to continue caring.
Relinquishing care is not an easy decision for anyone to make and is
often absent in discussion with carers. It can mean different things to different people,
such as, being judged as a person who is not able to cope, of letting the person you care
for down, being selfish and punishing the person you care for.
The Macquarie Dictionary provides the following meaning of relinquish:
to renounce or surrender, to give up, put aside or desist from
and to let go
This concurs with the sense of what carers say about what relinquishing
care means to them -I am letting the side down and giving up on.... Also,
along with the sense of letting go or giving up, is the aspect of bereavement. Again the
Macquarie Dictionary provides some insight to the meaning:
to deprive ruthlessly especially of hope, joy and to take away
[violently], become obsolete
Again this aspect of renouncing the person you care for can feel like a
psychological attack on the carer, that to consider this seems almost violent and the
carer is left feeling obsolete no longer in use, being discarded.
Who wants to put themselves through this myriad of emotions. One carer
describes it as being like a roller coaster and you cant get off unless you
hold on tight and pull the breaks and often the outcome is to stay with it and not
let it enter your mind it feels too awful to consider as I would never
forgive myself. For carers making that decision is extremely difficult and more
often very painful and agonizing.
Often the decision is made under very difficult circumstances
and at a time when the carer is exhausted and stressed
For those who do make the
decision, it seems as though they have been judged. This of course can happen on a smaller
scale in that the carer can feel that using respite whilst being very welcome and needed,
is in itself a form of relinquishing care.
There is no easy
solution to reaching a decision in this difficult task. It is extremely personal and
intimate. One of the areas that a carer can think about is the meaning that is attached to
the thoughts of what relinquishing care means. One of the helpful ways I use when working
with really difficult decisions is using journaling techniques and especially
mind-mapping, this is also known as clustering. Its a way of brainstorming ideas and
generating solutions and ideas to problem situations.
Start by placing a word
in the centre of a page. This can be any word: an emotion, person, place or event. You can
choose the word relinquish or another one that is sitting with you at the moment.
Put a circle around it. Then think of whatever word comes to mind when you think of this
first word. Put a circle around this word and connect the two words. Continue this process
until you come to a natural end. Return to the word in the centre and repeat the process.
Do this as many times as
you need until you cant think of any more ideas. Instead of going back to the word
in the middle, you may want to start a chain from another word that you have described.
What do you see? You may well notice that words are repeated and form chains. Repeated
words and/or similar words can indicate themes and patterns that are happening in your
life. These words can alert you to action you need to take or decisions you need to make.
Often when there is a
difficult decision to make, is usually when we become flooded with strong emotions that
stop us from exploring and making the decision. In bringing some of the hard decisions out
in the open, more often than not the process begins. You can apply this simple tool to a
lot of your decision making not just to the really hard ones.
Acknowledgement: Carers News the
newsletter of Carers NSW, Inc, August 2004
Acknowledgement:
Gateway
Australian Huntingtons Disease Association (NSW) Inc
Volume 7 No 6 November/December 2004