Paradigms of Mental Health

This week started with a visit to Liverpool to take part in an Open Space session titled Paradigms of Mental Health. The event was organised by NHS Research and Development North West, and co sponsored by Chester University and The RSA. I’m a big fan of Open Space technology, and when you combine that with the curiosity which fuels the NHS R&D North West team, the chances of an interesting event are high.

On arrival it quickly became clear I knew hardly anybody in the room, and while that might be briefly unsettling, it’s a good indicator of what’s to come. Open Space works really well in a group where people are largely unfamiliar with each other.

As we began the session, we were invited to make use of a device I’d not played with before, the Zine. Monica Biagioli, Senior Lecturer at UAL : London college of communication, offered us each a folded and cut piece of paper, onto which we were invited to record notes, doodles, anything which helped us to make sense of the conversations we took part in. I made notes as I listened, walked, and talked. Here are the two sides of my finished Zine.

Something which interested me about this device is that it can be folded into many shapes, and in doing so, some of the notes get transposed, ending up alongside new neighbours.

Folded Zine

The event was fascinating – a rich variety of subjects were offered up for discussion. A report will be published from the event and I look forward to reading that. For now – I just want to share a few snippets which caught my attention:

  • Having a sense of permission for self care
  • Arts based methods heighten our sense of embodiment
  • Reframe – focus less on what is wrong, more in what is right
  • Feeling powerful in playfulness
  • Arts as ways to normalise experience and share with others

The afternoon passed far too quickly, a sure sign people were thoroughly engaged in the process. As I headed back to London I folded and refolded my Zine several times on the train. I’m really enjoying the device as an aid to reflection and as a way of stirring thoughts up a little. Thank you to the team at NHS R&D North West for making this event happen, and for extending the invitation.

Footnote:

I arrived early for the event, and had just enough time for a quick walk to Tate Liverpool to see the Lichtenstein room. Too often when we travel for our work – we arrive, do our thing, and leave. I like to make time to experience something else beyond the immediate work when I travel, and on this occasion, I managed it. It was lovely to spend a few minutes in the presence of works by an artist I admire, some more familiar, some less so.

 

Stepping Off

I’ve walked a long way since I first wore my Fitbit on December 27th 2014. 13,992,079 steps, or 6,606.28 miles if you prefer. I can only recall forgetting to put it on once or twice since then, one of those occasions being when Carole and I enjoyed two and a half days walking a section of the South Downs Way. All those unrecorded steps, lost into the ether. More importantly, what a fantastic walk we had!

For a while, My Fitbit was helpful in encouraging me to be more active. For a while. A couple of weeks ago I wrote about my growing discomfort in realising that when I responded to various Fitbit challenges I ended up walking primarily to win the challenge, not to enjoy the walk. At that time I consciously broke a 40 day streak of walking at least 10,000 steps a day, feeling satisfied that I’d noticed my dysfunctional behaviour, and stopped it.

The following two weeks were filled with walking for all the right reasons, and if anything, breaking that streak freed me to walk even further, and enjoy it even more. Sunday morning just gone, as I sat admiring my previous two weeks efforts, it dawned on me that in breaking that streak, I’d not so much broken the pattern of behaviour, just shifted it slightly.

I went on to enjoy a day of Fitbitless hard graft in the garden, and today I’m on my way to Liverpool to attend an event about mental health, minus my Fitbit. I appreciate the initial nudge my 2014 Christmas present provided, and I’ve certainly had my money’s worth from it, but we’re through. I’ll keep walking, blissfully ignorant of precisely how far, and without accumulating any more ‘badges’. The data is no longer helpful.

As an aside I’m left wondering, in a workplace environment where we’re encouraged to gather more and more data, rather than blindly following the herd, should we be asking more questions of each other? Questions like:

  • Why are we collecting this data?
  • What will we use this data for?
  • How long do we need to collect, use, and keep this data?

I used to think it was fine for employers to gather pretty much any data on their workforce. Now, I’m not so sure. Just because we can measure stuff, does it mean we should?

Footnote: I’ve now deleted the app from my phone and asked Fitbit to remove all my data from their systems. No going back. A friend wrote to me saying, ‘I applaud the abandonment of the prison bracelet. The Quantified Self is dead, long live the Qualified Self.’

Time To Talk

The longer I left it, the more difficult it became.

I’ve not been feeling well lately. When I say lately, I mean months and months, maybe even a year or two…I’m not entirely sure. What I do know is that I’ve been carrying this unwellness around in my head, keeping it from my family. Wanting to talk, and never knowing what to say.

I’ve played conversations out in my head over and over again. They nearly always seem to end badly and I take that as a sign that silence is probably the better option. I choose to isolate and withdraw, most notably from those closest to me. Over time, I slowly become aware of three things. A lack of self care, a lack of motivation, and a surfeit of anger, most of which I internalise. It’s fair to say these things are not constant, and there are better things in the mix too, however this unwelcome trio are occupying too much space.

What might it take for things to shift?

Last week, I stumbled on this photographic tweet from Holly Davis, the poem is by Rupi Kaur.

This idea has always resonated with me and my work. One of the biggest causes of friction and failure when it comes to change and organisational development, is our reluctance to take responsibility. It’s easier to apportion blame than take responsibility, yet apportioning blame often anchors you in the past, while taking responsibility can create space to rebuild and move on.

I realise I am responsible for internalising how I feel, and while I do not and should not feel a need to pass on everything that’s flying around inside my head, acknowledging and taking responsibility to speak is vital.

Sunday morning after breakfast, it all comes out. What ‘it’ is need not concern you, but what’s important is that in speaking, listening can occur, shared space can be found, and empathy and understanding is generated. Thank you Carole, I’ll not leave it so long next time.