One of the things about being in love with the best person in the world is having to share the TV time. Whilst young J and I have similar tastes, it doesn’t always extend to our viewing choices. For example, I could watch ‘Come Dine With Me’ and ‘Four In A Bed’ every day. If I do, J retires to our music room and plays her piano, listens to music or reads one of her classic books. But we do occasionally watch the same TV programme. Last week it was a catch up version of the Netflix hit ‘The Queen’s Gambit’ – Episode Five really resonated.
It was the music in the soundtrack
that caught my attention; part way through there was a slightly jazzed up
version of ‘Classical Gas’. Older readers of this blog will perhaps remember
this instrumental, young viewers have a listen (and watch this version played
with consummate skill by Gabriella Quevedo) here. It
was an instrumental piece written and first performed by the US guitarist Mason
Williams in 1968. Personally, I think Gabriella’s version is far superior.
There was another reason for the music catching my attention. Way back in 1976, I was on a student nurse placement at a day centre that
specialised in psychodynamic interventions. It was one of the best placements
of my nurse education. One year into my pre-registration education and training
programme I fell in love with psychotherapy.
Sadly, I never got to qualify as
a psychotherapist. However, I did use psychotherapeutic approaches in my work
as a mental health nurse, and much psychoanalytical theory underpinned many of
my publications. I was aided in this regard by my long time writing
collaborator, Professor Sue McAndrew, who is qualified. But I digress. On that
placement I met a young man in his early 20s, who I shall call Ralph. He was
withdrawn, angry and very difficult to engage with and smoked incessantly. He
had long nicotine-stained fingers. Amazingly now looking back, at the time many
mental health nurses smoked and one way of engaging with patients was to have a
cigarette together. I was one of those nurses.
Ok, I cannot resist another
slight digression. Many years ago, I would show extracts from the 1948 film ‘The
Snake Pit’ to nursing students in Finland. These were Finnish students
undertaking their entire nursing degree using only the English language. They
were very bright, enthusiastic and a real pleasure to be with. It was a great
film to take extracts from to show the cultural changes that have happened in
both how we treat and care for people who experience mental health problems and
societal attitudes to mental health and wellbeing. It’s still possible to buy a
DVD of the film from Amazon. Almost all the healthcare professionals in the
film smoked.
He told me he had learnt to play
in school. Playing music was one way he could escape into himself and away from
the realities of his home life. I never found out what the realities of his home
life were, and back then I would not have had the skills or knowledge to be
able to respond therapeutically in any event. However, my interest in understanding
the impact childhood abuse (in all its various forms) might have as the child
becomes an adult was very much stimulated by that placement, and eventually
Prof Sue and I did quite a lot of our research around child sexual abuse (CSA).
Even with a great deal more awareness of the vulnerability of many children and
young people, still today, one in five adults aged 18-74 have experienced at
least one form of child abuse (emotional abuse, physical and/or sexual abuse)
before the age of 16. That is a staggering 8.5 million people. Of these, some
3.1 million were victims of CSA before the age of 16, with a much higher prevalence
rate for females than males. You can find out more here.
Last Friday was #PurpleWinter, an
annual social media awareness-raising campaign that asks people to wear
something purple and share photos of themselves in support of the need to spot,
and stop CSA wherever this might occur. The campaign was started by the former
football player David Lean, who played for Preston North End est. 1875. He was
sexually abused by his trainer, Barry Bennell. What is important about raising awareness
through the #PurpleWinter campaign was that David Lean didn’t report his abuse until
he was an adult and then the authorities didn’t believe him or take action. Which, I would argue, in itself is almost a
form of abuse.
So, if a child does approach us
and starts to talk about how they might have been abused, we should let the
child tell their story in their own way and at their own pace. We should remain
calm and demonstrate we are listening and believe what the child is saying.
This can be difficult as the natural inclination will be to ask lots of
questions. Above all we should find a way of reassuring and supporting the
child, but absolutely report what has been disclosed. Early safeguarding intervention
will always be better than dealing with mental health problems further down the
line. As I write this blog, I wonder what became of Ralph and whether like the beautiful
music he was able to play, he was able to find that inner peace also. I hope
so. Me, despite many years of practice, I still cannot play Classical Gas all
the way through.
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