Monday, October 31, 2011

Learning to act right (22)… Threatening to threaten – making sanctions clear


Learning to act right (22)… Threatening to threaten – making sanctions clear
Torrey Orton
Oct. 31, 2011


A reader wondered how I could "threaten to threaten"* someone – in that case, threaten a protestor that I might seriously threaten him and his accomplices for their harassment of patients. That is, that I would take aggressive action to injure them in some way (not physically). The actual objective would be to shame them in the theatre of their choice for shaming others. A brief discussion about the situation with a verbally facile buddy delivered a string of punch lines, advertising hording material and such in 3 minutes, so I know it's doable.


"Threaten to threaten" goes like this:
  • Decide, preferably with the other, what our mutual expectations are for a specific activity.
  • Establish to myself that potentially serious shortfalls in their performance seem to be happening
  • Formulate appropriate step(s) I might take to sanction them for breaking our agreement(s)
  • Invite them to discuss how we are doing with our mutual undertakings
  • Have this discussion in private; if necessary, out of sight and hearing of others with an interest but not a stake in your relationship
  • Make clear that what I am about to say is a threat to threaten more seriously at a later time if things do not change in the specific matters of concern to me.
  • Conditionally offer an actual threat I might use ( if you / then I type of formulation)
  • Note their non-verbal reaction to the threat – are they shocked, etc.
  • Check it is clear to the them
  • Check their perception of the appropriateness, intensity, focus, etc. of the threat.
  • Invite them to consider changing their performance….Consider changing my threat.

     
The next step would be an announcement that the threat is about to be executed, if they fail to respond appropriately. Then, do it.

 
People often wonder why others don't take them seriously in everyday life interchanges, especially in pursuit or defence of their own interests. All too often this, on examination, is because they have not been clear about their expectations / needs with those others. Being clear is not easy, especially under pressure. Both sender and receiver, to use an old, simplistic but resiliently tenacious image, are likely to have their communication machinery befuddled.


There are at least four virtues of the "threaten to threaten" tactic:


One, the ethical part of this is not dropping a surprise punishment on someone which they might have escaped if they knew one was coming for certain behaviour(s). This virtue is the private version of the management principal that leaders are morally obliged to warn their staff of dangers arising for them from contextual factors they could not know or guess by themselves – an impending buyout, default, bankruptcy, catastrophic technology or market developments, etc.

 
Two, the threatened threat may elicit the other's perception of our needs, our shared circumstances, or their needs, which may change the understanding of the total context. In other words a challenging event may increase our understanding of the realities we are in, if we engage it in a challenging way, out of the heart of our needs.

 
Three, threatening to threaten shows that we can act with effective restraint in strong ways without blowing things up irreparably, that we can act with strength and focus in appropriately modulated ways. Perceived self-control may increase the potential for negotiating difficult matters. Threatening to threaten demonstrates such control, as do other tactics like self-disclosure, and self-rebuke.

 
Four, the first three above may deepen and humanise the relationship in question.


*I learned this tactic 20 years ago on the negotiation training ground of Effective Negotiation Services. The basic influencing idea is do not threaten if you do not mean it. A fake threat is worse than no threat, especially when it establishes your bottom line or walk away position so the other party knows that an end game is approaching and can better gauge their need to win at all costs. If your 'Don't tread on me' point turns out to be posturing, expect to be counter-postured into even greater losses.

Wednesday, October 19, 2011

Preface to a counter protest – Defence of the FCC


Preface to a counter protest – Defence of the FCC
Torrey Orton
Oct. 19, 2011


The purpose of this paper is to establish the context for design of an intervention to change the outcomes for participants in the processes which occur here. It arises from our – Charles Brass and my - participant-observer experience at the FCC since early July this year.

The Fertility Control Clinic's front gate is a frontline of the struggle over life and death rights in Melbourne. There a group of Catholic protestors meet six days a week at 7:30am to protest patients' moral rights to a legal service authorised by elected representatives of the people of Victoria three years ago. Their protest expresses their unflagging commitment to expunging this parliamentary offence against the revealed word of gods.


Our goal is to improve the FCC patient experience by reducing the negative effects of the protestors' manner and methods. To do so we have to take into account all the players, direct and indirect, in the theatre of the public patient experience. Anything we do which increases patient stress is not a viable strategy. By chance, so far, the net effect of our presence has been an unintended positive for patients. Our presence appears to constrain protestors' harassing behaviour. We did not set out to do that at the start. We do now.

There is a set of regular players in this drama – the protestors, the security guards and large numbers of local residents and locally officed workers who pass through the frontline the five work days the FCC is open. The sixth is quieter.

The theatre of protest – a gauntlet to run

The typical 'facts' are simple. This is what you might see repeated perhaps twenty times a day:

The set: a two way black top with one lane access in the middle; one verge marked with a white line the other corralled by a 6 foot stone wall; midway is a recessed gateway with Fertility Control Clinic advised in large letters.

Onto this set six days a week between 7:30 and 10am a pregnant woman, with partner or family member(s) accompanying, walks along the footpath on Wellington Parade, East Melbourne, to the gated entrance of the Fertility Control Clinic. If she is coming for an abortion, she may be filled with conflicting feelings amongst which anxiety, shame and guilt may predominate. She may also have been told to expect watchers in wait for her – the 'pro-life' protestors whose aim is the reversal of the recently (2008) legalised practice of abortion in Victoria, and so they will explicitly and openly disapprove of her walk.

As she approaches, the protestors first appear standing on the curb side of the footpath. A couple, both men, have display boards dangling from their shoulders like spruikers for a year 8 sex-education class… 3D plastic portrayals of early stages in foetal growth and screen prints of ultrasound scans. A security guard, whom she perhaps has not even noticed, signals to her that she does not have to talk to the protestors.

Next, the patient encounters an 'offer' of help, often from a female protestor, to see her experience in the light of the only Catholic option – birth. She accepts it by stopping to talk or refuses by walking on by, sometimes with a verbal clarification on the way. Some protestors push their offer beyond the patient's refusal, to the point of attempting a verbal assault unless physically blocked. The patient's last message from the uninvited outside world may be "Don't kill your little baby…" as she's entering the inner world of the Clinic. Its door is always locked. Only a guard can admit her.

The 'set' – an emotional portrait

I have been a watcher, too, standing with the security guard for the Clinic, watching the watchers and at times explicitly protesting their protest by physically blocking their access to arriving patients who made it clear they did not want to hear from the protestors. The mood of this setting is just below the physical violence threshold. The guards and protestors have faced each other across the footpath for months (and years in some cases). Each day is a stream of boredom1 with sharp irruptions of rough water as a patient comes into view and a dance of offer and protection as in the theatre above is stepped out. The boredom produces a slow build of inexpressible energy which even the protestors occasionally fall victim to in moments of baiting the guards. For protestors and guards this is an experience of waiting with fear and anticipation. Fear roused by possible conflict runs from slight discomfort to irritability thru frustration on into anger and occasional rage. It is expressed in a running background struggle between protestors and security for judicial ascendancy: who can prove who is harassing who? Who can catch who fudging local short term parking rules?

Anticipation adds an edge of fight to the fear's possible flight - a situation poised for action; players waiting to take up their roles; the boredom of no patients being present holds them in suspension. This edgy experience fills about 2 of the 2 ½ hours each morning. The ½ hour of action is approximately 20 X 1 minute flurries, each event having its own specific, unique dramatic energy as the dance of entry plays out.The protestors and the guards both see the other as more powerful than themselves, and so threatening. The guards have physical and legal power on their side, though they have very limited right to use the physical – much less so than in other security contexts like night spots. The protestors have persistence, baiting and the niggling stretching of the notional behavioural limits of public protest on theirs. Both spend time trying to catch the other out in derelictions of roles. Hence the role of cameras in the daily drama, especially at moments of patient arrivals.

Patients walk into this set already tuned to potential assault from without by the assault from within of their own feelings. Refusing a protestor's offer is culturally more difficult for some than others, as it is psychologically more difficult for some than others. The simplest evidence for the acceptance which is not an acceptance is the number of protestor handouts given by patients to the guard as he accompanies them to the locked front door for which only he has the key. The guard's slow ritual shredding of the handouts in the protestors' faces completes the loop of patient refusal.Behind the scenes…

All of the regular players – protestors, guards, local residents and locally officed workers - are aware that this clinic is the symbolic centre of resistance to the Catholic, and other (religious) fundamentalist, "pro-life" protestors. It is not a political playground. A guard died here 10 years ago at the hands of a madman2, armed in part with the beliefs offered by the protestors to arriving patients. The protestor's case against the FCC sits, in part, on a thorough misunderstanding of what professional counselling's role is in clinics like the FCC. As has been explained to me first hand, that role is first to help generally with patient understanding of their fertility issues and second to help sort through the personal implications of a pregnancy, checking that all implications and options have been taken into account, including proceeding to normal birth.

It is professionally unethical to promote a particular patient conclusion as much as to hide a medically understood, socially viable and legal option. Those charged with the welfare of patients do neither3, if they can. There is no complaint book suggesting the FCC's counsellors have compromised their role. Fulfilment of that role does not include any assumption of what the right resolution is for any patient, other than that patients' unintentional ignorance of factors and options may produce sub-optimal resolutions.

Reality photo shoots??

Think of yourself being paraded by fate before an avowedly prejudiced audience which seems likely to judge you as falling short in some painful regard – an audience which will record your shame and give it a life by reciting it as end of day stories to their families and friends. And, they'll have a photo record of it, too!! Welcome to celebrity health in the name of the lord.There is always a hidden camera in the dress of one protestor capturing the daily comings and goings. This occurs in other protested sites in Australia and the US. That the cameras are hidden means they are ashamed of their actions because there is no legal reason to hide them. They know it is an unwarranted intrusion. Private photographs of anyone are just that until they are made public at which point pay-for-use and defamation concerns arise immediately. They know this, too. We've discussed this explicitly with the protestors.

The bigger picture

We guess that for protestors the patients are both individuals making their personal way through life challenges and symbols of mistaken pathways at the same time – that is, representations of big ideas, not people. I know that some protestors label patients, and us4, as evil. In their symbolic form for protestors, patients are bigger than their own reality and so open to any influence process, and righteously so in the minds of protestors. They, the protestors, would not present any assaultive materials if they wanted to maximise low-emotion responses from patients. High emotion responses express automatic defensive reactions, likely to elicit an automatic rejection of the protestors' offer – the reaction of someone feeling punished by unreachable others.

 Because they are confused about their aims – helping the patients vs. helping the church achieve its mission of repealing the law – they assault as often as they solicit. One could say that any offer by a "protestor" under such circumstances is always a potential assault.

Larger struggles of this sort surround us in increasing numbers and depths. They take tangible shape in the human scale of face-to-face settings like the Clinic entrance on Wellington Street. That's just fine. However, this protest is executed through invasions of patient privacy in the open space between their transport to the Clinic and its front gate. They feel harassed, and 14 once-a-week participant observations by both of us support this claim. These are palpable harassments of visual, verbal and physical sorts. Research makes this observation more than a passing or stereotyped perception of ours5.

Onto this stage patients appear solo or in couples, in widely ranging states of disarray from the wholly contained to open crying. The core cast of protestors (in bunches of five or more) and guards (always only one at a time) can see them coming 100 meters away. The guards almost never mistake a patient for an in-transit local. The protestors, though more experienced than the guards (some being on deck at this site for 18 years) often propose their offers mistakenly. And if rebuffed by an actual patient, they are too likely to persist with a plea like "please save your little baby…" and follow them to the gate (unless blocked by the guard) repeating the plea over and over. At the same time, in the background, a visual assault is on offer. We know from the guards and patient reports that protestor actions are more invasive in our absence.

Disapproval and disenabling are the weapons of moral intimidation. The disapproval is obvious. The disenabling, more veiled. The agent of disablement is shame, with a backdrop of guilt. Shame is the public face of guilt and the passage from transport to clinic aggravates its power. Patients arrive in a context in which they are at best amateurs and are confronted by a working practice, an established order of things whose role players are thoroughly at ease with their purposes and moves, though not with each other!

Vulnerability and intimidation – the harassment equation

This makes the very presence of the protestors – physical, visual, and verbal – potentially invasive. It is especially so for those patients most affected by the experience of unwanted pregnancy. They are the most vulnerable and the least able to defend their vulnerability. In my most recent conversation with the most articulate and sympathetic of the protestors, there was no recognition of the immense power imbalance that patient vulnerability gives to the protestors, perhaps because they are so often unheard themselves.

They are aware that harassment is a matter of perception, but not that some perceptions of harassment have ethical priority over others. Clearly in counselling, patients' perceptions of their own vulnerability always comes first at the beginning of any work. This is also the medical rule. How else can we find out what they think/feel is wrong?I know the protestors are open to moral intimidation because I have quietly threatened to threaten them morally twice and the reaction was faster than the twitch of an eye offended by a wandering mote. So, they should appreciate their effects on patients, but the powerful seldom do appreciate their effects except as benefits to themselves. When I aim an openly held camera at them they shy away, while training a hidden one on me. Shame is a wondrous thing.

We are in the early stages of negotiating an agreement between all the players. Whatever form an agreed result might take, it will have to respond to the factors above. Keep posted.

1-boredom is a high energy state expressing one's frustration with a context with no accessible action opportunities, no way to focus an interest into anything.
2- see Dr. Susie Allanson's Murder on his mind (2006); Wilkinson.
3-declaration of interest: I am an AHPRA registered psychotherapist with a broad caseload of biopsychosocial disorders in which degrees of danger to patient viability are common; they are in danger from others or themselves.
4- "Fear the lord…" - In one of my more effective patient shielding efforts recently I earned the attention of a candle wielding, female, septuagenarian protestor's ire : "Fear the lord" she said drawing a roar out of her 4'10' body. I asked her later what she meant and she said (roughly) "…because it's written in black and white, thou shalt not kill and what you are doing is evil and the lord will come and take you away, snip, snip, just like that (with a snip of her fingers as if pinching off a wayward stem)."
5- see Hilary Taylor's Parliamentary Intern Report "Accessing Abortion – Improving the safety of access to abortion services in Victoria", June 2011.

Tuesday, October 4, 2011

Appreciation (38) …Poppy died today



Appreciation (38) …Poppy died today
Torrey Orton
Oct. 4, 2011
There's an absence here today


I keep expecting to see him in his usual haunts – before the dining room radiator, on our bed, beside the pond in a corner outside Jane's study. I have never known, or just forgotten, the absence of a presence in this way. It began early yesterday when I looked in the early half-light for him near the radiator and couldn't see him. He had shrunk it seemed, though on closer view was laid out in a relaxed, balanced array - head to the heater and back legs and tail fanning away from it on his two ply sleeping pad. And lifeless, already stiffening by 6AM.


Or is it the presence of absence that's happening? He howled his way into death earlier that night, already having lost much of his locomotion when his back legs failed under him as they had been threatening to do for a couple of months. He had woken about 2am and struggled around a bit and we went to see him and then left again and ½ hour later he set off one, the last it turned out, of his trademark howlings. This mimics with convincing similarity the roar of a lion, even to the pose of the head thrust forward and down a bit which gives throat to the sound - ouaagh, repeated on a rising crescendo of pace and volume, to tail off in a couple of fading breaths. Altogether, about 8 calls.


This performance was almost always elicited by emptiness, by rooms in which he found himself unexpectedly (?) alone. Audible in the street, neighbours say. This was his last alone, throated with the fullness of his late ageing self. Just to write it brings tears for me. Such a roar! He also beset the garden at times after meals as if some latent memory of a long not present competitor arose to take the meal off him.


We finally buried him the next day a few feet away and just as far down as his predecessor Moon's resting place in the enclosure outside the bathroom - like her, wrapped in plastic and topped with a rose and a sprinkle of white wine and tears. Later will come the azalea above.


Before that had already come the clean-up, especially of bowls. He had three flash water bowls of distinguished design: one outside the back door, two inside - one by the eating space in the kitchen and the other near the heater in the dining room. They supported his mild struggle with failing kidneys over the last two years. He, however, sought often the pleasure of more natural containers – pot plant saucers' remnant traces or the pond's more prodigious offerings – passing by the flash without a nod.


He was just 18 and been with us 12 years or so, after a neighbour offered him …his many other virtues can be found here.


Here's potted Poppy in his youth, always a good fit for a tight spot.