PRACTICE
John Hudson examined aspects of the
relationships we establish within the space of the children and
families we work with
Personal Space
The late George Lyward is said to have remarked that the
most important characteristic for one who sought to help others was "to
remain vulnerable".
It may seem perverse to give the same advice to residential workers whose
living and working situation is already fraught with risks from difficult
and demanding residents. But an understanding of the risks involved in
"remaining vulnerable" may enable us to understand the problems of
making relationships, and of dealing with what happens when they turn sour.
One of the things which happens as a relationship develops is that those
involved allow each other to enter their personal space. The idea of
"personal space" is useful because it can be defined literally as
the physical space around a person, and can also be used figuratively.
Power or trust
Entering someone's personal space involves either power or
trust — or a mixture of the two. In societies where it is acceptable for
certain people to exercise power over others, e.g. masters over slaves,
nobles over peasants, no issue is made of what, in a more equal society,
would be seen as an abuse of power. But even in societies where entry into
another's personal space is usually reckoned to be a matter of mutual trust,
there are situations where it is useful for one person to be in control of
another, e.g. parents of their children, and situations where it may be
necessary for someone performing a job to enter another's personal space
with impunity, e.g. doctor and patient, police constable and suspect. To
protect the patient and the suspect, written codes cover the conduct of the
doctor and constable as they enter the other party's personal space. But
this does not always prevent exploitation of the situation by the
"weaker" party who may accuse the other of unethical or illegal
conduct.
For the residential worker fewer such written codes have existed; thus staff
who undress, bath, caress or smack a resident have no formal protection from
a resident's allegation of common assault. But, as mentioned above, even
those who have the formal protection of a written code cannot always be
protected from allegations of abuse. So a resident who tantalises a member
of staff to get them to hit out, or leads them into an improper situation,
can always turn round and accuse the member of staff of misconduct. The only
way for a residential worker to protect him- or herself from such situations
is to make sure he or she never enters a resident's personal space this
carries the risk of double deprivation for the resident. It also limits the
capacity of the staff member to comfort the heartbroken or control the
panicking resident.
Just being close to someone can enable them to regain control or offer them
support in a crisis. Standing three feet away and saying "Stop it"
or "I feel very sorry for you" is hardly a substitute. Some will
say "You cannot afford to take risks —
the personal consequences are too dangerous." Others will say:
"But I never give it a second thought; I just do what I feel is natural
in the situation." Perhaps others feel as I do —
that it is very difficult to be natural when one is conscious of the risks,
but sometimes essential for the sake of another to take the risks.
Worth the risk
One reason for the variety of opinions may be the variety
of perceptions of what residential care is all about. For example, someone
who sees residential care as short-term or residual provision is unlikely to
see any point in taking risks to make relationships, whereas someone who
sees residential establishments as therapeutic environments may take great
pains to enable relationships to develop. Then again residents appear to
need varying forms of relationships, some apparently perfectly happy with
the most casual relationships within the home, others craving more than a
40-hour week can ever offer. The other side of the coin is that residential
workers vary in the scope and depth of the relationships they can offer.
One way in which we can look at the forms of human relationship is described
by Dr Eric Berne in his book Sex in Human Loving where he demonstrates how
relationships can be viewed in terms of casualness/intimacy and what they
mean to each party. One point emerging from Dr Berne's description is that
sex is not confined to those who have a more intimate form of relationship —
nor does having a more intimate form of relationship necessarily mean that
those involved are going to end up in bed.
At the other end of the scale physical violence can occur between people at
every level of relationship. Thus despite calls for greater staff
supervision, there may be no reliable predictor of staff violence or sexual
misconduct. I started by referring to George Lyward's comment about
"remaining vulnerable". I have indicated two ways in which staff
can be "vulnerable" in another sense. Anyone who enters another's
personal space becomes vulnerable, and though some people have professional
or administrative immunity, this is never a complete protection from
allegations of misconduct —
and nor, for that matter, does it protect the person whose personal space is
being invaded.
The residential worker who tries to offer a more intimate relationship to a
resident becomes vulnerable to criticism from those who do not believe that
such relationships have a place in residential establishments, and from
colleagues who may suspect the motivation or the depth of the relationship.
But for those who do enter a resident's personal space, not to undress or
bath or medicate them administratively but as a matter of care and affection
for that resident, who are prepared to be open and honest about their
relationships with residents, colleagues and superiors, there is another
risk: that of finding out more about themselves than they had bargained for.
While there are residents for whom a casual "professional"
relationship is sufficient, there are also others who are only going to be
helped by a more intimate form of relationship. But if those who expect to
enter another's personal space while refusing access to their own; if they
expect the outward signs of a more intimate relationship while preserving a
more casual relationship themselves, then these relationships become
"crooked" —
to use Berne's terminology.
The essence of being vulnerable is being open enough in allowing another to
share one's own emotional personal space —
that one can be moved by the other reaching our deepest feelings or grieved
at any withdrawal from the intimacy attained. But even a casual relationship
involves taking some of the steps towards a more intimate form; we need both
to support those who are reaching out for a mutual relationship at whatever
level and to care for those who fall.
From Social Work Today 9 (12): 'No Easy Road'.
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