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Love, Commitment and Wormholes: Three Observations about Marriage, Disability and Caregiving

LoveCommitmentWormholes_Lrg2

The best marriage training anyone could ever receive is through helping a married couple when one has a disabling condition requiring caregiving.  In the system of services for family caregiving, aging and sudden disability, there is little focus on the pre-existing quality of the marital or committed relationship between the caregiving spouse and the dependent spouse with an illness or disability.  In comparison to the financial, medical, and other health needs of someone with an adult onset disability or chronic illness, details of that person’s marital relationship can seem trivial.  Yet it plays a major role in the quality of life of the persons involved.  I had the honor of closely observing my parents’ marriage, which survived the challenges that come with caregiving and disability, and how they maintained quality in their marriage.

Various and complex factors can impact a marriage, but a disabling condition of one person can change everything. Available statistics on the rate of divorce or marital breakdown for marriages that have one person with a brain injury-related disability, for example, range from 15% to 25% (and 78% if including a study with a small participant size).   A study of anecdotal information revealed a common theme involving a drop in income and an eventual “burn-out over having to take care of the disabled spouse and seeing their quality of life eroding.” This in turn leads to “the abled spouse initiat(ing) a divorce, even though ‘feeling guilty’ about doing so.”


…You can be frustrated at how the other person is handling the situation, but at the end of the day, which is it that you really want to quit, the person or the situation?


For a real life first person example, one can read a sobering forum post initiated by a spousal caregiver seeking support about the sense of loss of the marriage he once knew with his wife before her stroke, while adjusting to the demanding role of a caregiver.

In our situation, my mother had a stroke in 2002 that left her requiring full-time caregiving. She was unable to sit up, walk or go to the bathroom on her own, and, in the beginning, unable to interact or speak with us with full consciousness.  She temporarily had a tracheostomy for a ventilator, because she was in in a deep coma for almost three weeks.  The brian injury from the stroke led to my mother needing a feeding tube in her stomach as the only way she could be fed for the rest of her life.  Although not fully conscious initially, it became clear in time that her speech, although with a raspier voice, as well as her memory and her personality remained intact, with some moments of less emotional self-restraint.  

Providing care for my mother was demanding and the drastic changes for her required tremendous strength to live through without depression, especially through six cities in four countries. However, the extra, almost 12, years with my mother is so very precious to us all.  She watched her only grandson grow up into a teenager. We bonded more as mother and daughter. This was special because I spent some years of my childhood away from my parents due to economic realities of foreign service careers based in countries economically poorer than Western countries.  My mother got to age with her dear husband and partner through a lifetime of international transitions and postings.  Some of these posting were very challenging, but not as challenging as how they spent their last 12 years together, seven of which my father was her primary caregiver, which especially impacted my parents’ quality of life and marriage.

According to a study by Perry Singleton, “couples with lower quality marriages are more likely to divorce than couples with higher quality marriages.”  I was blessed to be able to witness my parents’ marriage, seasoned with many victories the surmounted typical marital problems as well the challenges that come with frequent upheavals and transitory nature of a globally nomadic life, survive their final stage of caregiving and disability.

Below are three of the many observations I have made about my parents’ relationship in the final stages of their marriage:

1)   My parents did not hold back in being and expressing themselves.


Roar loudly when you are going through something significant!  Even self-acknowledgement of how you are affected can go a long way.


My mother, with her strong personality that most people who know her note about her, didn’t hold back when it came to expressing her needs around my dad.  My father on the other hand, who is more reserved and quiet, wasn’t often expressive about his needs.  However, he was himself, so when he was silent and when he did speak up, my mother knew what each meant.  Their old patterns of communication as a married couple carried over to their life roles as a caregiver and disabled spouse.

By not holding back what they felt or needed, my parents rode each wave of tension for as far as they could handle as individuals and as a couple, but they got on the waves and didn’t swim away from them.  Yes, not many people would sign up to get on the waves, but they did.  As they did, my parents roared loud expressions of how they were being affected, in the form of speaking as well as silence, to stay on those waves.

My parents made a decision decades ago, believing a person’s word at the wedding altar meant something beyond the first several years of marriage. They stuck to that decision until the end, and as they approached their last stages of their life together they did so LOUDLY.   Roar loudly when you are going through something significant!  Even self-acknowledgement of how you are affected can go a long way.

2) My parents lied about quitting each other.


 …Plan to turn every statement you have made or may ever make about quitting a good relationship or marriage into a big fat lie and make sure the other person knows you will always be lying about that.


Did my parents at least at one point each express they wanted to quit either by death or physically leaving?  Yes. Afterall, they didn’t hold back from expressing themselves.  But at times expressing oneself is just that.  Not everything you express outloud is necessarily a threat that has to be carried out.  Sometimes expressions are to share frustrations rather than actual plans of action.

What can be confused in the expression of frustrations is what each person is frustrated at.  Is each person frustrated at the situation or truly the other person?  Yes, of course you can be frustrated at how the other person is handling the situation, but at the end of the day, which is it that you really want to quit: the person or the situation?

Each time my parents surpassed a conflict, after each wave of tension died down and they roared loudly from where each were at, there was always a new dawn that rekindled their love for one another and there were actually many many more days of laughter and affection than the tension filled days.  My parents commitment to one another was more than just a legal decision to permanently stick to something you signed for on a binding contract.

Each wave my parents’ surpassed was an elevation to a new level of love for one another.  Theirs was the type that seemed to see in each other at least the core value of life of the one they had been the most intimate and vulnerable with, in all the ways two human beings can ever be, with only free will propelling this love forward.

At times, this could be the only reason left when fond memories aren’t enough to make you feel the emotions to keep going, especially after looks fade and the life you once shared is a thing of the past.  Perhaps not everyone, whether single or married, may experience this love.  However, one way to possibly to do so is to plan to turn every statement you have made or may ever make about quitting a good relationship or marriage into a big fat lie and make sure the other person knows you will always be lying about that.

3) My parents’ love knew no boundaries of space and time.


Facing the toughest challenges in a marital or commited relationship may be the key to opening your world up to wormholes, or unimagineable depths of love unlimited by space and time.


The most romantic moments I have ever seen between two people in my life were enacted each time I watched my father patiently feed and clean up after my mother, who would reach over to express gratitude through a wordless but overwhelmingly affectionate soft caress of his arm while they looked into each others’ eyes.

These were the moments that demonstrated to me why couples ride waves of tension together, loud as the ride may be, then ride another one, and another one until there are no more.  They way my parents looked into each others’ eyes during moments like this was the same way they used to look at each other in younger years when both were able bodied and able to travel, eat and move about freely.  Their love for each other was timeless.

There is one date I remember my parents used to reminisce about before my mother’s stroke.  What was cute was the way they would each separately talk about a certain date they had for one of their anniversaries in Seoul, S. Korea.  They each, separately, would fondly talk about the same details of that evening: the ceiling painted with clouds, the beautiful and blonde haired harpist playing in the corner and the overall pleasant ambience of the restuarant, all working together as the backdrop of the wonderful time they had with each other that evening – an evening they would both jokingly describe as, “like being in heaven.”  Almost 30 years later, my parents still reminisced about this evening with the same fondness for this moment they shared in time.  

Today, my father recounts the same evening with the same fondness and sentimental value, smiling and laughing at the same details that have only partially illustrated what seems to be a whole universe of an eternal evening full of very special moments for both.

It is as if there is a wormhole my parents frequently travelled through because the quality of excitement in my parents eyes, voice and smile they would reminisce with about that one fancy and special anniversary date was always fresh. It was as if that date always just happened the evening before, even after almost 30 years later in a completely different country, right from the comforts of a bedroom set up for an elderly person with a disability.  

My father says, “you don’t know how deeply you can love someone until you serve them.”  Perhaps it is this level of love that helps to makes special moments like this anniversary date eternal.  Perhaps it is no coincidence that a married couple tested through the challenges of caregiving and disability, can keep special moments like this fresh and alive.  Facing the toughest challenges in a marital or commited relationship may be the key to opening up your world up to wormholes, or unimagineable depths of love unlimited by space and time.

In the realm of love, there is space for life that never ends if you don’t let it die with drastic changes in a your beloved’s physical condition or last breath.  In the realm of love, space and time do not serve as limitations but as mere background details for eternal moments.  In the realm of love, being real includes forever.

 

About the Author

© Myra Dumapias and The Last Boarding Call. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Myra Dumapias and The Last Boarding Call with appropriate and specific direction to the original content.

Expat Aging, Caregiving and Related Journeys: Why Bring Them Up

Photo credits: Juangiahui used with Creative Commons

Photo credits: Juangiahui
used with Creative Commons license

Thanks to decades of hard work of committed researchers, authors, speakers, voices and communities in social media, and the sheer power of individuals sharing their stories, what the world knows today about expatriate (expat) life and the globally mobile family is increasingly moving out from under the shadows of stereotypes.  

The population of expats or global nomads, estimated to be 220 million by Pico Iyer in his 2013 TedGlobal Talk, is not a homogeneous group.  Global nomads represent a variety of backgrounds and are more than just the face of pampered global citizens glamorously living in exotic lands.

We have now begun to recognize, even in mainstream social media, the issues common to Third Culture Kids¹ and Cross Culture Kids²:

–  The sense of dislocation in defining, “Where is home” and finding where you belong

–  The struggle to explain your identity and “where you come from in a world that only justifies rigid identities and is impatient with grey areas

–  The impact of unresolved grief in relationships as an adult and how it is invisible in childhood

–  The urge to move frequently or need to withdraw, which can be dismissed as mere negative or irresponsible personality traits by non-TCK’s

– The compatibility of TCK’s and non-TCK’s or First Culture Kids in relationships 

–    The question of whether or not TCK parents should raise a new generation of children as TCK’s, knowing the challenges that come with it

…among others.

The Elephant in the Suitcase

http://indigoinkcreations.blogspot.com/2014/01/needle-felted-white-elephant.html

[Photo credit: Tara Birds/indigoinkreations]

Yet there is a journey that not many global nomads have begun to speak about: the life stage that includes aging, sudden health or mental health related disabling conditions, and dying.

It is uncomfortable, morbid, and intrusive, and seems rudely inappropriate or cold.  However, it is absolutely necessary to discuss to avoid negative experiences for everyone due to lack of preparation.  Why? Simply because we, as a tribe of global nomads, have already come to understand the importance of healthy goodbyes.

The experiences of expats leaving aging parents behind or suddenly repatriating to care for them may be familiar to my readers who are expats, especially the women.  It goes even deeper.  Now, we are living in an age when there can be two generations of expats above the age of 55.  Seniors are living longer (see these recent articles from Australia and the U.S.).  The proportion of seniors are also about to increase.  While there are 600 million people aged 65 and over today, according to an article with United Nations statistics, by 2035, that number will increase to 1.1 billion.  With these trends, it is necessary to get deeper into the picture of what expats go through as expats themselves age or retire. (Please see links below)

A globally mobile past can make for difficult and complex decisions surrounding caregiving support, place of residence for retirement, and death and burial planning, especially when adult children are still relocating.  Even more complex issues arise when health or mental health related disabling conditions happen at a younger age than expected.

With the extreme disparities in the cultural expectations, economic status, safety net for retirees, and other factors among the expats’ host countries, expats can experience aging differently from one another.  Certain populations of global nomads can easily fall through the cracks without sufficient social support, financial backing or the mental preparation for the stage of life that non expats struggle with as it is.

It is an uncomfortable topic, but a high ranking diplomat, for example, can experience a sudden plummet in his or her socio-economic status if faced with a sudden health crisis around the time of retirement. If that diplomat serves an economically poor country, chances are the retirement pension cannot provide adequate support to recover from any sudden crisis. Military veterans, retired missionaries, corporate expats and other global nomads are not exempt from this. No matter how much one saves or plans financially, a perfect storm of unexpected events may quickly wipe it all away because a crisis can be just the beginning of a tough road.  Suddenly, the whole family and potentially three generations can become drastically impacted by what would otherwise be mostly affecting the elderly.

Despite the misconceptions and stereotypes about expats and Third Culture Kids, social workers, counselors, psychologists, faith-based ministries, teachers, human resource staff and others must recognize this reality:    Expats have a wide range of genuine needs distinct to individuals and families with a current or dormant globally mobile life, and the life stage of aging or sudden disability is a significant transition.

The juncture at which converge the decision on which country to live for retirement, policies regarding government benefits intended for nationals with a long work history, and the timing of possible migration for family reunification is very complex and unique to baby boomers who are globally mobile.  Because of this, the journey of aging and retirement can be one of the most drastic life transitions in an expat’s life.

This also has implications for one of the most discussed topics addressed in the existing literature on Global Nomads or Third Culture Kids and Cross Culture Kids thus far: unresolved grief. Unresolved grief, has had a dramatic impact on the lives of expats and the global family who did not have the proper support through the multiple life losses that come with an expat life.  The life stage of aging and retirement, with all its final goodbyes, is one that individuals and families with either an active or dormant globally mobile lifestyle, must be well prepared for.  Those who are left behind at this life stage need to prepare to grieve with hopefully the least regrets as possible.  Those who are departing must rebuild the “RAFT,” coined by the late author David C. Pollock and co-author Ruth Van Reken, needed for the final goodbye.

For all these reasons, I hope to be able to join the ranks of those who have come before me and add my contribution using my own personal story.  My other blog posts will focus more on specific topics and insights.  After years of serving the global nomad community through TCKid: A Home for Third Culture Kids, I hope now to also offer my insights from watching my expat parents age, one parent’s life end, my son’s struggle as a 3rd generation TCK and my own TCK journey as a caregiver with obligations to stay when I felt itchy feet the most.  

My goal is to help other families prepare and make the most of their time together in this journey where there is no turning back.

Until our next hello,

Myra

Photo: “Last Call” by Juangiahui, used with Creative Commons license 

Please click here for more information about why this blog was started.

1 –  “A Third Culture Kid is a person who has spent a significant part of his or her developmental years outside their parents’ passport culture(s).” The experience includes “frequently build(ing) relationships to all of the cultures, while not having full ownership in any. Although elements from each culture may be assimilated into the TCK’s life experience, the sense of belonging is in relationship to others of similar background.”  
 
2 –  “A Cross-Cultural Kid ( CCK) is a person who has lived in—or meaningfully interacted twith—two or more cultural environments for a significant period of time during developmental years.”
 
Source of definitions: Pollock, D. and Van Reken, R.E. (2009) Third Culture Kids: Growing Up Among Worlds. Boston: Nicholas Brealey Publishing.

 See – UN World Population Aging 1950-2050, and  UN World Population Aging 2013 ; how Australians are living longer but suffering more from chronic diseases, and how elderly in the US are living longer.

© Myra Dumapias and The Last Boarding Call, 2014-2015. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Myra Dumapias and The Last Boarding Call with appropriate and specific direction to the original content.