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Tuesday, November 29, 2016

Family Dysfunction and Trials of Immigrant Transition: Performance Pressure Dynamics

Examining the broad parallels between how family dysfunction and immigrant status, especially immigrants in the throes of transition stress, may affect performance pressure, the Stress Doc puts a Nepali professional under the microscope. The goal is to understand the dynamics of a recent high stress performance situation, but not just for one individual.  The Doc scrutinizes a host of factors that may have wide-ranging influence on “insider-outsider” expectations and perceptions, as well as performance behaviors and social/status interactive patterns.

Family Dysfunction Dynamics and Trials of Immigrant Transition:  Performance Pressure

As my circle of immigrant friends and colleagues expands and cultural understanding deepens, I increasingly appreciate the everyday stressors that many new immigrants experience while pursuing the “American Dream.” In addition, I’m seeing parallels with the psychological pressures and tensions experienced growing up in a dysfunctional family.  (I’m not saying being an immigrant turns individuals and families dysfunctional.  In fact, I admire how hard most work in often demanding, if not draining, situations and circumstances.  Of course, working exhausting hours or juggling multiple jobs may drive folks to the burnout point.  Then again, major migration is often a source of tension, if not trauma, and in states of crisis or trauma, highly disorienting and/or disruptive individual and family patterns may appear, at least temporarily.  Depending on the quality of family/friend support and access to responsive allied health/problem-solving resources, the angst, confusion, and uncertainty may be short-lived or lead to more chronic symptomatology and regressive behavior.)

12-Step/Outsider Mantra

Interestingly, as a second-generation American, I see similarities in my own maladaptation to a repressed and depressed, secretive childhood family life.  I also recognize emotional-communication parallels in the myriad stories shared in various 12-Step Groups.  Shrouded in shame and stigma, the dysfunctional family mantra: “Don’t talk, don’t trust, don’t feel.”)  However, this mantra is also not unknown to groups feeling like outsiders, or who believe they are safer, or that it’s easier huddling with your own kind.  (Having others with whom you relate for social/identity validation supports wellness.  Insularity and isolation is often problematic, heightening the sense of “Otherness” or “Outsider.”  And IMHO, today’s threatening political climate only ups the insular-secretive-xenophobic ante.)  Okay, compared to plain old dysfunctional me, for those in the throes of major life transition – especially the being “a stranger in a strange land” variety – stress and tension is likely magnified.  Perhaps transition trauma has a relation to psychosocial dysfunction akin to my comparative claim that Las Vegas is like New Orleans, but on steroids!

Parallels between Family Dysfunction and Transition Trauma

So, what are some of these pressure-packed dysfunctional-transitional parallels?  Four that quickly come to mind (and expanded upon after reading an interview with Dr. James L. Griffith, MD, a Washington, DC psychiatrist who has worked globally with refugee families; see Marie Rohde, “Global Mental Health, One Refugee at a Time,” Health Progress, www.chausa.org, March-April 2014):

1) Mental Health Stigma – there’s a stigma around mental health issues; acknowledging mind-body-spirit tensions, depressions, grief ghosts, and/or self-defeating behaviors is a sign of weakness and is shameful.  When these issues are closeted, they fester, becoming a source of dis-ease, if not mind-body dysfunction.  The not uncommon result is a stigmatized individual and a family shrouded in dishonor.  (Of course, when it comes to questions of mental illness, suffering in silence and secrecy is often the preferred modus operandi, and not just for immigrant cultures.)  And, remember, in many immigrant cultures, family identity supersedes individual identity, unlike in the more individualistic – pull yourself up by those bootstraps – culture of the US, for example.  (Gee, what happens if you don’t have a pair of cowboy boots?)

2) Underutilized/Undervalued – many new immigrants, especially those formerly having significant professional-skill positions in their countries of origin, often must grapple with working at jobs way below their education and experience levels; talk about a feeling of loss as well as the potential for erosion of one’s sense of self-worth and core identity.  Predictably, over time, if feeling stuck, if inertia sets in, personal competence and confidence diminish.  And this pressure-filled expectation is passed on to the next generation:  children are often burdened as flag bearers for a parent’s broken professional dreams!

3) Passivity vs. Perfection – not surprisingly, feeling underutilized and undervalued, often leads to complementary patterns: the first is avoidance, one is not adequate to the task or social situation, or one becomes resigned to one’s station in life.  Conversely, some reveal a compulsive need to compete, often feeling their value as a person is being tested; there’s not just pressure to perform, but one must win, if not be perfect.  And to complete the vicious circle, the pressure to be perfect can motivate an individual to give up or duck out of any activity that might expose human imperfection.

4) Nostalgia vs. the New Challenge – the classic immigrant challenge:  how do you hold onto the good of the old and embrace what is adaptive in the new – a “best of both worlds” approach; alas, difficult to do, especially if caught in a rigid, all-or-none mindset.  The danger, of course, is nostalgia, over-idealizing what we left and trashing the new.  Or over-idealizing the new homeland and forgetting the old.  When it comes to past and present, can a person integrate both pros and cons in mind and mood?  As noted, 20th c. American author, F. Scott Fitzgerald observed:  The test of a first-rate intelligence is the capacity to hold two opposed ideas in the mind at the same time and still retain the ability to function.  For example, one should see things as hopeless, yet be determined to make them otherwise.

Putting Pressures to the Performance Test

Let me share a recent experience that captures some of the above stressors, especially related to sense of self and performance pressure.  Our protagonist, BD, a married 40+ immigrant lawyer from Nepal, is still grappling with figuring out his own personal-cultural synthesis.  Thinking he would be returning to Nepal, he did not fully concentrate on improving his spoken and written English.  Alas, his wife and son had other ideas.  Because of a divided focus, seven years in the States has not led to English proficiency, especially in the speaking arena. Now he’s belatedly playing catch-up, hence our coaching lessons.

Just last week, a new challenge appeared on the horizon.  As head of a caste-focused/human rights organization, BD was asked to participate in a panel discussion on “Caste and Democracy” for an invitation only conference sponsored by the National Endowment for Democracy (NED).  (The desire to have open and frank discussion about many sensitive socio-cultural-political issues was behind the invitation-only event.  I had to get special permission to attend.)

NED is a DC-based international human rights/academic think tank; in addition to field and scholarly research, the organization also provides grant money and funding for human rights projects.  (So, this was an important opportunity for BD and his International Coalition of Dalit Rights, ICDR.  If not a TED Talk, it was certainly a NED Talk. ;-)  A number of the guest speakers were from South Asian countries, nations where caste hierarchies/systems still formally and informally oppress, allowing all but survival subsistence for hundreds of millions.  Alas, for so many of these individuals and communities (called Dalits), birthright is destiny.  Immediately branded “untouchable,” often treated as leper-like outcasts, limited in their educational-economic-political opportunities, most are consigned to a stigmatizing, no, let’s say it, a dehumanizing role-status in their society.  (FYI, BD’s keen intelligence and fierce pride, being a fighter, a need to challenge limits, a strong aversion to social injustice, helped him break out of a caste-based upbringing.  And, of course, you take your family-cultural history – strengths and wounds, hopes and hurts – with you, no matter where you go.)

When the Time Trial becomes a Test of Time, Speech, and Self-Worth

In some ways, the biggest presentation obstacle was having only ten minutes for his opening remarks.  But if I drill deeper, a major drag was the heaviness of the psychological bag that BD, as a new immigrant still grappling to find his niche and voice, carries around.  And, of course, I am sharing this story because BD’s narrative and struggles are not unique.

Before examining these interconnected public presentation challenges, some background points.  As a coach, (and a schooled-by-hard-knocks-and-hard-earned-wisdom public speaker), my biggest concern was that ten-minute window.  Though he had given public presentations before, in this forum, BD would have to be concise and precise, choosing a select number of key points.  (And, of the five languages that BD speaks, English was not yet his strong suit.)  As a speaker, I know the truth espoused by one of those Englishmen of letters, apologetically explaining his lengthy missive to a friend, thusly: “I didn’t have time to write a short letter.”  In truth, a ten-minute presentation is more challenging than an hour talk.  To be most effective, one needs to prepare and practice, to tightly weave a beginning, middle, and closing.  First, one must establish credibility. (I had strongly encouraged BD to connect his personal Dalit experience with his passion to fight caste-based injustice.)  And the next task, to succinctly diagnose the problem and posit some strategic, “bullet point” recommendations.  There’s not a lot of room for mental meandering.

But my state of angst was not simply about selection and preparation; I was keenly aware of the issues of diction (choice of words) and pronunciation (clearness of speech).  Trying to get in too many points would compel BD to quicken his speech, which invariably reduces the clarity of his message.  (I can’t help but think of the elocution lessons of Eliza Doolittle, in My Fair Lady, slowly and painstakingly declaring over and over again, “The rain in Spain stays mainly in the plain.”  My Professor Henry Higgins moment:  surreptitiously flashing a “Talk Slow” sign just before BD’s turn to talk.)  Yet we both believed that reading his talk would not be walking his talk:  conveying “passion” was more important than “polish.”

Not Walking the Talk

Alas, my fear was realized, at least in the first go-round.  Caught up in the moment, BD spoke too quickly, at least for these senior ears.  In his initial brief panel presentation, BD mostly didn’t personalize his message, didn’t select and focus on key points, seemed to touch on too many facets of the problem (including challenging NED to become more involved with caste-based issues, probably a good thing).  Towards the end of his presentation, belatedly recognizing something was amiss, BD closed by reading quickly too many points from his written script.  Unfortunately, overall, his pace of speech meant I understood about half of what was said.

In a post-conference conversation, BD acknowledged his early mistakes, but said he had chances in the afternoon to more effectively personalize and deliver the desired message.  Having to leave shortly after his initial presentation, I was glad to hear of the recovery.  And in fact, while still present, I did hear and understand his response to a question posed by an audience member.  In our day-after critique, BD acknowledged that as the face of his advocacy organization, he must redouble his speech preparation and pronunciation efforts.  To BD’s credit, his fighting spirit would once again prevail.  Nonetheless, it’s important to ask:  What happened initially?  What scrambled both sound and image in this presentation picture?

Presentation Post-Mortem

I will posit both reasoned arguments and hypothetical questions.  However, a bedrock for this analysis is the following pith ditty: “Wherever you go/whatever you do, life journey baggage comes with you.”  So, what were some of the key items impacting DB’s presentation?

1. High Stakes Setting.  Obviously, when sharing your story in public is important, as it was for BD – both for business and personal/ego reasons – and there will be (perceived) significant consequences to presentation success or lack thereof, performance angst increases.  Now an optimal heightening of tension tends to sharpen performance focus; if tension is excessive (or, conversely, if the presenter is demotivated or feeling bored), performance quality decreases.

Another dimension, not yet explored, was my sitting in the audience.  I had never seen BD present in public.  Interestingly, in our preparation, BD shared that his wife downplayed the significance of this event, noting that her husband has given many public talks.  But then she added, “But you have a chance to make Mark proud.”  At the time, BD and I both laughed.  But maybe I was a source of pressure affecting performance.

2. Insufficient Preparation.  As noted previously, with a short presentation, some folks mistakenly think you can be “off the cuff” or basically improvise.  BD was juggling several projects that week; our inability to meet and “rehearse” until the day before didn’t allow sufficient time to design a new KISS – Keep It Short and Smart – outline.  Just as important, 11th hour preparation precluded sleeping on his presentation over the course of a few days.  Rehearsal and sleep strengthen memory consolidation.

3. Time Pressure.  If you are well-prepared and have a game plan, time pressure will enhance your energy, focus, and impact.  Alas, the opposite preparation conditions make improvisational performance a high-risk situation.  And having previously given a longer version of the talk, does not necessarily smooth the “ten-minute” path.

But the issue is not only the selection of the content; for BD, under time pressure, his English pronunciation became a stumbling block for message sent = message received.  The culprit was a three-headed monster:  lack of time to get in key points prompted faster speech; faster speech prompted less clear enunciation.  And the final self-defeating head…starting to sense things are not going as anticipated (perhaps reading your audience’s response or lack thereof), reading notes at the end to quickly add key points.  To use a forest/trees analogy, now your essential points, like distinctive trees, get lost in in a tangled forest of words.

4.  Insufficient Streamlined Focus.  You have a much better chance to be informative and inspiring using my KISS technique – Keep It Short and Smart – by highlighting and fleshing out three or four key points, than to superficially cover two or three times that number.  Somehow, I’m reminded of a quote by martial arts icon, Bruce Lee.  Lee observed that when it comes to assessing competition, he is less concerned about an opponent that has 10,000 techniques than the individual who has practiced one kick 10,000 times.

4.  Defying Authority.  Some reasonable post-mortem questions might be:  Why did BD not follow my suggestions to highlight a few key points and to make a personal connection between his Dalit past and human rights activist present?  (BD was personally aware of my experience and skills as a public speaker.)  Had time-place pressure upset his game plan?  Was he defying his coach?  Was he needing to put his signature on the program?  Was it a Frank Sinatra – “My Way” – moment?  If there was a need to “prove” something, was it logical or psycho-logical, or maybe cultural…or all of the above?  Let’s further pursue some of the above.

5.  Hot Button Effects.  First off, let me declare that I was not a naturally gifted speaker, as a youngster or as a young professional (much too caught up in my fears and feelings of inadequacy).  So, I can relate to performance angst contributing to BD’s uneven message delivery.  However, I’d like to focus on the disorienting source coming from a deep-seated place, not always self-evident.  This self-doubt is connected to one’s own essential and existential worthiness, especially when in foreign, if not alien, territory.  And one manifestation of such doubt can be believing that articulating but a handful of points will not establish you as a subject matter expert.  Getting both hypothetical and anecdotal, let me speculate:

a) perhaps to feel more authoritative or, as likely, to believe he would be seen as an authority, BD might have thought he needed to hit on “ten key points, instead of three or four.”  Another Nepali professional resonated to a family message shared by many African-American friends and colleagues over the years.  To paraphrase, “To have a seat at the dominant culture table you have to be twice as good as your white counterpart.”  This Nepali friend could relate to an immigrant trying too hard to impress, to prove his worth, at times to the detriment of his recital.  Now while the statement contains some hyperbole, I also believe, for many immigrants and people of color, as well as for numbers who are products of significantly dysfunctional families, depending on the performance arena and circumstance, there is often some truth in this injunction.  And certainly, research supports the notion that members of the dominant culture invariably carry around prejudicial perceptions about minority cultures.  All of the above can influence performance expectation and pressure.

b) another social-cultural dynamic in the room, was the presence of people from India and Nepal, from the upper class/caste system, e.g., one scholar from Nepal never had known any Dalits growing up.  Despite the NED invitation, might this be the loose equivalent of a sports team playing on the road in a (covertly) “hostile environment” or “Daniel in the lion’s den?”  I suspect there’s some social status tension for BD that can influence focus, even what he might be willing to share, how vulnerable to be, whether to shed performance armor, how willing to trust, a determination to “show them!”, etc.  And, as noted, such tension, including aggressive feelings, can also influence the need to prove one’s worth, adding more info than is optimal, accelerating pace of speech, perhaps even deciding to lecture those who mostly have “academic knowledge,” not life lived in the trenches.

Closing Summary

For me, writing this essay has been a mini-journey, exploring my own and others’ ethnic/cultural diversity assumptions, biases, and unconscious motivations.  I’m still cogitating on the myriad dynamics that come into play in the realm of social status difference, self-other expectations, as well as performance pressure and adaptive vs. self-defeating coping.  FYI, BD is also still reflecting on what affected his performance.  He also eagerly accepted my suggestion that he write a succinct (ten-minute) narrative linking his experience growing up in a “subordinate” caste society and his drive to be a human rights advocate:  how does one grapple with the pain, integrate it as part of one’s essence, not buying the oppressive label while transcending the “undesirable” social-cultural injunctions.  Finally, how does an individual discover/design his or her own unique identity path, create a position of solidarity with other progressive individuals and groups, and challenge those holding on to status quo assumptions and power dynamics?  Can’t think of a timelier question!



Mark Gorkin, MSW, LICSW, "The Stress Doc" ™, a nationally acclaimed speaker, writer, and "Psychohumorist" ™, is a founding partner and Stress Resilience and Trauma Debriefing Consultant for the Nepali Diaspora Behavioral Health & Wellness Initiative.  He is also a "Leadership Consultant" for the international Embry-Riddle Aeronautics University, HQd in Daytona, FL.  A former Stress and Violence Prevention Consultant for the US Postal Service, he has led numerous Pre-Deployment Stress Resilience-Humor-Team Building Retreats for the US Army.  The Doc is the author of Practice Safe Stress, The Four Faces of Anger, and Preserving Human Touch in a High Tech World.  Mark’s award-winning, USA Today Online "HotSite" – www.stressdoc.com – was called a "workplace resource" by National Public Radio (NPR).  For more info, email:  stressdoc@aol.com.

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