Working with Tibetan Adolescents Ankita Khanna Child & Adolescent Mental Health Service (CAMHS)...

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Working with Working with Tibetan Tibetan Adolescents Adolescents Ankita Khanna Ankita Khanna Child & Adolescent Mental Health Service (CAMHS) Child & Adolescent Mental Health Service (CAMHS) Sitaram Bhartia Institute of Science & Research Sitaram Bhartia Institute of Science & Research School Counselor School Counselor The Shri Ram School The Shri Ram School DLF Campus DLF Campus

Transcript of Working with Tibetan Adolescents Ankita Khanna Child & Adolescent Mental Health Service (CAMHS)...

Page 1: Working with Tibetan Adolescents Ankita Khanna Child & Adolescent Mental Health Service (CAMHS) Sitaram Bhartia Institute of Science & Research School.

Working with Working with Tibetan Tibetan

AdolescentsAdolescents

Ankita KhannaAnkita KhannaChild & Adolescent Mental Health Service (CAMHS)Child & Adolescent Mental Health Service (CAMHS)

Sitaram Bhartia Institute of Science & ResearchSitaram Bhartia Institute of Science & Research

School CounselorSchool CounselorThe Shri Ram SchoolThe Shri Ram School

DLF CampusDLF Campus

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Understanding Adolescence Understanding Adolescence • Brain Wiring• Physiological changes• Peer group• Sex • Life style• Cultural context• School • Family

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Adolescent Brain “Work in Adolescent Brain “Work in Progress”Progress”

• Myth of raging hormones• Pruning- loss of substantial neural connections (20 billion

synapses)• Immature frontal lobe impacting

– Clear thinking, control – Executive functions – High level reasoning and decision making – Manage emotional circuit

• Vital part of growing up• Clearing out of weak connections to make way for more

efficient information processing in adults• May affect the way they manage emotions, thinking,

decision making, impulsivity• Frontal lobes not fully mature until the age of 20

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What is ‘normal’?What is ‘normal’?• Rebellion• Defiance• Rudeness/talking back• Mood swings• Risk taking/experimenting• Lying• Crossing limits/breaking rules

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Issues of SexualityIssues of Sexuality• Awareness• Orientation• Confusion• Experimentation• Need for “unconditional acceptance

& love”

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Peer Group – New Umbilical Peer Group – New Umbilical CordCord

• Only place they perceive they are not being judged

• Addictive• Rules of the Game -Either you are

“in” or “out”• “Unconditional love”

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A World of Their A World of Their Own: An Own: An

Exploration into Exploration into the Lives of the Lives of

Tibetan Refugee Tibetan Refugee AdolescentsAdolescents

A research project submitted to the A research project submitted to the University of Delhi for the M.A University of Delhi for the M.A

(Psychology) Program, 2005-2007 (Psychology) Program, 2005-2007

Ankita KhannaAnkita Khanna

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BackgroundBackground• Classical child development theory has

been guided by an assumption of homogeneity

• Utopian notion of a ‘normal’ childhood in a safe and nurturing family environment

• Need for psychological research to recognize, and give a voice to, these diverse and unique childhood experiences.

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The StudyThe Study• The present study aimed at exploring

the lived experiences of six Tibetan refugee adolescents in exile. Using a host of qualitative tools, including interviews, focus groups, drawings and writings, an attempt was made to capture the experiential realities of this young refugee group.

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Why Tibetan adolescents?Why Tibetan adolescents?• A group negotiating with a cross-section of

experiences of transience, both developmentally (adolescence) as well as politically (refugee hood)

• Unique in their position within the Tibetan refugee community: came to India as unaccompanied minors, have spent a part of their lives in Tibet, and were sent, at varying ages, to India by their families, in the hope of a better future and a good education for them. These children have had almost no contact with their families over the years, and are growing up under the care of the Tibetan government and its organizations.

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Preliminary Research Preliminary Research QuestionsQuestions

• How do these children negotiate with the developmental challenges of adolescence, and the challenges of their politically unstable lives as refugees?

• How do identities evolve in a life characterized by statelessness?

• How has their relationship with their families and their country changed in their minds over the years of no contact with either?

• Is there an image of ‘home’ and ‘family’ in exile that has replaced the real one?

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Themes uncoveredThemes uncovered• Remembering the past:• A vivid account of the carefree

pleasures childhood in Tibet. • Images of a serene and beautiful

landscape, where life was good and everybody was happy.

• ‘Nostalgia’

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• Life in Exile:• Expectations from the host country: the

‘promised land’• Long and difficult journey across borders• Series of displacements: lack of a sense of

agency • Trying to re-establish a sense of ‘home’

and ‘family’ in the foster homes

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• High sense of gratitude towards own community and leader, and the host community

• Sense of being disadvantaged/discriminated against

• Resignation/passive acceptance

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• Self & Nation: “Me and my country”• Self and country inseparable; the larger

Tibetan self always precedes the personal self

• imprints of a disjunctive, authoritarian Communist regime

• How they view the Chinese: anger, resentment, at the same time not necessarily as ‘the enemies’

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• The oppressor as strong and all-powerful, the Tibetans as weak and defenseless

• Visions of Tibet’s future: hopeful/uncertain

• Notion of ‘return’: all the participants were unanimous in their firm assertion that they did not want to return to their homeland for good.

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• In search of Self: ‘Who am I?’• Struggling with questions of identity

and belonging• Being a ’refugee’ most salient part of

identity• Personal aspirations represent a

concern for the collective• Boundaries between personal and

collective are blurred

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Who am I?I am a girl from Tibet who don’t have a

land to call my homelandI am a girl from Tibet where I don’t

have a home to call my homeI am a girl from Tibet and I left my

heart and soul over there. Namlha, Age 18

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Who am I?This question comes again and againInto my peaceful mindAnd breaks the tranquility of my mindBut who really I am?“Refugee!”My inner voice quoth Phunrap, Age 16

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• These young refugees often come under intense but opposing pressures in asserting their sense of Self. Life within the exiled community necessitates that they retain the Tibetan identity while the challenges of their particular life stage presses them to evolve a distinct identity of their own.

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• In the in-between spaces, this group of young people negotiate and assert a sense of selfhood, an identity uniquely theirs and different from their parents’, from the homeland, and from the larger diaspora consciousness. Like tender plants that are capable of taking root in a new soil, this group of children seems to have created “a world of their own”, with their own joys, struggles, hopes and dreams.

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Implications of the studyImplications of the study• Provides a psychological lens through which

to look at the real, qualitative concerns and realities of this particular group.

• The need to look at, and give voice to, the experiences and expressions of children.

• Looking at a cross-section of experiences of transience, both developmentally (adolescence) as well as politically (refugee hood)Therapeutic implications: using group work with refugee children & adolescents

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Working with AdolescentsWorking with Adolescents• “Just try it out…..there is no harm in meeting” • Gradual work

– First individual– Then with somebody he/she feels comfortable with– The whole family

• Self disclosure• It’s OK to be wacky & bizarre• Body language• Language• Confidentiality• Genuineness• Respect• Clarify responsibility as a therapist• Connecting with his/her interest• Anything you do, try not getting shocked…• Be naturally curious to explore their world• Message…I am on your side• Once they understand that ……..you can try out any technique

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“You may give them your love but not your thoughts. For they have their own thoughts.

You may house their bodies but not their souls, For their souls dwell in the house of tomorrow, which you cannot visit, not even in your dreams.

You may strive to be like them, but seek not to make them like you. For life goes not backward nor tarries with yesterday.

You are the bows from which your children as living arrows spring forth”

Kahlil Gibran