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The following
article appeared in the May, 2004, issue of Woodbury Reports
and on their website,
StrugglingTeens.com.
By Robert F. Fischer, M.D., and Anne LaRiviere Robert F. Fischer, M.D., is a psychiatrist who has treated
children, adolescents and parents for 30 years. He is the executive
director of the Optimum Performance Institute in Woodland Hills,
California, a transitional facility for 17-25-year-olds. This is a
summary of a speech he gave at the November IECA meeting in
Scottsdale, Arizona. Anne LaRiviere was the administrator of an
accredited Residential Treatment Center in Los Angeles and was a
reporter with The Los Angeles Times. She is the CEO of the Optimum
Performance Institute.
Those parents who experience the greatest success in managing the
inevitable anxiety that occurs when their adolescent transitions
into young adulthood are the same parents who have the wonderful
quality called resilience. Consider the father who called his son’s
therapist while waiting for the boy at the airport. The son had
graduated from a therapeutic program a year earlier and went to
college. But the college experience didn’t work out, and now he was
on his way back home. Not surprisingly, the father was peeved. “I
don’t get it. He should be ‘fixed’ by now,” he said over the cell
phone. “We’ve been through so much. We’ve paid so much. When is he
ever going to do the right thing?”
The Right Thing
Months later, these parents began asking themselves another
question: Is there really “a right thing to do, a perfect solution
for him?” Is it possible happiness really does exist in the freedom
found in accepting the ambiguity of life---that the solution is not
to find “the right way,” but the most adaptable and suitable way
based on the circumstances and reality of the present moment?
Power of Resilience
After the son returned home, he got a job in an auto mechanics shop
and enrolled in an extension program for car repair. Then he
announced to his parents that he was gay. “No, this is not what I
hoped for him,” the father said in another call to the therapist.
“For generations our family has gone to (an Ivy League) school. But
I love him. And what I really want is for him to be independent,
happy and safe. I must be patient.” The father was resilient enough
to affirm his commitment to persevere, work at the relationship and
allow his love for his son to grow within the actual experience of
life, not life as he thought it ought to be. This is not an easy
thing to do. It’s not easy to realize how the challenges of becoming
a young adult today may need to be blended into the dreams their
parents have for them.
Challenges Faced by Young Adults Ages 17-25
- In order to meet their developmental demands they must find a source
of nurturing and love. This means that when they lose the immediate
support of family and old peer groups, they must deal with the
isolation and loneliness arising from that separation, while
learning how to accept a new family of friends who may live in a
reality different from the one they previously experienced.
- They must begin to internalize how to commit to longer-term
goals---goals that will help them develop a sense of who they are
and give meaning to their lives.
- To begin building self-esteem, they must learn how to balance work
and play in an environment where fun is found without using drugs or
alcohol.
The Role of Consultants
It is a skillful therapist and/or consultant who helps families
develop the resilience they need to persevere as their adolescent
enters today’s world, and the many educational systems that fail to
support the needs of many young adults. The following illustrates
some ways to help families become more resilient:- Try to recognize the family’s “style of thinking” in relation to
anxiety management; we need to examine the following questions. Are
they perfectionists who see everything as black-or-white? Or, are
they less rigid and more open? Those parents who think in just
black-or-white, are prevented from being resilient, open or
exploring all of the possibilities available to their adolescent. Of
course, those parents whose thinking style is perfectionistic often
believe everything is either “all right” or “all wrong,” which
serves to bring the parental anxiety levels down to zero because
there are no choices to make, and no dilemma. So there’s no anxiety.
However, parents become less patient, tolerant and understanding
when they are unwilling to compromise.
- Do they communicate directly with each other? Do parents ask
indirect questions like, “I’m concerned about who you’re hanging out
with,” rather than directly asking, “Are you doing drugs? What do
you want to do with your life?” Does the young adult say, “I know
I’m the cause of problems at home, and I’ll do better,” or are they
able to verbalize the real question of, “Why are we so unhappy in
this family?”
- Is the family facing reality? Are they facing their differences as
real people and recognizing their conflicts, or, are they afraid the
family structure will collapse if they look too closely at these
realities? Are parents capable of examining the myths they
constructed when they created unrealistic fantasies about the
transformation process?
Four Myths & One Secret About Transformation
- Myth of Separation: Parents and children may understand they are
separating, but the concept of absolute independence, this
black-or-white fantasy of separation, creates anxiety within the
home because it is an illusion. A parent and child will always be
connected. It’s better to think in terms of “dynamic
transformation.”
- Myth of Unconditional Love: A parent’s belief that if they don’t
love their child unconditionally and vice versa, something is wrong.
In life, the reality is that we all need to accept conditions and
express our love within these limitations. By relinquishing our need
to always have Unconditional Love, we actually create circumstances
allowing us to be at peace with what is happening to our family in
the real world.
- Myth of Control: There is an inverse relationship between control
and a love based on tolerance, patience and acceptance. The more we
need to control, the more we experience anger when our wishes aren’t
met, and the more our relationships become confrontational.
- Myth of the Fast and Easy Answer: Be wary of any therapist who has a
one-sided approach, i.e. “never use medication,” or “meds are the
answer,” or “therapy is just psycho-babble.” No single approach is
applicable to every individual. A professional who offers the
greatest spectrum of approaches will also provide the best chance of
assuring an optimal outcome
.
- The Secret of Intimacy: Intimacy is what we all seek to ensure and
sustain happiness—to be close without concern about who is in
control, or who is more powerful, or who is the smartest---having no
expectations, only a feeling of peace. This helps us gain a sense of
faith that things will be OK.
It is important to remember that creating the perfect relationship
is not the objective in a family; the objective is to build a
relationship based on nurturing and a possibility of love. By
creating an atmosphere of faith in our young adult, we maximize the
possibility of achieving the best outcome based on the understanding
that we all have tremendous potential and we are all incomplete.
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