Although I’ve only lived in York for a year I’m already familiar with the flooding. Twice during that time the Ouse has risen, filled the riverside paths, and lapped at the walls of nearby homes. For long in the tooth Yorkies, this is an all too frequent experience. It may not happen on the day heavy rains fall, but as the waters landing further north gather and merge, a coming flood is certain.
On land adjoining the Ouse there is capacity to absorb this inundation. Paths, parks, and grassed meadows become temporary lakes. On the whole the roads remain open, bridges are passable and people can circumvent the inconvenience. However, in exceptional years the rise in the river’s level exceeds the available capacity. Slowly but surely water seeps into the foundations of buildings and even palaces aren’t immune. It’s only when the waters abate that the true cost, damage and distress can be assessed.
The majority of people can absorb unexpected pressures, and have the capacity to stretch their resilience. Whether it is difficult relationships, an unexpected bill or uncertainty at work, we can withstand a rainy day. In human terms, we may well find that 2020 is a year of inundation – a constant precipitation of difficult news, personal or family illness, and a precarious economy: and that isn’t even the half of it. As with the Ouse, the full force of this deluge may not arrive until the skies clear.
A long time ago I trained to be a Samaritan. It led to many nights on call, available to listen to anyone, and there were some drop-in meetings in person. I’ll never forget one of those shifts. A man came in and, after introductions, we both fell silent. I can’t remember if I asked him if there was anything he wanted to talk about, but the silence became extensive. We simply sat together. At some point he asked how I was – and I then asked how he was, and he left. I’ve no idea what it meant to him, but there was something both profound and moving about that time spent together without words.
Mental health illnesses are seldom suffered alone. Families are affected by the consequences of altered personality, depression or unmanageable anxiety. As I know from family experience as a child, the pressures and expectations of Christmas can be a flash point for mental illness and its impact. It’s hard to imagine what that will be like this year.
We cannot begin to calculate what the consequences of the pandemic will mean for people’s mental health. In many respects the UK was not in great shape before the virus. This will not have been made better. While the focus last week might have been crossing the 50,000 death tally, we mustn’t forget how many people have been seriously ill, frightened and struggling. There is an extensive literature on the psychological legacy of being in intensive care.
This increase in population mental distress was not simply a continuation of previous upward trendsPierce, M., Hope, H., Ford, T., Hatch, S., Hotopf, M., John, A., … & Abel, K. M. (2020). Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population. The Lancet Psychiatry, 7(10), 883-892.
I imagine that some of the negative impacts of COVID-19 for mental wellbeing won’t emerge until things begin to normalise. At this point, for many people, it isn’t ‘safe to be unsafe’. There are leaders in many fields of work who have been trying to hold everything together through a crisis. As and when that critical period is over, we’ll need to make sure that these leaders can recover from the demands of their role carefully, safely and peacefully. If we can achieve that then they will be better placed to support their teams – the people who will turn to them in a crisis.
It is unlikely that there will be enough training therapists, clergy and counsellors to cope with the demands that emerge. Alongside those who have been ill there will be people experiencing complex bereavement. People whose life-chances for employment have changed for the worse. All of this is within a broader context in which hugs have been missed; holidays cancelled; team sports curtailed; and church services stopped. It is impossible at this point to calculate the cumulative toll of these difficulties.
This can all feel very daunting, even as the direct affects of the pandemic continue to be present in our communities. In the weeks approaching Christmas it’s probably not surprising that many of the adverts focus on ‘kindness’. The marketing agencies have done their homework – they know the sort of message people want to hear.
We all need kindness. We also need people able to stand inside the story of our suffering. The phrase I remember from my Samaritan training was to ‘steer into distress’ – not run for cover when the conversation becomes too intense. Compassionate listening by those willing to hear and accompany our recounting of the flood will be vital. People able to support a conversation about what the deluge took; what it changed; and what it has left behind. Only as we do that work with a skilled listener – when the time is right – can we begin to rebuild our spiritual home.