Cultural Diversity: Family Practice in a Culturally Diversified Society

November 2, 2010
5:30 pmto8:00 pm

Dr Bhatia, as part of the CultureCounts.net team will present the topic of discussion at the Inns of the Court meeting for legal professionals.

Host: The Southern California Family Law American Inn of the Court
Location: Porterhouse Bistro, 8635 Wilshire Blvd., Beverly Hills CA 90211

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Cultural Complexities in Family Law Matters

February 12, 2011
2:30 pmto4:30 pm

Gitu Bhatia, Psy.D., will present
“Cultural Complexities in Family Law Matters” , on
February 12, 2011, 2:30- 4:30p.m.

This presentation will feature Dr. Bhatia, Abbas Hadjian, Esq. and Diana Martinez, Esq.  Together, they operate the blog, CultureCounts.net , which features the discussion of cultural issues in family law.

Event Info:
The Association of Family and Conciliation Courts California Chapter
The 2011 Annual Conference , Feb. 11-13, 2011
Inter-Continental Mark Hopkins Hotel (on Knob Hill), San Francisco, California

For more information, visit:
http://afcc-ca.org/

We look forward to seeing you there!

Body image and a healthy sense of self

We live in a world that values appearance. Whether we like to admit it or not we form our first impressions based on very superficial features. Some of us are able to look past what is on the cover of the book and look inside for it’s true value. Others remain preoccupied with the cover and buy into the advertised message.

So when does this preoccupation with body image and appearance start?  From a developmental perspective, until children are preschool age, a child’s self esteem is almost entirely based on how they are treated by their caregivers, or family and friends, with whom they come in contact.  Even exposure to media at this age does not have the negative impact it has later on as children’s growing cognitive abilities expand to see themselves as separate individuals from others. In the magical early years of childhood, children may even believe, when they play dress-up, that they are truly transformed into the costume they adorn.

Then children start kindergarten, and elementary school, and the feedback of others and socio-cultural biases reflected in the media start to impact self -esteem in positive or negative ways. Seeds of body dissatisfaction, disordered eating and full blown eating disorders get planted during these years. Although only a small percentage of people end up suffering from Anorexia or Bulimia or serious eating disorders, a large proportion of young girls and women, in this culture, suffer to some extent from dissatisfaction with their bodies, distorted body image and have disordered eating. Not surprisingly, but to a lesser degree, men are becoming increasingly dissatisfied with their bodies. A study in the British Journal of Health Psychology, on parental influence on dieting awareness in young children concluded, “The negative self comparisons to unrealistic images portrayed by media are not just a female issue anymore. A substantial proportion of young children have internalized societal beliefs concerning the ideal body shape and are well aware of dieting as a means for achieving this ideal. In particular, the desire for thinness emerges in girls at around age 6.

Although it seems alarming that most children are exposed to dieting parents and almost all children are exposed to popular media, there are a good number of children who seem to escape this pressure and grow to have a balanced and healthy sense of self that is not wrapped around their appearance alone. There are some protective qualities that can be encouraged in children, at a young age, to allow for development of a healthy self image.

As a society, we believe that increasing knowledge around any issue, helps prevent large scale problems like AIDS, drug abuse, drinking and driving etc. In reality these simple measures to educate have a very small impact on changing behaviors. It does not help build coping skills. It tells us what not to do without providing tools to cope with the pressures of real life. In building a healthy sense of self, “just say no”, does not seem to be a helpful approach.

On the other hand, helping children become better consumers of media is a very effective way of building resistance to societal pressures. Children can be taught critical thinking skills in simple every day situations like on their trip to the supermarket. The beautiful displays and packages communicate the glories of products, where as the product may or may not match up to the claims. Having children experience the “spin” first hand is a meaningful way of using their own instincts rather than “buy” into what is being “sold” to them. These messages can be brought to their attention with commercials, movies and even news sources. In all these small ways, children can learn that the vastly unachievable images projected by media are unrealistic and even harmful.

Another very important way for parents to be supportive of the healthy development of their children’s self esteem is to ensure that they are never teased for the way they look. People with eating disorders often report that the seed of body dissatisfaction was planted when they were teased or heard a devastating remark from someone significant in their lives, generally at a young age. Students of gymnastics and ballet are specially at a higher risk for weight and body size related remarks.

Unfortunately as a society, in placing such a high value on thinness we don’t honor the natural diversity in shapes, sizes and skin (and hair) color, on the other hand have one of the highest proportion of obese children and adults in the world. Perhaps some amount of education on healthy life style is needed at all ages.

A few things that parents can actively do to vaccinate their children against unhealthy body image:

  • Model a healthy and balanced emphasis to internal and external qualities by praising children for their work, effort and internal qualities with how they look. We have all heard comments that reflect the double standards of our socialization; girls hear “you look so pretty” and boys hear “you throw like a champ”.
  • Try to avoid social comparisons and judgements about others. It helps weaken peer pressure.
  • As much as possible, watch movies and TV shows with your children so you can use the teaching moments that invariably come up. It helps children know your values more explicitly.
  • Discuss their role models with them. Often parents are surprised that they are their children’s role models and not the popular movie or sports figures.
  • Avoid using terms “I was BAD” when you eat french fries or a decadent dessert. The terms “healthy” or “unhealthy” usually convey a sense of responsibility to self than “good or bad”.
  • Helping children expand their vocabulary of feeling words. Food often serves as an expression of emotion in the absence of open communication.

These are some warning signs that seeds, of destruction of a healthy body image, have set in:

  • Picky eating (obsessive concern about weight, calories, or a certain part of the body).
  • Possession of diet pills, laxatives, diuretics.
  • Excessive exercise or dieting.
  • Evidence of bingeing and/or vomiting.

Parents often feel the need to praise and compliment their children to foster a positive self esteem. In reality a healthy sense of self is only ultimately achieved by real accomplishments and not empty praise. Children, and adults, need opportunities to discover who they are and become aware of their strengths in a loving and supportive environment.

Anger is a difficult emotion

Anybody can become angry – that is easy, but to be angry with the right person and to the right degree and at the right time and for the right purpose, and in the right way – that is not within everybody’s power and is not easy – Aristotle

Very often people struggle with knowing what they are really feeling when they are angry. On the one hand, anger is universally recognizable and understood. On the other hand, anger is a very complicated set of emotions with layers of feelings. Anger, for a lot of people, is the go-to emotion when they are hurt, afraid, disillusioned, misunderstood, or even embarrassed.  Since many people are unable to understand the complexity of their anger, they are even less likely to care for, or manage, this emotion in a constructive manner.

Most of us associate anger with rage, being out of control or being destructive. Thinking of anger, as a constructive emotion, is often difficult because it feels corrosive and uncomfortable. Yet anger at the unjust world is what motivated the likes of Gandhi and Martin Luther King, Jr. Women, more often than men, are likely to suppress or mismanage their angry feelings. Women, in most cultures, are socialized to hide or sublimate their angry feelings. Where as men typically let out their anger in recognizable ways, women tend towards internalizing their anger or expressing it in more complicated ways. Although it may seem unfair to generalize, research support that across the board, women from different socio-cultural backgrounds, tend to use passive aggressive or manipulative means of managing or expressing their anger. For example, women are more likely to use the internet or emails as a weapon for attacking or for bullying from a safe distance. The book Mean Girls, Meaner Women, written by two psychologists, Dr. Erika Holiday and Dr. Joan I. Rosenberg, addresses this issue in greater depth and detail.

Popular wisdom about how to deal with anger is also often problematic. It is not uncommon to hear people say that they scream into a pillow or punch a punching bag to let out their anger. Unfortunately many of these strategies can have the opposite impact on our bodies, minds and relationships. Anger tends to have many physiological effects on the body, e.g., elevated heart rate, raised blood pressure, and tightening of muscles. Anger can evoke the same “fight or flight” responses in our body, as when faced with a scary situation. The strategies of punching or screaming exagerate the very feelings that we are attempting to temper. Also, a common way of dealing with anger, is expressing anger verbally in the name of communication. “You have to let it out”, is the common bias in this culture. Not all communication is effective and self- restraint is confused with being weak or passive.  Letting the anger out, very often provides support for the angry person feeling even more justified in being angry. The most ineffective form of communication or of expressing anger tends to be when one is the angriest.

Interestingly, not letting out the anger, can be equally destructive. Since our minds and bodies are intimately related, unmanaged anger often shows up in the body as aches and pains, stress and even diseases like depression and anxiety. It is easy to see the link between the need to soothe difficult emotions and substance abuse or eating disorders. The more effective ways of dealing with anger requires a lot of self evaluation, changes in attitudes, re-evaluating relationships, one’s role in the relationships and cultivation of new habits. Thich Nhat Hanh provides a compassionate way of looking at anger in the book Taming the tiger within: Meditations on Transforming Difficult Emotions. In his infinite but simple wisdom, he says, “If you get angry easily, it may be because the seed of anger in you has been watered frequently over many years, and unfortunately you have allowed it or even encouraged it to be watered”. To stop watering this seed of anger, therefore, we probably have to focus our energy elsewhere, learn new coping skills and cultivate other qualities.

One of the ways of better understanding our anger and dealing effectively with anger continues to be effective communication. Unfortunately, we over use the word communication but misunderstand the essence of it. Anger gets communicated without words even more palpably than with words. Slamming doors or silent treatments are loud examples of non-verbal communication. The most important aspect of communication that is often neglected is “listening”. We are more likely view the act of listening as the time spent waiting to express our side of things or gathering up more evidence to assert our point of view. Listening with the intention of truly understanding the other is challenging and takes practice. It takes many years of training as a psychologist or a therapist to listen with unconditional acceptance.

Forgiveness is another profoundly helpful strategy to deal with unresolved or long term anger. Perhaps because it is associated with religiosity, forgiveness is also a widely misunderstood concept. People sometimes equate forgiveness with giving someone else permission to continue to wrong them or with forgetting bad events. Forgiveness is, simply, a conscious act of acceptance of the realities as they exist, and allows for healing and unburdening. It takes practice and it happens in small increments, like watering the seed and watching it sprout and grow into a healthy plant.

Mistakes are learning opportunities

If you shut your door to all errors truth will be shut out.  ~Rabindranath Tagore, Stray Birds, 1916

As children we are made to fear mistakes because mistakes are often followed by some form of punishment or negative consequences. This may be the reason why we continue to view mistakes as shameful and bad rather than as learning opportunities. How do we help our children, and ourselves, view mistakes as a normal human experience or as learning opportunities? Try asking these questions with real curiosity:

  • Have you made this mistake before?
  • What circumstances led up to making these mistakes?
  • Are there others involved in this mistake? What is your contribution?
  • How have you felt after making this mistake?
  • How would you feel if you made the same mistake again?

It is really difficult for us to keep ourselves from judging and defending the mistakes. It is equally hard for us to forgive ourselves when the mistakes hurt others or have a long lasting impact on ourselves. The qualities that help in these circumstances are openness and acceptance to learn, flexibility to change our thoughts and actions, and most importantly wisdom to see the value in the mistake.