A Few Words About Language

I just had the most amazing meal. A Reuben sandwich (rye bread, corned beef, Swiss cheese, dressing, and sauerkraut) with potato salad (red potatoes, skin on, the dressing was pinkish, as if slightly colored by beets) and iced tea with refills. This may seem mundane, but it is a combination that I haven’t had in New Zealand, for all I know, I may not have had a Reuben in two or more years. Even if I did have a Reuben in New Zealand, it wasn’t this way, names can be the same, yet the content and experience incredibly different.  I had this marvelous lunch at the Moonkiss Café in Waquoit, Massachusetts. Walking out of the café, I saw a small sign tucked into the flower garden that said, “PEACE.”

I haven’t been back in the US for about a year. It doesn’t seem like a country at war, but we have been at war for 11 years, now. We are fighting terrorists, mujahedeen, who were previously freedom fighters against the Soviets. The Soviets were hostile occupiers, but the US is spreading freedom and democracy and killing “others” with machines that are growing in intelligence and deadliness (drones – definition). There is no sign of war here and no sign of deaths that are happening elsewhere. Peace:  a wish, a protest, a religious statement, or political commentary. The flowers bloom, regardless.

I have just set foot on US soil after almost one year away. I have been up in Nova Scotia, Canada for the past two weeks. On the way there from New Zealand, I was briefly in Sydney, Australia on a layover. I had four country’s currencies in my pocket, which I thought was very cool, until I tried to pay for something and three of the currencies had the English queen’s likeness on them. Does that make me a global citizen or a bumbling, economic colonialist?

I was at the ALIA (Authentic Leadership In Action) conference, which I will discuss in more depth in another entry. Here, suffice it to say, I spoke with people from all over, mostly Canada, Quebec, the US, Barbados, Australia, and even New Zealand. The first thing that was strange is when I got on the Air Canada flight in Auckland. First I noticed one person speaking North American English, then another and another, suddenly, I was surrounded by people who spoke similarly to me, the Aussies sitting next to me were more the minority with their pronunciation. I didn’t realize how used to being different, in the New Zealand context, I have become. I had a weird experience in a Tim Horton’s yesterday, after already being in Canada for a couple of weeks, of having that feeling of needing to speak quietly so that everyone doesn’t know that I am American and then I realized that I didn’t need to change my way of talking, as there isn’t as much difference between Canadian English and US English, as there is between the US and NZ. Still, I would rather not stand out as obviously American in another culture. Sometimes in New Zealand, people think I am Canadian, I generally take this as a complement, based on the perception of the US in the world. So, I have learned to speak quietly, pronounce many words differently, and to make this kind of “um” noise and to say “eh” (or someone said I should spell it “aye,” but it sounds a lot like a Canadian, “eh,” eh?).

But then, there are those Canadiens from Quebec, with not just a different accent, but a different language. As New Zealand is bicultural (New Zealand European (pakeha) and Māori), so Canada is bilingual (French and English). In New Zealand, I worked hard to learn some Māori words and phrases. I learned some Albanian from my Kosovar friend. I have worked to understand and even say some words in different English accents. At the conference, I think one of the most beautiful words I heard was the Zimbabwean pronunciation of the word “here,” which sounds more like haeare, and it reminds me of my friend in New Zealand who grew up in South Africa and England, as he says haeare in a similar way.

One is at a distinct disadvantage being in a bicultural or bilingual country and not speaking the other language or understanding the other culture. There are complex dynamics around this. Sometimes it seems that those who speak “the other” language expect you to learn their language, but there is variability in whether or not someone teaches you their language. I don’t understand the Anglophone/Franocophone dynamics in Canada enough to comment. Māori culture in New Zealand is somewhat closed, it is more collectivist and tribal in orientation, which tends to have stronger ingroup/outgroup distinctions. There is also both a dual expectation that you are sensitive to and informed about their culture, but there are barriers to learning it as it is something of their own that is not easily shared. As an outsider bumbling in, there can be a feeling of discomfort, ignorance, being disliked (perhaps for one’s group affiliation – rather than one’s individual self), with the accompanying projection that the other is proud, arrogant, disdainful, angry, or perhaps playful, or maybe just seeing what a newcomer knows. What is behind this interaction, what motivates someone to speak a language to you that they know you do not know? In a bilingual country, a visitor could reasonably be expected to learn a few words in the host language. I admit it bothered me when Americans would use American currency in Canada (which I also admit, I did a couple of times near the end when I ran out of Canadian currency), why not exchange money?  So why not learn some French, I ask myself. Well, I did embarrassingly learn “come see come saw” which means something like “I am so so,” (Ok, I know it isn’t spelled that way, but I am not sure how it is spelled, just how it sounds).  I should learn some French, at least a few words out of courtesy.

I am listening to Stereolab right now, mostly English, but some French songs, although I have listened to this band for years, I don’t know what the words are to the French language songs. I like Jovanotti and I have looked up the English translation of some of those songs sung in Italian. Sigur Rós, I have looked up the translated lyrics on a couple of songs from Icelandic to English.

It was easier for me to learn to speak a few phrases of Albanian in New Zealand than Māori in New Zealand, why is that? I developed a relationship over some time with someone from Kosovo at the bus stop every morning, and it just seemed natural to want to learn a few phrases. Most of my learning of Māori has been from reading books and learning certain terms.

Language is a touchy subject, a difficult subject, it allows for connection, it can create clarity or confusion, it also can be used for disconnection. I know that it took me about a year, maybe a year and a half of having to activate a little more of my brain to translate accents in New Zealand – the place I noticed this the most was in jokes, I would often be about 10 seconds behind the joke before I would get it. Being in a different culture is an adventure and it also entails a degree of isolation and difference. I have written earlier on this theme shortly after arriving in New Zealand, particularly the dilemma of having a tendency to feel like an outsider and gravitate to the periphery in one’s own culture and then moving to another culture and being perpetually an outsider. I have met Americans who have been in New Zealand for years, and even though they pronounce some words like a Kiwi, they don’t speak with a Kiwi accent, only those who come at a young age seem to be able to do that. There is something akin to aural butter in hearing one’s own language and dialect spoken, of speaking to someone who has a familiar rhythm and tempo in their speech, it is kind of like the meal I had for lunch today – it was really good, partly because it was expected and predictable, the variations maintained the essence of the food, whereas in another culture the name is retained, but something about the essence just doesn’t feel like the food you are used to. And yet, for many people, there is a desire for newness, difference, a change of pace, a new perspective – but all things are in a balance, it would be good if I could explain that, but I cannot, other than to say that I have felt at times a craving for sameness, security, the expected in reaction to a temporary state of being overwhelmed by otherness.

So, what do I say, “I am culturally insensitive because I am an American, and that is in fact our culture and other cultures should be sensitive to that?”  I don’t think that will fly. I will need to learn at least some conversational French before returning to Canada. But for now, merde (second favourite French word), I must work on my idée fixee (favourite French phrase), and I bid you adieuMon Dieu, I almost forgot my third favourite phrase! I also like the French pronunciation of idiot, which is probably fortunate.

Walden Pond

WALDEN POND

I had the happy surprise of going to Walden Pond on a 2 day trip to Boston to visit a friend from high school. I had never been there, although I have read Thoreau off and on, and I was really thrilled to go there – a mini-pilgrimage of sorts.

WALDEN POND

The first time I seriously read Thoreau was after university when I bought a bus ticket from Chicago to Seattle and went backpacking in the Olympic National Park. The bus trip was 50 hours long (each way), so I had plenty of time to read and to meet people from all over the world. There is a strange sort of community that happens when people are thrown together for a medium length of time. There was a rhythm of driving, stopping for a break and some food, and driving some more.  I don’t know if I would have read as much of the Portable Thoreau as I did on that trip if I weren’t in that somewhat Zen-like rhythm of always moving and being stuck in the same place.

WALDEN POND

I have a painting I made years ago, it is a sort of forest scene with a little cabin by a pond and then I painted quotes from Thoreau over the whole thing. Here are a couple of the quotes:

WALDEN POND

If you have built castles in the air, your work need not be lost; that is where they should be. Now put the foundations under them.

I came into this world, not chiefly to make this a good place to live in, but live in it, be it good or bad. A man has not everything to do, but something; and because he cannot do everything, it is not necessary that he should do something wrong.

I left the woods for as good a reason as I went there. It seemed to me that I had several more lives to live. It is remarkable how easily and insensibly we fall into a particular route, and make a beaten track for ourselves. I learned this, at least, by my experiment, that if one advances confidently in the direction of his dreams, and endeavours to live the life which he has imagined, he will meet with a success unexpected in common hours. In proportion as he simplifies his life the laws of the universe will appear less complex, and solitude will not be solitude, nor will poverty be poverty, nor weakness weakness.

WALDEN POND

The Royal Australian & New Zealand College of Psychiatrists, Part I

I just got back from Hobart, Tasmania in Australia for the annual Royal Australian & New Zealand College of Psychiatrist conference. It was a very interesting conference, I learned a lot and met many people who are doing good work.

Hobart, Tasmania, Australia

Hobart, Tasmania, Australia

Here is the abstract for the first presentation I did:

What Does It Man to Be Human?

The Role of Psychiatrists in Philip K. Dick’s Life & Writing

Author: David R. Kopacz, M.D.

Philip K. Dick was a prolific author of over 50 novels. Many films have been based on his work, including Blade Runner, Minority Report, Adjustment Bureau, and the upcoming Radiofree Albemuth. His continued relevance seems due to the timelessness of his two main themes:   “what is human and what is real?” In the course of living these questions he was prescribed most classes of psychiatric medication, took street drugs, routinely consulted psychotherapists and psychiatrists, and was psychiatrically hospitalized several times.

Not surprisingly, psychiatrists often appear in his writing, sometimes as humanizing forces but also as forces for dehumanization. Dick called dehumanization, “androidization,” where a human being becomes a machine:  obedient, predictable, and lacking independent thought. When psychiatric interventions are applied without thought and wat ithout appreciation of the humanity of the recipient, the psychiatrist can be seen as an “android” who is trying to turn the patient into an “android” as well. In Dick’s life and work, psychiatrists also act as human beings, with concern and empathy to empower the humanity of the client.  Although Dick developed extensive, elaborate theories about the question of ultimate reality, his litmus test for humanity is much simpler – is one kind to other beings? Kindness is the hallmark of whether one is acting as a human or a machine. This presentation will examine Dick’s concepts of the android and the human in the context of contemporary debates regarding the recovery movement and the role of the psychiatrist as an evidence-based technician and/or as a humanitarian.

The Royal Australian & New Zealand College of Psychiatrists, part IThe Royal Australian & New Zealand College of Psychiatrists, part I

The presentation went well and I had some interesting discussions after it. One thing I came away thinking about was PKD’s subversive humanism (the little guy trying to stay human in the face of overwhelming technological or political attempts at androidization) and how that is similar, in some ways, to the true work of psychiatrists – fostering human growth and development in the face of mental illness, traumatic past experiences, and restrictive belief systems of family and society.

Bruny Island

Bruny Island
Bruny Island was an interesting place, but I think we both felt a little disappointed after the rest of Tasmania.  It is very, very quiet on Bruny.  It is a beautiful place, but by the time we got there, we had seen so much beauty.  Personally, I think we would have both spent a little more time around Freycinet and at Kabuki by the Sea.  We also were both getting sick with a cold in Bruny, so that probably colored our views, too.  I had wanted to take the wildlife cruise, but one day it was raining and the next day I just didn’t feel up for it.  Above is a sculpture that some locals made after a whale was beached at Adventure Bay.  If you look closely, you can see two whales inside the globe.

Bruny Island

I went out two nights trying to spot the Fairy Penguins, the smallest penguins.  These have holes that they dig in the ground.  The first night, I didn’t see anything, but I didn’t know how long to stay out in the night.  The second night I was better prepared and had red cellophane to put over a flashlight.  Right off the bat I saw a wallaby and could hear it munching away as I watched the surf.  Eventually, I could see some penguins!  They clustered around by the water’s edge (the left side of the photo below was where the blind for watching them was located).  Then a small group of them decided it was time to make the trip and the shuffled along, right alongside of the blind I was behind, so I could see them quite close up.  I had experimented trying to take red light photos of the wallaby, without much luck, so I knew there was no point in trying to photograph the penguins, so I just enjoyed watching them shuffle along and listened to all their calls from their burrows.

Bruny Island
Of course, there were more birds to photograph, here are some that were flying around where we were staying at Alonnah.  I think the bird bottom left is a Sea Eagle and of course the ubiquitous Green Rosella, foraging in the backyard and a flock in flight.

Bruny Island

Bruny Island

Bruny Island

Launceston and the North of Tasmania

Launceston and the North
Launceston and the North
There were a lot of great birds, I never got tired of trying to photograph different varieties of wild parrots. Also, the kookaburra were very common and made a lot of funny noises, their “laughing.”
Launceston and the North
We spent some time at the Cataract Gorge, a beautiful park with walking tracks right in Launceston, the second largest city in Tasmania.
Launceston and the North

The quality of the light was very yellow in a lot of places, maybe it is partly because there are more autumn colours in Tasmania than New Zealand and we aren’t used to seeing the browns, tans, and yellow pallete of colours. We spent a lot of time driving through the countryside and were surprised to see large flocks of cockatoos fosicking in the fields!

Launceston and the North

Freycinet National Park & Swansea

We spent part of a day at Freycinet National Park on the East coast and saw some beautiful scenery and watched birds on the beach for a while. We walked around Sleepy Bay and could have just stayed there for a really long time, but we also wanted to drive up to Launceston that day and the recommendation is to stay off the roads as much as possible after dark because the wildlife is so plentiful.

Freycinet National Park & Swansea

Freycinet National Park & Swansea

Freycinet National Park & Swansea

Freycinet National Park & Swansea
Freycinet National Park & Swansea
 We stayed at Kabuki by the Sea, near Swansea – a beautiful set of cottages looking out over the cliffs and surf. There was also a Japanese restaurant there.  The food, company, and views were so fabulous that we came back and spent another night there on the way back South.

Freycinet National Park & Swansea

Freycinet National Park & Swansea

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

We spent a week touring before the conference and one of the highlights was East Coast Nature World in Bicheno. They had many different animals, many of which they rescued as orphans or injured animals. They would try to return some of these animals back out into the wild, like the baby wombat we met.

East Coast Nature World, Tasmania

There were kangaroos hopping around everywhere and we could feed them pellet food, which they were really keen on. We were surprised to see something strange sticking out of a mama kanagaroo’s pouch, a foot, and later a head and a foot!

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

There was a walk through aviary where we saw many interesting birds. I also went to the Platypus House at Beauty Point, but the pictures there didn’t turn out so well.

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

We were at Nature World at feeding time for the Tasmanian Devils. They were a mixture of cute, ugly, and hungry! They eat bones and all of their food. There is a serious facial cancer, though, that these guys are susceptible to. There are different attempts to treat it or stop its spread. No treatment has been effective. Nature World does some breeding programs to increase genetic diversity. I also saw a news piece on a project to block off a pennisula and monitor a healthy population of Devils there.

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

The Royal Australian & New Zealand College of Psychiatrist, Part II

The Royal Australian & New Zealand College of Psychiatrists, part I

Here is the second presentation:

A Chart Review Comparison of Rates of Abnormal Vitamin D Results in a New Zealand and US Mental Health Population

Author: David R. KOPACZ, M.D., Mary Pat Traxler, Ph.D.

Affiliation

Kopacz: Buchanan Rehabilitation Centre, Auckland District Health Board, New Zealand
Traxler: Private Practice, Auckland

RANZCP guidelines for maintaining certification in Psychiatry recommend yearly clinical practice audits. This is to assure that individual practice is consistent with evidence-based guidelines. A dilemma arises when there are no clear guidelines for specific practices. In these cases, the findings of the audits of individual clinicians can identify areas that require future research. These audit results raise the question of whether there should be routine testing of Vitamin D levels, given that the majority of clients tested had abnormal Vitamin D levels.

The current study compares retrospective clinical audits of two different mental health populations: a community mental health sample in New Zealand and a private practice sample in the United States. In the New Zealand sample of 88 clients, 32 were tested for Vitamin D, with 66% having abnormalities in Vitamin D. In the US sample of 114 clients, 32 were tested for Vitamin D, and 53% of clients had abnormal levels. These high levels of Vitamin D abnormalities could have clinical implications.

The findings of these audits raise a number of questions that require future research: do these findings differ from general population data; should Vitamin D be tested on a routine basis in mental health populations; are there subgroups who are at greater risk of Vitamin D abnormalities; what is the implication of abnormal Vitamin D levels for the physical and mental health in these populations; does correcting Vitamin D abnormalities have a positive effect on the acute and long-term physical and mental health of clients?

This presentation was really challenging to put together. There is a lot of controversy surrounding testing for Vitamin D as well as treating insufficiency/deficiency. There was another presentation in our same section by another American psychiatrist who has been in New Zealand for a number of years and has also been studying Vitamin D!

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

We took a quick trip (a little over 24 hours) a couple of weeks ago. We went out to stay at some friends’ Bach (pronounced “batch” like a Bachelor Pad), which is what Kiwi’s call their holiday homes. It was out on Coromandel penninsula. We had a great time and here are a few photos.

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

I just finished a draft of my book, Creating a Holistic Medical Practice, and sent it off to a literary agent. This is the furthest stage I have gotten to in working to get the book published. I have sent off to maybe about 6-8 publishers and agents so far. With this agent, I sent off a proposal, then they requested a few sample chapters, and then they requested the whole book. Great news, only that led to about a month of non-stop writing to try to get the second half of the book in presentable shape. I feel good about it and now it is out of my hands.

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

The next projects are two presentations in Tasmania this month at a conference. The first is on writer, Philip K. Dick’s views of psychiatry and humanity, and the second is on Vitamin D in US and NZ mental health populations. I’m sure that will be exciting and I’ll definitely post some photos from Tasmania.

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

Work as Clinical Director has been very challenging since I started the job. I am looking forward to getting a break and come back refreshed and ready to go!

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

The End of an Era: Freddino’s Closing

The End of an Era: Freddino's Closing
The End of an Era: Freddino's Closing

It is the end of the month and also the end of the fiscal year in New Zealand – and Freddino’s cafe and Yakitori is closing.

The End of an Era: Freddino's Closing

This has been my favourite cafe to write in and I am really sad about it closing. Freddino has created a great atmosphere, that in some odd ways reminds me of home, the kind of feel that someplace in Champaign-Urbana – there is something about the relaxed, open atmosphere and the Freddino’s artwork that he has about the place. On the surface, you wouldn’t notice it, it is a deeper sense of creativity and comfort.

The End of an Era: Freddino's Closing

There aren’t many cafes in New Zealand that are “laptop friendly,” but I never felt like I was a nuisance taking up a table at Freddino’s. I have really enjoyed writing at Freddino’s and it will leave a gap in the cafe writing culture in Auckland.

The End of an Era: Freddino's Closing

Freddino isn’t afraid to put himself out there, as you’ll see from his artwork and his iconic self-portrait that festoons the outside of the building.

The End of an Era: Freddino's Closing

The coffee is always great, they serve lattes in bowls, which I love. The vegetarian breakfast is superb! We didn’t make it out to Freddino’s for dinner much, I was mostly there on my Tuesday writing mornings, but the Yakitori was great.

The End of an Era: Freddino's Closing