The chaos after the storm

Reading an article recently on the Falklands war between England and Argentina, which happened 40 years ago, I noted a quote from Sir Rex Hunt, who was the Governor of the Falkland Islands at the time of the conflict.

He said that for the first year afterwards, the islanders didn’t want to talk about it.  In the second year, they talked about nothing else.  In the third year, they were starting to move on.

It always comes as a surprise to mission workers who have experienced trauma, shock, evacuation or other sudden and unwelcome change, that it can take them so long to move forwards.  Sadly, it comes as no surprise to those whose role it is to help them.  It is the chaos after the storm, when everything needs picking up and rebuilding, but nobody has the energy to decide what to keep and what to throw away, or how to rebuild.

We have talked before about the sense of being stuck between the past and the future, the confusion of having a God-given ministry suddenly terminated, and the contribution that debriefing or other listening therapies can have in this process.

But this can be a very long journey.  People can be reluctant to open up, even to themselves or their families, about how they are feeling.  They may look like they are doing well while falling apart inside, but are just pretending because they think they need to be strong for the rest of the family.  They might be frightened of how badly they might fall apart if they acknowledge their pain, anger or confusion.

Once they have started to process what they’ve been through, they may want to talk about it, particularly with other people who have been through a similar experience, or who know about such troubles.  It may well be a significant comfort to them to know that they are not alone, and it can help them to acknowledge and normalize their feelings.

For most of us going through these challenges, it’s not so neat as Sir Rex makes it look.  It may not happen in that neat order, and we may alternate between different phases.  That can make recovery feel very confusing – yesterday I was doing so well but today I’m a mess again.  And it may well take longer.

The most important thing people around those who are struggling with the fallout from their trauma can do is to be patient with them – a calm, stabilizing force in the midst of the chaos, not minding if we hear the same things over and over again, or if they are reticent and withdrawn with us.  Our quiet acceptance of them is helping.  People forget that there was one thing Job’s comforters got right: they just sat with him in silence for a week, as a gesture of their solidarity and support.  While the subsequent conversation didn’t go as well as specialist debriefs usually do, at least it created a space for God to work it, which is the ultimate goal of any of us supporting the traumatised.

When Jesus doesn’t help

Christians usually focus our studies on healing by looking at the stories of Jesus healing people.  But there is at least one occasion when Jesus didn’t heal somebody.  It’s not recorded in the gospels (for obvious reasons!), but we can infer it from an account in Acts 3.

A man who had never been able to walk was begging at one of the temple gates, where he was accustomed to begging every day.  Peter and John came by, and Peter healed him, just like Jesus would have done.  It’s a significant event because it’s the first evidence that Jesus really did pass on his miraculous power to his disciples (John 14:12).

Only it is highly likely that Jesus didn’t heal this man when he had the opportunity!  He must have walked through this gate on multiple occasions as it was probably the most popular gate* for pilgrims going up to the temple, and he must have passed this man.

I can imagine him starting to head towards him, in anticipation of transforming his life, when he felt the restraining words of the Father: “Not him, son, I’m saving him for someone else.”  Jesus must have been disappointed, the beggar must have been disappointed, but Peter and John certainly wouldn’t be.

One of the biggest discouragements in the lives of mission workers is disappointment.  You thought you had heard God’s call to the harvest but there is still no fruit.  The person you have discipled for years turns her back on God.  Not only is your church membership shrinking, your children are not walking with God.  The miracles don’t happen.  You begin to wonder if there’s any point in you being there at all, and maybe you should give up and go home.   I reviewed a real life case some years ago and continue to find more cases of disappointment in the lives of mission workers I meet.

Yet the church looks for success.  They want to know how many people you have baptized – and if it’s not many, what are you doing with the money they give you?  You can’t express your doubts or frustrations to your church – they might stop supporting you!  So your prayer letters never mention the challenges and the discouragement.

Neither can you tell your agency – they might send you home!  The very people who are there to support you through the hard times are the ones you don’t feel you can be honest with.  So where do you turn?

  • You can get a confidential debrief from Syzygy, whether in person or via social media.  Just get in touch on info@syzygy.org.uk.  Or there are plenty of other independent debriefers we can put you in touch with.
  • You could engage a mentor to help you grow through the issues.  Syzygy can help you arrange this too.
  • You could go on a retreat and talk to the retreat leader.  We can advise on several places worldwide where you can find mission-focused retreats.
  • You could start to talk to friends whom you trust.

Whatever you do, don’t lose your faith in a God who cares about you and your struggle, and walks with you in it.  It may not be immediately obvious to you why God hasn’t answered all your prayers, but wait patiently, for he has a plan.

 

* For an interesting discussion of where this particular gate might have been, visit www.ritmeyer.com/2010/12/14/the-beautiful-gate-of-the-temple/

Dealing with grief and loss

As I remarked a few weeks ago when addressing the question of mourning, Christians are not always good at being in touch with our emotions.

I have been told, probably like you, that since Jesus gives me joy, I should smile.  I shouldn’t be angry.  Fear is the opposite of faith so to be afraid is to sin.  Such comments reflect a heavenly perspective which is so out of touch with the world we live in that it’s fairyland.

Having emotions is part of being human, and to deny or suppress them is merely to try to reject a part of ourselves which is no more sinful than any other part of us.  It’s just human.  And denying aspects of our humanity is bad for us.  It has been rightly observed that:

Any emotion which we buried is always buried alive, and it digs its way out again.

Mission workers can have to confront a wide variety of emotions throughout their lives:

  • leaving family and friends behind when they go to the mission field
  • returning on home assignment to find things have changed
  • sending children to boarding school because the schools where they serve are not good
  • suffering major trauma like civil war, kidnap, traffic accident and disease
  • experiencing secondary trauma as they help the vulnerable and marginalised
  • leaving their way of life in their adopted country to return to a ‘home’ country they no longer feel at home in.

Recognising the emotional impact of these occurrences on us and those around us is a mature and responsible way of coming to terms with them.  That’s why talking therapies such as debriefing or counselling are such good ways of helping the healing process.  The grief-loss cycle (click here to download a copy) is a well-known tool for helping with this.  It helps us understand how we feel in the aftermath of a trauma, and why it’s ok to feel like that.  Often I find that people recovering from trauma feel guilty about their emotions when in fact their feeling is a normal psychological response to what they’ve been through.

The grief-loss cycle charts typical stages of trauma recovery.  It shows how our well-being descends from where it was to a low, and then comes out of it.  Though it’s not the same journey for everybody, and it’s not always a linear progression through the curve, it can help us understand why we feel what we do, and acknowledging those feelings help us to recover more rapidly.

Research has shown that getting some talking therapy while going through a recovery process can often help people’s well-being return to the level it was previously, it can actually help them come out of the experience in an even better place as they grow through the experience.  Syzygy can help by providing mission workers with a debrief following a significant incident.  Click here to get in touch and find out more.

Overhelpful?

Source: www.freeimages.com

Being helpful is a notable Christian trait, though something we often carry to excess.  Even more so for mission workers.  We care, and we hope to change things.  We see people hurting and our compassion drives us to improve things for them.  We want to solve problems.  We want to make things better.  We need to see healing.  It’s a trap we can easily fall into.  One of the hardest things for compassionate people to do is sit and watch someone struggle with pain, confusion and need.

Yet as we learn the skills involved in counselling, mentoring, coaching and pastoral care, we discover that we are not there to solve the problem.  We are there to encourage, assist and if necessary equip our client to solve their own problems.  Doing it for them disempowers them, and does not help them develop resilience and problem-solving skills to use the next time they face a challenge.  At worst, it can deprive them of an opportunity to be driven to rely solely on God for their comfort and sustenance in the midst of their difficulties.

So we learn to sit on our hands, bridle our tongues, and let people do it for themselves.  It is in fact much kinder and more helpful for us to do this, because people grow as they tackle the challenges they face.  And though the problems may not go away, they might find the consolation of God in the middle of them.

We all know that Job’s friends are a good example of what not to do.  They offered advice, criticism, theology and rebuke, all to no avail.  Their words made no difference to Job, and in the end God criticised them for their approach.  But what we often overlook is the small bit of information at the end of chapter 2 – they just came and sat with him for 7 day! (Job 2:11-13).  They grieved with him, they cried with him, but said nothing.  Sometimes our presence is more helpful than our words.  The traditional English response to crisis of putting the kettle on may in fact be far more effective than our many words of wisdom and helpful actions.  Often people don’t need help, they just need company on their journey.  Companionship and company are a good place to start.  Who can you offer those to this week?

Book review: Burn Up or Splash Down

When considering the perpetual challenge of ‘re-entry’ for mission workers returning to the countries they went out from, I have referred several times to Marion Knell’s excellent book with the above title. The title refers to the challenge of re-entry for a spacecraft returning to earth, and how that critical point of the journey can so easily go wrong.

Here at Syzygy we have seen far too many mission workers return to their sending country in a state of unpreparedness, or who struggle with issues even after many years of being back ‘home’ because these issues weren’t addressed at the time, so we want to encourage broader circulation of this valuable book.

Marion writes encouragingly in her introduction:

You can make it back into whichever part of the earth’s atmosphere you’re destined for.  There are people around who speak your language, who have survived the impact.  But you need to have the heat shields in place, the life-support systems working, and a good reception committee on the other end steering you back.

Her book helps you to make sure those things into place.  Marion explains what re-entry is, in simple terms, and why it can be such a challenge.  She helps us understand how stress can affect us as we return.  She shows us how to leave a place well and has plenty of good advice on the challenges of an international relocation.  She emphasises the important of having a good debrief.

The second part of the book focusses on TCKs and the challenges they can go through with re-entry, and tips on how they can thrive, and the book concludes with a section for sending churches on how to welcome back their mission partners effectively.

Marion’s writing style is light, entertaining and easy to read.  Unlike many member care books, reading the book is an enjoyable experience, not hard work.

If you are a mission worker planning to return ‘home’, read this book as soon as you think about returning.  If you’re responsible for sending mission workers, either with a church or an agency, read this book now!  You can buy it from the Global Connections website where members get a discount.  You might also like to read our guide to doing re-entry well.

A few years ago we designed a course called Crash Landing? which was designed to help those who made it back to their sending country and survived the impact, but were wounded in the process and still carry the scars.  Get in touch with us if you could use some support in helping you finally settle back in.

“Where you go changes who you become”

I recently came across this quote on the website of the Youth Hostel Association.  It sounds great, in its context of being adventurous and going places, and those of us who have travelled in cross-cultural mission will be only too aware how much we have changed as a result of our experiences.

We have taken on board aspects of other cultures which we have found valuable.  Learning to express ideas in another language has helped us appreciate different ways of perceiving the world.  Our dietary preferences will have changed – whether we love the food in our host country or are more enthusiastic for the food we grew up with.  We feel richer for the privilege of having stepped outside our own culture and embraced other cultures.

The downside of this is that by exposing ourselves to other places, we have become people who are not the same as we would have been if we had stayed home.

Mission workers don’t usually notice this until it’s time to return to their ‘home’ culture.  Then they discover that they don’t really fit in any more.  They can experience various levels of stress as the difference slowly dawns on them.  This is something we know as ‘reverse culture shock’, and the effects can include irritability, tearfulness and anger as they try to find an equilibrium in a world that doesn’t feel the same as they think it should.  It’s often been observed that reverse culture shock is worse than the culture shock experienced when first moving abroad, largely because it is so unexpected.

Particularly difficult issues which can contribute to reverse culture shock include:

  • feeling that a church is more concerned about apparently trivial issues concerning its Sunday service than it is about world mission;
  • hearing about friends plans for holidays, home extensions and new cars when they don’t appear to be at all interested in world mission;
  • finding people spectacularly disinterested in what mission workers have been doing for the last few years.

At this time of year, many mission workers are back in their sending countries on home assignment.  This is a period of a few months when their work is to reconnect with churches, agency and family while raising new support, promoting the work of their agency, and having routine reviews and checkups.  Their time here is often too brief for them to struggle with reverse culture shock, but it may impact some of them.  So what can we do to help them?

  • Remember that they may be disorientated by changes while they’ve been away. Ask them what’s changed, how they feel about it, and be ready to engage with any hurt or anger they’re feeling.  Explain changes that have happened recently and show them how to do things.
  • Show interest in what they’ve been doing. Even though you may not understand everything, remember that this is a vocation they feel passionate about, and they want to talk about it.
  • Recognise that they’re tired. Often they have been travelling around the country, sleeping in different beds, answering the same questions day after day.  Give them some space in which they don’t have to ‘perform’.
  • Understand that your country is no longer ‘home’ for them, especially their kids. When they first get back they may be longing for Sunday roast or Shepherd’s Pie, but after a couple of months they’re probably desperate for nshima or dhal.
  • Realise that as they’ve changed (and you may have too) the nature of your friendship may have changed. Work hard to establish common ground and interests so that you can maintain your friendship well.
  • Encourage them to talk about their experiences in a formal debrief, either with their church missions team, their agency, or an external debriefer like Syzygy.

Home assignment can be a great joy for mission workers, but it can also be hard work.  Let’s try not to make it any harder than it has to be!

 

The growing Syzygy network

Source: www.freeimages.com

The world of cross-cultural mission in the UK is in transition at the moment as churches and agencies all look at our practices and processes and try to find new ways of sending mission workers which will replace the outmoded model originally developed in the 19th century.  This is given added urgency by the financial challenges many churches and agencies are experiencing.

In this climate, there is a severe risk that mission workers will suffer due to lack of member care.  Small agencies are not able to devote sufficient resources to it.  Larger agencies are looking to reduce central costs.  Agencies are expecting churches to do more to support their mission workers, but the churches struggle to find the vision, capacity and expertise to deliver this competently.

Syzygy is uniquely placed to ensure mission workers continue to be effectively supported during this upheaval.  We have already entered into arrangements with several sending agencies, both large and small, for us to provide member care for their workers.  We also are able to support churches to develop the vision and capacity to do more to support their mission partners.

In order to provide this level of service we have been expanding our own capacity and have developed a network of  member care professionals across the country who are conveniently located for the mission workers we hope to support.  The Syzygy representatives are able to carry out one-to-one pre-departure training, ongoing member care for mission partners in the field, and home assignment debriefs.

For more information contact Syzygy on info@syzygy.org.uk

Supporting retiring mission workers

Source: www.freeimages.com

Following on from our last two blogs focussing on transition, today’s blog focusses on retirement, which is also a transition.  We already have a blog for mission workers preparing to retire, and in fact we have an entire guide to retiring for them, so today we’re going to focus on how church can understand the nature of retirement for mission workers and effectively support them through this transition.

Every day people retire.  It’s such a common event that like many other transitions in life – birth, starting school, graduating, marriage, divorce and being widowed – it is an experience so common to humanity that we often overlook the potentially traumatic nature of this transition.  People often need support through the retirement process to help them come to terms with feelings like:

  • I’m no longer a productive member of society
  • I’ve lost my identity
  • Nobody values me
  • I’m just waiting for God
  • How do I fill the emptiness?

These may equally apply to mission workers, who also have to cope with the challenges of becoming part of a society they may not have lived in for decades, and which can feel very alien to them even though they feel they ought to belong.  They may have to cope with living without a sense of vocation, and need to integrate themselves into a church for which overseas mission is an optional extra in their range of ministries instead of the driving passion that the mission worker feels.  They may be struggling with guilt over leaving behind a struggling church or a needy people group.  All these factors can contribute to spiritual or emotional challenges which can make a retiring mission worker quite dysfunctional.

So what can their supporters do to help?

  • Understand that they are not naturally unhelpful; they’re just struggling with a major life transition
  • Introduce them to mission workers who have already successfully transitioned into retirement
  • Find a way for them to have a significant role in the church, without overburdening them with responsibility until they feel ready for it
  • Make sure they have a thorough debrief
  • Listen to their stories sympathetically even when you’ve heard them many times over
  • Recognise that they’re not really critical of the church; they’re just struggling to adapt to a different way of doing things
  • Help them navigate the challenges of benefit/tax/housing bureaucracy
  • Pay for them to go on a ‘Finishing Well’ retreat at Penhurst Retreat Centre
  • Provide pastoral support/coaching/mentoring/counselling as appropriate
  • Encourage them to continue to support mission work through their sending agency
  • Be practical about providing assistance with daily living
  • Talk them through things that have changed in your country since they last visited

And above all, please try to remember that they are (probably!) not naturally difficult people.  They are grieving, hurting people who are struggling to find their feet in a culture they don’t feel at home in, who will need support for several years before they really settle in.  It’s rather like the reverse of the process they started when they first went abroad, and the patience and support we gave them when they first went to a foreign country is exactly what they need now.

You can find more recommendations on how churches can support their mission workers effectively in our Guide for Churches.

 

Helping TCKs rekonnect

rekonnectThird Culture Kids (TCKs) face many challenges in their young lives.

They don’t really know where they belong, and have a vague feeling that they don’t fit in anywhere.  At the end of each term, some of their friends leave school for good.  Their grandparents are strangers.

Perhaps one of the worst experiences for them is when their parents decide to go ‘home’ for a visit back to the country they came from.  If you’re 10, and you’ve grown up in the country where your parents work, the country they came from certainly isn’t home.  It’s a weird place which is usually cold or wet (often both) where you have to wear lots of clothing you’ve no idea how to do up.  The bananas and pineapples taste disgusting because they’re not freshly picked.  You have to wear a seat belt in the car, or maybe even sit on a special child seat.

Your parents keep dragging you to boring church meetings where people you don’t even know keep asking you if it’s nice to be back home.  Other kids laugh at you because you’re wearing clothes that were bought in a country where fashion looks different.  Nobody explains how things work, and everybody just assumes that you fit in normally.  But you don’t, and you can’t explain why.  You can’t tell your parents because you don’t want them to worry.  So you just cry on the inside and wait till you can go back home again.

So what can be done to help TCKs survive ‘home’ assignment?  In addition to reading our guide on how to make home assignment work for kids, if you’re bringing TCKs to the UK this summer, book them into a rekonnect action holiday.  Run by people experienced at working with TCKs, these camps in rural Derbyshire provide a safe place for kids to talk about their experience, learn about life in the UK and most importantly celebrate the diversity they all share.  Meeting with other TCKs helps kids normalise their experience and realise that they’re not the only people who don’t fit in – in fact they’re just the same as lots of other TCKs who immediately understand what they’re going through.

There are two TCK holidays – one for TCKs aged 13-18 years which runs from 25-29 July, and one for kids aged 6-12 from 8-12 August.  You can find out more by clicking on the links, or going to the rekonnect webpage, or emailing the administrator at rekonnect@gmail.com – but don’t leave it too late, they’ll book up fast!  So do your kids a favour and make ‘home’ assignment a better experience for them.

“Orphaned” mission workers

backpackerSyzygy has recently come across several cases of ‘orphaned’ mission workers, which reminds us how tough life in the mission field can get for some people.

These are mission workers who suddenly find themselves in the field without adequate support, and they are often desperate and tragic cases where people are unable to support themselves.  They frequently have a deep conviction that God has called them to serve in a certain place but are then unable to sustain themselves in ministry.  Such situations can come about for a variety of reasons, such as:

  • a supporting church closes, leaving mission workers with no funding
  • mission workers choose to go independently without proper support and cannot maintain themselves in the field
  • an agency withdraws from a particular region but the mission worker, feeling a strong sense of calling to the local people, declines to leave and stays on as an independent
  • mission workers fail to maintain good relationships with their supporters and over time gradually lose support, or are even dropped by their church because there is no communication

Such people sometimes come to Syzygy for help.  While we can debrief them and provide advice, we cannot do for them what they really should have done in the first place: build and maintain strong relationships which give them lasting support and accountability.  Sadly many mission workers go independently of churches, agencies and even their families because they are strong independent types, and in many ways they can be just what is needed for pioneering situations.  But it can make them reluctant to collaborate and listen to others.

Our advice to such mission workers is to return to your sending country (wherever possible) and spend time rebuilding the foundations that should already have been in place.  Advice for those thinking of going independently, and those who need to return and rebuild their support base, can be found in our Guide to Going It Alone.

Some of these ‘orphans’ are indeed so alone that they do not even have the funds to get themselves back to their sending country.  Sadly Syzygy does not have sufficient money to help them, though a visit to their national embassy may help them at least get a flight ‘home’.  Mission workers should always have an exit strategy before even going, and the question

What do we do if this all goes badly wrong?

should always be part of the pre-departure planning.  Sadly many people only start to plan for disaster once it’s already happened.

We recommend that a relative, church or agency always holds sufficient money in a designated account to pay for flights back for the whole family, and ideally enough to help with ongoing support costs through the transition too.  Setting aside such a large sum before going may seem impossible to mission workers on a tight budget, but it should be factored into the set-up costs.  Some may think that is not trusting God to provide, but we think it’s just trusting God to provide up front so that we have one less thing to trust God for when things all go belly-up in the field.

Blessed are the Peacekeepers?

Source: www.freeimages.com

Source: www.freeimages.com

I recently stayed overnight in a typical British guesthouse where breakfast was an interesting experience.  Not because of the food, service or facilities, but due to the interesting social interaction – or lack thereof.

In a small dining room where guests sat at separate but adjacent tables, conversation was curiously stilted, as people were aware that their private discussions were being overheard.  A men’s football team tried to joke with each other about the previous night’s escapades without incurring the scorn of other guests.  A harassed father tried hard to keep his disobedient toddler under control without losing his temper.  A browbeaten woman took the opportunity to chide her husband at a time when he couldn’t answer her back.

It occurred to me that often conversations between mission partners can be similar.  We often refrain from saying the things that we’d really like to because we are aware that others are listening.  We don’t like to disagree in case we sow the seeds of dissent, or act as a bad witness in front of others.  So we bottle up the things we’d really like to say, and if we don’t blurt them out in a fit of self-indulgence they can build up inside us to such a point of frustration that they contribute significantly to our levels of stress.

Why do we do this?  Because we mistakenly believe that when Jesus said “Blessed are the peacemakers” he meant that we shouldn’t rock the boat.  But by failing to address relationship issues and by sweeping things under the carpet, we are not making peace, we are only keeping it.  Peacekeeping may prevent outbreaks of open hostility but it takes real peacemakers to bring reconciliation and harmony.

So how do we make peace?  First, we need to recognise that disagreement isn’t necessarily the same thing as disloyalty or rebellion.  There is such a thing as what the British parliament calls “loyal opposition”.  Somebody who has a theological, missiological or personal disagreement with you may actually love you, share your vision for ministry and be committed to your success.  Disagreement doesn’t necessarily mean that people aren’t on the same side as you.

Secondly, we should remember that leadership can be a lonely and vulnerable place.  Every objection can seem like a personal attack even if it’s intended to be a constructive suggestion.  To a leader, people who speak out can seem like critics, people who oppose can appear to be rebels.  If you’re going to disagree with somebody, ask yourself first how your comments will appear to them, and do your best to show them that you are not challenging them personally, or their position, just their decision.

Third, we should remember that if someone disagrees with us, they may actually be right.  It can be tempting to surround ourselves with people who always agree because it is so much more affirming and comfortable, but it’s also the path to bad decisions.  The person who disagrees with you may actually help you to come to a better decision, even if it can be hard work getting there.

Many mission workers carry unnecessary stress because they feel unable to speak their mind, whether it’s through concern that they might find their service terminated for causing trouble, fear that a person they challenge might lash out at them in pain, or because a misguided sense of loyalty tells them that they ought to agree with everything.  The current trend towards confidential personal debrief with a person from outside the mission worker’s agency is to be welcomed, because it gives mission workers an opportunity to get issues off their chest in a safe environment, and find a constructive way of dealing with unresolved issues.  If your agency does not provide this service, consider asking for it.

Syzygy offers a confidential debriefing service to any mission worker, whether serving with an agency, church network or fully independent.  Contact us on info@syzygy.org.uk for further information.  We find that it often helps people see past their immediate frustration and find long-term solutions to unresolved issues.

Member Care for short-term mission

CBPPreparing for a presentation I was giving at a recent Short Term Mission Forum, I realised that this is an area which is often overlooked by both those organising short term mission and those providing member care.

Member Care workers seem to focus largely on long-term mission workers, to such an extent that looking through the Member Care books on my shelves I found that most of them didn’t even refer to short-termers.  Likewise, people organising short-term programmes can easily focus on the practical issues and neglect the personal care for the person going.

As part of my research for this presentation I produced some very quick and grubby statistics.  They are not academically robust and are merely a straw poll, but the results are shocking.  I found that only slightly more than 50% of the people going on individual short-term placements through an agency attended a formal pre-departure training event or a post-return debrief.  For short-termers going as part of a team those having training rose to 60%, but those having a debrief fell to just 40%.

Perhaps short-term gets overlooked because it’s not considered as hard as long-term.  Perhaps it can’t shake off the mistaken impression that it’s just an adventure holiday with a difference.  Yet the people going short-term may be younger, less mature, and less experienced in cross-cultural pressure than long-termers.  Moreover, in the course of their mission they may be exposed to challenging situations with which they’ve not had to deal before.  So in terms of the impact on them of short-term mission, and processing culture shock and preventing post-traumatic stress, good Member Care is critical to the well-being of those going short-term, whether on a summer team or on a placement which can last up to two years.

Three elements that are essential to provision of Member Care to short-term workers are:

Selection and preparation – While selection may have an element of screening people to make sure they are robust enough to survive their mission, it seems that it may in fact be quite perfunctory if the trip is only for a few weeks.  Perhaps the need to get people on board and justify the sending of the team may supersede good care.  And while training events may include cross-cultural training it may well focus on the practicalities of behaviour rather than the emotional challenge of adapting to life in a foreign culture.

In-field support – team leaders may not necessarily be trained or experienced in facilitating a supportive environment which can help short-termers adequately process the challenges they face and look to God for the resources they need to manage the transition.  Proactive support needs to be arranged.

Post-return debriefing – while recognising the challenges of getting everyone back together for a debrief event, it is important that people have the opportunity to review their experiences and unpack the issues raised as a result.

So what can agencies do to ensure better Member Care for their short-termers?  Here are Syzygy’s top tips:

  • Ensure that Member Care personnel have an input into the design and review short-term programmes.
  • Be familiar with and committed to the Member Care provisions of the Code of Best Practice in Short-Term Mission (the core value of partnership and paragraphs 1.5, 2.4, 2,7, 3.3-3.5, 4.1-4.5).
  • Review the Member Care Guidelines and reflect on how they apply to short-term mission.
  • Be committed to ensuring that every short-termer is provided with effective Member Care before, during and after their assignment. Bring in Member Care providers from other agencies if necessary.
  • Set appropriate targets to measure how many short-termers receive training and debriefing.
  • Build an effective and well-trained volunteer force to carry out individual training and debriefing in support of the full-time team.
  • Facilitate, fund or provide training for church members to be able to prepare and debrief their short-termers well.
  • Liaise effectively with sending churches to ensure that short-termers have an opportunity to debrief in their home church.

Why do we need to provide good Member Care?  Not merely because it’s good practice, prudent risk management, an effective witness to the people the short-termers are working with, or a good recruiting model since happy short-termers can evolve into long-termers.  Because we love.  Because we care.  Because we don’t want to be the unwitting cause of people’s long-term spiritual and emotional damage.  Or, as our friends at Missionary Care put it:

Because we don’t separate the Great Commission from the Great Commandment

Antlions and other triggers

Antlion traps

Antlion traps

Recently I was out walking, and crossing some gravelly ground I noticed a neat round depression about an inch in diameter.  “Antlion!” I thought to myself, before remembering that I left Africa 15 years ago and haven’t seen an antlion trap* since.  Likewise, while driving in some rocky place like Wales or the Lake District, I occasionally catch a glimpse out of the corner of my eye of a large grey object and think “Elephant!”  Sound, sights or smells can trigger a reflex response sending us back in time many years.  For those of us who have lived abroad it can also trigger feelings of ‘homesickness’ for the place we once served, even though we may have left there many years ago.

This illustrates the fact that the subconscious changes that take place in us as we serve in another culture can often take many years to subside, if they ever do.  I still find myself clapping my hands occasionally in a Zambian gesture of thanks, or using words from a language that nobody around me will understand.

This can be somewhat discouraging for those of us back in the UK on home assignment, or just to live in this country.  In a recent workshop with mission workers we discussed such issues: the things we miss about our home abroad, the things we don’t understand about our ‘home’ culture any more, and why we find it hard to settle back in and feel we belong.  We discussed the Syzygy confectionery model of cross-cultural adaptation, which many found helpful.  And we worked through a number of ways to avoid becoming a bitter old grouch who is forever complaining that their church doesn’t get it.  Here are our top tips for preventing re-entry becoming a horrible experience:

Don’t have unreasonably high expectations of your church.  They may be incredibly supportive and caring of you, but may not understand exactly what you need.  So when you feel they’re not there for you, such as when their eyes glaze over just 2 minutes into your conversation telling them about your amazing ministry, remember that they may not get the significance of what you’re doing.   Many of them may wonder why you need to go abroad when there’s already so much to do here.  So I recommend preparing one or two short, powerful stories that may intrigue them and draw them in.

Don’t have unreasonably high estimations of your own importance.  Most mission workers expect to be given a platform to talk about their work though other people in the church aren’t.  Others feel frustrated if they are not asked to preach when they would not have been asked if they weren’t mission workers.  Some expect everything to be organised and paid for by their church, when they are quite capable of doing that for themselves.  In a world where the prevailing message is that we are all mission workers, people often don’t understand why cross-cultural mission workers feel they need more support.

Remember to adapt cross-culturally.  When we go to a different culture, we learn about its culture and work hard to fit in, but we often forget that we need to work equally hard when we return.  Don’t just moan about the differences you can’t get used to, or why life was so much better where you used to live; find out why things have changed and work out a way of dealing with it.

Don’t judge.  Those of us who have lived in a foreign country have had the amazing privilege of seeing how large and diverse the world really is, and we return to where we came from able to see our home culture with the eyes of an outsider.  Those who have never stepped outside their home culture don’t find it easy to do that.  Don’t condemn them for not noticing; remember that you too were once like them.

Treat the church as your mission field.  Many of us return to be part of churches that don’t understand why we have to go abroad to do mission, or even why we need to do it.  Don’t browbeat them.  Treat them the same way you would those you’ve been witnessing to abroad; explain gently, persuade, demonstrate – all in a spirit of love.

Get some help!  It can often help to talk to people who understand what you’re going through.  Meet with people from your agency or wider community who’ve been through re-entry.  Get some debriefing or go on a retreat to hear more clearly what God has to say to you in all this.

If you’re struggling to feel at home in your ‘home’ culture, do get in touch with us on info@syzygy.org.uk – we’d love to talk to you!

* Antlion larvae dig traps in sand to catch their prey – mainly ants – rather like the sarlacc in Return of the Jedi

So thick-headed!

On the road to Emmaus

On the road to Emmaus

The Message translates Jesus’ words to two of his disciples on the road to Emmaus as sympathetically as it can, but it is still a clear rebuke for their lack of understanding.  Which is not unreasonable since the Gospels all make it clear that Jesus had done his best to explain to them in advance that he would be killed, but would rise again from the dead (Luke 24:6-7).

In Luke 24 (verses 13-35) we are given a picture of two traumatised disciples.  Just three days before, their Messiah had been crucified, destroying their hopes of national redemption.  And now they were confused by rumours of him appearing to people.  Confused, Cleopas and his companion were heading home despondently to Emmaus.  They talked things over on the way, trying to make sense of what had happened.  But a stranger meets them on the road, and the ensuing discussion is an excellent example of how to do a debrief:

  • He asks them what the problem is.  He asks open questions, allowing them to tell their story.  He listens.
  • When they have had their full say, he leads them back to scripture.  He explains it to them so that they can understand.
  • In the process he clearly encourages them (verse 32).
  • In the final revelation, they are inspired to return to where they were supposed to be, and tell their story.

In this story, in a matter of a few hours two discouraged disciples regain their vision for ministry.  Sadly in our world it often takes a lot longer.  But this story reminds us that for all the skill and ability of professional debriefers, there is no substitute for letting Jesus do the real work in the lives of his wounded followers.

We accomplish this through prayer, and there is no substitute for many people to be praying into the debriefing situations of burnt-out mission workers.  Syzygy runs a prayerline so that we can mobilise prayer for the people we meet with.  You can read more about it here.  We really need your help in interceding for Jesus to work in people’s lives.  If you would like to partner with us please let us know by emailing prayer@syzygy.org.uk.  We sent out updates two or three times a month, and they are usually just a couple of sentences, so the work is not onerous!

We are grateful to Pastor Neil Le Tissier for the thoughts on Luke 24.

Supporting traumatised mission workers

pastoralMany people in the mission world are exposed to significant levels of suffering.  Whether it’s walking past vast numbers of the destitute on the streets of Asian megacities, watching people die of diseases that could be cured in the west, or supporting the millions of people worldwide living in refugee camps, mission workers witness a lot of suffering.  Sometimes it’s a passive experience which can be part of life in their field of ministry, or sometimes an active one as they devote themselves to providing relief.

Others of us experience suffering ourselves, perhaps through the car accidents which are all-too-frequent in the sort of places we work, robbery, kidnap, assault, or natural disaster.  We may experience broken relationships, spiritual abuse within toxic agencies, or exploitation by those we are aiming to serve.

Such exposure to suffering can have a variety of impacts.  It can lead to compassion fatigue, with people becoming uncaring as they steel themselves to withstand the suffering around them.  It can lead to burnout as they strive compassionately to personally meet the needs of everyone they come across.  And it can, in extreme circumstances, lead to severe theological doubts or even a loss of faith as people struggle to come to terms with the presence of suffering in a world created by a loving God.  Not to mention conditions like Post-Traumatic Stress Disorder.

How do mission workers suffering from such trauma find relief for it?

  • They need to get away. People working in traumatic contexts should withdraw regularly for rest and healthcare, to make sure they stay well enough to do their jobs.  In the process they’ll need to feel helped not to feel guilty for leaving those who need their help.  By withdrawing to recharge their batteries, they will in the long run be able to be help more people.  Fortunately there is a growing number of retreat centres worldwide where mission workers can get a break and, if they want, also find debriefing.
  • They need to engage spiritually with the situation. Where is God to be found in this mess?  What is God saying to them?  How is the Holy Spirit empowering them to do their ministry?
  • They need to have a proper debrief. It’s important with people engaging with trauma that they don’t merely have a brief chat with a colleague, but meet with professionals as part of a process of unpacking their emotions.  Ministries like ARREST, Healthlink360, Interhealth, and Le Rucher specialise in providing such focussed support.
  • They need a supporting church that can care for them when they come “home” for a break, by providing hospitality, love and support, and an opportunity for them to talk if they want to, while respecting the fact that they may want to keep silent and think things through in their minds rather than verbalising everything. They need to feel involved without having lots to do, as they will need space to work through what is going on inside them.
  • They need to be accepted for who they are at this moment. One of the big challenges for mission workers with doubts about their faith is that there are few people they can talk to honestly.  They are frightened to tell their agency that they are constantly tearful and feel guilty of their relative wealth and security for fear of not being allowed to go back.  They fear they will lose the support of their church if they say that after what they’ve seen, they can’t believe in a God of love any more.  An accepting, non-judgmental environment in which mission workers can express such doubts can go a long way towards their healing, though sadly what we hear most from mission workers is that they have nobody who understands.

In order to prevent the build-up of stress in a mission worker to an unhealthy state, they should have a good understanding of a theology of suffering, recognise their own physical responses to stress so that they can take appropriate action, and have supportive relationships where it is safe to talk openly about the challenges they face.

Far too many mission workers are invalided out of the field because they weren’t properly supported and cared for… by church, by agency, and by themselves.

Crash landing?

Source: NASA

Source: NASA

‘Re-entry’ is a term that is frequently used for mission workers returning to their ‘home’ country.  It conveys the sense of a spacecraft coming back into the earth’s atmosphere, which is the most risky part of the whole voyage into space.  This imagery was used successfully in Marion Knell’s book Burn Up or Splash Down which talks about how to re-enter successfully.  We’ve also got a section on re-entry in our Guides to Doing Mission Well.

There are also courses to help people manage their re-entry – notably the All Change/New Directions courses run by our friends at Oscar, and Penhurst Retreat Centre’s New Direction retreat.

But what happens when it goes wrong?  Instead of a gentle, parachute-assisted splashdown it feels more like a crash landing.  Many mission workers experience a profound sense of disorientation when they return.  They feel like they don’t belong in the place where they always used to.   They no longer fit in.  They’re not at home.  And this is profoundly unsettling, because it’s the place they feel they really should fit in.  It’s rather like being in that 1960s sci fi film in which a spaceman finds himself on a duplicate earth by mistake – it looks just like home, but it doesn’t feel right.

With appropriate support some people adapt successfully after a few months.  But many don’t, and they continue to struggle with a sense of alienation.  They can become angry, frustrated or disillusioned.  Their churches don’t really know how to help them move on.  They feel isolated, unable to connect with family and friends.

These can be entirely normal reactions to re-entry, but unaddressed they can become unhealthy.  But where can people with these problems turn for help?  Syzygy has produced a one-day workshop called Crash Landing? which is specifically tailored for returned mission workers who have struggled to feel at home in their ‘home’ country.  It helps to answer such questions as:

 Where is home?

How can I thrive when I feel I don’t belong?

Why don’t I fit in and what can I do about it?

How do I relate to a church which doesn’t share my values?

Crash Landing? will equip people with the skills and resources needed to be able to begin the process of adapting to living in this in-between world and help them to find a way forward.

Contact us on info@syzygy.org.uk for details of the next Crash Landing?

The essentials of debriefing

pastoralMany cross-cultural mission workers return from an assignment overseas, whether a two-week visit or 40 years abroad, with a multitude of conflicting emotions and impressions which, if unaddressed, can cause them ongoing problems.  Whether they are back in the UK for good or for a short visit, they may well be struggling to deal with the experiences they’ve had abroad while trying to cope with reverse culture shock, and debriefing is part of helping them to come to terms with their experiences.  In research conducted by Dr Debbie Hawker, one returning cross-cultural worker commented:

Debriefing made me aware of possible reactions to expect and it was reassuring to know there was further help if needed.

Debriefing provides returning mission workers with:

  • a safe place to reflect on their experiences
  • an opportunity to help normalise their feelings
  • help to identify issues of concern

Another cross-cultural worker commented:

“My organisation offered no help when I returned. I felt I really needed help from people who really understand the pressures of ‘re-entry’ and the symptoms of burn-out. How vital is support and debriefing in the period following return.”

 

How do we structure a debrief?

It is important for the debriefer to have in their mind an idea of how the debrief is going to pan out.  It should ideally take 2 to 2½ hours – any less may not provide time to get to the bottom of issues and any longer may be emotionally exhausting for the mission worker.  One mission worker observed:

“My organisation offered a 45-minute debriefing appointment.  I was conscious of the time limit right from the start.  It made me feel ‘unrelaxed’ and all I could think of was ‘how can I fit in all I’d like to tell someone?’”

The following structure for a debrief may be helpful to keep in mind:

  • Introductions.  Time to set ground rules, establish a rapport, and identify some positive features of their experience.
  • Identifying what was most troubling.  Ask the mission worker to identify up to three issues which troubled them.
  • Facts, thoughts and feelings.  Explore the issues one by one, working through the facts of the issue, thoughts (e.g. “He was wrong”) and feelings (e.g. “I am so angry”) before starting on the next issue.
  • Any other aspects you want to discuss?  Give the mission worker a chance to raise anything else.
  • Did you have any symptoms of stress?  During this time the mission worker may have been irritable or depressed, sleeping badly or experiencing dietary problems, all of which may be indicators of stress.
  • Normalising and teaching.  This is the time for the debriefer to talk, explaining where relevant that the mission worker’s feelings and reactions are normal, and providing help and guidance on a way forward.
  • Return ‘home’.  Explore the mission worker’s feelings about being back in the UK.  Explain about reverse culture shock and help them understand that it is a normal experience.
  • Anything that was positive?  It’s good to draw your time to a close with some positive reflections on their time abroad.
  • The future.  Ask them what their future plans are, and what help they need.
  • Close.  Finish off with prayer, and check any arrangements for follow up or meeting again.

However, we must also be aware that structure must not dictate to the debrief, and it is entirely appropriate to depart from this outline if the conversation naturally flows in a different direction.

 

What are we looking out for?

While some mission workers may have had a wonderful time and are giving glory to God for what has happened, certain negative issues commonly crop up and it is worth keeping an eye open for signs of them.

  • Isolation: The mission worker may feel a lack of supportive relationships either in the field or at ‘home’, they may not understand or fit in well to local culture, or be unable to communicate effectively.
  • Guilt – for being so wealthy, for leaving work unfinished, for leaving people behind in the field or not being there for family members at ‘home’.
  • Conflict – with other team members, with leaders, with nationals, within their own family.
  • Spiritual issues – loss or damage to faith, the challenge of suffering, weariness and burnout.
  • Unfulfilled expectations – dissatisfaction in ministry, sense of failure, where is God in all this?
  • Reverse culture shock – not settling, angry with church/culture/family, disillusioned with worldliness and materialism.
  • Stress.  We also need to watch out for symptoms of stress, burnout or even depression which may be present.

 

And finally….

Remember that this is all about the person being debriefed.  It is a way of expressing our love and esteem for them, and this time is available for them to use as they wish.  Hopefully, the experience will leave them feeling hopeful and refreshed, understanding their feelings about what they’ve been through, and not feeling so isolated and misunderstood.

I thought beforehand that it was going to be a waste of time, but I found that actually it was very helpful to be able to talk about everything, however small, that had happened.

 

Further reading:

Debriefing Aid Workers and Missionaries by Dr Debbie Hawker (2012) is the best work on this subject and has been used extensively in preparing this blog.  It is available online at:

http://www.peopleinaid.org/publications/debriefingaidworkersprinted.aspx either as a hard copy or a pdf.

This is an abridged version of a more detailed article in one of our Guides to Doing Mission Well which can be viewed by clicking here.

Reverse culture shock

More change on the way

More change on the way

It seems to me that every time I come back from a trip abroad, a new shop has opened on my local high street.  I don’t know if they wait for me to go away, in the hope that I won’t notice, but it’s a regular occurrence.  Since I travel quite frequently, this adds up to quite a turnover of stores.  Over time, the character of the high street changes, but most people wouldn’t notice, as the change is gradual and incremental.

But if I were to come back after a year or two away, the difference would be much more marked.  I would still recognise the high street, but I could clearly see it’s different.  The supermarket has changed hands (again!).  The post office has gone.  The bank has turned into a posh restaurant.  The greengrocer’s is now a charity shop.  We grieve (just a little bit) the loss.

This is a small example of what is called ‘reverse culture shock’.  It never ceases to amaze me how few mission workers, particularly independent ones, are prepared for the fact that things are not the same as they were when they left.  Life has moved on without them.  The sense of things not being quite the same can lead to a feeling of not quite belonging any more.  Once the euphoria of meeting family and friends again has worn off, returning mission workers can be left feeling slightly disorientated.  It’s a mild form of grieving – grieving for a lost past that cannot be recovered.

La bancaAdd into the changing high street the fact that church has changed (there may be a new vicar, old friends have left), family has changed (granny has died, mum and dad have moved into a house that was never home to me), and society has changed around us in too many ways to mention, and reverse culture shock can become quite an issue.  On top of what has changed in our environment, we have changed too while we’ve been away.  We’ve learned a new language, taken on aspects of a new culture, and seen God at work in an entirely different context.  So we can’t reasonably expect to fit back in where we left off, whether it was three decades ago, or just a year.  These changes can lead to loss of friendships, dislocation of family, and alienation from church.

If you find yourself feeling unaccountably emotional (tearful, angry, impatient, frustrated) – or indeed curiously numb – some 6-8 weeks after your return, it’s possible you’re suffering from reverse culture shock.  This can go on for quite some time, but recognising it for what it is will be the best way to start dealing with it.  Having a proper, formal debrief can help – either with your church or agency, or if they don’t feel competent to do it, please contact Syzygy to arrange one with us.  Talking about it with somebody who understands can help normalise your experience and facilitate your adaptation.  If you’re the church, family, or friends of people returning from abroad, watch for signs of reverse culture shock and be prepared to help with it.  For more information about it, see our article which is part of our guide to re-entry.

Overseas mission has a habit of knocking off some of our sharp edges.  As a result, we don’t fit back into the square holes we came out of.  That doesn’t mean there’s something wrong with us.  We’ve just grown.

The need for debriefing

After three years of doing regular blogs about missions, often with a particular emphasis on stress, I am amazed to realise that I have not yet specifically blogged about that most vital of tools – debriefing.  I’ve mentioned it a couple of times in passing but that is in no way sufficient considering the significance of this powerful resource to help combat stress and culture shock in the life of the overseas mission worker.

Debriefing is the act of sitting down with a facilitator to reflect on past experiences and how we feel about them.  During the course of a mission trip, whether short or long-term, each mission worker undergoes new experiences (many of which are challenging or even dangerous) and comes into contact with new sensations, many of which may not be at all pleasant.  These challenges may well be repeated differently at the various stages of our experience: leaving home, arriving in a foreign country, changing assignment, moving to another part of the country and returning ‘home’ all require repeated adjustments to change.  While we stoically cope with all these challenges, each one contributes to the general level of stress we feel, and can create an inability to cope with more change and deal with relationship challenges responsibly.

To have the opportunity to reflect on what we found different, how we felt about it, and how that continues to impact our ideas and feelings helps us process our thoughts and emotions so that we are more aware of what’s going on inside us.  It helps us to recognise that the occasional tearful or angry outburst, or an inner deadness can be perfectly normal in some circumstances.  In the process of doing a debrief, which can take a few hours or several days depending on the complexity of the issues involved, we have the opportunity to restore a sense of balance and inner peace.

Debriefing is rather like dealing with a drawer which is so full of stuffed-in jumpers that it won’t close neatly any more.  Often we just shove our emotional responses down inside us, but there comes a time when we can’t deal with any more, and that can lead to emotional breakdown.  To tidy out the drawer, we take out every jumper, decide whether we want to keep it or not, and if we do, we fold it up neatly and put it back.  Then the drawer will shut properly.  The debriefer asks questions of the mission worker, which helps him or her identify and evaluate their feelings and decide what to do with them.

Proper debriefing can be vital to the long-term inner health of the mission worker.  Debriefing has been linked to improved resilience and decreased mission attrition (Kelly O’Donnell, Global Member Care).  Regular and appropriate debriefing can keep mission workers in peak condition, but it is also possible that failure to provide proper debriefing, particularly after a traumatic incident like a serious car accident or a hostage situation, can lead to long-term emotional damage and even loss of faith.

Syzygy recommends that all overseas mission workers make sure they have debriefs on every home assignment.  Ideally, it should be about 6-8 weeks after getting back.  This is the time when the initial joy of being reunited with friends and family is beginning to wear off and the challenge of reverse culture shock is beginning to bite.  It should take place in familiar surroundings if possible, and involve everyone who has been part of the mission experience – including the children, who sadly often get overlooked.

If your sending agency or church does not provide this for you, we are very happy to provide you with a debrief, with their agreement.  We specialise in providing this service for independent mission workers who do not have an agency and perhaps have not yet realised how much they need debriefing.  We conduct our debriefings at a time and place that is convenient to you in order to minimise the impact or travel and strange surroundings on your experience.  Please contact info@syzygy.org.uk for further information.

Secondary Stress

Recently I seem to have been talking a lot about secondary stress with mission workers.  It’s a common though relatively unrecognised problem among overseas workers, particularly those working in compassion ministries or among poorer communities.  Secondary stress is the burden we take on not as a result of our own working or living conditions, but those of others.  It’s not excess baggage so much as other people’s baggage.  It’s what we pick up when we try to lighten the load on others who are already weighed down.

It is perfectly natural to feel a degree of anguish when working, for example, in a refugee camp, or when counselling others who have problems.  We would be pretty heartless if we were not affected by the tragedies we witness or the grief we hear about.  Our resulting compassion should spur us to more action to help the afflicted.  But when we can’t sleep at night because of it, or have images we can’t get out of our heads, it is becoming hazardous to us, and even in the midst of a major humanitarian crisis we need to take some steps to ensure that we maintain ourselves in a condition to be able to continue to help those who need our help.

The first step in dealing with secondary stress is to recognise that we may be suffering with it, because we often don’t notice.  It creeps up on us, daily growing, until something goes wrong.  Because I’m involved in debriefing a lot of people, often with major problems, last summer I arranged a debrief for myself, not because I thought I needed it, but because it is good practice.  Only after I emerged emotionally exhausted from the debrief did I realise how much other people’s baggage I was carrying.

One excellent tool for doing an inventory on yourself is Dr Beth Stamm’s Professional Quality of Life Measure, which can be downloaded free of charge from the Headington Institute.  It is simple to use, and asks just 30 questions about your work in helping others.  There are also other useful self-assessment tools on stress, burnout and lifestyle inventory available from the same website.

Once you have recognised that your levels of secondary stress are unacceptable, put into action your usual anti-stress techniques – debrief, holidays, or relaxation.  See our stress archive for more suggestions.  If none of these suggestions work, and you are still showing symptoms of elevated stress levels, you should take medical leave of absence, extended rest and seek counselling or even the help of a professional psychotherapist.

If when you return to work things immediately get worse again, you should be reassigned.  This of course, will add to your stress as you will feel guilty that you have let needy people down, but if you are not sufficiently resilient to cope in this situation, you may end up being a needy person yourself, and it is better for you to move on and to let a more resilient person take over.

If you’d like to learn more about secondary stress I recommend you listen to Member Care Media’s 4-part podcast by Dr Brent Lindquist, who in addition to being excellently named really knows his stuff.  Each episode is packed with helpful information and the whole series will take you less than an hour to listen to, but much longer to work through!  There are also a lot of other good materials on the MemCare website which will help you to stay healthy.