Billie’s blog: February 2021

An invitation to sit with your discomfort, allow it to speak to you

Billie Wade, writer

by Billie Wade, PrairieFire graduate

February 2021 – This post heralds a new dawn: addressing the cold, hard reality of racism. I use the term “dawn” to signify the raw truth that for over four hundred years, we remain at the gate of facing and reckoning with racism. Racism, fueled by hate, greed, and fear, is firmly entrenched in our country’s DNA like the pink stain in a plastic refrigerator dish after the spaghetti sauce is removed. We begin where we are, which is always a new place even if we have had a similar experience in the past. Our feelings are cumulative. It is how wisdom is earned.

Since July 2017, I have enjoyed the honor and privilege to share with you a variety of topics and my experience and perspective. As a Des Moines Pastoral Counseling Center client for many years, I feel the mission, vision, and values in the environment every time I enter the doors. Now with our interactions on Zoom, those tenets continue to shine through. The Center seeks to understand the clients they serve, and to reach out to underserved demographics. With that said, I now turn my focus to the insidious organism of racism and the trauma of intergenerational Post Traumatic Stress Disorder (PTSD) that remains alive and thriving in 2021.

On May 30, 2020, in response to the brutal, flaunting murder of George Floyd and the attack that murdered Breonna Taylor, the Center put voice to their compassion and solidarity with the Black community. The antiracism statement on the landing page of the website announced formation of the Antiracism Learning Group*. I am delighted and humbled to cofacilitate the group with Terri Speirs, the Center’s director of community relations.

I will use several terms often in my writing. My working definitions are:

  • Racism—a system consisting of rules, laws, policies, and practices designed to disenfranchise nonwhite people. The organism systematically perpetuates the unfounded belief that Black people are inferior and, therefore, suitable for subjugation and exploitation.
  • “I, we, and Black people”—descendants of slaves brought to this country in 1619.
  • “White people”—the collective of members of the privileged race in the United States.
  • White privilege—perks given to White people because of the color of their skin.
  • Appropriation—the use by one culture of the accoutrements of another culture, particularly while forbidding the appropriated culture to enjoy those accoutrements.

Racism began when White people laid eyes on native Africans and deemed them nonhuman. They kidnapped the people and brought them to this country stripped of everything—clothing, dignity, rituals, language, spirituality, family, friends, culture, all human rights—in chains stacked like ears of corn in the holds of cargo ships. Those who died were unceremoniously thrown overboard. Upon arrival in America, families were separated, never to see each other again.

Black people face a plethora of stressors every minute of every day. We are hated, hunted, and profiled. We live in a country where Black and Brown bodies are killed on suspicion of criminality by walking on a street with our hands in our pockets. Where a “routine” traffic stop may end our life. Where laws and policies directed at oppressing us are enacted without our knowledge and input. Policies and laws enacted to support and liberate Black people are swiftly met with counter laws that cancel out the advancement. Case in point: The so-called “war on drugs” is a war on Black people. The drug war is waged only in Black communities. The shop owner called police because he suspected George Floyd may have been attempting to pass a counterfeit $20.00 bill. Why did the situation call for four officers?

The medical and mental health fields acted with remarkable swiftness to address the opioid crisis. Middle- and upper-class White women comprised the largest demographic. They were offered treatment, mental health services, and resources. Their plight was blamed on a highly addictive drug. Black people who are addicted to drugs are labeled criminals (because they are in possession of the drug), drug addicts, and morally deficient.

Some of the material may be hard for you to receive. I encourage you to try to sit with your feelings and discomfort and allow them to speak to you. The discomfort is there for a reason. “What belief is this revelation rubbing up against?” The most potent question to ask yourself is, “How can I see this differently?” If you have a spiritual aspect in your life, you can ask that Power to help you see differently. Once we know something, we can no longer ignore its existence. Then, we bump into the question, “What can I do? I’m but one person and the landscape of racism is enormous.” This appeal is not easily answered. I hope to offer you resources you can explore.

Black people in the United States exist as a “gray” caricature of two disparate societies with clashing ideals and rules. The White collective expects us to adhere to their established cultural norms but to never make the mistake of forgetting our “place” on the human hierarchy—on the sidewalk leading to the ladder, not even close.

I have spent my life trying to maintain balance between the worlds of the Black collective and the White collective. Black people accuse me of imitating White people, of trying to be White. On the other hand, White people see me as friendly and intelligent—and Black. I have been denied raises, promotions, job flexibility to return to school, and subjected to blatant lies.

Everything I share does not apply to all people in every situation. Humans are hardwired with their own set of idiosyncrasies, perspectives, and ways of receiving new information, derived from experience. I make no attempt to address all White people as racist nor all Black people into a single category. With that said, I hope you use discernment to consider the statements I offer and examine your beliefs rather than dismissing a point as “it doesn’t apply to me.”

Much has happened during the past nine months—giant corporations drafted public antiracism statements and policies and enacted procedures to follow through; ordinary citizens created book clubs and discussion groups; people backed “Black Lives Matter” with yard signs, sweaters, and other wearables; churches hung banners on their exterior walls to declare their solidarity; we elected Kamala Harris, the first female, nonwhite vice president of the United States. Black people do have allies who sincerely offer compassion and generosity of time, energy, and resources. People who listen to us, really try to hear what we are not saying as well as what we do say.

We need White people to take the time to ask what we need. We need White people to become sensitive to the intergenerational effects of PTSD. Yes, we desperately need equal opportunities for and access to education, employment, housing, medical and mental healthcare, political and governmental participation and representation, and beneficial networks. We cannot attain these human rights and privileges without help. The media exposes us to the symptoms rather than the disease. As such, I commend all of you, and everyone on the front lines of supporting Black people. Please know you are appreciated.

There remains much to do to address more than four hundred years of racism. While we can view the glimmer of hope, to exhale and say we have arrived is a mistake. A quick fix does not exist. White supremacists push back to maintain the oppression and marginalization. They wait in the background ready to pounce at a moment’s notice.

Over the next month, I challenge you to the following exercise:

  • What do I believe about Black people—not what you want to believe? Write your answers in a notebook to get them out in front of you, out into the open, where you can see them in stark reality.
  • How did I arrive at those beliefs?
  • What proof do I have as the validity of those beliefs?
  • You need share your responses as you feel comfortable. I do not recommend doing so if you feel unsafe.

May your days, weeks, and months unfold in health, safety, joy, and peace.

More from Billie’s blog: www.dmpcc.org/Billie

*If you are interested in joining the anti-racism learning group, please email [email protected]

Media review for hope and healing — Notes from a Trip to Russia by Audre Lorde

Armchair adventure in pandemic

by Terri Mork Speirs, Director of Community Relations

Purchased from Beaverdale Books

Notes from a Trip to Russia is the first chapter in a collection of essays and speeches by Audre Lorde called “Sister Outsider.” The 23-page essay is actually a travel journal of observations from a two-week trip she took in 1976. Much fun. Delightful. I laughed out loud at some of her musings as it reminded me of the oddities (odd to me) I’ve noticed in faraway places — the sensory overload, the brain puzzles, the joy, the unexpected self-awareness, the attempts to write it all down.

This first chapter of “Sister Outsider” seemed almost unexpected diversion from the main reason I’m reading this book. It is the current choice of a book club my friend Billie Wade and I co-lead for the Center’s Antiracism Learning Group. We join together through stories and discussion. If you would like to join our group, please send me an email ([email protected]) and I’ll add you to the list. (We  started this discussion cycle April 19 and there’s plenty of time to hop in to chat up the rest of the book together.)

The late Audre Lorde is a celebrated and influential writer, authoring 12 books and serving as New York State’s poet Laurette 1991-1993. Her searing line “Your silence will not protect you” is oft quoted. The respective essay is also in this book and it opened me up as though the author was my personal spiritual director and somehow knew what I needed to hear.

But the essay at hand is different. It’s raw like how you might journal while riding a cheesy tour bus. It is Audre Lorde, American gawker. That’s what makes it fun: the fairy palace skyline, the reverence of old people, the lack of men, the higher ceilings, the “vodka, which flows like water, and with apparently as little effect upon Russians.” Surface travel observations are usually huge generalizations, of course, yet somehow the reader knows that she knows that. She’s just writing what she immediately sees and thinks.

To me, one of the most downplayed observation was how cotton is picked in Russia: “It feels strange and familiar at the same time. This is cotton country. Miles and miles of it, and the trainloads of students were coming south from Moscow on a two-week vacation to party and pick coon. There was a holiday atmosphere all around.”

Stunning. Like we did it all wrong in the U.S.A. Why didn’t we make cotton-picking a festival of friendship instead of brutally torturing dark-skinned people to get free labor for centuries? She does not ask that question. All she does it tee it up for the reader.

Audre Lorde is not passing off Russia as some kind of utopia. All countries have their shortcomings, she concludes. However, she also notes that Russia has the largest reading population in the world: “Everywhere you go, even among those miles of cotton being harvested in the Uzbeki sun, people are reading, and no matter what you may say about censorship, they are still reading and they’re reading an awful lot.”

Happy travels!

Billie’s blog: Celebrate What’s Important in 2021: You!

by Billie Wade

January 2021 — I recall attaining a major goal and the urge to run into the street screaming and flailing my arms. Fortunately, reality tapped me on the shoulder immediately. Achievement feels good and even more so when someone acknowledges our effort. Recognition gives us the energy and enthusiasm of boosted self-confidence for the next step of the journey. And away we go, having lunged into our goal or milestone, we are off to the next without so much as checking to see if our shoelaces are still tied. Over time we wear down, feeling overwhelmed, burnt out, and ineffective. The “new and exciting” activities of going after our vision become tedious chores. We ask ourselves, “Why am I doing this? It’s all so pointless. Nobody else will even care.” Mistakes, inevitable though they are, become shrouds of failure. When we live with one or more mental health diagnoses, both the pleasant and the unpleasant of successful living may bat us back and forth like a ping pong ball. One way to help ease the anxiety and balance our experiences is self-celebration.

Self-celebration gets you off the gerbil wheel for a while. You exhale the tension of focused striving. You catch your breath and let it come naturally. You inhale the next breath for strength to grab the baton and begin the next leg of the journey. With that new, raw energy comes increased belief in yourself and what you are setting out to do. When you celebrate yourself—who you are, what you have endured, your achievements, and what you have overcome—you make a profound statement to yourself that you are valuable unconditionally because of your existence. Celebration sets you up for an amazing range of feelings and physical responses. Joy. Delight. Awe. Wonder. Giggles. Laughter. Grins. Smirks. Amusement. And even eye rolling. People who are particularly body-sensitive may feel their body “laughing or singing, or other sensations.”

Self-celebration makes you your Number One Fan. You are a priceless synergy of traits, skills, and wisdom. Your unique quirkiness makes you who you are. You enrich the world with all you do. When you are joyful, you infuse your life with magnetic cheer, and you spread it to those around you. Joy is free. Joy is contagious. Joy is an expression of profound gratitude. Abilities are common in three forms: innate, learned through deliberate study, and acquired through experience—think of the wisdom and insight you have gained in the School of Life. Ironically, your most emotionally painful experiences contain the richest wisdom. They illuminate your courage, resourcefulness, and resilience, Celebrate them.

Early on in self-celebration you may worry about sounding arrogant and unappreciative. You may have learned, as I did, at a young age bragging is a bad practice to start, so bad you could get “the look” or dispatched upstairs to clean your room. However, when you embark on a new endeavor which requires the approval of others, you receive a set of “have tos. ”You have to sell yourself. You have to toot your own horn. You have to convince ‘them’ you are the best.” These instructions, while meant to encourage you, can confuse you about when you can be proud of yourself and when it is not a good idea.

When sharing your good news invite others in by leading with your feelings, such as, “I have great news to share with you,” or “I am so happy. I can hardly wait to tell you…” or “I did it! I finally made it. ”Share the spotlight if someone helped you. Consider the people you trust. You may need to share with different people in a revved up or subdued manner. If your sister is your number one fan, pour on the exuberance. If your neighbor frowns on everything you do, approach sharing the news with a little caution, if telling the person is necessary.

So, what do you do? First, remember you are the ONLY person with you 24/7. So, you are the only person who truly knows the intensity of your efforts. Waiting for someone else to congratulate you may take a long time, or not come at all. While this can be hurtful, you can celebrate yourself and even invite others to join you. Get ready for self-celebration by engaging a conscious awareness of activities you enjoy and/or do well and your achievements. I have a running list of my accomplishments to which I add as needed. The notebook pages are made from stone paper—that’s right, paper made from stone! I titled the notebook “Etched in Stone” to help me remember my ability to contribute to my dreams and to the world in which I live. Self-celebration is a gift to yourself you can enjoy regardless of the presence of others.

Sometimes, you may have to shut down the critical voices yammering at you whether the person(s) is(are) sitting in the same room with you or the voice is from a memory. If self-celebration is daunting for you, talk to someone you trust—therapist, primary care provider, religious leader, spiritual director, friend, or family member. Des Moines Pastoral Counseling Center is here for you. Clinicians offering a vast array of support and guidance welcome you. To begin your journey toward healing, click here. See my article, “How To Choose A Therapist” (August, 2020)

I usually emphasize that a fancy journal is unnecessary. For self-celebration, however, I encourage you to find a journal that makes you smile and want to snuggle or that makes you feel powerful. It does not matter if you purchase your journal at a dollar store or at a bookstore in the mall. Or, if you are crafty, create a journal and embellish the cover and give your journal a name or title. The importance is in how the journal makes you feel each time you write. Stock up on colorful ink pens, pencils, and highlighters, and glitter. Use whatever color fits your mood at the time or color-code your entries.

Several years ago, I bought a charming journal based entirely on its visual appeal: a top-down image of a dragonfly set against a multi-color background. The nubby-textured brown-gray cover welcomed the dragonfly in without swallowing it. I liked the satiny feel of the muted green-grey pages, with a dragonfly in an upper corner of each page, perfect for brown ink. If you have not tried brown ink, I encourage you to do so. The journal lay in a drawer with other to-be-used-one-of-these-days companions while I waited for the “perfect” theme, that moment of worthiness of such a delightful book.

On June 9, 2020, I wrote the first entry: to dedicate my Dragonfly Journal to my emotional health and evolution. I claimed my dignity as a human being, proud of my abilities, innate as well as learned. I declared my intention to write only good stuff—Gifts of the Day, affirmations, mantras. Envision gratitude on steroids with lots of friends. All entries are positive words. Such as, “I safely arrived to and from all my destinations today,” rather than, “I didn’t have any traffic or shopping problems.” This was a bit tricky at first. The exercise helped me redefine my experiences and self-messages. I had to create a new vocabulary.

Here are some tips for Celebrating Wonderful You every day.

  • Use your celebration journal ONLY for the good stuff—unexpected acts of generosity, great parking spaces, getting home fifteen minutes before the thunderstorm rumbled overhead, a medical appointment with good news. Use your regular journal for working through experiences, problem-solving, and exploring your thoughts, feelings, and emotions.
  • Write a list of everything you do well or love doing—from “I like the way I fold bath towels to I am an accomplished, respected astrophysicist with twenty years of experience”. Or, perhaps, you were present for a friend or completed an intense training. Be sure to number them so you can see the magnitude of your achievements, in quality as well as quantity.
  • Pause at least ten seconds between each item—set a timer if necessary—and sink into the pleasure of the moment.
  • Write just enough description that you will fully recall the experience when you reread the entry.
  • Each day, write at least one entry that expresses a minimum of five Gifts of the Day–more powerful than “Things I’m grateful for.” You will have so many Gifts on some days, remembering them all will be a challenge. That’s a good thing, a very good thing. Carry a small notebook with you always.
  • Use your social media or videoconferencing platform if you deem it appropriate.
  • If you have a videoconferencing account open a meeting and host a one-on-one session with yourself, with or without the video feature on.
  • Celebrate yourself as often as you want, anytime, anywhere. You do not have to say a word out loud, but I encourage you to do so. Hearing praise directed at you in your own voice can be quite powerful. Record it on your phone or computer and replay it whenever you need a boost
  • Celebrate your achievement repeatedly for as long as you like—just a smile is a celebration, an affirmation, a statement of enjoyment, about yourself. Sometimes, an inner smile is all you need.
  • Apply the wisdom of reaching your goal to the rest of your life.
  • Revisit your entries when you need a boost of confidence and say, “Wow, I rock!”

We continually seek meaning and fulfillment from our experiences. The achieving can sometimes overshadow the achievement. When we take time to be mindful and appreciative of the journey on our way to the destination, we invite meaning and fulfillment into the doing, which slows down the frenetic pace and sets us on a path of discovery as we achieve. In this respect, the journey is the goal as much as the destination. We do not have to be shy or embarrassed about who we are and what we do to live our life in fullness and contribute to the world in which we live, whatever that looks like for each of us.

Achieve. Enjoy. Celebrate. Repeat.

Billie’s blog index: www.dmpcc.org/Billie

Media review for hope and healing #1

The Heart Hunger for Wildness by Diane Glass

reviewed by Terri Mork Speirs, Director of Community Relations

January 2021 — I am a believer that storytelling is a powerful path to hope and healing. Stories remind us that we are not alone in our joy and pain, whatever they are.  I am pleased to offer thoughts on what I call a genre-bending book that blends poetry and memoir — reflections on one’s life in lyrical form. In this sleek new book of poems, author Diane Glass shares her life’s perspectives that are deeply unique to her yet universal to all of us. (For many years Diane has served instructor for the Center’s PrairieFire program.)

One of the many things I love about this slim volume is the clever ordering of chapters that clusters the poems into three themes: hunger, heart, wildness. And how the themes circle and flow within the chapters, and page to page. Her subjects range from the simple to the simply unimaginable. Her verses call us to pay attention, sometimes with proposed solutions placed cleverly in plain sight right before us. As if that’s how it works in the real world.

For example the last line on page 26 asks: “How do you want to live?”

The first line on page 27 seems to offer the perfect answer: “Curiosity.”

Ah, curiosity, what an antidote to pandemic and quarantine. But how to cultivate it when it can be hard to simply think? As one with self diagnosed covid-brain (extra short attention span), I like the white space poetry offers. I like the choices of short or shorter reads. I like the puzzle-like experience of reading out of order, and not worrying if I don’t immediately understand. I like being amazed when I do. I like that knowing that sometimes chaos can turn to order. And most times, it’s OK to just sit with the chaos.

Throughout the book, the author’s vivid imagery is at once lyrical and arresting, such as: “Take care of my plant, my stepson wrote in careful script in his suicide letter on the kitchen table of his apartment.” (p. 48) The four poems related to this line are like chapter-ettes of the full poem entitled “The Botany of Grief.” It is an exploration of suicide loss in plain words. The series of poems stunned me for both the beauty and sadness. How can there be both at the same time?

Her poems seek to make sense out of the nonsensical. Suicide. Illness. Racism. Divorce. While somehow weaving in the joy. Nature. Dancing. Wonder. New love.

You can read when you can. You can read one page. You can read ten pages. Put it by your favorite chair and pick it up a week later. You can remember that you are not alone.

Give the book to yourself, or to someone you love.

*

Diane Glass, author and PrairieFire instructor

Diane Glass brings a writer’s astute attention to detail and a spiritual director’s ability to probe the depths of meaning in everyday experience in her new book of poetry, The Heart Hungers for Wildness.

From the power of soup to change the world to the land’s willingness to talk with us if we listen, her poems testify to the joy of following the heart’s wild longings.

Along the way, she shares sorrows as well—losing a stepson, facing illness, living out the pandemic. You will come to better understand your own life passages and possibilities after reading this book.

Available at Beaverdale Books in Des Moines and on Amazon and Barnes & Noble.

Save or Savor?

 

by Jim Hayes, Executive Director

February 2021 — This quote found me as I was working through a gratitude reflection over the Thanksgiving holiday. It continues to nourish my thoughts and I’m wondering why.

One of my strategies for surviving this pandemic has been to try to stay in the moment rather than letting anxious thoughts overwhelm the day. My rational mind reminds my lizard brain that if anxiety drives the bus, I might miss the beauty of a moment or a day. This is especially true in the midst of a pandemic, which has heightened anxiety for most of us. Each day, no matter the external context, is rooted in the everlasting now. I do my best to savor the moment.

Among the moments to savor are the stories of some incredible people who have contributed to the Center over the years. For a variety of reasons, a number of our “wisdom figures” chose to retire over the last few months. They all seem to be enjoying retirement immensely! We have all been nourished by their efforts and ought to take a moment to savor the wonder of how they made us better by offering their many gifts to help us advance our mission.

Susan Ackelson joined us in 1996. She helped so many people as a therapist, but also served as Clinical Director. She did so much to help us appreciate the significance of holistic healing by paying attention to not only the mind, but the spirit and body through her sensory motor work.

Susan Koehler, P.A., came in 2014. Her years of service may not have been as long as some of the others on this list, but the services she provided represented a significant shift in our work. She started as a consultant helping us to better understand how psychiatry might help our patients, but later joined us as a prescriber. Along with Dr. Geoffrey Hills, Susan provided a wonderful resource by having in house prescribers.

Diane McClanahan joined us as the first full time director of Leadership and Spiritual Life in 2013. She established a number of new programs that not only benefitted the Center, but numerous communities of faith around the state. She also served many people as a trusted spiritual director.

Kathy Reardon allowed us to write a significant piece of appreciation in an earlier newsletter. She joined us in 2001. Her contributions are well documented, but my savoring of the Center’s work would be incomplete if I didn’t reflect once again on her contributions in healing touch, spiritual direction, and the establishment of the Prairie Fire spiritual formation program.

Roberta Yoder just retired last month. She joined us in 1996 as a career counselor. She has been a faithful and inspiring leader in what was virtually a one person program. So many people have Roberta to thank for discovering fulfilling careers. I always enjoyed my conversations with her around the topic of vocation. She certainly found a way to use her many gifts in the service of others.

There’s a bit of grief as I write this and reflect on these esteemed and highly valued colleagues. I miss them. Again, they all had a variety of reasons for why retirement made sense at this point in their lives and they left on the best of terms and continue to support the Center in a variety of ways. My savoring relates to the inspiration they continue to provide to so many. On a personal level, they certainly nourished my spirit in unique ways.

I have to provide one final bit of savoring by recognizing that we lost Larry Sonner on November 27th  to COVID-19.  He was retired from a variety of roles as a United Methodist Elder. One of his many contributions of a life lived well was to facilitate the gatherings of the supervisors in our training program for 25 years. We are so grateful for the many quality therapists he helped to shape in that quarter century. He and Sue, his spouse, contributed to the Center in many ways over the years. We offer our sympathy to her and the family, even as we celebrate the wonder of all that Larry did with his many gifts.

My reflections don’t even include other stakeholders and donors we’ve lost in 2020. The list is long and I’m afraid I’d forget someone if I started listing individuals. I’ll save that reflection for another time.

Savor these stories!

But we should also heed White’s advice to improve (or save) the world.

Even in the midst of a pandemic, we need to hold ourselves accountable to stewarding the gifts bestowed on us by creation. When I think of the many contributions over 100 staff and innumerable donors have added over the 49 year history of the Center, I am energized by their memories as I consider our role in advancing our important work. Along with the board and staff, I hope that we find ways to make a difference as we strive to serve the many needs in our community, especially related to holistic and mental health.

The world stands in need of improvement—maybe even a little bit of saving. You’ll be hearing from me in 2021 about strategies we have for writing the next chapter of the history of the Center. It will take all of us, using the many gifts we hold as a community, to affect positive social change. We are grateful for others who have done it before us, but also take seriously our responsibility to respond generously as well.

Thank you for all you’ve done to help us continue to serve in a challenging year. Savor the wonder of it all so that we might all be inspired to do a bit of “saving” in 2021.

Blessings,

To read more of Jim’s blogs, click HERE.

Learn how Bank of America cares for their employees!

The Des Moines Pastoral Counseling Center recently partnered with Bank of America to offer wellness services to BOA employees.

October 2020 – It’s called preventative maintenance, an upstream approach to health and well-being.

Corporations and organizations are very aware of the many difficulties and challenges employees are facing during the pandemic and the chronic, long-term stress it is causing. One of the Des Moines Pastoral Counseling Center’s generous donors, Bank of America, is taking a proactive approach.

Bank of America staff in Iowa have launched a series of physical and emotional wellness opportunities for their teammates called Get Iowa Moving.  They are running four different activities every other week from September through October. Activities include, walking outdoors, guided mindfulness meditation, chair yoga, and desk exercises. All sessions begin with a reminder of the benefits and programs the bank offers and how to take advantage of them, especially though their employee networks. Bank of America knows that members of their employee networks feel more connected and engaged at work, which is an important component of overall wellness.

Annie Brandt

“I was talking with my market president about ways we can connect with our team in this virtual world, and she reminded me of her often repeated mantra, ‘Move your body, heal your mind.’  I thought of the things Bank of America is offering teammates across the country like chair yoga and guided mindfulness meditation. I thought it could be a fun way to further engage our Iowa teammates if we made it local and special for us.”  Says, Annie Brandt, Bank of America Senior Vice President and Market Manager for Iowa.  Annie is also a long-time supporter of the Center, 2019 Women Helping Women co-chair and volunteer.

Would you like to get your team involved in preventative healthcare? Learn more about the Center’s mindfulness offerings HERE.

Allison Peet

Written by Allison Peet, certified Mindfulness Based Stress Reduction instructor.

Blessing Practice for a Pandemic

Dr. Christine Dietz

By Dr. Christine Dietz, counselor, spiritual director, and training director at the Des Moines Pastoral Counseling Center

I have often thought of Jewish observance as an ancient mindfulness practice. The rituals, prayers, blessings and practices that Jews engage in offer multiple opportunities to move from mochin d’katnut (small mind, the ego) to mochin d’gadlut (expansive mind, a more universal perspective) every day. One way to understand halakhah, often translated as law or observance, is as a way of walking, as the root of the word may be translated as “to go” or “to walk.” Judaism is how we walk our walk, and blessings can be part of this walk.

I was reminded of this perspective last Friday night when Rabbi Barton reminded us that, traditionally, Jews are supposed to say 100 blessings a day. While I aspire to being able to do that, I am not there yet. At the same time, the idea of pausing and tuning in to a larger perspective multiple times a day does appeal to me, especially at this time, when we are in both a pandemic of illness and a pandemic of fear, as Rabbi Sacks observed (https://www.youtube.com/watch?v=9LDJDxY-5Rk). As a psychotherapist and spiritual director, I witness the pandemic of fear every day. Since I don’t know all of the traditional blessings and don’t yet have the awareness or discipline to recite 100 of them every day, I decided to try saying blessings for 100 people each day during this time of self-isolation and fear. I offer some ideas about how I might do that below and invite you to think about your own ways of offering blessings to the world at this time.

First, I would like to share a Jewish version of the metta meditation, a traditional Buddhist lovingkindness meditation, that I learned from Shaye Cohen and Bahira Sugarman. It is traditional to offer the blessings first for yourself, then for others:

  • May you be blessed with shalom (peace, wholeness)
  • May you be blessed with ahavah (love)
  • May you be blessed with refuah (healing)
  • May you be blessed with simcha (joy)
  • May you be blessed with kol tov (whatever is best)

Next, you might bless those who are most affected by the virus. For me, one of the hardest things about this pandemic is the isolation that can result from shelter in place orders, or when affected people are quarantined.

I am acutely aware from personal experience of how this affects both the affected individual and their loved ones. In 2018, my 95-year-old father was quarantined after acquiring MERSA in the hospital where he went for surgery after a fall. He had been in good health prior to the infection but rapidly declined. Visitors were limited and required to take extreme protective measures. He died alone in isolation while my mother and sister were ordered to evacuate due to a flood that same day. My mother is still haunted by the thought of him dying alone and not being able to say goodbye.  As a psychotherapist, I am also aware of how many people live alone with their anxiety about themselves or their loved ones becoming ill and being unable to be together.

Bless Those Affected by The Virus

 

  • The sick
  • The lonely and those who are distant from loved ones
  • Children who are ill or separated from their parents
  • The poor
  • The homeless
  • Immigrants and refugees
  • Prisoners
  • Asylum seekers
  • Those who are confined at home with abusers or unsafe people
  • Those who tested positive and are in hospitals
  • Those who tested positive and are in quarantine at home
  • Those who can’t get tested
  • Those who are or may have been exposed to the virus and are waiting to see if they develop symptoms
  • Those who have lost their jobs
  • Those whose incomes have been or will be reduced
  • Those whose businesses are affected
  • Those who need mental health services and don’t have access to care
  • Those who need other kinds of health care that is being pre-empted by this virus
  • Those (all of us) who are anxious
  • Those who are depressed and in despair
  • Those who are mourning or will be mourning without the in person support of their communities
  • There are many others – please add your own

 

Mister Rogers has been quoted a lot these days: “When I was a boy and I would see scary things in the news,” Rogers said to his television neighbors, “my mother would say to me, ‘Look for the helpers. You will always find people who are helping’” (Ian Bogost, The Atlantic, October 29, 2018). Mr. Bogost worries that this may be bad advice for adults if it leads to complacency or passivity. For me, “looking for the helpers” gives me hope and leads me to consider how I, too, can be a helper. I can also be mindful of who is helping and offer blessings for them. See Mr. Bogost’s article here: https://www.theatlantic.com/technology/archive/2018/10/look-for-the-helpers-mr-rogers-is-bad-for-adults/574210/

Bless the Helpers

  • Health care workers in the front lines, risking exposure, working long hours without personal protective equipment, fearful of exposing family and friends to the virus: doctors, nurses, CNAs, technicians and other medical personnel.
  • People who work behind the scenes in health care institutions, including cleaners, food service workers, administrative staff and assistants, who face many of the same risks as those above.
  • Religious and spiritual care providers in hospitals and other health care facilities: clergy, chaplains and others.
  • Volunteers and any others working in health care institutions.
  • Workers in long-term care facilities and hospice, who face the same risks as those in hospitals as well as the expectation that most of those exposed to the virus will die. These include nurses, social workers, physicians, chaplains, bereavement counselors and others.
  • Workers in government agencies, including Departments of Public Health, research facilities, Departments of Mental Health, Departments of Human Services, CDC, WHO and many more, who are doing research, issuing guidelines, making decisions without adequate information, and working long hours.
  • Scientists and researchers working frantically to develop treatments and vaccines.
  • Policy makers at all levels of government.
  • School personnel, from administrators to teachers, who are trying to keep children safe, healthy, fed and educated without much to support them except their dedication and creativity.
  • Mental health workers at all levels and in all types of facilities, who are trying to provide hope and healing, either directly or from a distance, in a confused landscape of conflicting regulations, payment restrictions and limitations while trying to keep their organizations running.
  • The Boards of Directors and administrators of non-profit organizations, religious institutions and government services who are trying to offer their services at a distance and without certainty of compensation.
  • Religious and spiritual leaders and care providers: clergy, chaplains, spiritual directors, teachers of all types, who are working locally, nationally and globally to provide hope, inspiration and comfort.
  • Local emergency services whose work does not end during a pandemic: police, fire fighters, EMTs, dispatchers, etc.
  • Those who provide food and supplies despite risks to themselves and low wages: stockers, drivers, food service workers, cashiers, store managers and others.
  • Employees of necessary services who keep things running: sanitation, utilities, technology providers, repair people.
  • There are many others. Please add your own.

This is not meant to be an exhaustive list – it is just what I came up with this morning. I plan to add to it daily, creating an ever longer list of people to bless. I also hope that this practice, rather than making me complacent, will lead me to find tangible ways to support these people, whether through contact by phone or video chat, donations, letters of encouragement or other creative ways.

During Purim this year, I was particularly drawn to Mordechai’s words to Esther (Esther 4:14): “For if you remain silent at this time, relief and deliverance for the Jews will arise from another place, but you and your father’s house will perish. And who knows but that you have come to the kingdom for such a time as this?” I am asking myself, and I invite you to ask yourself, whether you, too, are in this time and place to offer what you, uniquely, can and how you will do it. In the words of Psalm 69:14, as translated by Rabbi Yael Levy, (Directing the Heart: Weekly Mindfulness Teachings and Practices from the Torah. (2019) Philadelphia, PA: A Way In).

“I am my prayer to you,

Aligned with the Highest Will in this very moment.

With great love and generosity,

Receive me with the truth of your presence.”

How will you be your prayer?

 

Christine Dietz, Ph.D., L.I.S.W., is a licensed independent social worker, spiritual director and Reiki Master. She is the Center’s Director of Clinical Training. She received her M.S.W. from the University of Iowa and her Ph.D. in Sociology from the State University of New York at Buffalo. She is a graduate of the Lev Shomea Training Program for Spiritual Direction in the Jewish Tradition. Christine’s focus in counseling is on helping people reconnect to their innate wholeness and renew their sense of hope and possibility. She works with people experiencing anxiety, depression, OCD, trauma, life transitions, chronic illness, grief and loss, and relationship issues. She also offers individual and group spiritual direction to people from all faith traditions. She is a member of the National Association of Social Workers and Spiritual Directors International.

Tips for Nurturing and Protecting Children at Home

This article was written by Childmind.org

Tips for nurturing and protecting children at home
Child Mind Institute

Parents everywhere are struggling to keep children healthy and occupied. If you’re anxious about how to protect and nurture kids through this crisis — often juggling work obligations at the same time — you’re in good (virtual) company. I know, as I write this from home, with my 2-year-old hovering, that we have a lot to figure out.  Here are tips from the Child Mind Institute’s clinicians to help calm fears, manage stress and keep the peace.

Keep routines in place
The experts all agree that setting and sticking to a regular schedule is key, even when you’re all at home all day. Kids should get up, eat and go to bed at their normal times. Consistency and structure are calming during times of stress. Kids, especially younger ones or those who are anxious, benefit from knowing what’s going to happen and when.

The schedule can mimic a school or day camp schedule, changing activities at predictable intervals, and alternating periods of study and play.

It may help to print out a schedule and go over it as a family each morning. Setting a timer will help kids know when activities are about to begin or end. Having regular reminders will help head off meltdowns when it’s time to transition from one thing to the next.

Be creative about new activities — and exercise
Incorporate new activities into your routine, like doing a puzzle or having family game time in the evening. For example, my family is baking our way through a favorite dessert cookbook together with my daughter as sous chef.

Build in activities that help everyone get some exercise (without contact with other kids or things touched by other kids, like playground equipment). Take a daily family walk or bike ride or do yoga — great ways to let kids burn off energy and make sure everyone is staying active.

David Anderson, PhD, a clinical psychologist at the Child Mind Institute, recommends brainstorming ways to go “back to the 80s,” before the time of screen prevalence. “I’ve been asking parents to think about their favorite activities at summer camp or at home before screens,” he says. “They often then generate lists of arts and crafts activities, science projects, imaginary games, musical activities, board games, household projects, etc.”

Manage your own anxiety
It’s completely understandable to be anxious right now (how could we not be?) but how we manage that anxiety has a big impact on our kids. Keeping your worries in check will help your whole family navigate this uncertain situation as easily as possible.

“Watch out for catastrophic thinking,” says Mark Reinecke, PhD, a clinical psychologist with the Child Mind Institute. For example, assuming every cough is a sign you’ve been infected, or reading news stories that dwell on worst-case scenarios. “Keep a sense of perspective, engage in solution-focused thinking and balance this with mindful acceptance.”

For those moments when you do catch yourself feeling anxious, try to avoid talking about your concerns within earshot of children. If you’re feeling overwhelmed, step away and take a break. That could look like taking a shower or going outside or into another room and taking a few deep breaths.

Limit consumption of news
Staying informed is important, but it’s a good idea to limit consumption of news and social media that has the potential to feed your anxiety, and that of your kids. Turn the TV off and mute or unfollow friends or co-workers who are prone to sharing panic-inducing posts.

Take a social media hiatus or make a point of following accounts that share content that take your mind off the crisis, whether it’s about nature, art, baking or crafts.

Stay in touch virtually
Keep your support network strong, even when you’re only able to call or text friends and family. Socializing plays an important role in regulating your mood and helping you stay grounded. And the same is true for your children.

Let kids use social media (within reason) and Skype or FaceTime to stay connected to peers even if they aren’t usually allowed to do so. Communication can help kids feel less alone and mitigate some of the stress that comes from being away from friends.

Technology can also help younger kids feel closer to relatives or friends they can’t see at the moment. My parents video chat with their granddaughter every night and read her a (digital) bedtime story. It’s not perfect, but it helps us all feel closer and less stressed.

Make plans
In the face of events that are scary and largely out of our control, it’s important to be proactive about what you can control. Making plans helps you visualize the near future. How can your kids have virtual play dates? What can your family do that would be fun outside? What are favorite foods you can cook during this time? Make lists that kids can add to. Seeing you problem solve in response to this crisis can be instructive and reassuring for kids.

Even better, assign kids tasks that will help them feel that they are part of the plan and making a valuable contribution to the family.

Keep it positive
Though adults are feeling apprehensive, to most children the words “School’s closed” are cause for celebration. “My kid was thrilled when he found out school would be closing,” says Rachel Busman, PsyD, a clinical psychologist at the Child Mind Institute. Parents, she says, should validate that feeling of excitement and use it as a springboard to help kids stay calm and happy.

Let kids know that you’re glad they’re excited, but make sure they understand that though it may feel like vacations they’ve had in the past, things will be different this time. For example, Dr. Busman suggests, “It’s so cool to have everyone home together. We’re going to have good time! Remember, though, we’ll still be doing work and sticking to a regular schedule.”

Keep kids in the loop — but keep it simple
“Talking to children in a clear, reasonable way about what’s going on is the best way to help them understand,” says Dr. Busman. “But remember kids don’t need to know every little thing.” Unless kids ask specifically, there’s no reason to volunteer information that might worry them.

For example, our two-year-old daughter Alice is used to seeing her grandparents regularly, but right now we’re keeping our distance to make sure everyone stays safe. When she asks about them we say: “We won’t see Grandma and Grandpa this week but we will see them soon!” We don’t say: “We’re staying away from Grandma and Grandpa because we could get them sick.” Older kids can handle — and expect — more detail, but you should still be thoughtful about what kinds of information you share with them.

Check in with little kids
Young children may be oblivious to the facts of the situation, but they may still feel unsettled by the changes in routine, or pick up on the fact that people around them are worried and upset. Plan to check in with younger children periodically and give them the chance to process any worries they may be having. Children who are tantruming more than usual, being defiant or acting out may actually be feeling anxious. Pick a calm, undistracted time and gently ask how they’re feeling and make sure to respond to outbursts in a calm, consistent, comforting way.

Sometimes the path of least resistance is the right path
Remember to be reasonable and kind to yourself. We all want to be our best parenting selves as much as we can, but sometimes that best self is the one that says, “Go for it,” when a kid asks for more time on the iPad. My daughter is watching Elmo’s World — and possibly drawing on the wall — as I write this. That shrill red Muppet is the only reason I’m able to write at all.

“We should forgive ourselves the image of perfection that we normally aspire to as parents,” says Dr. Anderson. “Maybe your kids don’t have TV or screens on the weeknights during the school year, but now that school is cancelled or online, we can give ourselves license to relax these boundaries a bit.  We can explain to our kids that this is a unique situation and re-institute boundaries once more when life returns to normal.”

Accept and ask for help
If you have a partner at home, agree that you’ll trade off when it comes to childcare. Especially if one or both of you are working from home and have younger children. That way everyone gets a break and some breathing room.

Everyone who can pitch in, should. Give kids age appropriate jobs. For example, teens might be able to help mind younger siblings when both parents have to work. Most children can set the table, help keep communal spaces clean, do dishes or take out the trash. Even toddlers can learn to pick up their own toys. Working as a team will help your whole family stay busy and make sure no one person (Mom) is overwhelmed.

“Be creative and be flexible,” says Dr. Busman, “and try not to be hard on yourself. You have to find a balance that works for your family. The goal should be to stay sane and stay safe.”

 

Men and Mental Health

Mark: “The most notable bridge on the entire transcontinental Lincoln Highway is found in Tama!

Mark Minear, Ph.D., a psychologist at Des Moines Pastoral Counseling Center, went on sabbatical in the Spring of 2016. He wanted to walk the Old Lincoln Highway from river to river across the State of Iowa. His initial reasons included to fulfill a dream, get some exercise, contemplate, and experience a bit of Iowa history. Along the way, he met a lot of local people who shared food and stories. Family, friends, and others joined him on his walk. He communed with nature in ways not possible when driving. Local radio and television stations interviewed him and followed his progress. He had meaningful conversations with his walking stick. You can read his blog posts documenting his epic fourteen-day walk at www.dmpcc.org/walkwithmark.

Dr. Minear, inspired by Ellery Duke, the Center’s executive director at the time, and his bicycle ride across the U.S., decided to use his walk as a platform to increase awareness about mental health services for men and boys and to raise money for the Center’s Client Assistance Fund with an emphasis on uninsured and underinsured men and boys. He shared that 17% of men seek mental health services while 29% of women do so. In 2018 the Center’s clientele was 37.5%, 3/8, men and boys. So far in 2019, the demographic is 36% men and boys.

Dr. Minear originally became aware of and interested in the gender differences in mental health issues when he was in graduate school. He cited strong influence by the work of the late Royda Crose who wrote Why Women Live Longer Than Men and what men can learn from them. Dr. Crose divided the sections in her book to include aging, biology, health and wellness, physical health, mental health, social health, occupational health, spiritual and environmental health, and longevity. There are life choices men can make in taking care of themselves. When the book was published in 1997, men lived an average of approximately 73 years and women 79 years. Current life expectancy is 76.1 years for men and 81.1 years for women

In his blog post on April 24, 2016, Dr. Minear wrote “over six million men in the U.S. suffer from depression with, perhaps, half of these going undiagnosed.” Dr. Minear reported that, while more women attempt suicide, men are four times more likely to complete suicide. He stated that men at mid-life comprise the highest suicide rate. A 2016 report by the American Association of Suicidology indicated “in 2014, 2,421 African Americans died by suicide in the US. Of these, 1,946 were male (80.38%). The overall suicide rate per 100,000 was 5.46. … This was the first national study to show observe higher suicide rates for African Americans than for Caucasians in any age group.”

The well-known mid-life crisis can shatter a man’s life. Men evaluate their life and find their present circumstances deficient. They may have all the trappings of a successful life and still feel life or personal inadequacy. Some men in mid-life crisis end significant relationships, quit their job, relocate, or have illicit extramarital relationships. These abrupt life changes only add to the stress.

Men may mask the signs of depression with anger and aggression. Life stressors such as financial strain, grief in all areas of life, and loss of employment contribute to depression. Men with genetic predisposition toward depression or who have a major illness may be at a greater risk for developing depression. Chronic depression in all people can result from low levels of the neurotransmitter serotonin, necessitating the need for antidepressant medication. Men may shy away from medication because they fear being judged by pharmacy staff. So, they may self-medicate with alcohol or illicit drugs.

Dr. Minear stated that women pay more attention to their bodies than men. However, eating disorders such as anorexia, bulimia, and binge eating affect men as well. Men may become obsessed with calorie counting or working out at a gym. One report stated that men may obsess about “their muscles, skin, genitals, nose, or hair.”

Dr. Minear said men have fewer social supports than women. Boys are socialized to withhold tears, suppress most emotions, ignore their bodies, and rely on fortitude to get through problems. There is social stigma against men seeking mental health services which is viewed as a sign of weakness. While men and boys are discouraged against the display of most emotions, they are encouraged to express frustration, anger, and rage either explicitly or implicitly through stoic silence or making excuses for them when they are angry. He stated men’s anger can be intense and there’s a need to help them find healthy expression.

Royce White

Out of Dr. Minear’s raising awareness about men and boys and mental health, a group of colleagues formed and meets monthly. ”When Life Gives You a Full Court Press” was born out of those meetings. The 2019 two-day event, sponsored by The Center and Des Moines University (DMU) takes place Thursday, July 11, and Friday, July 12 at DMU. The speaker for Thursday’s free event, “Rebound with courage,” is former NBA player and Iowa State basketball star Royce White. White has been open about Generalized Anxiety Disorder (GAD) and how it derailed his life. He has become an advocate for mental health treatment. Friday’s event, “Pivot to health,” features four break-out sessions, two facilitated by mental health professionals and two by medical professionals. Headliners Dr. David Vogel and Patrick Heath, MS, will discuss their research into mental health treatment for men and boys which keenly interests Dr. Minear. CMEs and CEUs are available for Friday’s workshops. Information about both segments of the event can be found at www.dmpcc.org/MEN.

GAD generally begins in adolescence or young adulthood. It is less common in men than in women. Estimates indicate approximately four million people suffer annually. It often travels with depression.

GAD is diagnosed by using blood and urine tests to rule out medical conditions. Trained professionals also use psychological assessments. The list of possible symptoms is long. They include excessive worry and anxiousness, easily startled, headaches and fatigue, and problems with concentration. For years, my experience with GAD went untreated. I often felt as though I would have a psychotic break. Two psychiatrists diagnosed me with and treated me for Attention Deficit Hyperactive Disorder (ADHD). My current psychiatrist accurately diagnosed the GAD. Medication, counseling, and journaling are very effective in keeping me balanced.

GAD cannot be cured, and there are no quick fixes, but a number of treatment options may be used to mitigate symptoms. Any one of a variety of medications, taken orally, may be prescribed. Medications take several weeks to notice efficacy and your primary care physician or psychiatrist may need to try different ones to find the one that works best. Cognitive Behavioral Therapy (CBT) is a talk therapy that helps build and strengthen coping skills. Lifestyle changes that may help are regular exercise, adequate sleep, healthy eating, and the avoidance of alcohol, recreational drugs, nicotine, and caffeine.

Dr. Minear hopes to open a pathway of communication between the medical and mental health communities. Greater awareness by the medical community of the need for mental health services for men and boys could lead to earlier detection and referrals.

We all can play a role in addressing the mental health needs of men and boys. Dr. Minear shared some tips:

  • Talk more openly and candidly about mental health and mental health treatment.
  • Erase stigma by treating mental illness as a viable topic rather than taboo.
  • Educate and engage medical providers.
  • Equip the medical community to make referrals.

Dr. Minear added that mental health should not be gender specific. Mental illness affects men, women, boys, and girls. We can learn as much as possible about men and mental health. We can be attentive to the signs of depression and anxiety shown by the men in our lives. We can be supportive and encouraging by listening. We can all benefit by showing sensitivity and compassion. The state of mental health services for men and boys is vital to stronger, healthier, and more resilient relationships which contributes to the well-being of everyone.

For more information about “When Life Gives You a Full Court Press,” visit the Center’s website at www.dmpcc.org/MEN or call Terri Speirs, 515-251-6670.

Trauma Sensitive Living: What Can I Do?

by Jim Hayes, D.Min., M.Div., Executive Director at the Center

Related: Hope After Trauma, by Dr. Christine Dietz

Sand therapy is one counseling method used by counselors at the Center to treat children who experience trauma. Click image for more information.

Trauma.
Assault.
Clergy abuse.
#metoo
Raising boys.

Any of these terms come up in your conversations recently?

This isn’t about politics, though really, what isn’t political?

I am talking about running into these terms in our daily encounters as human beings and what we can learn and how we can help.

We deal with trauma on a regular basis at the Center. Really rotten, downright evil stuff that has happened, often victimizing the most innocent we are all called to protect. It is such a large part of our daily lives here that we have to strategize on how to create boundaries for our excellent therapists because if they see too many trauma clients in a day, the secondary trauma can wear them down; burn them out.

It’s all around us.

For those of us not caring for others through therapy, what can we do to help these wounded in our midst?

First, recognize they are your family, your colleagues at work, and your neighbors.  Awareness is key. We can pay attention to our language and recognize that there are many ways memories of the trauma gets triggered. What for one person is innocently watching volatile political debate, for another is a trigger that traps an innocent in a horrible memory as real as the day it happened. The pain is real. Respectful awareness and listening can help.

Another avenue for us to pursue when we encounter such pain is to help those who have entrusted us with their stories to seek hope and healing. We all need trusted companions as we navigate life. This means being a good listener and sometimes helping someone to seek help at places like the Des Moines Pastoral Counseling Center. We and others in this field are here to help you help those you love.

Finally, we are called to build just communities so that all may flourish. This sounds like politics again, but it is politics in the best and most local sense of that word. It means asking the question: “What can I do to help?” rather than “What are you going to do to fix this?”  We are thinking about our role in this conversation, beyond the good counseling which is part of our daily work. Our mission is to bring hope and healing through counseling and education. We are well known for our long-standing commitment to helping girls and women, many of whom have suffered trauma. We fund much of that work through our Women Helping Women event.  Those funds and some grants have helped us to expand our partnerships with the Iowa Crime Victims Assistance Division as well as Latinas for a New Dawn (LUNA). Both of those organizations serve victims of assault.

On the educational side of the street we’re considering a number of initiatives. Some members of our community are exploring how to better equip all of us to carry on civil conversations. I’m excited to see that initiative take shape. A generous donor has provided us with funding to update our training for work with the LGBTQ population and explore how we can better serve those clients, many of whom have experienced trauma.  On another front, a number of us are working to organize an event in 2019 that will explore how to best support boys and men in maintaining their mental health. Men are much less likely to seek help and more likely to harm self or others.

These are just some examples of wrestling with the question, “How can we help?” Let me know if you have suggestions and/or would like to join us in answering that question. [Click here to send us a message.]

It’s a question we take seriously at the Center. I hope that you’ll join us in thinking of ways to bring hope and healing to a wounded world. Thank you for the many ways you already do so by supporting our work.

Click image to read more blogs posts from Jim

Related: Hope after trauma, by Dr. Christine Dietz