Moving from fixing problems to learning together
Niharika Hiremath (Guest) · 27:49
I think ultimately it comes down to what's the purpose for what you are doing, right? One of the ways that I like to see it and one of the earlier analogies that I would often talk about is what's the difference between physical health and mental health? With physical health, for example, it's a lot clearer and easier to see what's wrong and what the problem is. And that problem is usually easier to fix because there is like 1 to maybe 5 ways that you might be able to fix it. And there's a reasonable assumption that doing any one of those 5 things will fix the problem. So you break your leg, there's a pretty clear-cut avenue that most people take regardless of cultural background, regardless of socioeconomic status, regardless of whatever, X, Y, and Z different factors to fix that problem. With mental health and mental wellbeing, it's not as easy as that. It's not as clear-cut. And we're finding more and more that actually the pathologizing of these things and making it out to be that there is a problem that needs to be fixed often actually works against what you're actually trying to do with that person. If the idea is that you're trying to make yourself comfortable with your identity in that space, then seeking help for that is going to look vastly different from person to person already, you know? And the same thing that resonates with me and gives me perspective and changes my whole outlook on how I navigate this work might be completely different to you, even if we are the same cultural background, the same age, the same blah, blah, blah, blah, blah. So really thinking critically about how you would want to approach this work, yeah, is going to be important.
Emma Bellamy-Dodd (Host) · 29:32
So you are trained in providing intentional peer support, right? And I read that it invites practitioners to think of relationships differently, but do you mind explaining a little bit more about what the framework involves?
Niharika Hiremath (Guest) · 29:48
Yes, absolutely. For me, IPS, there's a few aspects to it. One of them is really focused on creating and co-creating hope-based relationships. As we were just talking about in the previous question, moving away from this notion of there is something wrong with you and that needs to be fixed, or there's something wrong with me and that needs to be fixed. Addressing the natural power dynamics that come in, in relationships or in contexts like that. There's a big focus on a couple of different tasks, for example. So one of them is around connection and really establishing that connection early on. So Recognizing that any quote unquote good, productive therapeutic relationship is based in connection with that person. And if there is a disconnection, then nothing is really gonna work. Looking at the concept of worldviews, we talk about how everything that I was just saying, right? I have a certain way that I view certain things, and you might have a completely different way of how you view those things. And how do you acknowledge that in conversation? How do you work with that and move through those relationships in a way that holds space for other people's worldviews. The concept of mutuality as well, which is a huge, huge thing. So the idea that even in peer relationships or even in those relationships that you were talking about before, I may bring a particular specialization in a particular area. I may bring a set of skills. I might bring some particular knowledge about those things. But the idea is that when we are in conversation and when we are having that connection and that relationship, that's a set of skills that I bring, but that doesn't make me any better than you, any higher or lower than you. There's naturally power dynamics that you do have to address, but the idea being that in that relationship, the focus is not those dynamics. The focus is the connection piece. And just in the way that I might have things that I can bring to the conversation, you will have things that you can bring to the the conversation and how do we exercise that mutuality and how do we embed that in the foundation of the relationship that we're building, you know? So there's a, a lot of different sort of concepts to it, but ultimately, you know, it kind of comes down to this notion of how do you start to sort of move away from the, the concept of helping to sort of learning together? How do you move away from the individual by themselves to being in relationship or in relationship with other people, and how do you move away from that fear to more of a focus on hope and possibility and the ways in which you can move forward? Yeah, very high-level overview of IPS, but yeah, no, it really sounds fascinating.
Emma Bellamy-Dodd (Host) · 32:26
I really wish that was taught in psychology programs.
Niharika Hiremath (Guest) · 32:31
Oh, I, yeah, look, I have many, many things to say on that. I think it could really be a game changer. For many mental health disciplines, to be honest. The assumption is not a vilifying of psychology or of social work or of psychiatry or any other sort of discipline. Like the idea is not everything is bad and this is only the only way to do it. More of the focus here is on that sort of relational navigation of this work and how can you build a space to talk about the tensions between these are certain concepts that we learn in psychology. And these are some of the things that might come up within an IPS framework and just building a space to even speak to those tensions, you know, which often get brushed under the rug sometimes.
Emma Bellamy-Dodd (Host) · 33:16
There is so much that you've done professionally that it's really difficult to cover everything, but if you could encapsulate the main theme that underlies your purpose into a sentence. What would that sentence be?
Niharika Hiremath (Guest) · 33:32
Looking back, having had to navigate various educational professional settings, a lot of it really comes down to, I guess, intersectionality and sort of the overlap of that with lived experience work. I often say that regardless of the formal training that I've had in the mental health space, and I was working as a clinician for a couple of years and found that even in that time, I would often reference and come back to my own lived experience and what they call lived expertise. You've got your individual experience, but then you have this connection to the broader lived experience movement and the recognition of this work that's been done by so many people before you to build a place for people who've experienced those things to speak on that and to give input into the direct changing of services and programs and systems and structures. And I think for me, it's really that recognition of the lived experience thread has been something that's kind of been there from the beginning. A lot of my early professional work came from that. I was doing a lot of work in the social impact and entrepreneurship space, and a lot of my focus was on sort of addressing a lot of the gaps that I myself had experienced in terms of not having mental health services that were appropriate for my community or in my language or for people from my background. And that's something that's kind of carried through regardless of the roles that I've held as a clinician, a board member on different sort of organizations that designated lived experience, either peer worker or, or, you know, in sort of more leadership roles now as well. That notion of how am I using my own experience and how am I also holding space for others to use their experience in a way that can really fundamentally change the system, whether that's broader systems or structural change. That wasn't one sentence, but I tried, but I tried.
Emma Bellamy-Dodd (Host) · 35:31
Yeah. So if you were trying to sum up how identity and mental health, why they are so connected and why it's so important to see mental health through an intersectional lens, why would you say that is?
Niharika Hiremath (Guest) · 35:45
I think in summary, maybe it's really around the purpose. If the purpose of why you are doing what you're doing as a professional is to support someone's mental health, supports mental wellbeing, knowing and understanding that their intersecting identities are an inherent part of who they are, the makeup of the human that they are, being able to view this work through those lenses is only going to help you better help them, you know, and better support them. If the idea is that as a professional you have a job to do, it just makes logical sense to address their intersecting identities because it's such an integral part of what makes a person up, right? It's such an integral part of what not only navigates their day-to-day, but how they're going to then navigate mental illness, how they're going to navigate service systems. How do you really place the focus on someone's experience? Or why should you place a focus on someone's experience? Well, without doing that, you're not going to be able to help them in the way that you want to help them or support them or be with them in that space and sit with them in that space. So I think just the recognition of the fundamental connection of someone's personal identity and how that then shows up in their own mental wellbeing. There's so many different examples that I could give you, right? But ultimately it just comes down to even looking at how it would be for yourself. Like you think about why there's times where you feel better talking to a friend about something that has been really rough to navigate. Why watching certain things or reading certain things makes you feel emotional things inside in relation to your own history or your background. There's such an intrinsic link between those two things. And so it's in your best interest to view someone's mental wellbeing through those intersecting identities because it's such an inherent part of who they are as a person.
Emma Bellamy-Dodd (Host) · 37:48
As well, there is an intrinsic value in seeing what is the part of them that is linked to the issue that they are experiencing or the thing that they find difficult. Yeah, because sometimes you react to things and it's just one part of you that may represent about 5%, but that's the part that gets triggered. So perhaps as a professional, if you identify the part that is linked with the issue at hand, you may be able to raise their awareness on that and explore a new area into their minds, I guess. Absolutely. If we were to give an advice to the migrant community, do you have a word of wisdom that you could give them and particularly to those who are struggling with mental health issues in Australia? What would be perhaps the advice you wish someone had told you when you were going through your darkest time?