Developing Resilience

Resilience is a lifelong process of successful adaptation and transformation despite hardship. Factors leading to resiliency include (a) compensating experiences, (b) fewer stressors, (c) supportive environment, and (d) adaptable personality. A man in Sri Lanka, for example, felt responsible for 17 people who had lost their homes and family in the tsunami. He compensated by working, helping out with food, and providing guidance and support. Spirituality and meaning-making are also important. A person needs a sense of purpose to avoid engaging in self-destructive thoughts or behavior.

Kalayjian, Ani, and Dominique Eugene. Mass Trauma and Emotional Healing around the World: Rituals and Practices for Resilience and Meaning-making. Santa Barbara, CA: Praeger, 2010. 107-124. Print.

What is the opposite of user-centered design?

Some design flaws are so obvious that they speak for themselves. Notice the expression on the woman’s face in the last picture for this unisex urinal design.

Chile Postcard Ideas

These are possible postcard ideas pertaining to generating/supplementing a preliminary needs assessment in Chile. These would be the postcards that they return to us. I wanted to keep the questions as open-ended as possible. All of the postcards are 4″x6″. The last one may be problematic because the image isn’t actually from Chile. It’s an Australian drought.

Haiti: A Disaster in Engineering

In a recent TED talk, Peter Haas discusses how the Haiti earthquake was a disaster due to poor engineering. Chile had fewer casualties in its 8.8 earthquake than did Haiti in its 7.0 earthquake because Chile’s buildings had structural supports that worked together and, for the most part, did not collapse. His group, AIDG, is educating masonry workers in Haiti to use more structurally sound engineering techniques (without raising cost) to reduce casualties in future earthquakes.

Food Therapy?

As I am eating this toasted foccacia sandwich, I realize that the bread tastes exactly like Straw Hat pizza crust. It’s crisp with a lot of cornmeal flavor and just the right amount of char giving way to a doughy texture. It’s warm, fluffy and not at all like the greasy Pizza Hut crust we suffered when Pizza Hut took over my childhood Straw Hat location. Straw Hat was the place we went for a treat before Mom died and family still felt like family. While I am eating, I am also reading about Haiti and come across …

Haitians often use food as an opportunity to connect with and provide comfort to those in need.

This leads me to wonder whether there is a use for food in emotional healing. Do certain foods conjure up memories and stories that need to be retold and thus provide an avenue for catharsis? Can a community meal constitute group therapy?

How do you design a postcard that elicits a response?

In today’s GFRY meeting, we discussed possible approaches to getting some research by proxy. Our objective is to understand some of the needs of the region we intend to focus on in order to provide design inspiration. The professors independently thought that Talca would be a good place to target, which is within the Maule region that Monica and I were looking at. We considered contacting the CESFAM, Reconstruye, and local radio stations to get the word out about a postcard project and to possible provide a distribution front. The issue we have yet to resolve is one of content: how can we make the cards something people will want to take the time to fill out and return?

Several suggestions were made. One, we could try to place our own version of the card in an envelope with a blank, postpaid card for them to return so that they feel like we’ve invested some time into getting to know them. A possible downside to this approach is research bias. Our card might affect their response. Two, we could make a poster explaining who we are and why we want the information with a stack of the cards underneath at a CESFAM. Monica predicted that the response rate would be low from that strategy because it isn’t personal enough. Three, with the right live contacts on site, we might be able to encourage the whole family to participate and target distribution through primary schools. Four, we could make the task simple by placing a map of the area on the front and ask them to identify features in the community that are important or missing. This asks for a focused response that requires very little time or creativity and the minimal commitment might encourage participation. Five, if we distribute these through consultarios, there is probably waiting room time where, if these were given to patients with other forms to fill out, might provide a solid rate of captive audience response.

The next task is designing postcards that can be mass produced and ask the right question(s) that will help us understand individual and community needs.

Selecting a Location for Focus in Chile

Selection Criteria

Monica and I want to work in an area that 1. was substantially impacted by the earthquake and tsunami, 2. is lower in visibility and may have received less post-earthquake aid, 3. is less developed, offering opportunities to improve socioeconomic conditions, yet 4. is significant enough to have universities with which we might develop academic contacts. We feel that the region of Maule best fits the criteria.

The Case for Maule

The two most affected regions in terms of lives lost and displaced people were Maule and Biobío. Biobío is larger with a population of 1.9 million, denser with 50 people per square kilometer, has a higher per capita annual income at US$11,600, and a higher index of human development at 0.808, placing it marginally in the “high development” category. In contrast, Maule has a population of 0.9 million, with 30 people per square kilometer, a US$9,400 per capita annual income, and a “medium development” score of 0.798 on the index of human development. The city of Concepción (second largest in Chile) is in the Biobío region, making it a major target of aid. Therefore, we feel there is a more opportunity in the Maule region.

Maule’s economy is primarily based on agriculture. It produces 50% of Chile’s fine wine exports. The earthquake and tsunami probably had a profound effect on the already weak local economy since it takes years to agriculturally recover from such a disaster. Further, any tourism industry that the region was working to develop has been set back at least a year. Maule’s annual regional budget for civic improvements is about US$7.8 million which is less than US$9 per capita. The situation provides an opportunity to design ways of extending the reach/usefulness of Maule’s limited resources.

Points of Contact

Maule has two major universities (Universidad Católica del Maule and Universidad de Talca) and a number of smaller universities. We might also find points of contact with consultarios or CESFAMs, which are family health centers that would be in the US analogous to a combination of primary care, preventative care, mental health care, and community services under one roof. If we are working with a small municipality, we may be able to contact the local government directly. Whichever avenue we pursue, we need to have a clear story of our intent, the benefit to them, and the risks of the project.

Sidebar: These contacts, especially the CESFAMs and radio stations, might be good launching points for a community-based “Insert [blank] here” art project. The idea is to poll the community on what its local needs are by soliciting photographs, drawings and other media that identify design opportunities for us. Perhaps we could make it a contest and post the entries to encourage further discussion.

Issues in Implementing the Presence Project in Chile

The following issues pertain to this project.

1. Without direct contact with those we are surveying, people may not be interested in returning the kits. How do we encourage participation?

2. While we are developing academic contacts, we want to survey a diverse cross-section of the population (within a target area). How do we gain access to these people?

3. It has been suggested that we approach this as a participatory art project within a neighborhood. Other such projects have been successful through the medium of the internet where people are notified by mail, then asked to upload pictures, perhaps of neighborhood opportunity areas.

4. If we are sending physical kits, how much should we send? Perhaps we only ask for the return of postcards at first, then more to those who participate rather than everything at once.

5. Are there local NGOs, charities, or community centers that we can establish contact with to demonstrate the value of our project and how this survey contributes to that goal, who would then distribute the cultural probes on our behalf?

What is the role of the therapist in treating traumatized children?

Monica offered an alternative view on the role of the therapist as a guide through past trauma in children. “You can’t work with children like you work with adults,” she said. “They will talk when they are ready and will get angry or withdraw if you try to probe. Besides, by probing, you’re making a dangerous assumption that you know what’s wrong. You’re putting the idea in the child’s head rather than letting what happened play out. The same goes for reenactment. They will reenact when they are ready to process what’s happened. All you can be is a careful observer. You look for the patterns in their art reactions and try to decipher meaning.”

What if you teach a child more constructive behaviors to help them break the cycle of poor behavior leads to being ostracized which leads to more poor behavior? “That’s more of a cognitive behavioral approach. The problem is you miss the cause. How are you going to teach a kid to behave through carrots and sticks when they still feel completely empty inside? Taking away their dessert doesn’t hurt compared to what they’ve been through. What they need is consistency and stability. Give them that and they will eventually open up.”

Thesis: Revised Timeline

10/19: present research and possible design directions (social vs. therapeutic)

10/26: copy-edit prior cases, get texts/resources to add resolution, more detail on Chile earthquake, branch out from Chile aid timeline sources

11/2: how does post-disaster aid work? talk to NGOs. what are NGOs doing in the Haiti case? how does PTSD differ in the case of disaster zones? in the case of Chile? organize information by actions/results

11/9: how do therapeutic support systems work? map out the process and identify opportunities.

11/16: make connections, present findings

11/23 why does social marginalization happen?

11/30: copy-edit research, write synopses, make connections

12/7: present formal thesis proposal with spring timelines