Overcoming Communication Difficulties

Communicating with People from Different Cultures

Any successful communication recognises the uniqueness of every culture, every relationship, and every individual – including you.

Some forms of verbal and non-verbal communication are appropriate and others are not appropriate. For instance, some individuals may regard prolonged eye contact as rude. We all have different ways of communicating our fears and needs when we become unwell. Invite the person to tell you about their life experiences, values, and belief systems. Also, ask them how they feel about asking for care and support.

Establish what is realistic for the individual, as well as what is culturally acceptable. Some cultures encourage the use of silence, whereas in others it creates embarrassment or awkwardness. In the French, Spanish, and Eastern European cultures, the presence of silence is a sign of agreement.

Working with an Interpreter or a Bilingual Worker

When an individual does not speak English at all, has limited English, or chooses to communicate their distress in their mother tongue, the best solution is to use a professional interpreter. The choice to use a trained interpreter or a family member must be made by the individual who is experiencing problems. Being able to do so will help the individual to fell that they are in control of the situation.

Language holds and creates the individual’s reality, experience, culture, and world view. A good interpreter will concentrate on accurately conveying equivalent meaning as well as reporting the direct answers to your questions and other responses offered. You should also be aware that the interpreter may bring their own bias to the situation.

Working with a British Sign Language Interpreter for the Deaf

There are very few services available for deaf people with mental health problems, although recently some deaf workers have been trained in mental health first aid.

If no deaf mental health first-aider is available, you may need to use an interpreter. In this case, you should take care to always face the deaf person when speaking and respond as though it is the deaf person speaking to you when the interpreter speaks. Remember that the interpreter is being the deaf person’s voice. Maintain good eye contact and show your feelings through your facial expressions. Deaf people do much of their communication through body language and facial expression, and are therefore skilled at reading feelings.

If no interpreter is available, you can still offer support and concern by showing your willingness to communicate. Deaf people can often lip read and can vocalise using English. Be patient and try hard to understand. Show your concern as you would with anyone in distress and ask the person who you can call for help.

Important Note

If you need to use a pen and paper to ask the person who they would like you to call for help or support, use very simple English.

British Sign Language is a different language to English – a person who was born deaf may not have English as their first language.

Tolerance is…

“Tolerance is a strange but indispensable civic virtue. It requires people to accept and live calmly with individuals and practices of which they disapprove.

Some take it for spineless laxity in the face of what ought to be fought or forbidden.

Others see it as a demeaning fraud that spares prohibition but withholds approval.

The tolerant themselves are not immune to its tricks and subtleties.

It takes little for them to shout intolerantly at each other about how far toleration should go.

Defending toleration is not like protecting a jewel. It takes fixity of aim but also a feel for the changing context, persistence with a task that never ends and readiness to start again.

Toleration does gradually spread. It can also suddenly vanish.” (The Economist, 2019, p.76).

Reference

The Economist. (2019) Intellectual History: Live and Let Live. The Economist. 18 May 2019, pp.76.

First Aid for Mental Health

Mental health first aid (MHFA) is the first step in helping a person experiencing a mental health crisis, and is intended to be used until other help arrives.

Just like physical first aid, the first aim of MHFA is to preserve life.

Evidence shows that many people experiencing a mental health crisis have thoughts of suicide, and some people act on these thoughts. This is why asking about suicide is the first step in offering help.

The current model of MHFA is known by the five-step acronym A.L.G.E.E.

Step 1: Ask About Suicide

This does not mean that you should ask everyone you meet about suicide, regardless of their situation.

What it does mean is that when you suspect that a person may be having suicidal thoughts, because of their level of pain or distress, or because of their situation, or even because you have a gut feeling that they may be considering suicide, you should ask them.

This may seem very challenging and difficult to begin with, but the MHFA course covers the skills and practice that will make this step feel more natural.

Once we are sure that the person is not in immediate danger we can put the next step into practice.

Step 2: Listen and Communicate Non-Judgmentally

People who are feeling distressed or experiencing mental health problems can feel that no one is able to listen to them, or to accept their feelings without judging them as weak or inferior.

Being able to listen to the person, and offering them the simple human kindness of the time to talk about how they feel, can help them realise that they are not alone.

Step 3: Give Reassurance and Information

This is not about offering advice or solving the person’s problems. It is about reassuring them that there is effective help available and that there are things we can do immediately to help the situation.

Step 4: Encourage the Person to get Professional Help

This is essential to their recovery.

Help may be in the form of their general practitioner (GP), other support groups, or therapy.

The help they need will depend on the type of problem(s) they are experiencing.

The MHFA course provides you with the information on where different types of help can be found quickly.

Step 5: Encourage Self-Help Strategies

When a person is experiencing mental health problems, there are things that can be done in the short-term to alleviate their distress.

Similarly, when treatment is underway there are often things a person can do to help recovery.