Showing posts with label Rika Kayama. Show all posts
Showing posts with label Rika Kayama. Show all posts

Sunday, April 24, 2011

24/04 Kaleidoscope of the Heart: Returning to our pre-earthquake selves

Rika Kayama

Since the earthquake, I have called for people to live their lives like they did before the disaster as much as possible. I recently thought about how I myself have done on that front.

Thinking about it, I realized a few things. One is that when I've gone to bookstores recently, I haven't been buying novels or medical books like usual. Instead I end up buying nothing but magazines related to the earthquake or the nuclear plant disaster. Another thing I realized was that, even though I've been telling people to "distract themselves for even a little while with a movie or music," I myself haven't set foot in a movie theater.

And, I realized that when my job at the hospital is over and I get myself ready to write an article like this, I end up writing about the earthquake disaster even if I didn't plan on it. It all showed me that my life is not back to its predisaster ways.

Last week I had a chance to go to Sendai, one month having passed since the earthquake. I met a friend from my high-school years who is now working as a researcher. She said that since the earthquake, she has been busy checking on the safety of her students and getting her lab equipment back in order. Keeping a cheerful mood, she said she was borrowing the bath of her friend's house because the gas line at her own house was still out.

I asked her, "Has your life completely changed because of the earthquake? These days, how much of your time is spent dealing with things like the aftermath of the earthquake and preparing for aftershocks? Around 80 percent or so?"

"Hmm," she thought for a second, tilting her head. Then came an unexpected answer: "Maybe around 20 percent."

She said that, yes, there were lots of earthquake-related things to take care of, but she was also going to international academic conferences and running experiments, just as usual. Her life had not been completely turned upside-down.

Just because the earthquake happened doesn't mean that we no longer like the food we once did, that the job we took pride in is now meaningless, or that a person with a kind, humor-loving personality must change. Thinking back to who we were before the earthquake, we can try to slowly get back into the things we were interested in, and restart the things we had begun. By doing so, we should be able to feel how our pre- and post-earthquake selves are a continuation of the same existence, and our feelings should change for the better.

For my part, I've recently started to read a book I bought before the earthquake but had been leaving untouched since. It has been as interesting as I hoped, and it made me feel that my pre-disaster self had returned.

Aftershocks will continue for some time, and many people will continue to be occupied with the results of the disaster, but I would like people to try saying to themselves, "Be it last year or this year, the person called 'me' is the same." (By Rika Kayama, psychiatrist)

Click here for the original Japanese story

(Mainichi Japan) April 24, 2011



香山リカのココロの万華鏡:震災前の自分に戻る /東京

 震災以来、「なるべくいつも通りの生活を」と呼びかけてきたが、私自身、どうだろうとふと考えてみた。

 そういえば、本屋さんに寄ってもなかなか小説や医学の専門書を手に取る気にならず、気がつけば地震や原発について書かれた雑誌ばかり買っている。「映画や音楽でひとときでも気をまぎらわせて」と言っているのに、映画館にも行っていない。病院での仕事が終わってこうして原稿を書こうとすると、つい震災のことを書いてしまう。「なんだ、私もまだ平常通りの生活に戻ってないじゃないか」とちょっと反省した。

 先週、震災から1カ月を経た仙台に行く機会があり、現地の大学で研究生活を送る高校の同級生に会った。彼女は学生の安否確認やめちゃめちゃになった実験設備の修復に追われている、と言う。「ガスもまだ復旧してないから、お風呂は友だちの家で借りてるんだけどね」と明るく笑う彼女に、私は尋ねてみた。

 「震災で生活も一変しちゃった? 今って、地震の後始末や余震への対応が毎日の何割くらいを占めてるの? 8割くらいがそんな感じ?」

 すると、「うーん」と一瞬、首をひねった彼女から返ってきた答えは、意外なものだった。「2割くらいかな」

 たしかに震災に関した用事も多いが、その一方でいつも通り、国際学会に出かけたり実験をしたりもしているという。そうか、すべてが変わってしまったわけじゃないんだ、と私は納得した。

 これまで好きだった食べものが、震災が起きたからといってきらいになるわけじゃない。やっていた仕事が、突然、無意味なものに変わるわけじゃない。やさしい、ユーモアが好き、といった性格の特徴も同じはず。「震災の前の私はどうだっけ」と思い出して、そのときにハマっていたもの、手がけていたものを、できればまた少しずつ始めてみる。そうして「自分や心は震災前も後も連続しているんだ」と確認するだけで、気分はずいぶん違うのではないだろうか。

 私も、震災前に「読もう」と思って買ったままになっている本を読み始めた。それは期待通りの面白さで、3月以前の自分が戻ってくるような気がした。余震も続きまだまだ落ち着かない生活を送る人も多いが、「私という人間は、去年も今年もちっとも変わってないんだ」とつぶやいてみてほしい。

英訳毎日新聞 2011年4月19日 地方版

Sunday, April 17, 2011

17/04 Kaleidoscope of the Heart: Emotions on the one-month anniversary of the earthquake

Rika Kayama

More than one month has now passed since the devastating earthquake and tsunami. We have all spent the time since then in our own ways, but there may be those who recently found themselves vividly remembering that day one month ago, once again being assaulted by fear or sadness. There may even be those who have become physically ill, even as they were just getting their lives back on track.

A person's emotional state becoming highly unsettled on the weekly, monthly, or yearly anniversary of some big event is a known phenomenon in psychiatry, and it in itself is neither a disease nor is it abnormal. One cause of it can be emphasis placed on such anniversaries by television programs and newspapers.

However, as much as one tells oneself that "this is not abnormal," the emotional disturbance itself can be very hard to bear, and some people may take a further emotional hit by seeing a reversal in themselves after they thought they had made progress in recovering.

In the case of the recent disasters, the continuing aftershocks and developments at the nuclear power plant may have aggravated this anniversary phenomenon.

Preventing the occurrence of this anniversary reaction might not be possible. However, just knowing of its existence should take away some of the emotional burden of those experiencing it. If you find yourself thinking, "Lately, I feel somehow anxious, and I'm often crying," you can then think, "Ah wait, this may be my reaction to the one-month anniversary. It can happen to anyone, and it's OK," and it may become easier to let those bad feelings pass.

Furthermore, if one intentionally makes oneself aware of anniversaries and then passes them with an activity like offering a silent prayer, then I think one can reduce the feelings of uneasiness.

Thinking about it, after a disaster this huge, it is only natural that the path to recovery will not be a simple and straight one. It is extremely normal that people would feel anxiety during anniversary periods, going from having somewhat positive attitudes back to gloomy ones, and from having energy to losing it. Even if there are ups and downs, as long as the end result is recovery, there is no problem. No one should feel bad about themselves if they experience stalls or setbacks on their road to recovery.

In fact, I worry about those who have made themselves consistently positive and optimistic since the disaster, and whether built up exhaustion won't at some point overcome them, coming out all at once.

Amidst all of this, I don't expect that anyone can completely be their normal selves, and it's no mystery if something happens to our emotional states. Without being surprised or caught off-guard by any changes we find in ourselves, we should move forward, doing what we can, while not trying to do the impossible. There is nothing wrong with such a path to recovery, even if it's a bit of a zigzag. (By Rika Kayama, psychiatrist)

Click here for the original Japanese story

(Mainichi Japan) April 17, 2011


香山リカのココロの万華鏡:震災から1カ月 /東京

 震災から1カ月。それぞれの人が、それぞれのすごし方をしたはずだ。

 中には、1カ月前のあの日のことが生々しく思い出され、恐怖、悲しみが再び襲ってきた、という人もいるのではないだろうか。生活がやっと元のリズムに戻りつつあったのに、また体調が悪くなったという人もいるかもしれない。

 大きなできごとから1週間、1カ月、1年など節目節目のときに、感情が激しく揺れてしまう。これは、精神医学の世界で「記念日反応」と呼ばれる現象で、それ自体は異常でも病気でもない。テレビや新聞が「あれから1カ月」と強調するのも、この反応の引き金になることがある。ただ、いくら「異常ではないのだ」と思っても、それ自体はとてもつらく、「少しは立ち直ったはずだったのに」と感情の揺り戻しにショックを受ける人もいるだろう。

 とくに、繰り返す余震や原発事故への不安が、1カ月目の心の反応をよりシビアなものにしているおそれがある。

 この記念日反応自体が起こらないようにするのは、正直言ってむずかしい。ただ、そういうものがあると知っておくだけでも、心は少しラクになるはずだ。「最近、なんだかまた心がざわつくな。涙もよくこぼれるし。そうか、これが1カ月目あたりの記念日反応なのか」と思うと、「誰でもなることなんだから、だいじょうぶ」とやり過ごしやすくなるのではないか。また節目の時を自分であえて「あれから半年か」などと意識して、静かに祈りの時をすごすなどすれば、えたいの知れない感情による動揺を減らせると思う。

 考えてみれば、これだけの大災害なのだから、立ち直りの道のりが一直線でないのも、あたり前。節目の時期に気持ちが揺れるのは、ごく自然のことだ。少し前向きになったかと思うとまた落ち込み、やる気があふれてきたはずなのに突然、無気力になる。山あり谷ありでだんだん、元気になっていけばそれでいいのだ。

 復興の歩みの中で、停滞したりまた心が逆戻りしたりすることを、後ろめたく思わないでほしい。むしろ、発生直後から一貫して前向きで元気いっぱい、という人のほうが、いつかその疲れが一気に出るのでは、と心配だ。

 こんな中、誰もがいつもの自分でなんかいられるはずがない。心にも何が起きても不思議ではない。驚かずうろたえず、自分の変化を受けとめながら、できることをできる分だけやっていく。できないときには無理をしない。そんなジグザグの歩みでいいはずだ。

毎日新聞 2011年4月12日 地方版