Known VS Unknown Environments and FMS


Known VS Unknown Environments Why we tend to stay home. Isolation or control ? I happened to hear a comment the other night on a movie about a blind man.  It was his Mother telling his new girlfriend ” do not base his ability on  what you see him do at home, in an environment he controls” And it rattled  around in my brain, until I realized, just how that applies, to us.

A large number of us, prefer to stay at home … period. To the point where  some of us, are downright agoraphobic. The line from the movie was not the  first time I had seen this effect, in action. As I recall seeing the same  effect, with those I used to teach.

I was a one on one life skills teacher for persons with Disabilities.  I noticed, that when they were at home ( once they got used to the apartment ) they seemed to do pretty well. It was when I got them outside of that  environment, that their over all state and general performance, suffered. 

Once they were used to certain stores and the like, their abilities improved,  at least in that place, but if I took them somewhere they had never been,  again, performance suffered.

So I had to ask myself, in what way does this apply to our tendency to be ” stay at homes” ? Now, it is a given that often times, we just don’t  have the energy to face the chores in the outside world, that is nothing more than fact. But how much of our reluctance, is also due to the fact  that we have NO control over that environment ?

Sensitives : For example; If here at home, it is too hot or too cold, I can walk right  over to the controls for the AC or heater, and change that. I can strip down or dress warmer, in short, I have some direct control. But what if I am out and about ?

Now, I am stuck in whatever I happen to be wearing, having to  deal with often sudden shifts in temperature ( say from the AC in the car, to out in the heat to now back in the AC in the building ) and that’s just  one aspect, the ambient temperature around us.

Light: Now I don’t know about you, but the horror of florescent lighting  is enough to drive me about bonkers. Yet, such lighting is in most public buildings, or doctors offices, so yet another thing, my body does not like, and reacts rather badly to, that I have no control over. Not to mention, we do not do very well in bright sunlight either.

Rest to action phases: Now, at home, if I need to rest, I can just stop  whatever it is I am doing on most days, and go lay on the sofa and watch  TV or read a book. I can even go take a nap if i want. When I am out ?  None of those things apply.

Smells: At home, we can to a high degree, control what we smell.  Outside and going about, we have little to no control over the major  assault on our senses from all manner of things, from the detergent  aisle at the grocery store, to the woman sitting next to us on the bus,  who bathed in her perfume. Let us not even get into the nasal assault  we suffer when walking into any doctors environment.

Noise: Now this one I know for a fact is an issue, as I wear an MP3  player around my neck with ear clamp headphones, literally everywhere I go, to block out the noise all around me as any failure to do so, and I come  home even more wiped out, than if i didn’t block it all out.  And again, in my own home, most of the time, unless the TV is on,  which is rare, the only noise is the AC running, as total quite,  is preferred. ( Which is why noisy neighbors about drive me crazy )

Desensitization or over excitation: Now some might say, we are creating our own problem, by exercising such strong control over our home environment, as it does not prepare us for the assault on the body in the outside world. And in my personal case, they might even  have a point, as in my current situation, I have almost total control over  most aspects of my home environment, but what about those of us, who have a  house full of kids, husbands, wives, pets etc ?  Granted, even they have some greater control over their personal space,  but not nearly so much as I do … yet… they suffer the same issues  as I do, when they go out and about.

So what are we really dealing with here ? A case of, we shelter ourselves  and therefore suffer more when we go out, or a case of we would suffer even more, if we did NOT control our personal environment, as then we  would have NO respite from it ? Even in most of the rules, regarding persons with disabilities,  there is always a clause stating that they should have in all cases,  where possible, the”least restrictive environment “.  

In fact, in persons with the more common disabilities, there are major  protocols in place, to reduce the distress of the shift from a controlled  to a non controlled environment. A read of the research shows clearly,  that you can find notations to health professionals, in plenty for just about everybody.. except us. Now, the more severe the disablement, the more  complex the protocols, but to my way of thinking, perhaps there needs  to be some created, for us.

For example: At the doctors office, less bright lights if you please,  which makes it a need to…. Lose the waiting around for hours in crowded noisy waiting rooms,  put us in a private room to wait, with dimmer lights Let us sit with our feet up if we need to, as for most of us the forced legs  down position for hours means, we will fall down when we go to get up. Simplified forms to fill out or have the nurse just ask the questions  and fill it out for us Bring us warmed blankets, if we have to wait, so we don’t get chilled,  as most doctors offices are like refrigerators.

Just these things alone, would make what can be a horror of pain  and distress, a typical visit to a doctors office, into something  a lot more comfortable to endure. And I think it is high time, we started asking for them.

More soon….

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