Integrative Community Therapy – The Healing Power of the Heart

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By Sr. Bernadette Fadegnon, MMM

The State in Mato Grosso, where we are located, sponsored a course in Integrative Community Therapy for the health workers in the state. Because of the partnership we have with the Secretary of Health of our district of Alto Boa Vista, this opportunity was made available for us. I am ever grateful for the learning I am going through.

What is this Integrative Community Therapy (ICT)?
It is a practice of a round table conversation created by Dr Adalbeto Barreto, a Brazilian theologian, medical doctor, anthropologist, and psychiatrist who through his experience and observation, discovered that the reason why the majority of people go to see a doctor is not necessarily for physical illness treatment, but they just need to talk out their personal, family and work-related problems. And when they have the space to express what is bordering them, in the process they experience healing. He made the following hypothesis “when the mouth speaks, the body heals”.

ICT is the first and only therapy created by a Brazilian and is a technique where issues that are preventing one’s life to be well lived and flourishing, are expressed by the individuals in the group through focusing on the emotions/feelings that are behind the issue. With the help of questions and sharing of experiences, strategies from the same group are shared to deal with the issues. It is a round-table conversation where everyone is equal and could share his/her joy, pain and experience of how to deal with the specific situation. It is a kind of round table conversation that values the wisdom and support of the people in the group.
It could be thematic or non- thematic round talk. Dr Adalberto conducts many round table talks. One of these past weeks, he conducted a thematic round table conversation based on the recent concern in Brazil and around the world. The burning of forests.

He started by acknowledging the ongoing forest fire that we are hearing, seeing, witnessing and feeling around us and within us. These fires affect our physical health, causing allergic attacks, rhinitis, sinusitis, asthma. It also affects our mental and emotional health, causing anxiety, fear and panic. Our air is polluted and our children and elderly people are having trouble breathing.

The strong wind and lack of rain facilitate the spread of the fires and the spread of ashes. These fires in turn destroy houses, burn forests, and kill animals of every kind and is a cause of despair.
The forests that are the lungs of the planet are in agony. The scenario is chaotic.
This forest fire damage is not limited to just the destruction of forests and air quality, but it affects our mental health.
Like a forest fire, the human person can witness outbursts of anger, panic attacks and depression. A short temper can lead to explosive and devastating attitudes. Strong emotions can cause emotional problems such as anguish, despair and helplessness. The lack of love, blind passion, and anger can cause problems between us and those we love and live with.
In the same way that a fire can destroy the wealth of a forest, uncontrolled emotions can destroy friendships and prevent us from living peacefully as brothers and sisters.
Like the smoke of a burning bush can block the view of the horizon, so also our limited knowledge can lead us to preconceived ideas and stereotyping one another. This can prevent us from embracing people and realities as they are.

Just as breathing toxic smoke for a long time can lead us to serious health problems and even cause death, breathing in environments polluted with jealousy, distrust, betrayal, uncontrolled anger and despair, can lead us to lose the ability to distinguish between right and wrong or between good and evil. Explosive emotions can intoxicate our conscience and environment.
An uncontrolled forest fire can remind us of our uncontrolled emotions and “Affective Fires” and alert us of the need to take care of our emotions and learn to control them through dialogue and peaceful conversations like round table conversation.

By learning to manage the intensity and nature of our feelings, we can avoid emotional devastation and foster healthier connections. And in combating the destructive fire of the aggressive impulse of hate, we can heal a wounded heart, console a desperate mother, and encourage children surviving family traumas.
It is important to seek emotional support during these difficult times around the world. Whether through friends, relatives and family or through individual or group therapies.
We need to open the window of our hearts to welcome people. In the same way that the heart can explode, with anger, hurt, jealousy and despair and destroy us and the others around us, the heart is also capable of offering warmth, tenderness, acceptance, and thus building friendships and bonds.
It has been a learning experience, and we have begun the ‘Roundtable Conversation Therapy’ in the women’s group in the parish and other parishes that have invited us. It is indeed true that when the mouth speaks, the body heals! It seems to be making a difference in the lives of the people.”

By Sr. Maria Jose da Silva, MMM

Sr. Maria Jose da Silva, MMM who comes from the south of Brazil in Parana State shares her personal experience of a visit home…
“I was in Parana in September this year and the smell of the smoke from the fires around the country was very strong and it affected many people who had their lungs affected. I visited one of the neighbours in my hometown. They shared with me how the fire came very close to their farm. This family used to have some cows to milk and depended on them for their survival. When they heard and noticed that one side of their farm was on fire, they got desperate.

The whole family is very active in the church and used to sell milk to many other families in the town. I heard from Vilma, that one day the farm was surrounded by the fire, and many other small farms got burned. Her own farm was prevented from being burnt; they believe by prayer. They started to pray and to entrust their property to God’s protection and our Mother Mary to care for their only means of living.
By the end of that day their farm didn’t get burnt and she attributed that to a miracle. She said to me. “It was God’s hands that protected us from fire.” It is amazing the faith of the people and how much their trust is placed in God’s hand and Our Lady, Mother Mary, for their protection.

I believe that our planet needs people with that faith and commitment to life to protect our planet from dying and being destroyed from all kinds of damage. Our planet is crying loud for help and many creatures and nature are dying from lack of care. I am deeply convinced that if each one keeps trying to make a difference in caring for nature, life will last longer. Let’s join hands and start with small actions and care for the earth.”

Sr. Cordeila Nwaokike, MMM

by Sr. Cordelia Nwaokike, MMM, Benin City, Nigeria

Ikechukwu Onyenuma, 29 years old, is a naturally talented and vibrant young man. He comes from the eastern part of our country, Nigeria. You can sense, from the first conversation with him, that he is somebody who loves life and the people around him. He has a lot of energy for many kinds of physical work. We met him the day we went for a burial in the eastern part of Nigeria. He came to the burial ground begging for alms from people. We were with a Sister of another congregation when we saw him. He looked emaciated, anaemic and a bit sad.

We stopped to greet him. Further conversation revealed that he had had a motorcycle accident and had suffered bruises and wounds. The bruises dried up, but the wound on the leg escalated to a huge leg ulcer. He had been three and a half years in this condition. He went to several hospitals for treatment, but all in vain. He said his father died long ago, and his mother has been struggling to help him but she ran out of money to continue. Many people promised to help, but all disappeared at the sight of the wound. It frightened them. I asked his permission to photograph him and to use his name and he agreed. When we returned to our community, we told the Sisters about the young man and, after some investigations, the community decided to help.

With a grant from our donors, he has been in the hospital for the last two months. Some investigations were carried out, but the doctors were not able to save his leg and an amputation was done. He is

Ikechukwu Onyenuma

receiving treatment and daily dressings are being carried out, waiting for the wound to heal. Presently he is using crutches for mobility, and he is happy with himself, and the help given to him. MMMs have indeed given him hope to live again.

When the wound is healed, we are hoping to find him an artificial limb.

Now Ikechukwu is so happy that his problem is almost fully solved, and this has given him the opportunity to see and think clearly. He is thinking of his future which has been compromised by his former condition. He is working towards independence and living life to the full. This was only possible through the support of the charitable people of God. His mother will be helped to establish a small business to enable her to put food on the table.

We are grateful to our donors, to the Medical Missionaries of Mary Congregation and to all who have contributed to ending the long and painful suffering of our young man, Ikechukwu. May God bless all our donors and reward you all, through Jesus Christ our Lord. Amen.

This is the exclamation of many overseas visitors to MMM communities in Africa and Latin America. Often MMMs can be found “at the end of the road”. Why? MMMs tend to go where no one else is willing to go. We go to remote rural areas, like Turkana or Maasailand, and inner-city slums like Sao Paulo, Lagos or Nairobi. In these places there are no proper roads, often no water or electricity, and generally poor infrastructure.

These are the areas where the poor and neglected are. MMM has a special gift for working with mothers and children. That was the need Mother Mary saw in Nigeria just over a hundred years ago. We pay attention especially to areas where women’s lives and health are under-valued.

But we do not stay forever! We hand over and leave when services are established, when local people have more opportunities. We live by the maxim:
“Go where you are needed but not wanted. Stay until you are wanted but not needed”

What is malaria and how do you get it?
Malaria is a life-threatening disease, usually spread to humans by some types of mosquitoes. It is mostly found in tropical countries. It is preventable and curable. The infection is caused by a parasite and does not spread from person to person. Symptoms can be mild or life-threatening. Mild symptoms are fever, chills and headache. Severe symptoms include fatigue, confusion, seizures, and difficulty breathing. Infants, children under 5 years of age, pregnant women, travellers and people with HIV/AIDS are at higher risk of severe infection.

Malaria can be prevented by avoiding mosquito bites and with medicines. Treatments can stop mild cases from getting worse.

The 2023 World Malaria Report, published by WHO, examined the link between climate change and malaria. Changes in temperature, humidity and rainfall can influence the behaviour and survival of the malaria-carrying Anopheles mosquito. Extreme weather events, such as heatwaves and flooding, can also directly impact transmission and disease burden. Catastrophic flooding in Pakistan in 2022, for example, led to a five-fold increase in malaria cases in the country.
The disease burden is felt highest in Africa. In 2022, Africa was home to about 94% of all malaria cases and 95% of deaths. Children under 5 years of age accounted for about 78% of all malaria deaths in African countries. The number of infections worldwide was slightly higher in 2023 than 2022.

Why are things not getting better?
Progress in malaria control is threatened by emerging resistance to insecticides among Anopheles mosquitoes. These insecticides are used on mosquito nets and for indoor spraying. Other threats include insufficient access to treated nets due to the stresses of day-to-day life outpacing replacement, and changing behaviour of mosquitoes, which appear to be biting early before people go to bed and resting outdoors, thereby evading exposure to insecticides.

Signs of hope
Two new anti-malaria vaccines are being tried out for young children. Preliminary results show great promise, but a good public health system needs to be in place to make any change long-lasting. Often this is difficult in conflict torn areas such as Niger, Sudan and the Democratic Republic of Congo.

Our third Annual Craft Fair will be held in the MMM Auditorium on Saturday, November 23rd.

It will be the last one in this venue as the MMM Auditorium will be part of the new Drogheda Hospice which is being built around this site. It will not be the end of the Craft Fair – we will just change venue!!

So, those of you who are “crafty” are encouraged to participate in the ways you feel best. Those less talented can come along and enjoy other people’s work. Hopefully we will have visiting choirs with Christmas music, and of course “the wee cup of tea”. It is also a chance for anyone who wants to learn something of our MMM heritage to visit the Mother Mary Room.

All are welcome!

Sr. Rita Kelly, MMM, who travelled to Oxford earlier this summer.

This summer, Sr Rita Kelly, MMM gave a presentation at a significant conference at Las Casas Institute for Social Justice at the University of Oxford. The Las Casas Institute brings together a growing academic family or community of scholars, mainly lay women and men, who draw on the rich tradition of Catholic social thought, teaching, and practice.

Sr Rita presented her paper at the conference called “Forgotten Voices in Literature and Religious Conference, Blackfriars Hall. It was organised by the Las Casas Institute for Social Justice, a Dominican foundation.
Her presentation, “Wounded Healers, Narrating Our Personal Experiences,” was based on her vast experience working with returned missionaries in the Irish Missionary Union (IMU). She initiated the IMU-REAP team in a response to their needs and as an acknowledgement that many missionaries experience stress and trauma in the field. Her presentation was well received and created much interest.

In addition to delivering her paper, Sr. Rita met the members of the Las Casa Institute through the MMM Communications Department when they were doing research on “Recovering the voices of Sisters who have conducted challenging ministries in conflict zones.”

Sr. Rita is the former MMM European Area Leader. She is currently gathering oral histories of local people who knew Mother Mary Martin, MMM Founder. She is also co-authoring a children’s book on Mother Mary’s life. The book will be completed by the end of the year.

SafeBirth4All is promoted by a coalition of organisations including the Medical Missionaries of Mary (MMMs), the Association of Leaders of Missionaries and Religious of Ireland (AMRI) and Geneva for Human Rights. The newly launched campaign seeks to raise awareness of the wider issues of human rights and human dignity as it encompasses the realities of the experiences of women and girls who live with, or are at as risk of, obstetric fistula. It focuses on the reality that obstetric fistula is a preventable injury.

Mrs Sabina Higgins, speaks at the Safe Birth 4 All launch
John Moffett, CEO of Misean Cara
Sr. Ursula Sharpe, Congregational Leader, MMM, speaks at the Safe Birth 4 All Launch
Toni Pyke, AMRI, Mrs Sabina Higgins & Sr. Brigid Corrigan, MMM

 

 

 

 

 

 

 

The launch began with a powerful video highlighting the stories of two women in Uganda who have lived with obstetric fistula, one for some 50 years. The video was directed and produced by Dearbhla Glynn and Patrick Daly for Yoke Productions. Speakers at the  launch included Mr. Ken Gibson, CEO of the  Mission to End Leprosy who outlined some of the complexities and opportunities of developing and sustaining an eradication campaign. Sr. Ursula Sharpe, Congregational leader of the MMMs talked of the pioneering work in the field of gynaecology, obstetrics and surgery of the Medical Missionaries of Mary in Nigeria and Uganda through examples of the work of Sr. Drs. Anne Ward and Maura Lynch. Toni Pyke, PhD with AMRI, talked of the need for a SafeBirth4All campaign and Edward Flynn CSSp outlined how the “Safebirth4All campaign has at its heart, human rights, prevention and a holistic approach to reintegration and rehabilitation of women”. He outlined 5 key areas where the issue of obstetric fistula needs to be mainstreamed: education, diplomatic circles, advocacy opportunities, healthcare domains, communications and media. MC for the event was Nadia Ramoutar, PhD, Communications Coordinator with the MMMs.

The event was live-streamed on Facebook Live.

Edward Flynn, CSSP, Janice Kelly – MMM Staff, Nadia Ramoutar – mmm Staff, Mrs Sabina Higgins & Toni Pyke, AMRI

By Sr. Pauline Amulen, MMM, Lilongwe, Malawi

We visit our patients twice every week. It is always an exciting moment for the homebased care team to go and deliver their services to those in most need who are unable to reach the health centre. In every visit we often plan to visit 5 to 6 clients in a day. I began the story last month with the first visit to Sarah and her grandmother.

The second visit was to “Agogo” which is grandmother. When we arrived in the compound, it was all quiet with the door closed, “Agogo” was inside alone, lying on a raggy mat in a dusty room in the dark. The family members had all gone to their daily work. A neighbor having seen us stranded came to open the door for us to go in to see her. She was very delighted to hear our voices. With limited energy in her body due to hunger, she struggles to talk, and she says, “The food you gave me the last time you came helped me to gain some energy, that is why I am able to sit up, but it is now finished, and I am very hungry.” For sure, there was no sign of any food in any corner of the house when we rolled our eyes around. Her daughter later came and found we were still around, so we encouraged her to come and pick some food items for her Mam in the clinic.

Thirdly we visited Anajere another “Agogo”. Agogo Anajere is in her 80s but she is getting weaker every day. When we arrived the caretaker helped her to sit up so that we could chat with her. She really can’t sit for a long time, but this day because she was enjoying our company she didn’t want to lie down again. We were rubbing her dry back and she seemed to enjoy this so much. She has always promised us that one day she will sing for us. On this particular day she said she would love to sing but she could not remember the song. The carer started a familiar hymn and we all joined in a chorus singing and clapping hands. She was so delighted to sing and never wanted to stop singing. Agogo and her carers are always happy to see us around and are very thankful for our support to her and to them and the entire family.

Next, we visited Paul who is in his late 70s. He is battling a stroke. He was excited to see us arrive in the shade outside his house where he always sits. We had a chat with him, and he was happy to speak the little Kiswahili he remembers. We offered him massage on his arms, and we encouraged him to stand and move a little. He was so collaborative to do every exercise we asked him to do, and he promised us he would continue doing exercises daily. We also discovered that he stopped taking his blood pressure drugs a year ago because at that time he felt he was fine. Without his medication his blood pressure has gone very high again. We encouraged the family to take him back to the hospital to be re assessed after which he should take the medication that he will be given daily without fail whether feeling better or not. We educated him on the implications of not taking his medication properly.

Finally, before we closed our day’s work, it was afternoon in the scorching sun, yet we had one more patient to visit in the nearby village. This village could not be accessed by car. We put our feet down and walked to that village, a 20-minute walk. Unfortunately, on arrival at the house the neighbours told us that the condition of the patient was critical and he is admitted to a local clinic. Mr. Isaac suffers from both hypertension and is a diabetic. He had a stroke and also went blind. We hope we find him home and feeling better in our next visit to him next week.

By Sr. Goretti Nalumaga, MMM

Margarida (not her real name) is 29 years old, married to ‘Joseph’. Together they have four children, all boys and one adopted girl who is Margarida’s niece. She grew up thinking that Margarida was her real mother. She is, in fact, a daughter of her younger sister who died in childbirth. The girl was told recently that Margarida was her aunt, and she was devastated.

Margarida’s last born has severe cerebral palsy and he depends on her for everything. He gets sick often and is given more attention than the other children. He is accepted by his siblings. Her husband was very supportive regardless of his little income before he left the family.  He was doing casual jobs which could not sustain his family. The small business he had was not promising.  He then decided to go abroad for greener pasture. He was unlucky because while there, he suffered a motor accident, and he sustained a fracture.  His friends who were working with him, agreed to treat, feed, and accommodate him on condition that he would pay them back when he got better.

A boda boda motorbike in Uganda.
wheelchair

He gradually got better after some years. He started riding a “boda boda” motorcycle as before, so as to earn an income, and pay back the debt.  He also tried to support his family back home, but he tried this in vain. He is now jobless and stranded.  When things became worse for the husband and she could not cater for all the five children in the city, she decided to take the three sons to their paternal grandparents who had nothing and the girl to her paternal relatives who also had nothing.  All the children were no longer going to school and feeling unhappy that the mother sent them away from her.  They are still young and could not understand the difficult situation the mother is going through.

To make things worse, the grandparents of the children always depended on their son for nearly everything, but he was no longer supporting them.  Eventually, the mother went to visit the children and the condition did not please her, so she brought all the four children back since they were no longer studying and some were sick.

The sick child had stayed with her mother because no one would accept to stay with him.  When the children came back, she used the money she was saving to take them to a school but could not pay all the school fees for the three terms.  So, they missed half of the second term and only one is in school now as she is struggling with rent and many other domestic needs.  Through advocacy, a Sister spoke to one of our friends who managed to pay school fees for the first born who is very intelligent. He is 10 years old, in primary three and loves school. He keeps on asking the mother why they cannot go back to school while their friends near them go.  When the mother prepares food, the young ones ask for more because they are not satisfied; she gives them her food and she drinks water; she sleeps on an empty stomach.  When she came to visit us first to share her problems, we noticed that she had lost a lot of weight.  We gave her something to eat and to take home.  She looked better when she came back for the second time. The sick boy gets sick often and he has gone to the hospital three times. He has severe cerebral palsy, and no one will stay with him. She was advised by some people to leave the child somewhere or do something but would not follow their evil advice.  She now feels abandoned by the family for not doing what they wanted her to do and some who could afford to support her, refused.   They feel that it was her fault.  When we saw how she was suffering, we decided to enrol her in the programme. Her son must be on daily medication which she cannot afford without support. We have provided nutrition and medical support. Income generating activity was going on as well, but she used some of the profit for domestic needs since the children came back to live with her. Unfortunately, the three children are no longer schooling apart from the one who was supported. The project which was providing medical support finished.
We remain grateful to our donor agencies who help us run the programme. Margarida has benefited from treatment and nutrition supplements for her child. We thank MMM leadership and all our generous friends. We are hopeful that through advocacy, we would get more help so that the remaining three children can go back to school, and the sick child continue to be treated monthly. May God bless and provide for all our needs always.

USA