Professional Documents
Culture Documents
ebook download (eBook PDF) Mindful Crafts as Therapy: Engaging More Than Hands all chapter
ebook download (eBook PDF) Mindful Crafts as Therapy: Engaging More Than Hands all chapter
https://ebooksecure.com/download/better-than-alpha-ebook-pdf/
https://ebooksecure.com/download/combination-drug-delivery-
approach-as-an-effective-therapy-for-various-diseases-ebook-pdf/
http://ebooksecure.com/product/ebook-pdf-translational-medicine-
in-cns-drug-development-volume-29/
https://ebooksecure.com/download/progress-in-heterocyclic-
chemistry-ebook-pdf/
(eBook PDF) More Phaco Nightmares: Conquering Cataract
Catastrophes
http://ebooksecure.com/product/ebook-pdf-more-phaco-nightmares-
conquering-cataract-catastrophes/
http://ebooksecure.com/product/ebook-pdf-nurse-as-educator-
bastable-nurse-as-educator-4th/
http://ebooksecure.com/product/ebook-pdf-hands-on-virtual-
computing-2nd-edition/
https://ebooksecure.com/download/earthquakes-and-sustainable-
infrastructure-neodeterministic-ndsha-approach-guarantees-
prevention-rather-than-cure-ebook-pdf/
http://ebooksecure.com/product/ebook-pdf-hands-on-database-2nd-
edition-by-steve-conger/
Mindful Crafts as Therapy
ENGAGING MORE THAN HANDS
viii Preface
aims, all points of discussion or interaction help make control trials (RCTs) and other quantitative inquiries
crafts do-able. have occurred in highly diverse contexts, from clinical
settings to research think tanks. Studies of handcrafts
Chapter 4 Establishing Readiness for Practice
used therapeutically among individuals with diverse
The application chapter. This chapter offers in three
conditions have used a broad range of designs; RCTs
parts opportunities to practice logical activity analysis
are the least represented, qualitative methods the most.
and imaginative synthesis that includes therapeutic
Research findings about the benefits of craftwork
modifications. This chapter shows how purpose and
support most assumptions made in early chapters of
meaning can come together. Part 1 offers resources that
this book. The assumption that crafts benefit social
make mindful crafts replicable. Each of 10 application
interactional skills is borne out, but effects on process
tables is followed by an interactive exercise that pro-
and motor skills need more investigation. The following
motes its use. The interactive exercises consider imple-
earned support: Handcrafts meet diverse preferences,
mentations of mindful crafts among a woman combat
unique needs, and wide-ranging goals; are engaging,
veteran, a man with bipolar disorder, an older woman
from mildly absorbing to causing flow; divert attention
with arthritis, a group in an assisted living facility, a
from anxiety, sorrow, and other disruptive challenges;
middle-aged man with traumatic brain injury, a young
transform a client into an active and productive doer;
mother on bed rest, a group of individuals with spinal
invite expression of the self; are purposeful and mean-
cord injury, and an older man with left cerebrovascular
ingful in their process and outcomes; and affirm an
accident. Author feedback follows the exercises. Part
individual as a maker. The preponderance of evidence
2 presents photos of 14 therapeutic modifications in
related to handcrafts in health care to date supports
action, with a request that readers identify client chal-
its positive effects on health of the mind regardless of
lenges to skills or functions that might warrant these
primary presenting condition.
adjustments.
Part 3 consists of realistic practice challenges that
promote integrative thought. The seven challenges, The Craft Sections
with the client noted parenthetically, are these: Analyze Sections II, III, and IV each include two craft chapters.
three crafts and select the best (bipolar disorder in a Together these chapters offer 80+ craft guidelines
young man), record observations and suggest modifi- organized according to the PEO model.
cations (developmental delay and low vision in a young
woman), grade tasks and give environmental supports Section II: Craft Interventions With the Person
(deconditioned status in an older man), identify client in Mind
interests and therapeutic crafts (outpatient group for Chapter 6 Crafts With Interwoven Reflections on
a variety of conditions), consider safe practice in a Personal Themes
restricted environment (conduct disorder in a teenaged Chapter 7 Crafts With Preparatory Reflections on
boy), resubmit a SOAP note for reimbursement (post- Personal Themes
surgical hand and posttraumatic stress syndrome in a
middle-aged man), and lead or co-lead a mindful craft Section III: Craft Interventions With the Person’s
group using guidelines in this book (peers in student Environments in Mind
groups or clients in fieldwork settings). Again, author Chapter 8 Crafts With Interwoven Reflections on
perspectives on each challenge offer helpful feedback. Environmental Themes
Chapter 9 Crafts With Preparatory Reflections on
Chapter 5 The Evidence That Supports Crafts
Environmental Themes
The research chapter. This chapter consists of a review
of published research on handcrafts used therapeuti- Section IV: Craft Interventions With the Person’s
cally. The chapter models a professional literature review Occupations in Mind
while interspersing salient historical and anecdotal nar- Chapter 10 Crafts With Interwoven Occupational
ratives as special features. Research on mindful crafts Reflections
used among clients and students leads the discussion.
Chapter 11 Crafts With Preparatory Reflections on
Informative tables clarify research results on mental
Occupational Themes
and physical health outcomes and will be helpful to
readers. Each craft chapter offers an introductory overview, an
Highlights from the review include the following. index of 12 to 15 crafts with a difficulty rating, pho-
Despite challenges associated with their use, randomized tographs that showcase crafts and clarify instructions,
Preface ix
and detailed guidelines for conducting interventions, format appeals to those seeking educational
grounded in the PEO and recovery models and reflect- content in occupational therapy. If practitioners
ing these points of consideration: prefer 60-minute sessions, they may invite clients
♦ PEO focus for the intervention to complete the written exercise before the session.
♦ Mindful theme that names and frames the session Additionally, both the exercise and discussion may
♦ Required actions within the craft that point to an be transformed into interwoven work, as seen in
appendix of related skills and functions Chapters 6, 8, and 10.
♦ A cue to formulate client-specific skill-building
goals The Appendices
♦ Mindful goals for the intervention Expedite key functions. The appendices can prompt
♦ Introduction that sets the stage for a mindful a swift implementation of the mindful crafts in this
session book while helping practitioners to easily generalize a
♦ Questions or exercises that prompt person- process that will make many other crafts mindful.
centered reflection on the mindful theme
♦ Identification of tools and supplies (and patterns Appendix A: Broad Required Actions With
if needed) Performance Skills and Body Functions
♦ Sequential instructions directed at the participant Analyze potential. This appendix is the outcome of an
♦ Troubleshooting tips that alert practitioners to analysis of all of the actions required during completion
potential challenges of the crafts in this book. Forty required actions, such as
♦ Comments to foster reflection during quiet cut with scissors and stir liquid, were then further ana-
moments lyzed to specify their demands on performance skills
♦ Suggestions for an interactive conclusion and bodily functions. Practitioners can use this resource
♦ Variations possible when planning the session to consider and tap the therapeutic potential of crafts.
The learning-by-doing craft chapters. All six craft Appendix B: Modifications to Address Challenges
chapters are designed to be used by readers, whether
students or practitioners. Distinctions between the two
With Required Actions
Meet client needs. Alongside the actions required by
complementary craft chapter types within each section
the crafts in this book, this appendix notes various
are these:
modifications that enable client performance. This
Chapters 6, 8, and 10 with logical and imaginative resource can guide practi-
interwoven reflections tioners in making adjustments to accommodate client
difficulties with process, motor, and social interactional
♦ The typical time for conducting each session is 60
skills and sensory as well as emotional functions.
minutes. Some interventions may require more
than one session. Appendix C: Analysis of Distribution of Required
♦ In these sessions, most didactics and client- Actions for Crafts in This Book Organized by
centered reflections are informal and woven into
PEO Themes
the intervention. This format accommodates
Capture purpose and meaning. This index identifies at
clients for whom formal written work and
a glance some 5 to 20 actions required by each mindful
discussion might be overly challenging or
craft, depending on its complexity. The organization of
distancing. For clients preferring more formal
the index highlights themes from the PEO model that
learning strategies, practitioners may formalize
imbue crafts with meaning: person (self-concept and
this interwoven work into written exercises and
self-determination), environment (physical, social, and
discussion periods, as seen in Chapters 7, 9,
societal and cultural), and occupation (self-maintenance,
and 11.
self-fulfillment, and self-expression). Using this resource,
Chapters 7, 9, and 11 with practitioners can readily choose interventions with
preparatory reflections purposeful actions and meaningful themes.
♦ The ideal time for conducting the full session is 90 Appendix D: Actions and Skills Tapped by Craft-
minutes. All interventions take one session. Related Housekeeping Tasks
♦ During the first 30 minutes of these sessions, Enable adjunct occupations. Part 1 of this resource
clients complete a written didactic or reflective examines the demands of several daily living tasks such
exercise and engage in a brief discussion. This as wipe surfaces clean and deposit trash in receptacle that
x Preface
surround and support craft use. Part 2 offers modifica- chapter and share author feedback related to clusters
tions that make these tasks do-able despite performance of Your Turns. Not to be construed as rigid “answers,”
challenges with process, motor, and social interactional Our Views are just that—views of two seasoned practi-
skills or sensory and emotional functions. Practitioners tioners on the Your Turn prompts. Although typical of
can use this integrative work to plan sessions that how many practitioners might respond, Our Views are
enhance participation and affirm occupation. not beyond question and invite discussion.
At the end of Chapter 1 and throughout Chapter 4,
Appendix E: Group Facilitation and Leadership the Your Turns become more complex opportunities
Rating Version A for the kinds of application that deepen knowledge and
Get or give feedback. This rubric allows an individual understanding. In these instances, Our Views continue
to acquire or give feedback on performance in leading to offer practitioner perspectives as opposed to fixed
a mindful craft session. The form allows the rating of solutions.
some 60 practitioner functions clustered into 6 catego-
ries. The Likert scale (5 = performed exceptionally well Drawing our Past Forward
to 2.5 = performed fairly well) is skewed in a positive In Chapters 1, 2, 3, and 5, boxes titled Drawing our Past
direction. Instructions specify a method of noting Forward showcase historical narratives linked to the
functions well done or in need of improvement. discussion. Here, founders, professional leaders, and
practitioners from different decades describe perspec-
Appendix F: Group Facilitation and Leadership tives or practices from earlier times. These highlights
Rating Version B draw forward into the present a still-keen insight.
Give or get feedback. This rubric also allows an indi-
vidual to give or acquire feedback on performance in A Story
leading a mindful craft session. Performance of some In Chapters 1, 2, and 5, boxes titled A Story feature
45 practitioner functions clustered into 5 categories can sometimes inspiring but always interesting anecdotes
be rated using a clear checklist format. Points allotted about clients engaged in crafts or practitioners involved
to each category and totaling 100 translate readily to in research. A few stories are ours, but most are contri-
an academic grade. butions that have come from colleagues eager to share
a story.
The Book’s Special Features
Ancillaries
Your Turn and Our View
In Chapters 1 through 4, Your Turn features offer For the Instructor
pauses in the reading that focus and provoke thought. Assets housed on DavisPlus and available through
These features mimic exchanges that many educators your instructor’s login include an Instructor’s Guide,
use at 15-minute intervals during interactive lectures. PowerPoint slides for Chapters 1 to 5, additional Prac-
Your Turns invite critical thinking to fuel discussion or tice Challenges similar to those in Chapter 4, an Image
reflection that leads to awareness. Bank that includes all photographs in the book in their
Working in tandem with the Your Turns are the original full color, and test questions.
Our View features. These follow discrete sections of the
REVIEWERS
xi
xii Reviewers
The act of acknowledgment turns on gratitude. To whether immersed in careers, living on the streets, or
acknowledge others is to recognize them, declare a newly released from prison. Adding symbolism to each
receipt of gifts from them, disclose positive truths about project seemed a good way to forestall complaints about
them, and express to them deep thanks. In the spirit the irrelevance, condescending nature, or childishness
of being mindful, we acknowledge others in the full of crafts. The idea worked beautifully!
sense of the word. We recognize, declare, and disclose We acknowledge those who guided us in the making
the generosity of many, and we express to them our of this book. We launched and finished the work with
deepest thanks. the help of able editors. F.A. Davis senior acquisitions
We first acknowledge the power that an occupation editor Christa Fratantoro saw promise in our proposal,
can have in bringing people together. We discussed shepherded it to acceptance, and helped us set a path.
writing a book once during casual conversation at a Jill Rembetski, our developmental editor, organized
state conference. We had never before worked together, and led the review process, anticipated and answered
but we had both come to a similar understanding of endless questions, and guided our steps with gentle
how adding deeper meaning to crafts enhanced their insight. We thank Margaret Biblis and George Lang
worth. Our two years spent in the making of this book for their leadership and direction. We thank design
have forged a friendship for which we are grateful. editor Carolyn O’Brien and art editor Kate Margeson
We acknowledge our photographer, Ann Nikirk, for enhancing the visual appeal of our work and Sharon
who captured so well the images of our crafts and our Lee and Lisa Thompson for moving our work toward
grasp of mindfulness. Ann’s developing belief in the production. We also acknowledge F.A. Davis staff Alisa
power of occupation and mindful crafts was a resound- Hathaway and Nichole Liccio who helped us to make
ing endorsement that moved us toward completing our necessary connections without which the book would
work. We asked Ann to share an image of herself while not have emerged.
at work and in flow, and that photo appears in Figure We acknowledge individuals who met our need for
1-4 in Chapter 1. expertise in practice areas that complement our own.
We acknowledge the influence of those individuals These clinicians and educators include Beatriz C. Abreu,
who led each of us to the idea of infusing meaning into OTR, PhD, FAOTA; Kira Beal, OTD, OTR; Debbie
crafts—whether intellectual or emotional. For Cynthia, Buckingham, OTR, MS, CVE, CCM, CRC; April C.
that idea germinated while working among able team Cowan, OTR, OTD, CHT; Barbara M. Doucet, OTR,
members who forged an ever-increasing clarity about PhD; Tina Patel Gunaldo, PhD, PT, DPT, MHS; and
the benefits of using metaphor to add meaning to Shama Lawji, MOT, OTR. We hope that these experts
craftwork. These individuals include Martha Diskin, see that we used their suggestions to good advantage.
MA, OTR; Anna Olson, MOT, MBA, OTR, CLT; Susan We acknowledge the generosity of others to whom
Ennist Dobbs, MOT, OTR; and Claudette Fette, PhD, we turned for help. We thank practitioners who
OTR, RCC. For Suzanne, preparing to work with a new shared experiences with crafts that became Our Story
population was the prompt. The prospect of making features. The clinical stories of Beatriz Abreu, OTR,
crafts meaningful for what might be a tough and PhD, FAOTA; Whitney-Reigh Asao, PhD, OTR; and
mixed audience—women recovering from addictions, Paula McComb, OTR added to the deep understanding
xiii
xiv Acknowledgments
that we sought. Another group deserving our thanks our mothers in a special way. Cynthia thanks Darlene
is a circle of friends in Northern Texas who willingly Biondi Evetts, whose longtime engagement in crafts,
engaged in many of our crafts, helping to tweak our whether in making home life festive or making con-
instructions and make samples that let us capture crafts tributions within the community, taught her children
“in progress” with photos. These individuals include the worth of crafting. When in rehabilitation during
Vivienne Pitts; Carol Griffith; Shann Shubert; and the last months of our writing, Mrs. Evetts used crafts
Madeleine, Julianne, and John Nikirk. suggested by Cynthia and then taught them to others
We acknowledge the work of graduate occupational in the setting. Suzanne is grateful to Loretta Bernier
therapy student assistants Megan Gay Crisson, Emily Peloquin, whose able hands as hair stylist and gardener
Miller, and Dora Alcacio. Their devotion to this book turned to satisfying artwork in her brief retirement. Her
was clear in their search and review of literature, format- giving nature and gentle soul are well-remembered by
ting and reformatting of documents, data management all who knew her. The nurturing spirits of these two
from student surveys, and feedback on the clarity of strong women course through our book as we aim to
craft instructions. When this book comes to print, all gently persuade and imaginatively lead.
will have moved on to practice where we hope that they We hope that we have made count of the bless-
use mindful crafts. ings that we have received. The greatest blessing that
We acknowledge with deep thanks the support of might come from this book is a widespread embrace
friends and family who encouraged us and understood of mindful crafts, in which case our gratitude will turn
our need to spend time in “book mode.” We acknowledge to readers like you.
TABLE OF CONTENTS
SECTION 1: Mindful Principles and Modifications to the Craftwork 53
Processes 1 Attend to Personal Relevance 53
Consider the Suitability of Tools 54
Chapter 1: The Mindfulness That Empowers Consider Objects and Their Properties 54
Crafts 3
Think About Sequence and Timing 55
Mindfulness and Mindlessness 4
Mindfulness Defined, Described, Attend to Safety Issues 55
and Illustrated 4 Grade Crafts With Two Directions
Mindlessness in Health Care 6 in Mind 56
Mindlessness in Occupational Therapy 8 Make a Fit That Leads to Performance:
A Case 60
The Understanding That Empowers
Occupational Therapy 9 Modifications Within the Person:
Understanding Persons and Their Positive Shifts Toward Health 62
Occupational Natures 10 A Healthy Shift in Role 63
Understanding Our Guiding Beliefs 11 A Healthy Shift in Participation 64
Insights From Holistic Person- Group Approaches to Craftwork 67
Centered Models: Person- Formal Population-Centered Groups 68
Environment-Occupation and Informal Population-Centered Craft
Recovery 12 Groups 71
Understanding Ourselves 14 Formal Setting-Specific Therapy
The Logical Analysis and Imaginative Groups 71
Synthesis That Empower Informal Setting-Specific Groups 72
Occupational Therapy 16
Informal Social Gatherings 72
Logical Assumptions About the
Therapeutic Potential of Craftwork 16 The Process of Mindful Craft Groups 73
Framing 73
Analysis of Each Craft 22
Crafting 75
Analysis of Each Craft Intervention 28
Meaning Making 77
Imaginative Activity Synthesis 29
Establishing Client-Centered Purpose 34 Summary 84
Discerning Meaning as Part of
Synthesis 35
Chapter 3: Making Craftwork Feasible 87
Personal Mindsets That Make Crafts
Summary 38 Do-Able 88
Create New Categories 88
Chapter 2: Making Craftwork Therapeutic 41 Be Open Minded 90
The Therapeutic Process Within Crafts 42 Take Control Over Context 92
Therapeutic Use of Self 42
Be Process Oriented 92
Creating a Good Fit 43
See Oneself as Savvy: Enhance
Modifications to the Craft Environment 47 Personal Skill 93
The Physical Environment 48
Mental Locks That Put Crafts at Risk 96
The Social Environment 49 Pathways to Administrative Support 98
Influential Contexts 50 Honor Institutional Culture 98
xv
xvi Table of Contents
Mindful Principles
and Processes
CHAP TE R
1
The Mindfulness That
Empowers Crafts
Guided by the belief that occupational therapy is a personal
engagement, we enable occupations that heal.
LE A R NING O U TC O MES
1. Distinguish between mindful and mindless health-care practices.
2. Identify longstanding aspects of mindfulness in occupational therapy practice.
3. Elaborate a deep understanding of persons and their occupational natures.
4. Identify the guiding beliefs and person-centered models that shape best practice.
5. Describe the relationship between conscious and therapeutic use of self.
6. Offer logical assumptions to support the therapeutic use of crafts.
7. Apply logical activity analysis to a given craft.
8. Describe the principles of imaginative activity synthesis.
9. Elaborate the manner in which crafts can be made mindful.
When it comes to making interventions work, practi- of therapy. And we must also turn inward so as to
tioners must be mindful. To be true to the meaning of understand ourselves and how we work with others.
the term, they must be attentive and aware. They must This aspect of mindfulness helps us become caring.
be careful. They must heed the mindful functions of Beyond this threefold understanding, our mindful-
practice. More specifically, occupational therapy prac- ness extends to logical analysis and imaginative synthe-
titioners must honor three dimensions of mindfulness: sis. We must use logic to analyze the demands of an
(1) a deep understanding of persons and therapy, (2) occupation, activity, or task and identify the skills and
logical activity analysis, and (3) imaginative activity functions needed to meet those demands. This aspect
synthesis. In this chapter, we elaborate the meaning of of mindfulness gives purpose to our therapy. We must
each after sharing this overview. then turn to those who seek our care. Clients bring
Consider first the need to understand or “really get” to therapy unique needs and strengths. Clients tell us
some things. As occupational therapy practitioners, we what has meaning. We must work imaginatively with
must understand persons, their occupational natures, them to synthesize our knowledge of therapy and their
and the unsettling disruptions that occupational chal- grasp of their situations. This aspect of mindfulness
lenges cause in a life. This aspect of mindfulness human- individualizes therapy and makes it engaging. The
izes therapy. We must next understand the guiding ensuing goodness of fit—best practice—has healing
beliefs of occupational therapy and the action-oriented power.
principles drawn from person-centered models. This Can practitioners use craft interventions mindfully?
understanding sets the depth, scope, and direction This book is our “Yes!” In this chapter, we make our
3
4 SECTION ONE ✍ Mindful Principles and Processes
Imaginative
activity
synthesis
MINDFUL
CRAFTWORK
FIGURE 1-1 The mindfulness that empowers crafts. FIGURE 1-2 Mindful threading of a needle.
CHAPTER 1 ✍ The Mindfulness That Empowers Crafts 5
undertow that can pull us from such regard. Stories Thankfully, instances of caring occurred, even during
shared by those seeking care suggest that caregivers can difficult times. This one affirms a hasty handcraft:
be mindless. We hear such stories at family gatherings,
As I slept, a nurse took the cloth wrapping
on elevators, and in waiting rooms. In stories thought
off a sterile instrument. He smoothed out the
uncaring, concern for the person’s experiences, feelings,
material. He painted with a blue flow pen a
and needs is not primary, preempted by matters thought
moon face with wide eyes and an enormous
more pressing (Biro, 2000; Casillas, 2006; Cole, 2004;
crescent smile. He climbed over my bed. He
Gazella, 2004; Hill, 2006; Ivančić, 2006; Martensen,
climbed over my plants and hung this banner
2008; Sonkë, Rollins, Brandman, & Graham-Pole, 2009;
down from my window, using the extra-wide
Srivastana, 2011). Surely no caregiver intends harm,
masking tape. It was the first thing I saw in the
but many engage in hurtful behaviors. In a hallmark
morning. (Lee, 1987, p. 111)
statement, physician Seymour Sarason (1985) wrote:
In most cases of uncaring, a regard for something other
In a vague, inchoate way, people feel and
than the patient’s concerns prevails. Note Sarason’s take:
know that the clinical endeavor has become
Helpers are both cause and victim (1985). Caregivers
problematic, that those who are in helping roles
struggle. They name societal and institutional forces
are both cause and victim, that something is
that pull them from caring. Three seem dominant:
wrong somewhere, and that far from getting
(1) an emphasis on logical fixing; (2) an overreliance
better, it seems to be getting worse. (pp. 203–204)
on methods and protocols; and (3) a health-care system
During the 1980s and 1990s, many individuals went driven by business, efficiency, and profit (Buckly, 2011;
public with health care narratives that clarified the Crossen & Tollen, 2010; Frampton, 2009; Gazella, 2004;
problem and shed light on its nature and causes. Those Muñoz, 2006; Peloquin, 1993b; Sonkë et al., 2009;
stories decried actions thought uncaring: (1) failure to Srivastana, 2011).
see injury, illness, and chronic conditions as having Each of these three dominant forces carries a concern
deeply personal consequences; (2) failure to attend to vital to best practice. Health-care problems must be
that which patients want to share; (3) establishment of a solved; sound methods must shape treatment; institu-
distance that feels cold and dismissive; (4) withholding tions must have business sense. But when logical fixing,
of information that patients deem important; (5) use scientific methods, or profit-first ideas stand at the
of brusque manners; and (6) misuse of professional center, patients feel displaced. Even when unintended,
power (Peloquin, 1993a). More recent stories affirm the the mindlessness hurts. Often client and caregiver feel
same complaints (Biro, 2000; Casillas, 2006; Cole, 2004; pain, as in this more recent example:
Gazella, 2004; Hill, 2006; Ivančić, 2006; Martensen,
Five months of clerkships had shown me that
2008; Sonkë et al., 2009; Srivastana, 2011). Each com-
the ideal patient-doctor relationship ... crumbles
plaint targets a form of being inattentive to or unaware
under the demands of ward work. I had already
of something, of being careless toward someone.
begun to place my efficiency, interests, and
A narrative seems apt, and Arnold Beisser’s (1989) is
performance ahead of the patient’s feelings and
a classic. A physician and former tennis champion who
questions. ... I felt ashamed that we had neither
contracted polio just months before the vaccine hit the
listened, nor made her feel comfortable, nor
market, Beisser thought his hospital time quite grim:
prepared her in the slightest for a diagnosis that
I would call the nurse and ask for another we knew she wouldn’t understand. (Muñoz,
blanket to cover me. The room seemed 2006)
comfortable to her, so she would doubt my
Reform has accelerated since the “unraveling of health
judgment. In order to check, she would usually
care” in the mid-1990s when the “miracle of the managed
reach down to feel my leg. Then she would say
care marketplace did not deliver” (Morrison, 2000).
something like, “Oh, it’s all right, you’re not
Changes have included a proliferation of satisfaction
cold.” (pp. 18–19)
surveys, accountability proposals, “customer training
His perceptions of feeling cold were dismissed. His workshops,” and recognition and reward programs for
bodily experience was ignored. The nurse’s attention to caring behaviors. We have a long way to go, with Press
his room and skin temperature preempted his discom- Ganey Associates’ (2013) special reports affirming the
fort. Professional coldness prevailed. How differently need for a deeper understanding of client sentiment
might Beisser have felt with the gift of a blanket! than that offered by satisfaction measures.
Another random document with
no related content on Scribd:
Versailles, and on Murray’s explaining the reason of his visit, Amelot
frankly told him that the King of France had full confidence in the
Scots, but that nothing could be done without co-operation with the
English. He further warned the Scotsmen that an enterprise such as
they proposed was dangerous and precarious. The King, he said,
was quite willing to send ten thousand troops to help James his
master, but the Jacobites must take care not to bring ruin on the
Cause by a rash attempt. Murray was startled at Amelot’s answer
after the assurances he had had from Sempill and Balhaldy of the
minister’s keenness to help; he was further distressed that some
arrangements, which Sempill had confidently mentioned to him as
being made, were unknown to Amelot, while the minister owned that
he had not read the Memorials, but promised to look into them.
It was on this occasion that Murray first became suspicious of the
behaviour of Balhaldy and Sempill, a state of mind which grew later
to absolute frenzy. When arranging for the interview with Amelot,
they hinted very plainly to Murray that he must exaggerate any
accounts he gave of preparations in Scotland. He came to the
conclusion that they were deceiving the French minister by
overstating Jacobite prospects at home, and after the interview he
was further persuaded that Balhaldy and Sempill were similarly
deceiving the Jacobite leaders with exaggerated accounts of French
promises. He was further mortified to find that the Earl Marischal,
who was much respected in Scotland, and to whom the Jacobite
Scotsmen looked as their leader in any rising, would have nothing to
do with Sempill and Balhaldy; while, on their part, they described the
earl as a wrong-headed man, continually setting himself in
opposition to his master and those employed by him, and applied to
him the epithet of ‘honourable fool.’
Apparently about this time the preparations of the English
Jacobites were languishing, and Balhaldy, proud of the Scottish
Association which he looked upon as his own creation, volunteered
to go over to England and arrange a similar Concert among the
English leaders. He and Murray went to London together, and there
Murray took the opportunity of privately seeing Cecil, the Jacobite
agent for England. Cecil explained his difficulties, told him of the
dissensions among the English Jacobites, and of their complaints
about Sempill, who, he considered, was being imposed upon by the
French Ministry. It is characteristic of Jacobite plotting to find that
Murray concealed, on the one side, his interviews with Cecil from
Balhaldy, and, on the other, he kept it a secret from Cecil that he had
ever been in France.[49] Disappointed with his mission both in
France and England, Murray returned to Edinburgh in March or April.
Meanwhile, Balhaldy was busy getting pledges
in England and making lists of Jacobite adherents
avowed and secret. Though they said they were Butler’s mission
willing to rise, he found they absolutely refused to to England.
give any pledge in writing, and he suggested, through Sempill, that
the French minister should send over a man he could trust to see the
state of matters for himself. Amelot selected an equerry of King
Louis’s of the name of Butler, an Englishman by birth. Under
pretence of purchasing horses, Butler visited racecourses in
England, where he had the opportunity of meeting country
gentlemen, and was astonished to find that at Lichfield, where he
met three hundred lords and gentlemen, of whom, he said, the
poorest possessed £3000 a year, he found only one who was not
opposed to the Government. On his return to France, Butler sent in a
long report on the possibilities of an English rising. He told the
French Government that after going through part of England, a
document had been placed in his hands giving an account of the
whole country, from which it appeared that three-quarters of the well-
to-do (‘qui avaient les biens-fonds’) were zealous adherents of their
legitimate king, and that he had been enabled to verify this statement
through men who could be trusted, some of whom indeed were
partisans of the Government. He was amazed that the Government
was able to exist at all where it was so generally hated. The secret,
he said, was that all positions of authority—the army, the navy, the
revenue offices—were in the hands of their mercenary partisans.
The English noblesse were untrained to war, and a very small body
of regular soldiers could easily crush large numbers of men unused
to discipline. It would be necessary then to have a force of regular
troops from abroad to make head against those of the Government.
Butler and Balhaldy returned to France in
October. During their absence things had changed;
the battle of Dettingen had been fought (June 27th, French
1743), although Great Britain and France were determine on an
Invasion.
technically at peace. King Louis was furious, and
he took the matter up personally, and gave
instructions to prepare an expeditionary force for
the invasion of England. The main body was to Letter of Louis
xv. to Philip v.
consist of sixteen battalions of infantry and one
regiment of dismounted dragoons, under Marshal Saxe, and was to
land in the Thames. It was further suggested that two or three
battalions should be sent to Scotland. Prince Charles Edward was
invited to accompany the expedition, and was secretly brought from
Rome, arriving in Paris at the end of January 1744. There was no
affectation of altruism for the Stuart exile in King Louis’s mind, but
the zeal of the Jacobites was to be exploited. He wrote his private
views to his uncle, the King of Spain, communicating a project that
he had formed, he said, in great secrecy, which was to destroy at
one blow the foundations of the league of the enemies of the House
of Bourbon. It might, perhaps, be hazardous, but from all that he
could learn it was likely to be successful. He wished to act in concert
with Spain. He sent a plan of campaign. Everything was ready for
execution, and he proposed to begin the expedition on the 1st of
January. It would be a very good thing that the British minister should
see that the barrier of the sea did not entirely protect England from
French enterprise.[50] It might be that the revolution to be promoted
by the expedition would not be so quick as was expected, but in any
case there would be a civil war which would necessitate the recall of
the English troops in the Netherlands. The Courts of Vienna and
Turin would no longer receive English subsidies, and these Courts,
left to their own resources, would submit to terms provided they were
not too rigorous.[51]
The story of the collapse of the proposed
invasion is too well known to need description. Ten
thousand troops were on board ship. Marshal Saxe Collapse of
French
and Prince Charles were ready to embark. On the Expedition.
night of the 6th of March a terrible storm arose
which lasted some days. The protecting men-of-war were dispersed,
many of the transports were sunk, a British fleet appeared in the
Channel, and Saxe was ordered to tell the Prince first that the
enterprise was postponed, and later that it was abandoned. Charles,
nearly broken-hearted, remained on in France, living in great privacy,
and hoping against hope that the French would renew their
preparations. For a time he remained at Gravelines, where Lord
Marischal was with him. He longed for action, and implored the earl
to urge the French to renew the expedition to England, but Marischal
only suggested difficulties. Charles proposed an expedition to
Scotland, but his lordship said it would mean destruction. Then he
desired to make a campaign with the French army, but Lord
Marischal said it would only disgust the English. Charles removed to
Montmartre, near Paris, but he was ordered to maintain the strictest
incognito. He asked to see King Louis, but he was refused any
audience. His old tutor, Sir Thomas Sheridan, was sent from Rome
to be with him; also George Kelly, Atterbury’s old secretary, who,
since his escape from the Tower, had been living at Avignon. He took
as his confessor a Cordelier friar of the name Kelly, a relative of the
Protestant George Kelly, and, sad to say, a sorry drunkard, whose
example did Charles no good. These Irish companions soon
quarrelled with Balhaldy and Sempill, who wrote to the Chevalier
complaining of their evil influence, while the Irishmen also wrote
denouncing Balhaldy and Sempill.
Charles left Montmartre. His cousin, the Bishop of Soissons, son
of the Marshal Duke of Berwick, kindly lent him his Château
Fitzjames, a house seven posts from Paris on the Calais road, where
he remained for a time. Another cousin, the Duke of Bouillon, a
nephew of his mother, also was very kind, and entertained him at
Navarre, a château near Evreux in Normandy. But his life was full of
weary days. He could get nothing from the French, and ‘our friends
in England,’ he wrote to his father, are ‘afraid of their own shadow,
and think of little else than of diverting themselves.’ Things seemed
very hopeless: the Scots alone remained faithful.
From the time that Murray left London in the
spring of 1743, the Jacobite Associators had
received no letters from Balhaldy. The suspense Suspense in
was very trying; indeed Lord Lovat felt for a time so Scotland.
hopeless that he proposed to retire with his son to France and end
his days in a religious house.[52] Lovat’s spirits seem to have risen
shortly after this owing to some success he had in persuading his
neighbours to join the Cause, and he eventually resolved to remain
in Scotland. It was only from the newspapers the Jacobite leaders
knew of the French preparations, but towards the end of December a
letter was received from Balhaldy, which stated that the descent was
to take place in the month of January. Other letters, however, threw
some doubt on Lord Marischal’s part of the enterprise, which
included an auxiliary landing in Scotland, and once more the
Jacobite leaders were thrown into a state of suspense. They felt,
however, that preparations must be made, and an active propaganda
began among the Stuart adherents.
In due course news of the disaster to the
French fleet reached Scotland, but no word came
from Balhaldy or Sempill, and it was then Murray’s
determined to send John Murray to France to find interview with
Prince Charles,
out the state of matters. Murray tells the story of August 1744.
his mission in his Memorials. He met Prince
Charles at Paris on several occasions, and told him that so far from
there being 20,000 Highlanders ready to rise, as was the boast of
Balhaldy, it would be unwise to depend on more than 4000, if so
many. But in spite of this discouraging information, the Prince
categorically informed Murray that whatever happened he was
determined to go to Scotland the following summer, though with a
single footman.[53]
Murray hastened home, and at once began an active canvass
among the Jacobites; money and arms were collected, and
arrangements were made in various parts of the country. Among
other expedients was the establishment of Jacobite clubs, and the
celebrated ‘Buck Club’ was founded in Edinburgh. The members of
these clubs were not at one among themselves. Some of them said
they were prepared to join Prince Charles whatever happened, but
others only undertook to join if he were accompanied by a French
expedition. At a meeting of the Club a document was drawn up by
Murray representing the views of the majority present, which insisted
that unless the Prince could bring them 6000 regular troops, arms for
10,000 more, and 30,000 louis d’or, it would mean ruin to himself, to
the Cause, and to his supporters.[54] This letter was handed to Lord
Traquair, who undertook to take it to London and have it sent to
Prince Charles in France. By Traquair it was delayed, possibly
because he was busy paying court to the lady who about this time
became Countess of Traquair,[55] but to the expectant Jacobites for
no apparent reason save apathy. After keeping the letter for four
months he returned it in April 1745, with the statement that he had
been unable to find a proper messenger. Another letter was then
sent by young Glengarry, who was about to proceed to France to join
the Scottish regiment raised by Lord John Drummond for service in
the French army. It was, however, too late; the Prince had left Paris
before the letter could be delivered.
Distressed that the King of France would not admit him to his
presence; wearied with the shuffling of the English Jacobites and the
French ministers; depressed by Lord Marischal, who chilled his
adventurous aspirations; plagued, as he tells his father, with the
tracasseries of his own people, Charles determined to trust himself
to the loyalty of the Scottish Highlanders. He ran heavily into debt;
he purchased 40,000 livres’ worth of weapons and munitions,—
muskets, broadswords, and twenty small field-pieces; he hired and
fitted out two vessels. With 4000 louis d’or in his cassette he
embarked with seven followers at Nantes on June 22nd (O.S.).
On July 25th he landed in Arisaig,—the ’Forty-five had begun.
PAPERS OF JOHN MURRAY OF
BROUGHTON
These papers, picked up after Culloden, are fragmentary and are
not easy reading without a knowledge of their general historical
setting, and this I have endeavoured to give in brief outline in the
preceding pages. They are particularly interesting as throwing
glimpses of light on the origins of the last Jacobite rising. They were
written before the collapse of that rising and before Murray, after the
great betrayal, had become a social outcast. Murray’s Memorials,
edited for the Scottish History Society by the late Mr. Fitzroy Bell,
were written thirteen years after Culloden as a history and a
vindication. These papers may be considered as memoranda or
records of the business Murray had been transacting, and they view
the situation from a different angle.
Some of the events mentioned in the Memorials are told with
fuller detail in these papers; they also contain thirteen hitherto
unpublished letters, consisting for the most part of a correspondence
between Murray and the Chevalier de St. George and his secretary
James Edgar. But to my mind the chief interest of the papers lies in
the fact that they present a clue to the origin of the Jacobite revival
which led up to the ’Forty-five; that clue will be found in Murray’s
note on page 25.
In 1901 the Headquarters Staff of the French Army issued a
monograph based on French State Papers, giving in great detail the
project for the invasion of Great Britain in 1744, and the negotiations
which led up to it. The book is entitled Louis XV. et les Jacobites, the
author being Captain Jean Colin of the French Staff. In his opening
sentence Captain Colin tells how the Chevalier de St. George was
living tranquilly in Rome, having abandoned all hope of a restoration,
when about the end of 1737 he received a message from his
subjects in Scotland informing him that the Scottish Highlanders
would be able, successfully, to oppose the Government troops then
in Scotland. In no English or Scottish history, so far as I am aware,
has this message from Scotland been emphasised, but in the French
records it is assumed as the starting-point of the movement on the
part of the French Government to undertake an expedition in favour
of the Stuarts. Murray refers to Glenbucket’s mission in the
Memorials (p. 2), though very casually, and as if it were a matter of
little moment, but the insistence in French State Papers of the
importance of the Scottish message made it necessary to investigate
the matter further.
The first step to discover was the date of the sale of the estate of
Glenbucket, the price of which was probably required for the
expenses of the mission, and it was found from Duff family papers,
kindly communicated by the authors of The Book of the Duffs, that
Glenbucket sold his estate to Lord Braco in 1737. The next step is
told in the pages of James Francis Edward, where it is narrated that
Glenbucket was in Paris about the end of that year, that he there
presented to Cardinal Fleury a scheme for a rising in Scotland, which
he proposed should be assisted by the Irish regiments in the service
of Louis xv. The same work tells how Glenbucket went on to Rome
in January 1738, and there conveyed to the Chevalier satisfactory
assurances from the Highlands, but few from the Lowlands.[56] The
result was that William Hay was sent to Scotland on the mission
which eventuated in the ‘Concert’ of Jacobite leaders, Highland and
Lowland, and Balhaldy’s subsequent mission to Paris and Rome.
It would be interesting to know who the Highlanders were who
entrusted Glenbucket with the message to Rome. Murray, in his
jealous, disparaging way, remarks that it could only be Glengarry
and General Gordon, but either he did not know much about
Glenbucket or he was prejudiced. In an account of the Highland
clans preserved in the Public Record Office, and evidently prepared
for the information of the Government after he had turned traitor,
Murray writes: ‘I have heard Gordon of Glenbucket looked upon as a
man of Consequence, whereas, in fact, he is quite the reverse. He is
not liked by his own name, a man of no property nor natural
following, of very mean understanding, with a vast deal of vanity.’[57]
But this word-portrait does not correspond with that drawn by a writer
who had better opportunities of knowing Glenbucket. The author of
the Memoirs of the Rebellion in the Counties of Aberdeen and Banff
particularly emphasises the affection he inspired in the Highlanders,
and significantly adds:—
‘It is generally believed he was very serviceable to the
court of Rome, in keeping up their correspondence with
the Chiefs of the Clans, and was certainly ... of late years
over at that court, when his Low Country friends believed
him to be all the while in the Highlands.’[58]
It may be that Lovat was one of those Highlanders who joined in
Glenbucket’s message. About this time he had been deprived of his
sheriffship and of his independent company, and, furious against the
Government, had almost openly avowed his Jacobitism. In 1736 he,
as sheriff, had released the Jacobite agent John Roy Stewart from
prison in Inverness and by him had despatched a message of
devotion to the Chevalier,[59] but of his co-operation with Glenbucket
I have found no hint. The sequence of events here narrated make it
plain that whoever it was for whom he spoke, it was Gordon of
Glenbucket whose initiative in 1737 originated the Jacobite revival
which eventually brought Prince Charles to Scotland.
Analysis of the papers is unnecessary after the admirable
introduction to the Memorials by Mr. Fitzroy Bell, but it may interest
readers of that work to refer to two letters mentioned in the
Memorials. The first of these was a letter Murray says he wrote to
the Chevalier giving an account of his interview with Cecil in London.
[60] Mr. Bell searched the Stuart Papers at Windsor, but failed to find
it. I think the letter printed on page 20 is the letter that was intended,
though it is addressed not to James but to his secretary Edgar. The
other letter mentioned in the Memorials was one to the Earl
Marischal written about the same time. It was entrusted for delivery
to Balhaldy and Traquair, but to Murray’s intense indignation they
destroyed it. In the Memorials he expresses his regret that he has
not a copy to insert. There is little doubt that the letter on page 27 of
these papers is the draft of the letter referred to.
The account of the interview with Cecil (pp. 16, 21) makes
pathetic reading. Murray, the Scottish official agent, fresh from
seeing Balhaldy and Sempill, the official agents in Paris, is conscious
that the latter are deceiving both the French Government and their
own party. Murray conceals from Balhaldy that he is going to
interview Cecil; from Cecil that he has been in Paris. Cecil, on the
other hand, makes only a partial disclosure of his feelings in
Murray’s presence. He is contemptuous of his Jacobite colleagues,
the Duchess of Buckingham and her party, and he has not a good
word to say of Sempill. Murray again ridicules Cecil, of whom he has
a poor opinion.
How could a cause served by such agents ever prosper?