I’ve often said to other remote area nurses that we haven’t done ourselves any favours by doing the work that we do as we often feel we don’t fit in anywhere anymore. I read something recently that reinforced that opinion. In a book called “Other People’s Country” by Maureen Helen, her account of her work in remote Western Australia in the nineties, she speaks with a nurse who’s leaving after many years working in the same community: “It was to have been my big adventure,” she said wryly. ‘I’d planned it for a couple of years and thought I was lucky to get this job. But I hate the heat. And I miss my family, ‘she confides. ‘Sometimes I can’t remember why I came. everything’s so different. It’s like a foreign country, isn’t it? I feel as if I can’t talk to people who’ve never been here because they don’t understand. And people who live up here permanently are so comfortable they’re almost smug.”
I worked in Aurukun at the top of Cape York, Queensland on a five week contract before deciding to apply for a permanent job in the clinic. After I was interviewed and got the job I was flown home to South-East Queensland for 10 days to pack my things to be shipped back for the three-bedroom house I was to move into.
En-route I stayed overnight in Cairns. There were too many people at the airport, the shops and the motel foyer. There seemed to be more cars on the roads than when I was there five weeks previously. The colours were brighter, there was too much choice in the shops and everyone seemed to be talking loudly. I felt strange just walking around Cairns Central looking at the shops. I felt out of place, like I didn’t belong.
When I arrived home and met up with family and friends their questions sounded trivial to me, or their lack of questions widened a gap I felt was opening up between me and everything I’d considered normal before I left home.
I didn’t know it then but I was feeling the effects of reverse culture shock.
When a person returns home after being in another country or social environment it takes a whole other set of adjustments to when they first encountered the new setting. People assume because their friend or family member who’s been away, looks and sounds like the person they knew, that they still belong to all they left behind. But often things have changed in their absence and they have experienced life outside their previous norms in the time since they left home. They can, in fact, be quite disorientated on return.
Being aware of reverse culture shock, being prepared to experience boredom, isolation, disorientation and annoyance on arrival home will help a person to readjust. It’s a good idea to keep in contact with new friends made from the host culture and to talk to people with whom you can relate. It’s also often helpful to use creativity to incorporate the new cultural experiences into one’s regular life by writing articles or creating a photo exhibition, or simply by bringing art or cultural items into one’s home as a reminder of the time away.
Asking yourself what you’ve learnt and how you’ve changed help you to be more aware and to adjust and for the time away to have a positive effect.
I have to admit though that while these ideas are helpful, coping with reverse culture shock takes a much longer time than you’d think and if a person moves between cultures fairly regularly it doesn’t seem to get any easier. In fact one often feels like an in-between person not quite belonging anywhere.