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Site Update - Lived Experience Vs Comfort supporting with a topic

User Profile: Laura
Laura February 21st, 2019

Hi All,

Have you ever thought about what direct lived experience means vs a willingness to support someone in a topic?

Direct lived experience - This means you have direct personal experience with a particular mental health condition. This does not mean experience with a family member or friend who is living with the mental health condition, it means you personally have lived with the mental health condition. You do not need to have a diagnosis from a medical professional. If you believe you have lived experience with the condition, then we trust you to identify yourself appropriately.

Willingness to support someone in a topic - This means you do not necessarily have lived experience, but rather a comfort with or additional knowledge on the topic that makes you feel comfortable to support members in this topic!

It may seem obvious, but up till this point weve not differentiated between these two items. And we have not updated this section of the listener sign up process for over 5 years! Today, I am excited to announce, we will more clearly differentiate between direct lived experience vs a willingness to support someone in a topic in our product. We want to give members more opportunity to find listeners who may be a good match.

Dont worry, as listeners, it is up to you to decide how you want to present your listening skills or classify your experience. You are welcome to leave one or both of these topic areas completely blank on your profiles. These are both optional classifications for you to use in any way you personally feel comfortable.


We are making some language and functionality changes in the following locations:

1. Listener sign up - currently, when you sign up to be a listener the following option is presented:

Old text/ Header: area of expertise

Old Text/ Below topic list: OPTIONAL: Select areas that you have expertise, experience, or real interest in supporting. It is better to have a few key areas that you really care about, than it is to have many areas that you dont really care about.

Moving forward, the listener sign up will read like this:

Updated text/ Header: Your lived experience

Updated Text/ Below topic list: OPTIONAL: Some members like to talk to listeners with lived experience. Lived experience means that you have personal experience with a particular mental health condition. Select any topics that you have lived experience in.

Add we will add an additional topic section to Listener sign ups! :

Header Text: Topics I feel comfortable supporting someone with

[Insert same list of topic categories with check boxes]

Below Topic list text: Please share topics you may not have direct lived experience with, but you feel comfortable talking to someone about.

2.Browse listeners

We need browse listener search function to mimic changes made to listener profile sign up re direct lived experience vs topics a listener is comfortable supporting in.

Remove topics & change language to Direct Lived Experience

Add hover text/ explanation text: Direct Lived Experience indicates that the listener has direct lived experience with a specific mental health condition or topic.

Functionality: This search function should link directly to what the listener shares during the sign up process.

Add additional drop down Comfort with topic

Add hover text/ explanation text: Comfort with a topic indicates that the listener does not have direct lived experience with the topic but is comfortable supporting in this topic.

Functionality: This search function should link directly to what the listener shares during the sign up

3.Listener profiles

We need to update the listener profile page (on mobile & desktop / screen grabs attached).

We need to remove categories and add two distinct sections:

Direct Lived Experience

Comfort with Topic

Functionality for both should link directly to what Listeners report during Listener sign up and then manage from their settings page.

4.Listener Settings page - option to change/ tweak

Similar to the listener profiles update - we need to divide into two categories:

Direct Lived Experience

Add explanation text: Direct Lived Experience indicates that you have personally experienced the mental health condition.

Comfort with Topic

Add explanation text: Comfort with Topic indicates that you do not have direct lived experience, but you are comfortable supporting members with this topic.


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User Profile: AffyAvo
AffyAvo February 21st, 2019

@Laura Is this only being done with mental health conditions? If so, why only mental health conditions? Lived experience can be really useful for other topics as well.

1 reply
User Profile: Laura
Laura OP February 21st, 2019

@AffyAvo

This is a good point! I think there may be the opportunity to update this beyond mental health conditions in the future. For now, we will launch with this because it more closely aligns with existing site functionality (like the list of topics a listener can choose from).

1 reply
User Profile: AffyAvo
AffyAvo February 21st, 2019

@Laura There are currently 37 topics. Most of them are not a mental health condition. Also, some are symptoms of a mental health condition (ie. self-harm, alcohol/drug use). How many topics are planned to be included initially?

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User Profile: LetsCherishLife
LetsCherishLife April 5th, 2019

@AffyAvo I really love this idea but when is the update planned for?

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User Profile: Karrot
Karrot February 21st, 2019

@Laura

I am a bit confused by this are you saying that you have to share what you have been through because yes it is fine for me but for some of us we may not want to share our experience but we can help out with those topics. Some listeners signn up and have no experience on the topic but they learn based on mentors, and doing trainning. would this mean for teams and stuff that this would have a factor in this it is just a major change and a little bit confusing since I have been here since november. Just that it could be uncomfortable for some to list that they have experienced these things that is my only worry about this. Some people may not have these mental health conditions but could of delt with a loved one that has it. For example for me I have seen someone that is struggling with OCD so is that a lived experience or not so it is just feeling like a grey area for me. Sorry if my imput might of overstepped I do not usually comment on these.

@Kate @Jill7cups

2 replies
User Profile: Kate
Kate February 21st, 2019

@KarrotCake Sharing your own personal experience is completely optional. You will be able to put down topics you are comfortable speaking about but dont have to put any lived experience if you're not comfortable sharing. This will be listed as 'Comfort with topic.'

1 reply
User Profile: Karrot
Karrot February 21st, 2019

@Kate

Okay that makes sense I was skimming through it going in between classes I see what is now and yes that makes sense

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User Profile: CaringBrit
CaringBrit February 21st, 2019

@Laura finally theirs tons of areas i have direct experience trauma SH and disability this is why i chose these 3 for forum supporter highly passionate about these topics very close to my heart got direct experience in a few otyher topics too but these 3 top my list so excited for this update

User Profile: AffyAvo
AffyAvo February 21st, 2019

Regardless of what 7 cups does for the topic options, I have a huge problem with this definition:

"Direct lived experience - This means you have direct personal experience with a particular mental health condition. "

This is suggesting that many of the experiences I, as well as others have gone through in life are not direct lived experiences. For a site that encourages validation I'm really disappointed in the definition being used.

I am also concerned what the effect will be by limiting sharing what topics a listener has a direct lived experience with as proposed. In the past there have been too many listeners who feel like only those with a mental illness 'deserve' to get support on 7 Cups. When special attention is given to mental illness topics and not others, this can fuel that mentality.

6 replies
User Profile: TaranWanderer
TaranWanderer February 22nd, 2019

@AffyAvo is the issue with the definition the ending part? Would it make a difference if it was worded as "Direct lived experience - This means you have direct personal experience with a particular topic." (Or something similar)

I don't think it was meant to say that if you don't experience a mental health issue, that you don't have lived experience in anything, nor was it meant to say mental health is more important. I think it was just a wording choice to try to summarize the topics, which I'm assuming are going to be all the exact same as we already have (which obviously includes non-mental-health topics), just distinguishing if a person has gone through it themselves or would just be comfortable providing support, that's all. Could use a wording change if we're going to properly sum up the options, but I don't think it was meant to be a slight at all.

5 replies
User Profile: AffyAvo
AffyAvo February 22nd, 2019

@TaranWanderer Yes, you have it. I don't think it was just a mistake though, as Laura mentioned earlier, only mental health conditions are planning to be included.

4 replies
User Profile: TaranWanderer
TaranWanderer February 22nd, 2019

@AffyAvo the way I read it, it's possible she was confused and thought we wanted more categories added (in addition to the existing ones). The main post only talked about changing the headers and what it was called, and sort of just putting two streams where you could list things, not changing the options to choose from. Possibly a poor word choice to use mental health condition, but I didn't get the impression the actual topic list was changing. Think that would've been mentioned in the main post and they would have said the new list options, but all that was said was some language changes.

User Profile: Laura
Laura OP February 25th, 2019

@AffyAvo

Hi Affy!

Upon discussion with the team, we have decided we can add some of the most common additional topics to the list. As you have pointed out it would be hard to do that given the long list of potential topics.

But we could do a survey for listeners/ members and see what the top 10 are.

What do you think of this approach?

2 replies
User Profile: AffyAvo
AffyAvo February 25th, 2019

@Laura I would prefer to see that than just mental health conditions.

I don't understand why it's not possible to have a long potential list of lived experiences though, just as there are for support topics.

Also, when you go with the most common, typically those are also the easiest ones for people to already find those with lived experiences simply by probability. For example, in my life I have come across many others who have asthma, it's common so in a typical classroom it's pretty likely that even just by asking I can find someone else who has it. When it comes to HAE though, it's not likely I will find someone else just by getting a general population together and asking. The only time I have come across others with HAE is in HAE support groups, at the rare disorders blood clinic and at HAE informational events. The same will be true at 7 Cups. There are many people here with depression, anxiety or that self-harm. Almost everyone likely has some experience with Student Life. There's a pretty good chance that someone who has one of those topics listed also has experience. For someone with schizophrenia (which I thought was a topic, it's not even listed though) or a perinatal mood disorder, they aren't so likely to come across a listener with a lived experience as these are more rare.

So of the topics that people can list, I think it would actually be more helpful to have the 10 least common topics to be included as possible lived experiences, rather than the 10 most common topics.

1 reply
User Profile: TaranWanderer
TaranWanderer February 25th, 2019

@AffyAvo I feel like having the least common ones as options would also be the least helpful, because you're going to be able to reach a smaller audience with it. Sure, some things are really common, but that also means there's going to be a higher number of members who are looking for support on those things. Practically, it makes more sense to list ones that will be the most useful to the most people. Besides, for any less common ones, you know anything a listener puts in their bio can be found using the keyword search, so someone looking for something specific or uncommon can search that way and find what they're looking for just the same.

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User Profile: Hopeful0001
Hopeful0001 February 21st, 2019

Hey, @Laura this is such a great idea!

User Profile: weirdman
weirdman February 22nd, 2019

These updates sound awesome. @Laura

User Profile: SpaceStation2
SpaceStation2 February 22nd, 2019

@Laura

I really like this idea. I think it will really be helpful for members and listeners alike.

User Profile: Erato
Erato February 22nd, 2019

I'm happy to hear this.

Oftentimes, I stumble upon listeners who have so many categories listed on their profile while it's up to the listener to pick what they want to listen to, it's also concerning because there are times (especially when I'd have a mock chat with them for their VL) where they admit that it's just their first time handling such chat or they didn't expect that it'd be that hard to handle such chat or they're not that knowledgeable about the topic. On the other hand, members end up being frustrated when they've expected that the listener should be able to understand their issue but turns out they're not being validated for what they're going through.

I hope that by having this update, it'd be very helpful for both listeners and members. If this becomes successful, I'm also hoping to see more topics outside mental health being covered Slightly smiling

Inner peace is the new success.

User Profile: RarelyCharlie
RarelyCharlie February 22nd, 2019

I can't see myself advertising my lived experience here.

I've never found that providing emotional support at 7 Cups (or anywhere else) depends on knowledge of any particular topic. And in any case, the topic often changes significantly during a chat.

Calling it lived experience is slightly inaccurate, I think. All that will happen is that people who have shared a broad diagnostic label will be grouped together, even if their actual experiences have been very different. People who really do have shared experience—for example, of other family members who don't understand their illness—will be separated by diagnostic label.

Any increased emphasis on topic knowledge will tend to make members and guests expect advice, it seems to me, and will tend to make inexperienced listeners more likely to hand it out.

My feeling is that identifying lived experience stigmatizes mental illnesses, as if they are all lifelong conditions, when the reality is that many people who suffer a mental illness completely recover from it. A listener who has completely recovered from an illness should not be asked to label themselves with it, in my view.

Treating mental and physical conditions differently just seems outdated.

When I chat to people here, I always try to avoid making the conversation about me. Advertising my lived experience would make this more difficult. As @cloudySummer has already pointed out, some members and guests target listeners, and I agree that listeners who disclose this kind of information will be at greater risk.

To answer the original question, yes I've thought about what direct lived experience means. I've been trying to think of some positive things to say about this idea, but none have come to mind. I don't see any in the original post or in the discussion so far. It would be good to know what the purpose of this is, and how success will be measured.

Charlie

4 replies
User Profile: MistyMagic
MistyMagic February 22nd, 2019

@RarelyCharlie

What a superb post! You covered all the points I wanted to make.

I will add one though as an example. In the Bipolar Support sub-community, where I am currently part of the team, we are working hard to get rid of stigma and encourage listeners that do not have bipolar to join.
Any listener can provide good, helpful, kind, emotional support by using active listening skills. They do not have to have bipolar themselves or even really know much about the topic, they just have to be keen and active. But this change to the topics and definition of 'experience' can surely only increase stigma and demarcation, maybe even one-up-manship too?

@palmtreesnrainbows

Listening .... One Step At A Time

1 reply
User Profile: PalmTreesNRainbows
PalmTreesNRainbows February 22nd, 2019

@MistyMagic

well said misty

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User Profile: TaranWanderer
TaranWanderer February 22nd, 2019

@RarelyCharlie

Personally, I disagree. I think there is some use to letting members searching for a listener know if the person has been through it themselves or is just a kind ear. I don't think it matters in terms of being able to provide support, but I've had experiences where there was a disconnect because the listener didn't know what it felt like. Other times it didn't matter. It would just be a nice option depending on what the member is looking for.

Literally all people's experiences of anything are going to be different and unique to themselves. That doesn't mean we can't say we've had experience with it? I'm not sure your point there. It's no different than the current system of listing categories. One person who lists "depression" as a topic they would talk about is going to be vastly different than another, lived experience or not. People are different. And it's hardly a diagnostic label, it's more just a different way to say you'd be comfortable talking about the topic?

I don't get the impression in the slightest that lived experience implies you're giving yourself a label, that you're always affected by it (can't be fully recovered), or that it can't just be a thing of the past. Is there really anything wrong with saying "yes I've had personal experience with that"? I see no stigma in that. It's not really a label?

I see nowhere that mental and physical conditions are being treated differently with the new options. It could use a wording change but that's all.

If your listener style is less about you, then you don't have to put anything in the lived experience category if you don't want? We shouldn't have to live based on the fear of being hurt--aka not do things just because others could use it in bad ways. The "bad guys" shouldn't be dictating what we do or not. We should be able to do new things and take care of the attackers as they come. There are going to be hurtful people no matter what, why should we let it stop some people having the option, if they choose, to list what they have experience with? Do the potential cons really outweigh the potential benefits (or even potential neutrals)? I don't think so. Listing things is optional and always changeable. If it's not working out for someone, they can change it.

I personally like this idea. I think it could be useful to members based on what they're looking for, and could help people really think about what they're listing, even if they choose to not put anything in the lived experience section, instead of just listing all of the topics (which I've seen). I think when I'm using my member account, I would definitely use that extra search option for some topics, and might not care for others. Anyone can provide support on any topic, I believe that, but I also know there are times when all you really need is mutual understanding, someone to say "I've been there too". It can mean a lot to some people, for others it won't matter. But having the option to search for listeners based on your personal needs would be nice in my opinion. It is, after all, about the members and those in search of support.

12 replies
User Profile: AffyAvo
AffyAvo February 25th, 2019

@TaranWanderer The fact that this was proposed as for those who deal with "mental health conditions" and the definition of direct lived experiences including "mental health conditions" while excluding those who do not have them does show they arek being treated differently.

11 replies
User Profile: TaranWanderer
TaranWanderer February 25th, 2019

@AffyAvo I honestly don't see how just mentioning one thing and not another means the other is being treated differently. It just wasn't mentioned. It doesn't mean it's any less or that you can't have lived experience with things other than mental illness. It was just the thing that was mentioned in the post.

10 replies
User Profile: AffyAvo
AffyAvo February 25th, 2019

@TaranWanderer It's not that it wasn't mentioned, the definition was very specific and it excludes other lived experiences.

As for the plan for the way the topics were listed, it was planned for mental conditions only. When someone is being done for one set of topics and not the rest, they are being treated differently.

9 replies
User Profile: TaranWanderer
TaranWanderer February 26th, 2019

@AffyAvo I disagree, I don't think just stating one thing means you're excluding others. It never said lived experience means strictly mental illness. It just was explaining what lived experience of mental illness is. Not that it's the only type of lived experience that exists. They chose to focus on mental health for this update, is it really so wrong to have a focus? Does everything have to include everything?

Choosing to focus on one thing doesn't mean the things not mentioned aren't important too, they just weren't the focus topic. Sure fine in a technical sense, it's being treated "differently", but it's not in a negative way nor in a way that makes one more important than another. Just different. Is different really that bad? The post could have easily been about physical illness just the same and there would be nothing wrong with it either. Again, talking about one thing and not others doesn't mean the others aren't important. It just means they were choosing to focus on one thing at this time. Why is that so bad.

8 replies
User Profile: AffyAvo
AffyAvo February 26th, 2019

@TaranWanderer ALL of the current topics do focus on mental health they don't all have mental illness as a focus.

7 replies
User Profile: TaranWanderer
TaranWanderer February 26th, 2019

@AffyAvo which is why mental health was used in the original post. I personally use the two terms interchangeably, as "two sides of the same coin". It doesn't change my point, it's just a personal language choice.

6 replies
User Profile: AffyAvo
AffyAvo February 26th, 2019

@TaranWanderer Mental health and mental health conditions are not the same.

5 replies
User Profile: TaranWanderer
TaranWanderer February 26th, 2019

@AffyAvo I really see no important difference. If we take mental health condition to have essentially the same definition as mental illness, they are related and generally interchangeable to me with just mental health. Besides, if you really want to get specific about words, what's so wrong with having a focus on mental health conditions? My points still have not changed.

4 replies
User Profile: AffyAvo
AffyAvo February 26th, 2019

@TaranWanderer Right, mental health conditions and mental health illnesses are fairly interchangeable.

Taking care of one's mental health doesn't need to involve a health condition or a health illness - mental or physical. Mental health is not the same thing as a mental health condition/mental health illness.

3 replies
User Profile: TaranWanderer
TaranWanderer February 26th, 2019

@AffyAvo in the end the terminology used doesn't change what this update is about (the simple addition of an option) nor my points already made.

2 replies
User Profile: AffyAvo
AffyAvo February 26th, 2019

@TaranWanderer And it still stands that mental illness topicss often get special treatment and those of us dealing with other issues aren't always treated with open arms here simply because there's a stigma propogated by some that 7 cups is for those with a mental illness and not everyone else.

1 reply
User Profile: TaranWanderer
TaranWanderer February 27th, 2019

@AffyAvo that's unfortunate, but that said, it also doesn't mean that updates focused on mental illness/health conditions are necessarily bad or perpetuating the false idea that some have, just because they're focused on one thing and not others. Everyone should be included on 7cups but not every update or decision needs to include everything all the time. For example, if this update was about physical illness only, it should be equally accepted and has the exact same potential for helping others. But this one is about mental health conditions, that's all. Taken for what it really is, it's just an option to list things to potentially help members match with listeners depending on what they're looking for. For those it doesn't apply to, it just doesn't apply and would be a neutral addition if anything. It doesn't have to be an "us vs them" issue all the time.

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User Profile: jennysunrise8
jennysunrise8 March 27th, 2019

@RarelyCharlie ive just started the first peer worker training module and one thing i noticed is that the empasis seems to be on mutual sharing with one another feelings and experiences where active listening is just more or less reflecting back to the person what theyve said in various ways im curious what you think i just started and its not that i dont like it or think its good only that it kind of goes against the strictly reflective principles of active listening or active listening plus something extra i wonder how thatll play out

3 replies
User Profile: RarelyCharlie
RarelyCharlie March 27th, 2019

@jennysunrise8 I haven't looked at the training yet, but I hope to be able to make a start on it today.

Peer support is definitely not the same as active listening. My only knowledge of it comes from real life clinical environments where there are certain safeguards in place. 7 Cups is not a clinical environment and isn't really into safeguards in the same way. Like you, I wonder how it will play out.

Charlie

User Profile: RarelyCharlie
RarelyCharlie March 27th, 2019

@jennysunrise8 I've now been through Peer Training 1 (although I didn't watch the videos). It seemed very confused and confusing.

There's the usual almost addictive dependency on rules and lists that we're used to from other 7 Cups training courses, and lack of good explanation and examples.

The section on empathy is particularly bad, I thought, encouraging robotic responses like "I would feel that way, too, in your position." I can understand that it's OK for peer supporters to talk about themselves (while it's not OK for listeners). But reducing a person's emotions to "feel that way" is robotic and dehumanizing.

The laugh-out-loud moment, for me, was when it confused Intentional Peer Support with "international". Rolling on the floor laughing I can't even

How will a member know, I wonder, whether the listener they're about to chat to is going to use an active listening approach or a peer support approach? Shouldn't we be transparent about this?

Charlie

1 reply
User Profile: jennysunrise8
jennysunrise8 March 27th, 2019

@RarelyCharlie true members and guests should be made aware of what the different listeners are what to expect from someone who uses active listening approach and peer listening approach someone who is a peer supporter can also use active listening techniques but some things that are prohibited for the active listener such as the listener talking about themselves and sharing their feelings and thoughts about their common experience and i actually think this can help explain to listeners what active listening is not and can give a clear understanding - active listening is not peer support your not sharing your just listening this can help explain the concept of active listening what it is and what it is not

but explaining to members and guests what to expect from someone who is trained in peer listening they really should know i think in the automatic welcome message that each new member gets should explain what a peer listener is and what they can expect when talking to one and what they can expect when talking to a listener maybe provide a link to an info page explaining each it could be good though when it comes to explaining what to expect and to listeners what is expected of them it can make things more clear and thats definately good and is definately needed and it should be more visible on listener profiles they say they are going to add it in the search so people can search specifically for peer listeners and filter but i think there should also be some sort of symbol in a visible place like there is a purple checkmark for verified listeners not simply a badge but also visible at the top of the profile so its more clear ( it also would help a member if they understood what a verified listener means and does not mean like giving a link to a thread or info page in their welcome message )

so yay for less confusion and more clarity for everyone much needed as far as what active listening is not anyways but i predict some problems from this but well see what evolves im not surprised 7cups is becoming more social after all people are here and its natural for people to be but i can see it can create issues but those issues can be managed i do think also its good that its becoming more personalized members can find a listener even more suited for what theyre looking for and will be happy with all this can result in greater user satisfaction and better reviews as a helpful place where a person can get free very personalized emotional support so i think this is really good if any problems that arise can be worked out but im sure well both have more to say on it as things evolve noone knows the future but for sure it will be interesting wink

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User Profile: Rivercat22
Rivercat22 February 26th, 2019

@Laura I think this a good idea. Since having Lived Experience can really help someone who struggling with this. I have a concern though...

I think that we need to have a bigger scale of topics and it's important we keep BPD as an topic as well as personality disorders. Since there is limited help with BPD 7cups has been a place alot of people with BPD turn to. That being said we need to be careful as to what we share because we can be a target. I mean as a listener we are told not to share too much personal stuff so now that's say I share I'm bpd and so fourth what if other listeners use this against me ? Like for example I'm too emotional for a leadership role ? This is just an example but the point is there are people on here who do intend to hurt others and find fault. I have faced alot of target and abuse because of my LGBT status which I don't share because of it. I think before we go putting Lived Experience we need to be putting things in place to protect us. I'm very open with my bpd but with other things it can lead to abuse. And that a huge concern. Being abuse by fellow members because you trans or gay / lesbian can be very disappointing. Just a thought