Serving the Amish Young Center Books in Anabaptist Pietist Studies & Donald B. Kraybill, Series Editor ., Serving the Amish A Cultural Guide for Professionals James A. Cates z Johns Hopkins University Press Baltimore © 2014 Johns Hopkins University Press All rights reserved. Published 2014 Printed in the United States of America on acid-free paper 2 4 6 8 9 7 5 3 1 Johns Hopkins University Press 2715 North Charles Street Baltimore, Maryland 21218-4363 www.press.jhu.edu Library of Congress Cataloging-in-Publication Data Cates, James A., 1956– Serving the Amish : a cultural guide for professionals / James A. Cates. pages cm. — (Young Center books in Anabaptist & Pietist studies) Includes bibliographical references and index. isbn 978-1-4214-1495-9 (pbk.) — isbn 978-1-4214-1496-6 (electronic) — isbn 1-4214-1495-3 (pbk.) — isbn 1-4214-1496-1 (electronic) 1. Amish—Services for. 2. Human services. I. Title. e184.m45c38 2014 289.7—dc23 2013048637 A catalog record for this book is available from the British Library. For more information, please visit www.servingtheamish.net. Special discounts are available for bulk purchases of this book. For more information, please contact Special Sales at 410-516-6936 or [email protected]. Johns Hopkins University Press uses environmentally friendly book materials, including recycled text paper that is composed of at least 30 percent post-consumer waste, whenever possible. Contents Preface vii Acknowledgments xiii part i Culture and Context chapter 1. Strangers and Pilgrims 3 part ii Life Experience chapter 2. Changing Views of Human Services 23 chapter 3. Building and Maintaining Rapport 36 chapter 4. Across the Life Span 48 chapter 5. Women’s Issues 60 chapter 6. Sexuality 71 chapter 7. Violence and Abuse 84 chapter 8. Death and Loss 98 part iii Professional Interaction chapter 9. Counseling and Psychotherapy 113 chapter 10. Substance Abuse and Addictions 125 z contents å vi chapter 11. Law Enforcement and the Judiciary 141 chapter 12. Healthcare Professions 156 chapter 13. Social Work and Social Services 173 part iv Practical Considerations chapter 14. Guidelines for Service to the Amish 189 Epilogue 197 appendix a: A Quick Guide to Other Plain Groups 201 appendix b: Mental Health Diagnoses and the Amish 203 appendix c: Suggestions for Further Reading 208 Notes 211 Bibliography 219 Index 227 Preface . An Amish adolescent with an artistic bent ends his eighth and final year of education in an Amish school. His teacher sponsors an art contest, and he is (humility aside) the odds-on favorite to win. His en- try consists of a log cabin constructed entirely of paper. Tightly rolled sheets form logs for the walls, a faux brick chimney perches at one end, and door and windows are carefully cut and framed. The roof hinges to allow an inner view, where one finds intricately crafted paper furni- ture, almost all items modest and utilitarian accessories. The cabin takes second place. It would have swept the field, the art- ist is told, but for a single feature. In one corner he chose to include a television, and since such “worldly” pursuits are forbidden, he cannot be awarded first prize. , I frequently use this story to begin talks about the Amish, for it neatly symbolizes their view. “The world” has a place: second place. As hu- man service providers we offer much to Amish communities. They may learn from us, work with us, and be grateful for our friendship and support. In turn, we learn much from them. As with any culture, immers- ing ourselves in an understanding of the Amish worldview broadens our insights and perceptions of ourselves. And yet there will always be a dis- tance. By virtue of the choice to be who they are, there are psychological, social, and emotional separations that defy our full understanding. The art story is important in another way as well. It reminds us that the child’s journey to that integral separation is neither straightforward nor consistent. The artist was in his early teens when he was gently reminded . preface , viii of the expectations of his sect. He is now a young adult, and I have had the opportunity to watch him, along with many other adolescents, mature and develop his views. There is an ebb and flow in their embrace of the world, dependent on factors known and unknown, seen and unseen. The social roles—child, adolescent, adult, male and female, lay member and clergy—that shape our interactions with Amish people are complex and fluid. A deep grasp of Amish culture requires drawing from still another tradition—a Zen attitude of patient acquiescence to live within these ever-changing currents. This multifaceted separation entails another principle that is difficult for mainstream American providers to grasp. From cradle to grave, the Amish are immersed in a communal society. Getting second place in an art contest for including a television did more than simply remind the young artist that such media violates the rules. It reinforced for him, and for ev- ery student in the school, that being Amish is a lifestyle predicated on certain expectations. To be a part of the community is to fulfill these ex- pectations. To stray from them is to be reminded—at times gently (as with a young adolescent not yet baptized into the church), at times harshly (as with an adult member who violates the rules in an egregious manner)— that one’s first loyalty is to the community. As mainstream Americans, we take our individualism for granted. A public school art contest without specific rules would include a panoply of media, subjects, and designs. The Amish contest described did not need specific rules, for the scholars (as the Amish call their students) knew the moral limits to media and sub- ject matter available. There is room for individual navigation within this collective system, but the community keeps a watchful eye on just how far an individual strays. This book details hard-won principles for care and interaction with Amish people in human service and health care settings—interactions that often fall uncomfortably outside the daily routines of the Amish and the professionals who serve them. These are anxious moments in which outside “worldly” interests intrude most forcefully into Amish lives and traditions. The primary principles of this project rest on a foundation of treatment, care, and professional interaction that are germane to working with any group. Still, these generic formulas must be adapted in sensi- tive ways to meet the distinctive needs and cultural patterns of Amish people. With that purpose in mind, I use ample anecdotal evidence and first-person narratives (each disguised to protect the actual participants) . preface , ix to illustrate the culturally specific modes of professional interaction essen- tial for effectively serving members of this unique American subculture. What are the key features that distinguish professionals who are capable of crossing over cultural barriers? In Serving the Amish I argue that effective professional care requires more than a rudimentary grasp of Amish cultural values and social practices. I make the distinction between respecting and accepting the beliefs of clients who live in a very different world than the professionals who serve them. Professional service pro- viders can learn to respect the beliefs of different cultural groups while not accepting them as their own. Regardless of the particular field, three principles of care are essential to developing an effective professional rela- tionship with Amish people. First, there is no such thing as a “simple” interaction. In a collective so- ciety like the Amish, the intricacies of a single relationship spread like ripples from a stone tossed into a quiet pond. Based on their experience, Amish people are quick to label agencies and professionals with positive or pejorative adjectives. In a face-to-face society based on oral communica- tion, these tags become potent pointers that guide others toward or away from a particular provider or agency. Second, virtually all professional care revolves around the integrity of relationships. However, in the context of Amish culture integrity requires a degree of transparency from service providers that non-Amish clients and patients would not anticipate or even consider comfortable. It is not a matter of professionals sharing more of their personal experiences. Rather, it is a subtle “shedding” of the professional persona. For example, I often feel myself slipping into “therapist mode” as someone talks, analyzing in- formation, developing and discarding hypotheses, and making clinical interpretations as I prepare to respond. It is a role that serves me well in many situations, but it is also a “role” in a professional interaction. The Amish do not parse interpersonal experience into discrete roles. They are the same person across family, church, and business. The differentiation of roles is what distinguishes professional providers as agents of the outside world. Providers most capable of being genuine and real across different social settings—who can subtly shed some of their professional persona— have the greatest access to and success in Amish communities. Third, many standard protocols and professional procedures need to be modified to respect Amish spiritual beliefs and cultural practices in order
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