Perspective · By Kay Ingamells

Wrapped in Care: Narrative Therapy in the Time of COVID

A clinician uses Narrative Therapy to work within a client’s native culture while counselling her through the painful grief of losing her grandmother to COVID.

Genealogical Narrative

“My Nana died from Covid. She died four months ago. I am still crying every day. I am not getting over it”.

That’s what the email said. That’s why Harper intended to meet with me. As a therapist I work for various organizations, and Harper’s employer, an Australian-New Zealand company, was one of them.

I don’t like Zoom at the best of times. To me, with my head-and-shoulders only view she looked a small, perhaps even plump young woman, her face rounded like an apple. It was only months later when I met Harper in person that I realized that the 5-foot-3 inches was in my imagination. Harper’s face might be apple-y, but her stature was more that of a Kauri tree: She was tall, solid. She was dressed in Nike, growing towards the light.

Usually, I will begin by enquiring into a person’s virtues and I will ask for stories to illuminate them. So often, problems obscure from the person themselves the very attributes of their character which will be of most help to them in adversity. The problem weighs in on the person, forcing them to see only their troubles and rubbing their noses in inadequacy. But Harper was alone. Usually, I will ask others to speak for the person because it is so hard for them to do so themselves. For Maori, this is likely to be even harder because to speak about oneself, especially with pride, can be inappropriate when the sense of self is primarily a collective one (1). This whakatauki (Maori proverb), speaks to this cultural tenet: “Kaore te kumara e korero mo tana ake reka”, (translated as: “The kumara –sweet potato– does not speak of its own sweetness.”)

However, Maori see themselves in terms of their whakapapa, described by Te Rito as “a genealogical narrative, a story told layer upon layer, ancestor upon ancestor, up to the present day. There are parallel lineages of characters which run vertically side by side, era by era, and incident by incident.” (2) To enquire about Harper’s identity in terms of the genealogy of her character would be to enquire after her whakapapa, to site her character within her lineage. As Swann says, “whakapapa narratives also provide the individual and cultural context from which meaning-making, connection, and shaping of identity emerge.” (3)

Family Separation During Covid

Sometimes I will interview people about their virtues even if they are on their own. I might ask them to imagine what someone close to them might say. I might have consulted with Harper, whether this would have been something she would like to consider within the context of her whakapapa, had her grief and love for her Nana not filled the screen.

Instead, I encouraged Harper her to speak of her Nana and what she meant to her, and how they had been separated by distance, then by Covid, then by death.

I intuited that Harper’s relationship with her would offer us our way through our therapy conversations. Knowing that for Maori, our ancestors are with us in the here and now, that they “go with us” (4), I asked her to tell me about her Nana: “Harper, would you be willing to introduce me to your Nana? Would you be willing to tell me a little about her and her life?”

Harper’s hand went to her heart. “Yes, I’d love to. Nana was born in the Hokianga.” She sat up straight in her chair. “She was Ngapuhi [a large New Zealand social unit] and full Maori. She had it hard because Grandad had an affair and left her with seven kids. My dad was the second eldest, and the oldest boy.”

“And what is it that most stands out to you about who she was, Harper?”

Harper looked upwards, as if consulting the heavens. “Even though she worked three jobs and had all of those seven tamariki [children] to care for, she always helped others.”

She went on to tell me her Nana had had the misfortune to be admitted to hospital in Wellington after a fall. Then diagnosed with Covid- 19, she found herself cared for by strangers as the rest of her devoted whanau [extended family] waited in lockdown. They were only 4 kilometres away, but heart-breakingly, hopelessly distant.

Harper was unable to see “the most beautiful woman alive,” whom she had visited every day of her 23 years. She had moved away to Australia only six weeks before Covid burst forth on to the world. She was stranded by love, lured by a new relationship with Arthur, which had begun online. Messaging had turned into long emails, which had turned into daily Zoom calls. Harper and Arthur soon realized that they had to meet and see if their online romance would flourish in the ‘real’ world.

Their first meeting in person was at Sydney airport. She saw Arthur before he saw her, waiting, hands in pockets, fretted brow, chewing a strand of silky black hair to soothe his nervous heart. In that moment, 2D became 3D, pixels became flesh, their love jumped from the screen into the arrival lounge. Arthur’s life had been wall to wall with challenge and worry, but his budding relationship with Harper had kept him afloat. Arthur’s father was waiting for a surgical triple bypass. The mother of his 18-month-old son had departed with her boss for the Gold Coast six months before, and his mother had died of cancer two years earlier. Harper knew he was barely hanging on, so she stayed. Just like her Nana would have done.

Harper told me of the trials living with Arthurs’s family, how she felt both “homesick, and not at home when I am at home,” her outrage at Arthurs’ siblings, and even Arthur himself, for indulging “a complaining old man'' who continued to mete out nastiness to all of them, whilst they bowed under the sway of his illness. Nothing new to this family, just a new reason. But in the background hummed the tune of a granddaughter's love for her Nana whom she would never set eyes on again. Love was the bass line, even if grief for her Nana had become a superimposed, unwelcome harmony.

She told me of her premonition the week before the world closed its doors and its airport runways:

“I wanted to go home to my Nana. I asked myself, ‘what if I can’t say goodbye?’ I wondered if I would ever forgive myself if I chose to be here, over the ditch in Australia, with a family that doesn't build me up. Then I got the call from Dad. Nana had tested positive. I just knew. None of us got to say goodbye. We had a full whanau Zoom. She was so happy. Then she rolled over and died. We think she did it then on purpose.

My auntie had a korowai [Maori cloak made of wax and bird feathers through the art of finger weft-twining] made by a woman near Rawene. It was arranged five minutes after she passed. We wanted to have the cloak on her so that she felt that we were with her as she began to leave her body, and to leave us. Afterwards the cloak had to go into quarantine. I watched the tangi [short for tangihanga, Maori for funeral] on livestream. How weird is that? The last thing I saw was my family hugging her. Of course, only 10 of them could go because of the Level 3 Covid restrictions. All I could think was ‘why am I here in Sydney?’ I turned off the livestream and just sat there thinking ‘now what am I meant to do?’ Nothing felt real. The grief didn’t feel real. I was on my own staring at a blank screen. All because someone gave her Covid. Covid robbed me of my Nana.”

Grief and love mixed with outrage at the injustice of it all. The injustice of losing “the most beautiful woman alive” to Covid, the injustice of not being able to say goodbye. The injustice of being away from her wh?nau, her friends. The injustice of having to “zip her lip” at the behaviour of this sullen old man, and the equally nauseating behaviour of a family afraid to name what they see, as so many families do.

Harper had said “unjust” several times. I thought to ask her, “Harper, if you feel you have suffered such injustice, would you say that you are someone who believes in justice for yourself, and also for others?”

A Client Takes the Side of Love

“I am about justice. I speak out. I cannot stand things being swept under the carpet.”

How I wondered had Harper become an “all about justice” young wahine [woman/female]? It is all too easy to take such insight into a person’s character at face value: to assume that this is just ‘who they are.’ But virtues have stories. Perhaps some of it is genetic, but the choice to act on values is embedded in familial and wider culture, and in my experience have a story behind them if I am prepared to search hard enough with people. The story may have begun with the person, or it may have begun generations ago. A person’s virtues are rarely intrinsic to them.

The cult of the individual blinds us to the context in which personal virtues and values are handed down to us. And more than that, there are ancestral stories, which for Maori, trace whakapapa. As Love says: “A view of individual selfhood is indivisible from the whanau (hapu and iwi) unit, including the temporal and spiritual constituents of these. The boundaries of the self were drawn around the whanau, hapu and Iwi, unit, ancestors and the natural and supernatural world (5). Te Rito writes about his experience of researching the importance of tracing his own ancestry as he went about his academic research into the importance of whakapapa for identity. He writes: “…it has helped ground myself firmly in place and time. It connects me to my past and to my present. Such outcomes certainly confirm identity and a deep sense of ‘being’” (2). I was thinking of Harper’s whakapapa when I asked, “Harper, how do you guess that you have become someone who “is about justice, who speaks out, and won’t tolerate things being swept under the carpet?”

“It’s to do with my dad and how he has treated my mum all my life. I won’t stand for it.”

“How is it that your dad has treated your mum, Harper, and how have you gone about standing up to your dad’s treatment of her?” (6) Her presence on the screen seemed to become larger as she said, “My father is a strong, proud, Maori man. He thinks that he doesn’t need to justify anything. Mum said he acts that way because this is how he acts. That is how proud Maori men are. Dad has never been abusive, but he does shut Mum down.”

“Does your commitment to speaking out against injustice extend to others beyond your whanau, Harper?” [a question asked to help Harper story her identity].

“I confront my dad, and I confront others, but it’s hard doing this for everyone else.”

It wasn’t just Harper’s love for her Nana that shone from the screen; it was her willingness to speak out on love’s behalf: “Is speaking out one of the ways that you show your love for people,” I asked her?

Harper stopped as if putting her foot to the floor at speed.

“Yes, I speak out because I do love people. I don’t want people to feel hurt.” Looking down, she changed gear: “I try to fix things for others, and for myself. Death hurts, but I can’t fix it.”

We sat in silence for a moment or two.

“Harper, is this what your Nana did? Did she fix things for others?”

The words that followed sounded were like the final knell of a church bell:

“My Nana used to say, ‘while we are living, we have the chance to turn things around.’” Her voice softened as she confessed: “I don’t respect my dad because of how he is but I do want a better relationship with him. He was always physically present, but he wasn’t there for me emotionally. I have told him that I want him to be in contact with me more often”.

“Harper, are you trying to turn your relationship with your dad around just as your Nana would have done?” [an attempt at storying to bring Harper closer to her Nana]

Her closed hand came to rest on her lips. “I realized that I wouldn’t be okay if my dad were to die, and we were not okay. I told him, ‘I recognise that you have your own way of showing your love to me.’ He was shocked. He just said, ‘I try to make sure that you come along with me to the rugby club, but you just don’t want to come.’”

Father-daughter love had been conflated with going to the rugby club. I felt for her even though I realized that this was a father who loved his daughter and was expressing it in the best way he knew how at that time. However, I marvelled that this 23-year-old, aggrieved by her father’s treatment of her mother, was willing to take the side of love [formulating a counter-story].

“Harper, even though you say that you do not respect your father because of the way in which he has treated your mother, why is it that knowing him as you do, you reached out your arms in love to him, even if it seems as if he has kept his by his side?” [inviting Harper to look beneath her father’s actions to find intentions].

“It’s Nana, through and through. She never took sides. I spent a lot of time with her growing up. Dad always used to take me and my brothers to her. It is one of the best things that Dad ever did for me.”

My ears pricked. “Did your Nana teach you how to take the side of love?'' I asked her.

She reached for a tissue as tears began to swell.

“Could you tell me a story which would help me to understand how it is that your Nana taught you to take the side of love rather than to take sides?” [an attempt to connect Harper to her Nana through a powerful story]

“I would get sent there to her place as punishment when I was in trouble. She would sit me down at her kitchen table and tell me stories about her life and the hardships she suffered like ‘having to walk for 8 kilometres to school every day after milking the cows and tending to the farm.’ The stories made me realize how I might have overreacted at home, or why my parents did what they did. There were always lessons in her stories, and it always came back to ‘do you know your parents love you? There is a reason why your parents do what they do.’ I was so wrapped up in her care that I didn’t hear it as a lecture.”

“Harper, would you say that your Nana taught you to take the side of your parents' love for you, no matter what, and did so in such a loving way that you were able to hear her?”

“Yes. I know she sympathised, but she never said anything against them. She always directed everything back to their love for me.”

“Has your Nana taking the side of love rather than your side or your parent’s side inspired you to continue to believe in your father’s love and to continue to reach out to him, even if at times you do not experience that love in return?” [weaving the story of her Nana’s love across generations]

“100 percent,” she affirmed.

“And are there any other ways in which your Nana has taught you to love? [making her story about choosing the path of love more substantial]. For instance, you chose to leave your whanau, to move overseas when you had never even been out of Auckland before to be with a partner with a baby son and a sick father. And you told me earlier that your Nana was always there for others even although she was a single parent with seven children to care for and worked three jobs. Did your Nana hand down to you your generosity to others? [moving the story of commitment to love into the present].

“I’d like to think so. Her love was like this river that flowed to everyone in her path. And her love ran through me too. She was me and I was her. Or that is how it always felt to me?” [weaving the story of love into a river with tributaries to others].

All too aware that guilt was likely to be troubling Harper because she had made choices for her own life that took her from her Nana not long before she fell sick, I asked her, “even although you were so far away from your Nana, how did you make sure that your Nana felt your love for her through her illness?”

“I spoke to her every day on the phone and on Zoom, so she did get to see and to hear me morning and night. I formed a relationship with her head nurse. I remember one day hearing singing as I was joining her online. It was the nurses. They had written out Maori songs and they sang them to her, and they weren’t even Maori. They worked out our family tree and knew who each of us was. It nearly broke my heart when I realized that they had done all of this for my Nana and for us.”

I was suspicious that there was more to this than met the eye. Not every team of nurses would find Maori songs and sing them to a patient, especially if they weren't Maori themselves, and especially during lockdown in a pandemic. Was it Harper and her love for her Nana that had inspired them? “Harper, would you agree that what the nurses did was pretty unusual? Do you think that they also felt your love for your Nana and your Nana’s love for others and got pulled into the river of her love as well?”

“They certainly felt my love for her, and I guess no one escaped her love, even when she was in hospital. I have always believed that I was her favorite, and maybe they realized that,” she bubbled. She looked up wistfully, and said, “although the dementia took part of her away, her wairua [spirit or soul] remained just as it had always been. They must have felt her wairua.” We sat for a few moments in what felt to me to be reverence. Then her brow furrowed. She told me that she had been feeling overcome with anger since she had had a phone call from her auntie.

“I have this righteous anger. My auntie said she heard a rumor that it was a nurse who was sick and didn’t go for a test. Someone made a choice and brought the virus in and caused her death. I keep asking myself ‘what is going to be done about that?’ Then, I was sitting in the walk-in-wardrobe in our bedroom, which is where I go when I need time out, and I heard her voice saying: ‘you are not me.’ I didn’t feel belittled at all.”

“Why not, Harper? What was it that you heard in your Nana’s words that was not a criticism, not belittling in any way?” [a ‘close’ question, designed to help Harper stay close to her Nana].

“I knew what she meant because she told me this many times. She was letting me know that it was not up to me to seek justice, that I didn’t need to replace her, and it was okay to be angry even although she would feel differently. Sitting there on my bed, I realized that she was giving me permission to be myself, just like she always did. I sat there for a bit and then I realized that I do want to be like her. I so respected my Nana. I can be like her and be me. Then, for some reason I turned on the TV, and on the news, there was a clip of Jacinda [New Zealand Prime Minister at the time] speaking about the New Zealand response to Covid. I felt for her. She has had so much flack. And although what she has done was not successful for my Nana, there could have been thousands more deaths. As I watched her, I felt my Nana’s presence.”

“What was it about Jacinda that felt so much like your Nana, Harper?” She looked up as if taking herself back to the moment.

“My Nana’s strength came from her love of people and that is how Jacinda is for me.”

I was surprised to hear what she said next. It is one thing to feel a connection, another to act. I wondered whether her Nana was also a woman who acted when she felt strongly, and especially if motivated by contributing to another. It certainly seemed so.

“I decided to write to Jacinda. I told her about my Nana. I told her about how I believed she loved people in the same way. I told her I didn’t blame her. I didn’t need a reply, and I didn’t expect one, so I was so surprised when one came. She said that she was ‘moved to tears by my letter’ and that ‘she was proud to be compared to my Nana.’”

A calm had descended. It is strange that even though we were thousands of miles away from one another I felt it palpably, as if we were in the same room. I also felt as if Harper’s Nana was with us. Perhaps she was in the spirit of the way in which she lived: in service of her love for others. Enamored with the idea that our lives are all ‘peopled’ at all times with those that have gone before us’ (4), I felt the urge to include Harper’s Nana in our conversation, and asked a question that I might often ask when I felt that a loved one, no longer present in their physical body, might be knocking on the door, waiting to be asked to contribute:

“Harper, if your Nana was looking down on us right now, and felt your love for her, what do you think she might say?” [a question borrowed from David Epston].

Harper’s eyes widened. She looked up and away, and then answered as if my question was one that she was asked everyday: “She would say, remember that Jacinda is healing her whanau too.”

Harper’s Nana had been the matriarch of her whanau, its spiritual leader, its healer. Harper was her most beloved grandchild. I had the sense that Harper’s Nana may also have seen in Harper her spiritual successor. This sense, along with the Maori belief that our ancestors walk with us, led me to ask, “Harper, would you say that your Nana has passed on her ability to love people to you?” [a question asked to bring Harper closer to her grief]. The absence of hesitation gave me her answer before I heard her reply:

“Yes. My uncle says ‘you have so much of her spirit and essence,’ and I feel closer to her when I talk to you.’”

“And Harper, you said that your Nana found her strength in her love of people. Would you say that you do and will find your strength through your love of people as well?”

Harper blinked away a tear. Our first meeting had come to an end. We held on for a few moments, and then we both reluctantly pressed ‘leave meeting’.

Whilst We Are Living…

Harper’s face popped onto the screen. She mouthed something but the caption told me that her microphone was still connecting. Harper wanted to tell me about the memorial she and her whanau had been planning for her Nana. She had put together a slideshow of photographs from her Nana’s life. The bubbliness which had shimmered on the screen in those first few moments burst, as she told me that the purposefulness of her slideshow-mission had given way the moment she had finished it.

“I just cried. It was the first time that it came home to me that she was really gone. Until that moment, her loss had not fully made its way to her heart. It is so hard to accept that ‘that is that.”

An emptiness sat between us, and then, like a visitor who senses the awkwardness of the moment and attempts to fill it, a suggestion intruded.

Harper said, “I want to write a speech for the memorial.”

What could be wrong with this suggestion? Nothing. Of course, she would wish to speak of her Nana at the memorial. Yet it seemed that at this moment the suggestion was here to fill the pain. I felt the emptiness. Harper had been ripped away from her Nana by distance as well as by death. How might I help to bring her closer to her Nana, even in some small way? How might I help to salve the pain of this chasm even mildly so? The words materialised in the air between us before my reasoning had taken full shape:

“Harper, would you consider writing a letter to your Nana rather than writing a speech about her? What if you were to read it to her at the memorial?”

Harper’s hand fled to her heart and sat there like a nesting bird.

“Ohh,” she exclaimed.

There was a moment of silence, and then she said:

“Judging how my heart feels about the idea…”

“And what might you say?” I asked. Harper’s reply delighted me.

“I have no regrets with Nana. She knew how much I loved her. I would like to talk with her about some of the good times, some of the funny times we had together, especially towards the end. I’ll think about what people want to know about her, and what I want them to see about our relationship.”

As a narrative therapist I cannot ever pass up the chance of a story, so, I asked her, “Could you tell me a story about one of those funny times that you shared with your Nana?”

Harper’s eyes danced as she told me about how she had to “keep seeing her through dementia…I had to find a new way of seeing that spark in her so that I could see a bit of her, even for a moment. She loved the Silver Ferns [New Zealand’s national netball team] and she was always very proud of me when I played netball for my school team. One day, I told her that I had been picked to play for the Ferns. It wasn’t true, of course. I said ‘Nana, guess what? I’ve been picked to play for the Silver Ferns.’ She exploded with joy and pride. ‘Really?’ she said. ‘Yes, really,’ I said. ‘What position?’ she asked. I said, ‘Goal Attack.’ That was that I used to play. I was so surprised when ten minutes later she remembered my fake Silver Ferns selection, and asked me again, ‘what position are you playing?’

We laughed together. I was touched to be privy to this moment in Harper’s relationship with her Nana. “Harper, I would love to see your letter to your Nana after the memorial. Would that be okay?”

“Of course,” she said. “When I have finished reading my letter to her, I will blow out the candle that will be lit for her. This signifies that we will be going on without her, but it doesn’t mean that the light needs to go out ‘in here,’” she said, as she laid her hand across her heart.

Another idea crossed my mind: “Harper, do you think you should wear the korowai?” [this gesture would suggest that Harper might take her Nana’s place as the family’s spiritual leader]. She replied with a solemnity worthy of the feathered cloak itself, yet without the expectation that she deserved it.

“Maybe I could ask my uncle. He is the keeper,” she mused, “I would like her to be with me as I read to her. I would be wrapped in the korowai, and it was the last thing that she was wrapped in.”

Harper’s gaze drifted somewhere off-screen. A moment passed until her gaze returned. She looked troubled. I waited for her to speak, aware that there was something in the wind that was about to change the direction of our conversation.

Christmas, weddings, births, deaths. All events that bring family together. And with the togetherness come the ghosts. The ghosts of all that has been said, the ghosts of all that has not been said. The ghosts of resentments, the ghosts which carry secrets under their grey gowns. There had been “a lot of family drama around the memorial,” and the winds of these dramas blowing through the whanau had disturbed her and had been “piled on top of her my grief,” making it hard to feel, hard to find her Nana. Harper wanted to talk with me about how she might navigate her way through this.

I knew I would need to understand what was coming to the surface in some detail, and so I asked Harper if she would “tell me the story of these whanau dramas?” A fifty-year saga of ‘black sheep’, drugs, prison, dodgy dealings, cheating, and financial losses at one another’s hands took shape before me. However, the rift that had split the whanau into two very unequal halves, with one of Harper’s dad’s cousins and her brood on the one side, and most of the rest of the family on the other, with a few undecideds wandering around in the middle, had led to a nasty physical fight in which a younger male cousin had been seriously hurt. An allegation had been laid against Harper’s father by Doreen, the young man’s sister. Harper had first heard the rumor a few years before. She had never met her father’s cousin, Doreen, who had been faded out of the family, partly because of the rumors, and perhaps partly because of her “troubles with drink,” but somehow word had gotten around as it always does. In the spirit of her commitment to ‘speaking out’ and ‘standing up for others,’ which Harper had been practicing in her father’s company for some time, she had confronted him:

“My dad was so angry, and he refused to answer. He just said that you don’t need to know.”

Then one day not long before Harpers’ Nana became ill, Doreen rampaged on Facebook. Messages were sent to random family members, including Harper. Terms like “swept under the rug” were used, and “stuff was said about my mum”. Harper had replied saying:

“It’s not my business, don’t talk to me about it,”

and Doreen had replied with,

“Do you condone physical abuse and violence?”

Harper had blocked her.

And then when Nana became ill, Doreen had made an appearance in person. Harper’s uncle had spoken with her and apologized for her treatment over the years. The views of the other aunts and uncles were that “she needs to get over it.”

Doreen was refusing to come to the memorial because the family had been unwilling to involve her. But she had been close to Nana. Nana had been as important to Doreen in her early years as she had been to Harper. Harper's troubles we