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flowerslightning · 4 years

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Have you heard about PFA and MFA?

or the full name is ‘Psychological First Aid’ (PFA) and ‘Mental Health First Aid’ (MFA)

Can we relate it with Cloud Strife? As we all know, Cloud had mental illness and was struggling alone. Let’s take a quick look on this topic then and see if characters in FF7 ever give PFA/MFA to Cloud or to each other. This is going to be a looooong post although I tried to simplified it, so, yeah. Good luck reading this !

Disclaimer : I’m not a psychologist. I’m still a student and psych is not my major field. During my intern, other than we got exposed a lot about psychiatric disorders and ways to deal with them, we also got trained psychological first aid in emergency department. If it wasnt because of this quarantine, i would have finished my training in emergency field. There might be false interpretation here or there, forgive me for that and pls correct any mistake in this post

This will probably trigger LTD. Sorry, but I had to, Pls read this post with open mind. Keep in mind I like both Tifa and Aerith, i have no grudges agaisnt Barret, Vincent, Nanaki or Cid so I am not being bias with any of them. I forgot a lot of stuff in OG (I played it when I was really really small), so I will be using lots FF7R and AC references here (and a bit from OG, depends whatever I remember)

Good to go? Allow me to rant. Read it slowly and if u skip some of it, u’ll probably mislead my actual words, and u’ll be triggered af. Don’t come at me with madness if u dont read the whole post properly

What is PFA and MFA? Generally speaking, if Basic First Aid is about covering the wound to prevent further bleeding, then PFA (Psychological First Aid) and MFA (Mental Health First Aid) is like applying a bandage on ur mental to avoid u continue being distress.

Usually, PFA is often associated with disaster event or terrorism, where large number of people got affected. Meanwhile, MFA focus in one person who is developing mental health prob or already in mental crisis due to certain traumas, such as vehicle accident, house burned and etc

Pls note that, certain people NEED MFA while the others may NOT NEED it. It is important to respect their needs/wants. Some victims may refuse verbally but they ACTUALLY NEED it (CLOUD STRIFE) and maybe some victims look like they dont need it, but they want it, and its super fine to give it

PFA/MFA not only done by the professionals and it is not a professional counselling, although necessarily training is needed if u want to approach deeper in this field. PFA/MFA is also not a psychological ‘debriefing’ - in which MFA/PFA doesnt need to involve a detailed discussion of the trauma event with the victim, but instead, it is an alternative way to psychological debriefing that helps for long-term recovery. (unless if ure a pscyhiatrist, then u have to forget about MFA and ask detailed questions regarding the events to help the patient to recover)

MFA and PFA both almost the same, but I will mention more about MFA here.

MFA (Mental Health First Aid) is not just about comforting “Oh, are u alright. I’m sorry for what u’ve been through”, but it is also about assessing their needs and concerns, protecting them from harm, provide practical support and support them feeling able to help themselves and others.

The main key for these two term is RESPECT - respect victim’s dignity, respect both parties safety and respect victim’s rights to make decision. Even without the PFA, we should respect these three in whatever circumstance we are in.

A lot of us honestly were born with natural skill of MFA bcause of our own empathy, instinct or experiences and some got trained professionally. Some of them already had MFA due to high common senses they have.

Some of the Do’s and Dont’s when giving MFA include;

Do’s : 1. Be trustworthy | 2. Respect their decision | 3. Be aware of and set aside ur bias | 4. Make it clear to them u are available for help even they push u away | 5. Respect their privacy and personal space | 6. Do remain calm and soft when the person in distress | 7. Listen and don’t interrupt their talking | 8. Help in terms of basic needs | 9. Create connection the person with others | 10. Give hope to them | 11. Provide private place to talk about the event | 12. Respect their strenght | 13. Advice small necessary matters or give simple words of encouragement | 14. Acknowledge positive features of what victims have done

To simplify, there are 3 ways for MFA to begin, and I will only talk about one of them, the one that is the hardest to do, that is when u notice someone looks distressed and ure concern about them, and leading u to approach them first without them noticing ur concern. [Am I putting the right words here?]

In Cloud’s case, who do u think the first noticed Cloud behaved oddly and went to help him first ? - yeah Tifa. U probably would say “OFC she went to help him, she met him first at the train station. That guy looked sick af, who wouldnt ask if he was alright. If Aerith/Yuffie/Jessie met him first, they would do the same”. Okay guys, that was not my point.

Let’s focus one by one characters and see what Do’s and Dont’s MFA (Mental Health First Aid) they’ve done to Cloud and other charas. Keep in mind, none of them know what Cloud had gone through, but Cloud had showed some obvious sign he was unwell and only a few of them noticed that and took action for it.

The symbol [X] means the Dont’s in MFA and ( ✔) means the Do’s in MFA.

Biggs Jessie Wedge -

I know there’s a thing about man helping man’s psychology and Jessie being flirty with a guy.They [X] thought Cloud was like how they saw Cloud. and they considered it as normal. They didnt see Cloud under distress so they dont have the need to concern his mental status. The good thing about them was, the three of them (✔) respect Cloud’s strenght, giving Cloud the confident to be in action. But, Jessie [X] had zero respect on Cloud’s personal space

I wanna highlight about Biggs. Biggs had an attitude of overthinking stuff, but it wasnt so bad that would cause him harm, he just cared too much about his friends. So I believe Biggs was the type that would notice immediately when his friend being strange and would give MFA (Mental Health First Aid) with his own instinct even without the person asking it.

During the Sector 7 Plate attack, where Biggs was severely injured, when Cloud said he was not a fan of kids and Biggs said Cloud had so much in common (in common of what? Cloud with the kids or Cloud with him?), Cloud gave him ‘a sad look’ and Biggs reached out his hand to Cloud’s head. Biggs (✔) remain calm and soft when dealing with Cloud’s feeling (who faced traumatic event but Biggs didnt know about it) on that moment despite his current physical status. And also he (✔) wished goodluck to Cloud, leading to prevention distress on Cloud

Marle -

Marle [X] judged Cloud for someone who had no skills, but she entrusted Cloud to take care of Tifa’s well being. Not knowing who Cloud was, Marle noticed Cloud looked glum, she (✔) offered her ear for Cloud to rant and knew right away he was not having enough sleep, then (✔) advising him to sleep more . Lol, she was [X] biased with Cloud and Tifa. Not her fault, she only knew Tifa’s story, not Cloud’s. After the Sector 7 plate fall, we saw her being the most active member to help with the remaining citizens there. Marle without a doubt had given the citizens there PFA (Psychological First Aid) , by helping them with their (✔) basic needs, (✔) create connections, (✔) put away bias, (✔) remain calm and soft.

Barret Wallace -

Barret was the same like Biggs Jessie Wedge. I’m sure Barret thought Cloud was just fine. Barret saw Cloud as a mercenary with stinky attitude,[X] judging him like that causing Barret to gave him the same attitude too. But overall, he (✔) respected Cloud’s strength a lot

However, after the Sector 7 plate fall, Tifa and Barret were the one that hurt (mentally) the most, Tifa as usual locking her emotions, there we could see how Barret comforting Tifa by (✔) giving words of encouragement and proceed on (✔) hugging her to show his empathy. Barret also (✔) remain calm and soft spoken when talking to the survival victims of Sector 7 citizens. He also (✔) acknowledged what the citizens had done to survive

Vincent Valentine -

Don’t be surprise Vincent was listed here. This guy here was like another version of Cloud but more mature. In addiction, they both kinda share the same pain. So, I personally think Vincent understands Cloud pretty well. In AC, where Cloud was mentally ill, Vincent saved Cloud from Kadaj and brothers and (✔) took him to safer place. That was a common thing to do. But let’s go deeper, Cloud never told him about himself, but Vincent already (✔) aware of Cloud’s trouble with the geostigma stuff and Cloud’s current mental status. Vincent, (✔) calm and soft like always (✔) didnt hesitate to asked if all of these were just about ‘fighting’ and it made Cloud to ‘re-think’ further about his problem. He (✔) didnt pressure Cloud here, instead he was (✔) helping Cloud to understand the condition he was facing, and this lead Cloud to avoid distress.

Aerith Gainsborough -

I know Aerith was special. She was an important character and devs created her to be ‘loved’ by the fans so that her death would be tragic. Aerith did almost all the things that shouldnt be done when giving MFA to mentally ill person. Some of u may say “Duh, Aerith didnt know anything about Cloud thus she had no intentions of giving him MFA”. Yup, ure right. Aerith didnt know about Cloud’s mental status but so as all the other characters in the series.

Aerith was [X] being pushy with Cloud, in lots of ways, from making him as a bodyguard for free to forcing him to wear a dress. She [X] forced Cloud to accept her idea about meeting Andrea, dance and gown. She also [X] forced Cloud to help picking the flowers. Aerith [X] didn’t let Cloud to have his own decision [X] neither giving him a chance to talk, and [X] abandon his feelings (cough..uhm, Aerith resolution). She also had [X] no respect on Cloud’s personal space and [X] too much touching and leaning to him. Aerith also [X] put herself in danger and that worried Cloud. She [X] looked down on Cloud in someways too

However, at the Sector 5 slum, where the hooded man appeared, Aerith noticed Cloud was having trouble with himself, she (✔) encouraged Cloud to keep himself together. Also, throughout the entire game, Aerith always remind the team to (✔) have hope in everything. Her positive vibrant attitude was what (✔) made everyone able to believe in themselves. She also (✔) ensure Marlene’s safety and protected her. She was able to (✔) remain soft and calm when approaching Marlene. Remember Betty? Aerith took her time to helped her out and she even (✔) respected the little girl’s strength, (✔)slow and steady when saving her and (✔)soft spoken

Tifa Lockhart -

Tifa met Cloud at the train station, saw him being ‘not-so-fine’ state despite Cloud claiming he was completely okay. Tifa didn’t know what Cloud had gone through and she (✔) didn’t pressure him to talk about it. She even helped him to (✔) find a place to sleep even when Cloud never asked for it. Tifa unconsciously was the first person to give Cloud MFA without knowing what Cloud had faced previously. And Cloud, on that moment, he really needed a help. Tifa also (✔) stated that if Cloud need anything, she would help him with it

Tifa (✔) remain calm everytime Cloud had sudden headache, she didn’t leave him alone and (✔) didnt put any pressure on him by asking question. During the (✔) Alone At Last, they had privacy Tifa asked about what happened after he left Nibelheim. She (✔) listened and didnt interrupt him, (✔) neither pushing him to talk more. Moreover, Tifa (✔) put a distance with Cloud, dunno if she was the one who was being uncomfortable or she actually (✔) respect Cloud’s personal space and privacy. Tifa (✔) didn’t force him to stay at Midgar, she asked him and was glad Cloud would stay for a while. Tifa was no doubt (✔) respect all Cloud’s decisions too. Also, don’t forget, Tifa also helped Cloud to help (✔) make ‘close connection’ with the Avalanche members and people in Sector 7 slums. She also (✔) didn’t do much touching with Cloud (Well, I mean, she didnt touch him in clingy way)

In AC, Tifa (✔) encouraged Cloud to have hope for Geostigma and the family

Tifa did [X] put herself in danger by becoming Corneos bride participant and that gave Cloud trouble (but Tifa ensured him she would be fine on her own previously) And btw, in OG, I read about the fans questioning why Tifa [X] didnt tell Cloud the truth. I would like to argue this matter. TIFA IS A CHARACTER WITH REAL HUMAN FLAWS, she too had her own traumatic event and was not really sure of herself on what to do. However, considering what Tifa had done for him, Tifa had helped with Cloud’s psychology the most.

I know Cloud was putting up a font, and that made him to have condescending attitude, and people couldnt see what Cloud was hiding behind the the bravery face. However, all of us as fans acknowledged the pain Cloud was suffering in the entire FF7 story. Some of the characters like Tifa, Marle, Vincent, Biggs noticed it and they took actions for it, while others, I do personally thing, they were hurting the Real Cloud’s mentality more.

Long story short, Tifa was the one who gave mental health support the most to Cloud, followed by Vincent (AC), Biggs and Marle. Aerith did the worst with Real Cloud's mentality + she then died, mking Cloud be more miserable,

However, Aerith actually had the best way to give MFA/PFA to children, but maybe the worst to Cloud. While Tifa gave the best MFA to Cloud which helped him to get himself together through out the entire time

Alright thats the end of my talk. Thank you for being with meee

#final fantasy 7 #final fantasy vii #cloud strife #character analysis #final fantasy theory #advent children

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atlasoftripp · 4 years

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I saw your response to my ask for asy and I wanted to say thanks for the info!! if it's okay to ask you, I was also considering just having her being forced to keep her hands in fire for x amount of time bc of creepy worldbuilding reasons but I'm not sure if maybe straight up fire would be too severe? my main concern is since the character suffers the burns over an extended period of time (abt 2 years) how it would affect her day to day life, like the use of her hands, random pain, etc.?

directly in fire is definitely gonna be in like...2nd and 3rd degree category. like, a lighter has a hot enough flame despite being tiny and rather controlled that approx 15 to 30 seconds in direct contact would be a burn resulting in a thick scab that would take about 2 to 3 weeks to heal and even then leave like...decent scarring that feels “thick” and “deep” like the scar is a ball of tissue extending into the dermis

during that time...those scabs “flare up” where they sometimes feel randomly hot. like youre washing your hands in too hot of water. it aches and dully throbs. but cold sucks too. basically the wounds are incredibly vulnerable to changes in temp. theres no protection. little bumps like slamming your hands on the table cuz youre frustrated but you forgot would be like a sudden hot agony. like you were burning them all over again. thats a thing i would mention. burns are weird. cuz ive had surgery for like a torn tendon. and post surgery it hurts to move the cut open area, but its more like an echo of pain. you can feel it hurting less and less. but with my burns down my arms (they’re pretty extensive) when they were healing bumping them wasnt like..an echo of pain, it was the real thing all over. it was like they were just happening. now that could have a psychological element. you dont remember surgery, so you dont really have a gauge for the initial pain. but with accident or,,,more sinister ways of acquiring burns, you’ll know the initial agony....

uhhh getting back to what you asked. how it feels to live with it. uhhh lets see. what people dont know. is even about 10 years after the initial...incident...that burned up my arms...i have to be careful with the “healed” skin. they left thick sections of scars that are...a deep purple pink for me (and im asian so i have a bit of a darker undertone to my skin) that i believe are called “keloids” and in winter i have to oil them. which sounds weird. but they “pull away” from my regular skin sometime leaving like...cracks and bleedy spots. and in summer if they sunburn it hurts so bad. basically even 10yrs healed...its not very healed..

its like i have seams everywhere...and if i do too much it’ll all tear apart again. sometimes stretching hurts cuz keloids dont stretch much. and man, on hot days. they flare up. like sticking it under too hot shower water. the nerve endings are all blaring a pain alarm and everything throbs. for the hands. full extension of the fingers can be hard if thats where youre putting the burns, cuz like.realistically. a lot of shrinkage happened during healing and again its like..pulling on those seams. it can tear and bleed and hurt. that person will develop over time a pretty serious ritual for care...or they’ll end up with very little fine motor function. its like...you gotta convince the keloid skin to be...regular skin

i get a lot of random pain. mostly a weird phantom heat, or like a pins and needles thing. keloids hurt when they build up in your skin too, because there is not as much elasticity in the skin everything kinda fulls tight and pulling and like nothing is connected right. i also have a lot of nerve damage. which. you would think means it doesnt hurt as much...but instead means sometimes your nerves are going haywire and perceiving pain when there is none. it feels like a more intense kind of pins and needles then when your leg falls asleep...

massage is a must if fine motor skills are gonna be kept. it helps...somehow...convince the thick keloid skin to like...i dunno settle down and be normal a bit and stretch and be a little more integrated.

but while it feels like the nerves are super sensitive...its also somehow the opposite. i get these phantomy pins and needles..but ive also had someone timidly tap my shoulder where a thick section of healed burn was...and i didnt feel it at all. so i guess...depending on how bad the burn is tactile perception may be gone. i tend to drop stuff im holding in my left hand a lot cuz i dont really perceive the tactile sensation of being in contact with the object im holding. i just hold stuff my muscle memory or something i guess...i dunno theres a bit of a disconnect there

uh lets see...what else? i dunno. feel free to ask more questions i just kinda rambled

edit: im realizing theres a lot more info i can give about this. like. the way they heal? sometimes the area is too large, so it CANT scab all the way. and you end up with like scabbing as you know it in a ring around the edge. and then the center is just...raw and open still. like. this kinda info can get gross

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