I remember an
extremely lovely client. She was movie star pretty, with the givingest smile
and voice. Her manner, with winsome movements demure and not come-hither but
open to the imagination, was so gracious and approachable, her eyes so warm and
lively, that – chemistry galvanized – I practically had to restrain myself from
lunging forth and giving her a big hug, if not (going a bit too far) a loverly
kiss. Fortunately, the human organism has a pro-perverse nature: handicaps can spawn
compensatory powers. Countering my weakness was a redoubled dedication to the
client’s deepest need, her best goal. This was to kill her personality.
Her warmth was
a feature of conciliation, soothing away and smoothing down all potential feelings
– craggy, bright, angry, sad, real ones – to words of sweet nothing. Before I
grasped the breadth of this, I wrote in a progress note: “She translates my English
into English.” I knew this was paraphrasing as defense, catching my inquiring
or confronting dart in her mind and kneading it into verbal dough.
How did she come
by this personality? It’s an uncanny feeling to picture her as a young child responding
like a caring and diplomatic counselor to her mother’s drinking, screaming profanity,
to the ominous atmosphere of mother’s cheating and father’s knowing. Both
parents were programs of self-centeredness, never listening, never teaching her
anything at any developmental stage. As if this were some earlier century, they
assumed her lot in life was to support them in their old age, maybe before
that. They were angry when, in high school, she dropped a sport that might have
led to a scholarship and free college. They were furious when she decided not
to do law school but to become a social worker.
I remember
facing my client, not yet 30, with sober intensity and a deep wish
that she allow herself to feel the truth, what was buried and sleeping beneath her
surface. My own words were not enough, though I had plenty of them. I produced
some motley pieces of literature I remembered: Janov’s “the secret craziness of
neurotics”: “a smooth façade may hide agitated colitis inside.” “We might say,
in general, that when a value system (the parental brainwash) does not even
allow for a SECRET craziness to erupt, then the ‘craziness’ will remain deep
inside, and psychosomatic disease may ensue.” I read from Branden’s The
Disowned Self, in which a “jet-set playboy” restaurateur stops in florid
mid-sentence to describe the emptiness inside him. I went to the fringe with
Dr. Douglas Brodie’s “cancer personality.” Brodie lists symptoms of the “cancer-susceptible
personality” such as “having a deep-seated need to make others happy,” “harboring
long-suppressed toxic emotions, such as anger, resentment and/or hostility,” “showing
an inability to resolve deep-seated emotional problems and conflicts, usually
arising in childhood.” This was supplemented with Janov’s chapter, “Malignant
Despair: Repression and the Immune System.”*
And then, as
the smile faded so slightly, the eyes became less bright, I suggested Empty
Chair. After a nervous spate of peripheral stuff addressed to “she” rather than
to “you,” my client talked to her mother. From where I sat, I couldn’t hear
much of what she said in her low emotional voice. But I could see this was
different. I heard a real voice. I saw tears. There was a tone of complaint or
grievance, somehow wide and covering all of her life. She seemed shaken yet
more substantial. The process had been left to only the very end of the session.
Sometimes I don’t know if therapy is reckless or perfect poetry. Imagine
waking up to reality after twenty-seven years, and only six minutes in which to
do it. Imagine considering being an entirely different person. She left the
office after scribbling her copay information.
It’s been awhile
and I don’t remember the precise concepts in her treatment plan. But I’m hoping
that “long-term goals” included something like: “Be real, bright, dark and
bloody. Arrive at the bitch face. Scare your parents.”
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* Arthur Janov, The New Primal Scream, p. 239. (Copyright pages ripped out – date forgotten, but published twenty years after The Primal Scream.)
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* Arthur Janov, The New Primal Scream, p. 239. (Copyright pages ripped out – date forgotten, but published twenty years after The Primal Scream.)
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Comments are welcome, but I'd suggest you first read "Feeling-centered therapy" and "Ocean and boat" for a basic introduction to my kind of theory and therapy.