Preface to a barely conceived future second book (not a joke, probably)

In America’s present psycho-culture, the term “evidence-based” has become the favored hypnotic buzzword of my hypnotized profession. Implying rigorous science, it is the imprimatur of instant trustworthiness and value. It is applied primarily to various species of “cognitive therapy” including cognitive behavioral therapy (CBT), rational emotive therapy, EMDR (“Phase 5: installation of new cognitions”), reality therapy, existential therapy, acceptance and commitment therapy. What is the nature of this evidence that equals tacit proof of effectiveness? During or after their therapy, clients and former clients tell someone they feel better.

I submit that they do not tell themselves they feel better, not for long, not within themselves at the deepest root of their sense of self. This is because thoughts – the medium of exchange of cognitive and most other therapies – can’t change the physical history of the body and mind and feelings. Thoughts impotently, fickly, restively color then pass through the cloud of the head. One has to force, over and over and over again, positive or “rational” words into consciousness to believe one has improved, become a different person.

In psychotherapy, the only true evidence of improvement is inner experience. No one outside of you can fully know who you are or how you are, even while analyzing you, even while knowing you for years, even if you are rich and full of laughter and surrounded by friends and love, or poor and alone. No one else can know. To understand your psychic status is to feel yourself, not just your surface changeable feelings, but those embedded in your inner childhood, the emotional themes of your existence.

My previous book, ‘I Forgive’ and Other Delusions, is a collection of ten years of therapy blog articles based on established principles, client work and brutal introspection. It features many case histories and, admittedly, a title that is bound to separate the men from the boys, or more accurately, the seekers from the hiders. Illustrated Dictionary of Contrarian Depth Therapy aims to establish a foundation of insights about the human psyche that I believe can only be contested by wishful thinking. I am disgusted that people’s need for healing has been turned into smiles and brute-force hope by a profession that should be intransigently reality-based. Psychotherapy has become the most deceptive of self-medications, a bait-and-switch where hurting people may initially be profoundly heard, possibly for the first time in their lives, but then quickly guided to bright-paint and spin (“reframe”) their lifelong pain, pain that needs, above all, to be expressed exactly as it is to a caring person.

Stacked deck: The Colt Gray matter

Response to Megan Stack’s September 6th New York Times article, “Blaming a Parent, Again, for Failed Gun Laws.” The article’s title itself (which she may not have written but doubtless inspired) is an étude in tendentious illogic. The article shows that Ms. Stack wants to understand nothing about mental health and illness. (Comment is actually at The Washington Post as Ms. Stack's article didn't include the comment function.)

It’s adults, not young teens, who are prone to turn their childhood injury, such as parent’s shaming or physical abuse, into an emotional illness of global hatred and destruction: “All (ethnicity or color or age or sex of choice) should die.” Children haven’t experienced the cumulative years of injustice to degenerate into such a global delusion. So imagine what this boy must have gone through by age 14 to be so full of hatred for self and others that he must kill random people and end his own future. Warning signs? Probably every single day of his young life.

Yes, it probably takes a motley village of abusive, and blind, and overburdened, and impotent, and distracted, and uncaring, and ignorant adults to produce a child murderer (with the possible exception of the “callous and unemotional child” turned psychopath). But the line of acceptable disconnection and irresponsibility must be drawn somewhere. In the case of Colt Gray, the father appears to be well over that line.

Trauma (aka "Get real, label-heads")

Therapeutic healing should be natural, like breathing. You breathe in, you breathe out. How destructive – literally – it would be to just breathe in and not breathe out. You take in the emotional stimuli of the world and you must express them outward. You love your dog and you must pet it. To withhold that expression would be to suffer. A child is hurt by her father, she must cry and possibly rage; but the hurt and tears are primary. Trauma is simply a more powerful injury that must be commensurately expressed outward. Commensurately: You don’t “primal scream” if you spill coffee on your shirt (unless it is the latest in a long series of unexpressed frustrations), and you don’t just say “ouch” if you’re raped. If we set aside all the species of therapy that exist, I believe most people would have a natural sense of what they need to do to answer traumatic pain: Get it out by the most powerful expressions. Tame therapy cannot work. Process must be expulsive, explosive, emotional, verbal, physical.

This was my comment to a Slate.com article about a bad therapist. (In fact, I didn't read the article as I'm not a paying Slate member. My statement didn't require a reading.) Many of the other commenters showed their knowledge of this or that brand of therapy, such as EMDR, “brainspotting” and CBT, and their good and bad experiences with different therapists. I just wanted to point out what should be obvious but what remains as contemporaneously unknown as the foreplay before the Big Bang.