Sunday, July 5, 2015

The invisible


This is just a fragment of an idea. It’s not a discovery of mine, but there may be a slant here that is useful for therapists and clients.

My belief is that almost every one of us was an invisible child, with secrets that were never told to our parents. I don’t mean the cool secrets or little behavior misdemeanors. I mean the suppressed feelings and needs that could never be said for whatever reason. Or if said, were not heard clearly, were harshly or blandly or warmly brushed off, were shut down. We became invisible, to ourselves and to others.

This invisibility is hard to see because children keep talking, doing things, joining with people and no one notices the lost parts, the lost person. And time seems to make all this lostness go away, or be moot: We’re grown up and are immersed in a big world.

But we remain invisible, and in fact lost. These are the married couples who “can’t communicate.” It’s everyone who comes to therapy and can't grasp what is wrong, what went wrong. It’s the lost stuff. Its the feeling of difference and aloneness.

Try to picture what you lose when you can’t talk to your parents about your life, your sadness or fears, or are otherwise shut down inside. It’s an interesting phenomenon. Here’s an example. Around age eight or nine, a couple neighborhood friends and I had an insect collection, made in an amateur version of the scientific way: mounted with pins in a wooden display box. I forget if the insects were labeled: We may not have cared about the scientific names. I loved that collection, and the ongoing project, with drive and passion. We kept it in another boy’s garage. One day his mother noticed it, probably thought it was some nonsense, and threw it out. The boy told me about it, and I changed on the spot, a whole sea change. That was the end of my interest in insects, or science. I believe it was the end of my interest in building anything. It may have been the end of my interest in hoping. I’m not sure how far that wave carried. Had I been the kind of boy who could talk to his parents, give them his feelings, or they the kind of parent who could see a child and not pontificate like roles, I believe everything would have been different.

Invisibility and the lost are what therapists should be dealing with. It’s what all of our clients carry. They don’t primarily carry “depression,” but the lost fire whose smoke is depression. They don’t carry “abuse,” but the loss of love. Her anxiety is the smoke from real fear in childhood that was never assuaged. His anger is the zombie: It grows from hurt, parents’ ignoring it, and rises from the corpse of hope. Our client remains an invisible, lost, gone person in the room, no matter how present she seems. Maybe after so many years or decades she wouldn’t want to know about the lost. But we should do our job.


Saturday, June 27, 2015

Failure


I’m thinking of two teenage boys, 16 and 18, who stayed in counseling for two and four years respectively, and whom I may not have helped at all.  It is exquisitely unpleasant to know this and to say it.  It feels almost automatic to add, “No, I’m sure I helped them in some ways.”  Possibly one of them would have dropped out of high school; possibly the other would have killed his father.  Sheer speculation.  The reality is that I can look back these four years and see two personalities that should have changed with weekly counseling but remained firm like a tight rubber mallet, spongy enough to bounce off all sorts of interventions without effort, genial, unperturbed.

For me, it’s easier to explain how therapy with a boy who is past his formative years is almost bound to fail, than to explain how it could possibly work.  Sour grapes?  Sour, contemptuous feisty grapes.  You either work out the pain, the core twisted caved-in-edness of his heart, do parent reeducation and emotional reconciliation between them; or you try to turn his mind to positive things: therapist’s mentoring and modeling, humor, the future, inspirational truths, surface détente with a parent.  I interlard more significant process with the positive approaches, and they sometimes work.  A teen girl, for example, who always wrenched in rageful anguish over her personality disordered mother has softened by some of my logic – “You are burning the mother bridge and the father bridge” – enabling her later to be inspired by the sight of friends’ harmonious families and to join her mom in some nice moments.*

But many children – maybe mostly boys – cannot dare have a soft spot.  Hurt early by a brutal immature father, by an abandoning immature father, falling helpless on the limp safety net of a passive mother, they grow new personalities and shells inner and outer.  You should have seen one boy describe, in a completely unprovocative and innocent voice, a two-hour fight with his father, his experience of “the anger that’s beyond mere violent,” and his fortunate avoidance of murder.  When these boys come in to counseling, they are like the Time Traveler sitting in his chair and seeing from a distance but never interacting in the adult’s, the counselor’s moment.

In these cases, I find myself of two minds: During therapy I ply my efforts, try to join a beautiful if painful song of closeness.  End of therapy, I wonder if I should have let him go years earlier.  That’s a dichotomy I have no solution to.


- - - - - - - - - - -

*  I won't say how, but the young lady's release and healing reminds me of the ending of J.D. Salinger's lovely story, "For Esmé – With Love and Squalor."

Sunday, June 21, 2015

Therapy dies (with addendum)


In the spirit of chips-fall-where-they-may honesty, I will name my suspicion that a fair number of my therapies fall into the trash bin of abort: They stop before the client therapeutically bleeds,* that is, before she does any great movement.  I believe this is because I often suggest a goal of radical change, of purging in a way, not just talking, not just having a feeling of relief.  Hearing this mows down a lot of them.

The ones who stay, stay long or medium long.  Should I worry about those whose names I can’t even remember, as they quit a few months ago after two or three sessions?  I’ve just written a ton of closings, and have a ton more to write (I do tend to procrastinate, sometimes leaving charts open after two years).  Where did they go?  Did they decide they don’t need help?  Did they put a band-aid over an artery cut and move on?  A couple of my brain cells, I’ll admit, wonder if I mesmerized them, did the voodoo by showing them some reality beneath the dream, naming the history under their floorboards for what it was.  Did this open up their brain cells in a positive way, or just come across as a little horror show?

There was actually a time when our little boutique’s Practice Manager asked me to name my specialties, to have the front desk ladies weed out the wrong type, and weed in the right type of client for me.  That didn’t last: I decided I wanted to see anybody who thought of counseling.  And so they flew hither and yon.  Or stayed.

If anything, this gives me a sense of equanimity, or maybe complicated serenity.  It’s like the world is going to hell in a handbasket – Yes, look at the terrorists, the diseases, the injustices and the death – and we play music to commemorate it.  But at the same time I wish they would stay.  After all, what do we have in this world but the intimacy, the communion?

 
- - - - - - - - - - -

* This is the leech analogy -- https://en.wikipedia.org/wiki/Bloodletting.

- - - - - - - - - - -

Addendum

After writing this post, I had doubts about its quality and asked a former client for his opinion.  Following is the bulk of his critique, which I feel is an eloquent supplement and enhancement to my article:


“Honestly, there were times at the beginning and in the middle of therapy that I thought what we were doing was stupid, or pointless, or too hard.  I used to wonder if, when we were sitting in silence in a darkened room, you were just judging me or thinking I was weak, or a hopeless case.

“Then it switched, and all at once it was like opening my eyes to a new way of seeing.  It still happens today – things that would have sent me into a shame spiral just cause me a second’s pause . . . those old ghosts reach up from the grave . . . and then I take my new ‘me-ness’ and reassert myself over the doubt and shame of childhood.  It purges a little bit more of the poison every time.

“I think that’s what happens to you.  You present the hard road that leads deep into the labyrinth, with no promise that they will come out, but a hope that they can.

“Fear kills hope sometimes.

“. . . if [the article] convinces one person who might be on the fence to keep going, then it’s great.”

Saturday, June 13, 2015

A generalization, or summary


Isn’t it interesting that we have so many mental and emotional problems?  Look at their wide horizon: from mass murderer at one end, to me, where I have only two clients today, need more to support my family, but feel complacent, “good” to have little to do.  And the rest – adult immaturity, depressed and empty and worthless feeling, hating attitudes toward “the world” and innocent people, delusional certainties, body-centered fear (anxiety) and other physical ailments that have no clear cause and ruin one’s days and years, feeling out-of-place and “wrong” and like one should die or has never been alive, loss of all feeling except negativity and maudlinness, compulsion to serve others in order to feel good, solipsism (unable to see and feel beyond one’s self), numbness to and distance from one’s self, urge to wield power and accumulate power, absence of all interests, dedication to childlike dreams – salvation and immortality, subjectivity that trumps objectivity.

How do we have so many problems?  Or rather, Why are we not healthy, and why such a strange and subtle and multitudinous array of errors?  I believe we know the answers, which reduce to pain and the brain’s tendency to retain it and convert it to deeper injury.  This injury could be bad philosophy, adult incompetence, internalization or projection: self-harm or revenge in all their forms.

Life provides some relief from disturbance: the stimuli of experience.  Experience makes us ignore our poisoned roots and feel the here and now, momentarily or transiently or repeatedly.  It just has that effect.  So the prisoner in solitary confinement and the depressed man sitting in the park may “enjoy” a meal or feeding the pigeons.  An angry person may feel good about money in the bank, a traumatic one may enjoy a campsite under the stars.  Another relief is, of course, numbness, anything that quells pain: medicine and drugs, belief, hope, rationality, work.

Doing therapy feels good: It is experience-stimulus, self-medication, and it is my best: love, and saying “no” to the tyranny of my injuries.  It cannot cleanse us of our problems (maybe a little), but it can reach into the spaces between our roots, compete with them. 


Saturday, June 6, 2015

Confront a new psychopath


Dangerous, reckless, brilliant, or just jaded and lazy.  Was my work with a fifteen-year-old client one of these, or maybe some lucky-intuitive mix of them?  As he sat in clueless-looking silence, his adoptive father named his recent month of behaviors.  He would run – literally run – away from the principal to avoid being questioned by her.  He would skip class to sneak behind stairwells and coax this girl or that to be sexual with him.  Father described and labeled his son's frequent “manipulative” ploys, his repetitive “lying” against the evidence of school surveillance cameras, his plaintive and “charming” sympathy-winning looks and words, stealing at home, his bastardizing my advice – ‘find a special person to talk with’ – to justify sexual imposition.

When his father left the room, I wasted not a moment, grew some instant courage, and informed the young man that he was close to becoming a full-fledged psychopath.  I described his “underground” living in a place beneath the real world, a place of privacy and immaturity that cannot face honesty.  Some passages from Hare’s Without Conscience I read aloud, helping him see that while he wants to be a hider, his character has already been exposed to the masses.  Sociopaths are not geniuses and world dominators as in the movies, they are impulsive, can’t plan, fuck up.

I asked him to consider the stress that must come from having to remember chains of lies.  Then again – I said, correcting myself – good psychopaths don’t worry or get embarrassed about lying: “they simply change their stories or attempt to rework the facts so that they appear to be consistent with the lie” (Hare, p. 46).  Finally, I suggested that he not think of his quickly congealing life from a moral perspective – ‘you probably already have your own definition of good and bad’ – but from one of loss: You will lose all things human, live outside the human compass, bury all your feelings but for misery and revenge.

Do you, at your young age, want to be contemptuous of humanity until the end of your life?  Do you want to be a child forever who insists, in court, on a lie in the face of the universe-sized truth, or on your death bed?  Do you want to be a man?

Shaming, appealing to the best, humiliating, or throwing him the most nurturing, last-hope lifeline possible.  Was my work with a fifteen-year-old sociopathic embryo one of these, or maybe some lucky-intuitive mix of them?  Can one help by calling the bluff on a bluffer, a liar soul?  Can I help if I try to trick him into believing what may not be true, that the world merits his truthfulness?

Friday, May 29, 2015

A warning to grandmothers


Here is a story related to me by too many women over the past fifteen years, one of the most corrupt dialectics I’ve ever seen. A girl is raised by a toxic mother who is a stillborn child, bitter and needy and hating, in her daughter, the innocent child that she could never be. The mother turns a blind eye to her daughter’s incest, is physically and mentally abusive, is self-medicating with boy­friends and drugs, Borderline Personality and tears and sharp designer claws. The young daughter grows up somehow. She rejects caring, respect­ful love be­cause she’s had to defend against the starvation of it, but needing love (or some dream of it), she sleeps around or marries or shacks up with a man at sixteen. As so often happens, the next generation improves slightly on the previous one, and when she has her own baby, it is not so abused, not so neglected. There are problems, but more from the new mother’s hurt, less from hate. And into this scene – the precarious and barren graduation from childhood  swoops the Toxic One, the matriarch without portfolio, to materialize as the beneficent and loved grandmother. She is two-faced: smiling at the little one, sneering at her own daughter. She gives her new possession – her golden hostage – expensive gifts, demands weekends and sleep-over time which the grandchild’s mother, too punctured and needy to feel justice, allows. In a special demonic twist, grandmother, still and always made of vengeance fury, may try to wrest custody of the grandchild, spuriously calling Child Protective Services to the home, fabricating delusions about her daughter’s incompetence as a mother.

 

I have rarely treated these women, mostly their adult daughters fight­ing to keep their child. If the older one came to counseling, she would smell like a rose, grieving falsehoods about her sick daughter who carouses with men, lives ramshackle and irresponsibly dumps the child on her. The contrast between them will indeed be exquisite, because these grande dames invariably live in nice houses, comfort, circle of friends, deceased husband’s pension, a sham aura of "arrived" that adds to the maddening injustice.

 

This is a warning to you, grandmothers. What kind of warning? That you are being ex­posed, that your daughter is in therapy and now has an ally in strength? But the warning will fade like a shadow. The dialectic of life that turns childhood pain into adult actors plays on like endless Muzak. A wronged child becomes fifty generations. Each somewhat worse than the next one.


Monday, May 18, 2015

Interim


Over the past few weeks, I’ve found myself completely unable to be interested in psychological writing or thinking outside of the therapy hour.  There, it happens.  At home, nothing.  I have not been able to read the state behind this vacuity, this non-energy.  If it is a mood, it is an extremely quiet or subtle one.  If it is, it may say that a kind of futility or failure has settled in.  This, I have no doubt, comes more from the many months I haven’t seen my wife, and less from the fact that a certain state counseling board is reviewing my personal experience and qualities as a mere dot on a slow-flowing flow chart.  I wait and wait.

Quite a few of my posts are about the oceanic nature or “molecular mess” of the psyche.  That’s applicable to me, because I am sensing everything about my life in this moment.  Not failure or futility precisely, but a leaking between real and unreal, a permanent lack of movement, the identity of childhood and near-old age.  Bad things come to mind: Meaning can disappear as suddenly, as distressingly, as a good client terminating without saying goodbye.  This makes sense: I know where I came from.  But one would really like to move on, transcend something.

So for now, I assume this hibernation.  I appreciate those folks who stumble upon my page, and the few loyalists.  I can only ask you to click back occasionally, to see if the ocean has shifted.