Roberta, an extremely anxious woman in her fifties,
initially came to see me because of the tragic death of Carl, her twenty year
old son. He was severely injured in an automobile accident, lingered in a coma
for several months and then died. Her grief, despair, desperation, anxiety,
rage and sadness overwhelmed her. She could think and talk of nothing else. Experiencing
only minimal support from her also grief-stricken but busy husband, she sought
treatment as a way to speak and discharge her feelings. Feeling tremendous
empathy for Roberta’s grief, I was a more than willing listener. I offered
mostly containment, with occasional insight and alternative ways of dealing
with her overwhelming feelings.
Years passed. Her feelings about her son subsided. She still
cried when she thought of him, but mostly she pushed thoughts and feelings of
him away, feeling instead an overwhelming anxiety about anything and
everything.
Her concern of the day is what she will wear to her husband’s
upcoming Christmas party. Her husband is a successful, wealthy businessman who
gives annual parties for his staff, bringing his sales people from all over the
country to the Boca Raton Club and Resort.
“You don’t understand.” Roberta wails. “I’ve always had
difficulty finding clothes that fit me and having to buy something that’s
dressy and yet not too dressy. I have to look classy, to make my husband proud,
but I don’t want to outshine the other women, that wouldn’t be politic. I keep
going from one store to the other trying on gowns – too dressy, suits – too
stuffy, dresses, skirts. I just can’t find anything that’s right. I’m getting
exhausted. And time is running out. Not to mention that I’ll then have to find
shoes to match and a purse. The whole thing is just too much.”
I find myself thinking of my recent trip, of the shacks some
people lived in in Laos and Cambodia, of the barefoot, skinny children. They
couldn’t conceive of Roberta’s problem, let alone wish to change places with
her.
“Roberta, you’ve talked about these parties in the past.
They always make you uncomfortable. All those people, and having to make social
chit-chat. Are you putting some of your anxiety about the event itself onto
your concern about what you’ll wear?” I ask, trying to bring myself back to a
more compassionate place.
“I can’t even think about that yet. First I have to find
something to wear. I have less than two weeks and I haven’t even found the
dress!”
I can feel my annoyance increase. Why do I have such little tolerance
for Roberta today? Is it the memories of my trip? Is it thinking of the too
many people I’ve known who died this year? Is it thoughts of another holiday
without my late husband?
“Roberta, when you get so anxious about what you’re going to
wear, do you ever think about Carl’s death, the tragedy of his loss and the
pain of your feelings around that loss? If you think about that loss, does it
in anyway minimize your present feelings?” Without being too blunt, I’m trying
to ask if she can put her present concerns into perspective.
“No. I know what you’re asking. But I don’t think about Carl
now. All I can think about it how I’m going to find an appropriate dress.
Besides, you know I try not to think about Carl anyway.”
Aha! I think. Maybe I have an inroad. “So perhaps you’re
saying that one of the reasons you become so preoccupied with worrying about
what you’re going to wear is that it keeps you from thinking about Carl.”
“You just don’t get it,” Roberta says angrily, “I’ve always
had difficulty buying clothes and this party is less than two weeks away!”
Hearing Roberta’s anger is a relief. It rids me of the feelings
of annoyance and anger I’ve been carrying all session. Maybe I’ve been feeling
Roberta’s anger for her. Maybe it would be helpful to know who and what Roberta
is really anger at.
“Roberta, I hear that you’re angry. And I understand that
you’re feeling not heard and understood by me and I’m sorry. But I wonder if
you’re also angry at someone else. Your husband? Carl?”
“Carl? How could I be angry at Carl? He’s dead. He’s the one
who lost his life!”
“I understand that. But you always felt he was a reckless
driver. Maybe you feel he could have been more careful that night. That perhaps
then he wouldn’t have lost his life and you wouldn’t have to go through another
holiday without him.”
Roberta bursts into tears. “I miss him so much,” she says.
“I want him back.”
We sit in silence.
“I feel better,” Roberta says. “But I still have to buy a
dress.”
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