Tuesday, May 5, 2015


This is the beginning of Marjorie’s fourth month of therapy. She’s a reserved 45 year old woman who finds little meaning in her life as the third wife of a rich, older man who was born into money. Her days are spent attending luncheons, galas, and fundraisers. 

She hands me a check for last month’s payment, then reaches into her Gucci purse and pulls out a small oblong package wrapped in stripped red and gold paper, tied with a gold bow. I groan inwardly.

“Marjorie …” I begin.

“I know, I know,” she interrupts. “I’m not supposed to give you gifts. I’m supposed to talk about why I want to give you gifts. But I know why I want to give you gifts. I don’t want to just give you your check. I want to give you more. You’re finally someone I can talk to, someone I can really talk to as opposed to all the ridiculous chatter I do every day.”

Marjorie and I have been discussing the issue of gifts since her second session. That day, when I went to greet her in the waiting room, she had placed a flowering plant in the middle of the coffee table, carefully rearranging the magazines to either side. I was taken aback and suggested we go to my office and discuss the plant.

“I just thought the waiting room needed a plant. I felt more alive after our first session than I had for years and thought a living plant was the perfect thank you.”

“That’s a lovely sentiment, Marjorie. And saying just that without actually bringing the plant would have been more than gift enough. That’s what we do here, we talk about our feelings, we don’t act on them.” 

Many thoughts and feelings went through my mind: What if I can’t keep the plant alive? I remembered years ago when I practiced in Ann Arbor a patient saw the plant in my office as one or the other of us and how that plant fared took on huge significance. I also felt intruded upon. Was that a feeling born from the present interaction with Marjorie or was the feeling tainted by my childhood feelings about my parent’s intrusiveness? What if I didn’t want a plant in my waiting room? 

For the moment, Marjorie and I agreed to disagree. 

Following a particularly difficult session when Marjorie told me her life-long secret, namely that she had been molested by her uncle as a child, she brought me a crystal blue paperweight. “I know I’m not supposed to give gifts, but there was no other way I could thank you for allowing me to unburden myself from my lifetime of shame, for your accepting me, when I was sure no one ever could.”

That time I felt more compassion for Marjorie, experiencing her gift as an expression of her feeling that she herself wasn’t enough, that she had to offer more than herself to express her gratitude. “I appreciate your kindness, Marjorie, but I want you to realize that you, yourself are enough. I don’t need a gift. Your presence, your trust in me, your thank you is gift enough.”

“But I don’t feel that,” Marjorie said.

“I understand that,” I said. “We’ll work on it. But no more gifts.”

So this time, when Marjorie extends the red and gold package towards me, I feel my anger rise. Shaking my head, I say, “I’m not taking the gift this time, Marjorie. My understanding was that we were going to work on you and your words being enough.”

Marjorie looks stricken. “You’re not going accept my gift?”

“I’m not rejecting you, Marjorie. I’m rejecting your insistence on devaluing yourself.” I hear my choice of the word ‘insistence’ and realize that I’m not being completely honest, I’m not dealing with my feeling of Marjorie thrusting her gifts on me. And then I understand.

“Marjorie, I’m going to say something that might be hard for you to hear, but I do think it’s important. I know you give me gifts because you don’t think enough of yourself. But I think there’s something else as well. Your uncle. He presented himself as if he was giving you a gift, giving you something pleasurable.”

Marjorie gasps, covers her mouth with her hands, “You think I’m molesting you?” she says in horror.

“What I think is that you’re helping me to feel how you felt as a little girl. Your uncle was literally intruding on you, abusing you, but he was also giving you pleasure and that’s always what’s most difficult for childhood sexual abuse victims.”

“I feel so dirty,” Marjorie says. “I never wanted it to feel good.”

“I know,” I say, compassionately, “but it’s hard not to crave the attention and your body can’t help but react.”

Barely audible, she adds, “And, each time, he brought me a gift.”      


Barb Leigh said...

Just a little note to say how much I enjoy your writing, and the insights contained therein. The steps you take, the thought processes you undergo, the interchanges you have with your client - all are inspirational!

Linda Sherby PH.D., ABPP said...

Thank you so much for your positive feedback, Barb.

Unknown said...

This is a very powerful story. Thank you.

Linda Sherby PH.D., ABPP said...

Thanks for taking the time to comment, Julie.

hayley said...

Jeez this story is intense. Since I have started therapy I have thought alot about my therapist, thought about bringing her a coffee or seeing her out and about. It is hard to keep your feelings professional when they learn so much about you. I wonder if this stems from my abuse to... :-/ Love reading some of these blogs.

Linda Sherby PH.D., ABPP said...

Thanks for your comment, Hayley. I'm glad you enjoy my blogs.

Patients do have all kinds of feelings about their therapists and it's important to know that these feelings can and should be discussed with the therapist.

Good luck to you.