Compassion

“You don’t understand!” Morgan screams at me through clenched teeth, hitting the sides of her head with her fists. “I hate myself! I hate myself! I’m stupid and ugly and awful. Bad! Bad! Bad!”

“Stop it, Morgan,” I say raising my voice. “You know you’re not allowed to hurt yourself in my office. Stop and try to calm down.”

Morgan brings her fists in front of her eyes and bursts into tears. I silently breathe a sigh of relief. She continues to sob.

“I’m here, Morgan,” I say gently.

She nods, still crying. 

“She’s such a bitch,” Morgan manages to say through her tears. “But why am I such a mess? I should know it by now. She’s the golden child. Everything good comes to her. And me? I’m just bad and deserve everything I get.”

“Morgan, is there even a little part of you that knows that’s not true, that knows you were a small, helpless child who deserved to be cherished, not beaten?”

“Nope! You just said it. I was small and helpless, by definition that made me bad.”

“But all children are small and helpless, Morgan.”

“But not all children are illegitimate.”

“That was hardly your doing.”

“Tell that to my mother. I was born, ergo it’s my fault. And then Prince Charming comes into the picture and the golden child is born and I’m even more worthless than before. And now not only does Mom get to beat up on me, but my sister does too. You should have heard her gloating. Gloating! I mean I get it. She’s happy she’s pregnant. I should be happy for her. But gloating. Like it was a contest. I can’t even get a relationship and she and Rob are going to be the ‘happiest people in the world. You’ll know what I mean when it happens to you.’ Gag! I thought I’d throw up. But that’s because I’m bad. Because I can’t love my sister, because I can’t be happy for her.”

“It’s very hard to be happy for someone who smiled sweetly after she got you in trouble and watched you be beaten.”

“But I deserved it! I did pull her hair, or steal her doll, or punch her. I hated her! I still do. And that makes me really, really bad.”

“Does it?”

“Doesn’t it? Aren’t you supposed to love your sister? Aren’t you supposed to turn the other cheek?”

“Your rage at your mother had to go somewhere.”

“See, that’s exactly what I mean. I was a rageful brat. And if I couldn’t rage at my mother, I turned it on my sister. Charming!” 

I sigh. “I always feel as though I’m arguing with you, Morgan, always trying to convince you that you need to have compassion for yourself…”

Morgan interrupts me, snorting her disdain. I continue talking.

“…that you need to have compassion for yourself as the scared, helpless child you were and understanding for yourself as the angry adult who keeps turning that anger on yourself.”

“Compassion doesn’t exist is my vocabulary, let alone in my experience.”

“If you read about a child who was beaten with a belt, who was locked in a closet, who was repeatedly sent to bed without food, wouldn’t you feel compassion for that child?”

“Maybe. But for me, for me I feel only hatred. I was bad. My mother was trying to beat the badness out of me. If my mother was bad she would have beaten my sister too. But it was only me, only me who needed to be beaten.”

“I do understand, Morgan, that you have to hold on to the belief that you were the bad one because as long as you’re the bad one you still have hope you can be different and win your mother’s love. But if she can never love you – perhaps because of the circumstances of your birth, perhaps because you reminded her too much of her – then the hope of her loving you is gone and you’re left in mourning, without the only mother you ever had. And that’s sad, Morgan. Very sad. And you need to find compassion for yourself.”

“There’s that word again. You don’t get it. There’s no word like that for me. It’s as though you were speaking Chinese.”

“I do understand that compassion feels entirely foreign to you. But you need to find your compassion for yourself, perhaps by first taking in my compassion for you. Your life has been terribly painful and unfair and you need to be able to feel sad for you.”

If Looks Could Kill

Marlene glares at me as I open the door to the waiting room. My customary smile freezes on my face. I’ve been seeing Marlene for over three years now and her connection to me is quite intense. As we walk toward my office I ask myself if there was there anything notable about our last session. I didn’t announce an upcoming vacation. I don’t recall a therapeutic breach. We talked about her father, a man she has been loath to take off his pedestal. 

Marlene drops into the chair, crosses her arms and legs and pointedly looks out the window, avoiding my eyes. She’s a tall, blonde woman in her mid-thirties who came into treatment because of repeatedly failed relationships she described as filled with betrayal and abandonment.   

We sit in silence for several minutes as Marlene’s anger fills the room. I’m becoming increasingly uncomfortable. Is that because I want to avoid getting caught in a power struggle? Or does Marlene’s anger feel too big to me, triggering my own discomfort with intense rage? I can’t tell. But I know I’m going to break the silence.

“You’re obviously really angry with me, Marlene. Can you tell me why?”

“I hate you!” Marlene spits at me.


Over the years, I’ve certainly had patients tell me they hate me. But the venom behind Marlene’s words is frightening to me, especially since I have no idea what’s fueling it. I do know her anger is triggering me, reminding me of the irrational, explosive rage of my father, but that awareness doesn’t assuage my anxiety.
  
“You’re just like my fucking mother! All you want to do is take him away from me. I can’t say you want him all to yourself, you’re too much of an old bag for Daddy, but you probably just want me to be as miserable as you.”

I’m getting a glimmer of what’s going on. That helps. But the paranoia behind Marlene’s words is still discomforting. 

“So in our last session you felt I was trying to take your father away from you.”

“I didn’t ‘feel it,’ you were. Telling me he never loved me!”

I feel I’m walking through a land mine. If I dispute Marlene’s account of what I said, we’ll only end up arguing about who said what. Yet I’m not comfortable allowing what I see as Marlene’s distortion to exist as fact. I decide to try to go underneath the rage and paranoia. 

“So if I was trying to take your father away from you I can certainly understand your feeling enraged at me. But what if in the course of our discussion you found yourself having some doubts about your father …”

“Never, bitch! You see. You’re doing it again.”

My anxiety is moving towards anger, just as Marlene’s anger covers her fear and vulnerability.

“Marlene,” I say with more determination. “There’s a lot going on here today. Even the intensity of your rage and your unwillingness to hear me out, speaks to your covering over lots of feelings. Something clearly got triggered in our last session. I’ve become the enemy. I wasn’t your enemy before and I’m not your enemy today. If you feel I was too harsh about your father, I apologize. But no father is perfect, no father can be 100% available and loving. And I think you got scared about losing your perfect father. Perhaps having him be less than perfect feels like he’s not there at all, sort of like with me going from friend to enemy, he went from being 100% there to being 100% absent and that was too painful to bear.”

Once again there is silence, but this silence feels more tolerable.

“I don’t know,” Marlene finally says in barely a whisper. “If I believe you, I lose him. If I stay with him… I don’t know. Does that mean I lose you?”

“The world isn’t so black and white, Marlene. You don’t have to choose between us, even though I know that is how it often felt with your parents. Neither your father nor I are perfect, but our lack of perfection doesn’t mean that you’re abandoned and alone. It means you get to take what you can from each of us imperfect people and that you can also look beyond us for close, meaningful relationships.”

“I don’t know. I don’t know what to think.”

“What is it that you feel right now?
”
“Confused.”

“Anything else?”

“Kind of empty. It’s like I was filled with rage when I came in and now that rage is gone, but I’m not sure what’s there in its place.”

“I understand. We’ll continue to talk about it next time.”

Unmoored

“You’re sure you don’t know my husband?” Francis Browning asks again.

“Yes, I’m sure,” I reply. “You made it very clear on the phone that your husband is a psychologist in town and I definitely wouldn’t have agreed to see you if I knew him in any way.”

“I’m sorry. It’s just so hard to trust anyone anymore. I can’t even believe I’m willing to see a psychologist myself, but I have to talk to someone or I’ll go crazy. Sometimes I can’t stop crying. Other times I walk around the house screaming. I can’t believe he’d do this. Why drag me all the way here only to dump me?” Francis digs her fingernails into her hands, her face contorted with rage.

I remain silent.

“I’m from Kansas,” she says. “A Kansas farm girl. People in south Florida laugh at me. They don’t think anyone lives in Kansas. And they don’t believe anyone works a farm. I don’t know where they think their meat and produce come from. Just magically appear in the grocery store I suppose. I hate it here. People are incredibly rude, unfriendly. I never wanted to come here. But Richard loved it when we vacationed here, the sun, the manicured lawns, year-round golf. He kept saying as soon as the girls went off to college we’d move. I thought he was just talking. I went on with my life. It wasn’t a very exciting life, but it was my life. I kept busy with my friends and volunteer work. I never finished college. I thought I was so lucky that someone like Richard would want me. Ha! Guess that’s a joke.”




As Francis talks, I think about how painful my move from Ann Arbor, Michigan to south Florida was, how gut-wrenching it felt to leave my friends, my practice and my home, how alien south Florida seemed. I, too, left because of my husband, but we had a warm, loving relationship and although I sometimes felt angry, I knew the move was necessary. Francis’ story obviously has a different trajectory.

“So the girls went off to college,” Francis continues, “and Richard started making plans to move. I kept asking him if he was sure he wanted to start over again in his fifties, but I

guess I never gave him much of an argument.”

“Did you tell him you didn’t want to move?”

“He knew. But I always did what he wanted. He didn’t expect much opposition from me. So we moved and I hated it as much as I thought I would. Moving into a country club community was my idea of a nightmare. I don’t play golf or tennis. I don’t play cards, which kind of eliminates everything women do in those places. Richard was happy as a clam – working hard, I have to give him that – involved in all kinds of stuff at the club. He started watching his weight, coloring his hair. Wanted me to do all that too. Said I looked dowdy. I should have known. I should have realized he’d start looking elsewhere. I should have tried harder, done what he said.”

“You seem to go from being really angry with your husband to blaming yourself.”

“Yeah. Maybe if I’d done the things he’d asked we’d still be together. But too late now. Moved in with another woman. In the same club of course. Talk about being laughed at. I keep asking myself why I don’t move back to Kansas.”

“That’s a good question. Why don’t you?”

“Partly it’s shame. Not too many people back home know what’s happened. The girls of course, but I haven’t wanted to tell my friends. And I don’t know. I guess it’s silly, but I like Richard to know I’m still around, still watching what he’s doing, like I’m here and you can’t get rid of me so easily.”

“You know, Francis, I’m left wondering what you want for your life. What you’ve ever wanted for your life. You’ve spent your life wrapped around your husband and what he wants. What about you?”

Francis glares at me. “Typical career woman! You sit there talking down to me and telling me about my choices.”

I’m taken aback by Francis’ venom. Am I a stand-in for her husband? For the other woman? 

“I’m sorry,” she says. “I just don’t know what to do with my rage.”

“You never have to apologize for your feelings here, Francis.”

“I never wanted to be a career woman. I wanted to be a wife and mother and look where that got me. I’m being punished for getting what I wanted. You’re not supposed to want. You’re just supposed to accept whatever God gives you.”

“It’s hard not to want, Francis.”

“Maybe. But wanting and getting burned is no better.”

An Eye for an Eye

“I’ll never be able to have sex again,” sobs 22 year old Ashley, her face, buried in her hands with her long brown hair falling forwards, her voice barely audible. “I don’t know how I could have been so stupid. I know better. I’m not some dumb freshman, for God’s sake. I know you don’t get drunk at a frat party and go have unprotected sex with some guy you’ve never met before. My life is over!” she wails. 

It has been a month since Ashley confirmed that she has herpes. We have been dealing with nothing else since her diagnosis. She is understandably distraught, unable to move beyond the feeling that she has forever ruined her life.  

I think about some of the patients who have, over the years, told me about having herpes: The 60 year old woman who felt forever dirtied and punished by God. The session with a man who began by saying he needed to tell me his “secret,” and was then for so evasive, that I became afraid he was going to tell me he had committed murder. The young woman who said she contracted herpes after she had been drugged and raped, only to tell me months later that she had fabricated that story to hide her shame.  All tragic stories that forever cast a shadow over the person’s life. And now there is Ashley.

“I can’t believe I’ll never be able to have sex again. I’m only 22. I’ll never get married. Never have children.”

“Ashley, I’m by no means minimizing the pain and difficulty of having herpes, but it doesn’t mean you can’t have sex or get married or have children,” I say, trying to temper Ashley’s overwhelming feelings of despair.

“And risk doing to someone else what that asshole did to me! Never!!”

I think about the anger that almost invariably accompanies contracting herpes: the 60 year old who talked of being punished by God, my fantasy that my male patient might have committed murder, the young woman who fabricated a story of rape. Rage makes its way into the experience one way or another.

“I certainly understand your angry at that guy.”

“Yeah, I’m angry at him. Lot of good that will do me.”

“Well, it’s important that you’re aware of your anger, rather than being scared of it.”

“What are you talking about?”

“You’re angry. You’d love to get back as this guy, but there’s really no way to do that. So you feel powerless and that makes you even more angry.”

“So, yeah, and what does all that mean?”

“You notice, Ashley, that you’re also getting angry with me, which is perfectly all right, but I think it’s an indication of how angry you feel and how easy it is to direct your anger at me or someone else.”

“Sorry.”

“You have nothing to apologize for. It’s just important that we look at what’s happening and try to understand it because I think it’s related to why you think you can never have sex again or get married or have children. I think you’re afraid – not consciously, of course – that your anger would spill over to a new partner, that perhaps you’d want to give him herpes, just as it was given to you.”

“No way” Ashley says, shaking her head emphatically, her hair flying from side to side. “I’d never, ever want to do that to someone else.” 

“I know you’d consciously never WANT to harm someone else, but your unconscious desire for revenge is another matter. If you’re afraid of wanting to hurt, you might try to protect others from what you’re afraid is your dangerousness by depriving yourself of the pleasure of sex and marriage and children.” 

“But how could I possibly have sex with someone and know I could harm him - especially if you’re saying I want to harm him?”

Although Ashley’s question might sound as though she’s still stuck, I hear some hope for she’s at least considering the possibility of having sex again. I reply, “It’s not that you’d want to harm a new partner, it’s that you might be afraid your anger could be expressed in that way. And the more we can deal with your anger here, the more you know about your anger, the less afraid you would be of expressing it unconsciously.”