Inside/Outside
Showing posts with label transference. Show all posts
Showing posts with label transference. Show all posts

Friday, January 13, 2023

Another Year

 

“I’m here because of my wife,” Kevin begins. He’s a good-looking man who I judge to be in his early 50s, wavy brown hair beginning to be streaked with just a hint of gray. “She gave me a really nice Christmas present – a trip to St. Barts, just the two of us. Our kids decided they wanted to spend the holidays with their boyfriends’ families, so we were on our own, two lovebirds.” Pause. “But turns out she had an agenda.” He sighs. “It was all a plot to get me into therapy. Said it was a new year, time to press the reset key. She says I’m uptight and angry all the time. And of course as soon as she said that I got angry which only proved her point.”


“So do you see yourself as angry and uptight?”

“I can get angry, but I always think I have a good reason.”

“Like when your wife said you were uptight and angry all the time?”

“Yeah,” he says, with an edge to his voice. “Like you’re telling me that’s not a good reason to get angry! She blind-sided me. Here I think we’re going on this romantic trip and actually she just wants to get me into therapy. It’s not right!”

I feel as though Kevin is daring me to prove his anger isn’t legitimate and I struggle to not engage with him on that level. “So what do you feel right now, right at this moment?”

“That’s a typical therapist question, at least from what I see on TV, not from personal knowledge.”

Silence.

“Oh yeah, that’s another therapist trick, silence.”

I again struggle to not pick up the gauntlet he’s thrown down. “I’m wondering why you decided to come into therapy, to do as your wife asked.”

“I just told her I’d try it out.”

“So is this a trial session?”

“I suppose.”

“Do you feel invested in not having it work? Because it feels like we’re almost in a fencing match. Or maybe there’s a part of you that really wants to be here.”

He sighs. “Actually my sister saw you. She said you were really good, that you helped her a lot.”

“Wait, I saw your sister?”

“Yes, Alison Bentley. Different last name. Quite a long time ago. You helped her deal with the sudden death of her husband.”

“If I’d known you were related to someone I’d seen, I would have referred you to someone else.”

“Why? Allison’s fine with it. She doesn’t even live here anymore, moved to Texas with her new husband. She’s good.”

“I’m glad to hear Allison is good. But it strikes me as really interesting that first you come in today and are unsure whether you want to be here and then you tell me I saw your sister and now I’m unsure of whether we can work together.”

“But why? You have a head start on me. You know the backstory, my insane family of origin, which should make our work quicker.”

“I’m just taking a stab here, but is it your experience that if someone moves closer to you, you pull away and if they move away, you move closer? Sort of like the fencing match I mentioned.”

“Definitely! You are good! How’d you come up with that?”

“Well, first you’re angry at being here and only doing it for your wife, but when I express reservations, you suddenly want to be here. Seems like you want to create distance, unless the other person – in this instance, me – pulls back.”

“I get it.”

“But I don’t know where that leaves us. I’m truly not sure I’d be the best therapist for you even though, yes, I know some about your family of origin. But I know about it from your sister’s perspective, not from yours. That’s not always helpful. Your subjective experience has to be different than her subjective experience.”

“That sounds like psychobabble.”

“Are you getting angry right now?”

“A little.”

“So this time I’m backing away and you’re still getting angry. Is it that you’re not getting what at least a part of you wants, namely me?”

“Yeah. I hate not to get what I want. Makes me mad and frustrated and all around pissed. Just like my father. And it especially makes me mad if the reason I’m being rejected … I mean the reason I’m not getting what I want makes no sense.”

“I don’t know about you, Kevin, but I found this to be a complicated session. I’m not sure what I think would be best for you and I’m not really sure what you want. Our time is almost up, but what if we agree to make another appointment and each think about it during the week and discuss it next session?”

“I guess.”

“You still sound pissed off.”

“I just don’t get what the big deal would be your seeing me after you saw my sister.”

“Well maybe during the week you can think about what you’d like to get out of therapy and we can talk some more about it.”

“Okay,” he says, half-heartedly. 


Tuesday, September 20, 2022

Beyond Afraid

 I open my waiting room door to a mid-thirtyish man pacing back and forth in front of the couch. “Frank?” I ask.

He startles and turns to face me. “Oh, I’m so sorry. Did I frighten you? I didn’t mean to frighten you. I just can’t sit still. I’m so jittery. I just…”

I note that he’s afraid of having frightened me when he’s clearly the one who’s terrified. “It’s all right,” I interrupt. “Why don’t we go into my office and sit down.” 

He sits, but perches at the edge of the chair, as though posed for flight.

“What has you so frightened?” I ask.

“My, my, mother,” he stammers. “I’m afraid she’s going to die. My father died a year ago. He was fine, came home from work, went upstairs and died. Doctors said something about his heart. I couldn’t understand it. My Mom started screaming and screaming. I guess I did too. It still all a blur. But now I’m worried about my Mom. They say she has something in her uterus. I’m afraid she’s going to die. I couldn’t make it if she died. I couldn’t make it,” he says starting to cry. 

“What does she have in her uterus? Are her doctors concerned? Is she concerned?”

“She’s a wreck. Her doctors say it’s nothing, just something to watch. I don’t know, fibrosus?”

“Fibroids?” I ask.

“That’s it! Can that kill you?”

“I’m not a medical doctor, but my understanding is that fibroids aren’t usually a problem.”

“Are you sure?”

“Frank, do you think anyone can sufficiently reassure you?”

Still crying, he says, “I’ve always been this way. Everything scares me. Mom’s like that too. Dad was also kind of anxious. Only my sister isn’t. She’s the opposite. She’s in something like the Peace Corps. In India. My parents flipped out when she joined. But she was determined. And now she married an Indian guy so I guess she’s never coming home. I worry about her dying too, but it’s not as bad as with my Mom.”

“Can you tell me a little about your growing up, Frank. What was it like being a kid in your family?”

“It was great. I didn’t worry about anyone dying then.” Pause. “But I was always afraid. Hard not to be. My Mom worried about everything, about us being kidnapped, about us driving. I didn’t drive ‘til I was 20 or something. She’d take us to the doctor for the least little sniffle. Make us stay home from school.” Pause. “That was okay with me. I didn’t like school. I mean it wasn’t school I minded. I just didn’t like being away from home. I always felt scared being away from home. The other kids made fun of me, called me a Momma’s boy. I guess I was. Guess I still am.”

“Have you ever lived away from home?”

“I tried. Went away to college, but didn’t last a semester.  I came home, got a degree in accounting. Dad was an accountant. But I’m an assistant accountant. I didn’t want all that responsibility. I didn’t want the work to kill me like it killed Dad. I work mostly from home, especially since Covid, and especially since my Dad died. I want to be around for my Mom. She’s my responsibility now that he’s gone.”

“Have you been in therapy before?”

“I may have gone awhile when I was a little kid. But not really, no, not since I’m grown.”

“How do you feel about being in therapy? And how do you feel being with me?” 

“I guess I need it. I’d like to not be so scared all the time.” Pause. “And I like you. You’re nice. Sort of like my Mom, except not as nervous.” Pause. “Can you help me be less scared?”

“I certainly hope so. But I do want to say, Frank, that you may not always think I’m so nice. There are times therapy can be hard and painful. Like one of the things I suspect you and I are going to look at is your relationship with your mother.”

“Why? I have a great relationship with my mother.”

“Except it’s hard for you to have a life apart from her.”

“Are you going to take Mom away from me?” Frank asks, panic seeping into his voice.

“No, Frank. I don’t have the power to do that nor would I want to. But having part of your life be separate from your mother seems like something an adult child might want.”

“I guess.”

“You can always disagree with me, Frank. My saying something doesn’t make it so.”

“That’s not like my mother! She always wants me to think the same way as her.”

“Well, maybe that’s one thing we’ll get to look at together, how you feel about always needing to think like your Mom.”


Wednesday, May 18, 2022

Being Bad Part II

 “I’ve been thinking about what we talked about last time,” Brenda says, beginning immediately. “About my being angry. I suppose I could be, but I don’t know what I’d have to be angry about. I have this great life, a family who’d do anything for me, a nice condo, great weather. What else do I need? Well, I guess I’d like to find a man, but I’m not angry about that. It will happen eventually.”

“You mentioned last time that when you felt angry you stopped eating. What was that about?”


“Mostly I was just mad at myself. Mad that I let myself get too fat.”

“You said that when that didn’t work, you’d eat and throw up, what did you mean by that?”

“When my Mom got mad at me for not eating. Or more like when she kept asking if I didn’t like her food, or if I could tell her what she could make me that I’d like,” she says rolling her eyes. “It got annoying so I’d eat and throw up later.”

“You were annoyed at your mother?”

“Yeah. She can get pretty annoying. She thinks my skirt is too short or my hair is too long or I wear too much make-up, whatever.”

“So you can feel angry with her.”

“Yeah, I guess. My Dad’s not like that, pretty much everything I do is okay, but I don’t know, it’s almost like it doesn’t matter what I do, almost like he’s not interested. Yeah, I guess that’s right. I’m the afterthought. My brother’s the boy, my sister’s the smart one and I’m just me. I mean, he does like it that I do well selling houses. That he cares about.”

“So you feel criticized by your mother and ignored by your father except at his business.”

“That pretty much sums it up.”

“Don’t you think that’s something to be angry about?”


“I suppose. But it’s not like I’m being abused or beaten up or neglected.”

“That’s true. But you’re entitled to have whatever feelings you have. You don’t have to be beaten up to feel hurt and angry.”

“No one gets angry in my family. We’re polite and respectful, except when we were little kids of course. But like I’ve never heard my parents fight. They never scream at each other.”

“And do you think they have a good marriage, a close marriage.”

“I wouldn’t say that. They kind of exist in the same house and are pleasant enough to each other, but I wouldn’t say they’re close. I’m not sure anyone in my family is close to anyone else.”

“Sounds lonely. And sad.”

“I guess. I’m not sure I know anything else.”

“It sounds like you know something else when you batter cars.”

“That’s not being close!”

“No, but you were feeling something intensely. I think you said you felt free, that you were showing them you couldn’t be pushed around.”

“Yes, that’s right, but I’m not sure how that’s related to my parents or to closeness.”

“As you said, everyone in your family is proper and respectful. Everyone is good. But there’s an absence of feelings, any feelings, angry feelings, loving feelings. It kind of sounds like you’re living in a doll’s house.”

“Funny you should say that. I’ve had friends tell me my parent’s house reminds them of a doll’s house. I always thought they meant because it was super done by an interior designer, but maybe they meant more than that.” Pause. “So you think it’s good for me to be ramming cars because it gives me a chance to express my feelings?”

“I wouldn’t say that. It does give you a chance to let loose with feelings you’ve kept bottled up, but you’re acting out the feelings against inanimate objects, not really letting yourself know what or who you’re angry at. I suspect you’ve been carrying around lots of feelings for a long time.”

Silence.

“So what should I do about my obsession about ramming cars?”

“Well, when you first have the thought or the impulse, I’d try asking yourself what you’re feeling right then. What made you have that impulse right at that moment?”

“But can I still do it?”

“Perhaps it would be better to ask if you can not do it. If you can not do it, that would be best, but I don’t know if you can stop quite that easily.”


Silence.

“I just had the desire to do it, to do it as soon as I leave your office.”

“And do you know why that is?”

She shakes her head.

“You sure?”

Brenda drops her head. Very quietly she says, “Maybe because I felt you were taking something away from me.”

“Which made you feel…?”

“I guess annoyed.”

“So it felt like I was telling you what to do – or what not to do – and depriving you of something you enjoy. That made you angry and wanting to act out that anger by ramming cars.”

“I guess.”

“I think we made a lot of progress today.”

“But what if I still want to ram cars?”

“No one changes overnight, Brenda.”


Friday, March 4, 2022

Undecided Part II

 “It’s not good,” Stan says, shaking his head from side to side. “You have to tell me what to do! I can’t stand it! All I do is think about this day in and day out. Should I stay with Paulette and my family or should I throw it all up in the air and be with Frank?”

Silence.

“Tell me.”


“You know I can’t tell you Stan. No one can make that decision but you.”

He drops his head into his hands. “I can’t. I can’t make the decision.”

“If I told you what to do – which I wouldn’t – what would you hope I’d say? 

“That I should follow my heart and be with Frank.”

“So is that what you want?”

“Yes. Yes. It is what I want. But is what I want enough? Is what I want always what matters most? If I want to go murder my boss, should I go murder my boss? No, obviously not. Sometimes you can’t have what you want. Sometimes you shouldn’t hurt other people to get what you want.”

“That’s a very good point. Let me ask you something, why would my telling you to follow your heart and be with Frank, change what you just said about not hurting Paulette and your children?”

“And my parents. And the rest of my family”

“And why would my telling you to be with Frank change how you felt about hurting those people?”

“I guess because you’d be giving me permission. Because you’d be saying being gay isn’t bad, isn’t a perversion.”

“So now you’ve introduced something else. It’s not only about hurting people, it’s about whether you think being gay is bad.”

“Is it?”

“No. But it’s not about what I believe, it’s about what you feel. If you tell me you want to work on the negative feelings you have about homosexuality, I’m happy to do that, but you’ll still have to decide whether or not you want to leave your marriage. And I suppose there’s also the question of whether if you stay in your marriage and feel as though you’re accepting second best, are you making Paulette accept second best as well? Are you depriving her of feeling with someone else the same way you feel with Frank?”

“Oh no! You’ve just made this even more complicated!”  Stan stares at me intently. “Wait a minute, are you a lesbian? Do you feel I should be with Frank? That’s it’s better to be homosexual than heterosexual?”


I’m startled. “Now I’m confused,” I say. “I thought you wanted me to tell you to be with Frank which I certainly haven’t done, but now you wonder if I’m a lesbian because I raise the question of whether staying with Paulette is the only way to not hurt her?

“Wow!” Pause. “I guess it wouldn’t have been all right with me if you’d told me to be with Frank. Even giving me a possible reason to leave Paulette, like it would be kinder to leave her to find someone who was really into her, it… I don’t know. I guess it really scared me.” Pause. “I guess it’s that I don’t want to be gay. I don’t want to be rejected by my family. I don’t want all the hassles gay people have to go through. I just want to be normal, to have things be how they were.”

“And is that possible, Stan?”

“That scared me again. And again made me wonder if you really are gay.”

“I think you are very frightened. And when you feel as scared as you feel right now, it’s easy to think that there’s someone outside of you who’s frightening you, and right now that someone is me.”

“So you’re saying I’m being paranoid?”

“I’m saying right now you feel me as dangerous. And that’s okay. We can deal with that. We can explore what makes you so frightened both inside your head and outside in the world.”

“So you could think that homosexuality was okay and not be homosexual yourself?”

“Yes,” I say, concerned about how much less adult Stan feels to me right now. “Stan, you told me that you came from a Christian, conservative background. I assume the message was that homosexuality was bad, a sin?”

“Definitely.”

“And do you think that’s what’s scaring you now, that you’re afraid if you’re gay you’ll go to hell?”

“But maybe if I give up Frank and stay with Paulette I could go back to having a normal life and be redeemed.”

“I guess you’ve added a whole new dimension to your conflict. It’s not only figuring out what you want and not only trying not to hurt anyone, it’s also wrestling with a difficult religious question.”

“And can you help me with that?”


“Well, I can help you explore your thoughts and feelings, but I can’t answer the religious question for you any more than I could answer whether or not to be with Frank.”

“Thanks. I don’t know why, or how, but somehow I think this helped.”

“I’m not sure why either, but perhaps it was parsing out the different pieces of your conflict so that your feelings don’t seem so overwhelming.”

Friday, February 4, 2022

Undecided

“I appreciate your willingness to see me, even virtually,” Stan begins. He’s a nice looking man who seems anxious, unsure, fidgeting with his fingers, moving in his seat.


“How can I help you?” I ask.

“I just hope you can help me. I want to leave my wife. No, no, that’s not exactly true. I don’t want to leave my wife. I love Paulette. But I have to leave her. I love her and I love my two boys, but I just can’t go on like this. I’m sorry, I know I’m not making any sense.”

“You can say whatever you need to say, however you need to say it.”

“I’m in love with someone else. A man! I can’t believe it. I don’t even know how this happened. I’ve never been attracted to a man before. Or, or maybe I have. I don’t know. But all I know is that I love Frank. I never expected to love Frank, I mean I don’t know if I even liked Frank at first, but then, there it was, he kissed me and I don’t know if I ever felt anything so powerful in my life. So that’s it. I love Frank and I love Paulette. But I can’t keep lying to Paulette. I don’t even know how she hasn’t figured it out. I do everything I can to avoid having sex with her. Not that I mind having sex with her, but it feels like I’m being unfaithful to Frank! Which I know is completely crazy”’ Stan takes a breath. “So that’s the story. Do you think I’m awful?”

“No, of course not. I think you’re in a lot of pain. Can you to tell me a little more about yourself?”


“I’m 38. I’ve been married for 12 years. I have two boys, six and ten. I was supposed to be a physical therapist, but I ended up selling solar panels. I like it. Makes me feel I’m helping people. And the environment. That’s how I ended up in Florida. It’s a good place to sell solar panels. My wife and I are actually from a small town in Ohio west of Cleveland, conservative, Christian area. South Florida was an adjustment, but we’ve learned to love it.” Pause. “‘We’ve learned to love it.’ That’s the problem, ‘we’ has always meant me and my wife. I don’t know. I don’t know if I can leave that ‘we,’ break up my family, have to explain all this to my wife. And to my parents. I don’t even want to think about them.”


 “And if you do think about your parents…?”“They’ll never accept it. I don’t think they’d say they didn’t want to see me again, but I know my mother would cry hysterically and my father would preach endlessly about my going to hell.” Pause. “This whole thing is such a mess. What would I tell my kids? Would my wife keep me from seeing them? No, I don’t think she’d do that. You know, the more I talk about this the more I wonder if I should just leave things as they are, keep lying, keep seeing Frank on the side. Maybe this thing with Frank will just burn itself out. Maybe it’s not love, maybe it’s just lust.”


“Can we talk a little about your sexuality? You said Frank was the first man you’d been attracted to and then you didn’t seem sure of that.”

“I played football in high school. And you know, we’d all be in the locker room, showering, trying to see whose was bigger while pretending we weren’t looking. Sometimes there would be a guy and, I don’t know, I guess you could say I might have been attracted to him, but I didn’t think much about it. I dated girls. I had sex with girls. I met my wife in college, we had sex, we dated a while, we got married and here we are.”

“And how was the sex with girls? With your wife?”

“Good. Good. It was good.”

“But not as good as with Frank?”
“Nowhere near. I never had sex like with Frank. I can see with across the room and all I want to do is jump into bed with him. He was my customer, buying solar panels for his house. At first I thought he was stuck-up, arrogant. Seemed like an awfully big house for one person. When I came by he started asking me to have a glass a wine. And that led to lunch. And that led to sex and where I am today.” Pause. “What do you think I should do?”

“I can’t possibly answer that…”

“What would you say if I was your son?” Stan asks, interrupting.

“What makes you ask that?”

 

“I don’t know. I guess you’re probably about my parent’s age.”

“It sounds as though your concern about what others think makes it hard for you to sort out what you want for you.”

“That’s definitely true.”

“I know you feel a lot of pressure to try and make a decision right now, but I’d suggest that you give yourself some time and that you give us some time to figure out what you really want.”




Friday, June 11, 2021

On Vacation

“I’m sorry I’m late calling,” Mia begins. “Lots of little things came up just as I was supposed to call.” Pause. “Of course, I’m sure you don’t care, just gives you 10 more minutes to do whatever you do.”

Silence.

“Aren’t you going to say anything?”

“Sounds like you’re angry at me,” I respond.


“Why? Because I’m late calling? Why should I be angry with you? Are you feeling guilty about something?”

“So I assume you’re feeling angry because I’m not going to be here for two weeks.”

Silence.

“It’s so stupid!” Mia says angrily. “I can’t believe you’d be dumb enough to actually go somewhere and risk getting Covid. Even I’m not ready to start traveling and I’m probably 50 years younger than you! I don’t really know how old you are, but you’re certainly not young!”

I realize Mia is goading me but, at least on this occasion, I don’t feel pulled into her provocation. “It sounds as though you’re feeling scared about losing me,” I say softly.

“So is that supposed to be the great interpretation that makes everything all right? That makes me understand, makes me less angry, makes me more accepting?”


“Why do you think you’re so angry, Mia?”

“I told you! You’re being stupid! And I can’t afford to have a stupid therapist! And not only that, you’ve been my therapist for years and I assume you’ve been secretly stupid the whole time. Maybe I’d be a lot further along if you were smarter.”

“Don’t you think it’s interesting, Mia, that you’re choosing to focus on my being ‘stupid’?”

“Why? Because my mother always told me I was stupid? One thing has nothing to do with the other. She’d accuse me of being stupid because she wanted to put me down. She was a bitch! And when my Dad was out of town there was no stopping her. She hated me and couldn’t stand for me to ever accomplish anything.”

“And you feel how about that Mia?”

“Don’t change the topic!”

Beginning to feel annoyed I say, “I’m not changing the topic. I’m trying to get underneath your anger, whether that’s your anger at me or at your mother. We know that anger is your first line of defense but that underneath you have lots of other feelings – fear, sadness, longing.”

“So I suppose now you want me to cry?”

“Mia, stop a moment. It’s not going to help you if you feel only pissed at me when I’m gone. You know …”

“You’re not going yet, right? I still have a couple of weeks, right?”

“That sounded almost like panic. Yes, you’re right, I’m not going for a couple of weeks.”

“So I still have time to change your mind.”

“Mia, you’re not going to change my mind. I’m going on vacation. I’ll be gone for two weeks. You know I’m fully vaccinated and I’ll be fine. Which doesn’t mean you can’t feel angry about my leaving, although I wouldn’t want you to worry that your anger could magically kill me. You can also feel scared and abandoned and alone. Sometimes you may even feel you won’t survive without me. But you will. You’re not a little girl any more. And even though it may feel like it, I’m not your Dad abandoning you to the uncontrollable rage of your mother.”

“Are you sure?” Mia asks, plaintively. “Right, here I go, just what you wanted, whining like a baby.”

“Mia, tell me what you’re feeling right now.”

“It’s just that I’ve gotten used to your always being here. It’s been a while since you’ve been away. It scares me. What if I need you? What if something terrible happens? What if my Dad dies? What if I’m sure you died?”

“So my being away increases your fear of something bad happening.”

“Yes.” Pause. “I can tell myself rationally that’s not the case, but that’s not how it feels.” Pause. “I guess it must be like when my Dad went away. Bad things did happen. Sometimes awful things.” Pause. “But my Mom can’t hurt me like that anymore, right?”

“Right.”

“’Cause I’m not a little girl, right?”

“Right.”


“And we still have time to work on this before you leave?”

“That’s right. And if you remember, Mia, I did tell you that I’ll be covering myself this time when I’m on vacation so if you have an emergency you can reach me.”

“That’s right! I totally forgot!” Pause. “You don’t usually do that.”

“No, I don’t usually, but I’m doing it for exactly the reason you mentioned. I’ve been here and available to all my patients for over 18 months - an unusual stretch for me - so I thought it might be hard for people to go cold turkey. I figured covering myself in an emergency is a sort of in between step.”

“I guess you really do care,” Mia says with a catch in her throat. “Thank you.”

“My pleasure.”