Inside/Outside
Showing posts with label unconscious communication. Show all posts
Showing posts with label unconscious communication. Show all posts

Tuesday, July 21, 2015

Unleashed

“I didn’t want to come today,” Penny says quietly. “I knew I’d have to tell you what I did and I’m not sure I want to. I’m not sure I can.”

Penny’s anxiety is palpable and mine rises along with hers. It’s difficult when patients introduce a topic this way. I always think of something dreadful – she attempted suicide, she started cutting herself, she killed her daughter. I remain silent.

Penny sits looking downward, her dark, straight hair partially covering her face. She makes no attempt to wipe away the tears that fall down her cheeks.


“I beat up Jennifer,” she finally says in a whisper.

Even though my internal list of dreadful possibilities did include Penny having killed her child, I didn’t really expect to hear that Penny had done anything violent, not this petite, delicate woman who sits across from me. And what does she mean by ‘beat up’?  

“I swore I’d never be like that,” she continues. “I swore I’d never be like my mother. I waited years to have a child because I was so afraid of being like her. And then I am. I’m just like her, just as out of control crazy,” says Penny between sobs.

Penny’s mother was an enraged woman with an explosive temper who beat Penny and her sister with straps and belts and anything else at her disposal. Did Penny indeed lose control like her mother? No longer able to contain my own anxiety, I say, “Can you tell me what happened, Penny.”
 
“Bill and I came home earlier than we expected and there was my 15 year old daughter on the couch making out with this… this boy I’ve told her to keep away from. He’s one of those bad boys. I bet he never even finishes high school. I just snapped. I started screaming and screaming. Bill told him to leave, Jennifer started to give her father an argument and I just went over and slapped her across the face. Twice. She looked at me shocked. I stopped. I couldn’t believe what I did. I couldn’t believe I was just like my mother.”


I can feel myself breath again. Although Penny was briefly out of control her behavior was a far cry from her mother’s. In fact, I can remember a time in a somewhat similar situation when I was about Penny’s age when my mother slapped me for the first and only time of my life. It didn’t scare me. Just made me mad, even though I knew I’d been out of line. But Penny is now frightened of herself, beating up on herself not with a belt, but with self-recrimination and guilt.

“I can’t even look at Jennifer without bursting into tears. And yet I’m still mad at her. She knew she shouldn’t bring that boy into the house. I don’t want her near him anyplace let alone in my home. But I shouldn’t have snapped like that. Bill tells me I’m being too hard on myself, but he doesn’t understand.”

Remembering my own musings before Penny told me what actually happened, I ask, “Is it what you did that’s bothering you so much or what you felt?”

“What do you mean?”

“Well, if we just look at what happened: You come home and find Jennifer with a boy you don’t approve of. You get angry and yell and slap her twice across the face. The facts themselves aren’t so terrible. Maybe that’s what Bill means when he says you’re being too hard on yourself. 
But the question might be, what did you feel? Did you feel so out-of-control with rage that you might even have wanted to kill Jennifer? And even if you consciously didn’t feel that, was it the extent of your rage that frightened you so much, made you feel like your mother.”

“I didn’t want to kill her!”  Pause. “At least I don’t think so. But I’ve never been so angry in my life.”

“You know, Penny, you present as this gentle, almost meek, little person who would never want to hurt a fly, who could never, ever feel angry at anyone. And maybe that’s the problem. You’ve been so intent on not being like your mother, in keeping any possible similarity to your mother buried far, far away that when that anger was unleashed it burst out like a volcano.”

“That makes sense. But I don’t know what to do with that.”

“Well, it’s too intellectual right now. But I suspect we’re going to need to spend more time looking back at your childhood and finding the anger you needed to keep buried back then, anger that’s still buried and looking for a way to get out.”

Tuesday, September 24, 2013

Cancer

As soon as I open my waiting room door, I can tell that Marsha isn’t doing well. Usually a warm, bubbly woman with a ready smile, today she seems sad, subdued.

“It’s been a bad week,” she says. “I’m not sure I even mentioned this to you before because Bruce was so sure it would be nothing and you know me, I’m more than happy to ignore things until they slap me in the face. Well, I got slapped in the face. Bruce has prostate cancer.”

Oh no, I think to myself, trying to keep my face impassive. My husband had prostate cancer. He died of prostate cancer. Memories flood me. When he first told me. When the radioactive seeds were implanted. When he started hormone injections. The years of the cancer being under control. Until it wasn’t.

“I’m not sure I understand all the details,” she says, “but I guess it’s past the stage of watchful waiting. So now we have to make all these decisions. I mean, I know they’re Bruce’s decisions, but obviously he wants my input. He’s only 58 years old. He’s scared of the surgery, the possibility of impotence or incontinence or both. I don’t much like the idea either. We’ve always had a great sex life. That’s been the glue through our ups and downs.”

58. A long time for the cancer to have to be kept under control. George was in his early 70s when he was first diagnosed. We didn’t want the surgery either. Not only for the reasons Marsha mentioned, but because George had recently had some heart difficulties and I was especially anxious about him having general anesthesia. It was a decision I often regretted. I remember my aunt saying, “Take it out! Take it out! Take it out!”

But this is not my decision. Neither my experience nor my bias should influence Marsha. I think about my book, Love and Loss. Marsha has never mentioned it, so I doubt she’s read it. If she had, she’d certainly know about my experience. Would if influence her? Perhaps. It’s one of the difficulties I considered before writing a book so filled with self-disclosures.

“You look sad,” Marsha says, bringing me out of my reverie.

Obviously my feelings are showing. “Yes,” I say. “I’m sad, sad that you and Bruce have to deal with this pain.”

It’s true. More accurately, it’s half true. I feel sad for Marsha and sad for me. Although I don’t need Marsha’s misfortune to remind me of George’s cancer and its progression, Bruce’s cancer does bring those memories and feelings to the fore once again.

Marsha begins to cry. “It’s so unfair. We’ve just gotten our kids off to college and all the problems we had with Lawrence. I never thought he’d straighten out. But he did. And there’s taking care of our parents who aren’t doing so great either. The sandwich generation! Except now we’re being eaten!”

This is the other side of Marsha. As she said, she’s usually able to ignore difficult things. But when they hit her in the head she’s blind-sided, her defenses fall away, and she’s left drowning in misery.

“It isn’t fair, Marsha. But life isn’t. We never know what will happen. You’re not someone who’s constantly worrying about all the terrible things that might happen and that’s good. But now you’re faced with a very scary, painful situation where it’s not at all clear what path you want to take and what the consequences of that path may be.”

“What would you do if it was your husband?”

Danger, I think to myself. “Well, first I think I’d talk to your doctors. Maybe more than one of them. Get their opinions. Find out what your options are. Weigh them.”

“But what would you do?”

Is Marsha unconsciously picking up that I do have an opinion? Am I stonewalling if I say nothing? Am I stepping outside the bounds of my therapist role if I say anything? Then I realize that prostate cancer is the only disease that would place me in this dilemma. With other cancers I wouldn’t have an opinion. I’m relieved. I feel clearer.

“Marsha, I wonder why you keep asking me for my opinion. I know you’re scared and maybe that makes you feel more in need of an authority figure to tell you what to do. But I’m not an authority here, I’m not an oncologist. I’m certainly here to listen to your pain, your fear, your indecision, but I can’t tell you what to do. I don’t know.”


And I realize that’s true. My husband’s cancer doesn’t make me an expert. I don’t know what Marsha should do. My experience is irrelevant.