Archives for attachment
Is Google-stalking your therapist morally wrong, a self defeating masochistic exercise in futility, considered Borderline Personality Disordered behaviour or worse, or downright creepy, dangerous and illegal; or is it healthy curiosity and something everyone does but would not admit to – or perhaps all of the above?
I have received emails from my blog readers and heard personal anecdotes from people who have Facebook and Google-stalked their therapists and I have heard of therapists who...
I was surprised to find "Good Will Hunting" on our DVD recorded movies list. Apparently my oldest son, Matt recorded it thinking it was about guns. A great movie, and it was the bit at the end that settled an eternal question for me. Matt Damon hugs Robin Williams and says: “Doesn’t this violate the doctor/patient relationship?” and Robin Williams replies, “Only if you grab my arse.” So, let’s get to the bottom of this once and for all. If it is OK for therapeutic couples to hug, then here are some types of therapy room hugs that might be considered appropriate: The Stealth Hug: This happened for me about eight years ago. I saw her in the corridor wearing a green jumper and a black pleated skirt and I made a snap decision, so when I got into the room, I launched myself at her. She was quite startled, but put her arms around me and hugged. That, by the way, is the only correct response when a client stealth hugs a therapist. Had she refused, my mortification factor would have been stratospheric and I would have had to leave immediately – never to come back again. When a therapist refuses a client’s stealth hug it can make the client feel contaminated at best and the embodiment of evil at worst.
When you suffer from Borderline Personality Disorder (or complex trauma) one person’s constructive criticism or negative response is another person’s life-threatening narcissistic injury. I received a narcissistic brain hemorrhage this week when my challenging and authoritative therapist decided it was not relevant to our therapy to watch a video link I had emailed her. My borderline reaction went to DefCon One in less than a nanosecond and I thought my brain would implode. To be fair to myself, my thoughts remained relatively mindful (she’s said no before for the same reasons and yet I continue to email her things; it could be said that an idiot does the same thing all the time and expects a different response. If that is the case, then I am that idiot) but my body was transported instantly back to the mid-seventies where school bullying and parental fighting had finely tuned my fight, flight or freeze response.
At my last therapy session my therapist turned into a savage rottweiler; baring her sharp teeth at me, picking me up by the scruff of my neck and shaking the living daylights out of me. The doggone woman deliberately picked a fight about nothing, provoked me into a snarling row, called me a liar and then threatened to sue me for slander. Interpretation of unfolding events is always a personal perception. I have been seeing her again for some workplace issues that need resolving. I was having problems accepting constructive criticism from the top dog in my organization. I found I was getting deeply triggered when told I was not achieving what I was supposed to achieve in the way she wanted it achieved and I was getting my feathers ruffled in a big way, getting upset, huffy and resolving the issue by fleeing or freezing. So when within five minutes of arriving, my barking mad therapist activated every button on my panel and almost blew us both up, I almost called her a bitch, walked out the door and planned on brooding, ruminating and plotting impotent revenge against her for the rest of my natural life. Talk about an idealizing transference killer.
At what point does a therapist decide to terminate a client because their relationship has broken down? Over the past three years writing my blog I have received many emails from therapy clients telling me that their therapists terminated them, either for no reason or for a small infraction within the relationship. Are therapists being over-sensitive or are clients diagnosed with borderline personality disorder unaware of their own personal lack of empathy towards someone who is on their side? Being terminated for relationship issues with the therapist does not make sense to me. The entire reason we are in therapy is because we have huge external relationship problems and this plays out in the therapeutic relationship and the therapist should be aware of this.
The therapy “hour” is anywhere from 45 – 60 minutes, which is clearly not nearly enough time to arrive, get down and get dirty before you have to leave, half way through, without finishing what you started out and feeling like something has not been completed. The therapist might be left gasping and glowing with satisfaction, but essentially if this was sex you’d be faking your orgasm and walking out with your head held high and having to wait till next week when you get to do the same old frustrating exercise all over again. If the session was 2 hours long, I might start to feel as though the earth had moved for me as well. It would be wonderful if you could just radiate in the afterglow of the warm therapeutic space that had been created by the two of you, but after 45 – 60 minutes it’s time for you to get out still feeling hot and bothered (and for the next client to come in cold) all the time brooding and ruminating that the earth might just move for them in a way it did not for you.
It used to be that if I ever ran into my therapist at a café, at the airport, in a restaurant, or walking down the street, I would have to walk out, catch a different plane, leave my meal or cross the street and get hit by a bus. She once said to me that I would have moved on when I could pass her in public, either wave or not wave, and my care factor would not be there. So how do I avoid either the impending feeling of doom and chaos or the sheer guilty pleasure and excitement of seeing my therapist outside of therapy for free? I have had a mixed reaction on the handful of occasions I have seen her or her car out in the wide, wide world.
Does a proper termination procedure lead to cleaner closure and the getting of wisdom with a brave new life? After umpteen years of therapy, do you just say goodbye, pay your last bill, move on and live well? What if the Olympic Games had no opening and closing ceremony, would it feel disjointed, incomplete and impermanent? Would you have really believed it was over unless you had the colourful, spectacular dancing and acrobatics? Would you really believe it was all over? The short answer is no. Long term therapy, no matter how painful needs a proper meaningful conclusion with all the pomp and ceremony, flag waving and breast-beating, singing and dancing so that you have the experiential feel of completion, a celebration of a fabulous relationship that had to come to an end. I thought I was different. I thought I could just slink out the front door, never to be seen or heard from again. I could not bear planning the black, hopeless, grim, dismal, humourless, staunch, staid, stiff upper lip funeral of the person I loved and would never see again. I planned death and destruction not resurrection and life. I wrote my therapist a letter of which I did not expect a reply (see last blog entry) and emailed it on a Sunday. On the Tuesday, I had made an appointment with another psychologist to deal with the unresolved grief process. People unfamiliar with therapy will not understand this deep longing that can cripple your current functionality. Think of it in terms of divorce.
Dear XXXXX, I thought it was safe to let you know how I was doing. I thought it was safe to email you about what my thoughts were regarding brief psychosis –v- depression (which is something I have finally made sense of and wanted your opinion on because I trusted you). I told you what my current working life was like and I felt as though I got a rubber stamp response because nothing in your email referred specifically to what I had actually said or achieved. In therapy once, you asked me to always let you know how I was doing because you didn’t want me to move on and disappear out of your therapy life. You also once told me you loved me and trusted me deeply and that you would never abandon me. With those bold statements comes a considerable amount of post-therapy responsibility to clients, even to the most adjusted but vulnerable client who has left your therapy and your rooms. With that comes a duty of care to accept that sometimes the client who wants to move on feels much dissonance, ambivalence and an overwhelmingly disproportionate sense of obligation and responsibility to her former therapist to keep her informed lest she feels abandoned by her.
Ahh, the Erotic Transference! The question is do we want to have sex with our therapist because of a deep-seated oedipal complex, primary attachment gone tragically awry, a pre-verbal object relationship that cannot be unified or do we simply want to shag an attractive, empathic person who sets our genitals on fire? Much psychological literature is written by Sheldon Cooper types (The Big Bang Theory) who are socially autistic or have Asperger’s syndrome and are desperately trying to quantify the unquantifiable by using terms such as “erotic transference” instead of “lust or love” because by using wholly scientific terms it distances themselves from their own primal and lustful urges. That is why Amy Farrah Fowler (Sheldon’s girlfriend) cannot understand these sinful longings she gets when she is around men. It greatly distresses and frustrates her. Admitting you have sexual feelings for your therapist to your therapist can create shame and disgust. We are all sexual beings, it’s how we relate beneath the superficial veneer of expected manners and mores of society.