Category: Therapy

  • Mistrust, Hope, and Meaningful Connection, Part 1

    “I have trust issues.”

    Have you ever said that? What does that mean to you? Where do those “issues” come from?

    When I explore trust issues with people, we often discuss all the ways they’ve been failed and betrayed by people they trusted, or wanted to trust. They might also talk about the ways they leap into trust with every new relationship, hoping this one won’t disappoint, only to be bitterly crushed again. Others feel terrified of trusting their relationships at all, afraid of that seemingly inevitable disappointment.

    More deeply, they may feel unable to trust themselves. They’ve disappointed themselves, feel they’ve set themselves up to be hurt, believe they deserve the pain, engaged in self-defeating behaviors.

    In every relationship, we must reckon with the issue of trust. How much do I trust? Does mistrust keep me safe? Are the benefits of trust or mistrust worth the costs?

    Trust vs. Mistrust

    Erik Erikson described one of the first Western psychological models of development that encompass an entire life. The first stage he called Trust vs. Mistrust. This begins from birth through infancy, in which the child learns that their environment may or may not respond to its needs appropriately. If the infant expresses need and the need is met, then trust in the world grows. If the infant’s needs are met sporadically, neglected, or punished, then mistrust in the world grows. When both ends of the spectrum are felt and integrated, the virtue of Hope becomes possible.

    Problems reconciling the developmental crisis of Trust vs Mistrust leads to imbalances that affect later stages of development. We can very easily name undesirable consequences of too much mistrust—anxiety in relationships, irritability, paranoia, constantly feeling on guard and reluctant to let someone in due to believing eventually they will screw you up. But those who have lived through mistrust-engendering relationships could tell you the dangers of too much trust—opening themselves up to being taken advantage of, the deep pain of betrayal, and excessive credulity leading to the premature forgiveness of abusive and disrespectful behavior.

    People with extensive relational trauma or deep-seated mistrust cannot simply set these aside to trust in a loving, benevolent universe. They know the universe is vast and includes pain, abuse, and evil. People who have experienced relational trauma often need to learn how to find trustworthy people and repair damaged trust while also maintaining healthy protective boundaries against people who would hurt and abuse them (clinically known as “assholes”).

    An image of a person with long brown hair and a white shirt. Around this person's head is a blue scarf. The arrangement of scarf and hair obscure the person's face, and it is unclear which direction they are facing. Behind is an open sky and expanse of water.
    photo by Oscar Keys, via Unsplash

    The Experience of Mistrust

    It took me a long time to recognize “Mistrust” as more than simply “the absence of trust.” Mistrust is its own attitude with collections of feelings, thoughts, and behaviors. Mistrust will look differently based on your personality and the experiences that sparked it, but here are some qualities that often appear in some form:

    • Guardedness – Stand-offishness, unwillingness to share your experience and thoughts openly without getting a temperature of the room or other person. Giving brief, curt answers to open questions.
    • Suspicion – Constantly feeling “on edge.” Irritability. Regular concerns that the other person is acting deceptively, setting you up for some harm, or talking about you behind your back. Needing to constantly check out the other person’s claims for truth value. May include some deceptive behavior like snooping or testing the person.
    • Anxiety – Tension in the body. Constantly going through the same cycles of thoughts over and over, regardless of any evidence for the thoughts. Difficulty relaxing, especially around people. Going “blank”, fearful, or hostile when asked direct questions.
    • Holding Grudges/Building a Case – Keeping a mental list of all the failures, abuses, and oversights committed by others. Sometimes you might dwell on these and bring them up to the other person when angry or afraid, even if the other person has apologized and tried to make amends. Other times you may keep this list to yourself, “building a case” not to trust the person, until you finally explode and throw all these accusations against the person who didn’t see them coming.
    • Cynicism – More broadly, mistrust generates a worldview that no one is trustworthy, there is nothing worth aspiring toward, and there is no reason to exert any effort to improve one’s life or community.

    One thing I find interesting is that inwardly the person is experiencing a desire to know if they can trust the other person, but outwardly they behave in ways that undermine their own trustworthiness. Guardedness often elicits guardedness; if I wonder why you’re being self-protective, I may become self-protective. Being suspicious and holding grudges may well inspire the other person to respond in turn.

    This becomes a internally coherent cycle of creating relationships that validate the mistrustful attitude. These behaviors are not conducive to the process of making amends and restoring trust.

    That said, these behaviors and feelings aren’t “bad” and you’re not “crazy” to experience them. If we were to look through your history, we might fully understand why you’d be protective of yourself and why it’s hard to trust. Feelings of mistrust might be completely valid intuitive warnings from the part of your brain that isn’t wholly logical but nevertheless is picking up on subtle signals of danger.

    I do not think eradicating or suppressing feelings of mistrust is useful to grow as a person and forming meaningful attachments. We might need to take some time to befriend and get to know mistrust while also exploring when and how to build trust. Next week, I will write more on the qualities of trustworthiness.

     

  • On Wisdom

    This space has lain silent, though it continues to speak with the archives of posts. Blogging was useful to me as a discipline of creating something weekly and putting it in front of an audience, of believing in my words and my process of exploration enough to make it available to anyone with an Internet connection. How many people clicked on the posts mattered less, though some posts were surprisingly popular and I continue to be pleased with how often my Jungian Beyoncé writings continue to get clicks. This past year, however, I felt less passion about blogging.

    Ouranos, photo by Antigone059

    When I think about the Internet, I think it is in some ways a venue to observe our collective consciousness. One can read one’s Facebook feed and see the “trends” of thought and conversation, the dialogues that seem fixed, the outraged responses and the outraged responses to the outraged responses. I associate this with the astrological meaning of the planet Uranus, with its associations with community, intellectual debate, and revolutionary thinking. Astrological Neptune is association with the ocean, the spiritual realms, dreams, illusions, and in my view the collective unconscious. In Greek myth, Ouranos is castrated by Kronos (Saturn), and his phallus thrown into the ocean (Neptune), which results in the birth of Aphrodite (Venus).

    My interpretation is that the potency of our airy, conscious discourse is lost when we are unable to sink into the oceanic depths and connect with the unconscious influences there. Love makes possible, and is made possible by, the joining of our rational and irrational minds. And here I’m lost in airy analysis when I’m trying to say that I become weary by the constant dialogue and analysis made possible by the Internet. It’s exciting and feels important, it spurs anger and the desire to write and communicate, and at the same time it can be lacking in depth. We are at a point where it is possible for an event to happen in the world and less than two hours later have five different opinion pieces about why the event happened and what it means about us as people. There is not time for deep reflection and integration in which we can say something truly original, something that would truly move our conscious conversation forward. Instead we are reacting to each other based on the assumptions we already have.

    Therapy is like that. I’ve come to notice that “analysis” often happens too early and ends up being a rehash of assumptions we’ve already made, the assumptions that created the situation. “I’m feeling uncomfortable. It’s because I don’t like my job.” That has some truth, and yet that does not move us toward anything. We learn nothing new about the discomfort and we get no insight into what might change that would make the work experience better. What helps move forward is to sit with our discomfort, to try to listen in a new way, to notice the stories we always tell and acknowledge that maybe they’re not the entire truth. Maybe these assumptions are dried leaves of our mind that need to be shed so that we can lay bare and fallow for a time, being with that emptiness and not-knowing, to make space for something truly new to grow from within us.

    —-

    I’ve written all of this and noticed that I titled the post “On Wisdom,” because I thought to say more about the oddness of the rhetorical box I’ve created for myself with this blog. I’ve enjoyed writing about therapeutic process and trying to communicate psychological insights in ways that are fresh, accessible, yet challenging to pop psychological assumptions that I think are unhelpful. At the same time I’ve not appreciated how this platform and that approach necessarily narrows the scope and loses nuance. What I have learned as a therapist is that every person needs to hear something different, even if their problems look superficially the same. We are all on a unique trajectory of growth and have unique histories that shape that growth. One person needs to hear, “You are not your symptoms. It is time to live the life you want even if it doesn’t feel right.” Another person needs to hear, “What you are experiencing is not your fault. You have an illness that is out of your control.” For both of these people, one message would be liberating while the other message would be a cage.

    Or, in other words, there is a story about a Buddhist master and a student. The student comes to the master to complain. “Your advice is contradictory. You tell me to do one thing one day, and the opposite the next.”

    The master nods. “Imagine that you are standing at one side of a bridge that has no rails, and you are helping a blind person to walk across it. When the person veers too far to the edge on the right, you yell, ‘Go left!’ When the person veers too far to the left, you yell, ‘Go right!’”

    My intellectual focus on opposites, polarities, and dualism is in this spirit. My hope is to help people find their own Middle Way, which necessitates recognizing and accepting the opposites within us. This is so simple to write but in practice there is not a set of consistent, reliable codes to follow. Yet writing blog posts, I struggle to represent that, as often the topic of a blog post is “How to go right when you’re veering too far to the left,” which may be terribly bad advice for the people veering too far to the right. I could become more complex, but then my blog posts would be like this one, approaching 1,000 words, and thus unlikely to be read or shared by people on their lunch breaks.

    All of this to say: I have ended my practice of weekly blogging for now, and have returned to writing longer essays and fiction to encourage me to reflect more deeply, research more, and think more critically about what I want to say.

  • Advice on Finding a Therapist

    In the past few years I’ve supported several people who are looking for psychotherapy but are unable to work with me for a variety of reasons. Finding a therapist who is a good fit is a daunting task even for the most mainstream person, but those who are in oppressed groups, non-majority ethnic groups, sexual minorities, and religious minorities, it becomes even more complicated.

    Most clients naturally want to work with someone who shares significant pieces of their experience and culture so that the client doesn’t have to worry about educating their clinician or having their clinician impose values or inappropriate cultural expectations upon the client. Unfortunately, it may be difficult to find someone who fits into all of your communities due to region and economic factors, and even when you do, the smaller your community is the more likely it will be that you experience social overlap: your clinician may go to the same rituals as you, the same parties as you. They could be dating one of your exes. None of this needs to be a deal-breaker, except maybe the ex situation, but it’s certainly something you and your clinician will discuss how to navigate.

    This lady might want to talk to somebody.

    This concern about finding a good fit does matter. Establishing a strong, supportive, warm relationship with your clinician is necessary for having good results from your treatment. If you’ve met with a person for two or three times and you find yourself unable to trust them even a little, or feel judged by them, or otherwise uncomfortable, then that is important for you to discuss with the clinician up front to either discuss ways to improve the working relationship or find someone who is a better fit for you. However! I have had some wonderful working relationships with people who come from completely different cultural backgrounds as I do, and I have had some non-working relationships with people within my cultures.

    My primary piece of advice for those in this situation is: don’t hunt for a unicorn. You might find a trained therapist who is a queer, polyamorous person of color who practices Santeria just like you, but then it turns out they live in a different state or they don’t take your insurance. My recommendation is that you start by making a list of the qualities of a therapist that are important to you, then rank the top three in order of importance. The therapist’s theoretical approach might be one of those (cognitive-behavioral, Jungian), but again you might be surprised to find you have great results with someone who does a therapy you thought you would have hated. I think one of the tasks of therapy is to confront the patterns of thinking that are keeping you stuck in a situation, and sometimes being exposed to an approach that feels very unlike your normal way of thinking creates great opportunities for change.

    Once you’ve gotten your top three, start looking at local agencies, search engines, or other resources that connect you to an array of therapists that you can sort through. If you are in a small community, you might look for therapists who advertise at events, on websites, or in publications targeted to your community. If those therapists are full, ask for a referral. Try to find one or two that meet your top three criteria, or at least two of the three.

    The next piece of advice I have is to call the therapist and, before even scheduling the intake, acknowledging any questions or concerns that you have. “I am a member of a minority religious community and I want to be sure that my beliefs will be treated with respect.” “I am involved in the kink community and am wondering if you have any familiarity with it, or if you have reservations about working with someone in that scene.” “I live outside the mainstream and I don’t want you to try to fix what I don’t think is broken.” Something like that. The importance of this question, in my opinion, is for you to get a sense of how the therapist receives and responds to your question. Maybe they have the “right” answer. Maybe they acknowledge having limited understanding of your community, yet their response communicates humility and nonjudgmental curiosity. That is gold. That is a person who will let you explore your experience, even if they personally don’t share your values, and who could challenge you in ways that help you grow.

    I might reframe my first piece of advice. Go ahead and hunt for a unicorn, but know that you might just find a good, workable horse who’s willing to wear a horn.

  • Resenting Illness, Striving toward Wellness

    In some recent conversations with healers and healthcare providers, I had a thought about some struggles we have with connecting to some of the people who come to us wanting to be healed. For the purpose of this post, I define “illness” as a state of dis-ease, discomfort, and distress and “wellness” as a state of ease, acceptance, and freedom. They are, of course, opposites of a kind that end up defining and intertwining with each other, and an illness can come from biological, environmental, psychological, or other factors.

    The conversations have been that some healthcare providers struggle with a certain portion of their clients who want wellness. This client or patient is understandably suffering, perhaps impatient, and really desires to be healed. The provider does what they do and makes recommendations for the person to follow. The person does not follow them and complains that they are not getting benefit. The person may not follow recommendations for a number of reasons, not all of which are within their control. The person may not trust their provider, or their provider’s recommendations may be inappropriate, unaffordable, or otherwise inaccessible for the person due to limits on their resources or demands of their lives. Perhaps the provider and client are not treating the right condition with the right modality.

    One piece that occurred to me recently is that one barrier to effective treatment is the person’s relationship with their illness. Most of us do not like being sick, did not choose to be sick, and resent the ways our illnesses limit our lives. When a person harboring that much resentment toward their illness meets with a provider, the dearest hope is that there will be some simple fix or pill that will make it all better. When they’re told instead that they have to make more sacrifices–spend money for treatment, take time for therapy, change their lifestyles of diet and exercise–this only deepens the resentment. “I didn’t want this, I hate what it’s taken from me, why does it have to take more?”

    Caduceus, by Luis Garcia

    We might look at this resentment of illness and see how it interferes with one’s ability to engage with treatment. I don’t think this is unusual or a sign of poor character. Illness is inconveniencing at best and debilitating at worst, it’s no surprise that one may resent it. When an illness comes about on by someone else’s behavior–such as posttraumatic stress disorder arising from violence committed against the person–then anger and resentment toward the one who caused it mixes and mingles with this other anger.

    What might be on the other side of a polarity from resentment of illness? The thought I had was “striving toward wellness.” A person who strives toward wellness, in my experience, takes responsibility for their illness and their treatment. They accept that the illness isn’t their fault but know that ultimately doesn’t change what needs to happen to become more well. They are open to suggestions, try things out, and communicate honestly with their providers about what helps and what hinders wellness. They assume stewardship over illness and wellness, knowing what kind of life they want to move toward and investigating the options that will help them get there.

    Teasing these two apart suggests a “purity” that most of us will not experience. Resentment of illness and striving for wellness may cohabitate in our lives, waxing and waning according to circumstance. Some days I might feel fairly accepting of a chronic condition and do the things I need to do to keep myself well, but other days I might cry, feel all the resentment that my illness forces me to deal with these issues, and skip the self-care steps I know I need to take. What is most important, I think, is to learn to recognize these modes for what they are, give ourselves some compassion for when we struggle, and choose what steps will move us in the desired direction.

  • Be Excellent to Yourselves

    In the past I’ve written that I am not a fan of positive thinking. (Though I am a fan of Zap Mama’s song “Vibrations” in which that is the prime message.) What I am coming to realize is that I am a fan of kindness, gratitude, and generosity. I suspect the origins of “staying positive” were more in line with these three qualities, but as I see it now, I think the whole concept has drifted into something that keeps people stuck and isolated.

    In practice, “staying positive” seems to be about minimizing suffering and trying to pretend everything’s okay. “I’ve been crying every day, but I’m doing just fine!” More and more I think the culture of “being positive” is more about “looking like I am positive.” When we’re uncomfortable with someone else’s pain, we say “just be positive!” as a way to basically shut them up so that we don’t have to feel dragged down. This is understandable when I think of people who seem relentlessly pessimistic, cynical, or driven to demolish everyone else’s good time—and yet we could also say this about the activists and truth-speakers who have to break through denial to raise awareness.

    In all, however, I’m not sure the injunction to “be positive” is very useful. I have come to dislike the way we moralize our feelings. This seems like another layer of that, in which certain experiences are okay to have and talk about while others are somehow corrupting one’s well-being or the mood of the group. Someone who is experiencing genuine suffering needs space to talk about it, to be heard and seen and not to be fixed. We need to allow ourselves this space as well. “I should be positive” is another way we criticize ourselves and try to keep parts of us stuffed in the Shame Closet.

    “All Smiles,” Martin Cathrae

    Recently I have started encouraging clients to try being kind to themselves, rather than trying to stay positive. Kindness is the practice of treating one’s self and others humanely, with basic dignity and worthiness. Kindness is not about blunting the truth of one’s perceptions, minimizing pain and anger, or lying. It’s about behaving and speaking in a way that is considerate, warm, and compassionate.

    For example, we might look at the self-talk of “I’m an idiot for forgetting that deadline.” This appears to be coming from a place of self-criticism, speaking as though one is globally flawed (an idiot) for this lapse. Someone who’s trying too hard to be positive might have that inner self-talk but attempt to cover it over with, “Everything’s fine.” That jump takes us directly into minimizing or self-deception and it doesn’t work. Feeling and witnessing our emotions is what helps them to move. Without that step, they tend to become stuck. If we try starting with kindness, we might say something like, “I missed this deadline, and I feel upset about it.”

    If we can start with kindness toward ourselves and others, we have a stronger foundation from which we can move into an outlook that is affirming and likely what is truly meant by being positive: “I’ll be able to try again next year,” or “I did my best.” In summary, positive thinking is a problem when we try to bypass pain and discomfort. You are a whole and beautiful creature and all of your feelings have worth and value. If you need to genuinely talk about something distressing so you can process the feeling and move on to being a powerful, kick-ass human being, and someone shuts you down by saying “just be positive,” you tell them to come talk to me.

  • Are there bad feelings?

    Are there “bad” feelings? In brief, my answer is no. Increasingly I am coming to challenge the language we use to describe our feelings, both for myself and for my clients. Saying that I feel “good” or I feel “bad” is a common verbal shorthand that really tells us very little other than we have internalized the cultural norm in which emotions, with all their variety, texture, and specificity, get swept into two giant buckets labeled “Acceptable to Have” and “Unacceptable to Have.”

    This fosters an unhelpful division within ourselves in which we try to push away unacceptable feelings and cling to acceptable ones. Feelings are an important source of information about ourselves and our environment. If I generally get along with most people, but one person in particular always seems to elicit feelings of defensiveness and fear, that is important information about myself and my relationship with this person. Perhaps this person is not emotionally safe for me to be around. Perhaps something within me wants to stand up to them but perceives other barriers that keep it stuck. Feelings are ultimately not logical and easy to reduce to one verbal statement, often they are more easily understood symbolically (capable of meaning multiple things but retaining an essential quality around which those meanings are organized). If I refuse to acknowledge that defensiveness and fear because it’s “better” to be either angry or happy, then I am likely to stuff down, ignore, deny, avoid, or minimize this information and it’s value is lost to me.

    The more restricted our range of acceptable feelings is, the more limited we are in our capacity to feel. Ultimately, our capacity to feel emotions that cause discomfort is the same capacity that lets us feel emotions that cause pleasure. The feelings we avoid stay stuck within us, getting stickier and more toxic, unable to move. Bringing loving or at least nonjudgmental awareness to these feelings is what helps them to begin to move, helping us to become more open to other feelings.

    Phoenix rising from its ashes

    I recently read an article in which a writer discussed how she disagreed with the injunction to “feel your feelings,” stating that there are some feelings that are destructive to her, such as the feeling of wanting to commit suicide. I am not linking to that article in part because I cannot find it and in other part because I do not want to come across as arguing with or disrespecting her process. For those struggling with self-harming behaviors or actively wanting to die, the priority is making sure you are physically safe and getting the mental and emotional support you need. (If you don’t have a therapist and don’t want to go to the hospital, you can call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).) In this situation, then finding strategies not to fixate on those thoughts and feelings is life-saving.

    However, in the long-term I think it is useful to learn to befriend one’s feelings. When my clients are relatively safe and stable but still have thoughts like “I feel like I want to die,” one of my annoying habits is to encourage them to tease apart thoughts and feelings. It’s another verbal shorthand in our culture to communicate thoughts and opinions through the language of feeling, like, “I feel like the [political party] are going to destroy the country.” Part of this, I think, is trying to acknowledge intuition as a source of information, as intuition is a way of rational processing connected with feeling. However, emotions and feelings are almost always single words, nouns or adjectives, not statements. I would encourage the person making the above statement to reframe it as, “I am feeling fear, and I am having the thought that [political party] is going to destroy the country.” In the case of wanting to die, I would still want to explore this more deeply. “I want to die” is a thought, an interpretation about what is happening in the spirit, heart, and body, but what is the feeling connected to this thought? Is it despair? Humiliation? Disappointment?

    If we can name the feeling, then we have a chance at freedom with it. We can recognize how painful this feeling is and we can talk about it. We can mindfully bring awareness to it. We can seek the support we need for it. We might learn that we do not have to be so afraid of it, that a feeling can just be a feeling, a thought can just be a thought, and all of it can be information and not destiny.

  • 4 Principles – Wholeness is in Relationship Between Parts

    4. Our wholeness is in our relationship between our parts.

    I approach the self as both multiple and whole, differentiating between parts of self that have varied and at times conflicting wants and needs. Sometimes clients, when coming to see the truth of this, wonder if that means they have multiple personalities. I do not see this as the case.

    We have this structure within ourselves called the “ego” whose job it is to create a unified concept of “who I am.” When this ego is working effectively, we engage in our lives, accomplishing valued goals and managing distress. People whose egos are severely damaged tend to have lives that are chaotic and turbulent, highly reactive and dependent on others or highly rebellious. The ego has a bad reputation in some spiritual circles, particularly those Western spiritualities informed by Eastern understandings of selfhood. In part this is in response to the exaltation of ego in Western thought, in which the ego is heroic striver, emerging from chaos and weakness to carry out mighty feats and hold the coherent “I.”

    We need the ego, and yet the ego has a blindness that can create its own problems. Part of the ego’s work is to create a coherent narrative of self and cling to a unitary sense of truth. If “I” am upset in this moment by something a coworker did, “I” might become convinced that I am being unfairly victimized and this person is a persecutor. Because I have become identified with this feeling of persecution, the ego will generally suppress or deny any evidence to the contrary–for example, the possibility that I might have done something to upset my coworker first. Or if “I” do become open to this, then “I” might jump to become identified with the role of the persecutor and deny that I was victimized in any way.

    I think of the ego as something like the command chair in a spaceship, or the Iron Throne of Westeros. It is an empty chair that runs the conscious self-system, but whomever sits in the chair is effectively the “I”. When we are not present to ourselves and our paradoxical behaviors, we might not recognize that what we think of as “I” is composed of many wants, needs, fears, beliefs, impulses, all attempting to actualize themselves and working at cross purposes. When we start to reframe these conflicts as parts of self, we gain needed distance and perspective. “Part of me feels mad at her for what she said in the meeting, and another part of me feels guilty because I insulted her first.” This shift does not immediately solve the problem, but it gives us space to clarify what is happening and what we need to do.

    The more I explore my Self as a system of connected parts, the more I see that many of my problems arise from dysfunctional relationships between parts. There is a part of me that wants safety and comfort who might act up when I follow another part of me that wants visibility. Perhaps I apply for a job that I know I can do and want, but once I get to the interview, another part of me creeps in and starts filling me with anxieties and doubts. This part, the anxious part, has something of worth and value to add. Perhaps it senses something in the work environment and realizes that this job isn’t what it looked like on paper. Perhaps it’s trying to get my attention to convey something important, but the part of me that wants to look good at all costs keeps trying to push it aside and dismiss the anxiety as unimportant. In response, the anxiety increases–partly because it’s trying to be heard, partly because now I am at war within myself.

    Every part of self is part of my wholeness, and by accepting and listening to these parts I can begin to shift these inner relationships to one of greater integrity and depth. I don’t need to be afraid of the part of me that gets depressed because I also have the part of me that keeps me engaged in life. Every part has a voice and a vote, and none have the run the show. The ego can keep managing my life and thinking of being an “I”, but a more democratic, inclusive “I”. That is why, in some sense, the Self is not unitary but a system of relationships; in another sense, the Self is an individual being that includes all of these relationships.

  • 4 Principles – As Within, So Without

    2. As within, so without.

    This is a tricky one and requires context and balance. It begins with the assumption that we exist with an inner world of feelings, thoughts, fantasies, drives, desires, aversions, and all those complexities–and we exist in an outer world of people, circumstances, actions, and consequences. The principle further assumes that there is a more-than-incidental relationship between the inner and outer worlds, that they reflect and create each other in ways that are difficult to comprehend rationally.

    Already we are nearing dangerous territory, opening up the possibility for that spiritually abusive maxim that a person is somehow responsible for their miseries, failures, or traumas–that these happened because the person was sinful, or did not have enough faith, or unconsciously invited them to happen. This perspective is quite damaging for someone in the depths of shame or depression. This is why I underline that the inner and outer worlds coexist and influence each other but they are separate. Even with the premise that one person’s thoughts or inner world can cause things to happen in the outer world, we must think about how that is true for every single person, which means the outer world is constantly manifesting in response to thousands of wishes, hopes, fears, and inner conflicts.

    All of that said, when sitting in the therapy room with one’s therapist, we are not in a place to heal the social, economic, cultural, and historical forces that contribute to one’s suffering. What we have are the people in the room and the inner psychic images of the world we carry with us. Often what we see within are mirrors of what is happening without. The anger I feel at a person who constantly criticizes me may arise because I find my inner criticism so painful. When I feel no one listens to me, I might not be listening to myself and speaking in a way to be heard. Or the trauma my ancestors experience might be literally living in me.

    As Above So Below, by KyoukiGirl

    When we’re feeling trapped in life or stuck in relationship patterns we hate, typically this comes with some stuckness, some limitation or attachment that keeps us from seeing all the available options. In therapy, we tend to recreate these dynamics between therapist and client. If a client feels powerless and unable to change their lives, they might look to the therapist for salvation but refuse or shoot down every suggestion the therapist makes. This creates the opportunity to look beyond the content and at the process being enacted. With some reflection, the client might discover that within them this same dynamic plays out–a part of them feels powerless and defeated, and another part of them makes suggestions that are dismissed or diminished. Sometimes even a thought that causes them to feel empowered is met with intense anxiety that feels intolerable, so the dismissal of the thought returns the person to a state of calm, though deeply unsatisfied, existence.

    Looking at this reflection of inner and outer, and learning to differentiate between what is within and what is without, helps us to make deeper changes. Instead of blaming ourselves or someone else for our problems, we can look at the relationships between behaviors and begin to make shifts. If we can learn to accept the inner critic and use its advice skillfully, then we might become less defensive when a partner offers criticism, acknowledging what is useful and discarding what is not. If we can accept the presence of anxiety within us, we can respond to anxiety-provoking situations with greater calm and clearsightedness. Changing our behavior then begins to ripple out in changing systems around us.

    Sometimes we need to make outer changes to promote inner wellbeing. We might step away from relationships, attachments, and obligations that feel harmful or draining. Healing the personal consequences of oppression only goes so far if the external systems of oppression continue unabated. People who do not have a strongly internalized sense of structure and boundedness tend to have it imposed upon them by systems of policing and imprisonment or mental health containment. When those who struggle with addiction, mental illness, and homelessness are provided the external supports they need, such as housing and a basic income, that outer stability supports them in gaining inner stability, leading to vastly improved recovery outcomes.

    In my personal work, I have discovered profound and bizarre changes occur when I work earnestly on myself. I once worked through some unresolved grief and pain I had with a person I had known for years but hadn’t been in contact with, only to have her call me within the next day. I once sat in my therapist’s office, working on a dream about cats that I found upsetting due to some of the content. His office had a glass door to a garden, and as I described one of the cats, a living stray cat meeting my dream cat’s description came to the door and looked in on us. These “meaningful coincidences” are what is known as synchronicity, in which the inner and outer worlds seem to be communicating with each other in profound and unexpected ways. Self-work is not the solution to all ills, but it is powerful.

  • 4 Principles – Purposeful and Paradoxical

    For the next four blog posts, I will look at four key principles that inform how I approach psychotherapy. These come from practical experience and study of several theoretical approaches. They are not the right or only principles, simply formulations that work for me. I write these here for current or future clients who might want to understand why I do what I do in session. Some therapists are great about explaining to their clients therapeutic principles and providing a very clear context about their interventions in session. This is not my style, and at times I wonder if this is confusing for the client.

    1. Human behavior is purposeful, and its purpose is often paradoxical.

    People rarely start therapy when their lives are working well and they feel wholly authentic. Typically people come in when lost or overwhelmed, when life doesn’t seem to work, or someone else has pushed. There is often a disconnect between thoughts, feelings, actions, impact on others, and what is believed about one’s self. The person entering therapy might not understand why they’re feeling, thinking, or doing the things they are.

    When I am sitting with a person telling their story, I sit with the view that very little if any of their behavior or “symptoms” are random or purposeless. Many of our behaviors are solutions to problems we’ve encountered in life, either discovered or learned from family that became rigid. When people are stuck, typically we are entangled with our solutions and have lost touch with the creativity that produced the solution in the first place. Then we are consistently applying the solution in ways that no longer work well, or cause us and others harm.

    If someone comes in with a “drinking problem,” one of the questions that is always an open question is: what does this drinking problem solve? If this client managed to control her drinking, what would she need to confront next? One theory of posttraumatic stress disorder, for example, is that the traumatic incident causes a psychic wound and the one who suffers experiences this as a part of self that feels like the trauma is happening in real time when reminded of it. The person with PTSD often finds themselves caught in a bizarre bind of constantly trying to avoid reminders of the trauma while another part of themselves constantly tries to re-experience it. With enough severity, the sufferer may turn to addictions as a way to numb the stress of PTSD.

    In this example, one solution is the addictive behavior–drinking to oblivion solves the problem of re-experiencing, though it also creates many new problems. The other solution is the re-experiencing itself, which some researcher think is the psyche’s instinctive way of healing itself from trauma. The theory is that those with PTSD engage in avoidance strategies that keep the trauma from being integrated–the natural solution is experienced as itself a problem.

    by LuciaSofo

    The paradoxical part is that much rigid behavior also has an inner incongruence. The person who can’t stop talking and dominates the conversation may have an inner, unconscious or semi-conscious, feeling that he is not being heard–but the people around him don’t realize this, because they are experiencing that feeling themselves and see him as the person who does not listen. This assumption provides an interesting field of inquiry because it does not seem to make sense initially. With exploration, we might find that in fact he is not being heard because he is not saying anything that truly matters to him. His excessive talking is a way of distancing himself from the connection he craves, pointing in every direction except the one that matters most.

    When a part of us is stuck, we are very skilled at re-creating the circumstances in which we feel stuck. Perhaps we do this because we hope one of these days we’ll finally be proven right. Perhaps we do this because the familiar feels safe, even when it’s miserable. Perhaps it’s because the story we tell about ourselves is hiding some deeper truths that we’re avoiding. One of the gifts of this principle is that even avoidant behavior contains clues that point to these deeper truths. If someone appears to be pushing too hard in one direction, I become curious about what lies behind them.

  • A Practice with Love at the Center

    What would life look like if efforts to grow and develop began from an attitude of love? For this conversation, I do not mean “love” as a feeling or impulse, but “love” like M. Scott Peck’s definition as “the will to extend one’s self for the purpose of nurturing one’s own or another’s spiritual growth.” Another great definition comes from bell hooks in this interview: “Love is a combination of six ingredients: care, commitment, knowledge, responsibility, respect and trust.” This is about love as an attitude and approach, as a source of committed action.

    Recently I’ve stepped back to look at my own relentless quest for self-improvement, and listening to others share their stories of efforts to improve, develop, and grow. One theme I’ve noticed in my experience is an attitude of “self-improvement” coming from the basic assumption that one is flawed, unworthy, defective, or in some way bad. From this perspective, one might look at a goal of becoming physically fit and healthy and frame it as, “I hate my body.” Other spurs for change include statements like “I hate my job.”

    I almost wrote that hatred doesn’t necessarily motivate action, but then I rethought things. I think hatred does motivate action, but the motivated action is not necessarily one that promotes health, wellness, or joy. Hatred is about aversion and repulsion. Hatred doesn’t focus on what is desired, only what is despised. It’s a feckless creature. Some days, my body hatred might spurs me to eat three donuts and confirm the reasons why I hate my self or body. (“Now I feel gross. I’ll never be healthy.”) Other days, it spurs me to go work out, but exercise motivated by self-hatred is dangerous. It’s the kind of exercise that doesn’t listen to the body’s needs and limitations, or acknowledge that bodies have different shapes and respond to exercise differently. It’s the kind of exercise that pushes past the body’s warning signals and causes its own damage.

    I think a lot of people grow up internalizing some view of self as being bad, defective, broken, or unworthy in some way. Advertising capitalizes on these messages to sell us things to fix our myriad problems, even problems that the campaigns create for us so that we’ll want the solutions. The core message is that something’s wrong with you, and you need something external to fix it, except the fix is not permanent and doesn’t make you any different. I see this toxic thread throughout culture. “I feel unlovable, but if that person loves me then I’ll know I’m lovable, but they’ll never love me because I’m unlovable.” (“And even if they do love me, it’s somehow a mistake or I’ve tricked them and one day they’ll know I’m unlovable.”) When we buy into these stories–that I’m broken, unworthy, damaged, or hateful–then our attempts to “improve” may well push those stories deeper.

    Light sculpture, Nils Rigbers, Luminale 2012

    The ways we regulate our systems looks different when coming from a place of control or condemnation. As a society, the United States is being forced to reckon with the consequences of its system of policing and imprisonment, which focuses on controlling and punishing criminals. With this attitude, it makes sense to allow officers largely unregulated authority to use force to subdue and incarcerate people. The result is that the police are allowed to become increasingly militarized and free of accountability for their decisions. I am not personally in favor of this approach, but I can see why police officers might feel angry about the backlash against them for doing their jobs in this way.

    Contrast this with a social worker, whose job it is to promote a desired society and might look at the same person, the “criminal,” through a different lens. Instead of seeing a need to control, the social worker might see a person trying to cope with a lack of skills and resources that afford basic dignity and health. There is evidence that punitive measures against social problems like drug addiction are not as effective as approaches that connect the person to social supports and stability. Instead of control, the social worker responds with loving action–the attempt to foster change and improve lives.

     

     

    All this said, I’m pondering what my life and culture could look like if love was at the center of our practices. As this entry has already gone on long enough, I may return to this later.