- Aug 4, 2007
Mostly therapy, being ok with the counselling relationship.
If parental guidance was MIA in childhood, you can teach yourself to thrive.www.psychologytoday.com
“The child is brought up to know its social duties by means of a system of love-rewards and punishments, and in this way it is taught that its security in life depends on its parents (and, subsequently, other people) loving it and being able to believe in its love for them.” —Sigmund Freud
“The shame-based person is nearly always enmeshed in some way with one or more people. While we are in a dysfunctional, shame-based relationship, we may feel like we are losing our mind, going crazy. When we try to test reality, we are unable to trust our senses, our feelings and our reactions.”
― Charles L. Whitfield, Healing the Child Within: Discovery and Recovery for Adult Children of Dysfunctional Families
It's ridiculous that it's this hard.
But usually people have to hit a relative "rock bottom" again and again and again to become more accepting of themselves (self-acceptance) and of life itself (life acceptance). Acceptance is correlated with age -- it gets easier as you get older.
I actually tell my patients that it’s “normal” to be “abnormal” and entirely abnormal to be so perfectly normal and in control of ourselves...
I believe that when we are in recovery…we remain “works in progress.” Sometimes it’s a daily battle and sometimes, an occasional battle. We’re emotional critters and creatures of habit…and when we hurt or are feeling desperate and “out-of-control”…we tend to fall back into old patterns of relief-seeking behaviors…or to certainly think about doing them!..
Sometimes, I grow tired of the battle and dealing with my emotional, willful self. At those tired, weak moments, I remind myself….”Mel, what do you want…peace and stability or chaos and pain?” Isn’t it horrible that you have to parent yourself even when you’re a grown-up!?
To bring up a recurring theme, is it possible that this is as much the fault of the therapist's lack of competency (and basic social skills)?It's ridiculous that it's this hard. What am I doing wrong that after 2 years it's still somewhat torturous? I don't understand how some people can just go to therapy and feel accepted and cared for by their therapist... and then there's me, who every couple of days is plunged into the stark reminder that I'm not important or worth caring about except on a surface level, that my therapist doesn't care about me much, that I'm only acceptable to the extent that I can joke around about things, that on the inside I'm just bad and disgusting for how I feel. I can't imagine it being different.
Does that mean that you believe that you have not improved at all in the last few years or whatever? It seems to me you have "grown" significantly.but my biggest frustration is that all the ways of getting help for the problem just seem to exacerbate it,
Therapists do all kinds of things that are not client-centered or helpful, and, arguably, they maintain their practice despite of it -- not because of it. Many therapists would be the last to know what really works because they don't maintain any formal feedback for the most part.My psych's style obviously works for some clients, otherwise he wouldn't do it.
It doesn't seem silly at all. I can well understand your frustration.Sure it seems a bit silly to complain about having the problem, but my biggest frustration is that all the ways of getting help for the problem just seem to exacerbate it, whether that's self help (which invariably turns into self punishment) or professional help.
What @Daniel said above.My psych's style obviously works for some clients, otherwise he wouldn't do it.
Surely I'm not the only one giving him feedback on the things he does that are unhelpful. He doesn't strike me as an idiot, nor as intentionally malicious, so surely statistically with enough data he'd modify approach even if he was lazy or otherwise unmotivated to change. I'm still very emotionally attached to the idea of making it work with my psych somehow. It's not like things were much better with the counsellor - despite me thinking that he would have the specific training and focus to be able to avoid things that upset me, after a couple of sessions he still managed to run into them quite successfully the same way as psych did. So I don't know what I'd look for in a therapist, given that my best guess didn't change the issue.Many therapists would be the last to know what really works because they don't maintain any formal feedback for the most part.
And that's why you still are (and still need to be) in therapy.However the various 'upsets' haven't gone anywhere and have just become increasingly easy to trigger. That's where I think the biggest issue is - if they can't be resolved. Problem is I don't know how to resolve them.
so surely statistically with enough data
Is Routine Outcome Feedback Informing Your Practice? (Part 2 of 2) Last week we learned about Dr. Tony Rousmaniere’s heartbreaking experience with Grace – a client that unexpectedly died of a drug overdose, prompting a career crisis for Tony, which drove him to find routine outcome monitoring...www.oqmeasures.com
Like the widespread adoption of the thermometer to the medical field back in the 19th century – 250 years AFTER its invention – use of psychotherapy metrics and feedback systems has been slow.
Ha I guess so.And that's why you still are (and still need to be) in therapy.
I try to tell him each time it happens in relation to something in our sessions. He was directly asking about triggers last session but I didn't want to be specific because I didn't want to re-trigger myself, having just got over it enough to try to have a productive session. Sometimes he doesn't quite get it but he seems to be trying and maybe we'll gradually get there e.g. last session I had to explain a couple of times that it wasn't because of him needing to reschedule because he was sick (because I was already in a self sabotage frame of mind I just used the reschedule as a way to make things worse), and previously he's attributed it to having trouble making a decision (but it's not the decision that's the problem, I know what I want to pick but get upset because I believe that what I want is bad/disgusting/negatively-judged-by-him).The question is
- Does he know what these upsets are and how they are triggered?
I've got some homework that's intended to help with the 'bad, deserve punishment' side of things. And he's trying to help me challenge some negative thoughts and assumptions (or just challenging them himself when I'm too stuck in them which is most of the time when I've brought them up). So it seems like a bit of a plan.
- Does he have a plan for addressing them?
- Is he in fact addressing them or trying to address them or is he merely listening to you describe them?
Probably just a cumulative effect because of the history. For example it's easier to assume he doesn't care about me with the history of evidence and each piece of evidence making it a stronger, more upsetting argument... Compared to the gradual less compelling evidence of him caring a bit like asking about stuff that I've told him about, sometimes extending seasons a couple of minutes to wrap things up (or the time he delayed the session when I was late and still gave me almost the full time), saying I could send him the homework from last session to speed up the discussion (even though I know that's a foolish idea given what's previously happened when I've sent him stuff), the fact that now we're able to have more of a dialogue it feels a lot better, occasional complements, challenging negative thoughts for me.And why do you think they are becoming "increasingly easy to trigger"?
This just seems too hard.
"One sad thing about this world is that the acts that take the most out of you are usually the ones that people will never know about." ― Anne TylerProbably just a cumulative effect because of the history. For example it's easier to assume he doesn't care about me with the history of evidence and each piece of evidence making it a stronger, more upsetting argument...
HahaAnd even if things do go south again, I need new material for my book:
Bad Therapy as Exposure Therapy: How Surviving Therapy Makes the Real World Seem Easy
I suppose you're right, but it certainly seems compelling.That's a pretty strong signal that, whatever the pros and cons of continuing or terminating therapy with him may be, you are simply not ready to make a change right now.
And the recommended action based on that signal would be to continue as things are now until your feelings and/or views change.
There's really no compelling reason to do anything right now that you don't feel comfortable doing.