Client Relationship Quotes

Objectification is a critical reason why an abuser tends to get worse over time. As his conscience adapts to one level of cruelty—or violence—he builds to the next. By depersonalizing his partner, the abuser protects himself from the natural human emotions of guilt and empathy, so that he can sleep at night with a clear conscience. He distances himself so far from her humanity that her feelings no longer count, or simply cease to exist. These walls tend to grow over time, so that after a few years in a relationship my clients can reach a point where they feel no more guilt over degrading or threatening their partners than you or I would feel after angrily kicking a stone in the driveway.

The abuser’s mood changes are especially perplexing. He can be a different person from day to day, or even from hour to hour. At times he is aggressive and intimidating, his tone harsh, insults spewing from his mouth, ridicule dripping from him like oil from a drum. When he’s in this mode, nothing she says seems to have any impact on him, except to make him even angrier. Her side of the argument counts for nothing in his eyes, and everything is her fault. He twists her words around so that she always ends up on the defensive. As so many partners of my clients have said to me, “I just can’t seem to do anything right.” At other moments, he sounds wounded and lost, hungering for love and for someone to take care of him. When this side of him emerges, he appears open and ready to heal. He seems to let down his guard, his hard exterior softens, and he may take on the quality of a hurt child, difficult and frustrating but lovable. Looking at him in this deflated state, his partner has trouble imagining that the abuser inside of him will ever be back. The beast that takes him over at other times looks completely unrelated to the tender person she now sees. Sooner or later, though, the shadow comes back over him, as if it had a life of its own. Weeks of peace may go by, but eventually she finds herself under assault once again. Then her head spins with the arduous effort of untangling the many threads of his character, until she begins to wonder whether she is the one whose head isn’t quite right.

The economy is always changing. Therefore, business strategy should change to adapt. And the way to adapt is to find new ways to add value to the customers lives. At Mayflower-Plymouth, we're here to help your business thrive in this way.

The price of admission to a relationship with an extreme narcissist is self-annihilation. One of my clients quipped: “Narcissists don’t have relationships; they take prisoners.

Most women sell sex; most of them just don’t take cash (nor do they each sell to more than one ‘client’ at a time).

When a man’s face contorts in bitterness and hatred, he looks a little insane. When his mood changes from elated to assaultive in the time it takes to turn around, his mental stability seems open to question. When he accuses his partner of plotting to harm him, he seems paranoid. It is no wonder that the partner of an abusive man would come to suspect that he was mentally ill. Yet the great majority of my clients over the years have been psychologically “normal.” Their minds work logically; they understand cause and effect; they don’t hallucinate. Their perceptions of most life circumstances are reasonably accurate. They get good reports at work; they do well in school or training programs; and no one other than their partners—and children—thinks that there is anything wrong with them. Their value system is unhealthy, not their psychology.

It's best to magnetize your business to specific kinds of customers; customers that are aligned with the businesses goals, purpose, and values. At Mayflower-Plymouth, we're here to help your business figure this out, and to provide holistic solutions.

The goal is to have customers who appreciate the value your business is selling; and customers who are willing and able to pay for that value. At Mayflower-Plymouth, we're here to help your business figure this out, and to provide holistic solutions.

Then there was Asshole Research Transport. ART’s official designation was deep space research vessel. At various points in our relationship, ART had threatened to kill me, watched my favorite shows with me, given me a body configuration change, provided excellent tactical support, talked me into pretending to be an augmented human security consultant, saved my clients’ lives, and had cleaned up after me when I had to murder some humans. (They were bad humans.)

The central attitudes driving the Player are: Women were put on this earth to have sex with men—especially me. Women who want sex are too loose, and women who refuse sex are too uptight. (!) It’s not my fault that women find me irresistible. (This is a word-for-word quotation from a number of my clients.) It’s not fair to expect me to refuse temptation when it’s all around me; women seduce me sometimes, and I can’t help it. If you act like you need anything from me, I am going to ignore you. I’m in this relationship when it’s convenient for me and when I feel like it. Women who want the nonsexual aspects of themselves appreciated are bitches. If you could meet my sexual needs, I wouldn’t have to turn to other women.

In the 1890s, when Freud was in the dawn of his career, he was struck by how many of his female patients were revealing childhood incest victimization to him. Freud concluded that child sexual abuse was one of the major causes of emotional disturbances in adult women and wrote a brilliant and humane paper called “The Aetiology of Hysteria.” However, rather than receiving acclaim from his colleagues for his ground-breaking insights, Freud met with scorn. He was ridiculed for believing that men of excellent reputation (most of his patients came from upstanding homes) could be perpetrators of incest. Within a few years, Freud buckled under this heavy pressure and recanted his conclusions. In their place he proposed the “Oedipus complex,” which became the foundation of modern psychology. According to this theory any young girl actually desires sexual contact with her father, because she wants to compete with her mother to be the most special person in his life. Freud used this construct to conclude that the episodes of incestuous abuse his clients had revealed to him had never taken place; they were simply fantasies of events the women had wished for when they were children and that the women had come to believe were real. This construct started a hundred-year history in the mental health field of blaming victims for the abuse perpetrated on them and outright discrediting of women’s and children’s reports of mistreatment by men. Once abuse was denied in this way, the stage was set for some psychologists to take the view that any violent or sexually exploitative behaviors that couldn’t be denied—because they were simply too obvious—should be considered mutually caused. Psychological literature is thus full of descriptions of young children who “seduce” adults into sexual encounters and of women whose “provocative” behavior causes men to become violent or sexually assaultive toward them. I wish I could say that these theories have long since lost their influence, but I can’t. A psychologist who is currently one of the most influential professionals nationally in the field of custody disputes writes that women provoke men’s violence by “resisting their control” or by “attempting to leave.” She promotes the Oedipus complex theory, including the claim that girls wish for sexual contact with their fathers. In her writing she makes the observation that young girls are often involved in “mutually seductive” relationships with their violent fathers, and it is on the basis of such “research” that some courts have set their protocols. The Freudian legacy thus remains strong.

Look for the positive qualities in your client's negative behavior.

Julia's unhappy relationship with the Inland Revenue was due to her omission, during four years of modestly successful practice at the Bar, to pay any income tax. The truth is, I think, that she did not, in her heart of hearts, really believe in income tax. It was a subject which she had studied for examinations and on which she had thereafter advised a number of clients: she naturally did not suppose, in these circumstances, that it had anything to do with real life.

...I try to incorporate life's lessons from everyone around me and pay it forward anytime I can. I look at every person I meet as a new and thrilling experience with which I'm gifted. Every new city or country or continent that I visit is a beautiful exploration from which I can learn. Every new client or project represents the possibility of meeting new people and having new adventures.

Ambivalating is one of the healing processes of psychotherapy. When clients are encouraged to thoroughly explore their conflicting feelings about job or relationship issues, they eventually connect with a deep intuitive sense about what is best for them.

I have sometimes said to a client: “If you are so in touch with your feelings from your abusive childhood, then you should know what abuse feels like. You should be able to remember how miserable it was to be cut down to nothing, to be put in fear, to be told that the abuse is your own fault. You should be less likely to abuse a woman, not more so, from having been through it.” Once I make this point, he generally stops mentioning his terrible childhood; he only wants to draw attention to it if it’s an excuse to stay the same, not if it’s a reason to change.

The essence of Relationship Selling is when we convert a customer into a client and the seller gains the status of a supplier. It is really a process of forming a business partnership, where each partner not only transacts business but is interdependent in a mutually beneficial relationship, with a common growth objective. Sales can be:    B2B (Business to Business)  B2C (Business to Consumer)  Direct or indirect selling

Most therapists grew up struggling to be loved and accepted by others. Because of these early experiences, many of us find it difficult to believe others can be of help to us. We carry this struggle into our adult lives and, inevitably, into our relationships with our clients.

A complaint is a unique opportunity to strengthen the relationship with the client.

Have they been educated to the level of their intellectual ability or ambition? Is their use of free time engaging, meaningful, and productive? Have they formulated solid and well-articulated plans for the future? Are they (and those they are close to) free of any serious physical health or economic problems? Do they have friends and a social life? A stable and satisfying intimate partnership? Close and functional familial relationships? A career—or, at least, a job—that is financially sufficient, stable and, if possible, a source of satisfaction and opportunity? If the answer to any three or more of these questions is no, I consider that my new client is insufficiently embedded in the interpersonal world and is in danger of spiraling downward psychologically because of that.

Although providing a corrective emotional experience may sound easy, it can be challenging to do—especially when all of this is so new to therapists-in-training. To help, Hill (2009) encourages therapists to be asking themselves the same process-oriented question throughout each session: Right now, am I co-creating a new and reparative relationship, or am I being drawn into a familiar but problematic interaction sequence that is reenacting for this client?

THE DIFFERENCE If I buy a photocopier from you, I have made a transaction and am considered a customer. However, if I start buying all my office equipment from you, I have developed a relationship and have become a client. I have developed a relationship because of which I (the client) keep buying more and more. That’s the difference between transactional and relationship selling. A salesperson’s philosophy is reflected in his behavior and

You need to position yourself to your referral sources and your current clients as providing exceptional value and experiences in everything you do

Like antidepressants, a substantial part of the benefit of psychotherapy depends on a placebo effect, or as Moerman calls it, the meaning response. At least part of the improvement that is produced by these treatments is due to the relationship between the therapist and the client and to the client's expectancy of getting better. That is a problem for antidepressant treatment. It is a problem because drugs are supposed to work because of their chemistry, not because of the psychological factors. But it is not a problem for psychotherapy. Psychotherapists are trained to provide a warm and caring environment in which therapeutic change can take place. Their intention is to replace the hopelessness of depression with a sense of hope and faith in the future. These tasks are part of the essence of psychotherapy. The fact that psychotherapy can mobilize the meaning response - and that it can do so without deception - is one of its strengths, no one of its weaknesses. Because hopelessness is a fundamental characteristic of depression, instilling hope is a specific treatment for it it. Invoking the meaning response is essential for the effective treatment of depression, and the best treatments are those that can do this most effectively and that can do without deception.

In the twenty-first century, the new autocracies in Russia and China have much in common with that of the tsars, run by tiny, opaque cliques, amassing vast wealth, while linked together through hierarchical client–patron relationships, all at the mercy of the whims of the ruler. In

I recently consulted to a therapist who felt he had accomplished something by getting his dissociative client to remain in her ANP throughout her sessions with him. His view reflects the fundamental mistake that untrained therapists tend to make with DID and DDNOS. Although his client was properly diagnosed, he assumed that the ANP should be encouraged to take charge of the other parts at all times. He also expected her to speak for them—in other words, to do their therapy. This denied the other parts the opportunity to reveal their secrets, heal their pain, or correct their childhood-based beliefs about the world. If you were doing family therapy, would it be a good idea to only meet with the father, especially if he had not talked with his children or his spouse in years? Would the other family members feel as if their experiences and feelings mattered? Would they be able to improve their relationships? You must work with the parts who are inside of the system. Directly.

On the other hand, children whose parents were not dependably attentive typically grow up to be adults with an insecure anxious attachment style, which means they tend to worry and obsess about relationships. They do not listen well because they are so concerned about losing people’s attention and affection. This preoccupation can lead them to be overly dramatic, boastful, or clingy. They might also pester potential friends, colleagues, clients, or romantic interests instead of allowing people their space.

The third facilitative aspect of the relationship is empathic understanding. This means that the therapist senses accurately the feelings and personal meanings that the client is experiencing and communicates this understanding to the client. When functioning best, the therapist is so much inside the private world of the other that he or she can clarify not only the meanings of which the client is aware but even those just below the level of awareness. This kind of sensitive, active listening is exceedingly rare in our lives. We think we listen, but very rarely do we listen with real understanding, true empathy. Yet listening, of this very special kind, is one of the most potent forces for change that I know.

Abby stood nervously before her Master in the classic submissive pose: fully nude, legs apart, wrists placed behind her back; deeply ashamed of her evident arousal. Worse, she had to recount in exact detail the proceedings of her last whipping. The whipping had been severe; as was the case with most of the clients she was commissioned to serve. Most of these clients were men, some were women, on occasion a couple, or even a group. Nevertheless her body reacted like that of a wanton whore as she retold of the sadistic punishments and extreme sexual use inflicted upon her body. How far would her Master push her with these ‘tests’? How far would Abigail go? How many times could she stand before him blushing; yet with that unmistakable tingle? Their relationship was surely headed for a collision course. Or was it?

High performers whom exhibit tremendous self-control tend to be burden by their own competence. Studies indicate that being extraordinary competent can place a person under an unusual amount of stress because it raises other people’s expectation of them. The more task that an exemplary employee produces with a ‘go-getting personality’ while maintaining high quality relationships with peers and clients, the more an organization tends to underestimates their actual effort and the more it expects of them. Other people do not comprehend how difficult it is for a high performer to complete multifaceted tasks. They also tend to underestimate how much effort an enterprising person exerts who maintains a positive and pleasant attitude while completing difficult assignments.

As connection to the therapist is established, the therapeutic relationship offers an opportunity for the client to experience a present attachment, but it also brings up transferential tendencies associated with past attach ment relationships (Sable, 2000). Informed by the experience of interperesonal trauma and betrayal, posttraumatic transferential relationships can be exceptionally potent and volatile. In response to the therapist, clients experience fear, anger, mistrust, and suspicion, as well as hope, vulnerability, and yearning, and they are acutely attuned to subtle signals of disinterest or interest, compassion or judgment, abandonment or consistency (Herman 1992; Pearlman & Saakvitne, 1995).

the good-enough mother is frequently off the mark and that repairing ruptures in relationships again and again is part of securing the bond and creating a sense of resilience. This is true whether we’re talking about the mother-child bond, a therapist-client relationship, a relationship with a partner, or any other significant relationship. We need to know that the other can manage the upsetting feelings that come with such ruptures and won’t go away, and that together we can fix it.

Doing your research ahead of time shows that you care about your client and your reputation. Referencing this information will better enable you to ask relevant questions and link their answers to your product or service to create a win-win situation.

When clients relinquish symptoms, succeed in achieving a personal goal, or make healthier choices for themselves, subsequently many will feel anxious, guilty, or depressed. That is, when clients make progress in treatment and get better, new therapists understandably are excited. But sometimes they will also be dismayed as they watch the client sabotage her success by gaining back unwanted weight or missing the next session after an important breakthrough and deep sharing with the therapist. Thus, loyalty and allegiance to symptoms—maladaptive behaviors originally developed to manage the “bad” or painfully frustrating aspects of parents—are not maladaptive to insecurely attached children. Such loyalty preserves “object ties,” or the connection to the “good” or loving aspects of the parent. Attachment fears of being left alone, helpless, or unwanted can be activated if clients disengage from the symptoms that represent these internalized “bad” objects (for example, if the client resolves an eating disorder or terminates a problematic relationship with a controlling/jealous partner). The goal of the interpersonal process approach is to help clients modify these early maladaptive schemas or internal working models by providing them with experiential or in vivo re-learning (that is, a “corrective emotional experience”). Through this real-life experience with the therapist, clients learn that, at least sometimes, some relationships can be different and do not have to follow the same familiar but problematic lines they have come to expect.

Whether you're delivering a sales presentation to a new client, going on a trip, speaking in front of a thousand people, or handling a customer complaint, when you are prepared, you are more empowered to do your best and perform at a higher level. It feels great!

Many of the clients who come through my door have never had a safe enough relationship. Repetition compulsion drives them to unconsciously seek out relationships in adulthood that traumatically reenact the abusive and/or abandoning dynamics of their childhood caretakers

There wasn't any fanfare in quitting my job. Most of my clients would know I'd left and been replaced by a new person. Maybe they would vacuum or position the throw pillows differently. Maybe the clients would come home to find the shampoo bottles arranged in a new way, but most of them probably wouldn't notice the change at all. When I thought about a new maid taking over my job, I wondered again what it would be like to know a stranger had been in your house, wiping every surface, emptying the garbage of your bloody pads. Would you not feel exposed in some way? After a couple of years, my clients trusted our invisible relationship. Now there would be another invisible human being magically making lines in the carpet.

Because internalizers look within themselves for reasons why things go wrong, they may not always recognize abuse for what it is. If parents don’t label their own behavior as abusive, their child won’t label it that way either. Even as adults, many people have no idea that what happened to them in childhood was abusive. As a result, they may not recognize abusive behavior in their adult relationships. For instance, Vivian hesitated to tell me about her husband’s anger, saying it was too silly and insignificant to talk about. She then sheepishly told me that he’d broken things when angry and once threw her craft project on the floor because he wanted her to keep the house neater. As it turned out, Vivian was embarrassed to tell me because she thought I’d say his behavior was normal and tell her she was making a mountain out of a molehill. Another client, a middle-aged man, recounted incidents of childhood abuse nonchalantly, with no recognition of how serious it had been. For example, he said his father once choked him until he wet himself and then locked him in the basement. Recalling that his father had once thrown a stereo set, he admitted that his father “might have had a temper.” As he spoke, his demeanor clearly indicated that he accepted this behavior as normal.

Approximately 15 to 20 percent of the population has a nervous system wired to be more sensitive. These people are more attuned to the subtleties of their environment and process that information much more deeply compared to others without this trait. While being more observant might be a survival advantage, it can also be overwhelming. Someone who is constantly aware of the subtleties of the environment and of the people around them can quickly experience sensory overload. My clients who consider themselves to be HSPs [highly sensitive persons] often report experiencing a certain type of disorganized attachment because the world itself is too much. Due to their increased sensitivity, even normal everyday events can feel too intense, too chaotic or too stimulating, leaving little respite to feel settled, safe and secure. In relationships, HSPs are often unclear as to whether what they are feeling has its origin in themselves or if their partner's feelings are creating that 'one foot on the gas, one foot on the brake' experience in their nervous system. They want to be close to people, but being close can be a sensory assault that is confusing or that dysregulates them for days.

Client-therapist disagreement about the goals and tasks of therapy may impair the therapeutic alliance.† This issue is not restricted to group therapy. Client-therapist discrepancies on therapeutic factors also occur in individual psychotherapy. A large study of psychoanalytically oriented therapy found that clients attributed their successful therapy to relationship factors, whereas their therapists gave precedence to technical skills and techniques.84 In general, analytic therapists value the coming to consciousness of unconscious factors and the subsequent linkage between childhood experiences and present symptoms far more than do their clients, who deny the importance or even the existence of these elements in therapy; instead they emphasize the personal elements of the relationship and the encounter with a new, accepting type of authority figure.

The first discount you give to a client marks the end of your business relationship

Doing your homework and being well prepared for appointments is one of the most powerful ways to set yourself apart from your competition to gain and retain new clients.

I saw it with my clients who’d been abused either physically or emotionally. The relationship never starts with a fist to the face, or an insult. If it did there’d be no second date. It always starts gently. Kindly. The other person draws you in. To trust them. To need them. And then they slowly turn. Little by little, increasing the heat. Until you’re trapped.

The best way I can state this aim of life, as I see it coming to light in my relationship with my clients, is to use the words of Soren Kierkegaar —“to be that self which one truly is.

In all death penalty cases, spending time with clients is important. Developing the trust of clients is not only necessary to manage the complexities of the litigation & deal with the stress of a potential execution; it's also key to effective advocacy. A client's life often depends on his lawyer's ability to create a mitigation narrative that contextualizes his poor decisions or violent behavior. Uncovering things about someone's background that no one has previously discovered--things that might be hard to discuss but are critically important--requires trust. Getting someone to acknowledge he has been the victim of child sexual abuse, neglect, or abandonment won't happen without the kind of comfort that takes hours and multiple visits to develop. Talking about sports, TV, popular culture, or anything else the client wants to discuss is absolutely appropriate to building a relationship that makes effective work possible.

I’ve heard from clients and readers who were on top of their game, attractive, highly educated individuals who felt as if they had lost themselves in an abusive relationship because they thought they had met the love of their lives, only to discover further down the line that their soulmate became their daily tormenter, breaking down their confidence and feeling of self-worth.

... every therapist must develop enough personal maturity, clinical wisdom, and capacity for good judgment to effectively and safely conduct psychotherapy, an imperative that is especially important in the treatment of this population. The emotion dysregulation and insecure and disorganized attachment of complex trauma clients elicit strong emotional reactions from others, even those in their support network, including therapists. Reactions can range from sympathy, sorrow, fear, and guilt to frustration, impatience, anger/rage, hostility, and disgust or contempt.

You can be dressed to the nines and have it all going on, but if you don’t have shoes to support your look, they can be your undoing. Your shoes should be appropriate, clean, polished, and maintained if you want to make a great impression and fortify your credibility. If your shoes are scuffed, dirty, or worn, clients may wonder what other details you’ve neglected to attend to.

I'd like to believe that what I offer is way better than what any escort agency on the planet can offer. I help my clients master the art of creating and turning dreams of ecstasy into reality.

For example, in order to identify these schemas or clarify faulty relational expectations, therapists working from an object relations, attachment, or cognitive behavioral framework often ask themselves (and their clients) questions like these: 1. What does the client tend to want from me or others? (For example, clients who repeatedly were ignored, dismissed, or even rejected might wish to be responded to emotionally, reached out to when they have a problem, or to be taken seriously when they express a concern.) 2. What does the client usually expect from others? (Different clients might expect others to diminish or compete with them, to take advantage and try to exploit them, or to admire and idealize them as special.) 3. What is the client’s experience of self in relationship to others? (For example, they might think of themselves as being unimportant or unwanted, burdensome to others, or responsible for handling everything.) 4. What are the emotional reactions that keep recurring? (In relationships, the client may repeatedly find himself feeling insecure or worried, self-conscious or ashamed, or—for those who have enjoyed better developmental experiences—perhaps confident and appreciated.) 5. As a result of these core beliefs, what are the client’s interpersonal strategies for coping with his relational problems? (Common strategies include seeking approval or trying to please others, complying and going along with what others want them to do, emotionally disengaging or physically withdrawing from others, or trying to dominate others through intimidation or control others via criticism and disapproval.) 6. Finally, what kind of reactions do these interpersonal styles tend to elicit from the therapist and others? (For example, when interacting together, others often may feel boredom, disinterest, or irritation; a press to rescue or take care of them in some way; or a helpless feeling that no matter how hard we try, whatever we do to help disappoints them and fails to meet their need.)

Following Strupp (1980), clients change when they live through emotionally painful and long-ingrained relational experiences with the therapist, and the therapeutic relationship gives rise to new and better outcomes that are different from those anticipated and feared. That is, when the client re-experiences important aspects of her primary problem with the therapist, and the therapist’s response does not fit the old schemas or expectations, the client has the real-life experience that relationships can be another way. When clients experience this new or reparative response, a response that differs from previous relationships and that does not fit the client’s negative expectations or cognitive schemas, it is a powerful type of experiential re-learning that readily can be generalized to other relationships (Bandura, 1997).

The act of consciously and purposefully paying attention to symptoms and their antecedents and consequences makes the symptoms more an objective target for thoughtful observation than an intolerable source of subjective anxiety, dysphoria, and frustration. In ACT, the act of accepting the symptoms as an expectable feature of a disorder or illness, has been shown to be associated with relief rather than increased distress (Hayes et al., 2006). From a traumatic stress perspective, any symptom can be reframed as an understandable, albeit unpleasant and difficult to cope with, reaction or survival skill (Ford, 2009b, 2009c). In this way, monitoring symptoms and their environmental or experiential/body state "triggers" can enhance client's willingness and ability to reflectively observe them without feeling overwhelmed, terrified, or powerless. This is not only beneficial for personal and life stabilization but is also essential to the successful processing of traumatic events and reactions that occur in the next phase of therapy (Ford & Russo, 2006).

Practicing law in a general practice litigation firm can quickly sap an attorney’s enthusiasm for life as well as their inner will to pursue their line of trade that they invested years of schooling qualifying to perform. In phone calls, an attorney listens to clients scream, cry, and curse, make wild accusations, and threatening to harm other people. Because the client is paying the firm, they feel entitled to act obscenely.

Even you, the professional helper, often mistaken for the enlightened Guru or Staretz, can become lost in your thoughts that you must be competent without fault. You may become enthralled with your identity as a professional, even the pressures of the culture of mastery that expects you to heal your clients without fail. Never mind all of the variables over which you have no control, it is up to you, according to the canons of mastery, to control the health and well-being of those for whom you provide professional care. This potentiates a furthering alienation between you and your clients. You are at risk to become, if you have not already, the one who does to your clients; to be the one the active subject acting upon the passive and receptive objects, your clients; to be the one in possession of special knowledge, technique and mastery. All of this conspires to coax or coerce you into treating your client as reduced, a mere case. Unawareness to these influences gives you little chance to consider their influence on your practice in the clinical setting, much less give attentive efforts to resist or change them.

Many of the successful therapies I have guided come to an end when the client gains an earned secure relationship outside of our therapy. This is typically a partner or best friend with whom the person can truly be themselves.

... the silent client may be experienced as withholding, oppositional, and sulking or as holding the therapist "hostage" in ways that elicit resentment and other negative responses. Because it is not unusual that relational and other forms of traumatization began when the client was preverbal, he or she may not have words. The lack of access to emotions or to words to describe them is known as alexithymia and is a common response to trauma. What the client is likely to have instead is somatosensory, behavioral, dissociative, and relational manifestations that therapists must seek to understand and translate into words, a process that involves hard work and intense focus.

The important thing to remember is that its absence doesn’t predict failure, and its presence doesn’t guarantee success. As my mathematician client said to me once, “The spark is neither necessary nor sufficient for long-term relationship happiness.

She’s aware of her fondness for ledger keeping, a term that marriage counselors use to castigate their clients for keeping a running tally of who did what to whom, which is not in the spirit of generosity that supposedly nurtures a healthy relationship.

Discover an interest, a passion, a preference or need your client has, and take the time to give them some small item related to it. By making the extra effort to learn about the person and their business, you become very appealing and much more memorable.

Mr. Tongo tells Rosie, "We discuss lots of intimate things with our friends, but our genitals, and those of our children, are private. Many of my patients and clients-kids as well as their parents, people dealing with a whole range of conditions, not just this one-find they don't want to explain themselves every time they meet someone new. They don't want to be responsible for educating everyone they meet. They don't consider what's in their pants to be any of anyone else's business." (Chapter "Everyone Who?)

We deny responsibility for our actions when we attribute their cause to factors outside ourselves: Vague, impersonal forces—“I cleaned my room because I had to.” Our condition, diagnosis, or personal or psychological history—“I drink because I am an alcoholic.” The actions of others—“I hit my child because he ran into the street.” The dictates of authority—“I lied to the client because the boss told me to.” Group pressure—“I started smoking because all my friends did.” Institutional policies, rules, and regulations—“I have to suspend you for this infraction because it’s the school policy.” Gender roles, social roles, or age roles—”I hate going to work, but I do it because I am a husband and a father.” Uncontrollable impulses—“I was overcome by my urge to eat the candy bar.

Maybe I should at least wait, to help you, until it’s clear that you want to be helped. Carl Rogers, the famous humanistic psychologist, believed it was impossible to start a therapeutic relationship if the person seeking help did not want to improve.67 Rogers believed it was impossible to convince someone to change for the better. The desire to improve was, instead, the precondition for progress. I’ve had court-mandated psychotherapy clients. They did not want my help. They were forced to seek it. It did not work. It was a travesty.

Any attorney with a conscience always speaks the truth. An attorney can and should practice law in a scrupulous manner, but some dishonest attorneys disregard ethical mandates in order to win. Unethical attorneys shape their clients stories, which is a fancy way of assisting them tell a fib.

Campbell’s slideshow lists grim domestic violence statistic after statistic: second leading cause of death for African American women, third leading cause of death for native women, seventh leading cause of death for Caucasian women. Campbell says twelve hundred abused women are killed every year in the United States.1 That figure does not count children. And it does not count the abusers who kill themselves after killing their partners, murder-suicides we see daily in the newspaper. And it does not count same-sex relationships where one or the other partner might not be “out.” And it does not count other family members, like sisters, aunts, grandmothers, who are often killed alongside the primary victim. And it does not count innocent bystanders: the twenty-six churchgoers in Texas, say, after a son-in-law has gone to a service to target his mother-in-law, or the two spa employees in Wisconsin killed alongside their client by her ex. The list is endless. And it does not count the jurisdictions who do not report their homicides, since homicide reporting is voluntary through the FBI’s Supplemental Homicide Reporting Data. So how many people are killed as a result of domestic violence each year? The bystanders, the other family members, the perpetrators’ suicides? The victims who just can’t take it anymore and kill themselves? The accidents that turn out not to be accidents at all, victims pushed out of cars and from cliffs or driven into trees. Tragedies forever uncategorized.

While making money was good, having meaningful work and meaningful relationships was far better. To me, meaningful work is being on a mission I become engrossed in, and meaningful relationships are those I have with people I care deeply about and who care deeply about me. Think about it: It’s senseless to have making money as your goal as money has no intrinsic value—its value comes from what it can buy, and it can’t buy everything. It’s smarter to start with what you really want, which are your real goals, and then work back to what you need to attain them. Money will be one of the things you need, but it’s not the only one and certainly not the most important one once you get past having the amount you need to get what you really want. When thinking about the things you really want, it pays to think of their relative values so you weigh them properly. In my case, I wanted meaningful work and meaningful relationships equally, and I valued money less—as long as I had enough to take care of my basic needs. In thinking about the relative importance of great relationships and money, it was clear that relationships were more important because there is no amount of money I would take in exchange for a meaningful relationship, because there is nothing I could buy with that money that would be more valuable. So, for me, meaningful work and meaningful relationships were and still are my primary goals and everything I did was for them. Making money was an incidental consequence of that. In the late 1970s, I began sending my observations about the markets to clients via telex. The genesis of these Daily Observations (“ Grains and Oilseeds,” “Livestock and Meats,” “Economy and Financial Markets”) was pretty simple: While our primary business was in managing risk exposures, our clients also called to pick my brain about the markets. Taking those calls became time-consuming, so I decided it would be more efficient to write down my thoughts every day so others could understand my logic and help improve it. It was a good discipline since it forced me to research and reflect every day. It also became a key channel of communication for our business. Today, almost forty years and ten thousand publications later, our Daily Observations are read, reflected on, and argued about by clients and policymakers around the world. I’m still writing them, along with others at Bridgewater, and expect to continue to write them until people don’t care to read them or I die.

Trust of others is in short supply for many adult survivors, as complex trauma generally involves major relational betrayal. It is, therefore, expectable (although paradoxical) that clients with these histories are predisposed to be mistrustful at the outset of therapy, precisely because of (and in proportion to) the actual trustworthiness of the therapist. When past experiences have thought hard lessons, namely, that one can least afford to trust the people who should be most trustworthy, it stands to reason that confusion about trust results. The therapist must understand and not take offense either personally or professionally and not react judgmentally or defensively. Practically speaking, this involves the therapist being prepared to patiently and empathically respond to active or passive tests or challenges to trustworthiness as legitimate and meaningful communication that deserves a respectful reply in action as well as in words.

I should like to point out one final characteristic of these individuals as they strive to discover and become themselves. It is that the individual seems to become more content to be a process rather than a product. When he enters the therapeutic relationship, the client is likely to wish to achieve some fixed state: he wants to reach the point where his problems are solved, or where he is effective in his work, or where his marriage is satisfactory. He tends, in the freedom of the therapeutic relationship to drop such fixed goals, and to accept a more satisfying realization that he is not a fixed entity, but a process of becoming.

There were hierarchies within the free citizen population too. One clause draws a distinction between patricians and plebeians, another between assidui (men of property) and proletarii (those without property – whose contribution to the city was the production of offspring, proles). Another refers to ‘patrons’ and ‘clients’ and to a relationship of dependency and mutual obligation between richer and poorer citizens that remained important throughout Roman history. The basic principle was that the client depended on his patron for protection and assistance, financial and otherwise, in return for a variety of services rendered, including votes in elections.

Sympathy and guilt, they note, operate within a circle of communal relationships.40 They are less likely to be felt in exchange or equality-matching relationships, the kind we have with acquaintances, neighbors, colleagues, associates, clients, and service providers. Exchange relationships are regulated by norms of fairness and are accompanied by emotions that are cordial rather than genuinely sympathetic. When we harm them or they harm us, we can explicitly negotiate the fines, refunds, and other forms of compensation that rectify the harm. When that is not possible, we reduce our distress by distancing ourselves from them or derogating them. The businesslike quid pro quo negotiations that can repair an exchange relationship are, we shall see, generally taboo in our communal relationships, and the option of severing a communal relationship comes with a high cost.41 So we repair our communal relationships with the messier but longer-lasting emotional glue of sympathy, guilt, and forgiveness.

We know that negative reinforcement or punishment works well for behavior that should be eliminated. And we know from feedback theory that the best kind of feedback is descriptive because the client can then make the evaluation. These are valid guidelines but they don’t solve some of the subtle issues that can arise in the relationship.

Clients with painful experiences and frightening symptoms are accustomed to living in a world where others avoid and reject them. Our ability to remain empathically connected to them through the expression of their suffering sets the stage for therapy to be a qualitatively different relationship experience–one where they are accepted, pain and all.

In fact, the same intervention or response may even have the opposite effect on two different clients with contrasting developmental histories and cultural contexts. For example, if a client’s parent was distant or aloof, the therapist’s judicious self-disclosure may be helpful for the client. In contrast, the same type of self-disclosure is likely to be anxiety-arousing for a client who grew up serving as the confidant or emotional caregiver of a depressed parent. Greater sharing with the therapist may help the first client learn that, contrary to her deeply held beliefs, she does matter and can be of interest to other people. In contrast, for the second client, the same type of self-disclosure may inadvertently impose the unwanted needs of others and set this client back in treatment as, in her mind, she experiences herself back in her old caretaking role again—this time with the therapist. This unwanted reenactment occurs because the therapeutic relationship is now paralleling the same problematic relational theme that this client struggled with while growing up.

There wasn't any fanfare in quitting my job. Most of my clients wouldn't know I'd left and been replaced by a new person. Maybe they would vacuum or position the throw pillows differently. Maybe the clients would come home to find the shampoo bottles arranged in a new way, but most of them probably wouldn't notice the change at all. When I thought about a new maid taking over my job, I wondered again what it would be like to know a stranger had been in your house, wiping every surface, emptying the garbage of your bloody pads. Would you not feel exposed in some way? After a couple of years, my clients trusted our invisible relationship. Now there would be another invisible human being magically making lines in the carpet.

The weavers I’ve met are extremely relational. They are driven to seek deep relations with others, both to feed their hunger for connection and because they believe that change happens through deepening relationships. When they are working with the homeless or the poor or the traumatized, they are laboring alongside big welfare systems that offer services but not care. These systems treat people as “cases” or “clients.” They are necessary to give people financial stability and support, but they can’t do transformational change. As Peter Block, one of the leading experts on community, puts it, “Talk to any poor person or vulnerable person and they can give you a long list of the services they have received. They are well serviced, but you often have to ask what in their life has fundamentally changed.

Unlike other relationships that have a purpose beyond themselves and are clearly delineated as such (dentist-patient, lawyer-client, teacher-student), the writer-subject relationship seems to depend for its life on a kind of fuzziness and murkiness, if not utter covertness, of purpose. If everybody put his cards on the table, the game would be over. The journalist must do his work in a kind of deliberately induced state of moral anarchy.

I believe that all learning is relational. Teachers who try to teach without first having created a positive relationship with their students may only be wasting much of their great knowledge. Establish an encouraging relationship with a child, and you can teach him or her almost anything. Establish a strong therapeutic alliance with your client, and he or she might even be willing to build new neuronal pathways that indicate that trust, love, and unconditional worth are possible for him or her too.

The overarching principle of a therapeutic relationship is that therapists should be ever mindful of a variant of the Hippocratic oath and, to the degree possible, strive to "do no more harm" (Courtois, 2010). Complex trauma clients have already experienced considerable harm, much of it at the hands of other human beings. As a result of the ubiquitous processes of transference, attachment styles, and IWM [Internal working models], these clients often view the therapist's behavior and their relationship through the lens of their trauma-related negative interpersonal expectancies and unhealed emotional wounds and injuries. Therapists should not be surprised to be "guilty until proven innocent", not because clients with complex trauma histories are "unfair" or "unreasonable" but precisely the opposite - because the most realistic self-protective stance for them (given the fact that betrayal and harm have been more the rule than the exception) is to "distrust first and verify" (or to be hypervigilant) rather than to start with an expectation of safety and trustworthiness.

Idolatry divides Christianity into a shopping mall of sects, each selling their own unique god package. Churches become like stores displaying their relevant music or practical teaching like sexily shaped mannequins. Churches advertise and put on great Sunday matinee shows to attract new customers, competing with other churches for congregants like other corporations compete for clients. This is what happens when faith becomes a set of concepts rather than a relational way of living. A concept makes a better product than a relationship.

I consider therapy successful when the family members (or individual clients) have discovered ways to get what they need from their relationships with the people in their lives, so that their relationship with me is no longer necessary to sustain them. Like a chemical catalyst that facilitates a reaction between two other substances, the therapeutic relationship catalyzes the transformation of relationships in the lives of clients. But the real healing takes place not in the therapeutic relationship but in the client's relationships with significant others.

... as Herman (1992b) cogently noted two decades ago, these personality disorders can be iatrogenic, causing harm to individuals as an inadvertent result of the social stigma they carry and the widespread (but not entirely accurate) belief among professionals and insurers that those with Cluster B personality disorders (especially borderline personality disorder[BPD]) cannot be treated successfully, cannot recover, and are a headache to practitioners. For example, the BPD diagnosis continues to be applied predominantly to women often, but not always, in a negative way, usually signifying that they are irrational and beyond help. Describing posttraumatic symptoms as a personality disorder not only can be demoralizing for the client due to its connotation that something is defective with his or her core self (i.e., personality) but also may misdirect the therapist by implying that the patient's core personality should be the focus of treatment rather than trauma-related adaptations that affect but are distinct from the core self. In this way, both therapists and their clients may overlook personality strengths and capacities that are healthy and sources of resilience that can be a basis for building on and enhancing (rather than "fixing" or remaking) the patient's core self and personality.

The frog in the frying pan is a psychological term, a phenomenon,” she said. “If you stick a frog into a sizzling hot frying pan what’ll it do?” “Jump out?” suggested Clara. “Jump out. But if you put one into a pan at room temperature then slowly raise the heat, what happens?” Clara thought about it. “It’ll jump out when it gets too hot?” Myrna shook her head. “No.” She took her feet off the hassock and leaned forward again, her eyes intense. “The frog just sits there. It gets hotter and hotter but it never moves. It adjusts and adjusts. Never leaves.” “Never?” asked Clara, quietly. “Never. It stays there until it dies.” Clara look a long, slow, deep breath, then exhaled. “I saw it with my clients who’d been abused either physically or emotionally. The relationship never starts with a fist to the face, or an insult. If it did there’d be no second date. It always starts gently. Kindly. The other person draws you in. To trust them. To need them. And then they slowly turn. Little by little, increasing the heat. Until you’re trapped.” “But Lillian wasn’t a lover, or a husband. She was just a friend.” “Friends can be abusive. Friendships can turn, become foul,” said Myrna. “She fed on your gratitude. Fed on your insecurities, on your love for her. But you did something she never expected.” Clara waited. “You stood up for yourself. For your art. You left. And she hated you for it.

having attachment needs doesn’t make you “needy.” Clients frequently ask me, “Isn’t it codependent to expect my partner to meet all of these needs for me?” But the answer is no. Met attachment needs (and we’re only talking about met attachment needs, not every single need a person has) are simply what’s necessary to feel close to another person. They don’t make you whole, but they do make a loving relationship whole. That doesn’t mean your partner has to love you before you can love yourself. Our partners’ love can help us love ourselves, or help us expand upon the love we already have for ourselves, but their love can’t make us love ourselves—that needs to be happening independent of them.

Humans never outgrow their need to connect with others, nor should they, but mature, truly individual people are not controlled by these needs. Becoming such a separate being takes the whole of a childhood, which in our times stretches to at least the end of the teenage years and perhaps beyond. We need to release a child from preoccupation with attachment so he can pursue the natural agenda of independent maturation. The secret to doing so is to make sure that the child does not need to work to get his needs met for contact and closeness, to find his bearings, to orient. Children need to have their attachment needs satiated; only then can a shift of energy occur toward individuation, the process of becoming a truly individual person. Only then is the child freed to venture forward, to grow emotionally. Attachment hunger is very much like physical hunger. The need for food never goes away, just as the child's need for attachment never ends. As parents we free the child from the pursuit of physical nurturance. We assume responsibility for feeding the child as well as providing a sense of security about the provision. No matter how much food a child has at the moment, if there is no sense of confidence in the supply, getting food will continue to be the top priority. A child is not free to proceed with his learning and his life until the food issues are taken care of, and we parents do that as a matter of course. Our duty ought to be equally transparent to us in satisfying the child's attachment hunger. In his book On Becoming a Person, the psychotherapist Carl Rogers describes a warm, caring attitude for which he adopted the phrase unconditional positive regard because, he said, “It has no conditions of worth attached to it.” This is a caring, wrote Rogers, “which is not possessive, which demands no personal gratification. It is an atmosphere which simply demonstrates I care; not I care for you if you behave thus and so.” Rogers was summing up the qualities of a good therapist in relation to her/his clients. Substitute parent for therapist and child for client, and we have an eloquent description of what is needed in a parent-child relationship. Unconditional parental love is the indispensable nutrient for the child's healthy emotional growth. The first task is to create space in the child's heart for the certainty that she is precisely the person the parents want and love. She does not have to do anything or be any different to earn that love — in fact, she cannot do anything, since that love cannot be won or lost. It is not conditional. It is just there, regardless of which side the child is acting from — “good” or “bad.” The child can be ornery, unpleasant, whiny, uncooperative, and plain rude, and the parent still lets her feel loved. Ways have to be found to convey the unacceptability of certain behaviors without making the child herself feel unaccepted. She has to be able to bring her unrest, her least likable characteristics to the parent and still receive the parent's absolutely satisfying, security-inducing unconditional love. A child needs to experience enough security, enough unconditional love, for the required shift of energy to occur. It's as if the brain says, “Thank you very much, that is what we needed, and now we can get on with the real task of development, with becoming a separate being. I don't have to keep hunting for fuel; my tank has been refilled, so now I can get on the road again.” Nothing could be more important in the developmental scheme of things.

In men, there is the familiar distinction between the Madonna on a pedestal and the lowlife whore, in the sense that they elevate the love object to unknown—and, above all, unattainable—heights. These are the super-conventional husbands who respect their wives. They often respect them so much that they become psychologically impotent. The shadow of the for-bidden mother covers the beloved in this cloak of respect, so that any sexual approach becomes impossible. However, this impotence wholly melts away, together with the respect, when such a man goes to a whore, either in his imagination or in reality. The pendulum swings the other way, because in this case the woman, in the figure of the whore, is humiliated just as much as the wife-mother is extolled. The dimension of lust appears here, inevitably accompanied by feelings of guilt. It is in this context that we come across the typical male fantasy, well known to every prostitute, of 'saving' a woman. A large number of her clients want to 'save' her from her ruin. They want to restore to her the status of being an object of love. In other words, they want her to become a wife-mother, which brings them back to respect, and completes the circle. Interestingly, in either case, whether he saves her or humiliates her, the power lies with the man. This in itself is a rewrite of the original mother-child scenario. His position has shifted from passive to active.

As Dr. Gunnar Biörck, an eminent Swedish professor of medicine and head of the department Of medicine at a major Swedish hospital, has written:   The setting in which medicine has been practiced during thousands of years has been one in which the patient has been the client and employer of the physician. Today the State, in one manifestation or the other, claims to be the employer and, thus, the one to prescribe the conditions under which the physician has to carry out his work. These conditions may not—and will eventually not—be restricted to working hours, salaries and certified drugs; they may invade the whole territory of the patient-physician relationship.... If the battle of today is not fought and not won, there will be no battle to fight tomorrow.20

There can be a mismatch of attachment expectations. As mentioned earlier, not all relationships have to be attachment-based, but ideally all parties involved in the relationship need to agree about this. Very painful and confusing situations can arise when one person wants a certain relationship to meet their attachment needs, but the other person does not want the same level of involvement, or if a person wants an attachment-based relationship in theory but is practically or situationally unable to provide at that level. When I see clients struggling with attachment anxiety because a partner gives mixed signals or is inconsistent in their responsiveness, support, or availability, it is important to explore whether or not they are expecting this partner to be an attachment figure for them. If they are, then it is paramount for them to dialogue with their partner about whether or not that partner wants to be in the role of an attachment figure for them, as well as honestly assessing if the partner has enough time, capacity and/or space in their life and other relationships to show up to the degree required for being polysecure together. Some people prefer not to define their relationships, preferring to explore and experience them without labels or traditional expectations. As long as this level of ambiguity or relationship fluidity is a match for everyone involved, it can be a very liberating and satisfying way to relate with others. But when someone casts a partner in the role of attachment figure, but that person is unable or unwilling to play the part, much pain, frustration, disappointment, heartache and attachment anxiety ensues.

What’s the magic number of candidates then? I worked with our firm’s research center in India on a massive analysis to study the relationship between how many people we had presented to our clients in thousands of executive searches all over the world and the “stick rate” of the one hired—that is, how many years he or she had stayed at the company, either in the original position or moving up to a more senior role. My expectation was that a larger pool of people interviewed would increase the stick rate, and that happened up to a point. But after three or four candidates, it rapidly declined, confirming that too many options generate suboptimal decisions. So three to four seems to be the right number, just as it is with the interviewers you involve in your key people decisions. But wait: Weren’t Kepler and Darwin out of this range with their eleven

From 1992 to 1997, TAT [Treating Abuse Today] under my editorship published several articles by a number of respected professionals who seriously questioned the false memory syndrome (FMS) hypothesis and the methodology, ethics, and assertions of those who were rapidly pushing the concept into the public consciousness. During that time, not one person from the FMS movement contacted me to refute the specific points made in the articles or to present any research that would prove even a single case of this allegedly “epidemic” syndrome. Instead of a reasoned response to the published articles, for nearly three years proponents of the so-called FMS hypothesis–including members, officials, and supporters of the False Memory Syndrome Foundation, Inc. (FMSF)–have waged a campaign of harassment, defamation, and psychological terrorism against me, my clients, staff, family, and other innocent people connected with me. These clearly are intended to (a) intimidate me and anyone associated with me; (b) terrorize and deter access to my psychotherapy clients; (c) encumber my resources; and (d) destroy my reputation publicly, in the business community, among my professional colleagues, and within national and international professional organizations. Before describing this highly orchestrated campaign, let me emphasize that I have never treated any member of this group or their families, and do not have any relationships to any of my counseling clients. Neither have I consulted to their cases nor do I bear any relation to the disclosures of memories of sexual abuse in their families. I had no prior dealings with any of this group before they began showing up at my offices with offensive and defamatory signs early in 1995. Ethics and Behavior, 8(2) pp. 161-187

We have witnessed hundreds of clients and patients damage their metabolic and hormonal health through low-carb diets. It is becoming increasingly apparent that there is an epidemic of metabolic and hormonal dysfunction emerging in the hordes of people who have been following low-carb diets. This is particularly impactful for women—and especially physically active women—who commonly suffer side effects from their low-carb diets, including: A stopped or irregular menstrual cycle (amenorrhea)418 419 420 421 422 Decreased fertility423 424 425 Hypoglycemic episodes and blood sugar swings426 Depression, anxiety, and irritability427 428 429 Poor libido430 431 432 Disrupted sleep/insomnia433 434 Dysfunctional relationship with food and fear about eating either fat or carbohydrate435 436 Cycles of restriction and binges437 438 Chronic fatigue 439 440 441 442 Poor thyroid function (and a slow metabolism)443 444 445 446 447 448

[There is] no direct relationship between IQ and economic opportunity. In the supposed interests of fairness and “social justice”, the natural relationship has been all but obliterated. Consider the first necessity of employment, filling out a job application. A generic job application does not ask for information on IQ. If such information is volunteered, this is likely to be interpreted as boastful exaggeration, narcissism, excessive entitlement, exceptionalism [...] and/or a lack of team spirit. None of these interpretations is likely to get you hired. Instead, the application contains questions about job experience and educational background, neither of which necessarily has anything to do with IQ. Universities are in business for profit; they are run like companies, seek as many paying clients as they can get, and therefore routinely accept people with lukewarm IQ’s, especially if they fill a slot in some quota system (in which case they will often be allowed to stay despite substandard performance). Regarding the quotas themselves, these may in fact turn the tables, advantaging members of groups with lower mean IQ’s than other groups [...] sometimes, people with lower IQ’s are expressly advantaged in more ways than one. These days, most decent jobs require a college education. Academia has worked relentlessly to bring this about, as it gains money and power by monopolizing the employment market across the spectrum. Because there is a glut of college-educated applicants for high-paying jobs, there is usually no need for an employer to deviate from general policy and hire an applicant with no degree. What about the civil service? While the civil service was once mostly open to people without college educations, this is no longer the case, and quotas make a very big difference in who gets hired. Back when I was in the New York job market, “minorities” (actually, worldwide majorities) were being spotted 30 (thirty) points on the civil service exam; for example, a Black person with a score as low as 70 was hired ahead of a White person with a score of 100. Obviously, any prior positive correlation between IQ and civil service employment has been reversed. Add to this the fact that many people, including employers, resent or feel threatened by intelligent people [...] and the IQ-parameterized employment function is no longer what it was once cracked up to be. If you doubt it, just look at the people running things these days. They may run a little above average, but you’d better not be expecting to find any Aristotles or Newtons among them. Intelligence has been replaced in the job market with an increasingly poor substitute, possession of a college degree, and given that education has steadily given way to indoctrination and socialization as academic priorities, it would be naive to suppose that this is not dragging down the overall efficiency of society. In short, there are presently many highly intelligent people working very “dumb” jobs, and conversely, many less intelligent people working jobs that would once have been filled by their intellectual superiors. Those sad stories about physics PhD’s flipping burgers at McDonald's are no longer so exceptional. Sorry, folks, but this is not your grandfather’s meritocracy any more.

People who prefer to give or match often feel pressured to lean in the taker direction when they perceive a workplace as zero-sum. Whether it’s a company with forced ranking systems, a group of firms vying to win the same clients, or a school with required grading curves and more demand than supply for desirable jobs, it’s only natural to assume that peers will lean more toward taking than giving. “When they anticipate self-interested behavior from others,” explains the Stanford psychologist Dale Miller, people fear that they’ll be exploited if they operate like givers, so they conclude that “pursuing a competitive orientation is the rational and appropriate thing to do.” There’s even evidence that just putting on a business suit and analyzing a Harvard Business School case is enough to significantly reduce the attention that people pay to relationships and the interests of others. The fear of exploitation by takers is so pervasive, writes the Cornell economist Robert Frank, that “by encouraging us to expect the worst in others it brings out the worst in us: dreading the role of the chump, we are often loath to heed our nobler instincts.

When the individual has, in his process of change, reached the seventh stage, we find ourselves involved in a new dimension. The client has now incorporated the quality of motion, of flow, of changingness, into every aspect of his psychological life, and this becomes its outstanding characteristic. He lives in his feelings, knowingly and with basic trust in them and acceptance of them. The ways in which he construes experience are continually changing as his personal constructs are modified by each new living event. His experiencing is process in nature, feeling the new in each situation and interpreting it anew, interpreting in terms of the past only to the extent that the now is identical with the past. He experiences with a quality of immediacy, knowing at the same time that he experiences. He values exactness in differentiation of his feelings and of the personal meanings of his experience. His internal communication between various aspects of himself is free and unblocked. He communicates himself freely in relationships with others, and these relationships are not stereotyped, but person to person. He is aware of himself, but not as an object. Rather it is a reflexive awareness, a subjective living in himself in motion. He perceives himself as responsibly related to his problems. Indeed, he feels a fully responsible relationship to his life in all its fluid aspects. He lives fully in himself as a constantly changing flow of process.

With regard to complex trauma survivors, self-determination and autonomy require that the therapist treat each client as the "authority" in determining the meaning and interpretation of his or her personal life history, including (but not limited to) traumatic experiences (Harvey, 1996). Therapists can inadvertently misappropriate the client's authority over the meaning and significance of her or his memories (and associated symptoms, such as intrusive reexperiencing or dissociative flashbacks) by suggesting specific "expert" interpretations of the memories or symptoms. Clients who feel profoundly abandoned by key caregivers may appear deeply grateful for such interpretations and pronouncements by their therapists, because they can fulfill a deep longing for a substitute parent who makes sense of the world or takes care of them. However, this delegation of authority to the therapist can backfire if the client cannot, or does not, take ownership of her or his own memories or life story by determining their personal meaning.Moreover, the client can be trapped in a stance of avoidance because trauma memories are never experienced, processed, and put to rest. Helping a client to develop a core sense of relational security and the capacity to regulate (and recover from) extreme hyper- or hypoarousal is essential if the client is to achieve a self-determined and autonomous approach to defining the meaning and impact of trauma memories, a crucial goal of posttraumatic therapy.

Psychoanalysis has suffered the accusation of being “unscientific” from its very beginnings (Schwartz, 1999). In recent years, the Berkeley literary critic Frederick Crews has renewed the assault on the talking cure in verbose, unreadable articles in the New York Review of Books (Crews, 1990), inevitably concluding, because nothing else really persuades, that psychoanalysis fails because it is unscientific. The chorus was joined by philosopher of science, Adolf Grunbaum (1985), who played both ends against the middle: to the philosophers he professed specialist knowledge of psychoanalysis; to the psychoanalysts he professed specialist knowledge of science, particularly physics. Neither was true (Schwartz, 1995a,b, 1996a,b, 2000). The problem that mental health clinicians always face is that we deal with human subjectivity in a culture that is deeply invested in denying the importance of human subjectivity. Freud’s great invention of the analytic hour allows us to explore, with our clients, their inner worlds. Can such a subjective instrument be trusted? Not by very many. It is so dangerously close to women’s intuition. Socalled objectivity is the name of the game in our culture. Nevertheless, 100 years of clinical practice have shown psychoanalysis and psychotherapy not only to be effective, but to yield real understandings of the dynamics of human relationships, particularly the reality of transference–countertransference re-enactments now reformulated by our neuroscientists as right brain to right brain communication (Schore, 1999).

The development of a working alliance is crucial because it addresses a psychic phobia associated with relationships that is common in complex trauma clients. As we discussed, when primary relationships are sources of profound disillusionment, betrayal, and emotional pain, any subsequent relationship with an authority figure who offers an emotional bond or other assistance might be met with a range of emotions, such as fear, suspicion, anger, or hopelessness on the negative end of the continuum and idealization, hope, overdependence, and entitlement on the positive. Therapy offers a compensatory relationship, albeit within a professional framework, that has differences from and restrictions not found in other relationships. On the one hand, the therapist works within professional and ethical boundaries and limitations in a role of higher status and education and is therefore somewhat unattainable for the client. On the other, the therapist's ethical and professional mandate is the welfare of the client, creating a perception of an obligation to meet the client's needs and solve his or her problems. Furthermore, the therapist is expected to both respect the client's privacy and accept emotional and behavioral difficulties without judgment, while simultaneously being entitled to ask the client about his or her most personal and distressing feelings, thoughts and experiences. Developing a sense of trust in the therapist, therefore, is both expected and fraught with inherent difficulties that are amplified by each client's unique history of betrayal trauma, loss, and relational distress.

Cue thousands of Instagram posts encouraging the no-contact rule and implicitly shaming anyone who continues a relationship with their ex. But the story of relationships and their endings is far too complex for us to apply solution-focused changes aimed at reducing pain. Still, every one of my friends and every therapist on Instagram advises against talking to an ex. No contact, cold turkey, zero—a crazy idea to me. In my work, I’ve noticed that more than half of my clients will continue to communicate with their former partner, maintaining some form of connection. Even a friendship. This happens despite the discouraging advice recommending a complete cutoff. But we, as a society, might be better off trying to understand our need to continue a connection with an ex than condemning or strongly advising against it. Maybe it’s time we reconsidered our attitude toward post-breakup connections. Instead of dismissing them as unhealthy, we could try to understand the motives behind our choice to stay in touch. After all, each relationship and breakup is unique, and the two (or more) people involved in a ruptured relationship are in the best position to judge what serves their emotional needs and personal growth. The idea of cutting an ex out of your life completely is also extremely heteronormative. Many queer people (like me) don’t have their family of origin to fall back on. Our “families” are therefore sometimes our friends, partners, and ex-partners, the people we form deep connections with. Alex was my family for ten years. So, for me, cutting him out of my life entirely wasn’t so simple.

Confidence doesn’t come from the inside out. It moves from the outside in. People feel less anxious—and more confident—on the inside when they can point to things they have done well on the outside. Fake confidence comes from stuffing our self-doubt. Empty confidence comes from parental platitudes on our lunch hour. Real confidence comes from mastery experiences, which are actual, lived moments of success, especially when things seem difficult. Whether we are talking about love or work, the confidence that overrides insecurity comes from experience. There is no other way. It is not uncommon for twentysomething clients to come to therapy hoping I can help them increase their confidence. Some wonder if maybe I do hypnosis and a hypnotherapy session might do the trick (I don’t, and it wouldn’t), or they hope I can recommend some herbal remedy (I can’t). The way I help twentysomethings gain confidence is by sending them back to work or back to their relationships with some better information. I teach them about how they can have more mastery over their emotions. I talk to them about what confidence really is. Literally, confidence means “with trust.” In research psychology, the more precise term is self-efficacy, or one’s ability to be effective or produce the desired result. No matter what word you use, confidence is trusting yourself to get the job done—whether that job is public speaking, sales, teaching, or being an assistant—and that trust only comes from having gotten the job done many times before. As was the case for every other twentysomething I’d worked with, Danielle’s confidence on the job could only come from doing well on the job—but not all the time.

Should you operate upon your clients as objects, you risk reducing them to less than human. Following the culture of appropriation and mastery your clients become a kind of extension of yourself, of your ego. In the appropriation and objectification mode, your clients’ well-being and success in treatment reflect well upon you. You “did” something to them, you made them well. You acted upon them and can take the credit for successful therapy or treatment. Conversely, if your clients flounder or regress, that reflects poorly on you. On this side of things the culture of appropriation and mastery says that you are not doing enough. You are not exerting enough influence, technique or therapeutic force. What anxiety this can breed for some clinicians! DBT offers a framework and tools for a treatment that allows clients to retain their full humanity. Through the practice of mindfulness, you can learn to cultivate a fuller presence to the moments of your life, and even with your clients and your work with them. This presence potentiates an encounter between two irreducible human beings, meeting professionally, of course, and meeting humanly. The dialectical framework, which embraces contradictions and gives you a way of seeing that life is pregnant with creative tensions, allows for your discovery of your limits and possibilities, gives you a way of seeing the dynamic nature of reality that is anything but sitting still; shows you that your identity grows from relationship with others, including those you help, that you are an irreducible human being encountering other irreducible human beings who exert influence upon you, even as you exert your own upon them. Even without clinical contrivance.

Type II trauma also often occurs within a closed context - such as a family, a religious group, a workplace, a chain of command, or a battle group - usually perpetrated by someone related or known to the victim. As such, it often involves fundamental betrayal of the relationship between the victim and the perpetrator and within the community (Freyd, 1994). It may also involve the betrayal of a particular role and the responsibility associated with the relationship (i.e., parent-child, family member-child, therapist-client, teacher-student, clergy-child/adult congregant, supervisor-employee, military officer-enlisted man or woman). Relational dynamics of this sort have the effect of further complicating the victim's survival adaptations, especially when a superficially caring, loving or seductive relationship is cultivated with the victim (e.g., by an adult mentor such as a priest, coach, or teacher; by an adult who offers a child special favors for compliance; by a superior who acts as a protector or who can offer special favors and career advancement). In a process labelled "selection and grooming", potential abusers seek out as potential victims those who appear insecure, are needy and without resources, and are isolated from others or are obviously neglected by caregivers or those who are in crisis or distress for which they are seeking assistance. This status is then used against the victim to seduce, coerce, and exploit. Such a scenario can lead to trauma bonding between victim and perpetrator (i.e., the development of an attachment bond based on the traumatic relationship and the physical and social contact), creating additional distress and confusion for the victim who takes on the responsibility and guilt for what transpired, often with the encouragement or insinuation of the perpetrator(s) to do so.

THE VISION EXERCISE Create your future from your future, not your past. WERNER ERHARD Erhard Founder of EST training and the Landmark Forum The following exercise is designed to help you clarify your vision. Start by putting on some relaxing music and sitting quietly in a comfortable environment where you won’t be disturbed. Then, close your eyes and ask your subconscious mind to give you images of what your ideal life would look like if you could have it exactly the way you want it, in each of the following categories: 1. First, focus on the financial area of your life. What is your ideal annual income and monthly cash flow? How much money do you have in savings and investments? What is your total net worth? Next . . . what does your home look like? Where is it located? Does it have a view? What kind of yard and landscaping does it have? Is there a pool or a stable for horses? What does the furniture look like? Are there paintings hanging in the rooms? Walk through your perfect house, filling in all of the details. At this point, don’t worry about how you’ll get that house. Don’t sabotage yourself by saying, “I can’t live in Malibu because I don’t make enough money.” Once you give your mind’s eye the picture, your mind will solve the “not enough money” challenge. Next, visualize what kind of car you are driving and any other important possessions your finances have provided. 2. Next, visualize your ideal job or career. Where are you working? What are you doing? With whom are you working? What kind of clients or customers do you have? What is your compensation like? Is it your own business? 3. Then, focus on your free time, your recreation time. What are you doing with your family and friends in the free time you’ve created for yourself? What hobbies are you pursuing? What kinds of vacations do you take? What do you do for fun? 4. Next, what is your ideal vision of your body and your physical health? Are you free of all disease? Are you pain free? How long do you live? Are you open, relaxed, in an ecstatic state of bliss all day long? Are you full of vitality? Are you flexible as well as strong? Do you exercise, eat good food, and drink lots of water? How much do you weigh? 5. Then, move on to your ideal vision of your relationships with your family and friends. What is your relationship with your spouse and family like? Who are your friends? What do those friendships feel like? Are those relationships loving, supportive, empowering? What kinds of things do you do together? 6. What about the personal arena of your life? Do you see yourself going back to school, getting training, attending personal growth workshops, seeking therapy for a past hurt, or growing spiritually? Do you meditate or go on spiritual retreats with your church? Do you want to learn to play an instrument or write your autobiography? Do you want to run a marathon or take an art class? Do you want to travel to other countries? 7. Finally, focus on the community you’ve chosen to live in. What does it look like when it is operating perfectly? What kinds of community activities take place there? What charitable, philanthropic, or volunteer work? What do you do to help others and make a difference? How often do you participate in these activities? Who are you helping? You can write down your answers as you go, or you can do the whole exercise first and then open your eyes and write them down. In either case, make sure you capture everything in writing as soon as you complete the exercise. Every day, review the vision you have written down. This will keep your conscious and subconscious minds focused on your vision, and as you apply the other principles in this book, you will begin to manifest all the different aspects of your vision.