Therapist Therapy Quotes

Some seek the comfort of their therapist's office, other head to the corner pub and dive into a pint, but I chose running as my therapy.

But many people come to therapy seeking closure. Help me not to feel. What they eventually discover is that you can’t mute one emotion without muting the others. You want to mute the pain? You’ll also mute the joy.

Though the physicality of death destroys us, the idea of death may save us.

I had problems a therapist couldn't solve; grief that no man in a room could ameliorate.

The role of the therapist is to reflect the being/accepting self that was never allowed to be in the borderline.

It's difficult. I take a low dose of lithium nightly. I take an antidepressant for my darkness because prayer isn't enough. My therapist hears confession twice a month, my shrink delivers the host, and I can stand in the woods and see the world spark.

Talking to a therapist, I thought, was like taking your clothes off and then taking your skin off, and then having the other person say, "Would you mind opening up your rib cage so that we can start?

One of the things that therapists do if you are suicidal, like a trick, is ask you about the future. They want to know what your plans are. Do you want to be the president? Do you want to be a rock star? They want to know if you want to live later even if you want to die now.

love obsession often serves as a distraction, keeping the individual’s gaze from more painful thoughts.

Sometimes I simply remind patients that sooner or later they will have to relinquish the goal of having a better past.

As long as he denies his own agency, real change is unlikely because his attention will be directed toward changing his environment rather than himself.

At the time I didn’t understand. But that’s how therapy works. A patient delegates his unacceptable feelings to his therapist; and she holds everything he is afraid to feel, and feels it for him. Then, ever so slowly, she feeds his feelings back to him.

My therapist opens my wounds a little deeper, then picks at the scabs.

Life as a therapist is a life of service in which we daily transcend our personal wishes and turn our gaze toward the needs and growth of the other. We take pleasure not only in the growth of our patient but also in the ripple effect—the salutary influence our patients have upon those whom they touch in life.

Look out the other’s window. Try to see the world as your patient sees it.

And so, it is not astonishing that, though the patient enters therapy insisting that he wants to change, more often than not, what he really wants is to remain the same and to get the therapist to make him feel better. (4)

If you stay in therapy,” I say softly, “you might have to let go of the hope for a better childhood—but that’s only so that you can create a better adulthood.

I often feel caught in a dilemma: on the one hand I wish to be more natural with you and yet, on the other hand, because I feel that you’re easily wounded and that you give my comments inordinate power, I feel I must consider my wording very, very carefully.

The establishment of an authentic relationship with patients, by its very nature, demands that we forego the power of the triumvirate of magic, mystery, and authority.

if we hope for more significant therapeutic change, we must encourage our patients to assume responsibility—that is, to apprehend how they themselves contribute to their distress.

The path to decision may be hard because it leads into the territory of both finiteness and groundlessness—domains soaked in anxiety.

every decision they make is based on two things: fear and love. Therapy strives to teach you how to tell the two apart.

If you make a mistake, admit it. Any attempt at cover-up will ultimately backfire. At some level the patient will sense you are acting in bad faith, and therapy will suffer. Furthermore, an open admission of error is good model-setting for patients and another sign that they matter to you.

Psychotherapy is a demanding vocation, and the successful therapist must be able to tolerate the isolation, anxiety, and frustration that are inevitable in the work.

Abraham Lincoln is reputed to have said that if he had eight hours to cut down a tree, he’d spend several of these hours sharpening his ax.

My therapists didn’t pity me, not the good ones; they made me strip myself of pandering, manipulation, presentation—they wanted the truth more desperately than I did, and then they wanted me to speak it—live it every moment. I feel like writing is that way. Writing can be hard therapy.

Too often, we therapists neglect our personal relationships. Our work becomes our life.

But that’s how therapy works. A patient delegates his unacceptable feelings to his therapist; and she holds everything he is afraid to feel, and she feels it for him. Then, ever so slowly, she feeds his feelings back to him.

In therapy, the therapist acts as a container for what we daren't let out, because it is so scary, or what lets itself out every so often, and lays waste to our lives.

The second people felt alone, I noticed, usually in the space between things—leaving a therapy session, at a red light, standing in a checkout line, riding the elevator—they picked up devices and ran away from that feeling. In a state of perpetual distraction, they seemed to be losing the ability to be with others and losing their ability to be with themselves.

Someone's got to do some more research, but I would really like to know: when a CBT therapist really gets distressed, who does he go see?

I would never have therapy, because who wants to unravel all that knitting? Not wroth the risk, thank you. My daughter, Joanna, has a therapist, although you'd be hard-pressed to know why if you saw the size of her house.

The therapist's worldview is in itself isolating. Seasoned therapists view relationships differently, they sometimes lose patience with social ritual and bureaucracy, they cannot abide the fleeting shallow encounters and small talk of many social gatherings.

One of the most important steps in therapy is helping people take responsibility for their current predicaments, because once they realize that they can (and must) construct their own lives, they’re free to generate change.

Beginning therapists must learn that there are times to sit in silence, sometimes in silent communion, sometimes simply while waiting for patients' thoughts to appear in a form that they may be expressed.

I was on a mission. I had to learn to comfort myself, to see what others saw in me and believe it. I needed to discover what the hell made me happy other than being in love. Mission impossible. When did figuring out what makes you happy become work? How had I let myself get to this point, where I had to learn me..? It was embarrassing. In my college psychology class, I had studied theories of adult development and learned that our twenties are for experimenting, exploring different jobs, and discovering what fulfills us. My professor warned against graduate school, asserting, "You're not fully formed yet. You don't know if it's what you really want to do with your life because you haven't tried enough things." Oh, no, not me.." And if you rush into something you're unsure about, you might awake midlife with a crisis on your hands," he had lectured it. Hi. Try waking up a whole lot sooner with a pre-thirty predicament worm dangling from your early bird mouth. "Well to begin," Phone Therapist responded, "you have to learn to take care of yourself. To nurture and comfort that little girl inside you, to realize you are quite capable of relying on yourself. I want you to try to remember what brought you comfort when you were younger." Bowls of cereal after school, coated in a pool of orange-blossom honey. Dragging my finger along the edge of a plate of mashed potatoes. I knew I should have thought "tea" or "bath," but I didn't. Did she want me to answer aloud? "Grilled cheese?" I said hesitantly. "Okay, good. What else?" I thought of marionette shows where I'd held my mother's hand and looked at her after a funny part to see if she was delighted, of brisket sandwiches with ketchup, like my dad ordered. Sliding barn doors, baskets of brown eggs, steamed windows, doubled socks, cupcake paper, and rolled sweater collars. Cookouts where the fathers handled the meat, licking wobbly batter off wire beaters, Christmas ornaments in their boxes, peanut butter on apple slices, the sounds and light beneath an overturned canoe, the pine needle path to the ocean near my mother's house, the crunch of snow beneath my red winter boots, bedtime stories. "My parents," I said. Damn. I felt like she made me say the secret word and just won extra points on the Psychology Game Network. It always comes down to our parents in therapy.

I've been so thoroughly incorporated into the California culture that I practice meditation and go to a therapist, even though I always set a trap: during my meditation I invent stories to keep from being bored, and in therapy I invent stories to keep from boring the psychologist.

Indeed, the capacity to tolerate uncertainty is a prerequisite for the profession. Though the public may believe that therapists guide patients systematically and sure-handedly through predictable stages of therapy to a foreknown goal, such is rarely the case: instead, as these stories bear witness, therapists frequently wobble, improvise, and grope for direction. The powerful temptation to achieve certainty through embracing an ideological school and a tight therapeutic system is treacherous: such belief may block the uncertain and spontaneous encounter necessary for effective therapy. This encounter, the very heart of psychotherapy, is a caring, deeply human meeting between two people, one (generally, but not always, the patient) more troubled than the other. Therapists have a dual role: they must both observe and participate in the lives of their patients. As observer, one must be sufficiently objective to provide necessary rudimentary guidance to the patient. As participant, one enters into the life of the patient and is affected and sometimes changed by the encounter.

Effective therapy is about lowering your defences so that you can deal with the issues that arise in your life.

We cannot avoid this responsibility, this freedom.

Empathy: Looking Out the Patient’s Window

I hear they make greeting cards now to thank your therapist... for NOTHING

We humans appear to be meaning-seeking creatures who have had the misfortune of being thrown into a world devoid of intrinsic meaning. One of our major tasks is to invent a meaning sturdy enough to support a life and to perform the tricky maneuver of denying our personal authorship of this meaning. Thus we conclude instead that it was "out there" waiting for us. Our ongoing search for substantial meaning systems often throws us into crises of meaning.

An interesting paradox of the therapy process: In order to do their job, therapists try to see patients as they really are, which means noticing their vulnerabilities and entrenched patterns and struggles. Patients, of course, want to be helped, but they also want to be liked and admired. In other words, they want to hide their vulnerabilities and entrenched patterns and struggles. That’s not to say that therapists don’t look for a patient’s strengths and try to build on those. We do. But while we aim to discover what’s not working, patients try to keep the illusion going to avoid shame—to seem more together than they really are. Both parties have the well-being of the patient in mind but often work at cross-purposes in the service of a mutual goal.

Therapists don’t perform personality transplants; they just help to take the sharp edges off. A patient may become less reactive or critical, more open and able to let people in. In other words, therapy is about understanding the self that you are. But part of getting to know yourself is to unknow yourself—to let go of the limiting stories you’ve told yourself about who you are so that you aren’t trapped by them, so you can live your life and not the story you’ve been telling yourself about your life.

If you can't say no in relationships, then you can't be intimate

no recovery from trauma is possible without attending to issues of safety, care for the self, reparative connections to other human beings, and a renewed faith in the universe. The therapist's job is not just to be a witness to this process but to teach the patient how.

Because drugs have become so profitable, major medical journals rarely publish studies on nondrug treatments of mental health problems.31 Practitioners who explore treatments are typically marginalized as “alternative.” Studies of nondrug treatments are rarely funded unless they involve so-called manualized protocols, where patients and therapists go through narrowly prescribed sequences that allow little fine-tuning to individual patients’ needs. Mainstream medicine is firmly committed to a better life through chemistry, and the fact that we can actually change our own physiology and inner equilibrium by means other than drugs is rarely considered.

It was too late, though: I was already too smart for the therapist. Or maybe I was never amenable to therapy. Either way, I wasn't going to change. I had already chosen to view the world as a set of opportunities at winning or losing in a zero-sum game, and I used every encounter to gain information to my advantage.

The most traumatic aspects of all disasters involve the shattering of human connections. And this is especially true for children. Being harmed by the people who are supposed to love you, being abandoned by them, being robbed of the one-on-one relationships that allow you to feel safe and valued and to become humane—these are profoundly destructive experiences. Because humans are inescapably social beings, the worst catastrophes that can befall us inevitably involve relational loss. As a result, recovery from trauma and neglect is also all about relationships—rebuilding trust, regaining confidence, returning to a sense of security and reconnecting to love. Of course, medications can help relieve symptoms and talking to a therapist can be incredibly useful. But healing and recovery are impossible—even with the best medications and therapy in the world—without lasting, caring connections to others.

Friendship between therapist and patients is a necessary condition in the process of therapy - necessary, but not, however, sufficient. Psychotherapy is not a substitute for life but a dress rehearsal for life, In other words, though psychotherapy requires a close relationship, the relationship is not an end - it is a means to an end.

Therapists are never “done” with growth, they are simply people who should be dedicated to learning as much about themselves and others as they possibly can. The best therapists are fully human and engage in the struggles of life. Our own failures help us to remain open to the struggles of others; our personal victories give us the optimism and courage to inspire those struggling with their lives.

In Gretchen Schmelzer’s excellent, gentle book, Journey Through Trauma, she insists on the fifth page: “Some of you may choose a therapist: a psychiatrist, psychologist, social worker, counselor, or member of the clergy. Some of you may choose some form of group therapy. But I am telling you up front, at the beginning: in order to heal, you will need to get help. I know you will try to look for the loophole in this argument—try to find a way that you can do this on your own—but you need to trust me on this. If there were a way to do it on your own I would have found it. No one looked harder for that loophole than I did.

Therapists will have much more impact when they are able to conceptualize or discern more precisely what this client’s core problem really is, how it came about developmentally, and how it is being played out and causing symptoms and problems in his current life.

If a child stays quiet in the context of extroverted friends, or even prefers time alone, a parent may worry and even send her to therapy. She might be thrilled— she’ll finally get to talk about the stuff she cares about, and without interruption! But if the therapist concludes that the child has a social phobia, the treatment of choice is to increasingly expose her to the situations she fears. This behavioral treatment is effective for treating phobias — if that is truly the problem. If it’s not the problem, and the child just likes hanging out inside better than chatting, she’ll have a problem soon. Her “illness” now will be an internalized self-reproach: “Why don’t I enjoy this like everyone else?” The otherwise carefree child learns that something is wrong with her. She not only is pulled away from her home, she is supposed to like it. Now she is anxious and unhappy, confirming the suspicion that she has a problem.

In my deepest contacts with individuals in therapy, even those whose troubles are most disturbing, whose behavior has been most anti-social, whose feelings seem most abnormal, I find this to be true. When I can sensitively understand the feelings which they are expressing, when I am able to accept them as separate persons in their own right, then I find that they tend to move in certain directions. And what are these directions in which they tend to move? The words which I believe are most truly descriptive are words such as positive, constructive, moving toward self-actualization, growing toward maturity, growing toward socialization.

Ain’ no Black people need no therapists, ’cause we don’ be havin’ those mental issues. OCD, ADD, PTSD, and all those other acronyms they be comin’ up with every day. I’m tellin’ you, the only acronyms Black folk need help with is the NYPD, FBI, CIA, KKK, and KFC, ’cause I know they be puttin’ shit in those twelve-piece bucket meals to make us addicted to them. All that saturated fat, sodium.

will protect you from your suffering. You can’t cry it away or eat it away or starve it away or walk it away or punch it away or even therapy it away. It’s just there, and you have to survive it. You have to endure it. You have to live through it and love it and move on and be better for it and run as far as you can in the direction of your best and happiest dreams across the bridge that was built by your own desire to heal. Therapists and friends can help you along the way, but the healing—the genuine healing, the actual real-deal, down-on-your-knees-in-the-mud change—is entirely and absolutely up to you.

A supervisor once likened doing psychotherapy to undergoing physical therapy. It can be difficult and cause pain, and your condition can worsen before it improves, but if you go consistently and work hard when you’re there, you’ll get the kinks out and function so much better.

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.

Therapy, therapists, promised a rigorous lack of judgment (but wasn’t that an impossibility, to talk to a person and not be judged?), and yet behind every question was a nudge, one that pushed you gently but inexorably toward a recognition of some flaw, toward solving a problem you hadn’t known existed.

The responses of traumatized children are often misinterpreted...Because new situations are inherently stressful, and because youth who have been through trauma often come from homes in which chaos and unpredictability appear "normal" to them, they may respond with fear to what is actually a calm and safe situation. Attempting to take control of what they believe is the inevitable return of chaos, they appear to " provoke" it in order to make things feel more comfortable and predictable. Thus, the "honeymoon" period in foster care will end as the child behaves defiantly and destructively in order to prompt familiar screaming and harsh discipline. Like everyone else, they feel more comfortable with what is "familiar". As one family therapist famously put it, we tend to prefer the "certainty of misery to the misery of uncertainty".

One of the most important steps in therapy is helping people take responsibility for their current predicaments, because once they realize that they can (and must) construct their own lives, they’re free to generate change. Often, though, people carry around the belief that the majority of their problems are circumstantial or situational—which is to say, external. And if the problems are caused by everyone and everything else, by stuff out there, why should they bother to change themselves? Even if they decide to do things differently, won’t the rest of the world still be the same? It’s a reasonable argument. But that’s not how life generally works. Remember Sartre’s famous line “Hell is other people”? It’s true—the world is filled with difficult people (or, as John would have it, “idiots”). I’ll bet you could name five truly difficult people off the top of your head right now—some you assiduously avoid, others you would assiduously avoid if they didn’t share your last name. But sometimes—more often than we tend to realize—those difficult people are us. That’s right—sometimes hell is us. Sometimes we are the cause of our difficulties. And if we can step out of our own way, something astonishing happens.

You cannot do any more for me," I said. "Since I have begun to depend on you I feel weaker than ever before. I have disappointed you by acting neurotically at the very moment when I should have shown the wisdom of your guidance. I don't want to ever come back to you. I feel that I must go and work and live and forget about all this.

Guilt nagged at me. She didn't technically ask me a question, so in theory, I didn't owe her a response, but the need to please her swept over me like a tidal wave. But why? She was another therapist in the revolving door. They all asked the same questions and promised help, but each of them left me in the same condition they found me--broken.

We read novels because we need stories; we crave them; we can’t live without telling them and hearing them. Stories are how we make sense of our lives and of the world. When we’re distressed and go to therapy, our therapist’s job is to help us tell our story. Life doesn’t come with plots; it’s messy and chaotic; life is one damn, inexplicable thing after another. And we can’t have that. We insist on meaning. And so we tell stories so that our lives make sense.

Underlying the attack on psychotherapy, I believe, is a recognition of the potential power of any relationship of witnessing. The consulting room is a privileged space dedicated to memory. Within that space, survivors gain the freedom to know and tell their stories. Even the most private and confidential disclosure of past abuses increases the likelihood of eventual public disclosure. And public disclosure is something that perpetrators are determined to prevent. As in the case of more overtly political crimes, perpetrators will fight tenaciously to ensure that their abuses remain unseen, unacknowledged, and consigned to oblivion. The dialectic of trauma is playing itself out once again. It is worth remembering that this is not the first time in history that those who have listened closely to trauma survivors have been subject to challenge. Nor will it be the last. In the past few years, many clinicians have had to learn to deal with the same tactics of harassment and intimidation that grassroots advocates for women, children and other oppressed groups have long endured. We, the bystanders, have had to look within ourselves to find some small portion of the courage that victims of violence must muster every day. Some attacks have been downright silly; many have been quite ugly. Though frightening, these attacks are an implicit tribute to the power of the healing relationship. They remind us that creating a protected space where survivors can speak their truth is an act of liberation. They remind us that bearing witness, even within the confines of that sanctuary, is an act of solidarity. They remind us also that moral neutrality in the conflict between victim and perpetrator is not an option. Like all other bystanders, therapists are sometimes forced to take sides. Those who stand with the victim will inevitably have to face the perpetrator's unmasked fury. For many of us, there can be no greater honor. p.246 - 247 Judith Lewis Herman, M.D. February, 1997

One of the great paradoxes of life is that self-awareness breeds anxiety. Fusion eradicates anxiety in a radical fashion—by eliminating self-awareness. The person who has fallen in love, and entered a blissful state of merger, is not self-reflective because the questioning lonely I (and the attendant anxiety of isolation) dissolve into the we. Thus one sheds anxiety but loses oneself. This is precisely why therapists do not like to treat a patient who has fallen in love. Therapy and a state of love-merger are incompatible because therapeutic work requires a questioning self-awareness and an anxiety that will ultimately serve as guide to internal conflicts. Furthermore,

The person of the therapist is the converting catalyst, not his order or credo, not his spatial location in the room, not his exquisitely chosen words or denominational silences. So long as the rules of a therapeutic system do not hinder limbic transmission - a critical caveat - they remain inconsequential, neocortical distractions. The dispensable trappings of dogma may determine what a therapist thinks he is doing, what he talks about when he talks about therapy, but the agent of change is who he is. (187)

The things most people need to learn in therapy are related to attachment, abandonment, love, and fear. We are trying to access basic emotional processes that are organized in primitive and early-developing parts of the brain. The language of these emotions is also very basic; it is the language of childhood. The more complex the language and ideas you bring into therapy, the more likely you are to stimulate your clients’ intellectualizing defenses.

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?

There’s a term we use in therapy: forced forgiveness. Sometimes people feel that in order to get past a trauma, they need to forgive whoever caused the damage—the parent who sexually assaulted them, the burglar who robbed their house, the gang member who killed their son. They’re told by well-meaning people that until they can forgive, they’ll hold on to the anger. Granted, for some, forgiveness can serve as a powerful release—you forgive the person who wronged you, without condoning his actions, and it allows you to move on. But too often people feel pressured to forgive and then end up believing that something’s wrong with them if they can’t quite get there—that they aren’t enlightened enough or strong enough or compassionate enough. So what I say is this: You can have compassion without forgiving. There are many ways to move on, and pretending to feel a certain way isn’t one of them.

The more I am open to the realities in me and in the other person, the less do I find myself wishing to rush in to "fix things." As I try to listen to myself and the experiencing going on in me, and the more I try to extend that same listening attitude to another person, the more respect I feel for the complex processes of life. SO I become less and less inclined to hurry to fix things, to set goals, to mold people, to manipulate and push them in the way that I would like them to go. I am much more content simply to be myself and to let another person be himself.

I remember a group therapy session when one of the patients was reluctantly turning his corner. He would accept it, he said, but he wouldn't like the idea of having to solve problems every day for the rest of his life. My co-therapist told him that it was not required that he like it. She shared her own displeasure, saying: 'I remember that when I first discovered what life was like, I was furious. I guess I'm still kind of mad sometimes.' (135)

Because the problem of ritual abuse and mind control has not gone away - the survivors are still there - many more therapists have learnt about it. Survivors have spoken out and written their stories, and therapists have learnt a great deal from those brave survivors who have discovered what was done to them. There is a large special interest group on Ritual Abuse and Mind Control within the International Society for the Study of Dissociation. Those therapists who have learnt in isolation or in small private online forums are once again sharing their knowledge widely, and books such as this one are beginning to be published again. The work is still very difficult and challenging, but we now know so much more than we did. We know that there is not one massive Satanic cult, but many different interrelated groups, including religious, military/political, and organized crime, using mind control on children and adult survivors. We know that there are effective treatments. We know that many of the paralyzing beliefs our clients lived by are the results of lies and tricks perpetrated by their abusers. And we know that, as therapists, we can combat this evil with wise and compassionate therapy.

Whatever the problem, it generally “presents” because the person has reached an inflection point in life. Do I turn left or right? Do I try to preserve the status quo or move into uncharted territory? (Be forewarned: therapy will always take you into uncharted territory, even if you choose to preserve the status quo.) But people don’t care about inflection points when they come for their first therapy session. Mostly, they just want relief. They want to tell you their stories, beginning with their presenting problem. So let me fill you in on the Boyfriend Incident.

Patients with complex trauma may at times develop extreme reactions to something the therapist has said or not said, done or not done. It is wise to anticipate this in advance, and perhaps to note this anticipation in initial communications with the patient. For example, one may say something like, "It is likely in our work together, there will be a time or times when you will feel angry with me, disappointed with me, or that I have failed you. We should except this and not be surprised if and when it happens, which it probably will." It is also vital to emphasize to the patient that despite the diagnosis and experience of dividedness, the whole person is responsible and will be held responsible for the acts of any part. p174

Cermak said, “Those therapists who work successfully with this population have learned to honor the client’s need to keep a lid on his or her feelings. The most effective therapeutic process involves swinging back and forth between uncovering feelings and covering them again, and it is precisely this ability to modulate their feelings that PTSD clients have lost. They must feel secure that their ability to close their emotions down will never be taken away from them, but instead will be honored as an important tool for living. The initial goal of therapy here is to help clients move more freely into their feelings with the assurance that they can find distance from them again if they begin to be overwhelmed. Once children from chemically dependent homes, adult children of alcoholics, and other PTSD clients become confident that you are not going to strip them of their survival mechanisms, they are more likely to allow their feelings to emerge, if only for a moment. And that moment will be a start.” (58)

Too often the survivor is seen by [himself or] herself and others as "nuts," "crazy," or "weird." Unless her responses are understood within the context of trauma. A traumatic stress reaction consists of *natural* emotions and behaviors in response to a catastrophe, its immediate aftermath, or memories of it. These reactions can occur anytime after the trauma, even decades later. The coping strategies that victims use can be understood only within the context of the abuse of a child. The importance of context was made very clear many years ago when I was visiting the home of a Holocaust survivor. The woman's home was within the city limits of a large metropolitan area. Every time a police or ambulance siren sounded, she became terrified and ran and hid in a closet or under the bed. To put yourself in a closet at the sound of a far-off siren is strange behavior indeed—outside of the context of possibly being sent to a death camp. Within that context, it makes perfect sense. Unless we as therapists have a good grasp of the context of trauma, we run the risk of misunderstanding the symptoms our clients present and, hence, responding inappropriately or in damaging ways.

Although it is important to be able to recognise and disclose symptom of physical illnesses or injury, you need to be more careful about revealing psychiatric symptoms. Unless you know that your doctor understands trauma symptoms, including dissociation, you are wise not to reveal too much. Too many medical professionals, including psychiatrists, believe that hearing voices is a sign of schizophrenia, that mood swings mean bipolar disorder which has to be medicated, and that depression requires electro-convulsive therapy if medication does not relieve it sufficiently. The “medical model” simply does not work for dissociation, and many treatments can do more harm than good... You do not have to tell someone everything just because he is she is a doctor. However, if you have a therapist, even a psychiatrist, who does understand, you need to encourage your parts to be honest with that person. Then you can get appropriate help.

What daily life is like for “a multiple” Imagine that you have periods of “lost time.” You may find writings or drawings which you must have done, but do not remember producing. Perhaps you find child-sized clothing or toys in your home but have no children. You might also hear voices or babies crying in your head. Imagine that you can never predict when you will be able to have certain knowledge or social skills, and your emotions and your energy level seem to change at the drop of a hat, and for no apparent reason. You cannot understand why you feel what you feel, and, if you are in therapy, you cannot explore those feelings when asked. Your life feels disjointed and often confusing. It is a frightening experience. It feels out of control, and you probably think you are going crazy. That is what it is like to be multiple, and all of it is experienced by the ANPs. A multiple may also experience very concrete problems, even life-threatening ones.

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.

Julie told me that she wanted people to keep her in mind the way she keeps me in mind between sessions. “I’ll be driving, and I’ll panic about something, but then I’ll hear your voice,” she explained. “I’ll remember something you said.” I thought about how I did this with Wendell—how I’d internalized his lines of questioning, his way of reframing situations, his voice. This is such a universal experience that one litmus test of whether a patient is ready for termination is whether she carries around the therapist’s voice in her head, applying it to situations and essentially eliminating the need for the therapy.

Time and again, I have asked myself why therapy works for some people while others remain the prisoners of their symptoms despite years of analysis or therapeutic care. In each and every case I examined, I was able to establish that when people found the kind of therapeutic care and companionship that enabled them to discover their own story and give free expression to their indignation at their parents’ behavior, they were able to liberate themselves from the maltreated child’s destructive attachment. As adults they were able to take their lives into their own hands and did not need to hate their parents. The opposite was the case with people whose therapists enjoined them to forgive and forget, actually believing that such forgiveness could have a salutary, curative effect. They remained trapped in the position of small children who believe they love their parents but in fact allow themselves to be controlled all their lives by the internalized parents and ultimately develop some kind of illness that leads to premature death. Such dependency actively fosters the hatred that, though repressed, remains active, and it drives them to direct their aggression at innocent people. We only hate as long as we feel totally powerless. I

My biggest anxiety about becoming a therapist is feeling that I am inadequate. My instructors reassure me that this is a normal feeling, that many therapists experience this in their first year or two of training, and that we’re not expected to be perfect. But it doesn’t make any difference—it remains my biggest anxiety. I believe it’s because I was always second best in my family of origin. No matter what I did, my sister was always smarter...more creative. I learned to feel really uncomfortable whenever I wasn’t in complete command and didn’t know just exactly what I was supposed to do. So, even though some part of me knows that I’m really not inadequate, it still churns my stomach when I am not good at something right away.

In projecting onto others their own moral sense, therapists sometimes make terrible errors. Child physical abusers are automatically labeled “impulsive," despite extensive evidence that they are not necessarily impulsive but more often make thinking errors that justify the assaults. Sexual and physical offenders who profess to be remorseful after they are caught are automatically assumed to be sincere. After all, the therapist would feel terrible if he or she did such a thing. It makes perfect sense that the offender would regret abusing a child. People routinely listen to their own moral sense and assume that others share it. Thus, those who are malevolent attack others as being malevolent, as engaging in dirty tricks, as being “in it for the money,“ and those who are well meaning assume others are too, and keep arguing logically, keep producing more studies, keep expecting an academic debate, all the time assuming that the issue at hand is the truth of the matter. Confessions of a Whistle-Blower: Lessons Learned Author: Anna C. Salter. Ethics & Behavior, Volume 8, Issue 2 June 1998 p122

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 first generation of therapists doing this work were told by their clients that the one massive cult was everywhere, knew everything, had access to state-of-the-art technology, and was willing to kill both clients and therapists to stop the information from getting out." [] "The reality is that even before stories of ritual abuse and mind control began coming out to therapists, the groups had agreed on what kind of disinformation to spread, so that clients would be afraid to tell their therapists what had happened to them, and therapists would be afraid to work with these clients." [ ] "We know that there is not one massive Satanic cult, but many different interrelated groups, including religious, military/political, and organized crime, using mind control on children and adult survivors. We know that there are effective treatments. We know that many of the paralyzing beliefs our clients lived by are the results of lies and tricks perpetrated by their abusers.

Dr. Talbon was struck by another very important thing. It all hung together. The stories Cheryl told — even though it was upsetting to think people could do stuff like that — they were not disjointed They were not repetitive in terms of "I've heard this before". It was not just she'd someone trying consciously or unconsciously to get attention. really processed them out and was done with them. She didn't come up with them again [after telling the story once and dealing with it]. Once it was done, it was done. And I think that was probably the biggest factor for me in her believability. I got no sense that she was using these stories to make herself a really interesting person to me so I'd really want to work with her, or something. Or that she was just living in this stuff like it was her life. Once she dealt with it and processed it, it was gone. We just went on to other things. 'Throughout the whole thing, emotionally Cheryl was getting her life together. Parts of her were integrating where she could say,"I have a sense that some particular alter has folded in with some basic alter", and she didn't bring it up again. She didn't say that this alter has reappeared to cause more problems. That just didn't happen. The therapist had learned from training and experience that when real integration occurs, it is permanent and the patient moves on.

Typically therapists are several steps ahead of our patients—not because we’re smarter or wiser but because we have the vantage point of being outside their lives. I’ll say to a patient who has bought the ring but can’t seem to find the right time to propose to his girlfriend, “I don’t think you’re sure you want to marry her,” and he’ll say, “What? Of course I am! I’m doing it this weekend!” And then he goes home and doesn’t propose, because the weather was bad and he wanted to do it at the beach. We’ll have the same dialogue for weeks, until one day he’ll come back and say, “Maybe I don’t want to marry her.” Many people who say, “No, that’s not me,” find themselves a week or a month or a year later saying, “Yeah, actually, that’s me.

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.

Some seek the comfort of their therapist’s office, others head for the corner pub and dive into a pint, but I choose running as my therapy. It was the best source of renewal there was. I couldn’t recall a single time that I felt worse after a run than before. What drug could compete? As Lily Tomlin said, “Exercise is for people who can’t handle drugs and alcohol.” I’d also come to recognize that the simplicity of running was quite liberating. Modern man has virtually everything one could desire, but too often we’re still not fulfilled. “Things” don’t bring happiness. Some of my finest moments came while running down the open road, little more than a pair of shoes and shorts to my name. A runner doesn’t need much. Thoreau once said that a man’s riches are based on what he can do without. Perhaps in needing less, you’re actually getting more.

We therapists often make inaccurate assumptions about people living with DID and DDNOS. They often appear to be “just like us,” so we often assume their experience of life reflects our own. But this is profoundly untrue. It results in a communication gap, and, as a consequence, treatment errors. Because the dominant culture is one of persons with a single sense of self, most with multiple “selves” have learned to hide their multiplicity and imitate those who are singletons (that is, have a single, non-fragmented personality). Therapists who do not understand this sometimes describe their clients' alters without acknowledging their dissociation, saying only that they have different “moods.” In overlooking dissociation, this description fails to recognize the essential truth of such disorders, and of the alters. It was difficult for me to comprehend what life was like for my first few dissociative clients.

When sleep came, I would dream bad dreams. Not the baby and the big man with a cigarette-lighter dream. Another dream. The castle dream. A little girl of about six who looks -like me, but isn’t me, is happy as she steps out of the car with her daddy. They enter the castle and go down the steps to the dungeon where people move like shadows in the glow of burning candles. There are carpets and funny pictures on the walls. Some of the people wear hoods and robes. Sometimes they chant in droning voices that make the little girl afraid. There are other children, some of them without any clothes on. There is an altar like the altar in nearby St Mildred’s Church. The children take turns lying on that altar so the people, mostly men, but a few women, can kiss and lick their private parts. The daddy holds the hand of the little girl tightly. She looks up at him and he smiles. The little girl likes going out with her daddy. I did want to tell Dr Purvis these dreams but I didn’t want her to think I was crazy, and so kept them to myself. The psychiatrist was wiser than I appreciated at the time; sixteen-year-olds imagine they are cleverer than they really are. Dr Purvis knew I had suffered psychological damage as a child, that’s why she kept making a fresh appointment week after week. But I was unable to give her the tools and clues to find out exactly what had happened.

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.)

first started therapy, I found it very hard to cry. I feared I’d be carried away by the flood, overwhelmed. Perhaps that’s what it feels like for you. That’s why it’s important to take your time to feel safe, and trust that you won’t be alone in this flood – that I’m treading water here with you.’ Silence. ‘I think of myself as a relational therapist,’ I said. ‘Do you know what that means?’ Silence. ‘It means I think Freud was wrong about a couple of things. I don’t believe a therapist can ever really be a blank slate, as he intended. We leak all kinds of information about ourselves unintentionally – by the colour of my socks, or how I sit or the way I talk – just by sitting here with you, I reveal a great deal about myself. Despite my best efforts at invisibility, I’m showing you who I am.’ Alicia looked up. She stared at me, her chin slightly tilted – was there a challenge in that look? At last I had her attention. I shifted in my seat. ‘The point is, what can we do about this? We can ignore it, and deny it, and pretend this therapy is all about you. Or we can acknowledge that this is a two-way street, and work with that. And then we can really start to get somewhere.’ I held up my hand. I nodded at my wedding ring. ‘This ring tells you something, doesn’t it?’ Alicia’s eyes ever-so-slowly moved in the direction of the ring. ‘It tells you I’m a married man. It tells you I have a

Of course, we cannot deny the fact that many people live for a long time even though they idealize the parents who were once cruel to them. But we do not know how they contrived to come to terms with their own un-truth. Most of them passed it on unconsciously to the next generation. What we do know is that, at some point, the writers we have been discussing began to suspect their own truth. But isolated in a society that will always take the part of the parents, they were unable to find the courage to abandon their denial. Just how strong this social pressure can be is something that each and every one of us can experience for ourselves. Adults realizing that they were cruelly treated by their mothers in childhood and talking openly and frankly about that fact will invariably get the same response, from therapists as much as anyone else: “Yes, but she had a difficult time of it, and she did a lot for you. You shouldn’t condemn her; you shouldn’t see things in black and white and take a one-sided view of things. There’s no such thing as ideal parents, etc.” The impression we get is that the people who talk in this way are, in fact, defending their own mothers, though the person they are speaking to is not attacking them. This social pressure is much stronger than we tend to realize. So I hope very much that my discussion of these writers will not be understood as a criticism of their lack of courage. It is meant rather as a sympathetic portrayal of the tragedy of people unable in their isolation to admit their own personal truth, although they sensed it deep down in their own selves. I am writing this book in the hope of being able to reduce that isolation. In therapy, it is by no means unusual to encounter the loneliness of the small child that the adult once was. After all, therapy itself is usually conducted in a way that is also dictated by the Fourth Commandment.

Frosh (2002) has suggested that therapeutic spaces provide children and adults with the rare opportunity to articulate experiences that are otherwise excluded from the dominant symbolic order. However, since the 1990s, post-modern and post-structural theory has often been deployed in ways that attempt to ‘manage’ from; afar the perturbing disclosures of abuse and trauma that arise in therapeutic spaces (Frosh 2002). Nowhere is this clearer than in relation to organised abuse, where the testimony of girls and women has been deconstructed as symptoms of cultural hysteria (Showalter 1997) and the colonisation of women’s minds by therapeutic discourse (Hacking 1995). However, behind words and discourse, ‘a real world and real lives do exist, howsoever we interpret, construct and recycle accounts of these by a variety of symbolic means’ (Stanley 1993: 214). Summit (1994: 5) once described organised abuse as a ‘subject of smoke and mirrors’, observing the ways in which it has persistently defied conceptualisation or explanation. Explanations for serious or sadistic child sex offending have typically rested on psychiatric concepts of ‘paedophilia’ or particular psychological categories that have limited utility for the study of the cultures of sexual abuse that emerge in the families or institutions in which organised abuse takes pace. For those clinicians and researchers who take organised abuse seriously, their reliance upon individualistic rather than sociological explanations for child sexual abuse has left them unable to explain the emergence of coordinated, and often sadistic, multi—perpetrator sexual abuse in a range of contexts around the world.

Dear Jessa, I’ve started this letter so many times and I’ve never been able to finish it. So here goes again . . . I’m sorry. I’m sorry that Riley is dead. I’m sorry for ignoring your emails and for not being there for you. I’m sorry I’ve hurt you. There isn’t a day that goes by that I don’t wish it had been me that died and not Riley. If I could go back in time and change everything I would. I’m sorry I left without a word. There’s no excuse for my behaviour but please know that it had nothing to do with you. I was a mess. I haven’t been able to talk to anyone for months. And I felt too guilty and didn’t know how to tell you the truth about what happened. I couldn’t bear the thought of you knowing. I got all your emails but I didn’t read them until last week. I couldn’t face it and I guess that makes me the biggest coward you’ll ever meet. I’m sorry. I’m sorry I never replied. You needed me and I wasn’t there for you. I don’t even know how to ask your forgiveness because I don’t deserve it. I’m just glad you’re doing better. I’m better too. I’ve started seeing a therapist – twice a week – you’d like her. She reminds me of Didi. I never thought I’d be the kind of guy who needed therapy, but they made it a condition of me keeping my job. She’s helped me a lot with getting the panic attacks under control. Working in a room the size of a janitor’s closet helps too – there aren’t too many surprises, only the occasional rogue paperclip. I asked for the posting. I have to thank your dad ironically. The demotion worked out. Kind of funny that I totally get where your father was coming from all those years. Looks like I’ll be spending the remainder of my marine career behind a desk, but I’m OK with that. I don’t know what else to say, Jessa. My therapist says I should just write down whatever comes into my head. So here goes. Here’s what’s in my head . . . I miss you. I love you. Even though I long ago gave up the right to any sort of claim over you, I can’t stop loving you. I won’t ever stop. You’re in my blood. You’re the only thing that got me through this, Jessa. Because even during the bad times, the worst times, the times I’d wake up in a cold sweat, my heart thumping, the times I’d think the only way out was by killing myself and just having it all go away, I’d think of you and it would pull me back out of whatever dark place I’d fallen into. You’re my light, Jessa. My north star. You asked me once to come back to you and I told you I always would. I’m working on it. It might take me a little while, and I know I have no right to ask you to wait for me after everything I’ve done, but I’m going to anyway because the truth is I don’t know how to live without you. I’ve tried and I can’t do it. So please, I’m asking you to wait for me. I’m going to come back to you. I promise. And I’m going to make things right. I’ll do whatever it takes. I’ll never stop trying for the rest of my life to make things right between us. I love you. Always. Kit

I resolved to come right to the point. "Hello," I said as coldly as possible, "we've got to talk." "Yes, Bob," he said quietly, "what's on your mind?" I shut my eyes for a moment, letting the raging frustration well up inside, then stared angrily at the psychiatrist. "Look, I've been religious about this recovery business. I go to AA meetings daily and to your sessions twice a week. I know it's good that I've stopped drinking. But every other aspect of my life feels the same as it did before. No, it's worse. I hate my life. I hate myself." Suddenly I felt a slight warmth in my face, blinked my eyes a bit, and then stared at him. "Bob, I'm afraid our time's up," Smith said in a matter-of-fact style. "Time's up?" I exclaimed. "I just got here." "No." He shook his head, glancing at his clock. "It's been fifty minutes. You don't remember anything?" "I remember everything. I was just telling you that these sessions don't seem to be working for me." Smith paused to choose his words very carefully. "Do you know a very angry boy named 'Tommy'?" "No," I said in bewilderment, "except for my cousin Tommy whom I haven't seen in twenty years..." "No." He stopped me short. "This Tommy's not your cousin. I spent this last fifty minutes talking with another Tommy. He's full of anger. And he's inside of you." "You're kidding?" "No, I'm not. Look. I want to take a little time to think over what happened today. And don't worry about this. I'll set up an emergency session with you tomorrow. We'll deal with it then." Robert This is Robert speaking. Today I'm the only personality who is strongly visible inside and outside. My own term for such an MPD role is dominant personality. Fifteen years ago, I rarely appeared on the outside, though I had considerable influence on the inside; back then, I was what one might call a "recessive personality." My passage from "recessive" to "dominant" is a key part of our story; be patient, you'll learn lots more about me later on. Indeed, since you will meet all eleven personalities who once roamed about, it gets a bit complex in the first half of this book; but don't worry, you don't have to remember them all, and it gets sorted out in the last half of the book. You may be wondering -- if not "Robert," who, then, was the dominant MPD personality back in the 1980s and earlier? His name was "Bob," and his dominance amounted to a long reign, from the early 1960s to the early 1990s. Since "Robert B. Oxnam" was born in 1942, you can see that "Bob" was in command from early to middle adulthood. Although he was the dominant MPD personality for thirty years, Bob did not have a clue that he was afflicted by multiple personality disorder until 1990, the very last year of his dominance. That was the fateful moment when Bob first heard that he had an "angry boy named Tommy" inside of him. How, you might ask, can someone have MPD for half a lifetime without knowing it? And even if he didn't know it, didn't others around him spot it? To outsiders, this is one of the most perplexing aspects of MPD. Multiple personality is an extreme disorder, and yet it can go undetected for decades, by the patient, by family and close friends, even by trained therapists. Part of the explanation is the very nature of the disorder itself: MPD thrives on secrecy because the dissociative individual is repressing a terrible inner secret. The MPD individual becomes so skilled in hiding from himself that he becomes a specialist, often unknowingly, in hiding from others. Part of the explanation is rooted in outside observers: MPD often manifests itself in other behaviors, frequently addiction and emotional outbursts, which are wrongly seen as the "real problem." The fact of the matter is that Bob did not see himself as the dominant personality inside Robert B. Oxnam. Instead, he saw himself as a whole person. In his mind, Bob was merely a nickname for Bob Oxnam, Robert Oxnam, Dr. Robert B. Oxnam, PhD.