SanStars,
Sorry about the confusion around the addition. I was re reading my post (apparently while you were composing your response), noted a typo and went in to correct that. As I re read that paragraph I felt I needed to add the two additional sentences in an overall effort for you to see conducting good therapy is actually very mentally /emotionally demanding. Your therapist is human. I was trying to generate a tiny bit of empathy and positive regard in you for your therapist. And, to let you know you will have a large impact on him. (Responding to your thought "I’m telling him I have an arm cut off and he thinks it’s just a paper cut.")
Your therapist is not going to just drift off to sleep during your sessions and occasionally wake up and robotically / mindlessly say (clueless to what you have just, with great emotional effort, poured out in depth to him) things like …”
so how did you feel about all that?”
With zero evidence your guy is engaged in malpractice
I have nearly zero concern that he would violate professional / physical boundaries. He is well aware of the “dynamics” of psychotherapy and his own training and supervision will have amply addressed all of that in great detail. So, yes I’d agree your paranoia dial may be inched up too high.
If I helped ignite paranoia in you over your therapy, I’m deeply sorry about that. Didn’t mean to at all. On the contrary, I want you to trust the process and really open up in there.
Your therapist has undoubtedly read a ton of material on counter transference and its highly likely some of those readings were clinical textbooks by the famous Glen O. Gabbard, MD. Books like:
- Boundaries and Boundary Violations in Psychoanalysis
- Cognitive neuroscience and transference
- Countertransference: the emerging common ground
- Long-term Psychodynamic Psychotherapy: A Basic Text
Transference and boundaries are well-charted territory on the therapist’s side. Gabbard is a great writer. For example, here are a few quotes:
Glen O. Gabbard, MD wrote:Most patients find that the most difficult thing about the therapeutic process is going where they need to go to truly understand themselves. Intensive psychotherapy takes you to the darkest corners of the psyche where you really don't want to go. Hence patients tend to fight off the help of the therapist because they feel a tremendous sense of vulnerability involved with unmasking their self-deception and carefully crafted defenses to look at who they really are.
As you hunt around your psyche it’s likely your “paranoid ideation” and other defenses will surface to chase you away from peering into those dark psychic corners. You are going to have an emo reaction to all that searching, and some of it is going to “splatter” out, on to your therapist. This is actually very helpful to him.
Even though you feel like you “poured things right out” on the table providing ample input for your therapist, Gabbard would train him
to hang back and gather ample evidence before mirroring any “hypothetical analysis point”
back to you for your consideration.
Here’s his Gabbard advice, likely internalized by your therapist in his training and experience:
Glen O. Gabbard, MD wrote:Most therapists prematurely jump to conclusions about what's going on with the patient. Most of these conclusions derive from preformed theoretical and conceptual models that may or may not fit the patient. Therapists should be generating hypotheses without verbalizing them while marshaling evidence to support the hypotheses before formulating an explanation of the patient's fantasies, symptoms, or behavior.
Source for above two Gabbard quotes were a Q&A in Psychology Today:
http://www.psychologytoday.com/blog/in-therapy/200812/seven-questions-glen-o-gabbardSo perhaps the wimpy handshake, wirey smile, and confused, bemused look on the face were simply “hanging back.”
SanStars wrote: You seem to think he is just using a lot of projective identification and countertransference which is more typical of a therapy session, right?
He would be trying hard to 1. Read what you are projecting onto him (i.e. stuff
from you, having really nothing to do with him, a blank slate) and 2. not project himself on you, morally judge you, etc. 3. build hypothesis of what’s going on and before revealing them get sufficient evidence, then formulate a way to bring that all up to you in a way that doesn’t overly ring your “
I'm too vulnerable!" alarm.
Projecting / transference are things you emit out. Counter transference is how he feels,
complete with any baggage he is internally carrying from his own life, mixing in him, being felt by him, and in the worse case, being sent back to you judging. He will try to avoid doing that.
Because he is “marshaling evidence” to support internal working hypothesis, you are likely to initially think things are moving slow, he isn’t doing much, he’s not being very helpful. Sort of, “he’s being a wimp and not laying it on the line for me…” Try to resist thinking that too much, or if you do by all means talk to him
directly about it.
Projective identification is
complex (a full book or more, really) so I’ll just say, no he is not using mystical, magic, or any type of subliminal manipulation techniques on you to “get to you”. Again, I’d agree with you that your paranoia dial is up too much. On the contrary, everything he concludes and wants to “bring to your attention” will be
very visible, totally above board, in the full visibility of your
very conscious self-realization. Therefore, no need whatsoever to worry about your strings being yanked in the background.
SanStars wrote:If he ends up infatuated by me or interested in sleeping with me, won't he be less useful… less impartial? …not professional…a conflict of interest.
Yes, were he to go crazy with infatuation for you, develop a “fatal attraction” to you, become possessive, cross all professional boundaries and become physical with you he would loose all his effectiveness as a psychotherapist. On some level a seduction “success” like that would be the ultimate
temporary validation, a total “
narcotic high” -- a man driven so delirious with desire for a woman he was willing to throw away his entire career just to posses her. However, in the end would just be total destruction. The narcotic peak
can’t be maintained, and an entire professional career goes up in smoke.
Therapists understand that. The chance of it actually happening is nil. You are paying a professional and the physical boundary is very well understood – don’t get physical.
How emotionally close to get is a bit less well bounded. He is dependable and able to help you (in fair exchange for your financial compensation back to him). Since this is an expensive process you don’t want to become wholly dependent on him “forever”. You establish goals, work together to implement the changes that
you have chosen for yourself. Remember you are the boss, he is the hired gun. In the hypothesis process you discard what you don’t want, integrate what you do, and you hopefully emerge a happier, better-integrated person,
no longer needing your therapist.
Initially I found a post here a bit harsh. Later I saw the benefit and reasoning behind it.
searchfortruthhg wrote:...an all to familiar game and drama template that you seek out in relationships...to be judgmental of him (to either idealize him or to completely trash him), or to expect him to be judgmental of you (either to boost your ego or to validate your helplessness), at such an early stage, is nothing but seeking drama where none exists, and laying the groundwork for drama to come.
***
The reason I found it harsh was because [quoting Gabbard above] “
they feel a tremendous sense of vulnerability involved with unmasking their self-deception and carefully crafted defense”. And all that is 100% normal!
The “
drama template that you seek out in relationships” is the same as the HPD maladaptive pattern, i.e. merely symptoms. O.K., all that’s acknowledged so no real break through there. What might be instructive however is to realized that the HPD pattern is really just a carefully crafted
defense.
Unraveling that in therapy will take trust, openness to vulnerability, etc. As you feel that vulnerability you will want to “defend.” To the extent you can directly break through those defenses (i.e. using drama, seduction, attention getting, whatever…) you can get at the
underlying issues causing that.. Your projections on to your therapist (and his later interpretations and mirroring for you) will be very helpful to allow you to cross that chasm.
searchfortruthhg wrote:My suggestion to you, would be to seek yourself in therapy, and not seek the therapist or his judgment
I partly agree. The objective is absolutely to “
seek yourself in therapy, and not seek the therapist”. Total agreement with the end game – seek yourself. Also agree you should not “defend” by hunting down your therapist.
However I’d add that the goal of “finding yourself” in therapy is accomplished through intense, honest
interaction with your therapist. If drama is your style, laying that all on him, telling him like it is, “splattering all over him”, projecting fragments of yourself on to him, delving into all internal fear and conflict, etc. and having him help you put the fragments you find with him together to a more cohesive you is all part of the process.
Yikes I better get back to "the real word" ...many duties & demands beckon