Wednesday, August 08, 2018

It is one of the turning points in therapy when the patient comes to the emotional insight that all the love she has captured with so much effort and self-denial was not meant for her as she really was, that the admiration for her beauty and achievements was aimed at this beauty and these achievements and not at the child herself. In therapy, the small and lonely child that is hidden behind her achievements wakes up and asks: "What would have happened if I had appeared before you sad, needy, angry, furious? Where would your love have been then? And I was all these things as well. Does this mean that it was not really me you loved, but only what I pretended to be? The well-behaved, reliable, empathic, understanding, and convenient child, who in fact was never a child at all? What became of my childhood? Have I not been cheated out of it? I can never return to it. I can never make up for it. From the beginning I have been a little adult. My abilities -- were they simply misused?"

These questions are accompanied by much grief and pain, but the result is always a new authority that is establishing itself in the patient -- a new empathy with her own fate, born out of mourning. Now the patient does not make light of manifestations of her self anymore, does not so often laugh or jeer at them, even if she still unconsciously passes them over or ignores them, in the same subtle way that her parents dealt with the child before she had any words to express her needs. Even as an older child, she was not allowed to say, or even to think: "I can be sad or happy whenever anything makes me sad or happy; I don't have to look cheerful for someone else, and I don't have to suppress my distress or anxiety to fit other people's needs. I can be angry and no one will die or get a headache because of it. I can rage when you hurt me, without losing you."

In the majority of cases, it is a great relief to a patient to see that she can now recognize and take seriously the things she used to choke off, even if the old patterns come back, again and again, over a long period. But now she begins to understand that this strategy was her only chance to survive. Now, she can realize how she still sometimes tries to persuade herself, when she is scared, that she is not; how she belittles her feelings to protect herself, and either does not become aware of them at all, or does so only several days after they have already passed. Gradually, she realizes how she is forced to look for distraction when she is moved, upset, or sad.

Once the therapeutic process has started, it will continue if it is not interrupted by interpretations or other types of intellectual defense. The suffering person begins to be articulate and breaks with her former compliant attitudes, but because of her early experience she cannot believe she is not incurring mortal danger; she fears rejection and punishment when she defends her rights in the present. The patient is surprised by feelings she would rather not have recognized, but now it is too late: Awareness of her own impulses has already been aroused, and there is no going back.

Now the once intimidated and silenced child can experience herself in a way she had never before thought possible, and afterward she can enjoy the relief of having taken the risk and been true to herself. Whereas she had always despised miserliness, she suddenly catches herself counting up the two minutes lost to her session through a telephone call. Whereas she had previously never made demands herself and had always been tireless in fulfilling the demands of others, now she is suddenly furious that her therapist is again going on vacation. Or she is annoyed to see other people waiting outside the consulting room. What can this be? Surely not jealousy. That is an emotion she does not know! And yet: "What are they doing here? Do others besides me come here?" She hadn't realized that before.

At first it will be mortifying to see that she is not always good, understanding, tolerant, controlled, and above all, without needs, for these have been the basis of her self-respect.

-- The Drama of the Gifted Child: The Search for the True Self by Alice Miller

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