Month / December 2022

by Therapy place uk

Much love, your brother …

My younger sibling would be turning 50 this year. I wonder what would have been explored in the last half century had that sibling survived?

I think of what pleasures and pains would have been created if I had always had the youngster beneath me in the family. I wonder how my own life experience would have been altered by being the big brother?

As a four year-old, my rather large bedroom in the eaves of the house I grew up in was ready to be divided for the coming of the newest member of our household. I clearly remember how my parents began to manipulate my thinking in preparation for the commencement of the building works. It was ‘going to be fun’ having a smaller room. I’d ‘get to choose my own bedspread’ – I’d even be allowed one that represented the cockpit of a racing car, if I’d ‘just give up [my] protests, see sense and take a positive view’. Of course, being four, I didn’t really understand what was going on and I certainly didn’t understand why my older sister was getting to keep a room of her own with all of her stuff and things in it. There would be no consequence of reduced space for her. I was very resistant and, although I say it myself, rightly so!

Skip forward a few months and a different message was circulating in my life. Unseen, but not unfelt by me, my mother had lost the baby that was due in the family. Suddenly my peace was being shattered by another direct assault on my space: apparently there was someone already in existence who might be coming to share my room. The audacity! An adopted child – whatever that meant. We were now expecting a cuckoo!

As it happens, the cuckoo-child never arrived. But as time followed on I was next introduced to the idea of emigration to Australia, where we would all ‘get new lives’.

The changes seemed to mount and I really didn’t like all of this unsettled social soup that we were living in. Most noticeably, my mother’s health began to deteriorate – her body quietly rejecting something. Loss in her was transformed into chronic painful illness. By the time a full seven years had passed from the loss of the child we were finally moving – but it wasn’t across the globe. Leading up to this move, the basement of our house, which my ‘aunt’ lived in, was converted into a self-contained flat. A new bathroom was created on the ground floor, and then the three upper floors that had been my family home were split  to form yet more self-contained properties. My ‘aunt’, a casualty of this change, moved out. It was a personal loss.

On the day before the morning I started secondary school we moved to a small house away from my friends. It seemed that for seven years one loss became another. Loss transformed until it couldn’t be clearly seen what was actually missing anymore.

Imaginations and dreams gave way to decomposition as I watched my father retreat into what I would later realise was depression. My once-safe comforting mother had, by then, almost totally dissolved into pain and anger. When both my parents were in their final phases of life I dared to fully and directly bring up the loss of the youngest member of our family – but it was ‘too late’, too hidden, ‘hardly remembered’ they said. My child that had sought the adult answers continued to be denied the required explanations, but therapy helped give the events a narrative by which to understand the family loss, pain, anxiety and depression.

Having permanently returned to my home city this year, the ‘golden’ anniversary of all that loss, I allow myself to wonder what different path there might have been if that younger sibling of mine had made it though. RIP Little One.

Much love,

Your brother

Duncan challenges you to …

… reach out to a sibling whatever your shared history.

All rights reserved © Copyright Duncan E. Stafford 2022. Unauthorized use and/or duplication of this material without express and written permission from the author of this post is strictly prohibited. (This article was originally published in 2019 as part of the Three Men with a Blog project.)

All character-based realisations contained in this post are either of a fictional nature or have been derived from heavily disguised, consensually given information. 

by Therapy place uk

The virgin executive

I know I’ve left it late in the session – but I’ve got to start working on this dream with you …

Patient:      … it’s definitely part of the sequence.

Therapist:  We can always make a start. It’s important to capture the energy while it’s fresher; we can come back to it then.

[The therapist’s eyes close to listen.]

P:               I walk into this huge organic building. It’s like it’s made of pushed-up earth but it towers above me – not like a skyscraper – although it’s tall. I get this strange essence that it is alive. It has a heavy ring towards the top – like some form of viewing platform or an escape route. Before I enter the building I’m in a clearing. I don’t know if it’s some sort of jungle that I’ve walked through? Tall, overpowering grasses sway in the perfect temperature.

T:               Perfect temperature?

P:               Yeah, sunny but not hot; cool, not cold. Like those wonderful spring days when the world hints at what summer will bring. That first day when you slip off your winter clothes. You feel the world on your skin after all that insulation.

T:               Le Sacre du printemps?

P:               Sacred spring?

T:               Yes.

P:               There’s an air of real danger outside. I can hear an old woman’s voice that carries across the clearing. She is singing a song I know. I can’t sing it though; I know that I mustn’t sing the words.

T:               What might happen if you did?

P:               I don’t know … but, as always, there’s something very dangerous about stepping into the building. I can see the vestibule is open. It’s not very big. I’m a bit concerned I could get stuck if I start to walk in. It’s like that claustrophobic feeling I had when I went caving as a teenager. Then I realise something bad will only happen if I step in knowing the words. I try not to hear the song; I cover my ears. I try not to sing the words in my head. I know the song foretells the future and the future that waits in the building could change my life in big ways. My heart’s beating really heavily; I feel drenched in sweat. I’m just about to turn back as a group of young women flock around me and push me through the entranceway. The instant I’m inside the building, the women fall to the floor.

[There is a long silence. The therapist doesn’t move. The sound of water being gulped and swallowed invades the space.]

T:               Are the women dressed or naked this time?

P:               Bound in cheesecloth. Full-length dresses. Like they’re in some sort of shroud. I run my hand over one of them expecting warmth, a subtle smoothness beneath the material, but I realise she’s made of sand or perhaps salt. I can’t swallow.

[A glass chinks just before the gulping sound enters the room again.]

P:               I look round the white inner space. All the people have divided into two separate groups.

T:               Are they doing anything? Saying anything?

P:               They form up a procession that leads out of the space. They pass some sort of holy metal object or relic along the line and I’m forced to follow it right out of the building.

T:               Atmosphere?

P:               It’s incredibly powerful … spiritual. I’m laid to the ground by the procession. I feel very free. When I look up there is a sage woman looking at me. She rests her hands on my head and then, with an opening of hands, I’m thrown high into the air, floating on a passage of energy.

T:               Any other signs or symbols from the dream series?

P:               Just those obvious recurring ones …

[The patient pauses.]

P:               When I look down the young women have begun to draw circles on the ground. I can see one particular fire-haired woman. She gets lost in the action and is suddenly abandoned in the main circle.

T:               Do you know what’s about to happen at that point when you’re in the dream?

P:               I do. I know exactly what’s going to happen next. But I wake up before she starts to dance.

T:               You want to see it?

P:               No, I don’t want to see her die this time.

T:               Not even for the elements – the soil, the flame, the drops of water or the breeze?

P:               No, not to appease the gods. It’s changing. For once, in the dream, I realise I want my life. I don’t want to be reborn a young woman, no renaissance life. I want to be anima rising. To use my life.

[Her eyes move towards the clock. He smiles at her warmly.]

T:               Well, the outline’s told. I think we can pick up on it next session. Perhaps we can reflect on the sand/salt women and the change to the sacrificial dance?

Duncan suggests …

Reading Man and His Symbols by C G Jung, since knowing when things are a sign and when they are a symbol of something else is one of the most important things we can learn.

All rights reserved © Copyright Duncan E. Stafford 2022. Unauthorized use and/or duplication of this material without express and written permission from the author of this post is strictly prohibited. (This article was originally published in 2020 as part of the Three Men with a Blog project.)

All character-based realisations contained in this post are either of a fictional nature or have been derived from heavily disguised, consensually given information. 

by Therapy place uk

Saying goodbye

‘On the outside the emotions are being covered?’

‘Yep, there’s a terrible risk in saying “goodbye” that something on the inside will rupture out of me.’

‘Rupture?’

‘Yes, I remember standing on stage … in my mid-20s. I was addressing the audience and was about to thank a member of my band, someone I’d been really close to since I was a child who was emigrating to Australia after the gig. I was stopped in mid-sentence … a syllable more and I would enter the rupture. I turned my face from the audience. The silence on stage was horrific. I don’t remember what next.’

‘You say “rupture”.’

‘When my mother died, I was stuck. The complex grief of losing a mother that I’d only related with well for part of my life left this dark grey block in my chest and the back of my head. I knew I needed to cry but I couldn’t bear to hear the awful sound that wanted to exit me every time I started. Eventually, I turned the music up so loud I couldn’t hear myself cry. But it’s not what I did … not what it sounded like coming out of my body. My inner ears told me what my outer ones couldn’t.’ [Silence]

‘Rupture?’ [Silence]

‘Yes … rupture. The most guttural gasp and then, and then it vomits this sound. [Silence] I’ve heard it from other people. I think it’s the actual sound of loss?’

‘Is it fearful to lose then?’

‘Isn’t … isn’t it fundamental to loving? To connection? The only way to not experience it as far as I’m wired would be by dying so you couldn’t experience loss.’

‘Do I need to worry about that last sentence?’

‘No, no … God no. Nothing like that. It’s that saying goodbye is so fundamental.’

‘So, as it’s a patient that’s brought this up for you, what do you need from supervision today?’

‘I need to say that I have a daughter. A therapy daughter, you know that. It comes from the fact that she adopted me, as a therapy dad. She led, I followed. I had the space in my life to be that figure for a while.’

‘It’s been what? Four years?’

‘Yes, four. There’s been longer, much longer, but I was “therapy uncle”, “good person”, “repairing therapist”, “the first good guy”.’

‘Never therapy dad?’

‘Never “therapy dad”. You know that bit in the training film for therapists, Gloria … the bit where Rogers says, “Gee Gloria, right now, in the moment, I think I do love you like a father”? It kills trainees. They aren’t ready for how it can work in the room. They think it’s a no-no – like he’s made a mistake. But what’s therapy without love? Isn’t it about a form of love? Safe, ethical, non-erotic love?’

And then it hits.

‘Anny is my daughter. I love her as such because she needed me to. So that the therapy could work, so that she could let go of things, discover, rediscover and then let go.’

‘You have a daughter.’ [Silence] ‘You have a daughter.’ There is another pause as the listening therapist collects himself. ’Okay, so we know you understand the process. You know how to deliver safe, therapeutic love to women and men. It’s been a particular theme for you over the last five or six years. What’s different this time?

‘This is only just in my head but … I think it’s that I have to realise that therapy dad is a foster dad. He has to let go. Fully. No matter how much he loved. He has to have played the full role, a surrogate, but when the job is done … [there is a long silence; the room charges with emotion] … when the job is done he has to make space to receive the next therapy son, daughter [niece, nephew].’

‘It’s part of our work for some patients.’

‘Yes patients – from pati – one who suffers.’

‘Imagine that everyone demanded this from us each session!’

The supervision couple laugh together. Letting go of the tension.

‘We supply what our Ps need; it’s a privilege.’

‘Honour?’

‘Yes, honour.’

‘And I wouldn’t change a moment of it, not for all those projections and transferences we have to hold.’

‘But saying goodbye!’

‘I was once given a wonderful message in a card from an “Anny” of mine.’ The supervisor reaches into a tin that is on the side of the desk. ‘There’s a whole bit before this, but here’s the bit that really showed such deep understanding of saying goodbye for me.’

There are things in this world

that even when they live in the past

and can no longer grow into the future,

retain their beauty forever.

For a moment the therapists catch each other’s eyes and each sees in the other the familiar sparkle of light when it catches water.

Duncan recounts from a ‘therapy daughter’ …

“I feel able to fly, but I am sad to leave”

All rights reserved © Copyright Duncan E. Stafford 2022. Unauthorized use and/or duplication of this material without express and written permission from the author of this post is strictly prohibited. (This article was originally published in 2020 as part of the Three Men with a Blog project.)

All character-based realisations contained in this post are either of a fictional nature or have been derived from heavily disguised, consensually given information. 

by Therapy place uk

Judgment to be made

The thought is in my head: I’m a cheat, a liar. No, worse than that, I’m a phoney and a fraud …

The thoughts come fast because, in the moment, I know the conflict between my human self and my professional role is in play. I’m also in trouble because I’m quite sure congruence has deserted me.

Although the thoughts are challenging ones to be throwing at myself, if you knew what I was thinking about the person sat looking at me through the screen you might agree with my self-assessment. The difficulty is not just that I’m suffering a lack of congruence but that I’m deeply caught in negative countertransference and so my empathic response has taken absence without leave. 

Without being able to reach for empathy, the therapist’s chair feels a lonely and dangerous place.

It’s difficult to hear things from him that make me consider him in a new, negative light. My inner human self is ranting at him: What did you expect to happen? Could you not see your own stupidity, your own selfishness?

My supervisee isn’t giving me time to gather my professional thoughts; a set of words about how responsible he feels has just collided with his own self-loathing about the choices he made. But his split doesn’t mirror my own internal human/professional dust-up.

The space that the two of us have relied on in all our years of working together feels closed off. I’m still wrestling with these thoughts as he starts to emote deeply. He looks disorientated and his face has become red and mottled as if he were an alcoholic sitting on a park bench, complete with bottle of Bucky wrapped in a brown paper bag. As I hear his intake of breath and moan of grief, the tears and snot that were hanging off the end of his nose drip out of the lense’s gaze.

Unlike many of my colleagues who, perhaps erroneously, only think of in-room work as ‘face to face’, the 371 miles between Alastair and myself has never seemed a vast distance. Indeed, how much more face to face can you be than the 40 centimetres between face and screen on each side. I can see the threads of blood in the whites of his eyes.

Over the years we’ve worked collaboratively, I’ve watched him deal with some dire moments as a therapist and a human being. When his sister was killed in a road traffic collision we worked so carefully and trustingly together on his departure from, and return to, his case load. The loss of a long-term patient to motor-neurone disease was another moment when my admiration for his care and thoughtful practice grew. His attention to that patient seemed to make so much difference to the end of her life. He felt pain and I shared some of it with him in the supervision space.

I’m working really hard for the supervisory couple. I’m fighting for us. I feel the need to converse with my own therapist. He may have died years ago but he’s often with me in the room as an internal supervisor. We talk in the shadow, considering how, in the collective unconscious, there are some serious waves of communication going on between Alistair and me. And then my old clinical supervisor is sitting on my shoulder, asking me – no, interrogating me – about my lack of tolerance in the room.

I’m monitoring my breathing pattern. My body is just engaging with the kinesthetic memory of deep relaxation. And I’m back. I’m in my professional-self.

This is better. Feel the space! The walls have moved far away. Some of my other consultants over the years flow to the space – from therapeutic and supervision engagements. It’s quite a team to have on my side.

Spaces in the therapeutic profession are very considered and complex things. There are the outer ones, the room, the being together in a space and then there are myriad ever-changing inner ones. I know what I have to say, with congruence reintegrated; I know it will feel risky but we have always worked with honesty and I will have to let him judge me as I might still be judging him.

I begin to talk, my professional risking forward what I hope will be considered a balanced tone – something my inner human had temporarily been without. ‘I’m hearing in all this that you feel, somehow, it was definitively you who brought Covid into the family. That you contracted the coronavirus from your in-room work and that made you responsible. Now, you’re heartbroken. It’s not only the loss in your family – it’s also because you aren’t in a place where you can support your patients with the trouble they’re experiencing in life while you are stuck in your own guilt and grief. Perhaps, given that you know I’m only working online during the pandemic, you’re also wondering if I’m looking down on you from a point of judgment?’

There is a pause.

He breathes deeply …

Duncan cogitates …

The above raises what can be a deeply uncomfortable reality: the binary split between human-self and professional-self in an encounter. 

All rights reserved © Copyright Duncan E. Stafford 2022. Unauthorized use and/or duplication of this material without express and written permission from the author of this post is strictly prohibited. (This article was originally published in 2021 as part of the Three Men with a Blog project.)

All character-based realisations contained in this post are either of a fictional nature or have been derived from heavily disguised, consensually given information.