Monday, September 16, 2013

Learner therapist (37)…… Unavoidable hurts: damaging dilemmas of development
Torrey Orton
Sept. 16, 2013

“I have to send you back again…”
 

A few months ago I wrote here on “Disrespect without intent” (http://diarybyamadman.blogspot.com.au/2013/02/learnertherapist-30disrespect-without.html ), arguing that we are responsible for damages we have done to others without intending to do so. I want to extend that claim from the relatively benign damage of my inappropriate “Uh huhs”* to the decidedly malignant damages of long term childhood victimisation which often compose the backgrounds of the deeply anxious and/or depressed. The deforming damages may be experienced in self-harming and suicidal intents / attempts, with the crystallised defences of PTSD, OCD, body/eating disorders and the various social phobias along the life paths of the damaged – constituting a reasonable chunk of the DSM V diagnoses.


Occurrences and forms of unintended damages

In child raising - Catch 22’s

A mother, having been abandoned with three children, decided to start ensuring she never had to depend on a man again. She did this by getting herself an education and then the work history which made her highly employable and repeatedly promotable. Along the way she had to be out of home for much of the day. In the space between end of school and end of work home time her three kids were home alone and into this unsupervised space arose the sexual abuse of the youngest child (girl, age 7) by the eldest (boy, age 12).

Similarly, the mother with two female primary aged children split up from her first husband after periods of violence at his hands. Dad eventually remarried (quite soon in fact) and the divorce settlement provided child access for him a weekend fortnightly. Unfortunately his new wife was also a graduate of a failed marriage with children, who were living with them.

She was utterly incapable of managing the blending demands of the visitation weekends, leading her to victimise the girls persistently and intensively. The degree of verbal violence was sufficient to leave the girls crying on the way home to mother and pleading with her not to be sent back. She had to say: “You have to go. The family court requires me to share you with your father.” For my patient, one of the two girls 20 years later, this went on until she left home for a violent boyfriend at age 16 and the cycle continued down the generations.

In marriages / families

The couple nothingness condition – when there is a space between the couple into which both have learned not to tread because the ground is rough, the air frosty and the lighting undimmable. This kind of space produces constant low grade irritation with occasional outbursts of rage. The irritation signals the constant presence of nothingness, which the individuals express in a persistent sense the other disrespects, disregards, dislikes them  and the other’s failed coupling is described in negative absolutes (he/she always,  never does…) which imply catastrophic outcome expectations for the relationship. These cannot be resolved because both experience it as what the other should do – take a chance to change things.

Family nothingness condition – when feelings are prohibited and opportunities for arousing or engaging them are reduced to the minimum and yet they still stay housed under one roof. For example, the family which eats meals separately (I know two of these), where almost  no feelings are explicitly expressed and where implicit expression is severely repressed (making passive-aggressive anger the only OK public feeling and guilt the de facto private feeling when its private version rage is not in play). Alcohol is the lubricator of the frozen joints of these two relationship worlds.

The dilemma of engagement in recovery

These four examples are all violent, though not in the sense the genpub or popular press imagines them. In principal, they would seem to be easier to deal with than family violences as we usually hear of them – either by friends or news reports. However, they are not easier, partly because they are somewhat invisible violences, leaving no broken bones or cuts except the victims’ self-inflicted ones.     

The challenge for both victims and abusers is to engage with the part good / part bad abusers’ behaviours. The victims cannot escape this dilemma because it is constantly present to them in the viscous mixture of self-blame and self-defence, which sticks them to recurrent patterns of daily life ineffectiveness – in work, relationships, self-care, etc. Out of this sticky mix they often generate their own history of damaging behaviours both to themselves (the self-harming and crystallised defences mention above) and others (reproducing the violences they have been subject to), …and so the damaging passes from generation to generation it often seems.

That this is no mean struggle is attested by the society level discussion over historical guilt, notably the 20th century German ones (World War II guilt and political guilt for the DDR for 45 years thereafter). Positions on the virtues and abuses of remembering and atoning are exquisitely set out by David Rieff in Against Remembrance and dramatised in Bernhard Schlink’s fictions of war and self-oppression - The Reader and The Weekend - and theorised recently in his Guilt About the Past. The apposite by omission example is Japan. These are all multi-generational matters. They do not go away in societies any more than they do in families.

The problem of blame and responsibility

The desire to avoid the dilemma of responsibility (which entails potential blame and praise one way or another) shows up in funny places like famed works of self-development and injury recovery that falter around holding the parents responsible for their injuries to children (assailing the victims with the need to deny their victimhood), failing which their children can never extricate themselves from the cycles of self-blame which bring them to therapy in the first place. Correct blame locates responsibility where it belongs, which certainly is NOT wholly with the child. It also helps to clarify those things which are not changeable by the child because they were not the child’s responsibility.

There’s another level to this struggle – a conceptual one. Dilemmas are those kinds of things which cannot be reduced to black and white, digitised, constructs. A very large part of human populations are not presently capable of holding two largely conflicting versions of the same story in mind at once. So maybe my efforts to get patients to engage such dilemmas are misplaced and the strategies of other therapists (see above) which I see as avoidant of the dilemmas are in fact intellectually and morally prudent. That is, the strategies reflect and honour the developmental potential of patients under stress.  However, they do so by starting from an avoidance - namely, assuming that confrontation with abusers is wrong because uncomfortable for the abusers and so not even to be raised as an option by the abused. This is a little too close to self-protective institutional procedures for my comfort!!

My impression is that many patients make only modest efforts down the pathway of historical reconciliation with their abusers. There are good reasons for this, but one of them is not that the abusers are blameless. Rather they may be now incompetent to play the role of responsible adult, either through moral weakness of the sort demonstrated by public figures and institutions of all sorts these days (or, has it not always been thus?) or the constitutional weaknesses of advanced age.

* by the way, that uncontrollable spontaneous dismissal of others seems to have almost fully disappeared in the last couple of months…sliding out of my natural communication repertoire with not a peep of resistant protest. How that came to be is a wonder for another time.

 

 

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