February 14, 2009
Who Are You?
Now, here was her beautiful daughter. She has her mother's personality and her father's looks. She became an entirely different person, chattering away with Sam, so excited and referring to us as "family." Sam, on the other hand, couldn't wipe the grin off his face. He loves keeping up family and friend relationships.
But what was this? Her husband's uncles used to be students of my father in New York, years ago. After discovering this, it seemed as though we had stumbled upon our long lost family members. Being part of a close knit, small demonimation that is world wide means that anywhere I go, I will find someone that knows someone I know. It is truly a family that we belong to.
February 11, 2009
Say What?
"And Lord, as we consider the clight of the play plot...the plate of the clay clot...the plight of the ply plot...the clate of the pie plot...." I snuck a look at the other pastors. Two of them were covering their mouths and one was shaking with laughter. I shut my eyes as the pastor said with real emotion, "Oh Lord, you know our hearts..." and moved on in his prayer. There were a lot of twinkling eyes at the end of that prayer!
Another time, I excused myself from the church pew to make a quick bathroom stop before the service began. When I stepped back into the pew the organ was playing. Mother and my friend, Pam, however, had their heads in their hands and were laughing so hard they were wiping tears off their faces. I'm not sure how much they got out of the sermon because they were laughing off and on throughout the morning and it seemed that one didn't dare look at each other.
They later told me that as they had been waiting for the sermon to start, they commented on the hill ascending from the garden that could be seen directly through the floor to ceiling window behind the altar.
"What would you do if you could landscape that, Pam?" Mother asked.
Pam looked at the hill, devoid of much vegetation, and stated that she'd put spring flowers at the base of it and maybe a fountain somewhere nearby.
Reflecting momentarily on her love for seadum, Mother announced, "If it were up to me, I'd love to see an avalanche of semen out on that hill."
Pam sat immobile, staring at Mother in what she later called "therapist face" and nodded woodenly. "Really?"
My father suddenly took an interest in the conversation and turned in the pew to look at Mother. Was she all right?
As she heard her words ring in her mind, she suddenly realized what she said. "Did I say what I think I said?" she asked, horrified.
That was when the giggling started. We have never let her live that one down.
Once, Dr. Spooner, after whom the term "spoonerisms" was named, offered a salute to the Queen of England by saying, "Three cheers for our queer old dean!"
He later tried to comfort his students with patriotic rhetoric: "When our boys come home from France, we will have the hags flung out!"
A radio announcer who had recently visited the queen reported that he had been met "with a twenty-one son galoot." Indeed.
We humans need to express ourselves. Delightfully, some do it with real creativity!
February 10, 2009
For my friend
February 8, 2009
Tips for Later Life
February 6, 2009
Confused Dreams
So I went to bed last night feeling quite tired. It has been an exhausting 10 days since I stopped in here. I was so tired that I couldn't make it back to the hospital to do my rounds and see my patients. Just completely wiped out. As I was leaving the hospital, I checked in to one department to introduce my intern to the staff and tell them what medical family therapists do and that we are available to them should they ever be interested. The woman in that office smiled a rather stiff smile and made a comment about me not stepping on the toes of social workers. Yes, of course, I reassured her. We stick pretty close to psychiatry, whose service we are part of. Something about the way she spoke to me and the look in her eyes made me wonder if she could be trusted. I've already been lambasted by social workers and a chaplain who did not appreciate the overlap in our various jobs and set out to defend their turf in a most unfriendly manner. So I've kept a very low profile and taught my students to do the same. We see the patients who we are assigned, and that is the size of it. There is plenty of work for us and I'm not looking for more.
So I came home, ate a light supper and climbed into bed. Very, very tired. My plan was to sleep early, then go in to the hospital first thing and make rounds--to see those three additional patients who really needed sessions. I know the units where I need to make myself scarce, and because I'm not one to make a row, I had a certain amount of dread to do my work. With a head full of thoughts, I drifted off to sleep.
Funny, what our minds do when we are anxious. Sometime this morning, I dreamed that I was on a blind date with one of the chaplains--someone I have no attraction to. We went to a dinner party and I was seated at a table with two other women and this man. Off to the side at another table (we were suddenly in a restaurant), a woman sat who had previously dated him. She stared daggers at me. It was really uncomfortable. Just when I thought it couldn't get worse, here came Sam. What in the world was I doing with this chaplain if I was married? But was I married to Sam in the dream? I couldn't tell. I did know that I was living with him but I wasn't married to him. Or was I? Why would I live with someone if I wasn't married to him? That was not something I would do. As Sam herded me off into the party, my date wandered out of the building and into the garden. He seemed utterly confused himself. He kind of wandered about, chatting aimlessly with people, looking forlorn and distraught. I guess I had really hurt his feelings. Or had I? He is a friend of Sam's, so he would have known that I was at least living with him. But was I?
Somewhere in that morass, I ran into his sons. They were pretty friendly to me and in fact, behaved as though I had some sort of relationship with their father. As I was talking to them, I could no longer see Sam and Sir Chaplain stepped up to my side. Leaning toward me, he whispered a most tender and riveting comment to me. I could feel a surge of warmth toward him when he made this remark and could smell his cologne and feel the warmth of his face on my cheek. Then he seemed to drift off again and here came Sam, jaunty, familiar, but somehow disconnected and out of place. I stood there then, completely confused.
Then I woke up. Disoriented, perplexed, bewildered, and with a sense of urgency to do something. That was 4:30 a.m. Sleep came and went until 6:00 when I finally dragged out of bed feeling disconcerted about all of this.
What did it mean? I didn't have time to think it through this morning, but the emotional impact of it kept me preoccupied most of the day. There was a really bad feeling that went along with it.
Interestingly enough, the dream was symbolic of my anxiety and feelings of not fitting in at the hospital--behaving somewhat surreptitiously, unable to read the meaning of people's actions, aware of hostility and resentment, but so off-balance that I don't know what to do about it. I am intimidated by the treatment of a few aggressive individuals, and instead of focusing on the appreciation that is expressed to me about my team's work, I have allowed the words and actions of others to cow me into a corner.
My work is good, and valuable to the psychiatrists we work for, and for the patients and their families. We do good work. Ours is a good service and we have a legitimate place at the table, so to speak. We come highly recommended to patients. And I am shaking in my boots to go over there and have to run into a few people who have been less than welcoming.
I've noticed this about myself in the past. The first class of students to whom I taught Group Therapy was composed of clinical psychology students. They laid into me for everything I did: they disliked the experiential component of the class. They didn't like my choice of words. They didn't appreciate the way I graded their papers and they didn't like my lectures. They told me that I didn't understand their patients and I didn't know what I was doing. I was flabbergasted, because for the last four years I had been teaching Group Therapy class to students at the University of Minnesota and had received excellent evaluations. Was it that these psychology students didn't like MFTs? Yes. But it was more than that. There was something condescending and accusatory about them all at the same time. No matter what I did I wouldn't be accepted by them. By the end of the quarter they all hated me. It was devastating.
Fast forward a year. I did a Gestalt therapy training in Prague for 9 days. Most of the people in the training group were clinical psychologists. Although none of them treated me the way these students had, I was almost completely immobilized and could hardly function. I cried in my room, avoided being called on in the group, and in a word, was miserable the entire 9 days.
I think the world is full of people who are cranky, who act superior, and who posture for power. To my credit, I have carried on in each of these situations as though nothing was wrong and with the dignity and self regard that was required in each setting. But it ate me up on the inside. If someone intimates that I don't belong or am inferior in some way, and if they have social power, I am deeply wounded and shut down. Even though I do good work and am a nice, collaborative person who is eager to learn from other people. Even though I treat others in these situations as I would wish to be treated, and I try to cultivate connections to these people.
Sam says I need to toughen up.
I need to get over it.
Parts of life are not for the faint of heart.
January 26, 2009
Dissertation Blues
"Dr. H, I can't focus on my research analysis. I just can't make myself do it any more."
She is overwhelmed: family members have come forward as victims of crime. Her brother had unexpected open heart surgery and on the way to visit him, her grandmother had a massive heart attack and died. My dear student is working with traumatized children for her internship--a very emotionally expensive endeavor.
No wonder she can't focus on her dissertation.
There is something about writing a dissertation that people don't understand unless they have been down that road themselves. When you are analyzing research data and trying to write about it, you have to isolate yourself from everyone and everything else--to completely immerse yourself in your data so you can write what is necessary and expected. It is a very difficult process. I remember having to do it when I was a newlywed. Sam would be in the other room, handsome, delightfully available, interested in me. And there I was, two weeks after saying "I do," locked into the study hammering away on the computer for hours at a time.
"Honey," I'd yell through the door.
"Yes?"
"Are you still there?"
"Yes."
"Will you be there in 20 minutes?"
"Yes....why?"
"Because I'm coming out of here in 20 minutes to take a break."
"Yipee!!!"
Bless his heart, he never complained that I was holed up in there for most of the first two months of our marriage. I hated it. But the more time I spent alone in there, the sooner I'd be done. Until I was done, I was doomed to be alone with columns of numbers and the frustration that my dissertation chair expected me to make yet another set of revisions. I could hardly stand it. For someone like me who doesn't struggle with writing, it wasn't such a terrible experience. But for some people who have trouble putting sentences together or who can hardly understand the statistical analyses they are reporting, it is painful.
My student is exhausted, overwhelmed, and fearful of how I will view her if she takes some time off to get her feet back under her. This is a very familiar concern to me. Another of my students is trying to time her dissertation defense to be held the week before she is due to have her baby. Yet another student is trying to work around his wife's medical residency. They're all tired and frustrated. They hate going off by themselves, getting a babysitter in some cases, and confining themselves to the library, study, or computer lab.
For some reason, students think that they're supposed to love the entire process and that if they admit that it's hard to manage the process, the faculty will think they're not worthy somehow. Well, it's not true. When I tell them that they'll hate the last couple months of the process, that they'll become angry at me and resentful of my request for revisions, they relax. A little bit. But it's really not over until it's over.
I imagine that writing a dissertation is like having a child somewhat. Days of anticipation, fantasizing about how life will be when it is done and how you will enjoy the fruit of your labor for the rest of your life, how your life will be better somehow, and the things you will get to do. But before it is over, you have to work at it in ways that are painful.
It reminds me of what Paul said in Romans, that "all creation groans and waits for the redemption of our bodies." So did I, writing my dissertation. So do my students.
So I'm thinking about several stalwart souls today, in the throes of writing, analyzing, trying to conceptualize what they are doing, looking forward to the day when they will be finished. In the meantime, she is doing what she has to, just to survive. My student is one woman whom I will be happy to call my colleague. She's almost there.
January 21, 2009
Change in the air

Junk

It's amazing to have so much junk to store. Stepdaughter #1, who has moved in with us, has boxes of stuff from her dormitory room that got pushed up against a wall in the garage. It is right next to the stack of containers from Stepdaughter #2, who is teaching in Micronesia this year. Goodness knows she must have been in a real hurry when she threw her belongings into these plastic containers, because there is no rhyme or reason to how things are put in there. Then I have quite a few boxes of Mother's things that I'm storing: my father's bagpipes, her sewing notions, canning jars without number, my grandfather's concertina and nostalgic items galore. There is a big box of papers, TV cables and phone cords--all sorts of odd things--that Sam brought into this marriage. And of course, my stuff is out there, too, carefully packed and stored.
A few weeks ago I put up shelves in the study closet. Now we can store all sorts of things in there that were "stored" on the floor or in boxes for the last several months. I have more shelves to go up in the garage, and have put in big hooks to hang the bikes from the ceiling. I've got to figure out how to store my kayak in such a way that it doesn't get dented and is up out of the way.
I came across a couple boxes of china and antique pieces that were given me by my mother when I packed up her home last year. It all went up into my cupboards after a good washing. I'm delighted to have the little parfait glasses that my parents served us poached eggs in when were were kids. We only got to eat out of them on the Sabbath. It was one of my parents' ways to make the day special for us. Then there is a jelly jar of Nana's. She used to keep strawberry jam in it. And the cobalt Fiestaware platters and saucers Mother bought for me over the years are here, too.
I had a dream last night that there was a major earthquake and all my good Villeroy & Boch china that I bought in Germany crashed out of the cupboards onto the floor. So did my Fiestaware, my antique glass dishes, my crystal goblets, and all the cups and glass plates. But Sam and I were alive and well, delighted that we had survived and only our dishes perished. (Interesting dream too, after going to bed with PTSD remnants in my head!)
Looking over everything that we own, I have to remember that none of this will go with me into the next life. It is just junk: stuff, miscellaneous to what really matters. This is a particularly salient thought these days, as I have learned that a friend has advanced inflammatory breast cancer (IBC) and she is very frightened by this aggressive disease. She told me about it before she shared her diagnosis with her children over the weekend, so the burden of knowing was great and caused me to wake up during the night several times to pray for her. I know it is possible to defeat IBC, but the survival rate at five years is not very high. I'm really concerned about my friend and she is scared to death because she feels that life as she knows it is over. It will be a round of chemotherapy followed by a mastectomy, followed by radiation and other procedures.
Is my stuff really all that important? I've been throwing out and giving away everything that I haven't used in a year (except my dishes, of course). My junk really does not matter. What I do with it and how I feel about it does matter. But what matters more is how I treat people and how robust my relationships are with them. What will people remember about me after I'm gone? I hope it's not just my things. Sitting here in the disaray of half-packed boxes, stuff everywhere, (and I'm supposed to be at work all this week) it's good to remember that what a person is, is much more important than what a person has.
But since I do have all this, it needs to be put in order. I'm reaching for a big black plastic trash bag...
January 18, 2009
Meeting Myself: Coming and Going
"Honey, what are you thinking about?" I ask, eager for a soulful exchange that will unite our hearts during this luxurious, semi-drowsy moment in time. (violins, please).
Sam looks at me curiously. "What am I thinking about?"
I nod, looking at him with unveiled adoration, waiting for this man whom I love to share the depths of his soul with me, withholding nothing.
"Nothing. I just woke up" He looks at me, knowing that this is not what I want to hear.
"Nothing? How can you think about nothing?"
He sighs. "Well, that's what I'm thinking about. Nothing."
If he can't engage with me about his thoughts, at least I can get him to talk to me about something.
"Well, what are you feeling then?"
He suddenly sounds weary. "Nothing!" He regards me suspiciously. "Why do you have to ask me these kinds of questions?"
"Well, I just want to know you inside and out." I feel deflated and disappointed.
"Oh please!" Sam sighs, gets out of bed and stalks off into the bathroom to take a shower. "I don't lay around thinking and feeling stuff all the time." The shower faucett goes on and he steps inside.
I feel tears forming in my eyes, but I should know better because this has happened many times. Sam is a very concrete thinker and does not find it particularly stimulating to try to articulate his inner experience. The more I ask ethereal questions, the more ridiculous they seem. When we were dating he could string out some pretty compelling romantic remarks, but it is just not his preferred way of relating.
Nor is it easy for a number of men, I'm learning.
Friday I worked with a couple who came into the therapy room and sat at opposite ends of the couch. She was sitting forward with her fingers laced around her crossed legs. Her brow was furrowed in a frown and she had tears in her eyes. He sat there, slouched back into the cushions, grinning at me, his arms and legs akimbo, his hair brushed to a point in the front (good grief, where did this style come from?) And guess what their great disagreement was? She pours out her heart to him when they lie down to sleep and asks him what he thinks. He tells her that she is "over-thinking again" and drifts off to sleep. So she stomps out of bed and down the stairs to watch TV until her indignation is spent. When she returns to bed, his blissful sleep is disturbed and he decides that this is a good time for a romp. She is livid and he can't figure out what he did wrong. So they have an awful fight and he sleeps on the couch.
"I must be clueless," he states. She shoots an evil look his way.
"I mean," he continues, "I know she wants something from me and I sit there trying to figure out what it is, knowing that I'm not going to be able to come up with it. So I make jokes or sing my school song to her: "Rah-rah-rah for the Delta Phi Ki Guys!""
I'm dying to laugh. "And how does that go over?"
She makes a disdainful sound. He looks down.
"Not good" they say in unison.
He is clueless. And so is she.
So we work it out that there is room for both of their perspectives and realities, but that since their relationship requires some sort of understanding, there are things they both need to do in order to respond appropriately to the needs of the other. She will cut out the cock-eyed, continual questions, and he will validate her feelings without having to have the same experience as she does. But, but, but....I can hear you saying. There is more to the story, but this was the bottom line for numerous reasons that can't be elucidated here.
I left that session shaking my head. It was awfully close to home.
I remember one morning getting in an argument with Sam about leaving dirty dishes in the sink. It drives me crazy to have yucky, smeary dishes with those awful smells sitting in the sink over night or all day while we're at work. It will attract ants. And since I do much of the yard work, I expected Sam to do much of the inside work. I don't think we ever talked about it, but I found myself getting really angry one morning as we were about to dash out of the house. I drove to work, consumed with passion about this.
My first session of the day was with a couple who were angry with one another because of the unspoken expectations they had of each other around housework. I mentally put my own unresolved housework argument from the morning on a shelf in the back of my head, and started delving into this couple's concerns. Yes, she was a stay-at-home mom who had a babysitter every day for four hours so she could have some time for herself. Yes, he worked 50 hours a week at a very demanding job and was the sole provider for the family. She told him that if she could just stay home from work, she would take responsibility for the house cleaning and management. That suited them both just fine. Until she got tired of it and changed the rules, unbeknownst to him. We had to sort that one out and it took over an hour to look at all of the old stories of offenses both had committed around this issue, and the secret motives that had become apparent through innumerable acts and words over the years. We renegotiated how the household duties would be done, noting that marriage contracts change over time and must be frequently revisited. I was particularly shocked to find myself supporting this man in his request not to have to put the dishes in the dishwasher. She thought that would be fine, after I helped make a case for him. He would however, keep the bathroom sinks clean--a major triumph for her.
So I limped out of the therapy room that day, shaking my head and wondering what I would be faced with in subsequent sessions. In fact, it was a 24-year-old girl who doesn't like her stepparent and secretly wishes that her parents would get back together again. Even though she knows it will not happen. Even though the divorce happened six years ago. "I would never choose to be related to that [stepmother] but I have to have a relationship with her...It sucks."
I am always amazed how therapist's own private behaviors, feelings, and thoughts can rise up and obscure the clients whom we are serving if we're not careful and scrupulous in our dealings. I bracket off my own experience so it won't interfere with my therapy, but I remain aware of my experience while I watch it wrestled over between my clients. Such lovely work, this. Real incentive to pay attention to my own issues and take care of them elsewhere. It's amazing how we are all part of the fabric of humanity, every one of us. So I'm grateful that these things are very familiar to me, and wonder what part of my life will be trotted out in the therapy room for me to dance with this week.
January 17, 2009
Wierd Turn of Events
Well, today was the culmination of an odd sequence of events. For weeks I've been preparing a mixed quartet and a trio of women to perform an evensong vespers at church. We have practiced a number of shape note hymns from The Sacred Harp (the quartet), and some wonderful Bach trios and duets. I have been very much looking forward to this because I haven't really sung seriously for many years. However, amazingly, person by person, my group became ill. First it was the contralto whose voice became spindly and wheezy as she was fighting the flu. Then down went the tenor. I told him that he was getting sick, but he didn't believe me. The next day he called with a really awful gurgly, rough voice to tell me that indeed he was ill. Thursday night the soprano called me to say that she had nothing left and was going to bed. There was no way she could sing. I was glad because my head started to feel like it would blow off my shoulders: a sure sign that I had a low grade fever. Only one person, our stalwart bass, is not ill. The rest of us are under the weather. We cancelled our concert and minutemen from the church put together a variety musical program in our stead. I'm just as happy, sitting up in bed with my flannel duvet over me, all cuddly, and me looking out the window up at the snow covered mountains with the reflection of the sun going down leaving hues of purple across them. (I may be slowed down, but not so slowed that I can't create a noble run-on sentence...)
It was a fitful sleep last night, Sam up and down with coughing, and me aching all over and uncomfortable. At one point I got up and wandered through the house, hoping that I could tire myself enough to go back to sleep. Heaving myself back under the down comforter, I drew up my knees just as Sam jacknifed in bed, resulting in a resounding crack as our knees struck straight on. I should have a beautiful bruise there in the next couple days. But for now, I am content to leaf through magazines, reading and looking at pictures. It is all this tired brain can do today.
And I am grateful that this sickness "is not unto death," and that I'm still full of beans and not completely dragged out. The absent appetite, languid spineless feeling, and headache will all pass away, leaving me with gratefulness that I can still get up and do the things I want to do.
Just not now.

