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Monday, May 10, 2010

Ambivalence and Codependence in the Mother-Daughter Relationship

The topic of conflict and ambivalence in the mother-daughter relationship is the subject of this article. One article in a blog cannot do justice to this topic but, hopefully, it can serve as a starting point for many similar articles and it will be thought provoking (see my articles: Healing Mother-Daughter Relationships and Letting Go of Resentments in Mother-Daughter Relationships).


Ambivalence and Codependence in Mother-Daughter Relationships

The complexity of the mother-daughter relationship is derived, in part, from the fact that mothers and daughters share a biological and often certain psychological factors. 

As such, mothers often see themselves in their infant daughters, at times, projecting their own unfulfilled hopes and dreams on their infant daughters. 

In turn, daughters learn to identify with their mothers. A certain amount of maternal idealizing is a normal part of a daughter's development. 

However, when the identification or idealization interferes with a daughter's psychological development, this often interferes with the normal separation and individuation process that is necessary for the daughter to mature into her own person.

Clinical Vignette:
The following vignette which, as always, represents a composite of numerous cases illustrates how ambivalence and codependence between a mother and daughter as well as an over identification by the daughter for the mother kept the daughter stuck and unable to develop into her own person without feeling like she was betraying her mother.

Donna:
When Donna began therapy, she was in her early 30s. She was already quite successful in her career. As she saw it at the time, her presenting problem was that she had a long history of problems in her romantic relationships with men. 

Her relationships always began well. However, as soon as the relationship became serious, Donna became extremely ambivalent about it and found some way to sabotage it. When she began therapy, she was in a one-year relationship with a man that she loved very much and who also loved her. She saw the potential for a good marriage with this man, but she was very frightened to make that commitment with him, and she could not understand why.

Donna's family history included her parents' divorce when she was five years old. Prior to that, she remembered a lot of arguing between her parents, who were not well suited for each other. After the divorce, the father remarried within a couple of years. However, Donna's mother sank into a depression and she began to drink heavily.

As an only child, Donna remembered feeling responsible for her mother's happiness. Her mother poured out her sorrows to Donna, and Donna did her best to try to make her mother happy by listening to her, trying to entertain her with funny stories from school, being an "A" student, and trying never to bother her mother with her own concerns. 

As a result, at a young age, Donna and her mother switched roles, and Donna became a parentified child. She learned to anticipate her mother's needs before her mother even expressed them. She even cleaned up her mother's mess when her mother got drunk and threw up around the house. For this, Donna's mother rewarded her by telling her what a wonderful daughter she was, and this made Donna feel good.

Donna's relationship with her mother continued in this way until Donna became a teenager, and she began to express a need to spend more time with her friends. Donna's mother never actually stopped Donna from going out with her friends, but when Donna got home, she often found her mother in an irritable, sullen state.

She never told Donna directly that she was unhappy that Donna was beginning to achieve a certain amount of independence that is a normal part of adolescence but, indirectly, she complained about how lonely she felt when Donna was out and how hard her life was as a single mother. 

This made Donna feel very guilty for leaving her mother alone and for going out and having a good time with her friends. At those times, Donna worked extra hard to get back into her mother's good graces. After a while, Donna's mother was appeased and, once again, she rewarded Donna by telling her that she was the best daughter that a mother could have.

At times, Donna turned down her friends' invitations to go out because she didn't want to leave her mother alone and unhappy. She also feared that her mother would drink more when Donna was out, which was often the case. At least if she was there, Donna thought, she could monitor her mother's alcohol intake and help her mother to go to bed when she was too drunk.

After her parents' divorce, Donna had virtually no contact with her father. She feared that her mother would be upset if she maintained a relationship with her father, so she ignored his phone calls and, after a while, he stopped calling.

During that time, dating boys was out of the question in Donna's mind. Her mother was very bitter about her own divorce and she would often tell Donna how awful men were. Donna was interested in a couple of boys at school, who also expressed an interest in her, but Donna felt that it would be a betrayal to her mother if she began dating boys. So, rather than dating, she stayed home with her mother and catered to her needs.

When it came time for Donna to apply for college, one of Donna's teachers, who had an intuitive sense of what was going on in Donna's home, encouraged Donna to go away to college. A part of Donna longed to be away and attend a college with an active campus life. However, a stronger part of Donna didn't want to leave her mother alone. So, she opted to go to a local college, even though other colleges offered her better opportunities and a chance for a full scholarship.

By the time Donna was a sophomore in college, she began to feel depressed and lonely. She didn't know why she was feeling this way, so she went to the student counseling center. With the help of her college counselor, Donna began to see that she was missing out on many of the social activities that other students were enjoying and that she also wanted to attend.

So, gradually, Donna became more social and, soon afterwards, she started dating, much to her mother's chagrin. By that point, Donna realized that she needed to have a social life of her own, but she continued to feel guilty and that, in some way, she was betraying her mother by spending less time with her and more time with her friends.

By the time she graduated, Donna was offered an excellent job opportunity in NYC that she knew she could not afford to pass up. With much ambivalence and guilt about leaving her mother, she moved to NYC to begin her new career. However, she called her mother several times a day to "check in" on her and to listen to her mother's problems. She also visited her mother frequently on weekends.

When Donna entered into her first serious relationship, she was wary of telling her mother. She feared that since her mother had such a low opinion of men, her mother would disapprove of her being in a relationship

When Donna finally summoned the courage to tell her mother, her mother acted as if she had not even heard her. She never expressed any curiosity about this man or even asked Donna how the relationship was going. This made Donna feel very sad and guilty--as if she was doing something wrong by having a life of her own and being in a relationship, as if she wasn't entitled to her own happiness.

Shortly after that, Donna began finding faults with her boyfriend and they started arguing. Within a few months, they were broken up. When Donna told her mother about the breakup, her mother responded by telling her to come home and spend time with her. Her mother seemed to have no recognition that Donna was heart broken.

This same pattern continued in most of Donna's relationships. She felt pulled between the man that she loved and a "loyalty" that she felt for her mother. By the time that Donna came to see me, she was miserable. She was also aware that she was ruining an otherwise wonderful relationship with a man that she really loved. But she didn't know how to stop engaging in this behavior.

We began by doing inner child work to help Donna understand and appreciate the root of her problems. Over time, she learned to have more compassion for herself when she was a child and as an adult. She also started to see how her own inner emotional conflict caused her to feel that she had to choose between her boyfriend and her mother.

With a lot of work in therapy, Donna started feeling more entitled to have a happy life and not to sacrifice her life for her mother. She also learned to see that her codependent relationship with her mother was not helping her mother or her. 

So, gradually, over time, she changed her behavior towards her mother. Rather than calling her mother several times a day, she called her once a week. Rather than spending hours on the phone listening to her mother's problems and trying to "fix" them, Donna encouraged her mother to get help.

Donna's mother did not respond well to this new change in Donna. After a few weeks of this, Donna's mother refused to talk to Donna and told her that she would talk to her when Donna "came to her senses again." 

This was a serious emotional challenge for Donna, and part of her wanted to revert back to her old behavior to "rescue" her mother. But, deep down, Donna realized that she needed to stick to what she knew was best for her and her relationship with her boyfriend. 

She also realized now that her mother would never get help for her alcoholism as long as Donna provided her with an emotional crutch. So, even though it was very difficult for her, Donna refrained from reverting back to her former dysfunctional way of relating to her mother.

After several months, Donna's relationship with her boyfriend improved substantially. Even though she missed her mother, Donna realized that she felt happier than she had ever felt and she finally felt entitled to her happiness. She also reconciled her relationship with her father.

About a year later, she received a call from her mother. Her mother told Donna that she had just completed a 28-day rehab and she wanted to reconcile her relationship with Donna. And, for the first time, she told Donna that she wanted to meet her boyfriend. This was the beginning of Donna and her mother having a healthy relationship together without much of the guilt, codependence, and ambivalence from the past.

Healthy Mother-Daughter Relationships
Even though this article focuses on ambivalence and codependence in mother-daughter relationships, I want to also say that there are many mothers and daughters who have healthy relationships. 

Healthy Mother-Daughter Relationships

Even mother-daughter relationships that begin with the sort of enmeshment, codependence and ambivalence that were involved with Donna's relationship with her mother often improve when one or, preferably both, people get psychological help.

Getting Help in Therapy
If you are part of an emotionally unhealthy mother-daughter dynamic and you want to establish a healthier relationship, you could benefit from attending psychotherapy with a licensed mental health professional who has expertise in this area.

About Me
I am a licensed psychotherapist, hypnotherapist, and EMDR therapist in New York City.

I work with individuals and couples.

To find out more about me, visit my web site: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also, see Mother-Daughter Relationships Over the Course of a Life Time
















Thursday, May 6, 2010

Do You Feel Like a Child Again During Family Visits?

What is it about family visits that make so many people regress to feeling like young children again? How is it possible that people who function very well in their every day lives--whether they're teachers, firefighters, or CEOs of major corporations--can be reduced to feeling like helpless children during a visit home to their families?

Feeling Like a Child Again During Family Visits

For many people, family visits are a time when they look forward to seeing their parents and siblings. They're fortunate to have nurturing relationships with their families, so going home is a positive experience. 

But for others, who are not as fortunate, going home to see parents is fraught with conflict and stress. Some people describe family visits as if they are tiptoeing through an area filled with land mine. They feel they must think carefully before they broach any topic that might set off either an argument or emotional estrangement.

Many people are surprised that they can feel so confident and mature in their every day life, but when they return to family's home, they feel like children again. They find themselves reacting to the same old emotional triggers that caused problems between themselves and their families when they were growing up.

A Clinical Vignette: 
The following scenario, which is a composite of many clients with all identifying information changed to protect confidentiality, is an example of the challenges that many people face when they visit their families on holidays and feel themselves regressing back to their childhood:

Roger:
Roger was known in his firm as a tough and tenacious litigator. Whenever his law firm had a difficult case, the senior partners would call on Roger because he had a reputation for being one of the best attorneys in his field. He loved his work and would often spend long hours preparing for a case. He was also in a loving, stable, long-term relationship with his girlfriend, and they planned to get married.

On most days, Roger felt like he was on top of the world. He never backed away from a challenge. But all of that changed whenever he went home for a family visit, especially on Mother's Day. As he described it, he could feel himself transforming from a successful, mature adult to an angry child the moment he set foot in his parents' house. Both his mother and father overwhelmed him with unsolicited "advice" that felt like veiled criticism about everything from how to maintain his apartment to how to manage his money.

He could feel the anger rising up in him during those times because he felt infantilized by his parents. It didn't seem to matter that he was already in his early 40s, he earned a very good living, he owned several properties, he had a good relationship and good friends, and he was generally considered a very successful person by most people's standards. Notwithstanding of all this, his parents felt the need to tell him what to do, how to do it, and when to do it, and this infuriated Roger.

But what infuriated Roger the most was that he "took the bait" in these situatons every time. Even though he vowed to himself each time not to allow his parents to get him angry, he always reverted back to feeling like the angry child that he was when he lived at home with his parents. Once this dynamic was set in motion, he felt himself sliding down that same old emotional slippery slope every time.

This was Roger's presenting problem when he started psychotherapy. He wanted to be able to visit his parents (whom he really loved, despite how angry he often felt towards them) and maintain his sense of himself as a competent adult without the emotional regression. He wanted to be able to spend quality time with them without feeling emotionally triggered by their behavior when they treated him like a child.

To that end, after exploring his childhood relationship with his parents, Roger and I planned for his next visit on Mother's Day. He already knew that his mother tended not to like his Mother's Day card or any gift that he gave her. He knew that, even though his parents were well meaning, they still saw him as their youngest child who needed their "advice." He also knew that something happened to him whenever he was in their presence. He felt trapped, like a child who could not leave his parents' home and who was forced to endure behavior that humiliated and infuriated him.

Regressing to Feeling Like a Child Again During Family Visits

Before his next Mother's Day visit, Roger and I strategized about how he would maintain his sense of self as a competent, mature adult, and how he could set limits with his parents. Since these visits always made him feel anxious, we role played various scenarios which often occurred on his visits home. 

With practice, Roger felt more competent about handling the upcoming family visit. And whereas he usually did not feel entitled to set limits with his parents because he regressed emotionally to feeling like a child, with practice in our sessions, he was able to internalize that he was entitled to be treated like an adult. And if his parents had a need to treat him like a child, for whatever reason, that was their problem and he would not allow it to affect him.

On that Mother's Day, Roger visited his parents armed with the strategies that we had practiced in our sessions. He was still nervous and feared that he would sink back down into feeling like an angry, helpless child again before he would be able to implement these strategies. 
He also feared that his parents would not respond well to his setting limits with them. 

Nevertheless, he was able to stand his ground as soon as the unsolicited "advice" and veiled criticism started coming his way. At first, his parents seemed surprised. They had never experienced Roger push back before. 

But contrary to Roger's fears, he was able to set limits with his parents in a loving, tactful but firm way. It made him feel confident and empowered. And, from that day forward, his parents stopped treating him like a child, and he stopped feeling like a child in their presence.

Conclusion
Visiting your family on holidays like Mother's Day or Christmas can be an emotional challenge. But you can learn to change the dynamic between you and your parents during these visits. 

Often, when you change your way of relating to your parents, they will learn to respond to you as an adult and not a child. Often, the key is to learn what triggers your regression from a mature adult to feeling like a child and learn ways not to get triggered. 

That might mean setting limits on what your parents say to you, how they treat you or your partner, or it might mean spending less time with them during these visits, but making that time as enjoyable and meaningful as possible.

I knew a woman who used to hold onto her car keys in her pocket whenever she went home to visit her parents. Holding the car keys in her hand was a reminder to her that she was a mature adult who was not trapped in her parents' home like she was when she was a child. After a while, she no longer needed to do this because she internalized these feelings without the keys as "props."

Emotional regression during family visits is a common experience. Psychotherapy is often helpful to overcome these feelings. But there are no one-size-fits all strategies. Every person's experience is unique. 

Getting Help in Therapy
If visiting home brings up more intense feelings, like the type of feelings that come up that are related to childhood trauma, EMDR therapy or clinical hypnosis can be valuable in helping you to overcome trauma.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, and Somatic Experiencing therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist

To set up a consultation, call me at (917) 742-2624 or email me.

Thursday, April 29, 2010

Beware of Emotional Saboteurs

Most of us have had the experience of being excited about a new idea or project, telling a friend or family member and having them douse our ideas with ice water before we've even gotten our ideas off the ground. Often, because the ideas are new for us, this could be enough to discourage us and tap into old feelings of inadequacy. There's nothing like an emotional saboteur to stop you in your tracks and make you doubt yourself to the point that you give up on your ideas.

What Are Emotional Saboteurs?
Emotional saboteurs come in all shapes and sizes, and there are both internal and external emotional saboteurs. This article will focus primarily on external saboteurs, but it's important to recognize that we have our own internal saboteurs that can get triggered by external saboteurs.

Beware of Emotional Saboteurs


External Emotional Saboteurs - The Anxious Saboteur:
External emotional saboteurs are often well meaning. On a conscious level, they often don't really mean to discourage us but, due to their own feelings of inadequacy or their own fears, they do just that. When we share our enthusiasm for a new idea with them, they become anxious. 

Without realizing it, they begin to find all kinds of reasons why our ideas won't work. On a conscious level, they might feel that they're protecting us from failure or from taking a risk. Often, they try to live their lives as carefully as possible, taking as few risks as possible. So that when they hear you talk about something that might involve a degree of risk, it's like an alarm goes off in their heads that says "Warning! Danger ahead!" and they want to spare you of what they perceive as a bad idea.

External Emotional Saboteurs: The Pessimist:
Another type of emotional saboteur is the person who is very pessimistic about almost everything. He or she can always find "the downside" to any idea or situation. If there is even one possibility in 1,000 that something could go wrong, this person will dwell on this one possibility and try to convince you not to go forward. They have all kinds of stories about people who tried the same thing and it never worked or they suffered some horrible fate. Since they are pessimists at heart, they almost never try anything that is new or risky.

External Emotional Saboteurs: The Office "Jungle Fighter":
Then, there are the emotional saboteurs who knowingly try to discourage you from any new creative endeavors. They might engage in emotional sabotage because they're envious or maybe they're competitive and wish they had come up with your idea. 

It's not unusual to find this type of emotional saboteur in the workplace. No sooner have they discouraged you from proceeding with your idea or project than they are talking it up with the boss as if it was their idea. When you find these emotional saboteurs in the workplace, they're like "jungle fighters," manipulative and cunning. They find insidious ways to discourage you and tap into your insecurities. For the more extreme types in this category, there's something sociopathic about them. They are only motivated by self interest and lacking in empathy for anyone else.

External Emotional Saboteurs: The "Expert":
In our enthusiasm to gather information about the ideas that we might want to pursue, we often consult with an "expert" in the field. This could be someone who has many years of valuable experience in the particular area that we're interested in.

Let's say, for instance, that you're thinking about writing a book. You might consult with an established writer or publisher or someone else in the field who has particular expertise in the area that you're interested in. 

If you choose the right person, you'll get balanced advice on your particular endeavor. You come away with valuable information that you can use to decide how to proceed. But if you choose someone who happens to be an emotional saboteur by nature, their "expert" opinion might be very discouraging. You might hear about how books are not selling due to the recession or that other people have written about the topic that you're interested in and they failed, and so on. 

This person might not be someone who can think "outside the box" and, for example, he or she might not give you ideas about self publishing. They've "been there," "done that" and they try to discourage you from going forward with your idea.

How to Distinguish People Who Give Sound Advice from Emotional Saboteurs:
When we're at the very beginning of a creative process, we're most vulnerable to emotional saboteurs. We have our hopes and dreams and, due to our enthusiasm and naivete, we can go to the wrong person who can dash our hopes before we even get our project off the ground. I often wonder how many writers, artists, dancers, or people in other areas have been discouraged by emotional saboteurs and abandon their ideas.

But how do we distinguish between people who are emotional saboteurs from people who might be giving us sound advice? It's often tricky to tell the difference. A lot depends on your own judgement about the person and the situation. 

So, for instance, if you're thinking of jumping into some get-rich-quick scheme or you're about to be, unwittingly, pulled into a scam, you want someone who is level headed to give you advice or share their own experiences with you to keep you from doing something that is foolhardy. Before you invest your hard earned money in some scheme that sounds too good to be true, you want to be able to listen to balanced advice with an open mind and consider that they might be right before you do something that is potentially harmful to you or your loved ones.

We Often Know, On Some Level, Who Will Be An Emotional Saboteur:
In my opinion, if we know the people that we're going to for advice, on some level, we often know who will be unnecessarily discouraging and who will be even handed with our new ideas. Why we would go to someone that we know would discourage us is a big topic for another article. Sometimes, on an unconscious level, a part of us feels inadequate and, without realizing it, we look to others to confirm our own sense of inadequacy. So, if this is your pattern, it's important to recognize this and learn to stop doing it.

Before you seek advice on new creative endeavors, it's important to think carefully about who you go to for advice. Sometimes, in the early stages of a new project, if you're sure that you want to pursue it and you have a chance for success, you have to use your discernment about who you talk to about it.

I'm not talking about being paranoid. I'm talking about protecting your new, sometimes not quite formed ideas from people who tend to be discouraging. Like the first tender shoots of a plant peeking through the ground, you don't want emotional saboteurs drowning your new ideas with their negativity. You might want to give your ideas a chance to germinate and grow for a while and gain more self confidence about them before you expose them to people who might tap into your own insecurities about them.

I don't know how many times I've heard people say that they started a writing project and gave it to friends to read and comment on only to have their friends criticize and tear it apart with no positive feedback or encouragement at all. Often, the writer will then either tear up the writing or shove it in a drawer never to see the light of day again, saying to him or herself, "I don't know what I was thinking when I thought I could write." After someone has had this type of discouragement time and time again, it's difficult to undo so they can get unblocked creatively and work again.

Psychotherapists As Emotional Saboteurs:
It pains me to say this, but in my own field there are some emotional saboteurs. I don't think that most therapists mean to be emotional saboteurs. Often, they don't realize that they're doing it. Unfortunately, unless a psychotherapist goes through psychoanalytic training, they're not required to go into their own therapy to work out their own personal stuff. This is an area that I wish would change, but I don't see it changing any time soon.

Most therapists have been in their own therapy or at least have obtained professional supervision to be able to distinguish their own feelings and history from their clents' problems. But some of them have not. So, if you're thinking about going into therapy, it's important to ask about a prospective therapist's background. By this, I don't mean that you ask personal questions about a therapist's personal background--I mean that you find out what their training has been. Even with training and personal therapy, some therapists, who might have pessimistic personalities, might end up, unwittingly, discouraging you from worthwhile creative endeavors.

Once again, that doesn't mean that if you're in therapy with a therapist who is trying to help you to see that something that you want to do is self destructive that your therapist is an emotional saboteur. You might just have a blind spot where you're not seeing that what appears to you as a good idea could be foolhardy.

Internal Emotional Saboteurs:
Our own internal emotional saboteurs can be like old tapes that play in our heads that tell us things like, "You'll never be able to do it," "You're not good enough," "Who do you think you are?" Often these are based on experiences that we've had as children. If we've had many of these experiences when we were growing up, these old feelings are right there on the surface waiting to be triggered in new situations.

Using Your Judgement and Intuition
When someone is thinking about embarking on a new idea, I usually encourage them to be discerning, avoid people that, in their heart of hearts, they know to be emotional saboteurs, and talk to more than one person. Then, after that, it's a matter of using your own judgement and intuition.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist.

I have helped many clients to overcome their fears and creative blocks about new creative projects.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist

To set up a consultation, call me at (917) 742-2624 or email me.


Thursday, April 15, 2010

Relationships: Are You Projecting Your Negative Feelings About Yourself Onto Your Spouse?

When two people are in a long-term relationship, it's not unusual for one or both people to project their own negative feelings about themselves onto their partner. This is an unconscious psychological defense mechanism called psychological projection.


Projecting Your Negative Feelings About Yourself Onto Your Spouse

A few weeks ago, I received a call from a friend who wanted to vent her annoyance about her husband. I listened patiently for a while, and when she was through venting about his "laziness" and "neediness," I told her that I was surprised to hear her say these things. I've known my friend and her husband for many years, and I never would have characterized him as "needy" or "lazy." I've always thought of my friend's husband as being self reliant and very hard working.

So, as we were talking, I asked her if she really felt this way about him. At first, she insisted that this is how she really felt. Then, I asked her to give me some examples of these negative traits that she said her husband has. After a while, she realized that she couldn't really give me any examples. Then, she thought about this for a few minutes. And after she thought about it, she broke down crying, saying that she realized that she wasn't really feeling this way about him--this was really how she felt about herself.

We ended up talking for an hour. She went on to tell me why she feels this way about herself which, for purposes of this article, is irrelevant. But afterwards, she said she felt much better about her relationship and realized that she needed to do some work on herself in her own therapy. Part of what we talked about is that it's not usual for husbands and wives to project their own misgivings about themselves onto their spouses. Since my friend knows that I write a psychotherapy blog, she suggested that I write about this topic and use our conversation as a jumping off point.

Why Do People in Long-Term Relationships Project Their Own Negative Feelings About Themselves Onto Their Partners?
First, it's important to understand, once again, that this is an unconscious process. It's not like the person is saying to him or herself, "I can't accept these negative feelings about myself, so I'll put them onto my partner." Since it's completely out of their awareness, in most cases, they don't realize that this is what they're doing.

Often, the negative traits that they don't like about themselves are split off from their awareness. By that, I mean that they emotionally disown these feelings about themselves, in a sense, and because they're disowned, they're disavowed. These negative traits are so unacceptable to them that they cannot acknowledge that they belong to them. It's much easier to project them on someone else. In that sense, psychological projection is a defense mechanism and it protects the person who is doing the projecting from feeling bad about him or herself.

Even though this article is focuses on psychological projection between spouses, psychological projection can take place between any two people: parent-child, employee-boss, brother-sister, and so on. It often happens between spouses because they're together so much.

How to Recognize If You're Engaging in Psychological Projection:
At the beginning of my conversation with my friend, she was absolutely convinced that she was annoyed with her husband because she felt he was "lazy" and "needy." As I mentioned earlier, I allowed her to vent her feelings, but I was quietly thinking to myself, "Really? She really feels this way? She's never said this before. I know him a long time. Something about this doesn't sound right."

After my friend finished venting, I reflected back what she said to me and asked her if she really felt this way. Being an insightful and reflective person, after her initial insistence that she really felt that way, my friend thought about it some more. Since we've been friends for a long time, she also trusts my sense of her and her husband, and my response to her gave her pause.

After she thought about it for a moment, she realized what she was doing--she was projecting her own negative feelings about herself onto her husband. She felt badly for denigrating her husband and then made a commitment to talk to her therapist about these negative feelings that she felt about herself. Now, I don't think that she is any more"lazy" or "needy" than her husband, but these feelings are obviously deep seated in her. And whatever I might feel about her, what's important is that this is how she feels about herself right now, for whatever reason. And, as a friend, I can't be her therapist, so this is something that she'll work out in her own psychotherapy.

How Can You Stop Psychologically Projecting Your Own Negative Feelings Onto Your Spouse:
First, it helps if you have the ability to step back and think about these feelings. Try to put aside your anger and judgment towards your spouse and ask yourself, "Do I really feel this way?" "How do I know this?" "What objective evidence is there for this?"

Very often, because psychological projection is an unconscious defense mechanism, it's hard to separate out your judgments and emotions so you can be objective. If you have a trusted friend, it can help to talk to him or her about it, especially if this friend knows you and your spouse.

If you have some psychological insight into yourself and if you're ready to accept that these feelings might actually be about you and not about your spouse, you can go a long way to avoiding a lot of arguments and heartache between you and your spouse.

Getting Help in Therapy
Psychological projection can be very damaging to a relationship, especially if both people in the relationship are projecting onto each other, which is not unusual.

If you sense that you could be engaging in psychological projection and you find it too challenging to resolve this problem on your own, you could benefit from the help of a licensed psychotherapist who has expertise in this unconscious psychological defense mechanism.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, EFT, Somatic Experiencing and Sex Therapist.

I work with both individuals and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

















Tuesday, April 13, 2010

Why Do Clients Leave Psychotherapy Prematurely?

This article will focus on the topic of when clients leave psychotherapy treatment prematurely. Of course, there are times when the time is right to leave psychotherapy. One reason could be because you've met your treatment goals, discussed ending treatment with your therapist, and you both agree that it's time for you to end treatment. 

Another reason could be that you know that the psychotherapist that you're seeing is not the right therapist for you. It's not a good match, and you're sure that this is the reason and you're not leaving treatment for one of the reasons that I've outlined below. But ending psychotherapy treatment is a topic for another article.

When Clients Leave Psychotherapy Prematurely


Why Do Clients Leave Psychotherapy Treatment Prematurely?

Clients Leave Psychotherapy Treatment Prematurely Because They Feel Annoyed About Something Their Therapist Said:
It's not unusual for there to be ruptures in psychotherapy treatment. After all, a therapeutic relationship is like many other types of relationships between two people. There are bound to be misunderstandings at times. A client might misunderstand something that the therapist has said. A therapist, being human, might not always be perfectly attuned to a client and might say something the represents an empathic failure. But rather than leaving treatment prematurely without saying something about it to the therapist, unless what has been said is egregious, it's much more valuable for a client to talk to the therapist about it at the next session.

Why is it worthwhile to tell your therapist if she has said something that hurt or annoyed you? Well, for many people, growing up in families of origin where they didn't have a chance to express themselves, it's an opportunity to be heard in a way that they've never been heard before. So, it can be a very empowering experience to assert yourself in this way. Also, often, after a rupture has been worked out in psychotherapy treatment, the treatment advances further than it might have without it.

Clients Leave Psychotherapy Treatment Prematurely Because They Feel "Stuck" in the Treatment Process:
When you begin psychotherapy, you're in the initial phase of treatment. During this phase, you and your therapist are getting to know each other. If you're new to therapy, you're also learning what it means to be a psychotherapy client and how the process works.

As I've mentioned in prior articles, some clients come to therapy expecting a "quick fix." Even when they come to treatment with complicated, multi-layered problems, they expect that their problems will be resolved in a few sessions. While there are certain problems that lend themselves to brief treatment, many problems do not. So, if you're feeling "stuck" early on in treatment, it might be that you're feeling impatient with the beginning phase of treatment.

It might also be that your treatment has reached an impasse because of some obstacle in the treatment either with you or with the therapist or between the two of you. But, before you leave treatment prematurely, it's best to talk to your therapist about how you're feeling. 

Then, not only are you able to express your feelings, but you can also find out how your therapist assesses the treatment at that point. Maybe the two of you need to change how you're working. Maybe there needs to be adjunctive treatment for a while with a second therapist. 

This is often the case with trauma, where regular talk therapy isn't enough and you might need to work briefly with a second therapist who does EMDR (Eye Movement Desensitization Reprocessing) or clinical hypnosis. Whatever the reason, it's a good idea for you and your therapist to have a check-in talk with each other every once in a while to evaluate the treatment.

Clients Leave Psychotherapy Treatment Prematurely Due to Financial Reasons:
It's not surprising that many clients have to think carefully about whether they can afford to attend psychotherapy, especially because it's getting harder and harder to find psychotherapists on managed care panels, and many people are now paying for their therapy out of pocket. But rather than leaving prematurely, if you're having financial problems, it's best to let your therapist know.

Many therapists work on a sliding scale basis and your therapist might be able to reduce your fee. Your therapist can also help you to look at your money issues. Money can be a complicated subject. Often, clients will say they can't afford to be in treatment when there are really other underlying issues. At times, it's easier to look at a concrete issue like money than to look at your fear of being in treatment. Other times, it might be a matter of looking at your priorities. 

Are you spending $10-20 a day on cigarettes? If you stopped smoking, not only would you have money for therapy, but you would also preserve your health. Are you spending money on other frivolous purchases as a way to momentarily boost your mood? If so, maybe that's something that you need to look at with your therapist.

Clients Leave Psychotherapy Treatment Prematurely Because They Become Fearful When Therapy Starts to Delve into Core Issues:
Compared to the other issues that I've discussed so far in this article, this is the most complicated issue. Why is it so complicated? Well, first, when clients become fearful of talking about core issues, they often don't realize that this is what's going on. 

It might be completely unconscious for them. They might think that they want to leave for other reasons that are really unrelated to what's really going on with them. 

This is often the time when clients might say that they can't afford to come to treatment any more or they don't have time any more. While these might be issues, it's always worthwhile for you and your therapist to explore if what's really operating is that you've gotten to a point in therapy where you're dealing with deeper, core issues and this is frightening you.

You might wonder how this could happen. After all, you might say, "Don't people come into psychotherapy treatment to work on these issues?" While it's true that clients start psychotherapy because they want to work on a problem and they're often motivated at the beginning of treatment, it's also true that many clients get frightened when the therapy actually starts to delve into the very issues that they came to work on. This is very common in psychotherapy.

Sometimes, clients take a "flight into health," meaning that they tell themselves and their therapists that they're feeling better now (when they're really not) and that they don't need therapy any more. This is a common reaction. When this happens, the challenge is to stick it out in therapy and to be willing to explore this with your therapist.

It might not be obvious to you that this is what's happening. But, often, if you step back and you're able to detach yourself from your fear of addressing your core issues, you and your therapist can work through this treatment impasse. Are you really feeling better or are you in denial and telling yourself this because you're too frightened to deal with core issues?

Maybe it means that the two of you need to address your fear of delving into the problem before you actually delve directly into your core issues. Maybe the two of you need to take a different tact in treatment or change treatment strategies. Whatever is needed in this situation, it's better to talk to your therapist rather than leaving treatment prematurely.

Since this is one of the most complicated issues as to why clients leave treatment prematurely, it's worthwhile to look at a composite vignette. As always this vignette does not refer to a particular client, but represents many clients who have this problem in common.

Alan:
Alan began psychotherapy because he had problems making a commitment in his relationship. He knew that this was a life long problem for him. Whenever he got close to a woman that he was seeing, he got frightened and left the relationship, even if he cared about his girlfriend very much.

A year prior to Alan starting psychotherapy, Alan began dating Paula. According to Alan, the first few months were great. But as the relationship started to get more serious and Paula wanted more of a commitment from Alan, Alan began to feel that old familiar fear again. He began giving himself all kinds of reasons why the relationship with Paula wouldn't work out in the long run. He never talked to Paula about what he was feeling, but he felt a mounting panic whenever she talked about the possibility of their moving in together.

Alan really loved Paula, and he didn't want to ruin their relationship because of his fears, so he came to therapy. During the first few months of therapy, Alan learned ways to cope with his panic so that he didn't act on it and end his relationship with Paula due to his fear. At that point, Alan actually enjoyed therapy. But when his therapist began exploring Alan's childhood issues in a highly dysfunctional family, Alan began thinking about leaving treatment.

Even though Alan knew that his life long relationship issues were related to his feeling abandoned as a child, when it came time to deal with this issue in treatment, he became frightened. At that point, he began cancelling therapy sessions or coming to his therapy sessions late so that there wasn't enough time to delve into these issues. He didn't realize that this is what he was doing. He always thought that his cancellations and latenesses were legitimate and unrelated to his feelings about what he and his therapists were talking about.

When his therapist spoke to him about his cancellations and latenesses as it related to what they were working on, Alan couldn't see the connection at first. He couldn't see that he was sabotaging his own treatment. So that, with so many cancellations and short sessions, the therapeutic work began to stall, and Alan and his therapist reached an impasse in treatment.

In order to have good treatment, clients need to come to their sessions on a regular basis. When a client misses too many sessions or comes to sessions late, the client can bring about the treatment impasse. A skilled therapist can point this out to a client, but if a client is unable or unwilling to see this, the client can end up sabotaging the treatment--often in the same way that he or she sabotages personal relationships.

While this was happening, Alan thought about leaving his therapist a voicemail message or sending an email that he thought treatment wasn't working and he was leaving. But Paula convinced him that this wasn't the way to end a therapeutic relationship and it would be better to talk to his therapist in person.

So, reluctantly, Alan came into his next session and told his therapist that he wanted to leave treatment. His therapist was able to reflect back to Alan just how anxious he had become once they began talking about his childhood. She also told him that this was not unusual.

When Alan heard this, he was able to relax a little and think back as to when he began cancelling sessions and coming in late. He realized that it coincided with talking about when his mother disappeared from the family household. His mother left when Alan was four, and Alan never saw her again. No one knew of her whereabouts. His father tried to manage as best as he could but, with five children, his father was often overwhelmed, he began drinking excessively, and Alan often felt alone.

When Alan got older, he thought of himself as being "independent" and "not needing anyone." But it was clear to his therapist that this was a pseudo independence. It was a defense against opening up his heart and getting hurt again. Alan had never recognized this before. When his therapist discussed this with him, it resonated with him, and he felt it to be true. He also knew that this was a breakthrough for him in his therapy. So, he decided to stick it out in treatment and not to run because of his fear. Whenever he felt the urge to flee from treatment, he talked about it with his therapist and each time he gained new insights into himself.

He also realized that when he felt fearful in therapy and he was tempted to leave, he was going through a parallel process in his therapy that was similar to how he felt in his relationship with Paula. In addition, he realized that his issues were complicated and treatment would not be brief.

Over time, as Alan continued to explore his childhood issues, he continued to gain new insights into why getting close to Paula was frightening for him. Rather than fleeing from his relationship with Paula or fleeing from his therapist, he learned to stay in these relationships and to manage his anxiety while he worked through his problems.

If You're Thinking About Leaving Treatment, Talk to Your Psychotherapist in Person:
Many clients feel too uncomfortable about talking to their therapists in person about leaving treatment. They will often leave a voicemail message or send an email. But when clients leave treatment in this way, they are short changing themselves and the treatment process (see my article: How to Talk to Your Therapist If Something is Bothering You About Your Therapy).

It's worthwhile to remember that the therapeutic relationship between a client and a therapist is still a relationship, albeit a professional relationship. You owe it to yourself and the treatment to talk to your therapist in person if you want to leave treatment or you're thinking about it.

Clients who leave voicemail messages or send emails to end treatment often regret it afterwards. Even if there are legitimate reasons to leave treatment, they've had no closure to the relationship. And it's not surprising that these same clients do similar things in their personal relationships by avoiding direct communication with people in their lives when there are unpleasant or uncomfortable things to talk about.

I hope this article has been helpful to you or someone that you know who might be thinking about leaving psychotherapy treatment prematurely. There are many other reasons why clients leave treatment prematurely, but the issues that I've discussed above tend to be the most common reasons.

About Me
I am a licensed NYC psychotherapist, hypnotherapist EMDR and Somatic Experiencing therapist.  

I work with individual adults and couples.

To find out more about me, visit my website:  Josephine Ferraro, LCSW - NYC Psychotherapist

To set up a consultation, call me at (917) 742-2624 during regular business hours or email me.

Also, see article:  Returning to Therapy


Sunday, April 11, 2010

Falling In Love with "Mr. Wrong" Over and Over Again

The title of this blog post could easily have been "Falling In Love with Ms. Wrong Over and Over Again."

Falling In Love with "Mr. Wrong" Over and Over Again

A Recurring Pattern of Choosing "Mr Wrong" or "Ms. Wrong"
Whether you are a heterosexual man or woman, bisexual, or gay, the pattern is often the same: You leave a relationship where you feel you've been mistreated (or that person leaves you). You vow not to get into another relationship like that again.

Some time goes by. Then, you meet someone new and it's love at first sight again. You're "head over heels" about this person. You go out for a while. Everything seems wonderful at first. Then, gradually, over time, the same pattern emerges.

Falling In Love with "Mr. Wrong" Over and Over Again

After a while, you find yourself wondering how you ended up choosing someone with the same problems as the last person. The relationship ends. You feel disappointed in yourself and very reluctant to meet someone new. After that, you take some time to yourself. Then, you meet someone new that you think is wonderful, and the pattern begins again.

It's not unusual for men and women to begin psychotherapy to find out why they keep falling in love with people who are not right for them. Usually, people come to therapy after they've gone through several cycles of the pattern that I described above. At that point, many people don't trust themselves to enter into another relationship because they're afraid that it will be another disaster. The problem is that they don't want to be alone either, so they're stuck between wanting to have someone special in their lives and being too afraid to open their hearts again.

Why Do People Keep Falling In Love with "Mr. Wrong" or "Ms. Wrong"?
Choosing a partner can be complicated, especially if you grew up in a dysfunctional family. There are so many unconscious feelings that are operating just under the surface when you feel attracted to someone. Often, these unconscious feelings affect your ability to choose someone who is right for you. If you have a pattern of choosing people who are wrong for you, you're probably repeating old patterns from your family of origin without even realizing it.

The following vignette which, as always, is a composite of many different cases with all identifying information changed to protect confidentiality, illustrates how someone continues to repeat the same pattern of falling in love with people who are wrong for her:

Marla:
When Marla began psychotherapy, she had just gone through the most painful breakup of her life. She met Neil at a friend's party. She noticed him immediately from across the room and he was already looking at her. She felt an instant "rush" and attraction before she even talked to him. They began dating shortly afterwards, and Marla fell in love with Neil very quickly. She felt that he was so kind and considerate, so much nicer than any man she had ever been in a relationship with before. All the other men in her life had cheated on her and those relationships ended in disaster.

Falling In Love with "Mr. Wrong" Over and Over Again

She felt this relationship was different. This time, Marla felt that she had met "Mr. Right." Neil was so sensitive to her needs, so attentive to her, not like the other narcissistic men she had been with before who cheated on her. She and Neil also had similar values, and sex between them was very passionate.

Within a couple of months, Neil moved in with her. She said they were both very excited about taking their relationship to the next level. Everything was wonderful at first, according to Marla. They spent all of their free time together and had lots of fun. She had never felt so loved before.

Falling In Love with "Mr. Wrong" Over and Over Again

Then, suddenly, things changed: Neil began spending a lot of time at the office. He said he had critical deadlines that he had to meet. Marla was very understanding at first. But when Neil said he had to start working weekends too, Marla was disappointed because they were hardly spending any time together any more. Even when Neil was home, he was tired, irritable and emotionally distant. He blamed it on his work. Marla missed being close to Neil and the good times they had together.

Falling In Love with "Mr. Wrong" Over and Over Again

One day, Marla tried reaching Neil on his cellphone on a Saturday afternoon when he said he was at work. The call went directly to voicemail, so she tried him at his work number. But he didn't answer that phone either, and that call went to voicemail too. Since the office was not far from their apartment, she decided to go there to surprise him with a picnic basket for lunch. She missed him and she thought it would be a good way for them to spend some time together for an hour or so. But when she got to the office, the security guard told her that no one had gone up to Neil's floor all day. Marla thought there must be some mistake, so the security guard accompanied her to the floor and she saw for herself that the office was locked and lights were out.

Marla walked home slowly, feeling dejected and with a growing sense of unease. She tried Neil a few more times on his cellphone, but her calls continued to go to voicemail. She waited for Neil to come home that night. When he got home, he seemed very preoccupied and emotionally distant. He said he was tired and just wanted to go to sleep.

Marla wasn't sure how to talk to him about the fact that she went to his office and he wasn't there. But she summoned her courage and broached the subject with him. Neil had his back turned towards her at first, but when he heard her words, he whirled around and began shouting at her, "Are you checking up on me!?!"

Marla was very startled by his reaction. She had never seen Neil lose his temper. Before she knew it, she was on the defensive, trying to reassure Neil that she was not checking up on him, that she had only gone to his office to surprise him with a picnic lunch. But he was so angry that he refused to talk or even listen to her. He gathered a few articles of clothing in a hurry and stormed out of the apartment, leaving Marla in tears. He didn't even tell her where he was going or when he would be back.

Marla's head was spinning. She couldn't understand what had just happened. Then, she noticed that Neil had left his cellphone behind. Part of her didn't want to invade Neil's privacy by looking at his phone, but a bigger part of her wanted some answers. So, she looked at the phone and, to her shock and dismay, she found several sexually explicit text messages from another woman and Neil's equally explicit responses to this woman.

Marla felt like she could hardly breathe, but she felt determined now. After she read the text messages, she decided to check his email. She had never known before that his email was password protected. After a few tries, she figured out the password and got into Neil's account. She was heart broken to find dozens of sexually explicit emails to and from several other women, including nude photos of these women and emails making arrangements to meet at hotels during the same times that he had told Marla that he was at work.

All Marla could think at that time was, "Not again. I can't believe this is happening to me again." Every other man that she had ever dated cheated on her. It was the same pattern over and over again. In the past, there were some obvious signs that these other men were "ladies' men." Marla thought she could change each one of them. But it never worked. After several experiences like this, whenever she met a man where there were obvious signs that he cheated, she stayed away. But she thought Neil was different. He had been so kind and attentive to her. She felt like she was in a nightmare and kept hoping she would wake up.

All that night, Marla cried and tossed and turned. She couldn't sleep. She couldn't believe that Neil turned out to be like her other boyfriends. And the worst part was that all of them were just like her father. When she was growing up, she vowed to herself that she would never be like her mother, who passively put up with the father's numerous affairs. But here she was again, back in the same situation.

When Neil came back the next night, Marla felt desperate to talk to him. Even though her rational mind knew that he was cheating on her, she still hoped that he would say something that would make all of this go away. But Neil behaved as if he was the one who was betrayed. He said he could never forgive her for invading his privacy and he was through with her. Once again, Marla found herself on the defensive. She knew that she shouldn't have looked at Neil's text messages and his emails and she acknowledged this to him, but she felt that he also owed her a big explanation about his behavior. Neil refused to talk to her. He just gathered more things and, despite Marla's pleading with him, he left again.

Falling In Love with "Mr. Wrong" Over and Over Again

When Marla came home from work the next day, all of Neil's things were gone. It was obvious that he came during the day while she was out and took all of his belongings. He didn't even leave a note to say good bye. All he left was the apartment key on Marla's dresser. There was no other sign of him in the apartment. It was as if he had never been there. He never returned any of her calls. She waited for him outside his office building, but she never saw him. A couple of weeks later, when she tried to reach him on his cellphone, she got a message that the number was disconnected. And she never heard from him again. When she phoned the friend who had the party where she met Neil, her friend was very sympathetic, but she told Marla that she didn't know Neil well, she had not heard from him since that party, and she didn't know his whereabouts. When Marla called his friends and family, she was shocked that all of them said that they didn't know where he was.

By the time Marla came to therapy to sort everything out, she was at a very low point. She told me that she had gone through bad breakups before, but this was the worst by far. She just couldn't believe this was happening. She also couldn't understand how Neil went from being so kind and loving towards her to cheating on her and freezing her out of his life. She came away feeling that, since she had been in so many relationships where men cheated on her, somehow, it must be her fault. She thought, "Maybe I'm doing something that causes men to cheat on me."

With the help of once-a-week psychotherapy and the emotional support of her friends, Marla began picking up the pieces of her life again. Over time, she realized that she had not done anything to actively cause Neil or the other men to be unfaithful to her. She began to realize that, even though she never wanted to be with a man like her father, unconsciously, she kept choosing the same "Mr. Wrong" who was so much like her father.

It was true that, by the time she met Neil, she had gotten better at not choosing men who were obvious "ladies' men." But her unconsicous mind could still get attracted to a man from across the room who was a not-so-obvious "ladie's man."

This is an interesting phenomenon that occurs to many people with the unconscious mind. It's not only about infidelity. Instead of infidelity, you could also see this same unconscious process happen with regard to alcoholism, domestic violence, people who have problems making a commitment, and so on. It doesn't matter what the particular issue is, the unconscious mind often works in the same way to cause you to feel instantly attracted to "Mr. Wrong" or "Ms. Wrong."

How Does the Unconscious Mind Keep Choosing "Mr. Wrong" or "Ms. Wrong" Over and Over Again?
You might ask, "How could the unconscious mind know, without even talking to someone, that you're choosing the same type of person?" I don't think anyone knows for sure. But I've seen it happen countless times. Somehow, the unconscious mind picks up the nonverbal signals. Some people call it "a vibe." Whatever you call it, it's a common occurrence.

In Marla's case, at that point in her life, if her unconscious mind could talk, it would have said, "There he is! I'm really drawn to him. I must meet him. This time it'll be different. I'll change him." But, more often than not, the person in Marla's shoes doesn't change someone like Neil. What usually happens is that things seem wonderful at first. That heady in love feeling can sometimes cause us to lose our sense of discernment and good judgment. Also, people who engage in infidelity are often good at hiding what they do. Maybe they'll even be faithful for a while but, sooner or later, if they don't get psychological help, they usually go back to their old ways.

It's not that they're "bad people"--they're usually repeating their own old unconscious patterns too. So, the two of you come together in such a way that your unconscious patterns mesh in a dysfunctional way.  It took a while before Marla was able to feel emotionally safe enough to start dating again. We did a lot of family of origin work, and Marla learned to make the emotional connection between 1) her childhood trauma of being with a father who was usually unfaithful and often seemed on the verge of leaving the family for another woman, and 2) the unfaithful men that Marla was choosing as partners who engaged in the same patterns as her father.

Marla also needed to do a fair amount of grief work to work through her childhood trauma related to her father so that she wouldn't continue to repeat this pattern in her adult life.

We also spent a lot of time exploring her pattern of falling in love with "Mr. Wrong." It was a gradual process. She learned to take her time to get to know new men in her life. In addition to seeing the problem signs with new people, she also learned to recognize her own internal cues, especially if she felt that someone was immediately very compelling to her when she first met him. At first, she was afraid that she would be relegated to having only "dull" relationships because the heady feeling was missing. But, gradually, she learned not to go for the big, immediate emotional "rush." She learned to get to know men over time and not to get into a committed relationship before she knew a man well.

When she finally met a new man that she really liked, she was a little disappointed at first that she was not "head over heels" immediately. She missed that feeling. But she also knew that the immediate "head over heels" feeling had gotten her into trouble every single time. As she got to know this new man, Steven, her feelings for him deepened over time. By the time, they decided to move in together a year later, she experienced a deep, mature love that she had never felt before. She also felt confident that Steven was someone that she could trust and, over time, this turned out to be true.

Getting Help in Therapy
If you find yourself continually choosing partners who are not right for you and you don't understand why this continues to happen over and over again, you could benefit from working with a licensed psychotherapist who has experience in this area.

It is possible to make healthier relationship choices for yourself if you are committed to doing the work in psychotherapy.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, AEDP, EMDR,  Somatic Experiencing and Sex Therapist who works with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist

To set up a consultation, call me at (917) 742-2624 during business hours or email me.





Friday, April 9, 2010

You Feel Mistreated, But You're Not Communicating How You Feel

Over the years, as a psychotherapist in New York City, I've seen many clients in my psychotherapy private practice who come to me to talk about how they feel mistreated by others, including spouses, children, other family members, bosses or coworkers:

"My husband takes for granted that I'll do everything in the house."

"My children don't listen to me and do whatever they want."

"My wife ran up my credit card again and now I'll have to pay it because she doesn't work."

"My boss expects me to work overtime everyday, even though he knows I have a family."

As I listen to clients talk about how they feel mistreated, I also listen to how they handle these situations and what unintentional mixed messages they might be giving to the people they feel are mistreating them.

You Feel Mistreated, But You're Not Communicating How You Feel


Ideally, in a perfect world, everyone would follow the Golden Rule and we would all treat each other the way that we want to be treated. 

But we live in an imperfect world and, at some point, someone is going to hurt your feelings, cross a personal boundary or do something that you don't like. Does that make it right? No. But when we're talking about a dynamic between two or more people, we need to look at our own behavior in these situations and how our behavior is affecting the situation:
  • Are we setting appropriate boundaries with others?
  • If someone has done something that we don't like, do we let him or her know in a tactful way?
  • Are we able to assert ourselves appropriately in these situations?
  • Are we telling them one thing, but secretly hoping that they will know how we really feel without our telling them?
If we're not communicating how we feel, we might be giving the other person the unintentional mixed message that it's okay to mistreat us.

The following vignette is a composite scenario of various cases with all identifying information changed to protect confidentiality:

Jessica:
When Jessica began coming to psychotherapy sessions, she said she felt mistreated by her husband, her children and her boss. When she was growing up, she also felt taken advantage of by her parents.

She often felt sad and exhausted by the demands she felt others were placing on her. She talked about how her husband expected her to watch the children every Sunday while he went off to play golf with his friends. She also said that her teenage children didn't listen to her when she told them to clean their rooms. In addition, she felt that her boss loaded her down with his work, on top of her own work, and she often had to work long, tiring hours. She felt that no matter how hard and long she worked, the work was never done.

When we explored Jessica's family history, she told me that her parents expected her, as a child of nine or 10, to take care of the younger children while they went out to have fun. This happened a lot. She said she never felt that she was allowed to be a child herself because she had to help her parents take care of her six younger siblings and the work seemed never ending.

When we looked at the various situations where, as an adult, Jessica felt taken advantage of, it was interesting to explore how Jessica handled them. It turned out, much to Jessica's surprise, without realizing it, she was actually encouraging the very situations that she said she didn't want.

For instance, when we explored the dynamic between Jessica and her husband, she actually encouraged him to go play golf every Sunday and offered to take care of the children. But she secretly hoped that he would figure out on his own, without her telling him, that she really wanted a break most Sundays and would have preferred that he stayed home to help her. Not only was she not telling him how she really felt--she was telling him to go and not to worry about her.

As we looked at this situation, it was very surprising to Jessica. She realized that she was repeating an old pattern that began with her parents. That small child in her internal emotional world that felt taken advantage of by her parents was recreating the old scenario with her husband, but hoping for a different outcome this time. That part of her that was the small child secretly hoped that, without being told, her husband would see how she really felt. All of this was totally unconscious on Jessica's part.

Once Jessica realized what she was doing with her husband, she also realized that she was doing the same thing with her children and her boss. She realized that she asked her teens to clean their rooms, but she also gave them mixed messages by going ahead and doing it herself--and then feeling resentful about it. She wanted them to see how tired she was, without her telling them, so that they'd clean their rooms themselves. What she said and what she did were two very different things, and this created mixed messages.

At work, Jessica continually asked to help her boss. She never told him that she felt exhausted by her own workload--let alone taking on his work. But when she asked him for his work and he gave it to her, she felt resentful that he didn't see how tired she was. Once again, the small child in her internal world who felt mistreated as a child was hoping to be discovered and seen in a way that Jessica was not seen when she was younger.

It took a lot of hard work and practice but, over time, Jessica learned to assert herself in these situations. It was difficult for her at first, and sometimes she continued to give mixed messages. But as she worked in her psychotherapy sessions on her family of origin issues and we dealt with her inner child, who really was not seen when Jessica was younger, Jessica learned to say what she felt as an adult. And she learned to do it in a tactful way. She no longer kept her real feelings to herself hoping that others would see, without being told, what she really felt.

This was all new for Jessica. It was also new for her family and her boss, so they had to adjust to this new way of interacting with Jessica. But, overall, it worked out well.

It's important to remember that interpersonal dynamics involve two or more people. While the other people in the situation might not be emotionally attuned to how you feel, you might also be giving mixed messages without realizing it. Often, these mixed messages have to do with earlier unresolved issues from childhood that are operating in the situation without your awareness.

So, if you're feeling mistreated in a situation, before you blame the other person for it completely, it's worthwhile to look at what mixed messages you might be giving to the other person. And ask yourself if there might be a part of you, perhaps a younger inner child, who is secretly hoping to be discovered, seen and heard without your letting the other person know how you really feel. This doesn't take the other person off the hook for his or her behavior, but we can't control other people's behavior. We can only control our own.

Getting Help in Therapy
If you continually find yourself in situations where you feel mistreated or taken advantage of, it might be worthwhile for you to explore these issues in psychotherapy with a licensed psychotherapist.

About Me
I am a licensed psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.