Letting Go of Hope That is Based on Denial

Being hopeful and optimistic can improve your mood, your outlook on your personal life and the world around you.  But when hope is based on denial, this can only lead to disappointment and disillusionment.

Letting Go of Hope That is Based on Denial

For instance, it can be challenging to allow yourself to know when you're in an unhealthy relationship that isn't going to change.  This is especially difficult when you really love someone and you want things to work out between you.

You naturally want to give the person you're with and the relationship every chance to improve.  But after a certain point, you probably know deep down that things aren't going to change and you're just avoiding the inevitable (see my article: Wishful Thinking Often Leads to Poor Relationship Choices).

The first step to overcoming this problem, especially if this is a pattern for you, is to become aware that you're avoiding seeing the situation objectively.  If you're having difficulty doing this on your own, a trusted friend or family member might be helpful (see my article: Letting Go of Unrealistic Fantasies of a Happy Future in an Unhappy Relationship).

If you continue to avoid dealing with the situation even with the help of loved ones, you could benefit from seeking help in psychotherapy where an objective mental health professional can help you to see what you can't or won't see.

Once you have admitted to yourself that you're in denial about an unhealthy relationship that isn't going to change, your psychotherapist can help you to understand how your current situation might be based on earlier experiences so you can understand why holding on has become so compelling to you.

Having this understanding doesn't resolve your problems, but it helps you to have more self compassion rather than beating yourself up or feeling ashamed.

Then, when you're ready, your psychotherapist can help you to take the necessary steps to get out of a situation where you have been stuck and help you deal with the emotional aftermath (see my article: Overcoming the Heartbreak of a Breakup).

A Fictional Clinical Vignette: Letting Go of Hope That is Based on Denial
The following fictional clinical vignette illustrates how a skilled psychotherapist can help you to overcome your denial about an unhealthy relationship:

Amy
Prior to starting psychotherapy, Amy frequently spoke to her close friends over the course of her two year relationship to get advice.  Her friends gave her the same consistent message:  Her boyfriend was mistreating her and, by staying in her relationship, she wasn't taking care of herself.

Amy had spoken to her friends so many times that she knew they were getting tired of hearing from her about the same problems, especially since she would come to them when she was upset about her relationship with Jim, listen to their advice and then disregard what they had to say.  It had become a self destructive cycle, and Amy knew that she needed help.

She told her psychotherapist that she was happy in her relationship with Jim during the first few months, but shortly after that, he became verbally abusive with her when he was drunk.  She said that Jim said mean and hurtful things to her that he didn't remember when he was sober.

When she confronted him about his hurtful comments to her when he was sober, he would apologize and promise her that it wouldn't happen again.  But these incidents were becoming more frequent as he got drunk more often, and he refused to get help.

There was an incident where Jim got drunk and verbally abusive with Amy during a visit to see Amy's family.  Afterwards, Amy's parents told her that she was welcome to come see them, but they didn't want Jim in their home again.

Amy's friends also told her that they didn't like being around Jim when he was verbally abusive with her, and they told her that they would be willing to get together with her, but they didn't want to be around Jim.

Over time, Amy felt more and more caught between Jim and her loved ones.  He was also offended that her family and friends didn't want him around.

Although, on some level, Amy understood her loved ones' reactions to Jim, she also resented her them because she felt they were putting her in a difficult situation. This was another area where Amy was in denial and she was unable to see that they weren't the ones who were putting her in a difficult situation--she was making a choice to be with Jim, despite his verbal abuse, and she didn't see how her choice affected her relationships.

If she spent time with friends or family and she didn't include Jim, he would get angry with her.
From his perspective, she was siding with other people over him. If she tried to convince her loved ones to include Jim, she ended up getting into arguments with them because they were adamant that they didn't want him around.

By the time Amy came to therapy, she said she didn't know what to do.  On the one hand, she loved Jim and she didn't want to leave him.  But being with him meant limiting her time with friends and family because they didn't want him around and he didn't like that he wasn't included.  On the other hand, she could see that his drinking and his behavior were getting worse, and he adamantly refused to get help.

Amy's psychotherapist could see that, as things stood, Amy was in denial about the severity of her problems related to Jim and she was staying in this relationship at a significant cost to her personal well-being and her social support network.  But her therapist also knew that Amy hoped that the problem would somehow get better on it's own, so Amy wasn't ready to let go of the relationship.

Her psychotherapist also sensed that the root to Amy's problems was deeper than the current situation, which is why Amy was having such a problem acknowledging what everyone else could see and why she remained in denial.

Amy talked in therapy about wanting to "be there" for Jim and hoping that she would one day be able to convince him to get help.  She felt that if she left him, she would be abandoning him when he was at a low point and she couldn't do this (see my article: Overcoming Codependency: Taking Care of Yourself First).

As Amy and her therapist continued to explore her current situation, her therapist asked Amy if she had ever felt this way before.  In response, Amy thought about her therapist's question, and she said that when she was younger, her paternal grandfather lived with the family and he had a serious drinking problem.

When he was sober, he was a kind, gentle man.  But when he was drunk, he was mean and nasty.  Unfortunately, his drinking progressed and he refused to get help.  Her parents, who were fed up, asked the grandfather to leave the household, which upset Amy.  She was afraid that if her grandfather was on his own, his problems would get worse.

So, even though she was only 17 at the time, Amy took the problem on her shoulders and decided that it was up to her to help her grandfather.  In hindsight, Amy realized that her grandfather only gave lip service to getting into alcohol treatment.  But at the time, she took him at his word and she was relieved.

A few weeks after her grandfather agreed to get help but failed to do so, he had an alcohol-related stroke, and he never recovered.  Amy explained to her psychotherapist that this was a devastating experience for her, and she blamed herself for not convincing her grandfather to get help earlier.

Until Amy discussed this with her psychotherapist, she never made the connection between how she reacted to her grandfather's problems and how she related to Jim's problems.  After she saw the connection, she was stunned, and it was the subject of the next several psychotherapy sessions.

At her current age of 32, Amy was able to look back on her experiences with her grandfather when she was 17, and she saw that she had been naive and in denial all along about her grandfather's problems and his willingness to get help. She also saw that she couldn't possibly be responsible for her grandfather at 17 or at any age.  This was the beginning of Amy developing insight into her current problems.

After that, two new incidents with Jim were pivotal in Amy's decision-making process.  The first incident occurred when Jim was arrested for drunk driving and his license was revoked.  At first, Amy couldn't understand why his license was revoked and not temporarily suspended, but then he revealed what he had never told her before--he had several arrests in the past for drunk driving that he was too ashamed to tell her about.

The second incident occurred shortly after Jim's arrest when he tried to reach Amy at work while he was drunk.  When he was unable to reach Amy directly, he became verbally abusive with the receptionist, who put the director on the phone.  In his drunken state, Jim cursed the director and threatened him.

Later that day, when the director called Amy into his office, he told her what happened and she was humiliated.  He told her that he was concerned for her and asked her if she wanted him to give her information about the company's employee assistance program so she could get help for herself. She told him that she was already in therapy and would speak with her psychotherapist about what happened.

Amy spoke about these two incidents with her therapist.  She realized that she couldn't remain with Jim anymore.  She would need to ask him to leave her apartment.  But this was very difficult for her because it was so similar to the situation with her grandfather when her parents wanted him to leave their home.

Amy talked to her psychotherapist about her dilemma.  Her psychotherapist recommended that they use EMDR therapy to work through the current situation and the original trauma related to her grandfather (see my article: Experiential Therapy, Like EMDR Therapy, Helps to Achieve Emotional Breakthroughs).

As they began using EMDR, Amy began letting go of any false hope that she had been holding onto, and she eventually told Jim to leave.

Once Amy was out of the relationship, she was able to see clearly how deep her denial had been.  Along with dealing with the aftermath of the breakup and the loss of her grandfather in therapy, she also dealt with the shame she felt for remaining in a verbally abusive relationship with someone who was unwilling and/or unable to change.

Therapy was neither quick nor easy, but Amy felt herself gradually becoming more confident that she made the right decision by ending her relationship with Jim, and she deserved to be treated better in her next relationship.

Getting Help in Therapy
Letting go of hope that's based on denial is challenging.  The current problem often has roots in earlier problems.

Loved ones might see clearly what you're not allowing yourself to see, even though you might know on some level that you're in an unhealthy situation.

What often happens is that loved ones get tired of hearing you complain and might ask you to stop talking to them about your problems.  This can damage your relationships with friends and family, and you might feel ashamed.

Rather than suffering on your own, you owe to yourself to get help from a licensed mental health professional (see my article: The Benefits of Psychotherapy).

Although a psychotherapist won't tell you what to do, a skilled therapist can help you to deal with your denial, make connections to earlier experiences and assist you to take the necessary steps for your own well-being (see my article: How to Choose a Psychotherapist).

Once you're free from an unhealthy situation, you can work on restoring your self esteem in therapy and reconnecting with family and friends.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples, and I have helped many clients to work through difficult problems so they can live more fulfilling lives.

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.

Feeling Alive Again After a Period of Stagnation

In Elizabeth Strout's book, Olive Kitteridge, one of the characters named Harmon has a realization that he is feeling alive again after a long period of emotional stagnation (see my article: Recapturing a Sense of Aliveness).

Feeling Alive Again After a Period of Time

His realization happens one day when an older customer, Bessie, comes into his store and she tells him how lonely she feels.  The author describes Harmon's awakening experience as "some skin that had stood between himself and the world seemed to have been ripped away, and everything was close, and frightening."

It seems that Harmon's empathy for Bessie's loneliness touched him deeply.  After he overcomes his anxiety, he realized that he needed to make certain major life decisions (I don't want to give away the specifics because the book is worthy reading without having any spoilers from me).

As a psychotherapist, I have seen this type of awakening many times, and Elizabeth Stout gives a sensitive, insightful and realistic portrayal of how people often come to this realization.

Feeling Alive Again After a Period of Stagnation

Similar to Harmon's experience, people often realize retrospectively that they're feeling alive again.  This realization can come from simple experiences, like being able to listen to music again after a period of not being able to tolerate hearing certain music or feeling like dancing again or the experience of falling in love again.

Feeling Alive Again After a Period of Stagnation

The renewed feeling of aliveness, however it happens, is a reminder of what aliveness feels like.  For people who haven't had this sense of aliveness before, it's a new experience of how vibrant life can feel.

In retrospect, people who recapture a sense of aliveness often say that they remember feeling alive before a period of stagnation set in.

Often hard to describe, a feeling of aliveness is usually an integrated mind-body experience that can also feel transcendent.

Getting Help in Therapy
People often come to therapy because they feel that, somewhere along the way, they lost their zest for life and they want to capture a sense of aliveness again (see my article: The Benefits of Psychotherapy).

Somatic Experiencing can help people to feel alive again (see my article:Why Experiential Psychotherapy is Often More Effective Than Regular Talk Therapy).

Rather than struggling on your own, you could get help from a psychotherapist who is an experiential therapist and who uses Somatic Experiencing (see my articles: How to Choose a Psychotherapist).

Feeling alive again makes life much more meaningful and fulfilling.

About Me
I am a New York psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist (see my article:  The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples, and I have helped many clients to recapture a sense of aliveness.

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.

Movies: Lou Andreas Salome - The Audacity to Be Free

Lou Andreas Salome, who was born in 1861 in St. Petersburg, Russia, became one of the few women psychoanalysts in Sigmund Freud's inner circle.

Movies: Lou Andreas Salome - The Audacity to Be Free*

At a relatively young age, she was known for being an intellectual with unconventional ideas for her time.  Throughout her life, she had many intellectual pursuits, including psychoanalysis, and she prized her freedom and spoke up for what she believed in, which was unusual for women in her day.

The movie, Lou Andreas Salome - The Audacity to Be Free, traces her life from early childhood until old age.  Although the title of the movie emphasizes Salome's lifelong pursuit of individual freedom and creativity, it actually focuses on her role as a muse to various famous men in her life, including Rainer Maria Rilke and Friedrich Nietzsche and less on her accomplishments, which were many.

The movie focuses only briefly on her accomplishments as a psychoanalyst during the early days of psychoanalysis and her relationship with Sigmund Freud.  As a psychotherapist who is psychoanalytically trained, I would have liked more of an emphasis on her life as a psychoanalyst, especially considering that a career in psychoanalysis in her day was mostly pursued by men.

In many ways, Salome was ahead of her time with regard to understanding the importance of culture, which we take for granted now.  But in her time, the focus in psychoanalysis was on the patient's inner world, the Oedipus Complex and Freud's psychosexual model of psychoanalysis.

It's unfortunate that such an outstanding psychoanalyst, who was well-known and highly regarded internationally in her time, has been all but forgotten these days, except in some psychoanalytic circles and, even there, her books and papers go mostly unread.

Even though the movie focuses mostly on her personal relationships with men, hopefully, it will arouse curiosity about this accomplished woman who was ahead of her time.

For a more comprehensive understanding of Lou Andreas Salome, I recommend Julia Vickers' book, Lou von Salome: A Biography of the Woman Who Inspired Freud, Nietzsche and Rilke.  Although the title emphasizes her role as a muse to some of the most famous men of her time, it also gives an in-depth exploration of her childhood background, how her background influenced her lifelong intellectual pursuits, her accomplishments, and her need for freedom and equality as a woman.

Salome also wrote her own memoir called Looking Back: Memoirs where she gives her own account of her life.  This book is more of a meditation on her life than a chronological account of her life history.

There is also a book, Salome: Her Life and Her Work by Angela Livingstone, that provides a more of a history of Salome's life.

It's important to remember women psychoanalysts like Lou Andreas Salome and Karen Horney for the important contributions that they made to psychoanalysis and psychotherapy in general.

Getting Help in Therapy
If you have been feeling overwhelmed by your problems, you're not alone.  Help is available in psychotherapy (see my article: The Benefits of Psychotherapy).

Working through your problems in psychotherapy can free you from your traumatic history and allow you to live a more meaningful and fulfilling life (see my article: How to Choose a Psychotherapist).

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

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.


*Photo Credit: Shutterstock: A romantic Slavic woman in vintage dress (this is not Lou Andreas Salome).

Rediscovering in Psychotherapy What You Thought Didn't Exist

Psychotherapy often provides clients with an opportunity to rediscover in therapy what they thought didn't exist in their lives.  This is especially true in experiential therapy, like Somatic Experiencing, EMDR (Eye Movement Desensitization and Processing) therapy, and clinical hypnosis (see my articles: How EMDR Therapy Works: EMDR and the Brain, What is Adjunctive EMDR Therapy? and Overcoming Trauma With Somatic Experiencing).

Rediscovering in Psychotherapy What You Thought Didn't Exist

Clients who come to therapy to work on unresolved traumatic experiences are, understandably, focused on the negative experiences they had, especially if those traumatic experiences go back to childhood.

But in experiential psychotherapy, they often rediscover that there were also positive, life affirming experiences that they have forgotten because of the preponderance of traumatic experiences that overshadowed everything else.

Rediscovering these positive experiences doesn't negate the traumatic experiences that need to be resolved in therapy.  But it gives clients a broader perspective of their lives.  It can also help them to see that they have internal resources that they didn't know they had.

As a psychotherapist, I have been delighted to witness this experience many times with clients in therapy.  Often in the mist of processing a traumatic memory, a client will suddenly remember that there was someone who did something that helped him or her at that time--whether it was a teacher, mentor, a relative or a friend. Or they will remember a transformative experience that helped them while they were enduring the trauma.  When a client has forgotten these positive memories, the rediscovery of them in therapy can be an epiphany.

These rediscovered positive memories aren't necessarily dramatic experiences, but their rediscovery often leads to advances in the processing of the traumatic memories.

Fictional Clinical Vignette

The following fictional clinical vignette illustrates the healing effect of rediscovering positive memories within the context of processing traumatic memories:

Sandy

After a particularly difficult family visit, Sandy began psychotherapy to deal with longstanding unresolved trauma related to her childhood experiences in her family and the emotional triggers that were set off by the last family visit (see my article: Why Is It That It's Often the Healthiest Person in a Dysfunctional Family Who Seeks Help in Therapy?).

She explained to her psychotherapist that she had a contentious relationship with her parents from an early age.  She said parents often belittled her and physically abused her when she was a child, which resulted in her low self esteem and anxiety.

Rediscovering in Psychotherapy What You Thought Didn't Exist

Since moving to New York City, Sandy limited her contact with her parents because their interactions were still contentious.  But, generally, she went home a couple of times a year during the holidays to try to maintain some type of connection with them, even though these visits often left her feeling disappointed and hurt.

During the holidays in 2016, she went to visit her parents for Christmas, and she found this visit to be the most challenging of all.

She and her parents never agreed on politics, and she tended to stay away from political conversations because she knew they would lead to arguments.  But, on the first day of her visit, her parents were so elated that their candidate won the presidential election that they could barely talk about anything else to Sandy, who voted for the candidate who lost (see my article: How to Cope With Difficult Family Get-Togethers).

Sandy was already reeling from the results of the presidential election, and she wasn't prepared to deal with the usual tension in her relationship with her parents as well as hearing them gloat about the election.  Tactfully, she suggested that they change the subject because it was upsetting to her.  But, as usual, her parents paid no attention to her feelings and her mother told her that she was being "too sensitive" and a "spoiled sport."

Sandy told her therapist that hearing those two phrases triggered childhood memories when both of her parents tended to disregard her feelings by telling her that she was "too sensitive" and a "spoiled sport" (see my article: How to Cope With Getting Emotionally Triggered During Family Visits).

Even though she was an adult, she said she felt like she was a helpless child again in her family home where she could neither fight back nor flee. As a child, she would stay in her room and fantasize about the day that she would be old enough to move out.  When she graduated high school, she was relieved to go away to college, and she never moved back into the family home.  

During the family visit that occurred shortly after the presidential election, Sandy told her parents that  if they didn't stop talking about the election, she would leave.  In response, they were dismissive and continued to disregard her feelings, so she packed her things and took a cab to the airport where she spent the Christmas holiday waiting to get a flight back to New York City.

She told her psychotherapist that it was a miserable Christmas for her.  But she felt she had to take care of herself by doing what she was unable to do when she was a child--leave her parents' home.  She explained that since that visit, she was flooded by childhood memories of her mother hitting her with a belt and her father taunting her for being "a crybaby."

That's when she decided that, in addition to coping with her current problems with her parents, she needed to work through her traumatic childhood memories so these memories wouldn't continue to get triggered.

Over the next several sessions, after Sandy and her psychotherapist talked about her family history and did the preparation work for trauma therapy, they began trauma therapy using a combination of Somatic Experiencing and EMDR therapy to work on past trauma as well as current difficulties with her family (see my article: Integrating EMDR Therapy and Somatic Experiencing).

During the trauma therapy, Sandy told her psychotherapist that her childhood was one long, bleak, lonely experience with no one to help her.  Not only was she an only child, but she had little contact with other relatives, who lived out of state.  Since her parents didn't allow her to invite friends over or to go to friend's homes, Sandy often felt lonely and unlovable as a child (see my article: Overcoming the Emotional Pain of Feeling Unlovable).

Then, one day in therapy, after they did several sets of EMDR, Sandy suddenly remembered a high school teacher, Ms. Scott, who took Sandy under her wing.  She spent time with Sandy after class and encouraged her to open her mind to possibilities beyond their town, including applying to out of state colleges (see my article: How One Person Can Make a Difference in a Traumatized Child's Life).

Sandy was moved in her therapy session by remembering the impact of her former high school teacher, "How could I have forgotten how much Ms. Scott helped me?"

She said that if it had not been for the encouragement of Ms. Scott, she probably would have never applied to colleges--much less colleges out of state--because her parents didn't believe it was necessary for her to go to college.  They told her that what was most important was for her to get a job, any job, so she could contribute to the household.

Ms. Scott helped Sandy to see that a whole new world was waiting for her.   And, when Sandy's parents refused to help her with the college application process, Ms. Scott helped her with that process as well as the financial aid process when Sandy was accepted into a college in New York City.

Sandy's psychotherapist noticed how Sandy's face lit up and how alive she seemed after she remembered Ms. Scott, so they used these experiences as internal resources to help Sandy through the processing of the trauma.

Sandy said that she had forgotten how kind and generous Ms. Scott was to her.  Looking back now on those memories, she realized that there was someone who made her feel she was worthwhile and lovable at that time.  Recapturing those feelings facilitated the processing of the past trauma as well as the current difficulties with her family.

Soon after that, Sandy contacted Ms. Scott, who had since retired but who continued to live in the same town.  Ms. Scott, who now asked Sandy to call her Betty, was delighted to hear from Sandy and they planned to get together for lunch during Betty's next visit to New York City.

Conclusion

A long history of trauma can overshadow positive experiences in a person's memory.  But experiential psychotherapy can create the therapeutic environment that leads to the rediscovery of positive, life affirming experiences even in a traumatic childhood.  The rediscovery of these memories can facilitate the processing of traumatic memories.

Getting Help in Therapy

Unresolved traumatic memories often get triggered by current experiences, which is why it's so important to work through the unresolved trauma (see my article: The Benefits of Psychotherapy).

Experiential therapy, like EMDR, Somatic Experiencing and clinical hypnosis, is usually more effective than regular talk therapy to process trauma (see my article: Why Experiential Psychotherapy is More Effective to Overcome Trauma Than Talk Therapy Alone).

Along the way, it's not unusual for clients in trauma therapy to rediscover people and experiences that they forgot about who were helpful to them in the past.  Combined with trauma therapy, those past positive memories can provide the client with the much needed internal resources to work through the trauma.  

Rather than continuing to get triggered, you owe it to yourself to get the help you need from a skilled trauma therapist (see my article: How to Choose a Psychotherapist).

Once you have worked through unresolved trauma, you can live a more fulfilling life.

About Me

I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples, and I have helped many clients to overcome unresolved trauma.

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.

Understanding Internal and External Psychological Defense Mechanisms - Part 2

In a prior article, I began a discussion by describing internal and external psychological defense mechanisms.  To illustrate the points that I made in that article, I'm providing a fictional clinical vignette:

Fictional Clinical Vignette: Understanding Internal and External Psychological Defense Mechanisms
The defense mechanisms in the following fictional vignette will be identified and italicized in parenthesis to make it easier for the reader to identify (to see a full list of defense mechanisms, click on this link for the prior article):

Ted
After his girlfriend threatened to end their relationship if Ted didn't get help in therapy, Ted contacted a psychotherapist and reluctantly began psychotherapy.

Understanding Internal and External Psychological Defense Mechanisms

Ted explained to his psychotherapist that his girlfriend of two years, Amy, told him that he was too defensive and this was causing problems in their relationship.  He said that Amy indicated that she felt frustrated with him because he couldn't admit when his behavior caused problems between them.

His psychotherapist noticed that as he talked to her, Ted frequently looked away as if he was uncomfortable (non-verbal tactical defense mechanism: lack of eye contact).  He also spoke about his problems in the relationship in a vague way so that she would need to ask him to be more specific (verbal - tactical defense mechanism: vagueness).

She also noticed that Ted was sitting slumped with his arms folded across his chest and with legs crossed looking uncomfortable (non-verbal tactical defense mechanism: posture and body language).

Since Ted was only talking about what Amy thought were the problems in the relationship, the psychotherapist asked him about his opinions.  In response, after thinking about it for a minute or so, he responded by saying in a sarcastic tone, "I think things are perfect between us. (verbal - tactical defense mechanism: sarcasm).

Then, when he saw that the therapist was still waiting for his answer, he cleared his throat and said, "I'm just kidding.  Of course, I think we have problems, and I acknowledge that I can be defensive, but I think she's too hard on me" (verbal - tactical: dismissive/blaming).

Seeing that Ted was uncomfortable and highly defended, the psychotherapist realized that this was probably what Amy was dealing with in their relationship.  So, with much empathy, she decided to tactfully bring up Ted's discomfort and defensiveness in the session with her.

"I know it's difficult to begin therapy, especially during the first few sessions before you're comfortable with me.  I wonder if you've noticed that your defensiveness as we are talking," she said.

At first, Ted denied being defensive (regressive - intrapsychic: denial), so his psychotherapist pointed out the defense mechanisms that he had used so far in the therapy session at the same time that she reiterated that she understood that it's difficult to talk to a stranger about personal problems.

Ted thought about what the psychotherapist said, and he responded by beginning to talk about something unrelated to what they were discussing (verbal - tactical: changing the subject).

His therapist responded by bringing Ted back to the issue that they had been discussing and telling him that she thought it would help him to use the therapy sessions to begin to become aware of his defensive behavior.

When she asked him if he wanted the dynamic between him and Amy to improve or if he was ready to allow the relationship to end, Ted looked at her directly and said, "I don't want to lose Amy.  That's why I'm here.  I know I've been screwing up in our relationship.  It's just hard to face it."

His psychotherapist acknowledged that change is hard, especially if Ted's defensive behavior was an emotional survival strategy he learned to survive when he was younger.  In response, Ted acknowledged that he had a hard time in his family when he was growing up because both of his parents were perfectionists and he was made to feel ashamed when he made a mistake.

Over the next few sessions, the psychotherapist helped Ted to appreciate how important it was for him to use an emotional survival strategy when he was younger because it was the only way he knew how to survive with punitive parents, but that same survival strategy, defensive behavior, was no longer working for him as an adult.  In fact, she said, it's causing problems for him.

Gradually, Ted became more aware of how often he used defense mechanisms to ward off his uncomfortable feelings in the therapy sessions.  This helped him to bring that awareness to his relationship as well, so he was less defensive.

As Ted became more comfortable with his therapist over time, they worked on his unresolved childhood trauma that was at the root of his defensive behavior.  There were still times when he occasionally engaged in defensive behavior, but when he did, he was aware of it and acknowledged it to his therapist and to Amy.

Over time, Ted felt more comfortable being open with Amy and so he was less defensive.  He was able to communicate in an honest way about his feelings without being afraid that there would be the kind of repercussions that he experienced when he was a child.

Conclusion
Defense mechanisms are usually a life-saving emotional survival strategy when children are in an abusive and/or neglectful home and they have no other options.  These defense mechanisms help to ward off emotions that would have been overwhelming to a child.

But when that child becomes an adult, a propensity for defensive behavior causes problems.  The adult needs to first become aware of his defensive behavior and then learn new ways of relating and communicating.  If he has unresolved childhood trauma, he and his psychotherapist also need to work on resolving that trauma.

Getting Help in Therapy
Defensive behavior is often unconscious so the the person who engages in it is usually unaware that he is doing so.

A skilled psychotherapist, who is tactful and empathetic, can help a client become aware of his defensive dynamic and help him to learn new ways of relating (see my article: The Benefits of Psychotherapy).

A psychotherapist, who is a trauma therapist, can help the client to work through underlying unresolved trauma that is at the root of the defensive behavior (see my article: How to Choose a Psychotherapist).

If you have been experiencing the negative consequences of defensive behavior, you owe it to yourself to get help in therapy so you can free yourself of this problem.  Once you have learned healthier ways of relating and you have worked through unresolved trauma, you can lead a more meaningful and fulfilling life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples, and I have helped many clients to overcome unresolved trauma.

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.

Understanding Internal and External Psychological Defense Mechanisms - Part 1

I have discussed defense mechanisms in prior articles, including:

• Overcoming Your Fear of Allowing Yourself to Feel Your Sadness

• Seeing Yourself as Being "Rational" vs. Experiencing Shame For Not Being Able to Feel

• Seeing Yourself as "Independent" vs. Feeling Shame For Feeling Like a Burden

Understanding Internal and External Psychological Defense Mechanisms

In this article, I'm beginning a discussion about internal/intrapsychic and external/interpersonal defense mechanisms by identifying them.

In my next article, I'll discuss the consequences of using these defense mechanisms that alienate you from yourself and others.

Generally speaking, defense mechanisms are either directed inward against your own uncomfortable feelings or they are directed outward to avoid closeness or meaningful contact with others.

As I've mentioned in prior articles, defense mechanisms are often perceived as being negative.  But they can be life-saving for a child and living in a home where s/he is being abused or neglected (or both).  They serve as an important emotional survival strategy (also known as defense mechanisms) to keep the child from feeling overwhelmed in a situation where s/he can neither fight nor flee.

But, unfortunately, as that same child becomes an adult, these emotional survival strategies get in the way of having healthy relationships with oneself and others.  In order to maintain emotional distance, the adult ends up paying a high price by staying in a "bubble" (see my article: Emotional Survival Strategies That No Longer Work For You: "I Don't Need Anyone").

If you have been using defense mechanisms extensively in your life, they become so much a part of you that they are difficult for you to see without the help of a psychotherapist.  A skilled psychotherapist can help you to see how these defenses are "protecting" you and, at the same time, how they're also getting in the way of your relationship with yourself and others.

Of course, it's all a matter of degree.  No one would survive emotionally if s/he didn't use defense mechanisms at certain times to a degree.  But defense mechanisms become a problem when they alienate you from yourself and others.  I'll write more about this in my next article.

Common Intrapsychic/Internal Psychological Defense Mechanisms
Intrapsychic/internal defense mechanisms are used between you and your inner world to ward off what would be uncomfortable for you to experience.

These include both repressive and regressive defense mechanisms.

The repressive defense mechanisms serve to hold back uncomfortable feelings, thoughts, fantasies or impulses.

The regressive defense mechanisms are child-like mechanisms that were used at a younger stage in life that are used again as an adult.  These defense mechanisms are usually unconscious and, as previously mentioned, difficult for the individual who uses them to see.

Repressive:

• Intellectualization
• Rationalization
• Worrying
• Rumination
• Minimization
• Displacement
• Reaction Formation
• Ignoring
• Avoidance
• Procrastination
• Externalization
• Distraction
• Self-attacking thoughts
• Addictive Behavior

Regressive:

• Projection
• Denial 
• Acting Out
• Repetition Compulsion
• Imitation
• Identifying with the Aggressor
• Passive-Aggressiveness
• Isolation of Affect
• Somatization

Common Tactical/External Defense Mechanisms
Tactical/external defense mechanisms are character defenses that are used between you and others.  If you habitually use tactical defense mechanisms, they're ingrained in your personality.

In effect, these defense mechanisms provide a wall between you and others to avoid closeness or to keep others at a distance.

Aside from personal relationships, these defense mechanisms are also used unconsciously by many clients in psychotherapy as a way to avoid developing a therapeutic relationship with their psychotherapist.  Since the behavior is unconscious, clients don't realize that they're doing it.  But, at the same time, using these defense mechanisms hampers the work in therapy because a positive outcome in psychotherapy is dependent upon a good working alliance between the client and the psychotherapist.

Like intrapsychic conflicts, these defense mechanisms are usually unconscious so they are difficult for you to detect on your own without help from a psychotherapist.

Verbal:

• Vagueness
• Speaking in generalities
• Contradictory statements
• Sarcasm
• Changing the subject
• Argumentativeness
• Dismissiveness and blaming
• Distancing
• Passivity
• 3rd person speech
• Playing games

Non-verbal:

• Body language
• Physical presence
• Eye contact/lack of eye contact
• Fake smile and laughter
• Weepiness and crying
• Acting out
• Posture
• Voice and tonality
• Speed of talk
• Withdrawal
• Detachment
• Grooming and appearance
• Weight and physical shape

Most people who tend to use defense mechanisms to ward off uncomfortable feelings internally and/or externally to keep others at a distance, don't seek help until they're experiencing significant consequences either within themselves or in their relationships or both.

See my next upcoming article for a continuation of this discussion.

Getting Help in Therapy
If you think your defensiveness causes problems in your life, you could benefit from seeking help in therapy (see my article: The Benefits of Psychotherapy).

A skilled psychotherapist can help you to identify the defense mechanisms that you use either internally and/or externally.  Also, over time, a skilled mental health professional can help you to feel safe enough to relate to yourself and others in a healthier way (see my article: How to Choose a Psychotherapist).

As I mentioned before, defensive behavior is usually longstanding and ingrained by the time you become an adult, so the work in therapy isn't easy or fast.

A psychotherapist can assist you to expand your emotional window of tolerance so you can gradually tolerate emotions that were once too uncomfortable for you.  An expanded window of tolerance can allow you to come out of the "bubble" that you've kept yourself in (see my article: Expanding Your Emotional Window of Tolerance in Psychotherapy).

Once you're free of the kind of defensive behavior that is keeping you alienated from yourself and others, you can live a fuller, more meaningful life.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

One of my specialties is helping clients to overcome developmental and shock trauma.  

I have also helped clients, who used defensive behavior for self alienation as well as alienation from others, to gradually feel safe enough to expand their emotional window of tolerance, so they could change.

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.

Relationships: The Ideal vs. the Real

When people fall in love, they often fall in love with their idealization of their lover rather than the reality. At the beginning of the relationship before they know each others' habits, doubts and fears, each partner tends to see the best in the other and fills in the missing pieces with fantasies of who they want their partner to be.  But after they have been living together or married for a while, the ideal tends to fall away as reality sets in.  There is, inevitably, some disillusionment, but how each partner navigates his or her disappointment often predicts if the relationship will survive and thrive or end.

Relationships: The Ideal vs. the Real

Some people, who become disillusioned, leave the relationship and continue to look for their ideal mate.  Little do they realize that they will probably go through the same experience again with the next person.  For these people, searching for their "soul mate" can become a lifelong quest that is never fulfilled.

Fictional Clinical Vignette: Relationships: The Ideal vs. the Real
The following fictional vignette illustrates how the initial idealization can turn into disappointment and disillusionment and how psychotherapy can help to get to the underlying issues to resolve the problem:

Cassie
After living together for six months, Cassie realized that her boyfriend, Steve, wasn't the person she thought he was when they first met at an outdoor photography class a few months before.

When she first met Steve, Cassie was struck by his good looks, his kindness, humor and intelligence.  From the moment they started talking, she was immediately drawn to him.  She had just gotten out of a one year relationship with another man, who turned out to be a different person from who she thought he was during the first few months together.

After the photography class, over dinner later, they spoke for three hours and continued the conversation the next day for several more hours.  Since their first day together, they spent time together everyday until Steve eventually moved in with Cassie.

She expected there would be things that annoyed her about Steve and that annoyed him about her.  But she didn't expect him to be so different from the person she originally fell in love with.

When she first met him, Steve was living temporarily with a friend because he was new to New York City.  At the time, he was living out of boxes and suitcases, so when he moved into her apartment, Cassie made room for Steve's things in her closets and drawers.  She also made sure to buy things that she knew he would like to eat.  She wanted him to feel comfortable.

But after a few days, Cassie realized that, unlike her, Steve was sloppy.  He left his clothes and things all over the apartment--dirty socks on the floor, newspapers piled up in the living room, his toiletries taking up all the space on the bathroom counter they shared, and puddles of water on the floor after he took a shower.  And the worst thing for Cassie was that he didn't seem to mind living this way.

The first few times, she tried to be tactful when she spoke to him about his sloppiness, hoping that he would be neater.  She didn't want him to feel that her apartment wasn't his place too or that she wanted to boss him around.   But, even though he apologized and said he would try to be neater, he continued to be sloppy, which angered Cassie.

She also began noticing other things that bothered her: He tended to drink from the milk carton and leave it on the kitchen counter so it spoiled.  She also saw that if she left for work earlier than he did, Steve got up and left for work without making the bed or tiding up in the kitchen.  He also left his dishes and coffee cup in the sink.

Finally, Cassie suggested that they talk, and she mentioned the things that were bothering her.  Steve told her that he would try to be more considerate, but he also felt that Cassie was being picky about certain things.

Relationships: The Ideal vs. the Real

During their talk, Steve reminded her that the few times when he did make the bed, she wasn't happy about the way that he did it because she had a particular way that she preferred.  Cassie admitted that she tended to be somewhat of a perfectionist and she realized that she would have to let go of some of her perfectionism if the relationship was going to work.

Later that week, when Cassie spoke with her two close friends about Steve's sloppiness, both of her friends told her that their husbands were the same way. They said they used to argue about these things a lot in the beginning, but they gave up after a while.

With a long sigh, Cassie hesitated before she brought up what she was thinking.  Then, she told her friends that she felt disillusioned about Steve and their relationship.  She said he seemed so different when they first met.  She wondered if she had made a mistake in getting into a relationship with him. Her friends suggested that she talk to a psychotherapist first before she ended the relationship precipitously.

A few weeks later, Cassie felt so troubled about her relationship that she contacted a psychotherapist to be able to talk things out.  She didn't want to break up with Steve, but she wasn't sure she could stay in the relationship either.

As Cassie spoke with her psychotherapist about what was going on at home, she began to cry.  She said that, when she and Steve first met, they had sex all the time.  But, she said, shortly after they moved in together, they had sex once a week or less, and she didn't feel as attracted to him as she once did.  All she could think about was his sloppiness.  She also wondered if he felt less attracted to her because she criticized him for being sloppy.

When Cassie spoke with her psychotherapist about her family, she said that her mother also tended to be a perfectionist.  Her mother told Cassie that she had to "put her foot down" when she and Cassie's father got married because he tended to be sloppy.  After that, Cassie's mother controlled things in the relationship, and the father became much more passive.

Cassie told her psychotherapist that she didn't want to be controlling or have Steve become passive.  She said she just wanted the man she met when they first got together.  Then, she cried.

Her psychotherapist explained that almost every couple starts their relationship with an idealized image of each other.  Then, after they get to know each other, that idealization falls away and reality sets in and the couple has a chance to develop a more realistic relationship.

She asked Cassie questions about whether she and Steve had shared values and still enjoyed the same things together.  Cassie responded that their values were the same.  She also said that, lately, since things were strained between them, they weren't enjoying the same things together as much as they used to before.  She said she noticed that Steve was more apprehensive around her at home, and she realized that he probably expected her to be critical about the things he did or didn't do things at home.

As her psychotherapist normalized Cassie's experiences in her relationship, Cassie realized that she didn't know if she was ready to let go of the "idealized Steve" that she thought she was in a relationship with in order to accept the "real Steve."  She said that as she heard herself say these words, she felt immature.

Over the next few weeks, Cassie talked in therapy about being a perfectionist and how unhappy it made her--even before Steve was in her life.  She felt like "perfection is my norm."  They talked about how much shame there was underneath her perfectionism, and worked on helping her to overcome her shame (see my article:  The Connection Between Perfectionism and Core Shame).

Over time, Steve became more self aware and he was more conscientious about being neat and considerate.  He even told her that he realized that he preferred it when the apartment was neat and tidy.  Cassie could see that he was really trying, but she still felt like she missed the "idealized Steve," even though she realized that he never existed--except in her head.

In her psychotherapy sessions, Cassie talked about all the prior relationships that had a similar pattern where she thought each boyfriend was "wonderful," only to find out later that each of them had flaws that she couldn't stand, which led to her ending those relationships.

But now, at age 30, she was trying to focus on what was more important, and she realized, on an intellectual level, that the fact that she loved Steve and he loved her--although not in the head-over-heels way that they did at first.  She also realized that he was a good person, which was more important than some of his habits than annoyed her.

Casie told her psychotherapist that she just wished she could feel this on an emotional level and not just on an intellectual.  She kept thinking about what her mother might say if she knew how sloppy Steve was.  She knew her mother would disapprove and she would expect Cassie to control him, like her mother controlled her father (see my article: Ambivalence and Codependence in Mother-Daughter Relationships).

The more Cassie and her therapist talked about it, the more they both realized that Cassie was still seeing things from her mother's perspective and still trying to please her--rather than developing her own perspective.

Relationships: The Ideal vs. the Real

Over time, Cassie and her psychotherapist worked in therapy to help Cassie distinguish her own views from her mother's views.  As they did this, Cassie felt more like an adult.  Over time, she felt on an emotional level (and not just on an intellectual level) that she was satisfied in her relationship with Steve and, if anything, their love was growing in a more mature way.

Conclusion
It's normal to idealize the person that you're with when you're first in a relationship.  Over time, both of you get to know the "real" person you're in a relationship with and not the ideal.

Some people have problems accepting anything less than the ideal.  Often, this has to do with unconscious underlying issues, including still trying to live up to parents' expectations.

By letting go of your concept of the ideal and re-evaluating your relationship and what's most important to you, you have an opportunity to see your partner and your relationship in a more realistic light so that your love can mature and grow.

Getting Help in Therapy
Many people, who have problems with the disillusionment that reality is different from the ideal, are helped in psychotherapy (see my article: The Benefits of Psychotherapy).

A skilled psychotherapist can help you to discover the underlying issues that are getting in your way and help you to make decisions about your relationship and your life (see my article: How to Choose a Psychotherapist).

Rather than struggling on your own, you owe it to yourself to get help in therapy.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples.  One of my specialties is helping client to overcome traumatic experiences and deal with unresolved issues.

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.