Experiential Therapy, Like EMDR, Helps Achieve Emotional Breakthroughs

In an earlier article, Self Blame and the Internal Critic, I began a discussion about how people often experience self blame.  In this article, I will discuss self blame, the need to feel in control and how experiential therapy, like EMDR, helps to achieve emotional breakthroughs.

Experiential Therapy, Like EMDR, Helps to Achieve Emotional Breakthroughs

Self blame can come in many forms, including a general feeling of "I'm wrong" or "I can't do anything right."

Self blame can also relate to a specific misfortune or trauma in one's life, including loss.

For people who are stuck and mired in self blame related to a traumatic incident, the feelings of self blame often give them the sense that they could have controlled some aspect of the traumatic event when it occurred and that this would have brought about a different outcome.

In most cases, this is an illusion and keeps people stuck emotionally at the point where the trauma incident occurred.

The following scenario is a composite of many different cases to protect confidentiality:

Rena
Rena came to therapy because she blamed herself for the death of her husband, who died on 9/11 at the World Trade Center.

Several years had passed since the tragic event and every day Rena thought about how she could have prevented her husband from dying that day if only she had insisted that he stay home from work because he wasn't feeling well.

She replayed the last moments in her mind over and over again--when she saw her husband as he was standing in their bedroom trying to decide whether to go to work or stay home.

He was sneezing and coughing, and she thought about telling him to stay home but, for some reason which she could never figure out, she didn't say it.  Instead, she told him to come home early if he felt worse and, with that, he kissed her, walked out the door, and she never saw him again.

Rena had attended cognitive behavioral therapy (CBT) a few months after her husband died and, because of that therapy, she realized that she wasn't really to blame.  But her realization was very much on an intellectual level and it didn't help to dispel the grief and guilt that she felt.

Deep down on an emotional level, she still felt that if only she had insisted that her husband stay home, he would be alive today.  Even though she knew logically that this made no sense, on an emotional level, she carried this heavy burden.

The weight of her grief and guilt was such that all she could do was go to work, come home and sleep.  She no longer saw her friends or engaged in activities that she used to enjoy.

Since Rena's prior therapy only helped her in a limited way, she wanted to try a different type of therapy.

So, when her friend told her that she was able to resolve a personal trauma with Eye Movement Desensitization and Reprocessing therapy (EMDR), Rena read up on EMDR and decided that she wanted to try this experiential form of mind-body oriented therapy (see my article:  What is EMDR?).

Rena wanted to work on the memory that she replayed in her mind over and over since 9/11.

After getting Rena's personal history and helping Rena to develop coping skills to work on the trauma, which took several sessions, we began to process the trauma.

When I asked Rena to think about an image that represented the worst part of that memory, she told me that in her mind's eye, she saw her husband standing in their bedroom as he was weighing whether or not to go to work and she was standing nearby, concerned, but silent.

Just saying these words caused Rena a great deal of pain and she sobbed.  After a few moments, she stopped crying and she was able to identify where in her body she felt the grief and guilt--in her chest and throat.

Identifying feelings in the body is an important difference between experiential therapies (like EMDR) and CBT, which tends to stay on the cognitive level.

Then, in keeping with the EMDR process, I asked her what words would best describe how she feels about herself now with regard to that memory, and she said, "I should have made him stay home so he would be alive now."

In terms of how disturbing this memory was for her on a scale of 0-10 (where 0 equals no disturbance and 10 equals the most painful disturbance imaginable), Rena said it felt like a 10.

Then, I asked Rena what words best describe how she would like to feel about herself in relation to that memory, and she said she wanted to feel, "I did the best that I could."

At that point in EMDR therapy, Rena didn't feel this way about herself at all.

Before we started processing this traumatic memory, I reminded Rena that if at any time she felt she was too upset to continue, she could signal me and we could stop for a few minutes or stop altogether for the rest of the session.  It was important for her to know that she was in charge.

Although Rena experienced waves of sorrow during the EMDR processing, she did not want to stop because she felt that something was shifting inside of her, but she wasn't sure what it was yet.

This sense of internal shifting is a common experience for clients who are in EMDR therapy.

We continued to work on this memory for several more weeks.

At the end of each session, we talked about the session, and Rena continued to say that she felt something, which was unidentifiable to her, that was shifting internally.  At that point, it was still hard for her to imagine that she could ever let go of her guilt and sadness for not stopping her husband from going to work on 9/11.

Then, a few weeks later, Rena had an emotional breakthrough.

Until then, as I mentioned earlier, her understanding that her husband's death was not her fault was only a logical construct in her mind--she didn't feel it emotionally, and she continued to carry this contradiction within herself.

But on that day, as she sensed into her body to feel what emotions came up for her about the memory, she realized that she wasn't feeling self blame.  She was sad that her husband died, but she didn't feel responsible for his death.

At first, she could hardly believe that there had been this internal shift within her.

Instead of feeling self blame, she felt a deep sense of knowing that she couldn't have altered the chain of events.  She felt deeply that she wasn't to blame.  She knew deep down that no matter what she would have said, based on how her husband reacted in similar situations prior to that day, he still would have gone to work.  So, she couldn't have controlled the situation--and now she knew this on a an emotional level.

Afterwards, when we talked about this, Rena said that her sense of knowing that she wasn't to blame was different this time from how she had felt before.  She said that this time she felt it in her gut and in her heart.

She knew on a deep level that the idea that she could have changed the course of events was an illusion that she had been hanging onto.

As we continued to work together, what surfaced was that Rena's illusion that she could have changed the course of events at that pivotal point (when he was standing in the bedroom trying to decide what to do) served to keep her feeling emotionally attached to her husband--to that last time that she saw him.

This is why, prior to her emotional breakthrough, thinking about that moment over and over again was so powerful for her.

This emotional breakthrough for Rena helped her to release her grief, which had been pent up in her for several years.  It also allowed her to deal with other emotions that had been covered over by her feelings of self blame.

Over time, we continued to work on other emotional issues that arose about her husband's death, including her feelings of abandonment.  Even though she knew logically that her husband didn't choose to leave her, she experienced this common reaction that people often have when loved ones die.

Along the way, Rena learned other ways to have an internal experience of closeness for her husband without having to remain stuck in the traumatic memory.

Being able to feel the release of grief helped her to start putting her life back together again.  Gradually, she began to see friends again and she took up hobbies that she had neglected since her husband's death.

CBT as a Counteractive Therapy vs EMDR as Experiential Therapy
Each client is different and there's usually no way to know in advance what will be emotionally transformative for a particular client.

I do use CBT for some clients under some circumstances, but my experience as a psychotherapist who specializes in working with trauma, has been that, although CBT can be useful to a certain extent, it often offers limited help, particularly in situations described in the scenario about "Rena."

Of course, it's important for clients to understand on a cognitive level that they're not to blame for traumatic incidents that they could not have controlled.  But, as in the case with Rena, this kind of cognitive understanding is limited and clients will often say, "I know logically that I wasn't to blame, but I still feel on an emotional level that it was my fault."

It's important that clients understand that feeling this contradiction isn't at all unusual when it comes to trauma.

The problem with CBT in these instances is that it is a top-down approach that acts only as a counteractive force to the negative feelings that clients feel about themselves, which often keeps the internal conflict of what they know vs. what they feel in place for clients.

It provides the client with an alternative to how they're thinking, which is good, but it often doesn't change the feelings where they reside, which is deep in the limbic part of the brain.

EMDR Therapy Helps Achieve Breakthroughs

Experiential therapies, which use a bottom-up approach that involves the mind-body connection, like EMDR, Somatic Experiencing, clinical hypnosis and other types of experiential therapies, go to that deeper level and help to make the emotional shift that leads to emotional breakthroughs.

Skilled EMDR therapists also know how to work in a way where clients feel emotionally safe, which is important for clients who have experienced trauma.

I'll discuss this topic further in a future article.

Getting Help in Therapy
Many people live their whole lives blaming themselves for traumatic events that they could not have changed.  They live with the illusion that they could have controlled events, and this serves to keep them stuck in the memory.

For people who are stuck in this way, on an emotional level, it's as if there is no difference between "then," when the event occurred vs "now," their current life (see my article:  Overcoming Trauma With EMDR: When the Past is in the Present).

If this resonates with you, you owe it to yourself to get help from a licensed mental health professional who has expertise in one of the experiential types of therapy, like EMDR, Somatic Experiencing and clinical hypnosis, among others.

Once you're no longer living as if you're still in that traumatic memory, you will be free to live a fulfilling life.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR and Somatic Experiencing 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 regular business hours or email me.

Psychotherapy Blog: An Inspiring and Uplifting Film: "Nicky's Family"

I recently watched the movie, Nicky's Family, for the second time within the last year, and I enjoyed it even more the second time than the first.

Czechoslovakia:  The Country Where Over 660 Children Were Saved by Nicholas Winton

In case you haven't seen this wonderful documentary yet, I highly recommend that you see it (it's now available on Netflix and Amazon), especially if  you like inspiring and uplifting movies.

"Nicky's Family" is a documentary by Natej Minac about Nicholas Winton, currently 104 years old, who saved the lives of over 660 Jewish children in Nazi-occupied Czechoslovakia by arranging to transport them from their country to loving homes in England.

This was an immense undertaking during that time, before there were computers and before the Internet.

He met with the parents, who made the tremendous sacrifice of giving up their children, realizing that, in all likelihood, they would never see them again.  But these parents also knew that allowing Nicholas Winton to find their children new homes in England was the only way that their children would survive.

It's hard to imagine how devastatingly painful it must have been for the parents of these children to let them go--to say nothing of how frightening it had to be for these children to be transported by train to a country completely unknown to them.

These children, who now have grandchildren, would have certainly been killed in Nazi concentration camps during World War II if it were not for the dedicated work of Nicholas Winton, who worked against formidable odds to save their lives.

After the war, Mr. Winton (now Sir Winton) modestly kept quiet about his work--until his wife discovered the book that he kept with all of the names, pictures and records of the British adoptions for these children.

In 1988, he was honored on the BBC show, "That's Life," where he got to meet the people that he saved in the audience.  This is one of many poignant moments in the film.  And his modesty, so emblematic of people in the 1940s, is deeply moving and refreshing.

The documentary is narrated by Canadian journalist, Joe Schlesinger, who was also one of the children that was saved by Nicholas Winton.

A Child Today in the Czech Republic

Not only do we hear the personal stories of their lives from these individuals who were saved, we also get to meet their children and grandchildren, many of whom, inspired by Winton, have gone on to do their own devoted work for children all around the world.

We hear the word "hero" a lot these days.  Nicholas Winton is a hero in every sense of the word and deserves the recognition that he is finally getting after so many years.

This is a heart-warming true story that will lift your spirits.

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

Asking For What You Need in Therapy

Many clients who are in therapy have difficulty asking for what they need from their therapists.  This is especially true for clients who have a history of being physically or emotionally abused.  Often, because of the abuse, they're out of tune with their needs and, as a result, they might not know what they need.

Asking For What You Need in Therapy

Even the most empathically-attuned psychotherapist might miss the fact that s/he isn't working in a way that meets the client's needs, which is why it's so important that, every so often, the therapist and client reevaluate their work together.

Usually, this discussion is initiated by the therapist, but a client, who feels s/he isn't getting what s/he needs, can also initiate this conversation.

Here are some tips that may be helpful in getting what you need in therapy:

Tips on How to Get What You Need in Your Therapy:

• If your therapist doesn't take time periodically to review the work you're doing together, you can take time to reflect on your own how you're feeling about your therapist and your work and then tell your therapist that you would like to talk about this.  Most therapists will be open to this.

• Don't assume that if your needs aren't being met that it's your fault.  This is an assumption that many clients, who have been abused, make in their therapy.

• If you're unclear about the way your therapist is working, ask about it.  Your therapist should be able to give you an explanation in simple terms that you can understand.

• If you feel the work is going too fast and you're having difficulty coping between sessions, talk to your therapist about this so the two of you can come up with ways that you can cope better between sessions.  It might also mean that you spend more time processing what's going on between you.

• If you feel the work is going too slow, tell your therapist about this.  S/he will can explain the way the two of you are working together and, if needed, might make changes in the work.  Also, this can help to clarify whatever beliefs or misconceptions that either of you might have about the work.

• If you feel you and your therapist haven't developed a rapport after working together for a while, it might be that the two of you aren't a good fit.  It might also mean that, due to your history, you might have problems trusting and it might take you a while to develop a therapeutic alliance with any therapist.

• Be aware that, due to ethical boundaries, your therapist can't be your friend or have a personal relationship with you outside of your sessions, even after you complete therapy.  So, if part of what you think you need or would like is for your therapist to be your friend, this won't be possible.  At the same time, it's common for clients to develop these feelings, including sexual attractions, for their therapist (see my article:  Psychotherapy and the Erotic Transference).  Even though you might be disappointed at first that you can't have a personal relationship with your therapist, a discussion about your feelings can be helpful in highlighting what you need in your life and how you can go about creating it outside of the therapy room.

Too often clients abort therapy prematurely because they feel too vulnerable or ashamed to have these kinds of discussions with their therapist (see my article:  When Clients Leave Psychotherapy Prematurely).

But, usually, even though you might not be accustomed to talking about your needs and it might take courage on your part, being able to talk about what you need helps you to develop self confidence and often helps to improve the therapy.

Also, if part of the problem is that there has been a misunderstanding or rupture between you and your therapist, there is a chance for repairing this rupture, which can create a stronger therapeutic alliance between the two of you (see my article:  Psychotherapy: Ruptures and Repairs in Therapy).

Getting Help in Therapy
Asking for help isn't easy, especially if you've spent most of your life denying your needs or being unaware of your needs.

Asking For What You Need in Therapy

Rather than continuing to ignore your emotional needs, if you're concerned about your therapy, speak to your therapist.  Even if you're feelings are vague, a skilled, empathic therapist can help you to clarify and express your feelings.

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

Feeling Empowered to Create a Joyful Holiday

During the holiday season, many people think about the childhood holidays they had with their families, which were disappointing.  As a adults, they look back on those times and feel sad as the holidays approach.

Usually, when clients talk about this in their therapy sessions with me, I remind them that, as children, there wasn't much they could do about miserable holidays because the adults were in charge.  But now, as adults, they have the power to create their own joyful holidays and their own traditions.  They're no longer dependent upon the adults to create the holiday occasion.  They can now use their own creativity to create the holiday they want.

Feeling Empowered to Create a Joyful Holiday

If spending time with your family of origin during the holidays is difficult, why not create your own holiday traditions with your family of choice--possibly, your significant other and your friends?

Developing your own holiday traditions and rituals can be fun as you use your imagination and creativity to have the kind of holiday that you desire.

I know people who consider their new holiday traditions with their spouses and friends to be their "real holiday" as opposed to their visits with their families.  Exchanging gifts, Christmas tree trimming, or Christmas caroling in their neighborhoods are among the traditions that they've incorporated with the people that they enjoy being with on the holidays.

Of course, there are many people who enjoy being with their families.  Not everyone had disappointing holidays.  But if you're someone who dreads the holidays because it brings up sad memories, remember that you're now empowered, as an adult, to create the kind of holiday that you want.

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 business hours or email me.


photo credit: andrihilary via photopin cc

Holiday Time With Your Family: Balancing Your Expectations

We often get disappointed when we have unrealistic expectations from our loved ones, especially around the holidays.  More often than not, if we try to impose our expectations on our loved ones, it's a recipe for disappointment and resentment.  Sometimes, we need to temper our expectations to be more flexible, recognizing that we can't change other people to make them do what we want them to do.

Balance Your Expectations During the Holidays

New York Times Modern Love Article:  "A Holiday Built on Presence, Not Presents"
An article by Carolyn S. Briggs in New York Times Modern Love column caught my attention called "A Holiday Built on Presence, Not Presents" (a link to this article is provided at the end of this blog post).  She describes how she was disappointed last year when her adult children had a very different view of the Christmas holiday than she did.  Whereas she wanted a more traditional Christmas holiday, her children felt it was more of a "consumerist sham" of a holiday.

Ms. Briggs says she had hoped that they would all fill their Christmas stockings with messages of love and appreciation for each other, but her children weren't interested in this, which was very disappointing to her.

Ms. Briggs  also discusses how she was disappointed when she was younger during the time when her parents were divorcing.  She says that she and her brother pooled their money and bought and decorated their own tree because there was no tree that year.  In hindsight, she says she doesn't want to guilt her children into doing what they don't want to do on Christmas.  She has changed her expectations of what Christmas will be like with her family this year.

It's not unusual for adults to want to make up for what they didn't get as children.  There's something very sad about two children having to provide their own Christmas tree because the adults are preoccupied with their own problems.   Yet, we can't expect that, as adults, we'll always be able to make up for what we didn't get as children, especially when the experience involves other people who might not want to go along with it.

As I read Ms. Briggs' article, I couldn't help thinking about when I was a young adult and I had similar ideas to her children.

Coming from a very traditional family, when I was in my late teens and early 20s, I rebelled against these traditions and also felt that Christmas was all about consumerism.

But, as I was reading this article, I realized that my feelings have changed since then and I can now appreciate the holiday spirit.  I'm not cynical about the holidays, the way I used to be when I was a young adult.  My feeling is that, regardless of the consumerism, we can make the holiday whatever we want it to be.  We're not at the mercy of consumerism.

Reading this article, I looked back on myself as a young adult and thought about the times that I  must have disappointed my family when I didn't want to go along with tradition.  As I read the article, I could see both sides--Ms. Briggs' disappointment last year and her children's resistance.

As a therapist, I know that late teens and early 20s is an important time for young adults to develop their own ideas and become separate individuals from their families.  Seeing it from that vantage point, one could see why they wouldn't acquiesce to her wishes.

And yet, as an adult now, I couldn't help wishing that Ms. Briggs' adult children had cooperated a little more--not because they believed in these Christmas traditions, but because they knew how important it was to her.

Is There a Way to Balance Our Own and Our Loved Ones' Expectations?
Could there have been some compromise?  I don't know.  Reasonable people could disagree.   This isn't a black and white issue.

But maybe the view that there might have been a compromise comes with age and life experience.  I couldn't have taken this view when I was younger.

When you're a young adult, you're struggling to establish your own autonomy, which sometimes means having different feelings and opinions from your family.   When you're older and you're on your own, you have less to prove, and I think you can afford emotionally to be more generous.

In the end, I think Ms. Briggs came to the right conclusion--that even if your family doesn't experience the holiday in the same way that you would like as a parent, the most important thing is that you're together.

Wishing Everyone a Happy and Healthy Holiday.

About Me
I am a New York City 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

A Holiday Built on Presence, Not Presents
By Carolyn S. Briggs - 12/23/12 - NY Times - Modern Love

Making Changes: The Need For Emotional Connection and a Sense of Belonging

I'm continuing my earlier discussion about the psychological aspects of Elena Ferrante's Neapolitan trilogy, which I started with Part 1 and Part 2 of this topic.  I will continue to focus on Ms Ferrante's first two books in her trilogy, My Brilliant Friend and The Story of a New Name.   In  this article, I'll discuss the topic, developing a sense of belonging.

Developing a Sense of Belonging

Making Changes
As I did in my two prior articles, I'm using the character, Elena Greco, from Ms. Ferrante's novels to illustrate how change, which includes developing your sense of self as a separate person from family and friends, can be challenging and how this challenge can be overcome.

As I mentioned in my prior articles, Elena Greco, through her determination and hard work and with the help of a teacher, was able to transcend her circumstances in a poor town on the outskirts of Naples to fulfill her dream of becoming educated with a much brighter future than she ever could have had if she followed in the footsteps of her parents.

At the same time, as anyone who has made similar changes knows, it's hard to let go of a way of life that has been part of your family for many generations.  It's even harder to feel that, with your education and broader horizons, your family and old friends might see you as being "different" now--even if they still love you and want you to succeed.

Many clients, who come to see me in my psychotherapy private practice, who are first-generation American, express how torn they feel emotionally between following their parents'  customs and rituals that have been part of the family for generations and adopting the customs of their new country.  

Some people, who have struggled with this emotional dilemma, learn, over time, to strike a balance between familial customs and new customs.

Others, who find it too difficult, might take an all-or-nothing attitude by either leaving behind all the traditional customs in order to blend in and feel that they belong in their new country, or by resisting all new customs.

Most of the time, it's almost impossible for people not to feel the pull of the traditional culture as well as the new culture.

The character, Elena Greco, who remained in her country, but who might as well have gone to a different country because of the changes involved in moving from a poor town near Naples and going to college in Pisa, is acutely aware of her family's and friends' mixed reactions to her.  She's also aware that she doesn't feel like she belongs in her new surroundings.

A Sense of Belonging is a Basic Human Need
A sense of belonging is a basic human need.

Developing a Sense of Belonging:  A Sense of Belonging is a Basic Human Need

From the time that we're born, we're hardwired for attachment to our primary caregivers and without them, we can't survive.

Similarly, from the days of cave men and cave women and beyond, survival depended upon belonging to a tribe.  No one could go it alone and survive.  During those times, being banished from the tribe meant death.

Although most of us don't live in small tribes anymore, we still have a basic need to belong, whether it's a need to be part of a family, a group or a community with shared values.

Getting back to Ms. Ferrante's character, Elena Greco:  Her story illustrates how painful it can be to make the transition and straddle between two different cultures.  Her story is also emblematic of the experiences of anyone who has made this kind of change.

At first, she was ashamed because she felt inferior to the classmates she met in Pisa.  She was mostly aware of how different she was from them, and she felt she didn't belong there.

Similarly, initially, many people who go through this transition are painfully aware of how different they are from the new group that they are entering into, whether, as in Elena's case, it's a difference of socioeconomic status, language, dress or other customs.  

Whether you're a college student in a new city or someone who has moved to another part of the country or the world, initially, you might feel uncomfortable because you feel like you don't belong.

But many people in this situation discover that they have much more common with people from the new group than they initially realized.  So, while you might be very aware of how you and others are different, it's just as important to realize that you probably have a lot in common too.

Developing a Sense of Belonging:

• Look for and Accept Opportunities For Connection:  Before you get to know people, you might make certain negative assumptions about them.  But you might be pleasantly surprised to discover that your assumptions aren't correct when you take the time to get to know people.  If there are opportunities to connect, accept them, keep an open mind, and get to know others.

• Get to Know People as Individuals:  It's not unusual, at first, to see people who are part of another group as being all the same.  But, in reality, we are all individuals, so it's important, to get to know each person as an individual rather than making assumptions about them because they're part of a particular group.

• Discover Common Values:  Common values can create bonds.  While you might not share the same exact values, looking for some common values can be a start towards developing a sense of belonging.  So, for instance, even though you might be from a different religion, you and the new people that you're meeting might share a wish for there to be peace regardless of religion. This can be a powerful bond.  Or, for instance, you might discover that others have had similar losses and a similar understanding of what it means to cope with loss and emotional pain.  This can also serve as a powerful bond.

• Strive to Be Non-judgmental:  Acceptance is different from agreement.  You might not agree with everything about the new group but, in most instances, you can learn to be nonjudgmental.  This doesn't mean that you take on values that you might not believe in or that you're not discerning about what's best for you.  It does, however, mean that you don't automatically judge someone as unacceptable because you and s/he might have different views.  

Getting Help in Therapy

Sometimes, unfamiliar people and places can be overwhelming, even when you've tried to get to know them and discover commonalities.  You might feel lonely or depressed because you feel like an outsider.

Developing a Sense of Belonging:  Getting Help in Therapy

You're not alone.  Many people before you have struggled with the same problem and have learned to overcome it.

Rather than struggling on your own, you could benefit from getting help from a licensed mental health professional who has experience working with people in this type of situation.

Getting Help in Therapy to Develop a Sense of Belonging

Getting help in therapy can make all the difference between feeling like an outside and developing a sense of belonging.

About Me

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

Making Changes: What to Keep and What to Let Go of in Your Life - Part 2

In the first part of this discussion, Making Changes: What to Keep and What to Let Go of in Your Life,  I began a discussion about Elena Ferrante's Neapolitan trilogy and the various themes in her books about change, courage, self identity, loss, friendship, family, trauma and triumph over adversity.

Making Changes:  What to Keep and What to Let Go of in Your Life

In this article, I'm expanding on this topic by discussing the challenges involved with making changes, even when these changes are positive, by continuing to use Ms. Ferrante's stories to illustrate my points.

In Ms. Ferrante's books, starting with My Brilliant Friend, the protagonist, Elena, has an opportunity to continue her education beyond elementary school to high school and even to college.  Coming from a poor community on the outskirts of Naples, Italy in the 1950s where most people are just struggling to survive, this is highly unusual, especially for a girl.

Although there is no doubt that this opportunity is a change for the better, higher education, especially for girls, isn't valued by Elena's parents or most of the people in her small town.

From a practical point of view, her parents are just scraping by, so the cost of a higher education is a luxury that they can't afford, especially in a society that sees women as eventually getting married, having children, and being subservient to her husband.

Determination to Change in the Face of Adversity
How does someone like Elena, who in her wildest dreams, never even imagined that she could attend high school--let alone college, deal with the internal and external conflicts that arise in this situation?

Once the financial obstacles are removed, Elena is determined to succeed even though there are still many practical and psychological obstacles.  She stays focused on what she wants--even though there is still a lot of uncertainty and she knows it will be difficult.

Step by step, she perseveres.  She studies hard.  In situations where she has no experience and she feels socially inadequate, she is a keen observer of others and learns by example.  She also struggles with her internal demons that tell her she's "not good enough."

Feelings of inadequacy and doubt weigh on her throughout much of the story, but her determination, intelligence and ability to adapt help her to keep going.

Making Changes and, as a Result, Feeling Like an Outsider
Elena also struggles with feeling like an outsider among her peers in college, many of whom had opportunities and social experiences throughout their lives that she never had.

Although she earned her right to attend college, she must still confront class and social prejudice among students who are much more privileged than she is.  But she learns to win over these students with her good nature and patience.

Nevertheless, throughout it all, she's aware of not only what she has gained, but also what she has lost while she is in college. This includes the security of the world she has known her all of her life. It also includes the certainty of the role she would have taken as a woman in the 1950s in a small provincial town.

Although, given her dreams, she might not have been suited for this limited role, it seems pretty certain what it would have been:  wife, mother, daughter, sister, someone whose needs would have been subordinated to others' needs.

Even though this limited role might have been unappealing, the certainty of it and her place in her community would have been assured, especially as compared to the uncertainty as she forges a new path, which is unchartered territory for women in that place and time.

Going against the tide in her community, she must also contend with feeling somewhat like an outsider at home because she's now a college student, an intellectual (in a poor community where intellect is often devalued compared to having more concrete skills), and someone who has learned to speak Italian in an eloquent way, as opposed to speaking in the dialect of her community.

So, initially, she feels like an outsider in both worlds.

She has many doubts:  Which world does she belong to once she leaves her home town and goes to college in Milan?  She no longer completely fits in, as she did before, in her home town.  She is also aware that her family and old friends sense this and they are also confused and disturbed by it.  They're ambivalent.  Some people from her home town who admire her also mock her at the same time.  She's different now and, for many of them, her advances highlight their shortcomings.

Anyone who has ever made a major change where it involves going against tradition knows what this feels like.  Certainly, it can feel very lonely, and it takes a lot of courage to persevere (see my article:  Feeling Like an Outsider in an Insider's World).  Even then, it might feel like something old and familiar is irrevocably lost.

This is especially true for Elena because during that time there was no clear path for women to excel in the region where she lived, even women with a college degree.  Times were changing in Italy, but the changes were just beginning to occur in the larger metropolitan cities.

Major Life Transitions and Changes in a Sense of Self
Feeling like an outsider also brings up a related issue, which is how this affects one's sense of self.

As Elena is transitioning from her sense of self from her early days in Naples to her new sense of self as a college educated woman, the change feels daunting.

Even after she receives recognition and praise by her professors and peers, she is constantly afraid of saying or doing "the wrong thing."  She fears that she will be "found out," shown to be an imposture and a fraud to her new acquaintances as well as to herself.

This is a common experience among people who are making big changes during that transitional phase.  For Elena and others in similar situations, they no longer feel completely comfortable in their old world, but they're also not completely comfortable in their new world.

During that initial phase of the change, their sense of self hasn't been integrated and consolidated yet.  This often comes gradually over time.  And the inner critical voice, which says, "Just who do you think you are!?!" can be even more disturbing than the external critical voices.

Integrating Change With the Many Aspects of Self
When you're making major changes, it takes time to integrate these changes to develop a new sense of self.

Over time, your perception of yourself will include the former aspects of yourself before the change as well as the newer aspects.  This is somewhat of an oversimplification, but is generally true.

Often, it's only with the benefit of hindsight and self reflection that you realize how you've changed.

For Elena, this psychological process means that, along with the new aspects of herself that are developing, she also maintains the older aspects of self, her integrity, courage, empathy, and love for the people who are significant in her life--even if they don't feel they really understand her now that she's taken a step away from them by going to college with all the changes that this brings.

Moving Away Psychologically as Part of Changing
Moving away as part of changing doesn't only involve a geographic move.  Often, a psychological move is involved that can be much more subtle than physically moving away.

In Elena's case, her move away from what's familiar starts on a psychological basis as she allows herself to see the possibilities beyond the boundaries of her home town.  This might not sound so extraordinary these days to people living in the modern Western world.  But during the 1950s in her community, where Elena's story begins, the ability to see beyond her current circumstance is amazing at the same time that it's profoundly scary.

The initial phase of this psychological process, taking the psychic space that she needs to become the person that she eventually becomes, is necessary before she can make the geographic move.  Even with all of her initial doubts, she takes a psychological leap of faith that she could have a better life by going to college, even though the road ahead isn't clear.

I think the protagonist's psychological struggles and triumph over adversity is one of the many reasons why Elena Ferrante's novels are so inspiring.

In a future article, I'll continue to expand upon these themes.

Getting Help in Therapy
Change can be challenging.  Rather going through a major life transition alone, you could work with a licensed mental health professional in a supportive therapeutic environment who can help you to feel empowered as you accomplish your goals.

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

See my article:  Making Changes: Developing a Sense of Belonging.