The depressed person had shared with both the therapist and her Support System that she could recall, all too clearly, at her third boarding school, once watching her roommate talk to some unknown boy on their room’s telephone as she (i.e., the roommate) made faces and gestures of repulsion and boredom with the call, this self-assured, popular and attractive roommate finally directing at the depressed person an exaggerated pantomime of someone knocking on a door, continuing the pantomime with a desperate expression until the depressed person understood that she was to open the room’s door and step outside and knock loudly on the open door so as to give the roommate an excuse to get off the telephone. As a schoolgirl, the depressed person had never spoken of the incident of the boy’s telephone call and the mendacious pantomime with that particular roommate—a roommate with whom the depressed person hadn’t clicked or connected at all, and whom she had resented in a bitter, cringing way that had made the depressed person despise herself, and had not made any attempt to stay in touch with after that endless sophomore second semester was finished—but she (i.e., the depressed person) had shared her agonizing memory of the incident with many of the friends in her Support System, and had also shared how bottomlessly horrible and pathetic she had felt it would have been to have been that nameless, unknown boy at the other end of that telephone, a boy trying in good faith to take an emotional risk and to reach out and try to connect with the confident roommate, unaware that he was an unwelcome burden, pathetically unaware of the silent pantomimed boredom and contempt at the telephone’s other end, and how the depressed person dreaded more than almost anything ever being in the position of being someone you had to appeal silently to someone else in the room to help you contrive an excuse to get off the telephone with. The depressed person would therefore always implore any friend she was on the telephone with to tell her the very second she (i.e., the friend) was getting bored or frustrated or repelled or felt she had other more urgent or interesting things to do, to please for God’s sake be utterly up-front and frank and not spend one second longer on the phone with the depressed person than she (i.e., the friend) was absolutely glad to spend. The depressed person knew perfectly well, of course, she assured the therapist, how pathetic such a need for reassurance might come off to someone, how it could all too possibly be heard not as an open invitation to get off the telephone but actually as a needy, self-pitying, contemptibly manipulative plea for the friend not to get off the telephone, never to get off the telephone. The therapist 1 was diligent, whenever the depressed person shared her concern about how some statement or action might “seem” or “appear,” in supporting the depressed person in exploring how these beliefs about how she “seemed” or “came off” to others made her feel.
It felt demeaning; the depressed person felt demeaned. She said it felt demeaning to call childhood friends long-distance late at night when they clearly had other things to do and lives to lead and vibrant, healthy, nurturing, intimate, caring partner-relationships to be in; it felt demeaning and pathetic to constantly apologize for boring someone or to feel that you had to thank them effusively just for being your friend. The depressed person’s parents had eventually split the cost of her orthodonture; a professional arbitrator had finally been hired by their lawyers to structure the compromise. Arbitration had also been required to negotiate shared payment schedules for the depressed person’s boarding schools and Healthy Eating Lifestyles summer camps and oboe lessons and car and collision insurance, as well as for the cosmetic surgery needed to correct a malformation of the anterior spine and alar cartilage of the depressed person’s nose which had given her what felt like an excruciatingly pronounced and snoutish pug nose and had, coupled with the external orthodontic retainer she had to wear twenty-two hours a day, made looking at herself in the mirrors of her rooms at her boarding schools feel like more than any person could possibly stand. And yet also, in the year that the depressed person’s father had remarried, he—in either a gesture of rare uncompromised caring or a coup de grâce which the depressed person’s mother had said was designed to make her own feelings of humiliation and superfluousness complete—had paid in toto for the riding lessons, jodhpurs, and outrageously expensive boots the depressed person had needed in order to gain admission to her second-to-last boarding school’s Riding Club, a few of whose members were the only girls at this particular boarding school whom the depressed person felt, she had confessed to her father on the telephone in tears late one truly horrible night, even remotely accepted her and had even minimal empathy or compassion in them at all and around whom the depressed person hadn’t felt so totally snout-nosed and brace-faced and inadequate and rejected that it had felt like a daily act of enormous personal courage even to leave her room to go eat dinner in the dining hall.
The professional arbitrator her parents’ lawyers had finally agreed on for help in structuring compromises on the costs of meeting the depressed person’s childhood needs had been a highly respected Conflict-Resolution Specialist named Walter D. (“Walt”) DeLasandro Jr. As a child, the depressed person had never met or even laid eyes on Walter D. (“Walt”) DeLasandro Jr., though she had been shown his business card—complete with its parenthesized invitation to informality—and his name had been invoked in her hearing on countless childhood occasions, along with the fact that he billed for his services at a staggering $130 an hour plus expenses. Despite overwhelming feelings of reluctance on the part of the depressed person—who knew very well how much like the “Blame Game” it might sound—her therapist had strongly supported her in taking the risk of sharing with members of her Support System an important emotional breakthrough she (i.e., the depressed person) had achieved during an Inner-Child-Focused Experiential Therapy Retreat Weekend which the therapist had supported her in taking the risk of enrolling in and giving herself open-mindedly over to the experience of. In the I.-C.-F.E.T. Retreat Weekend’s Small-Group Drama-Therapy Room, other members of her Small Group had role-played the depressed person’s parents and the parents’ significant others and attorneys and myriad other emotionally toxic figures from the depressed person’s childhood and, at the crucial phase of the drama-therapy exercise, had slowly encircled the depressed person, moving in and pressing steadily in together on her so that she could not escape or avoid or minimize, and had (i.e., the small group had) dramatically recited specially pre-scripted lines designed to evoke and awaken blocked trauma, which had almost immediately provoked the depressed person into a surge of agonizing emotional memories and long-buried trauma and had resulted in the emergence of the depressed person’s Inner Child and a cathartic tantrum in which the depressed person had struck repeatedly at a stack of velour cushions with a bat made of polystyrene foam and had shrieked obscenities and had reexperienced long-pent-up and festering emotional wounds, one of which 2 being a deep vestigial rage over the fact that Walter D. (“Walt”) DeLasandro Jr. had been able to bill her parents $130 an hour plus expenses for being put in the middle and playing the role of mediator and absorber of shit from both sides while she (i.e., the depressed person, as a child) had had to perform essentially the same coprophagous services on a more or less daily basis for free, for nothing, services which were not only grossly unfair and inappropriate for an emotionally sensitive child to be made to feel required to perform but about which her parents had then turned around and tried to make her, the depressed person herself, as a child, feel guilty about the staggering cost of Walter D. DeLasandro Jr. the Conflict-Resolution Specialist’s services, as if the repeated hassle and expense of Walter D. DeLasandro Jr. were her fault and only undertaken on her spoiled little snout-nosed snaggletoothed behalf instead of simply because of her fucking parents’ utterly fucking sick inability to communicate and share honestly and work through their own sick, dysfunctional issues with each other. This exercise and cathartic rage had enabled the depressed person to get in touch with some really core resentment-issues, the Small-Group Facilitator at the Inner-Child-Focused Experiential Therapy R
etreat Weekend had said, and could have represented a real turning point in the depressed person’s journey toward healing, had the rage and velour-cushion-pummeling not left the depressed person so emotionally shattered and drained and traumatized and embarrassed that she had felt she had no choice but to fly back home that night and miss the rest of the I.-C.-F.E.T.R. Weekend and the Small-Group Processing of all the exhumed feelings and issues.
The eventual compromise which the depressed person and her therapist worked out together as they processed the unburied resentments and the consequent guilt and shame at what could all too easily appear to be just more of the self-pitying “Blame Game” that attended the depressed person’s experience at the Retreat Weekend was that the depressed person would take the emotional risk of reaching out and sharing the experience’s feelings and realizations with her Support System, but only with the two or three elite, “core” members whom the depressed person currently felt were there for her in the very most empathetic and unjudgingly supportive way. The most important provision of the compromise was that the depressed person would be permitted to reveal to them her reluctance about sharing these resentments and realizations and to inform them that she was aware of how pathetic and blaming they (i.e., the resentments and realizations) might sound, and to reveal that she was sharing this potentially pathetic “breakthrough” with them only at her therapist’s firm and explicit suggestion. In validating this provision, the therapist had objected only to the depressed person’s proposed use of the word “pathetic” in her sharing with the Support System. The therapist said that she felt she could support the depressed person’s use of the word “vulnerable” far more wholeheartedly than she could support the use of “pathetic,” since her gut (i.e., the therapist’s gut) was telling her that the depressed person’s proposed use of “pathetic” felt not only self-hating but also needy and even somewhat manipulative. The word “pathetic,” the therapist candidly shared, often felt to her like a defense-mechanism the depressed person used to protect herself against a listener’s possible negative judgments by making it clear that the depressed person was already judging herself far more severely than any listener could possibly have the heart to. The therapist was careful to point out that she was not judging or critiquing or rejecting the depressed person’s use of “pathetic” but was merely trying to openly and honestly share the feelings which its use brought up for her in the context of their relationship. The therapist, who by this time had less than a year to live, took a brief time-out at this point to share once again with the depressed person her (i.e., the therapist’s) conviction that self-hatred, toxic guilt, narcissism, self-pity, neediness, manipulation, and many of the other shame-based behaviors with which endogenously depressed adults typically presented were best understood as psychological defenses erected by a vestigial wounded Inner Child against the possibility of trauma and abandonment. The behaviors, in other words, were primitive emotional prophylaxes whose real function was to preclude intimacy; they were psychic armor designed to keep others at a distance so that they (i.e., others) could not get emotionally close enough to the depressed person to inflict any wounds that might echo and mirror the deep vestigial wounds of the depressed person’s childhood, wounds which the depressed person was unconsciously determined to keep repressed at all costs. The therapist—who during the year’s cold months, when the abundant fenestration of her home office kept the room chilly, wore a pelisse of hand-tanned Native American buckskin that formed a somewhat ghastlily moist-looking flesh-colored background for the enclosing shapes her joined hands formed in her lap as she spoke—assured the depressed person that she was not trying to lecture her or impose on her (i.e., on the depressed person) the therapist’s own particular model of depressive etiology. Rather, it simply felt appropriate on an intuitive “gut” level at this particular point in time for the therapist to share some of her own feelings. Indeed, as the therapist said that she felt comfortable about positing at this point in the therapeutic relationship between them, the depressed person’s acute chronic mood disorder could actually itself be seen as constituting an emotional defense-mechanism: i.e., as long as the depressed person had the depression’s acute affective discomfort to preoccupy her and take up her emotional attention, she could avoid feeling or getting in touch with the deep vestigial childhood wounds which she (i.e., the depressed person) was apparently still determined to keep repressed. 3
Several months later, when the depressed person’s therapist suddenly and unexpectedly died—as the result of what was determined by authorities to be an “accidentally” toxic combination of caffeine and homeopathic appetite suppressant but which, given the therapist’s extensive medical background and knowledge of chemical interactions, only a person in very deep denial indeed could fail to see must have been, on some level, intentional—without leaving any sort of note or cassette or encouraging final words for any of the persons and/or clients in her life who had, despite all their debilitating fear and isolation and defense-mechanisms and vestigial wounds from past traumas, come to connect intimately with her and let her in emotionally even though it meant making themselves vulnerable to the possibility of loss- and abandonment-traumas, the depressed person found the trauma of this fresh loss and abandonment so shattering, its resultant agony and despair and hopelessness so unbearable, that she was, ironically, now forced to reach frantically and repeatedly out on a nightly basis to her Support System, sometimes calling three or even four long-distance friends in an evening, sometimes calling the same friends twice in one night, sometimes at a very late hour, sometimes even—the depressed person felt sickeningly sure—waking them up or interrupting them in the midst of healthy, joyful sexual intimacy with their partner. In other words, sheer survival, in the turbulent wake of her feelings of shock and grief and loss and abandonment and bitter betrayal following the therapist’s sudden death, now compelled the depressed person to put aside her innate feelings of shame and inadequacy and embarrassment at being a pathetic burden and to lean with all her might on the empathy and emotional nurture of her Support System, despite the fact that this, ironically, had been one of the two areas in which the depressed person had most vigorously resisted the therapist’s counsel.
Even on top of the shattering abandonment-issues it brought up, the therapist’s unexpected death also could not have occurred at a worse time from the perspective of the depressed person’s journey toward inner healing, coming as it (i.e., the suspicious death) did just as the depressed person was beginning to work through and process some of her core shame- and resentment-issues concerning the therapeutic process itself and the intimate therapist-patient relationship’s impact on her (i.e., on the depressed person’s) unbearable isolation and pain. As part of her grieving process, the depressed person shared with supportive members of her Support System the fact that she felt she had, she had realized, experienced significant trauma and anguish and isolation-feelings even in the therapeutic relationship itself, a realization which she said she and the therapist had been working intensively together to explore and process. For just one example, the depressed person shared long-distance, she had discovered and struggled in therapy to work through her feeling that it was ironic and demeaning, given her parents’ dysfunctional preoccupation with money and all that that preoccupation had cost her as a child, that she was now, as an adult, in the position of having to pay a therapist $90 an hour to listen patiently to her and respond honestly and empathetically; i.e., it felt demeaning and pathetic to feel forced to buy patience and empathy, the depressed person had confessed to her therapist, and was an agonizing echo of the exact same childhood pain which she (i.e., the depressed person) was so very anxious to put behind her. The therapist—after attending closely and unjudgingly to what the depressed person later admitted to her Support System could all too easily have been interpreted as mere niggardly whining about the expense of therapy, and after a long and considered pause during which both the therapist and the depressed person ha
d gazed at the ovoid cage which the therapist’s mated hands in her lap at that moment composed 4 —had responded that, while on a purely intellectual or “head” level she might respectfully disagree with the substance or “propositional content” of what the depressed person was saying, she (i.e., the therapist) nevertheless wholeheartedly supported the depressed person in sharing whatever feelings the therapeutic relationship itself brought up in her (i.e., in the depressed person 5 ) so that they could work together on processing them and exploring safe and appropriate environments and contexts for their expression.
The depressed person’s recollections of the therapist’s patient, attentive, and unjudging responses to even her (i.e., the depressed person’s) most spiteful and childishly arrested complaints felt as if they brought on further, even more unbearable feelings of loss and abandonment, as well as fresh waves of resentment and self-pity which the depressed person knew all too well were repellent in the extreme, she assured the friends who composed her Support System, trusted friends whom the depressed person was by this time calling almost constantly, sometimes now even during the day, from her workplace, dialing her closest friends’ long-distance work numbers and asking them to take time away from their own challenging, stimulating careers to listen supportively and share and dialogue and help the depressed person find some way to process this grief and loss and find some way to survive. Her apologies for burdening these friends during daylight hours at their workplaces were elaborate, involved, vociferous, baroque, mercilessly self-critical, and very nearly constant, as were her expressions of gratitude to the Support System just for Being There for her, just for allowing her to begin again to be able to trust and take the risk of reaching out, even just a little, because the depressed person shared that she felt as if she had been discovering all over again, and with a shattering new clarity now in the wake of the therapist’s abrupt and wordless abandonment, she shared over her workstation’s headset telephone, just how agonizingly few and far between were the people whom she could ever hope to really communicate and share with and forge healthy, open, trusting, mutually nurturing relationships to lean on. For example, her work environment—as the depressed person readily acknowledged she’d whined about at tiresome length many times before—was totally dysfunctional and toxic, and the totally unsupportive emotional atmosphere there made the idea of trying to bond in any mutually nurturing way with coworkers a grotesque joke. And the depressed person’s attempts to reach out in her emotional isolation and try to cultivate and develop caring friends and relationships in the community through church groups or nutrition and holistic stretching classes or community woodwind ensembles and the like had proved so excruciating, she shared, that she had all but begged the therapist to withdraw her gentle suggestion that the depressed person try her best to do so. And then as for the idea of girding herself once again and venturing out there into the emotionally Hobbesian meat market of the “dating scene” and trying once again to find and establish any healthy, caring, functional connections with men, whether in a physically intimate partner-relationship or even just as close and supportive friends—at this juncture in her sharing the depressed person laughed hollowly into the headset telephone she wore at the terminal inside her cubicle at her work-place and asked whether it was really even necessary, with a friend who knew her as well as whatever member of her Support System she was presently sharing with did, to go into why the depressed person’s intractable depression and highly charged self-esteem and trust-issues rendered that idea a pie-in-the-sky flight of Icarusian fancy and denial. To take just one example, the depressed person shared from her workstation, in the second semester of her junior year at college there had been a traumatic incident in which the depressed person had been sitting alone on the grass near a group of popular, self-assured male students at an inter-collegiate lacrosse game and had distinctly overheard one of the men laughingly say, of a female student the depressed person knew slightly, that the only substantive difference between this woman and a restroom toilet was that the toilet did not keep pathetically following you around after you’d used it. Sharing with supportive friends, the depressed person was now suddenly and unexpectedly flooded with emotional memories of the early session during which she had first told the therapist of this incident: they had been doing basic feelings-work together during this awkward opening stage of the therapeutic process, and the therapist had challenged the depressed person to identify whether the overheard slur had made her (i.e., the depressed person) feel primarily more angry, lonely, frightened, or sad. 6 , 6(A)