C is for Counseling, or How I Got into this New Gig

 

CTurns out that April is Counseling Awareness Month. Isn’t this just a serendipitous turn of events? I’m writing a blog a day, A to Z about my adventures as a graduate student in Mental Health Counseling and the American Counseling Association is making it a special month. Pretty sure I can’t take credit, but still . . . (maybe tomorrow I’ll tackle Delusional and Diagnosis).

I have a long history with counseling. I started seeing a psychologist in 1992 and have been in therapy of some sort consistently since then. For a long time, I thought of myself as having a serious character defect. I was young. I didn’t really understand how counseling worked, or could work. I had only a vague notion of Freud and his couch and Woody Allen’s neuroses.

Prozac and SSRIs hit the market about the time I began therapy* and not long after my psychologist diagnosed me with depression, she and my general practitioner agreed I would do well to try the new wonder-drug, Prozac. And, honestly, I looked forward to some relief. At 29, in 1992, I was a fairly new mom of an adopted bi-racial daughter, in a relationship with a woman 13 years my senior. I had just sold the bookstore I started, owned, and operated for three years, and I had moved back home full-time after living 90 miles away for most of each week. To complicate things, my fundamentalist Christian parents were only just beginning to adjust to my, er, lifestyle (as we called it then) and its unconventionality.

There’s more, but that’s enough. You get the idea. I was a stress monster. The crinkling of a tissue set my teeth on edge. The noise of someone actually blowing their nose sent me over the edge. The first time I swallowed one of those little green and white pills, I felt like I was taking communion. I crossed myself and sent up a prayer.rumi

After four weeks of taking that precious little capsule every morning, I no longer cared who sneezed or how loud. Irritation rolled off my back. The grey veil that separated me from the rest of the world lifted, and I started seeing in color again. Cliché, I know, but accurate. Everything sparkled. I got a good job as the bookstore manager at the local technical college with a great boss as well as health and retirement benefits. Did the little pill have anything to do with my new job? I believe happier, less-stressed, less-depressed people tend to have more self-confidence and do better in job interviews, so yes. But I digress.

I felt good, and I loved talking to my therapist. I loved paying someone to listen to me. I loved the 50 minutes of uninterrupted attention. I could do this for a living, I thought. I’d love to listen to people’s stories, to help them make sense of their feelings, to help them gain the confidence to reach for their high dreams. I had no idea that someone who went to counseling could actually ever become a counselor. I thought my diagnosis and being on meds precluded me ever being in the field.

I had never heard of Jung’s Wounded Healer. I was an English major who, stupidly and stubbornly, avoided all social science classes. The books cost too much. The classes met on Fridays. What can I say?

I wanted to get off the meds, though, yet every time I quit taking them, things in my life would head south, and the psychologist would exhort me to stay on the meds. I got stuck in a loop and never really got to the issues that were causing me to become depressed. I’d just start popping the pills again, and things would improve. Etc.

franklquoteI spent about twenty years with the psychologist before I found a new therapist, and the woman I chose to see was an LMHC (Licensed Mental Health Counselor). I didn’t know what the difference was when I made the switch, I was just seeking someone a little more flexible and spiritual, a little less dogmatic and not so pharmacologically oriented. Turns out the switch worked very well for me then. I made several changes in my life at the same time: I got a new job, I relocated, I started taking writing classes and running, and found new community with both activities.

The psychologist got me up and out of the depression and quite literally saved my life on many occasions. And the LMHC has helped me move forward from there, developing self-confidence, practicing mindfulness, introducing me to non-Western philosophies. I have learned so much about myself, about why I am the way I am, and how I can move forward.

I’ll never be done working on myself, but it turns out, I can become a counselor anyway, not in spite of my past, but because of it. Jung believed that disease of the soul could be the best possible form of training for a healer. And as Victor Frankl wrote, “What is to give light must endure burning.” By these measures, I am perfect for this job.

*for a more in-depth—but still inadequate—explanation of the differences among therapy, counseling, psychotherapy, and psychology see this previous blog

J is for Jung

jungGood Morning! I have a busy day ahead, so I thought that instead of writing something completely fresh, I would share with you the short paper I wrote on Carl Jung last quarter. Our assignment each week was to write a couple of paragraphs on the personality theorist of the week. We were to choose our favorite concept that theorist espoused and explicate it a bit and then we were to find an outside source that explains that concept and write a bit more about it.

My favorite Jung concept is transference. I’ve always wondered about how this concept works–and given the intimate nature of counseling or therapy, I’ve always suspected that transference is completely normal. How can a person not develop strong feelings towards someone with whom they share such intimate life details?

I found two articles in Psychology Today that I thought did a fantastic job of slicing through this tricky concept. I hope you’ll enjoy them as much as I did. Here’s my paper (Feist is the author of the text we read):

Favorite Jung Concept: Transference

Once concept that Feist touches on but doesn’t delve too far into with either Jung or Freud is the idea of transference. We first encounter the concept of transference with Freud, who believed that the “transference situation is vital to psychoanalysis” (Feist, p. 51). According to Freud, “transference refers to the strong sexual or aggressive feelings, positive or negative, that patients develop toward their analyst during the course of treatment.” Freud maintains that the therapist does nothing to earn the patient’s feelings; the patient was simply putting on the therapist the feelings the patient had toward his or her parents.  Like Freud, Jung believed that transference is a “powerful ally to the therapeutic process” (Feist, p. 51), but unlike Freud, he attributed transference, both positive and negative, as a natural outcome of the patients’ intimate revelations. It followed, Jung believed, that a patient would have strong feelings toward his or her therapist after revealing such personal information (Feist, 132). Jung encouraged his patients to see him as a savior or a god, according to Feist, as he guided them on their paths to wholeness and self-acceptance. Given that Jung had affairs with two of his patients, Sabina Spielrein and Toni Wolff, we can conclude that Jung might have seen himself as a bit more than merely a facilitator or guide on his patients’ journeys and did not do his own work to understand or overcome the pull of countertransference.

Outside Sources on Transference

While Feist doesn’t have much to say about transference with either Freud or Jung, quick research reveals a wealth of information. An article by Stephen A. Diamond in Psychology Today, http://bit.ly/1f0sfVh, takes a closer look at both Jung and Freud on this issue as well as at the concept of transference from a patient’s perspective. In a letter to Jung, Freud called psychoanalysis a love cure, and Diamond does a nice job of untangling how this “love cure” can work in therapy without crossing any moral or ethical boundaries. Therapy clients, Diamond asserts, come to therapy seeking to heal an unresolved “love wound,” looking for “acceptance or physical affection they never received from their [parents].” Therapists can heal this wound, not by entering in to an erotic relationship with clients, but by making “deliberate and proscribed use of love’s potent power to help patients heal . . . from being inappropriately loved.” Diamond acknowledges the difficulty inherent in providing the therapy patient with “a loving, supportive, caring, empathic, and non-judgmental” relationship that can truly help a client heal. Diamond also points out the importance of not denying the client’s strong feels when they do come up in a session, but to “honor and reflect” on the feelings without acting on them. For a client who has experienced trauma, large or small, around love, the therapist’s offering of a platonic love, according to Diamond, gives the patient an opportunity to respond “in kind . . . [t]o open up to love” with all of its risks and potential pitfalls. Handled properly, transference is, says Diamond, “the royal road into the very core of the love wound complex.”

The F Word

On the days that writing a blog every day seems daunting—which truth be told is pretty much every day—I think about my dad and my grandfather who were journalists. Not only did they have to write every day, they had to write multiple articles that made sense from beginning to end every single day. Not only  made sense but had facts and accurate quotes. And they couldn’t call anyone names (except for once my grandfather wrote an op-ed column that said only this: Jane Fonda is an idiot. She had just gone to Hanoi to sit on the tank. I was very young at the time and had no opinion about this then).

I started my college career as a journalist—I started writing for the Western Front fall quarter of my freshman year, and for a while I found the whole experience exhilarating.  Journalism classes met in an old crickety house on the edge of campus and were taught by rumpled old men in questionable tweed jackets. One professor was the son of Lincoln Steffens, famous muckraker. There were not a lot of women in the program, not a single female professor in the time I was there (a good three years).

We only got two credits for a quarter’s stint on the campus paper, though the time commitment warranted far more than that. The paper came out twice a week and we met constantly it seemed—two nights a week to write headlines. I loved writing headlines—the section editors would give us the space and we had a formula for how many characters the headline could be. I excelled at writing headlines with active verbs and punchy nouns and that skill garnered me a little respect among the scruffy editors—male upperclassmen all. Everyone seemed to smoke and back then no one cared. Ashtrays overflowed with butts and the smoke hung low in the living-room turned newsroom.

Twice a week we had to show up at the print shop on the other end of campus to work on putting the paper together, literally. The section editors were responsible for pasting up their pages, but always needed help cutting and waxing the pages for paste up. I loved the waxing machine, and having grown up the daughter of a newspaper publisher, I knew my way around the layout tables. Exacto knives, blue pencils, the mockup sheets.

And of course we had to write stories. As much as I loved the atmosphere of the department and the headline writing and the paste up process, I wasn’t a big fan of writing the stories. I didn’t really like interviewing people. I was shy for one thing. And I didn’t really have a nose for news. I did great in classes where the local newspaper writer would give us the details and we’d pound out a story in class. I aced those, but I just didn’t seem to have a knack for sussing out the story, and I seriously lacked confidence when it came to calling people and asking for information.

I found my niche in the sports and op-ed pages, finally.  While I could give a damn about student fees and faculty senate stories, I did have a thing for the women’s basketball team (shocking, I know) and I knew my way around the gym. I made a small career out of covering the track and field team and putting together features on the women’s basketball players and coaches. Some dude had beat me out on covering the actual women’s games, a fact that chapped my ass to no end. The track coach once told me that he was impressed with my stories, surprised that I understood and wrote about the events as well as I did. I wasn’t exactly John Reed or Louise Bryant (the movie Reds came out my freshman year and I so wanted to be a journalist covering the Russian revolution), but I wrote good copy. I published humorous op-ed pieces, ala Dave Barry though not anywhere as funny (my mother often told me I’d be the next Erma Bombeck). Eventually, I became sports editor and one summer I was assistant editor. Lots of work for two credits. I suspected the real world wouldn’t treat us much better.

By the time my senior year rolled around, I was pretty sure I didn’t want to make a living as a journalist. My father had been out of the business for a few years by that time and my grandfather had died, though he had been successful as a writer, then editor and owner of a large suburban weekly. At one point I thought maybe if I could drink more and take up smoking, I’d be able to cut it in the newsroom, so I went out and bought a pack of Camel Unfiltereds and a bottle of Jim Beam. I sat on my little 8×8 foot apartment deck and smoked and drank like I’d seen the guys in the newsroom do. All I felt was sick and not long after on an election night it became clear to me when we were all (all of us Western Front reporters) were supposed to go downtown and cover the local, state, and federal elections. I just couldn’t see myself in that role—asking the pressing questions, taking notes, paying that close of attention. I froze at the thought. As much as I loved my name in the byline, I panicked under the pressure. So, I dropped that last 400 level reporting class the next day, just a few credits shy of completing my major and went to the Humanities building to switch to English, with an emphasis in writing.

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            As I think back on this choice, I realize that I didn’t then have a really clear reason for leaving journalism, but it’s becoming clearer to me now. I didn’t have any role models. There wasn’t a single female reporter, professor, mentor, or local professional to whom I could point and say, “She’s who I want to be like.” I remember only one or two other young women in the program, one a photographer and one, slightly older than me who I didn’t ever get to know. I just didn’t ever see myself reflected back to me anywhere in that world. I couldn’t imagine a future there because I couldn’t see anyone like me. So, I joined the relatively cushy ranks of the English department to finish out my college career. I found enough mentors there that I continued on to graduate school and into teaching English composition. I could see myself as an English professor, as a novel writer, as a reader of great fiction and poetry and creative non-fiction. I had role models, finally.

I’m thinking about this all now because I just finished a paper on Karen Horney (pronounced Horn-eye), the founder of Feminine Psychology. She started out as a Freudian in the early part of the 20th century but soon broke ranks with Freud in part because of his limited view of what comprises human nature (sex and aggression and penis envy). As part of this paper writing adventure, I had to find a relevant online video to review and I ended up with this one: The Changing Face of Feminist Psychology. This video traces the struggles female psychologists faced as recently as the 1980s in getting jobs, being taken seriously, being admitted to graduate school. Even though Karen Horney published her work on Feminine Psychology as early as the 1930s, it took another 50 years for women to advance in the field. And then, even as they began to make inroads as part of feminism’s second wave, the 1980s rolled around and everyone declared feminism dead or over with or moot.

But feminism is not dead. As long as we have daughters, we need to keep making sure they know that they can be whatever they want to be, that they can choose whatever career they want, and they will only know those careers are available to them if we make sure our faces are there to reflect back to them. We need to make sure we are the ones writing the editorials explaining perhaps why Jane Fonda went to Hanoi to sit on that tank. That perhaps, as one half of the world’s population, we can have a voice as well whether in the papers, online, in the classroom, the boardroom. Our daughters must see us out there to know that our voices and theirs matter.

Gender, George Kelly, and the Coming Revolution

A number of years ago, when my nephew was four we were at the community pool near his home in a very upwardly mobile suburban enclave in the Pacific Northwest. I was wearing my one-piece speedo swimsuit and a pair of cargo shorts, sitting on the edge of the hot tub where he was enjoying a soak and roughhousing with a couple of friends. He looked up at me as I dangled my legs in the bubbling water.

“Auntie Pammie,” he said, “are you a boy or a girl?”

I looked back at his wide open and innocent face, and I could tell immediately that he was genuinely puzzled, that his four-year-old awareness of what made a boy a boy and a girl a girl was in direct conflict with what he saw represented in me. In his world, girls did not have short hair and wear cargo shorts. In his world there was one way to be a girl and another to be a boy and he could not figure out where to put me.

“It must be confusing,” I said to him. “You don’t usually see girls with such short hair or wearing clothes like I wear. But, I’m here to tell you, I am a girl, buddy. I’m definitely a girl.” I smiled at him and thought about all of the ways I could identify myself as a female. I had big boobs for one thing but I wasn’t going to go there with a four year old. I wore diamond earrings, but that didn’t make me a girl anymore, not like it did 25 years ago. I shaved my legs. I was, in fact Auntie Pammie, not Uncle.  I tried to think of how else I could convince him that I was a girl, beyond the obvious. My genitals were not up for discussion. Not poolside, not without his parents’ permission. Probably not ever.

“Okay,” he smiled and went back to playing with his friends in the water.

I breathed a sigh of relief, and his question has become a bit of family folklore. Also, it has jangled in the back of my mind since that day. I was not like his mother and the other mothers in the neighborhood. I didn’t wear make up, heels, ruffles, dresses or skirts. I didn’t even wear girl jeans or shorts. I wore t-shirts and shorts—I dressed more like his dad, my brother. I drank beer with his dad when I visited. I did not sip wine with his mother. I worked with computers for a living. I drove a Jeep.  My brother and sister-in-law were slightly mortified when I relayed the question to them later, but once I started explaining his confusion, they began to understand. He wasn’t being impolite. He had no social construct for me. (if  you haven’t seen Ash Beckham or iO Tillet Wright’s TED talks on gender, check them out here).

I have to write a paper by tomorrow on one George Kelly, one of a dozen or so theorists of the last 100 years or so who have impacted the field of psychology. In one of the classes I’m taking, our weekly papers go along the same lines each week—choose one of the theorists concepts (our favorite concept) and write up a paragraph on it, summarizing it. Then we write another paragraph in which we analyze another source on the same concept.

I started the quarter loving this assignment—first of all it was pretty easy initially to pick and choose concepts that intrigued me from among the early theorists. For Freud, I chose to analyze his theory that anatomy is destiny. I took him to task on that. I had no trouble finding other sources out there on the world wide web to support me in my analysis of his so-called theory. I ran across a TED Talk by Alice Dreger entitled Is Anatomy Destiny which nicely expanded Freud’s discussion on the matter.

In her talk, Dreger, an anatomy historian and advocate for patients whose body types challenge social norms (i.e. conjoined twins, dwarves, intersex folks) refutes Freud’s “anatomy is destiny” assertion. Dreger posits that there is “no such thing as stable anatomical categories that map  . . . simply to stable identity categories.” She goes on to describe how science is now revealing that gender and sex categories are overly simplistic.” For example, Dreger describes a patient who presents as male: looks like a man, acts like a man, has apparent anatomy that is typically male but who has a uterus and ovaries due to androgyne insensitivity syndrome. Dreger has patients whom surgeons want to “normalize” in her words, “not because [the surgery] leave them better off in terms of physical health” but because “they (the anatomically atypical patients) threaten our social categories.” In other words, our cultural, like Freud (and maybe partly because of him) doesn’t know what to do with people whom we don’t understand.

Which brings us nicely back to George Kelly, who in spite of not having written very much, basically established the entire concept of social cognition. Social cognition is, according to our text (Feist’s Theories of Personality) the examination of “the cognitive and attitudinal bases of person perception, including schemas, biases, stereotypes, and prejudiced behavior.”  In other words, people make judgments and base their opinions on what they believe to be true—they form their opinions based on their experiences, how they were raised, their backgrounds, their way of being in the world. They form a social construct.

When Kelly’s theories were used to measure how people viewed gender, it turned out that most people use gender as a means of categorizing other people. Among those who do have biases about gender were more likely to apply gender stereotypes to strangers in social situations. And finally, the study concluded that those who stereotype strangers are more likely to ascribe stereotypical gender behavior to family members, friends, and acquaintances.

What’s the issue, you may wonder? The problem is that gender isn’t binary. According to Dreger and other researchers, gender occurs along a continuum. We might like to neatly categorize people as male or female and attribute behaviors thusly, but I would posit that gender behavior is a social construct foisted upon us by a culture interested in easy answers and quick categorizations. When we judge people according to our own narrow beliefs, we limit them and ourselves. When we believe our dreams are not valid because they fall outside of the gender norms, we cannot reach our full potential.

We are really touchy about gender. Nothing makes us more uncomfortable than not being able to place someone as either male or female. Even me, a lesbian, who despite being of a certain age, has a wide-open mind and tries not to stereotype anyone, still squirms a bit when I am faced with gender ambiguity. Even me, who spent a large portion of my 20s and 30s being called sir (I attribute the confusion to my then narrow hips).

But, the next revolution might be in the offing as transgender rights begin to take center stage. A new discussion and awareness is beginning and I am looking forward to a new unpacking of gender stereotypes and some talk about what it means to be male and female. Imagine doing away with our social constructs around gender—imagine a world in which a four year old doesn’t care if his Auntie Pammie is a boy or a girl, or have to worry about if he likes “girl things” or “boy things.” Imagine a world in which we truly are not judged by the sort of women or men we are, but on our humanity and on the ways in which we treat one another regardless of differences. Freud might be rolling in his grave, but I think George Kelly will be proud.