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Twenty Helpful Things My Therapists Said
reflections on psychotherapy by a client with Dissociative Identity Disorder
By Carolyn Spring
1. I like pineapple.
I don't suppose it's unusual to like pineapple, but here was a person who liked pineapple and blueberries, who ate breakfast, who was real: alive and different and existing in her own right, someone who ate pineapple, not just someone who wanted to hurt me. There was a delectable simplicity about liking pineapple, and that throwaway comment crashed against months of avoidant haranguing and fearful apprehension of this person who otherwise had seemed unknowably untrusting of me. Now in three words I felt trusted – trusted to know that she likes pineapple. And the tiny enormity of that pineapple, exposed in a languid disclosure, made us realise how little we knew of normal, of favourite fruit and breakfasts without dread and a sore throat.
2. I don’t think sex is yuk.
Possibly said in defeat, not knowing how to counter indignant, adolescent repulsion,
but a breakthrough nonetheless, peeling away layer upon layer of darkest assumption
that sex is yuk, that all sex is yuk, that everyone finds sex yuk. I don't think
sex is yuk – a dazzling possibility, shocking, promising, hopeful. Someone brave
enough, convinced enough, at last to say: there is good sex, sex that isn't perverted
or disgusting or harmful or coercive or humiliating or sickening or abusive. And
so a summary of the wrongness of what happened to us and a validation of our clenched-
3. It’s not happening now.
Those words – it's not happening now – used to prickle: they scratched me, irritated
me, they were caustic and unwanted. At first I just felt stupid – I know it's not
happening now. But slowly that mantra began to contain the awfulness of flashbacks:
everything compressed together in a sandwiched world of past-
4. I can help you.
I grew up in a world where no-
5. I believe you.
No-
6. It wasn't your fault.
Never had it occurred to me consciously that it was my fault; always unconsciously did I believe that it was. But suddenly those words – it's not your fault – and I realised that I had always blamed myself, always felt responsible, always assumed, in narcissistic, precocious error, that I caused it. Then the disturbing, fluttery fear that I didn't cause it: was I really so helpless? That seemed, somehow, worse. So I oscillated back, in those words – it wasn't your fault – between sturdy powerlessness and guilty exoneration. If it wasn't my fault, whose was it? Years of assumption, schemata for living, shaken up like a bag of flour and lying now like a fine dust over my sense of self. Do I blame someone else if I can't blame myself? How can I blame them? – better to blame myself. That people did evil things to me, and I didn't deserve it, and I wasn't to blame, is newly traumatic: I live in a world that I cannot control through taking the blame, and my worldview feels anxiously collapsed.
7. I'm sorry.
These are the words that adults in my life never spoke. Two apologies: I'm sorry
that it happened – shocking, why would anyone care? – and I'm sorry I got it wrong
– impossible humility; it must be a trick. Can it be true, that someone is sorry
that it happened? – when caregivers stood by and failed to act, failed to be sorry,
showed no regret? What is this person, recently a stranger, feeling towards me? Suddenly
I see care and compassion lived out, acted out, articulated and enunciated in the
form of these words – I am sorry – and there is glimmering hope. Then later, at a
moment of empathy-
8. I don't understand.
My therapists are not omniscient, and they don't understand. I'm glad when they say
it. I'm glad when they stop pretending that what I'm saying makes sense to them.
I don't know how to communicate the confusion and the distress, fragments of being
and fragments of knowing, that I lived in, that I did, that I was. I feel betrayed
by the all-
9. You're ok just as you are.
I grew up with unconditional negative regard, my acceptability nebulous and eternally
unattainable. So I leaned forward continually and expectantly into the disdain-
10. I won't send you away.
If I make you cross, if I make you sad, if I make you frustrated, if I make you scared,
if I make you yuk, if I make you repulsed ... will you send me away? Of course you
will. Can it really be true that there is this place, this one place in the whole
world, this one place in this empty humming space between us in this room right here
right now – one place where I can be? – one place where I can say anything, one place
where I can feel anything, one place where I can stay? The clock hand ticks and I
know I will have to leave but I can come back next week – the certainty of that is
exhilarating. I can keep coming back, can't I? Whatever is unfinished, unsaid, undone:
we can bring it here again next week can't we? Suddenly I have a future – week-
11. You're not yuk.
Yuk is the child's word to convey the fetid, rancid, seething disgust, the slithering
foulness, of wet and scum and nauseating me. I describe horror and repulsiveness
and I am smeared with the reality of it, wiping away the crud and the excrement as
if it still remains. I tell you and mirrored in your eyes I see the revulsion that
you see in me and then softly and cleanly and honestly and truly you speak to me:
You're not yuk. The words are like magic – a gasping for breath, a really? and something
in your eyes of openness and compassion is the first time I've heard that in that
way, the first time I've believed that I'm not a Little Shit. And it is a magical
wiping away and I can't believe you just yet but I want to and the oil-
12. I'm not cross with YOU – I'm cross with THEM.
People don't need a reason to be cross; people just are cross; they need a reason not to be cross. There is this mother: scratchy, hard, prim; tipsy, explosive, bigoted; furious, gossipy, efficient. A thousand combinations of mood and personality and chameleonic in intensity and cause, but always, always cross. We were forever just a moment, just a word, just a breath away from fury and acid; holding tightly to ourselves every muscle of our thoughts so that none should start the landslide. Incipient, uncausative rage at everything and everyone was a cloak around our mealtimes, our bedtimes, our life. And now this mellowness of thought and feeling in a therapy room means nothing to us of mood and atmosphere because crossness just is, in the background, in the shadows, in the cobwebs, in the air. She was cross with everything except what was happening to me. Angry only, I imagined, that I had blood in my pants and there would be more washing to do, and I didn't want to be in trouble for that. She was angry with everyone except the people who were doing it to me.
13. I'm coming back.
Out of sight, out of mind: even after three years my object-
14. You are precious.
Precious as a good thing, not a bad thing, shameful and hurting and distorted and
macabre. Precious in the sense of having intrinsic value, before and beyond what
happened to me, regardless of what sex act I can perform on an adult, what sense
of gain I can provide. For as long as I've known, I've been what I've been as an
appendage to someone else's psyche, with no value in and of myself, no sense of goodness,
no sense of autonomous worth. But now, this idea blossoming upon me – intrinsic value,
intrinsic worth, intrinsic goodness. Am I precious? – even without earning it through
suffocating perversion which itself confirms my unwanted, unglad sense of evil? To
be precious, to be precious to someone: huge draughts of disbelief mingle with excitement.
Can I be precious? Can I be something, someone, to value, to regard with loving-
15. I trust you.
I never trusted myself. I knew, in metaphors and shadows of my mind, what I had done.
Guilt at surviving, guilt at complicity (however forced) hung shroud-
16. I won't hurt you.
The assumption, of course, is that everyone would. The assumption is that hurting
is what I exist for, that I can see pleasure mirrored in someone's eyes only when
there is pain. Then as an adult, if there is no pain from that other, I must myself
balance the pain-
17. I like you.
I know what it is to like people; from below I adulate the strong, the wise, the
powerful. But for someone to like me is risible, hollow mockery. What is there to
like about me? Inadequate, always crumpled-
18. I feel ...
There seemed enormous hubris in I feel. Feelings expressed were unknown to me; do
other people have feelings? Here is this person, masked in unknownness, telling me
what they feel. It is discomfitting, alarming, breathtaking, but crisp with novelty.
These are feelings expressed but not acted upon, feelings of sorrow or joy or anger
or pleasure or doubt or urgency, feelings from another person wave-
19. It does matter.
Sexual abuse – it doesn't matter; rape and torture – it doesn't matter; infanticidal
attachment – it doesn't matter. Somehow the horror has to be airbrushed away with
it not mattering, somehow the gagging revulsion has to be suppressed. It doesn't
matter; I don't matter: that is the only explanation for those things, the only rationale
behind what happened. And then my therapist with freedom-
20. You can choose.
I didn't know what it was to choose. The sense of an individual, automonous, able
to be oneself, with wants and preferences and feelings and ideas: I didn't understand
this. I thought – really thought – that life was about survival, edging past other
people's moods and inconsistencies, winning their approval so that they wouldn't
hurt you, trying to fit in and blend into beige-
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