Archive for ‘Therapeutic Process’

November 20, 2007

Our brother (almost 60) has ADHD….

by Rod Smith

“Our brother (almost 60) is the youngest of four siblings has ADHD. He treats his family like dirt but his friends with respect. Even our mother (in her eighties) does not get his respect or attention. He confesses undying love for her then ignores her. He will lend money to all his friends but not his family. Hides behind the ADHD label and blames it all on this. He wants us to do right by him but never ever does the correct thing with us. If mother or a sister is in the hospital he does not visit. Family is always pushed aside to make way for wonderful friends. He will not see psychiatrist or get help. What can we do? We still love him but he is always right and we are wrong no matter what. His wife supports everything he does. How should we respond? We know he can never change. Please help us. My mom is devastated.” (Letter edited)

This is probably a character issue, and not a matter of your brother’s diagnosis. I hereby give you permission to relinquish your role as your brother’s change agent, and the family’s scum-half, or quaterback (depending on where you are reading this!). Give it up. Let your mother and siblings deal directly with him. Get out of the way! Playing “piggy in the middle” is never much fun for piggy.

November 8, 2007

Every now again, when she has problems, she does not want to be around people, including me…

by Rod Smith

“I have been going out with ‘Jill’ for several years. We do not live together. Every now again, when she has problems, she does not want to be around people, including me. I find this very difficult. I don’t think she understands how to love or be loved. I have tried to get her to understand that I want to help her but she will not listen. She says she wants to be left alone to go where nobody can find her.”

Jack, avoid interpreting Jill’s desire to be alone, or escape, to be about her capacity to give or receive love. These desires, however triggered, most certainly pre-date your relationship. Love Jill enough to grant her the fulfillment of her desires that you have difficulty understanding.

Love – by letting alone. You, Jack, love by being present, and through absence. Both can be acts of love. Some people simply need (no, I am going to say ALL healthy people) or desire some alone time. It allows for the natural stresses accompanying even the most loving of relationships to dissipate.

And, when she goes away to be alone, resist your powerful, understandable urge to go looking for her. Trust Jill, Jack, to get what she needs. This is a very important component of your love for Jill.

November 3, 2007

When counseling will be most effective….

by Rod Smith

I am listening....

I am listening....

Conditions under which counseling or therapy will be of most value….

1. Neither client nor therapist exaggerates therapist’s abilities or the client’s condition.
2. Therapist sees role as helping client steer toward a more productive, healthy future.
3. Client sees the “big picture” over the “long haul” rather than immediate relief in the “here and now.” (Patience, patience, patience).
4. Client and therapist maintain a sense of humor (a sure indication of health) while facing life’s inevitable challenges. Not everything can or will be better no matter how much therapy you throw at it!
5. Client and therapist call forth the client’s strengths and the innate human desire for adventure, rather than engage in the seemingly endless pursuit to understand a client’s pathological history, weaknesses, parents’ weaknesses, and debilitating reasonable, and unreasonable fears.
6. Therapist and client understand the limited benefits of empathy in exchange for the overwhelming benefits of challenge and adventure.
7. Client realizes that psychological insight without action (acting upon the insight) is a waste of money, time and useful therapeutic process. Sometimes a person has to actually DO something rather than be filled with insight about what needs to be done.
8. Client is willing to increase the ability to tolerate necessary pain (both within self and within others) and resist the understandable pressure to alleviate the very pain essential for growth to occur.
9. Therapist challenges the client repeatedly toward self-definition (to grow up!) in the face of life’s natural obstacles.

Conditions under which counseling or therapy will be of little or no value…

Time and again I hear “If I could just get him/her to see a counselor” as if a counselor can work magic to heal and solve all personal and relationship problems. Few trained counselors would see themselves as possessing such unrealistic powers. Here are some conditions (there are others) under which even counseling will be of little or no value:

1. When a person is forced, or cornered, or manipulated into seeing a counselor.
2. When a person has no motivation for change.
3. When a person agrees to see a counselor because he/she believes counseling will “fix” someone else in the family.
4. When the person’s mind is already made up over and issue (a pending divorce, continued involvement in an affair) and goes to counseling so he/she can say he/she tried it and it was no help.
5. When a person is resistant to getting help (doesn’t see the need for help) and offers counselors little or no respect in the first place.
6. When the person is combative from the outset and sees the therapeutic hour as time to show how clever (or funny, or morose, or argumentative, or stubborn, or intellectual) he/she can be.
7. When the person has already made up his/her mind that there’s no hope (”we’ve tried it all before”) or that counseling is a waste of time and money.

October 16, 2007

He compares himself to a cripple in a wheelchair…

by Rod Smith

“I married 26 years ago out of a sense of guilt and it has never left. We have had a very difficult marriage and yet we both have a high level of commitment.  I want a healthier relationship but I don’t know how to get it. I know a healthier relationship starts with a healthier me, but as I try to get healthier, I feel a wider distance coming between us. I have never felt emotionally bonded to my husband, and for years it was heart breaking. I have talked with him hoping things would get better. He justifies his distance, which makes it harder for me. He compares himself to a cripple in a wheel chair. He knows that I would not insist on a cripple walking. He believes himself to be emotionally crippled and I should not expect something that he is not capable of giving. I am at the place where I feel I want to move on, but my sense of loyalty will not let me. I thought I had moved through the bitter stage but now I am not so sure.”

Repeatedly challenge his dramatic metaphor. It’s possible to remain married while also refusing to share his wheelchair. I’d suggest you do all you can to get healthy and well despite his protestations (the distance you feel, and so forth).

Let’s talk further. Until you leave him (I do not mean divorce him) in the “safety” and the “comfort” of his emotional wheelchair you are also in it! Grow on your own. Your personal development is not contingent on his cooperation.   

September 18, 2007

This friendship is too much. Is it okay to cut it off?

by Rod Smith

I am in a “friendship” that is too much. A co-worker wants all of my time. She wants me to phone her to see if she is having a good day (she’s an office away!) and then when I do she says I am only doing it because I know she wants me to – and that the phone call is therefore not real! I have a husband and children and she wants me to be her best friend. Almost everyday there is an issue about my not being a really true friend. Is it acceptable to cut this relationship off?

Yes. Cut it off, or establish very firm, non-negotiable boundaries. Do it firmly, kindly, gently (“quick and clean”) and with the full knowledge that you are going to be considered the “bad guy” once the break is made or the boundaries declared.

This person wants (needs) from you what innocent and casual friendships are not of capable of offering, and the pressure for each of you is destructive. Be assured that it is very unlikely that yours is the first relationship with this person within which she has demonstrated similar symptoms.

A good mental health professional could assist your troubled “friend” – but allow her the space to discover that for herself.

August 29, 2007

When is it time to cut “friendship” ties?

by Rod Smith

I hope I hear from you...

I hope I hear from you...

Healthy people seldom engage in friendships that are more work than necessary, and have little or no problem cutting ties when a friendship becomes over-taxing, overly demanding or draining. Friendship is supposed to be enjoyable. Thus, whenever any of the following occur in a friendship, I’d suggest it is time to cut and run. I am not at all suggesting the friendship ONLY involves good times. I am suggesting that if a friendship is hard work when it is time for the good times (no present illness, no unusual trauma) then it might be time to move on:

Your friend: (1) Doesn’t want you to have other friends; expresses jealousy through sullenness, withdrawal or antagonism.
(2) Lies to you, about you, or about others.
(3) Expects you to keep “special” secrets or information when the knowledge makes you uncomfortable.
(4) Watches the clock if you are late and interprets your lateness as meaning something about the friendship.
(5) Compares your behavior in one friendship with your behavior in another (“How come you are never this way with your other friends?”).
(6) Expects you to buy into his or her values even when they differ from your values.
(7) Wants or needs to book up your time a long time in advance to make sure your life is planned around his or her life.
(8) Plays games of “hide and seek” to see how much you care or how important the friendship is to you.

August 19, 2007

A counter-intuitive secret to powerful intimacy…

by Rod Smith

To become authentically closer to your lover, and to develop greater intimacy with that person, work conscientiously at your separateness from him or her. This is, I believe, is the most challenging behind-the-scenes issue of every intimate relationship.

“Is it possible to love you without also losing me?” expresses the inevitable tension every close relationship faces.

“Closeness” is not usually a problem for most couples. There is usually an abundance of closeness (being overly connected, intensely joined) resulting in couples being highly reactive to each other, and it is this very closeness and lack of definition between people, that, given some time, becomes uncomfortable for at least one member of the relationship.

Remaining unique, distinct and defined within the relationship is what allows healthy, freeing love to flourish.

If couples worked enduringly at remaining unique (it is never complete) and developed their separateness, while also being deeply involved in a committed relationship, then, I believe, there’d be less need to separate (“I need my space”) at a later time when the closeness inevitably feels claustrophobic and overwhelming.

Loving you is not love if the cost of loving you means losing the essence of who I am.

July 19, 2007

Daughter wants to sleep at boyfriend’s house….

by Rod Smith

My daughter (16) wants to spend the night on some weekends at her boyfriend’s (16) house. My husband is dead set against it and this causes a mini cold war in our house. Her boyfriend’s parents are very kind people who are very capable of supervising our daughter and their son – but it still makes my husband very uncomfortable. My husband is not the kind of man to express his views but expects me to be the go-between. What should we do? (Edited)

Your letter offers no indication of your opinion regarding your daughter’s relationship with her boyfriend and his family. It is clear that you have become the appointed spokesperson. I’d suggest you remove yourself from the middle of this triangle and let your husband and daughter speak to each other about his concerns. Personally, I’d rather err on the side of trusting too much than err on the side of trusting too little.

Of paramount importance is that you keep lines of communication open between your daughter and you – and that will be next to impossible while you are an agent of your husband’s anxiety.

June 24, 2007

Clearing the air…

by Rod Smith

Sometimes, for whatever reason, the atmosphere in a family (business, school, church) can become tense, even threatening. When deceit is tolerated, necessary conflicts are avoided, and when people are regarded as possessions, rather than as separate, unique, and valued people, the accompanying stresses can give rise to aggressive and passive-aggressive behaviors of avoidance and sabotage. At best, under such circumstances, life can feel like a tiring game of hide and seek. Alleviate some of the intensity (given there is no infidelity or gross misbehaviors occurring) by:

1. Talking about the matters that are the most difficult to talk about. Let the strongest person, the one who is most aware of the need to clear the air, call attention to the need to talk about the very fact that matters are difficult to discuss.
2. Talking about your own behavior and not about the behavior of others.
3. Taking responsibility for your part in the difficulties.
4. Being willing to live with a degree of helpful compromise.
5. Forgiving others without requiring others to beg for forgiveness.

(posted in Taiwan)

May 27, 2007

Fixing others, in the hope of finding happiness….

by Rod Smith

I got a visit from Jill today. She spent an hour telling me all the things wrong with her boyfriend, Jack. Word, words, words, details and more details filled the room. I decided there is no human, no matter how loving, kind and patient, who could fill the hole of dissatisfaction in Jill’s life. She is so convinced that if she can just “fix” Jack and make him the “right” kind of person, all her unhappiness will cease.

Jill demonstrated again that unhappy people have an uncontrollable urge to meddle in the lives of others. This is most evident with “loved” ones. To try to fix, coerce, push, and make others into what we think they should be, is not the fruit of love. Love doesn’t do any of these things. It offers support and encouragement when someone wants to change but it resists the temptation to try and change others.

Oh, dear Jill, get your eyes off all that is “wrong” with Jack, and see that your misery continues because you refuse to accept others as they are. Focus on what you can improve about who you are. Give Jack, and the imperfect world around you, a break!