Monday, August 12, 2013

GrandParent Power (a change in Script)



Grandparenting differs from parenting, and the shift often requires exploration and questioning about the nature of the change. I’ve spoken with some grandparents puzzled when their old parenting scripts result in clashes, chaos, and rejection by their family.They want to understand how to communicate more successfully.

Their children, now parents shoulder the responsibility for their developing children  and, by rights, occupy the driver’s seat. 
It behooves the grandparent to realize that times and personalities are often different now.

For example, Ms. D. expected her children and grandchildren to cater to her needs, as she had catered to theirs in the past. She assumed they would allow her to visit and stay in their home according to her schedule. Instead of respect and gratitude for what she’d given them, she was met with rejection.

After a brief course of psychotherapy she began to understand how to negotiate. She recognized that their lives, focused on taking care of their expanding family, had become more demanding than her own, and she had to accommodate them. When she changed her attitude, she was rewarded by a mutually caring relationship.

Grandparents need to be aware that attitudes toward their children and in-laws trickle down to influence relationships with their grandchildren. For example, Mr. L. would have preferred a different kind of son-in-law, but when he criticized him and his daughter, they refused to invite him to visit. The key of acceptance granted him access to his grandchildren.

The narcissistic grandparent may want to maintain his place on the pedestal. He may think he is brighter and more accomplished than his children and grandchildren, but this claim doesn’t help to empower his offspring. A more valuable gift is to offer blessings and to recognize that each person has the potential to develop their particular talents.

The advantage of grand-parenting is less responsibility and greater freedom. Ideally, grand-parenting is less demanding than parenting, more relaxing and fun, and adds to the sweetness of a family’s life, like icing on the cake.

Grandparent power, like the best things in life, is free and resides beyond the grasp of money and wealth. Paradoxically, like anyone, grandparents receive more-and enhance familial relationships- when they give more (within reasonable boundaries) and ask less.

Conclusion: The purpose of pro-creation is to propagate our protoplasm and genes. The “good enough” grandparent empowers his family with acceptance, encouragement, and caring.

Dear Reader, Please contribute your comments: jsimon145@gmail.com.

Monday, August 5, 2013

Beyond Beauty and Brilliance (more thoughts on life scripts)



To predict who will stay the course of change and who will bolt like a frightened animal is nearly impossible, even for a seasoned psychotherapist.

Some people shift from a lifetime of behavior at the end of their lives.

In the blog post of July 16, 2012, “Age and Change,” I write about a woman over 80 years old who examined her life with a courage that contradicted or defied Freud’s dictum about older people and change.  Another client told me that his father who had abused him, psychologically and physically, began psychotherapy late in life and apologized to his son for his hurtful behavior.

Other people dig in their heels and continue to live a script that no longer carries them over the waves of fame and fortune but instead threatens to drown them in the undertow.

As I mentioned in last week’s blog- “Evoking (the Spirit of) Life Scripts”- a person is more likely to examine a script after experiencing a snafu in life. But in Woody Allen’s new masterpiece, the film, Blue Jasmine, the main character, clings to her script after her marriage to the wealthy, corrupt businessman Hal crumbles. Jasmine continues to expect a life of privilege and indulgence.

Her sister Ginger explains how Jasmine’s script was originally written: The two were both adopted, but Jasmine was the favorite, the beautiful, brilliant one who came to expect (and in fact received) pampered treatment.  Instead of taking responsibility for her role in misfortune, Jasmine fails to see or hear anything that interferes with the view that she is privileged and entitled to exploit others.

Some people find the film depressing because Jasmine hits “rock bottom,” falling into a babbling state of psychosis.

A psychotherapist doesn’t find the film depressing; instead she says, “This is what happens when a person doesn’t do the work to face herself honestly in the mirror!”

Conclusion: We are our own living experiments. The tragic figure fails to take responsibility, to examine his script, and change when an old one outlives its usefulness like a sweater that shrinks in the washing machine of life and no longer fits.

Dear Reader: Your opinions are welcome. Jsimon145@gmail.com


Monday, July 29, 2013

Evoking (the spirit of) Life Scripts


According to Wikipedia, script analysis is the “method of uncovering the early decisions, made unconsciously, as to how life shall be lived.”

Life scripts are communicated to us by our parents or caretakers and society.  In general, we act upon them automatically until we encounter a snafu. Then we may examine the course of our life and decide to follow or change the script to fit an inner sense of who we are, somewhat like altering an item of clothing from “one size fits all.”

(I became a pathologist because my parents didn’t want me to study psychiatry. After altering my life script against my parents’ wishes, I felt free to be true to myself and become a psychiatrist.)

Psychologist Eric Berne, father of transactional analysis, studied the scripts we play out in relationship with others, analyzing various problematic communications. For example, when a person speaks to a peer as if he is the parent, instead of an equal, he plays out a crossed transaction.

Someone may unconsciously “act” or “operate” as if she is a mother figure to everyone. Most likely this script was handed down, stemming from the role she was assigned in her family. Awareness gives her choice and flexibility, to apply the script or determine its inappropriateness in a given situation.

Although Berne’s goal was to render a person “script-free,” later studies have determined that we are really never script-free.
(For example, the goal to live and think in the moment, with no interference from the past is, in itself, a script.)

Scripts indicate that to a greater or lesser degree, we are programmed by our environment, a notion that contradicts the idea of free will.  The role of our genetic constitution -and its dynamic interaction with the environment- is complex and unfolds with time.

For example, Mr. James Morris, a well-known English journalist, married and raised a family. But he experienced himself as “wrongly equipped” and at age 46, had a sex-change operation. He became the famous British travel writer Jan Morris. He married first as a man, divorced, and re-married the same mate as a woman with whom he has lived for over fifty years. (See “Love story: Jan Morris-Divorce, the death of a child and a sex change...but still together,” written by Andy Smith  in The Independent, June 4, 2008.)

Needless to say, bringing scripts to our conscious awareness is a creative endeavor that offers understanding and insight, and frees us from unnecessary self “blame.”

Conclusion: The goal is to recognize the scripts handed to us in our developmental years and modify them to suit our individual natures.

Dear Reader, I welcome your thoughts. Jsimon145@gmail.com

Monday, July 22, 2013

When Right is Wrong (Holding on to Pride and Anger)



Sometimes we have an innate sense of injustice, the feeling that we’ve been wronged.  For example, when someone has disrespected or neglected us, or reneged on a promise.

A specific case is Mr. C. who had an informal agreement with a friend. He’d help publicize (i.e., write ads for) the friend’s tennis studio in exchange for lessons. However, he and the instructor could not find a mutually convenient hour to meet. Mr. C. thought that the teacher should work harder to accommodate him and his schedule, and his pride was wounded because he felt his services were not appreciated. I encouraged him to discuss the matter with his friend. Holding on to his (wounded) pride, in spite of “being right,” left him the looser without the benefit of tennis lessons.

When I arrived for my hair appointment to find that my hairdresser had cancelled it, I was very disturbed. The hairdresser did not apologize, only saying, “I’m behind schedule and can’t do your hair today. You live nearby and can reschedule.”  When I objected and explained I had a schedule too, she said, “You just have to learn to relax.” Her words implied that the problem was mine.

Of course an apology was in order, but I didn’t receive one because she seemed unable or unwilling to grasp my point of view (see the previous blog “Admitting Mistakes,” November 19, 2012).  But she is a competent hairstylist, and I realized that in this case, I had to let go of my feelings of injustice.

One of my pet peeves about New York City is the delivery people on bikes who drive either way on one-way streets and avenues; they don’t necessarily heed the traffic lights, either. If a person doesn’t want to risk being struck by one of these bikers, looking both ways before crossing a street is wise. Theoretically, this kind of caution shouldn’t be necessary, but in this case, failing to do so, can endanger one’s physical well-being.  Standard practice of obeying streetlights could therefore be considered “wrong” or certainly insufficient.

Letting go of a sense of injustice is easier to say than to do; I confess I’m still working on it. I learned the concept at a poetry conference many years ago.  At the conclusion of her presentation, the well-known poet, Ellen Bryant Voigt was asked by a person in the audience when is a poem finished. She answered, “It is all revision until you die.” Needless to say, the statement stuck a chord in many of us. I like to think of myself in this way: Like a poem, I am a “person-in-progress.”

 Serendipitously, a quote from the actress Andy MacDowell in The New York Times on July 14, exquisitely sums up the issue.  “If you carry around anger and ugly emotions, it will show on your face,” she says as she equates “positivity with beauty.”

Conclusion: Holding on to anger and pride, although these feelings may be understandable and justified in a given situation, is wrong because the negative feelings harm our bodies, minds, and spirits.

Dear Reader: Your comments are welcome. jsimon145@gmail.com

Monday, July 15, 2013

The Therapist's Use of Self




Vignettes from a therapist’s life can help people who suffer from feelings of aloneness and isolation in their struggles. The fact that the therapist has grappled with similar issues can be helpful. These must be timed skillfully and presented carefully to serve the client and have a positive impact.

(Professional books related to this subject include: The Therapist’s Use of Self by John Rowan and Michael Jacobs, published in 2002 and The Use of Self In Therapy by Michele Baldwin,  2012.)

Recently, Ms. F. asked me if I experience feelings of self-hate. I explained that I certainly had examined the root causes of this emotion in my own therapy years ago, and recognize when it occasionally sneaks into my awareness. Because I know it serves no constructive purpose and experience it as an obstacle, I discard it (in the metaphorical trash can) like an old newspaper.

Mr. G. complained that a paper he was writing took hours to complete. I shared the fact that I had just struggled with the same problem. I knew that many people would be able to prepare the report in less time, but to think along those lines didn’t help. Instead I had to reframe my thinking, to accept the task as mine, and resign myself to finishing it, regardless of the time required.

Conclusion: Vignettes from a therapist’s life can help diminish a client’s feelings of isolation and further the road to self-acceptance. 

Dear Reader, Your comments are welcome: jsimon145@gmail.com

Monday, July 8, 2013

Potential, Parenting, and Psychodynamics


A common observation during the many years I’ve practiced psychiatry is the enormous loss of human potential. In general, people possess more talent than they actualize; it is the  psychological factors that thwart them.

The psychotherapist is the rare and intimate observer of talent and creativity that remain inaccessible to the individual like a treasure locked in a chest to which the combination has been lost. Tragically the failure to take advantage of opportunities relates more to early development than to the moment.

In spite of the positive feedback from the world, including awards and scholarships, some people don’t believe they possess the talent or ability to develop their gifts.

Mr. C won an art scholarship in his youth. He wasn’t able to take advantage of it because of psychological difficulties, self-doubt and self-hate, stemming from his upbringing. He was raised by well-meaning, loving parents who simply did not know how to parent. As is the case with many people, they followed their parents’ patterns which had also curtailed their potential. 

Child-rearing practices foster or stymie burgeoning human potential. Understanding, instead of blame; setting firm and fair limits (please see the blog of July 1, “The Bounty of Boundaries”, giving encouragement and allowing  for exploration are key elements for both the parent (caretaker) and psychotherapist to guide a person on a constructive path to a sense of  healthy self-esteem.  (The opposite elements of excessive criticism and rejection engender self-hate. )

Teaching parenting skills (before a person becomes a parent) seems analogous to saving a treasure from being tossed overboard, or administering a polio inoculation to prevent the dreaded, crippling disease. In fact, a 2009 study by the Church of England’s Children’s Society concluded that all children should be taught good parenting in school.

Conclusion: The ability of an individual to actualize his talent rests on a foundation of healthy self-esteem (acceptance), a trait nurtured in childhood. Teaching the principles of parenting in our basic educational system is analogous to guarding a treasure from being tossed overboard or, in the physical realm, administering immunizations for polio to prevent the disease.

Dear Reader, Please comment: jsimon145@gmail.com.

Monday, July 1, 2013

The Bounty of Boundaries




What do we mean when we speak about setting boundaries or  limits?
 This psychological terrain is enormous for a psychotherapist, analogous to thousands of acres tended by a farmer.

The most basic boundaries for a client in a therapeutic relationship include:
1.     Keeping scheduled appointments
 2.  Leaving the session when the time is up and
 3.  Taking financial responsibility.
 
The psychotherapist also helps the client establish boundaries in his own life with friends, family and colleagues.

Maintaining good boundaries fosters good relationships. When responsibilities are clearly defined, people have clarity regarding their limits and responsibilities to each other. Anxieties are lessened, especially for children and puppy dogs, who experience feelings of insecurity when rules waver.

Children flounder and become anxious when their parents don’t know how and when to say “no” at appropriate times. They don’t learn limits and are in danger of becoming “monsters,” unable to respect others or learn common courtesies. The lack of understanding and acceptance of clear and fair boundaries underlies much psychopathology and sociopathy.

Boundaries or limits teach us to account for our actions and are essential for success in love (relationships) and work.  

Ms. Q. has made promises on several occasions to deliver payment but hasn’t followed through. She is relieved when I explain that the failure to keep her word is more disturbing than an honest need to postpone a payment.

Although at times I fear I may alienate a friend if I remind her to return a borrowed item, I realize I could become resentful if the friend never returns it. Therefore, a gentle reminder is the lesser evil.

Sometimes we confuse the boundaries inside our head with those outside ourselves, as illustrated by this lawnmower story: A man walks across his lawn to borrow his neighbor’s mower. By the time he arrives at the door, he’s already convinced himself that the neighbor won’t lend the prized possession.  When the neighbor answers, the would-be borrower doesn’t bother to ask and instead, growls,  “You can keep your darned lawnmower!”

 This (somewhat) humorous tale exemplifies the extremes to which our minds are capable of blurring the boundaries inside our heads with those in the world outside us.

On a rare occasion, relaxing a boundary may be in order. Many years ago I experienced the benefit (benificient gift) of flexible boundaries. My supervisor, the well-respected psychoanalyst Dr. Louis DeRossis, did not charge me after I cancelled our supervision an hour before the session. (I  explained to him that I feared I’d be blown away by the high winds sweeping through NYC.)  He understood my psychological makeup-including a self-punitive internal judge (harsh superego)- and I assume he thought making an exception to the rules would be acceptable in this instance.

Conclusion: Establishing boundaries (or limit-setting) is a vital tool to avoid chaos and confusion in life. On the other hand, boundaries like rules can be broken on occasion for a good reason.

Dear Reader, I welcome your comments: jsimon145@gmail.com

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