So, how does you reconcile the fact that you know no one can ever be that to you...and yet you feel those deep longings within you to have a mother or father...what do you do with that?
I hope the answer is not to see a therapist.
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quote:how do you not put that desire onto others...that you want them to be that for you and yet, you KNOW that they can't be.
So, how does you reconcile the fact that you know no one can ever be that to you...and yet you feel those deep longings within you to have a mother or father...what do you do with that?
quote:Intense dependency wishes seem to emerge from the chronically unmet need for secure attachment, and serve as an "internal guide" to direct the individual toward secure attachment. However, such wishes are often replete with cognitive errors and overwhelming affects, and thus often direct the individual to behaviors (and people) that actually decrease the possibility of secure attachment.
quote:We must therefore consider the impact of trauma and neglect on basic psychological and physical needs. Laub and Auerhahn (1989) make a strong case for the presence of need in the psychotherapy of severely traumatized individuals and the therapist as a need-mediating object:
When the world of people proves malignant on a massive scale, the internal representation of the need-mediating context is destroyed, the individual loses the capacity for wish-organized symbolic functioning (Cohen, 1985), and wishes regress to being dangerous biological needs. (p. 387)... The traumatic state operates like a black hole in the personis mind becauseOein the absence of representation of need-satisfying interactions, there is no basis for symbolic, goal-directed behavior and interaction. (p. 391).
Cohen (1985) was emphatic that "the traumatic state cannot be represented (sensorimotor affective state) therefore cannot be interpretedOe.[It] can only be modified by interactions with need-mediating objects" (p. 180). Patients may thus experience dependency as directly related to survival needs, therefore may sometimes act as though their very lives depend on urgently having needs met by the therapist. These clinicians thus support the idea of a need for secure attachment and dependency in therapy for severely traumatized patients. Mitchell (1991) concurred, stating that dependency desires expressed in therapy can represent ego needs, not symbolic wishes or fantasies. These needs must be met and gratified before anything else can happen in therapy, and the therapist should engage in active participation with the patient in discovering and meeting these needs within appropriate therapeutic boundaries (Connors, 1997).
If dependency represents need in the traumatized patient, we would again assume those needs are related to emotional systems, as needs are biologically derived, even though they may (also) have psychological manifestations. As Laub and Auerhahn (1989) stated above, the symbolic wish to depend upon another for care is replaced by basic survival needs in the face of overwhelming trauma.
Recovery from such trauma would require that therapy meet essential needs. The primary need would be the attainment of emotional and physical safety, i.e., absence of threat to bodily integrity. Although many survivors enter therapy at a time when they are no longer being traumatized, they experience oscillations in sense of safety due to re-experiences of the trauma, phobic responses to internal states related to trauma, self-destructive impulses, and, for some, a general inability to cope with the vicissitudes of normal daily life. The secondary need would be the attainment of secure attachment with the eventual achievement of felt security in relationship with a consistently responsive and caring individual, i.e., the therapist. The secure base developed in the therapeutic attachment provides a catalyst to develop other satisfying and consistent attachment relationships with others in daily life, and to function adaptively in normal life.
quote:Separate[s] dependency on therapist in therapy versus dependency on therapist for daily life
quote:The therapist, therefore, must abandon traditional reserve and shift to a stance of "active engagement" (Olio, 1989). This stance offers explicit, repeated invitations for contact between the therapist and client, followed by observation and inquiry regarding the meaning to and impact on the client. Active engagement reflects the balance of sufficient initiation by the therapist, to create a responsive environment without reaching a level or intensity of intervention which becomes intrusive or controlling. If the therapist holds back, out of fear of intrusion, he or she may fail to provide the level of contact and emotional involvement necessary to encourage disclosure and access to the traumatic memories and accompanying affect.
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This shift can often be difficult for clinicians who have been trained to view neutrality and therapeutic distance as a valuable asset and who may fear creating an overly involved or overly intrusive environment. While a significant level of emotional involvement is an essential ingredient in the therapeutic relationship with victims of childhood abuse, over-involvement on the part of the therapist must be monitored as well. Active engagement requires the therapist's willingness to initiate interaction with, and attune, to each survivor. The therapist must engage in an active process to develop a relationship that fits the particular individual's needs, rather than one which simply reflects the therapist's assumptions of the "correct way to proceed." This stance includes the therapist's responsibility to inquire about the client's internal experience as well as monitoring the quality of his or her everyday life.
quote:having a T who tries (offers) to re-parent can't ever work. I had a T like that (I have written and length about him).
quote:Here, the clinician once again is challenged to proceed with delicate balance. In part, the emergence of entitled demands for compensation for a lost childhod represents the reawakening of long-buried relational strivings and yearnings to play, an activity often alien to sexual abuse survivors.
For those healthy strivings to continue to unfold, it is crucial that the therapist allow the creation of that illusion within the therapeutic space in which clinician and patient can play, and fight, and love, and hate with the shameless passion and vitality known only to children.
At the same time, the patient must be allowed to rail against and grieve the original losses as well as the limitations to reparation available within the therapeutic relationshipo (e.g., sessions do end, clinicians take vacations, therapist and patient will not spend Christmas together in a concrete way).
If the work of this pase goes well, however, the internalized presence of the therapist will accompany the patient on vacations and at holidays in a way that encourages passion, play and continued relationship unfolding. ....
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