Category Archives: Family Story

So Simple Even a Child Could Do It

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Age and wisdom do not necessarily go together. This was brought home to me again rather forcefully thru recent contacts with my 4 y/o grandson. My wife and I watched him last week for five days and nights while my son and daughter-in-law were at a conference in Portland, Oregon. I thought this would be a rather simple undertaking since we did raise my son who is now 37 and his brother who is 33. Both of them made it to their advanced ages with only a few scars that of course have been blamed on us. So watching a 4 y/o for a week should have been no problem.

It really wasn’t. My grandson is wonderful, bright and very funny. What was not bright and funny was his car seat. Most of us remember car seats as fairly simple. You strap the kid in and take off. My parents didn’t even have car seats. They had a station wagon and would lay the seats down so we could sleep in the back. I still remember rolling around trying to get comfortable. With our own children we had fairly simple car seats. They were not difficult. Sometimes a child would get out on his own, but no big deal. My wife does remember a time she was driving on the expressway when our oldest son was 3 or 4. He got out of the car seat and put a plastic bag over his head as a joke, but no very big deal. She got it off of him quickly. Probably because of stories like that car seats have become much more complex.

We were originally told that the car seat we purchased for our grandson would have to be installed by the fire dept. I thought this was joke, but it really wasn’t. We were told how to do it and did get it done. When he was an infant, the car seat fit perfectly. Now that he is older he hasn’t been in it for a while. We picked him up at his day care and tried to get him in the car seat. The straps were not adjustable and the clips to the harness were almost impossible. Once we got him in I wasn’t sure we would be able to get him out. The next morning I had the same problem and I kept hearing my grandson say, “Grandpa this is too tight”. I had fears of my grandson having a high voice for the rest of his life because of the damn car seat. I read the instructions again and still couldn’t fix it.

Finally I gave up. When we took him to daycare, I asked one of the teachers for help. She was about 22 and looked about 17. She asked what kind of car seat we had. When I told her, she sighed and said she had the same problem with her own baby. She came out and showed me this secret button that you push to adjust the straps. After that no problems and my grandson’s testicular development can continue.

The whole episode made me think how difficult it is to ask for help. Most of us don’t want to. We prefer to do it on our own. Asking for help can be a sign of weakness, especially for something as simple as a car seat. Getting over depression, anxiety, grief, addiction shouldn’t be that hard. “Snap out of it”, “Just say No” “ What are you, a Pussy” are phrases we all have heard either from self-talk or from those close to us. Often that’s all that’s needed—but what if it doesn’t work.

What finally motivates someone to reach out and ask for assistance? What has to happen? The German Co-Pilot who crashed the plane and killed over 150 people is said to have had a history of depression and suicidal ideation. He was in therapy and apparently made progress and then stopped. Anti-depressant meds were supposedly found in his home and it is unclear if he was still on them. One of the problems all therapists have to deal with is non-compliance or “flight into health”. The process of recovery is not structured like an escalator. There are frequent stops and starts and often long delays. It is easy to get frustrated and even to give up. If you achieve some initial growth and think you got it beat and then fall back, that can be devastating. No one knows if that is what happened to the German pilot. I have had patients feel better, stop their meds and stop therapy. Then a few days, weeks, months, years later I would get a desperate phone call asking for help. Humans are not machines that simple oil changes and replaceable parts can fix. Sometimes it takes constant care.

This care doesn’t need to be daily contact or weekly sessions forever. One old research paper found out that people could attain a more stable recovery by having longer contact with a provider. I had one family who would send me a Christmas letter every year after their daughter’s treatment. This went on for almost thirty years. They would come by occasionally for other family problems, but the fact that they knew I was there and would be there for them made it a lot easier to ask for help when they needed it.

I just have to keep reminding myself of this. Nobody knows everything. We are all experts in some thing and ignorant in others. Knowing when to ask for help and guidance is what’s important. Trying to accept this continues to be a life long adventure.

 

 

 

Laid Out Like a Grid

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When I was 10-11 y/o my family was going to Chicago for the day. We were going “downtown” to see a movie at the State Lake Theater. This was a very big deal back then. After the movie was over, we walked around and I was overwhelmed at the size of the buildings and the mass of people. I remember asking my Dad how he knew where to go so we wouldn’t get lost. He told me Chicago was a very easy city to get around in “Because it’s laid out like a Grid”. Since then I believe hundreds of people have told me the same thing. “You can’t get lost here because Chicago is laid out like a Grid!”

Well by God that has never helped me! I always get lost in Chicago (and most other cities too). I think I have a very peculiar type of learning disability related to directions. Once when I got my drivers license I picked up my sister at her high school. We had to run an errand for the family and it took almost four hours to get home. Another time the hospital sent me to a conference in Minnesota. I got off the plane, rented a car, and drove for almost six hours to get to a location that was 45 minutes from the airport. I always remember Blanche Dubois line about depending on the kindness of strangers because of asking for directions. Sometimes conflicting instructions would make it worse and I ended up going in circles. I do eventually get where I’m supposed to. I just don’t do it the way you are supposed to. Wandering around has led to many strange encounters. In Minnesota I ended up stopping at a church picnic to get directions. The people there were wonderful and helped me get on the right track. In Ireland a convenience store helped get me back to the hotel. It just takes a little longer

My family laughs about this now. My wife thinks it is genetic and tells me that the reason my grandparents didn’t emigrate until 1902 was because they got lost trying to find America. My sister has some of the same difficulty so maybe there is something to this. GPS has been a mixed godsend. My wife always wants me to take one and use it if I go someplace new or someplace complicated. I have even ended up swearing at the GPS. I hate the words “Recalculating” or “Make a U-Turn”. It seems even machines know how to frustrate me on this. The shortest distance between two places is a straight line just doesn’t seem to work with me.

I think that is why I had patience with people who were struggling with their own problems and decisions. With alcohol and drug users the “Just Say No” plan seems very logical. Marital problems, domestic abuse, anxiety attacks should all be able to be fixed quickly. However people don’t work that way. Addicts basically stop when they are ready and not one minute before. Everybody has their own speed. Sometimes the solutions people have to problems seem to cause more difficulty than their original situation. I had many people who had affairs basically to get out of their marriage. After the divorce the affair stopped, the abandoned lover would often end up in my office in their own crisis.

Sometimes it seems like there are people who go from crisis to crisis. They get one problem solved and almost immediately find another. The Grateful Dead has a song with a line like “I may be going to hell in a bucket, babe. But at least I’m enjoying the ride”. This can be very frustrating for anyone trying to help, until you step back and let them find their own way thru the maze. I know early on I would want to solve everyone’s problems. I thought if they would just listen to me everything would be fine. I soon learned that was not a good idea. I would often end up being blamed and just another problem in their lives. I was the GPS being sworn at. So instead I would just end up trying to support them in their struggles and complimenting any small gain. I would gently confront any backsliding and continue to urge them on towards whatever goal they had. Defining the goal is important because otherwise people can just wander. If you stop drinking and become sober, now what? If you get divorced and are still unhappy, now what ? Often relapse would happen because the answer to that wasn’t available. If there is a genuine positive for stopping, changing, deciding, then the journey doesn’t seem that long. Helping people find it is what I was supposed to do. I just had to learn that there is no grid that fits everyone

Mirror,Mirror

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Lately I have been thinking about mirrors. I do believe my job was to create a mirror for people to see themselves clearly, or at least how they presented to me. The whole mirror thing got me thinking of the sex clinic we had at the hospital. We started because one of the Doctors had an in at Loyola with Dr. Domeena Renshaw. She was one of the leading sex therapists in the world and her sex clinic at Loyola was world famous. Four of us were chosen to go thru the training there. We would each be paired with a physician in training and given a couple to work with under Dr. Renshaw’s supervision. The clinic was mutual education for the couple and for the therapists. There was plenty of didactic material presented along with standard relationship therapy. However one session involved the therapist being present at a complete physical with the couple.

The physician examined each member and the therapist assisted. This was a “Complete” physical. They had to strip down to a hospital gown and the MD would examine them completely. The non MD (me) would assist as much as possible. When the woman was examined. I had a specific role. I had to hold up a full length mirror and the MD would carefully indicate and explain the function of each body part. The first time I had to do this, I began to experience extreme anxiety. My Irish Catholic genes came out full force. The temperature in the exam room must have gone up to at least 120 degrees. I did get thru it .Dr. Renshaw thought it was an important part of the whole process, both to educate the couple and to increase the bond between the therapeutic team and the couple.

After we completed the training, we returned to our hospital and started our own sex clinic. We used the Loyola model and the complete physical as part of the program. I still had to hold the mirror. I was never really comfortable doing it, but I did understand the reason for this. I tried to talk my wife into me holding a mirror for her so I would be more comfortable, but she wanted no part in it She thought I was just trying to use this as another excuse to have sex. She didn’t understand the real clinical reason (right!!)

One time we were working with an elderly couple. The woman, who was probably in her late 70s,was not thrilled with me being in the room. I tried to comfort her and explain the process. I certainly was not excited with an elderly woman stripping down. I held up the mirror for her and I still remember what she said. “Now no peeking !!”. I began to laugh and the mirror started to shake. I was able to complete the exam and I dont remember if we helped the couple , but they did complete the program. Dr Renshaw always said she never thought she had a clinical “failure” if the couple practiced what she said. The sex clinic at the hospital only lasted a few years because the supervising MD left and we became incredibly busy with our addiction program and had to stop participating. Other therapists were trained, but the hospital didn’t have the same level of commitment as when we started.

Thinking back , our clinic was pretty tame. Dr Renshaw wanted us to be very sensitive to the couple’s beliefs and the whole clinic was structured around gradually increasing their ability to communicate. The mirror image transfers pretty well to the therapy experience. The therapist has to be able to hear what the patient is saying. If you don’t understand you have to question and clarify until you do. How you do it is the secret. If you can bond with the patient and establish trust, the therapy can really begin. If you can present the mirror image clearly the patient can decide how and if they want to change.

Polyester

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We spend a lot of time looking at other people and judging them and we are often wrong. We also spend a lot of time thinking about how others see us, and are even more wrong .I know a lot of women who really think they are fat and will not hear otherwise no matter what their husbands say. This is not only true of women, but also of men. After graduate school I had to apply for my first grownup job. I had taught for a few years, but that was not the kind of job I thought was serious. Real teachers worked at it and thought of it as their career. I taught religion and philosophy to high school girls. I didn’t really prepare much and usually just winged it. I also dressed in the most casual way possible, had fairly long hair, lived with three other guys in a basement apartment, and thought that this was life. I still had some of the hippie “Don’t trust anyone over 30” stuff going on

Then I met my wife, got married, and finally had to get serious. So grad school happened and I had to go out on job interviews. I got a hair cut (razor cut—because that’s what I was told would make a good impression) and wore my one suit to the interviews. Now this suit was a polyester thing of beauty. I had gotten it to get married in and only worn it a few times. During grad school I had lost some weight, but that just meant I had to pull in the belt on the pants more. So I went to these interviews in all my polyester, razor cut glory. I was nervous but kept thinking that at least I was dressed right.

I had a few interviews and was offered jobs that didn’t quite fit, Then I was offered an interview I was interested in. A prominent hospital alcohol unit was looking for a social worker. The woman I interviewed with was younger than me, but had much more experience. I wasn’t sure how the interview went but somehow I did get the job and worked there for almost 20 years. It was only later that I found out she had laughed, like my wife, at my baggy polyester suit. It was a joke shared on the unit for many years.

The unit was a twenty bed 21 day inpatient program for alcoholics. It was based on what is now known as the “Minnesota” model. During the time I was there I learned a lot about individual, group, family therapy. I was sent to an additional two-year training program in family therapy, and a special program in sex therapy. I went to countless in-service and other training programs, but I can honestly say that I learned the most from the people I was there to help. Everyone of them had a story. Some of them were there to escape consequences from family, job or legal problems. Some of them just needed a place to ‘cool out’, but they all had stories.

One time one of our doctors proposed a small research project. He asked us to rate the chance for success (continuing sobriety) for each patient as they completed treatment. Now the staff was made up of medical professionals and addiction specialists. We thought we knew for sure who would make it. We did this for almost a year and then looked at our results. To our absolute amazement we were incredibly wrong.

Patients who had strong support systems, good jobs, health and real sincerity often didn’t stay sober a month. Other patients who appeared to have nothing, often turned their lives completely around. This led to one of my obvious insights in that people have to be ready to change and have to be willing to pay the price. Maybe the therapists role is to keep holding a mirror up so a person can see who he/she really is. We all know this, but an awful lot of time we forget. Sometimes the job is just to put out enough stuff to help people look at their own lives and decide what they want—like finally making a decision to throw out a polyester blue suit.

Rocks and Doves

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I remember the summer before I started Graduate School was fairly intense. We were married about one year and money was very tight. I had been teaching in a Catholic high school for three years and this was not going to be a long term career choice. I think I finished there making about $6500.00 per year. My wife was making between 8-10,000.00 and having a family was really not going to be possible with our limited resources.We both agreed graduate school would open more doors. I was accepted into George Williams School of Social Work and would start in the fall. After my high school class finished I was able to get a summer job as a security guard thru one of our friends. I was probably the worst possible choice for this. This was during my post hippie peace and love days. One of the jobs required us to wear a gun. On our rounds. I would carefully remove all the bullets before my round. Thankfully I never had any problems. The one good thing about the job (besides the pay) was it gave me time to read. George Williams had recommended a number of books to read before starting class. I just remember Freud’s Interpretation of Dreams and General-Introduction to Psychoanalysis. I would read and study these books and pictured myself in the analyst mode.

The first week of school I was given a field placement at Hines VA Alcoholism Treatment Center. At that time the VA was vast—almost a totally separate city. I found out that there were people who literally would go from VA facility to VA facility depending on the season. They would have a summer VA and a winter VA. This was happening right after the Viet Nam war ended. Vets from that and from WW2 and Korea were the patients.

So I started in all my new found Freudian grandeur. My first patient was an African American guy in his forties. He had been thru a number of programs without any real success- by our standards. By his he had found a way to survive. Our first few meetings consisted of me sitting in an old desk chair and asking him questions. I would sit in this chair and ask a question and rock back in the chair while I waited for him to answer. The chair was quite old and the floor it was on was old linoleum tile. One day I rocked back, the chair slipped and I ended up flat on the floor with the wind knocked out of me. My “patient” was standing over me inquiring about my welfare. I don’t remember much else about him or the course of his treatment. What I do remember is that it was the start for me of not taking myself too seriously

I think it is important to have a theoretical framework, but that framework should never come between meeting a person where they really are. In the beginning we all think we have to have theories and techniques. In the end we realize that the most important therapeutic instrument we have is ourselves.

There is an old story about Picasso walking along the beach with a reporter. The reporter asks him where he gets the ideas for his creations. Picasso picks up a rock and asks the reporter what he sees. The reporter says “A rock” . Picasso says “I see a dove” . The reporter is confused and asks where is the dove. Picasso says “I just take this rock and carve away everything until the dove appears”.

I am still chipping away at my rock. Sometimes the dove is very clear and sometimes not so much—I just have to keep chipping.