Latest / The Trauma Therapist / Guest Host Esther Goldstein interviews Dr Hindie Klein
Transcript
- 0:00Speaker 1: Welcome to the Trauma Therapist Podcast. My name is Guy McPherson.
- 0:04Speaker 1: I interview incredible people who've dedicated their lives to helping
- 0:07Speaker 1: those who've been impacted by trauma. A big thank you
- 0:11Speaker 1: to our sponsors and our guests who are supporting this show.
- 0:16Speaker 2: Hey, everyone. My name is Esther Goldstein. I'm a therapist
- 0:21Speaker 2: that's located in New York, and I've been on Guy
- 0:23Speaker 2: McPherson's podcast a few times. And he asked me to
- 0:26Speaker 2: invite someone to interview who I think could have profound
- 0:29Speaker 2: impact and conversation. I'd love to introduce you to a
- 0:33Speaker 2: dear colleague and friend, Dr. Hindy Klein. Hindy, could you
- 0:36Speaker 2: introduce who you are, your school, and we'll have a conversation.
- 0:40Speaker 3: Yes. How are you, everybody? My name is Hindy Klein.
- 0:43Speaker 3: I'm a psychologist and a psychoanalyst. I've been doing this
- 0:47Speaker 3: work for about 40 years. I was trained as a psycho,
- 0:51Speaker 3: you know, after my doctorate in psychology, I was trained
- 0:53Speaker 3: as a psychoanalyst. I ran a clinic. I was clinic
- 0:56Speaker 3: director for 25 years. I've edited journals. I'm on a
- 1:00Speaker 3: variety of different boards. And I love what I do.
- 1:05Speaker 2: Yeah.
- 1:06Speaker 3: And fashion is working, you know, with healing and trauma,
- 1:10Speaker 3: particularly sexual trauma. And just, you know, psychotherapy. What I
- 1:16Speaker 3: do predominantly is psychoanalytic psychotherapy. I know Esther through a
- 1:20Speaker 3: variety of different modalities that we've trained with together. including
- 1:24Speaker 3: somatic and sensory motor. But my language of love is psychoanalysis.
- 1:31Speaker 2: Yeah, your psychoanalytic training. I was just telling Dr. Hindi
- 1:35Speaker 2: how I recall years ago meeting her at a conference
- 1:39Speaker 2: when I was younger in the profession and really hearing
- 1:42Speaker 2: a story that Hindi was talking about in terms of
- 1:45Speaker 2: working with a client who had really some complicated attachment
- 1:48Speaker 2: injuries or struggles and the way that she worked with
- 1:50Speaker 2: the client in a loving kind of way. But also
- 1:53Speaker 2: in a very healthy and clear boundary kind of way.
- 1:56Speaker 2: And that's kind of what piqued this conversation where I
- 1:58Speaker 2: wanted us to talk a little bit, Hindi, if we can,
- 2:00Speaker 2: about speaking about like, what is psychotherapy? I know you
- 2:04Speaker 2: have the psychoanalytic background. I know you've obviously taken advanced
- 2:08Speaker 2: training and you're up to date with all the latest
- 2:10Speaker 2: methods and the clients you get to work with are
- 2:12Speaker 2: so lucky to work with you. But I wondered if
- 2:15Speaker 2: we could talk a little bit about, like, attachment in
- 2:18Speaker 2: the therapeutic room and then the self of the therapist.
- 2:21Speaker 2: Or what is the job of a therapist in helping
- 2:24Speaker 2: our clients heal from attachment injuries or in terms of trauma,
- 2:27Speaker 2: like you said, sexual trauma?
- 2:29Speaker 3: Right. So, you know, first of all, just a little
- 2:33Speaker 3: tidbit about attachment. When we think about attachment, we think
- 2:36Speaker 3: about how a mother and an infant are I'm always
- 2:40Speaker 3: drawn to the stories of G.W. Winnicott, who was a
- 2:45Speaker 3: major relational analyst, a British relational analyst. And I learned
- 2:51Speaker 3: so much from his writings. And he started out as a,
- 2:56Speaker 3: he was a pediatrician. He started out as a pediatrician
- 3:00Speaker 3: and he started observing what we call the mother-infant dyad.
- 3:04Speaker 3: The moms would come in with their babies and he
- 3:06Speaker 3: would observe their interactions and And he wasn't the original
- 3:10Speaker 3: theoretician of attachment. That was Bowlby and Maine and people
- 3:15Speaker 3: later on. But he developed the whole concept of understanding
- 3:20Speaker 3: the mother-infant dyad. And then thus after that, there was,
- 3:23Speaker 3: of course, all the attachment theory. So we have secure attachment, avoidant, dismissive, insecure,
- 3:29Speaker 3: and the inconsistent attachment, the avoidant attachment. And of course,
- 3:37Speaker 3: what we see Usually we see that when the children
- 3:41Speaker 3: are raised by either schizophrenic or borderline mothers, we see
- 3:43Speaker 3: the disorganized attachment. And you can kind of make a
- 3:48Speaker 3: graph of the child's attachment style and what the parents
- 3:52Speaker 3: are like towards them. And then you can make also
- 3:55Speaker 3: what the child was like as a child. They were
- 3:58Speaker 3: securely attached. They were dismissively attached and so on. And
- 4:02Speaker 3: what they will be like as adults. And it usually
- 4:05Speaker 3: goes hand in hand with how they were raised as children.
- 4:08Speaker 3: But the most beautiful and important thing about attachment is
- 4:10Speaker 3: that it's something that usually can be repaired. A lot
- 4:14Speaker 3: of what we call attachment disruptions can be repaired through
- 4:19Speaker 3: the psychotherapeutic relationship. And then we get into the whole concept,
- 4:23Speaker 3: certainly in my type of work, of transference and countertransference,
- 4:27Speaker 3: transference between the patients transferring onto the therapist all of
- 4:33Speaker 3: their issues with significant others in their life. And so
- 4:36Speaker 3: I could be the mother, I could be the father,
- 4:38Speaker 3: I could be anybody significant and they're transferring those feelings,
- 4:42Speaker 3: thoughts onto me. And then the countertransference is what I
- 4:46Speaker 3: experience consciously or unconsciously while I am sitting with that
- 4:51Speaker 3: patient because either my inner struggles or because something that
- 4:54Speaker 3: they're saying that's being triggering or just in general about
- 4:58Speaker 3: what they're talking about and my reaction to them very
- 5:01Speaker 3: humanistically and how I deal with that as a therapist.
- 5:04Speaker 3: Because if you don't understand your countertransference, If you don't
- 5:08Speaker 3: get your own countertransference, in all opinion, I don't care
- 5:12Speaker 3: what modality you're working with. You could be working with
- 5:15Speaker 3: sensory motor. You could be working with somatic, IFS. I
- 5:18Speaker 3: don't care. You need to know your countertransference. People will
- 5:23Speaker 3: say in those modalities, you don't necessarily have to know
- 5:25Speaker 3: your transference. Maybe you do, maybe you don't. Esther, you
- 5:28Speaker 3: can respond to that.
- 5:28Speaker 2: No, I think that that's very, I think it's almost like, actually,
- 5:31Speaker 2: as you're saying all of this, can I like tag
- 5:34Speaker 2: onto this?
- 5:34Speaker 3: Please, please. We're having a discussion.
- 5:37Speaker 2: No, I love this. I'll tell you why. Look, like
- 5:39Speaker 2: we can go on and on. We were saying like
- 5:41Speaker 2: we can go on and on about like theory and
- 5:43Speaker 2: there's theory and then there's practice. And like you said earlier,
- 5:46Speaker 2: one of the things that I really love about our
- 5:49Speaker 2: previous conversation was that the real magic or the real
- 5:52Speaker 2: power or the real shifts that happen in therapeutic experience
- 5:56Speaker 2: in the therapy room is the presence of And the
- 5:59Speaker 2: connection and almost like you spoke about like the earned
- 6:01Speaker 2: a secure attachment that is cultivated in that therapeutic and
- 6:05Speaker 2: relational dance that's happening between therapist and client. And I
- 6:09Speaker 2: love how you're basically saying like we're talking about attachment.
- 6:12Speaker 2: And right away you dove right into the concept of
- 6:15Speaker 2: transference and counter transference. And the reason I love that
- 6:18Speaker 2: you did that. is because there's always this unconscious layer.
- 6:23Speaker 2: And that's what I so appreciate about the psychoanalytic standpoint
- 6:26Speaker 2: that you come in with, because I actually think like
- 6:29Speaker 2: you could drop whatever the titles are, but the reality
- 6:33Speaker 2: is that safety is safety and transparency is transparency and
- 6:37Speaker 2: respect is respect and security is security. And when you're
- 6:40Speaker 2: talking about like attachment and there's all of us, we
- 6:44Speaker 2: speak about this, like all of us as therapists have
- 6:47Speaker 2: our own attachment dynamics. And you just said about your
- 6:49Speaker 2: own supervision, your own therapy. Like if we haven't taken
- 6:53Speaker 2: the time to look at our own attachment dynamics, If
- 6:55Speaker 2: we're not noticing our own internal dance or the way
- 6:57Speaker 2: we jump in to try to save a client or
- 7:00Speaker 2: jump into wanting to get into this maternal transference or
- 7:02Speaker 2: we pull away or avoid or we notice an aversive
- 7:05Speaker 2: reaction or we have this interesting push or pull or
- 7:07Speaker 2: whatever it is, then what are we actually doing? Because
- 7:10Speaker 2: we're meant to be that base that even when we
- 7:13Speaker 2: have our thoughts and feelings and reactions or just experiences,
- 7:17Speaker 2: that we come back to that steady base and we
- 7:19Speaker 2: allow them to be the ones who are having those experiences.
- 7:23Speaker 2: in our therapeutic space. So I love how you actually
- 7:25Speaker 2: jumped right away from attachment to transference, counter transference, because
- 7:30Speaker 2: how can you speak about one without the other?
- 7:31Speaker 3: Right. You need to understand when I do supervision and
- 7:35Speaker 3: I do a lot of supervision and when we do
- 7:37Speaker 3: supervision and we talk about cases very often, you know,
- 7:41Speaker 3: we'll talk about the different dynamics, the contents of the case,
- 7:45Speaker 3: but every so often I'll say to my supervisee, I'll
- 7:47Speaker 3: say to the therapist, okay, so who are you in
- 7:49Speaker 3: the transference? Like you're working with this patient. Who are
- 7:53Speaker 3: you in the transference? Are you their mother? Are you
- 7:55Speaker 3: their father? Are you their boss? I mean, who are
- 7:58Speaker 3: you in the transference? Historically, consciously, unconsciously, what do you think?
- 8:02Speaker 3: Sometimes it really gives the therapist pause and say, oh, like,
- 8:06Speaker 3: who am I to them? We know that we are
- 8:10Speaker 3: someone who is authentic, who is a presence, who is
- 8:13Speaker 3: there to help and heal them and guide them and
- 8:14Speaker 3: so on. Guide them. Well, I don't necessarily guide them.
- 8:18Speaker 3: I say the word guide them carefully. because we don't
- 8:22Speaker 3: tell our patients what to do, right? We kind of
- 8:25Speaker 3: help them to come to a decision as to what
- 8:28Speaker 3: they want to do, right? So a lot of times,
- 8:30Speaker 3: you know, therapists or patients will say to you, so
- 8:32Speaker 3: what should I do? What should I do? Tell me
- 8:33Speaker 3: what to do. Their anxiety. And then if you don't
- 8:37Speaker 3: understand that and your own countertransference, you will get overwhelmed
- 8:41Speaker 3: by their anxiety. And you'll have this instinct to say, okay,
- 8:44Speaker 3: I'm going to tell them what to do. It'll be
- 8:46Speaker 3: all neat, tied up in a bow, and then they
- 8:48Speaker 3: could go home happy and that'll be the end of it.
- 8:50Speaker 3: but that's not helping them, right? So you want them to,
- 8:54Speaker 3: you want to sit with them in a very, you know,
- 8:57Speaker 3: we want to talk about the authenticity of the space,
- 8:59Speaker 3: the honesty of the space. I often ask, not often,
- 9:02Speaker 3: I always ask patients at the end of the first session.
- 9:07Speaker 3: So when I get to meet them, I'll do history,
- 9:09Speaker 3: the first session, whatever. And at the end of the
- 9:11Speaker 3: first session, I'll say to them, okay, so how do
- 9:14Speaker 3: you feel about me? You have any questions? Like, how
- 9:15Speaker 3: do you feel about sitting with me in this room?
- 9:18Speaker 3: And because everybody, The minute, you know, we talk about
- 9:20Speaker 3: the anonymity of the analyst, the anonymity of the therapist,
- 9:25Speaker 3: there's anonymity in terms of you don't necessarily self-disclose personal
- 9:28Speaker 3: things about your life. But the minute the phone call
- 9:31Speaker 3: is made and they hear your voice, the minute you
- 9:33Speaker 3: walk into their office and your office and they see
- 9:36Speaker 3: how you decorated the office, how you dress, how, you know,
- 9:40Speaker 3: the type of clothes you wear. So some of that
- 9:42Speaker 3: anonymity kind of melts away, but you still want to
- 9:46Speaker 3: get a sense from them what it's like for them
- 9:48Speaker 3: to sit with me in the room. And then I
- 9:51Speaker 3: could sit with, tell them, you know, in some sort
- 9:54Speaker 3: of mutual way, what it's like um, to be with
- 9:58Speaker 3: them in the room. And, you know, a lot of
- 10:00Speaker 3: times after two, three sessions, if I don't feel that
- 10:02Speaker 3: that's a quote unquote, good fit, you know, I want,
- 10:05Speaker 3: you want the therapy to be a good fit because.
- 10:08Speaker 2: If it's not, we talk about that for a minute.
- 10:09Speaker 2: Cause one thing I love that you're saying is like,
- 10:11Speaker 2: we can have boundaries, but there's something about like it's
- 10:14Speaker 2: practical verbal information boundaries, but then there's almost like this
- 10:17Speaker 2: energetic connection or relational dynamic that's beginning from the voice,
- 10:22Speaker 2: from a conversation, from what you are and saying, and
- 10:25Speaker 2: you're saying like, it's almost like the softening of the walls,
- 10:27Speaker 2: just like they're getting to know you, you're getting to
- 10:29Speaker 2: know them or you see how they do or don't
- 10:31Speaker 2: allow you in, right. Or kind of might come in
- 10:33Speaker 2: very defensive or challenging, which starts giving you a little
- 10:36Speaker 2: snippets of how they've had to orient around the world. Um,
- 10:40Speaker 2: But when you just said that piece about a good fit,
- 10:42Speaker 2: like what would you say, let's say to a young
- 10:43Speaker 2: therapist or a therapist who's been in the field for
- 10:45Speaker 2: a while, like what would you say are the characteristics
- 10:48Speaker 2: that allow you as a therapist to know, hey, I
- 10:51Speaker 2: think this might be a good fit? Just curious what you're... So.
- 10:55Speaker 3: In terms of, I'll talk about psychoanalytic work or psychodynamic work. Yeah.
- 11:00Speaker 3: So the three most important aspects of working analytically, not dynamically,
- 11:06Speaker 3: like really analytically on the couch three to five times
- 11:09Speaker 3: a week Very intensely. So, you know, there are many,
- 11:12Speaker 3: many people could go into analysis and obviously that kind
- 11:15Speaker 3: of you, you know, you kind of come into analysis
- 11:19Speaker 3: and then obviously you see if it's a good fit
- 11:22Speaker 3: between the analyst and the patients. However, I call them patients,
- 11:25Speaker 3: by the way. However, the three very important aspects of
- 11:29Speaker 3: good work in psychoanalysis is the person needs to be verbally, verbal.
- 11:34Speaker 3: They need to be able to talk. Right. When a
- 11:36Speaker 3: person comes in and can't talk, we could talk about
- 11:38Speaker 3: that because you could do analytic work, and I can
- 11:41Speaker 3: give you some form of example on that. Verbal, intelligent,
- 11:46Speaker 3: they need to be able to develop insight and the
- 11:50Speaker 3: capacity for self-reflection. So there are some people who they
- 11:53Speaker 3: can develop it, and then they can be a candidate.
- 11:56Speaker 3: But in the beginning, you could see by being with
- 12:00Speaker 3: someone three, four sessions, besides the fact that they're verbal
- 12:03Speaker 3: or not, because that you could develop as well, intelligent
- 12:07Speaker 3: or not, you could develop all these things, but you
- 12:08Speaker 3: need to be able to see it. Yes, I think
- 12:10Speaker 3: this person will be able to develop their expressive skills
- 12:14Speaker 3: and they will be able to develop a capacity for self-reflection.
- 12:18Speaker 3: Sometimes that takes days, weeks, months, years. And that's why
- 12:22Speaker 3: not everybody is fit for psychodynamic psychotherapy because sometimes that
- 12:27Speaker 3: can happen, but it might take a while. And sometimes
- 12:30Speaker 3: people walk in They're very verbal. They're very self-reflective. And
- 12:34Speaker 3: they're very insightful. And they have the capacity for insight.
- 12:38Speaker 3: And therefore, they will be able to take in what
- 12:42Speaker 3: you're giving them and take in the interpretations. And just
- 12:46Speaker 3: a little note on interpretations. I'm doing this very quickly.
- 12:51Speaker 3: Timing is everything. When you're interpreting to a patient, timing
- 12:55Speaker 3: is everything. Meaning if I think I'm so smart and
- 12:58Speaker 3: I know a person walks in and 10 minutes later,
- 13:00Speaker 3: 20 minutes later, I've got this person all figured out
- 13:02Speaker 3: because I'm experienced, blah, blah, blah. If you're going to say, well,
- 13:06Speaker 3: the reason you're like this is that you have just
- 13:08Speaker 3: lost your patient. Because they're going to look at you
- 13:11Speaker 3: and say, what? What are you talking about? Because if
- 13:13Speaker 3: they're not at a level, unconscious, pre-conscious, conscious, if they're
- 13:18Speaker 3: not at a level to take in the interpretation you're
- 13:21Speaker 3: giving them, then it will just fall on flat ears.
- 13:26Speaker 3: So the timing of an interpretation when you're doing psychodynamic
- 13:29Speaker 3: psychotherapy is is very, very, very important. Now, I know
- 13:32Speaker 3: that when you do somatic, or do you do IFS,
- 13:35Speaker 3: or you do somatic?
- 13:36Speaker 2: Yeah, I, wait, hold on one second, because you're going
- 13:40Speaker 2: to go and talk about, like, somatic.
- 13:41Speaker 3: No, I'm not going to talk about that. I'm just
- 13:42Speaker 3: comparing and contrasting, comparing and contrasting the way you do,
- 13:46Speaker 3: because I don't know if those are the qualities that
- 13:48Speaker 3: you would say are necessary for somatic, you know, because
- 13:51Speaker 3: you have to, see, for somebody who's sensory, motor, and somatic,
- 13:55Speaker 3: because it's bottom-up versus top-down, right? You have to be
- 13:59Speaker 3: able to have the capacity to be in tune with
- 14:02Speaker 3: your body. Now, some people are both. They could be
- 14:05Speaker 3: in tune with their body and they could be in
- 14:07Speaker 3: tune with their minds and you could go up and
- 14:10Speaker 3: it could go here. It's all good. Some people get
- 14:13Speaker 3: stuck here. Some people get stuck here. Right. Right. The
- 14:17Speaker 3: whole goal is low. You know, I would love it
- 14:21Speaker 3: if my very cognitive intellectual, uh, you know, insightful patients
- 14:26Speaker 3: would be, I have some patients who are brilliant and
- 14:28Speaker 3: we do really well in psychodynamic psychotherapy. And then when
- 14:31Speaker 3: I want to do some just meditations, you know, hand
- 14:35Speaker 3: on heart, hand on tummy, like simple, simple things to
- 14:37Speaker 3: calm them down and to ground them. No, no, no, no, no, no.
- 14:40Speaker 3: I don't do that. They don't want to get into
- 14:43Speaker 3: their bodies, which we know at this point in the
- 14:46Speaker 3: literature and in the research is very, very important to
- 14:48Speaker 3: be able to get into. That's one of the reasons
- 14:50Speaker 3: I studied besides my psychoanalytic training, which was 10 years
- 14:54Speaker 3: of psychoanalytic training, I studied two years for sensory motor
- 14:58Speaker 3: and some years for somatic. Why? Because I felt that
- 15:02Speaker 3: these are important things to understand and to know. Yeah,
- 15:05Speaker 3: I remember you.
- 15:06Speaker 2: Talking about that. But one thing I want to say,
- 15:08Speaker 2: just because I want to come back, because we're talking
- 15:10Speaker 2: about the concept of basically clients coming in with basically
- 15:14Speaker 2: the concept of attachment, right? Like mother-child dynamics. Parent-child. I
- 15:19Speaker 2: love the research article, like Ghosts in the Nursery, how basically,
- 15:23Speaker 2: remember there was this child from, what was her last name?
- 15:26Speaker 3: Friedenberg?
- 15:28Speaker 2: We did the research on like how the baby was
- 15:30Speaker 2: shrieking and they didn't know why. And then basically the
- 15:32Speaker 2: mom had this like untreated trauma and like postpartum depression.
- 15:36Speaker 2: And as a mom was able to like face her
- 15:38Speaker 2: own ghosts or her own emotional demons. and mental demons
- 15:41Speaker 2: and soften that inside, she had much more capacity to
- 15:45Speaker 2: hold herself and to be able to be present with
- 15:47Speaker 2: her child's shrieks. And as she regulated or was able
- 15:50Speaker 2: to hold her own internal shrieks or pain or demons,
- 15:53Speaker 2: so to speak, Her child was able to settle. So
- 15:55Speaker 2: that whole concept of mirror neurons, which I think is
- 15:58Speaker 2: related to kind of right how we co-regulate like one
- 16:01Speaker 2: with the other, which is really the foundational piece of
- 16:04Speaker 2: what therapy is, is like if a client comes into
- 16:06Speaker 2: our room, essentially they're struggling either in their own minds
- 16:09Speaker 2: or bodies, like you said, or with others, usually in
- 16:12Speaker 2: both areas, but at least in one.
- 16:15Speaker 3: Right.
- 16:15Speaker 2: Right. How they feel about themselves, others and.
- 16:17Speaker 3: About what is a reflection of the other. Right.
- 16:20Speaker 2: And so essentially what you're talking about, like when you're
- 16:22Speaker 2: talking about someone who has this brilliant aha moment, I
- 16:25Speaker 2: definitely remember being that kind of therapist at times or
- 16:28Speaker 2: I've seen therapists like that. But there's almost this piece
- 16:31Speaker 2: sometimes where it's like if a part of you was
- 16:34Speaker 2: so excited that you have this brilliant revelation or awareness.
- 16:38Speaker 2: And your client is sitting there and maybe is in
- 16:40Speaker 2: denial or maybe has a lot of aspects of them
- 16:43Speaker 2: that are guarded or disconnected from reality because they need
- 16:46Speaker 2: that to cope. You're not in a competition here. Like,
- 16:49Speaker 2: who are you trying to prove that like, bam, I
- 16:52Speaker 2: got this so right. I knew it. It was your mother. Right.
- 16:54Speaker 2: And it's like, seriously, you're taking my fragile world. Right.
- 16:58Speaker 2: And you're shaking it up. And I'm literally coming in.
- 17:00Speaker 2: You're just seeing. And there are if I can actually
- 17:03Speaker 2: just exist in the room with you. And I think, Hendi,
- 17:06Speaker 2: you're talking about something very profound because.
- 17:09Speaker 3: That's why the timing is everything. Yes. Show how brilliant
- 17:13Speaker 3: you are because you, oh my God, I know why
- 17:15Speaker 3: this is happening. I know why this is happening. And
- 17:17Speaker 3: then you share with the patient when the patient is
- 17:20Speaker 3: not at the capacity, not ready in the course of
- 17:24Speaker 3: the treatments even to hear it and to really internalize it.
- 17:29Speaker 3: They have to be able to internalize what you're telling
- 17:32Speaker 3: them because that's the only way that it will really
- 17:34Speaker 3: sink in And then they will feel, I always say
- 17:36Speaker 3: to patients, I know you understand me up here. Do
- 17:40Speaker 3: you understand me over here? I always say, do you
- 17:44Speaker 3: understand me over here? I know you understand me over here,
- 17:47Speaker 3: but you have to go from here to here. And
- 17:51Speaker 3: then they'll have their like a little aha moment. And,
- 17:54Speaker 3: you know, talk about, you know, when you talk about
- 17:57Speaker 3: these articles, you know, goes to the nursery, there was
- 18:00Speaker 3: a very famous analyst, a very famous French analyst by
- 18:03Speaker 3: the name of Andre Green. He wrote On Psychic Madness.
- 18:07Speaker 3: I think it's called On Psychic Madness. And one of
- 18:11Speaker 3: the chapters in that book is called The Dead Mother.
- 18:15Speaker 3: And it talks about a mother who's not actually dead, obviously,
- 18:19Speaker 3: but who during the course of the early infant attachment
- 18:22Speaker 3: or maybe during the course of pregnancy and so on
- 18:25Speaker 3: was somehow traumatized. either a loss of a loved one
- 18:29Speaker 3: that happened to the mom or some sort of tragedy
- 18:32Speaker 3: or some sort of trauma that occurred with the mom
- 18:34Speaker 3: so that when the baby is born, she is not
- 18:36Speaker 3: able to properly attach to her baby. And the baby
- 18:39Speaker 3: grows up with a quote-unquote dead mother. And what does
- 18:43Speaker 3: that look like in the consultation room years later when
- 18:47Speaker 3: the person comes in for therapy? And that's where the
- 18:49Speaker 3: whole transference, the transferential mother and so on is repaired
- 18:56Speaker 3: through the psychotherapy process. of what they never got from
- 18:58Speaker 3: their quote-unquote dead mother. So it's a very, very powerful
- 19:01Speaker 3: chapter if anyone has a moment to read that.
- 19:04Speaker 2: Maybe we'll link it up to the show notes because
- 19:06Speaker 2: I think exactly what you were just saying, like timing,
- 19:09Speaker 2: what you're essentially talking about is the micro moments, right? Attachment,
- 19:12Speaker 2: if there's the dead mother, right? Or if there's the
- 19:14Speaker 2: mother or the father or the caregiver that is traumatized.
- 19:16Speaker 3: You see a lot of this, by the way, in
- 19:17Speaker 3: Holocaust trauma where you'll often talk to people in our
- 19:23Speaker 3: generation who were raised by Holocaust mothers, right? mothers who
- 19:28Speaker 3: survived the Holocaust. So you'll, I don't know if everybody
- 19:32Speaker 3: will get that, will admit, oh yeah, my mother was
- 19:34Speaker 3: a quote unquote dead mother. But some of us do,
- 19:39Speaker 3: are able to see that as much as our mothers
- 19:41Speaker 3: were wonderful mothers and they tried so hard because of
- 19:44Speaker 3: their traumas, they were not able to engage and attune, right?
- 19:49Speaker 3: Before attachments, attunement, remember?
- 19:51Speaker 2: Right, that's what you're talking about, timing. That's all about
- 19:54Speaker 2: these micro moments of either attunement or misattunement, right? Exactly.
- 20:01Speaker 3: Right.
- 20:02Speaker 2: And so if you were to talk about, so we're
- 20:05Speaker 2: talking about the therapist having conscious awareness of, I actually
- 20:09Speaker 2: need to connect to the client's experience. Developing essentially for
- 20:12Speaker 2: the therapist is like developing enough of a security or
- 20:17Speaker 2: an inner equilibrium inside so that they can hold space
- 20:21Speaker 2: for their client's experience. So whatever the client is needing
- 20:24Speaker 2: to bring in, your client might not be able to
- 20:27Speaker 2: have awareness about realities in their life, like you said,
- 20:29Speaker 2: for two sessions, two months, two years, or a longer
- 20:33Speaker 2: time than that. And it's not, now obviously there is,
- 20:35Speaker 2: they always say we could go too quick or too slowly.
- 20:38Speaker 2: Like we're not leaning back and not doing any work,
- 20:39Speaker 2: but we're not overbearing. To answer your somatic question, by
- 20:43Speaker 2: the way, I think, I know from my experience, because right,
- 20:45Speaker 2: I've done a lot of the trainings like with EMDR
- 20:48Speaker 2: and sensory motor and IFS. I think At the end
- 20:51Speaker 2: of the day, like a lot of the therapy.
- 20:52Speaker 3: What's your favorite, by the way?
- 20:53Speaker 1: Yeah.
- 20:54Speaker 3: What's your favorite from IFS? Oh, my favorite? Sensory motor, IFS, EMDR.
- 20:59Speaker 2: I think my favorite is sensory motor. I think sensory motor,
- 21:03Speaker 2: but I'll tell you what, like it's a little tricky
- 21:04Speaker 2: to say what's... I just find I love IFS, but
- 21:08Speaker 2: I don't love the concept of IFS that... And I'm
- 21:11Speaker 2: just pulling one of like the self-healing itself because we
- 21:15Speaker 2: need each other to heal, right? So I just feel
- 21:17Speaker 2: like when people say like, can you notice, could you
- 21:19Speaker 2: feel compassion to yourself? But like, what if there's interphobic avoidance?
- 21:22Speaker 2: What if people can't stand themselves? What if they don't
- 21:24Speaker 2: have a nurturing inner voice? So I think the somatic
- 21:27Speaker 2: or the attachment oriented, maybe for you from a psychoanalytic lens,
- 21:30Speaker 2: I think it lends a little bit more compassion or
- 21:33Speaker 2: okayness and validation of like, hello, we need each other.
- 21:36Speaker 2: And you could note there's more of the use of
- 21:39Speaker 2: the self of the therapist as like, um, as like
- 21:42Speaker 2: a stand-in figure in terms of filling in those emotional
- 21:46Speaker 2: attachment needs, not in a codependent way, but in like a,
- 21:49Speaker 2: I want you to be able to settle here so
- 21:52Speaker 2: that you can actually replicate these relationships outside in life, right?
- 21:55Speaker 2: Not that I'm becoming your- Exactly.
- 21:57Speaker 3: I'll say that to patients, by the way, Esther. I'll
- 21:59Speaker 3: say what goes on in you, when I try to
- 22:02Speaker 3: explain to them what transference is, I'll say what goes
- 22:05Speaker 3: on in here goes on out there. So if you're
- 22:08Speaker 3: experiencing something with me, because if they're saying they're upset,
- 22:10Speaker 3: they're angry, they're this or that, no problem. But I
- 22:13Speaker 3: try to explain to them that that could be transferential.
- 22:16Speaker 3: And what is it like out there in their other relationships?
- 22:20Speaker 3: What are their other relationships like? And a very major thing,
- 22:26Speaker 3: and I think we see this in all of the therapies,
- 22:28Speaker 3: is the concept of rupture and repair, which mimics life, right?
- 22:33Speaker 1: Right.
- 22:33Speaker 2: Can you define what rupture and then can you define
- 22:37Speaker 2: what repair?
- 22:38Speaker 3: So if there is a rupture in the relationship, so
- 22:41Speaker 3: in the outside world, so to speak, not the therapeutic world,
- 22:44Speaker 3: you have a very, very close relationship with a friend,
- 22:48Speaker 3: a parent, a husband, a lover, somebody you have a
- 22:51Speaker 3: very close relationship with. And something happens in that relationship.
- 22:55Speaker 3: There is some sort of a rupture. Is it a fight?
- 22:57Speaker 3: Is it a disagreement? Is it upset, embarrassment, whatever happens?
- 23:01Speaker 3: And there is a rupture. in the relationship. So now
- 23:04Speaker 3: they are in a sense, psychically like separated. Right. Now
- 23:10Speaker 3: the question is, yeah, they're like, they're not together. They
- 23:13Speaker 3: don't have to be merged. We don't want.
- 23:15Speaker 2: It's not like in sync. They're kind of like out
- 23:17Speaker 2: of like disconnect or like we're upset. Yeah.
- 23:20Speaker 3: Right. So now, so now what do you want? Do
- 23:25Speaker 3: you want that relationship to be repaired? Do you want
- 23:28Speaker 3: to go back to that relationship and repair it and
- 23:31Speaker 3: even have it better than ever and more so? Or
- 23:34Speaker 3: do you want to say, you know what? I've had enough.
- 23:36Speaker 3: I'm out of here. I'm finished. And this happens very often.
- 23:41Speaker 3: Not very often, but it can happen in therapy where
- 23:43Speaker 3: you're in a very good, solid therapeutic relationship and something
- 23:47Speaker 3: happens where the patient gets upset. They get upset with you.
- 23:52Speaker 3: So what's going to happen? Rule number one, never get defensive.
- 23:56Speaker 3: I tell this to therapists all the time. Don't get defensive.
- 23:59Speaker 3: Listen to them. You know, they might be criticizing you
- 24:05Speaker 3: and they may be right.
- 24:06Speaker 2: Right.
- 24:07Speaker 3: Listen to them. Don't get defensive. Don't get defensive. And
- 24:11Speaker 3: then tell them, you know, look at it as a rupture.
- 24:15Speaker 3: Look at it as a rupture in the maternal relationship, right?
- 24:17Speaker 3: Baby's screaming. How do they get back together with mommy?
- 24:22Speaker 3: So there could be a rupture, but then we have
- 24:25Speaker 3: a beautiful repair where you either talk it through, depending
- 24:29Speaker 3: on the developmental stage, a mother and a baby or whatever,
- 24:33Speaker 3: but you could talk it. But in therapy, where there's
- 24:36Speaker 3: talking involved, we discuss it and we talk about what
- 24:41Speaker 3: that rupture was about, what that rupture reminded them of.
- 24:46Speaker 3: You know, you're just like the way my mother was
- 24:48Speaker 3: when she was angry at me because of blah, blah, blah.
- 24:52Speaker 3: So then you kind of reconcile that rupture, not only
- 24:57Speaker 3: within your internal interpersonal psychotherapeutic relationship, but hopefully we'll have
- 25:02Speaker 3: some sort of healing in the genetic relationship and the
- 25:06Speaker 3: relationship that you're trying to heal outside. Yeah.
- 25:09Speaker 2: Cause it's almost like, um, right. It's almost like the capacity.
- 25:12Speaker 2: I remember having a client who was very, I always
- 25:15Speaker 2: say in the beginning when people think, and you probably
- 25:17Speaker 2: see this as well, people think very great things about us.
- 25:20Speaker 2: Everyone has opinions about us as therapists. It's like, we're
- 25:22Speaker 2: just going to have things put at us.
- 25:23Speaker 3: Right.
- 25:24Speaker 2: But like, People can say, oh, you did such amazing
- 25:27Speaker 2: things with my friend, my family member. And, like, to me,
- 25:30Speaker 2: I say, like, the time that I know we have
- 25:31Speaker 2: a real relationship is when you get upset with me.
- 25:34Speaker 2: And when you get upset with me and you tell
- 25:36Speaker 2: me about it. Because the one thing I want.
- 25:38Speaker 3: I just want to throw this in before you continue.
- 25:41Speaker 3: I forget the name of the analyst who said. How
- 25:44Speaker 3: did he say it? Never trust an analysis that's going well. Hmm.
- 25:54Speaker 3: They all love you, you know, flight into hell. Yeah. Okay,
- 25:57Speaker 3: go on.
- 25:57Speaker 1: I'm sorry.
- 25:58Speaker 2: It's like the couples who never fight. It's like the
- 26:00Speaker 2: couples who never fight have like the least emotional intimacy
- 26:03Speaker 2: because they're so busy like tiptoeing and avoiding around each other, right?
- 26:07Speaker 2: It's like you're in the honeymoon, but non-actual intimate phase ever, right?
- 26:11Speaker 3: And you're kind of- I was saying you were saying something.
- 26:13Speaker 3: I'm sorry to interrupt.
- 26:14Speaker 2: No, I love that you said that. So I think
- 26:15Speaker 2: there's something where it's like, Like, you know, when you
- 26:17Speaker 2: get upset, like I might step on your toe, obviously figuratively.
- 26:20Speaker 2: And maybe it's because I did something wrong. And maybe
- 26:23Speaker 2: it's because what I said landed in a really painful
- 26:25Speaker 2: spot and I'm not aware. And if I am aware,
- 26:27Speaker 2: I might say like, wow, I just said that. I
- 26:29Speaker 2: wonder how it landed. I might not realize or I
- 26:31Speaker 2: might realize. Please just at least let's make this commitment
- 26:35Speaker 2: to each other that we're at least going to have
- 26:36Speaker 2: a conversation about it and try to repair it or
- 26:39Speaker 2: speak about it. Because I'm like, that means that we're
- 26:41Speaker 2: doing real work. I have this in all my adult relationships.
- 26:44Speaker 2: If I've never had a disagreement, some kind of argument.
- 26:47Speaker 2: It's not a real relationship. Every one of my close relationships,
- 26:51Speaker 2: you know this, right? Especially long-term relationships. Like you have
- 26:54Speaker 2: this dynamic, the parenting, it's like, I don't understand you,
- 26:56Speaker 2: but I want to understand you. I connect with you.
- 26:58Speaker 2: I feel at a loss. I'm coming back. So I
- 27:00Speaker 2: think with clients, sometimes when they say you're so incredible,
- 27:03Speaker 2: they think so highly, but then there's a capacity to
- 27:06Speaker 2: get angry or then, and then to face whatever the
- 27:09Speaker 2: fear is. I'm thinking about like, right. And then there's
- 27:11Speaker 2: this terror. Yeah.
- 27:14Speaker 1: Right.
- 27:14Speaker 2: Very scared. And I said, I can see how scared
- 27:16Speaker 2: you are. I am so happy you're bringing up this
- 27:19Speaker 2: anger or this disappointment. And for letting me see and
- 27:22Speaker 2: letting us see if we can work this through, I
- 27:24Speaker 2: really think that we can.
- 27:25Speaker 3: Right.
- 27:25Speaker 2: But like, it's up to you, whatever you choose. Anyway,
- 27:27Speaker 2: a couple months later, this person brought up a frustration
- 27:30Speaker 2: in a relationship that was going on for years that
- 27:32Speaker 2: naturally brought this person a ton of body anxiety and anger.
- 27:36Speaker 2: And it was like, if you have the capacity to
- 27:38Speaker 2: tolerate the anger, like that client did with me, he
- 27:41Speaker 2: realized he can actually share with another person and see
- 27:44Speaker 2: how he could tolerate his own discomfort in that relationship.
- 27:47Speaker 2: And that relationship became so much better. Now, here's the
- 27:50Speaker 2: other piece. What he realized is if I could do
- 27:53Speaker 2: it with Esther, either I could repair it and it
- 27:55Speaker 2: could be okay, or are these relationships, which we tell clients,
- 27:59Speaker 2: but they might not be ready, as we get healthier
- 28:01Speaker 2: and we actually allow more emotionality in relationships to realize,
- 28:05Speaker 2: I'm not going to run away from you. You don't
- 28:06Speaker 2: have to run away from me. We actually could tolerate
- 28:08Speaker 2: this discomfort and we're going to figure it out together.
- 28:11Speaker 2: What they realize is as they get clear about their
- 28:14Speaker 2: needs and either in a way that's actually more communicative
- 28:17Speaker 2: and not pushing people away or pulling away, People in
- 28:20Speaker 2: their life will either level up, which means meet them
- 28:23Speaker 2: with more emotions or be curious and lean in, or
- 28:26Speaker 2: they might self-select out. And sometimes when clients engage in
- 28:29Speaker 2: therapy with me, they get a little scared because they're like,
- 28:32Speaker 2: I'm starting to notice some patterns and you're challenging me
- 28:35Speaker 2: to become a little healthier or to be so honest
- 28:37Speaker 2: with you, obviously in a way that's slow and paced.
- 28:40Speaker 2: But I'm scared if I bring this honesty to other relationships,
- 28:43Speaker 2: how many people are going to stick around? How many
- 28:45Speaker 2: people are going to leave? So I just I'm just
- 28:47Speaker 2: putting this out there because obviously it's not black or white.
- 28:49Speaker 2: But I think there's some very real shifts that happen,
- 28:53Speaker 2: like as almost like a ripple effect, which is the beauty.
- 28:55Speaker 2: And there could also be some real concerns that if
- 28:57Speaker 2: a client is more honest with us, with you. Right.
- 29:00Speaker 2: Then it starts making them look at like, wait, I
- 29:02Speaker 2: have this relationship. I never actually really shared what was
- 29:04Speaker 2: on my mind.
- 29:06Speaker 3: Right.
- 29:06Speaker 2: So even being mindful.
- 29:07Speaker 3: And you're saying that they take they take a risk.
- 29:10Speaker 3: of what happens if they bring that with up with
- 29:13Speaker 3: some sort of significant relationship and the other person can't
- 29:16Speaker 3: handle it the way we therapists can handle it.
- 29:19Speaker 2: Yes. So sometimes I'm just saying this as like the
- 29:21Speaker 2: next step, sometimes there's a layer of grief in terms
- 29:24Speaker 2: of like, wow, I never had this. And it's not
- 29:27Speaker 2: just like, wow, suddenly like, yes, there's often more capacity
- 29:31Speaker 2: to bring more of themselves than they are more strong
- 29:33Speaker 2: or able to tolerate. Like this person didn't know that
- 29:36Speaker 2: he could tolerate conflict because of whatever his template was.
- 29:39Speaker 1: Okay.
- 29:39Speaker 2: Okay. But I think there's something also like that I
- 29:41Speaker 2: want to say is that sometimes as we do therapy,
- 29:45Speaker 2: you know, we always say there's like this risks and benefits.
- 29:47Speaker 2: Sometimes the risks is people might realize like, well, I'm
- 29:51Speaker 2: in a relationship that has not as much intimacy capacity
- 29:54Speaker 2: right now. I wonder how much capacity it does or
- 29:56Speaker 2: doesn't have. And I think just us holding like that,
- 29:59Speaker 2: the therapeutic relationship can be really profound and healing and
- 30:03Speaker 2: also part of healing and bringing a little bit more
- 30:05Speaker 2: conscious awareness could also bring up uncomfortable feelings. That doesn't
- 30:09Speaker 2: mean they need to run or act impulsively back to making,
- 30:12Speaker 2: giving advice. We don't tell them what to do about
- 30:14Speaker 2: their relationships, right? We help them.
- 30:16Speaker 3: If they bring you that dilemma, they bring that dilemma
- 30:20Speaker 3: and they say, you know, I'm, this has been so
- 30:22Speaker 3: healing for me to know the authenticity of this relationship
- 30:25Speaker 3: allows me to be so authentic and real. And I
- 30:28Speaker 3: can really share with you the way I really feel.
- 30:30Speaker 3: And I don't know if I could do that in
- 30:32Speaker 3: other relationships. What happens if I try that on my
- 30:35Speaker 3: boyfriend and it backfires? Like, what's right? Do I break
- 30:39Speaker 3: up with my boyfriend? So everything gets slowed down. We're
- 30:43Speaker 3: going to slow it down, slow it down. You know,
- 30:46Speaker 3: we're not going to jump to conclusions just because the
- 30:48Speaker 3: person's going to think, oh, I'll never be able to
- 30:50Speaker 3: achieve this in the outside. You might or you might not,
- 30:54Speaker 3: but that's not the point. The point is that we're
- 30:56Speaker 3: going to kind of Slow and steady, like it's a journey.
- 31:00Speaker 3: It's real, you know, sometimes the word journey is a
- 31:02Speaker 3: little bit cliche, but a real journey of allowing them
- 31:06Speaker 3: to see maybe it could work. And maybe they discovered
- 31:10Speaker 3: that this wasn't a good relationship for them after all
- 31:12Speaker 3: these years after all, you know.
- 31:15Speaker 2: Yeah. And I think the powerful thing that you do
- 31:16Speaker 2: say about journey, like when clients jump, I often say,
- 31:19Speaker 2: I think I said this to you once, but I
- 31:21Speaker 2: remember reading a quote somewhere that said, like, when people
- 31:24Speaker 2: are in relationships or when people take a job or
- 31:26Speaker 2: when people like, you know, step into something new, it's
- 31:30Speaker 2: less the matter that you trust the other person. It's
- 31:32Speaker 2: much more a matter that you trust yourself, that you
- 31:34Speaker 2: will take care of yourself while you were figure a
- 31:36Speaker 2: way through with whatever life finds lands up in your lap.
- 31:41Speaker 2: And sometimes when I tell clients, as we engage in healing,
- 31:44Speaker 2: my goal is to help you feel secure in this
- 31:46Speaker 2: space and slowly start developing more self-trust And find more
- 31:51Speaker 2: resources or cultivate some kind of community, whatever it is
- 31:54Speaker 2: for them. So regardless of the terrains that life will
- 31:57Speaker 2: bring you, and we both know obviously personally and professionally,
- 32:00Speaker 2: like life has a way of throwing you dodgeballs and
- 32:02Speaker 2: then another one. There's times of plateau and there's times
- 32:06Speaker 2: of climbing. I always say there's times that we're in
- 32:08Speaker 2: years of just climbing. We're in survival or we're struggling
- 32:11Speaker 2: or we're navigating or we're in places of disconnect. So
- 32:13Speaker 2: we're kind of in mountain climbing, right? We can't wear heels.
- 32:15Speaker 2: We have to put on like big boots and just
- 32:17Speaker 2: like in gear and our knapsacks. And I'm like, ah,
- 32:19Speaker 2: don't bother me. I'm busy. And there's other times where
- 32:21Speaker 2: things could settle and soften and we're more in plateau, right?
- 32:24Speaker 2: And I have clients who are like in a plateau
- 32:26Speaker 2: phase and all of a sudden they have their trauma
- 32:28Speaker 2: symptoms or anxiety. It's because for the first time, sometimes
- 32:31Speaker 2: they're able to do healing. Or we have clients who
- 32:33Speaker 2: are always in this mountain climbing phase, either because life
- 32:35Speaker 2: has been that way or because they don't actually know
- 32:38Speaker 2: what it's like to not be that way. Like I've
- 32:39Speaker 2: had clients whose lives are steady, but all they know
- 32:41Speaker 2: how to do is be in survival. Right. But back
- 32:44Speaker 2: to what you said, I think like some of the
- 32:46Speaker 2: things that almost help calm clients, I think, is, you know,
- 32:50Speaker 2: we can slow things down and you can like our
- 32:53Speaker 2: goal is for you to evolve and you to become
- 32:55Speaker 2: more steady. Because back to the attachment piece that people
- 32:58Speaker 2: feel more secure in themselves. There's much more emotional capacity
- 33:02Speaker 2: to just exist as a person. And that alone, I think,
- 33:05Speaker 2: is expansive.
- 33:06Speaker 3: Right.
- 33:06Speaker 2: It's not that we don't feel pain. It's we have
- 33:09Speaker 2: more capacity to tolerate pain.
- 33:10Speaker 3: Tolerate pain. Yes, I understand that. I totally agree with that.
- 33:15Speaker 3: I want to make also a comment about silence.
- 33:20Speaker 2: Yeah, go on.
- 33:20Speaker 3: Because a lot of times therapists have a hard time
- 33:23Speaker 3: when the patient is silent. And, you know, they can,
- 33:30Speaker 3: how long am I going to sit in the room
- 33:31Speaker 3: now with this patient? They're not saying a word. What
- 33:33Speaker 3: am I going to do? So in the beginning, I
- 33:36Speaker 3: think as new therapists, but as you get more experienced,
- 33:39Speaker 3: you become more comfortable, I think, with the concept of
- 33:43Speaker 3: silence is, there's a lot of meaning in silence. Whatever
- 33:46Speaker 3: that meaning is to the person, we don't know. Silence
- 33:49Speaker 3: to you may be different than silence to me, to
- 33:51Speaker 3: that patient, to this one, to that one. But I
- 33:54Speaker 3: think that what happens is, talk about countertransference, the anxiety
- 33:59Speaker 3: of the therapist kicks in. When the patient is silent, like, okay,
- 34:02Speaker 3: what am I doing with this patient? Now they're sitting
- 34:04Speaker 3: here and they're not saying a word. So should I
- 34:07Speaker 3: ask them questions? Should I jump right in? Should I,
- 34:10Speaker 3: you know, tell them to talk? How do I engage them?
- 34:14Speaker 3: How do I get them to talk? And sometimes you can,
- 34:16Speaker 3: you know, do a little encouraging type of, you know,
- 34:19Speaker 3: I'd like to know what you're thinking. Like, what are
- 34:22Speaker 3: you thinking? And things of that nature. So you try
- 34:24Speaker 3: to engage them. And sometimes when you realize that that
- 34:26Speaker 3: doesn't work, you just sit with them. That's like your
- 34:30Speaker 3: authentic presence with them connecting unconsciously, I would say, and
- 34:35Speaker 3: just allow them to be silent because they may need that.
- 34:39Speaker 3: That might be their mode of nurturance from you, that
- 34:44Speaker 3: silence that they're just getting, that you're able to tolerate
- 34:47Speaker 3: that and sit with them, even though other people would
- 34:50Speaker 3: be bombarding, talk, talk, ask them questions, and you're just
- 34:54Speaker 3: sitting with them. I had this, I treated somebody for
- 34:57Speaker 3: over two years, two and a half years, I'm not
- 35:01Speaker 3: going to go into the details, but the very, the
- 35:03Speaker 3: first full year of treatment, they were silent. They didn't
- 35:07Speaker 3: say one word.
- 35:09Speaker 2: How did you tell us? Tell us like, how was
- 35:11Speaker 2: it for you?
- 35:11Speaker 3: Cause I, I think it was in the beginning. I
- 35:13Speaker 3: was like, Oh my God, what am I doing? You know,
- 35:15Speaker 3: what am I doing? What am I doing wrong? How
- 35:18Speaker 3: do I engage this person? And they would be, they
- 35:21Speaker 3: would just sit there. And of course, in the beginning
- 35:22Speaker 3: I asked questions and what are you thinking? And once
- 35:25Speaker 3: I saw that they're just not, responding. I just sat
- 35:28Speaker 3: with them session after session, after session.
- 35:31Speaker 2: They kept coming back.
- 35:33Speaker 3: They kept coming back for their session. We kept you stomping,
- 35:37Speaker 3: you know, stomping out of the session, huffing and puffing,
- 35:39Speaker 3: but silent. They wouldn't talk. They were very belligerent. And
- 35:42Speaker 3: then at the end, when they ultimately started talking after
- 35:45Speaker 3: a year and was, you know, we ultimately after a
- 35:49Speaker 3: while ended a very successful thing called treatments. The person
- 35:54Speaker 3: said to me that the most healing part of of
- 35:57Speaker 3: the therapy was that I allowed her to be silent
- 36:01Speaker 3: for so long. I didn't bother her. I just let
- 36:04Speaker 3: her sit there and be silent. And we always joke
- 36:07Speaker 3: about it now because I have kept in touch with
- 36:08Speaker 3: her over the years. That, you know, I let her
- 36:11Speaker 3: be silent. And I didn't, like, I didn't bother her.
- 36:14Speaker 3: I tried in the beginning because I thought, okay, I'm
- 36:17Speaker 3: not a good therapist because I'm not getting this person
- 36:19Speaker 3: to talk. What am I doing? And then afterwards when
- 36:21Speaker 3: I realized that, you know what, maybe they need this.
- 36:24Speaker 3: Maybe they need to be in a place where they're
- 36:26Speaker 3: not being hounded with questions or directives or instructions or recommendations,
- 36:32Speaker 3: just be with this person. And it may not work
- 36:37Speaker 3: for every person. That's why you have to use your
- 36:39Speaker 3: unconscious vibes to know when you could use this and
- 36:41Speaker 3: when you shouldn't, when you should maybe be a little
- 36:43Speaker 3: bit more pushy, but it worked with this person and
- 36:46Speaker 3: it was very healing. When you talk about healing, it
- 36:49Speaker 3: was very, very healing. So we have to know how,
- 36:53Speaker 3: we have to, and there are articles written on silence,
- 36:57Speaker 3: I don't know when the other literature, but certainly in
- 36:59Speaker 3: the psychoanalytic literature, there's articles listed. There's there's papers that
- 37:02Speaker 3: are written on silence. I can't list any of them offhand. But,
- 37:07Speaker 3: you know, if you go.
- 37:08Speaker 2: Into something very powerful about at the end of the day,
- 37:11Speaker 2: we want people to live. We want to do life
- 37:13Speaker 2: with each other or we don't want to do life
- 37:16Speaker 2: with each other. But that that's as a story in itself.
- 37:18Speaker 3: Right.
- 37:18Speaker 2: If we don't want to do life with other people
- 37:20Speaker 2: or how much we want to do, let's do what
- 37:21Speaker 2: we want to do. so much with people because we
- 37:23Speaker 2: feel like we don't exist if we're not with people,
- 37:25Speaker 2: but there's something about being with, you know, how like
- 37:27Speaker 2: they talk a lot about in healing is sometimes there's
- 37:30Speaker 2: a inner child state or a past experience state or
- 37:34Speaker 2: an emotional sense or a belief that's stuck in the past. And,
- 37:38Speaker 2: trauma or big emotions or feeling alone. And one of
- 37:40Speaker 2: the biggest things they say in therapy is not just
- 37:42Speaker 2: like dive in, try to heal or save that part.
- 37:45Speaker 2: It's like, could you actually just make contact and just
- 37:47Speaker 2: get to know that.
- 37:48Speaker 3: Part of you?
- 37:49Speaker 2: So we're just like, just, just be with me. Like
- 37:52Speaker 2: so many of the times, right. Slowing down. And it's like,
- 37:54Speaker 2: can we just be with that 11 year old? Or
- 37:56Speaker 2: so that's kind of like the slowly and people are like,
- 37:58Speaker 2: what do I do next? I'm like, can you be present?
- 38:01Speaker 2: Can you even see if she can notice that you
- 38:02Speaker 2: exist or that the therapist exists or notice like, right.
- 38:06Speaker 2: So even just slowly, like the being, so I'm the nonverbal,
- 38:09Speaker 2: what I'm hearing for you is that when you settled in,
- 38:12Speaker 2: there was such a holding space.
- 38:14Speaker 3: Of the holding space. I was a total container. I just, right.
- 38:21Speaker 3: And it was very, you know, ultimately I, I realized, um,
- 38:26Speaker 3: like don't fight city hall. Yeah. Just be with them.
- 38:30Speaker 3: Just sit with them. It reminds me also of a wonderful, uh, analyst, um, Freudian,
- 38:37Speaker 3: contemporary of Freud's, I think, Theodor Reich, R-E-I-K, Theodor, Listening
- 38:42Speaker 3: with the Third Ear, a wonderful, wonderful little book, Listening
- 38:46Speaker 3: with the Third Ear. And he talks a lot about,
- 38:50Speaker 3: you know, how to listen with your third ear, not
- 38:52Speaker 3: just for your one ear, two ears, but with the,
- 38:55Speaker 3: you know, listening for the unconscious material and so on,
- 38:57Speaker 3: listen to what they say, what they don't say, and
- 38:59Speaker 3: so on and so forth. But he has a chapter
- 39:01Speaker 3: in there called The Surprised Analyst. And his premise is
- 39:05Speaker 3: that when you're sitting with a patient, You should constantly
- 39:07Speaker 3: be in almost like a state of surprise. Like, don't
- 39:10Speaker 3: think you know everything. Right. You know, like you're as
- 39:13Speaker 3: surprised as they are with the revelations that they're making.
- 39:17Speaker 3: Because if you think you know everything, then I forget
- 39:20Speaker 3: how he phrases it. I have the book here somewhere.
- 39:23Speaker 3: I forget how he phrases it. But he says, if
- 39:25Speaker 3: you're going to be the kind of analyst who constantly
- 39:28Speaker 3: knows all the formula, you know, very formulaic. I learned
- 39:30Speaker 3: this and this theory and that theory, and you know everything,
- 39:34Speaker 3: then you will basically just be a bundle, a jumble
- 39:36Speaker 3: of formulas. He said, but you have to develop yourself.
- 39:40Speaker 3: That's why I always say to the therapists who are developing,
- 39:44Speaker 3: learn everything that you love. Pick the modality that you love.
- 39:48Speaker 3: You like psychoanalysis, you like IFS, EMDR. It doesn't make
- 39:51Speaker 3: a difference. I would tell my therapist at TICFA, at
- 39:54Speaker 3: the clinic, I would tell them, you know, they would
- 39:57Speaker 3: come to me for psychoanalytic supervision, but I would say
- 39:59Speaker 3: to them, you don't have to be an analyst. Do
- 40:01Speaker 3: whatever you want. Just do whatever you want and study
- 40:03Speaker 3: that thing and get immersed in that thing and that modality.
- 40:08Speaker 3: And you develop your sense of self because you are
- 40:13Speaker 3: the instrument. I always give this webinar called developing a
- 40:17Speaker 3: fine-tuned instrument, how the development of the self helps create
- 40:22Speaker 3: a multifaceted therapeutic experience. You are the instrument. You as
- 40:27Speaker 3: a therapist.
- 40:28Speaker 2: What would you say?
- 40:28Speaker 3: Right.
- 40:29Speaker 2: It's like you're the vessel and then like, right, you're
- 40:30Speaker 2: not the vessel.
- 40:31Speaker 3: And he said at the end, at the end of
- 40:33Speaker 3: the day, he says, he wrote, to thine own self
- 40:36Speaker 3: be true. You develop who you are as a therapist.
- 40:40Speaker 3: And don't think that you have to take every single
- 40:42Speaker 3: formula that we all tell them to do.
- 40:45Speaker 2: But isn't that why we are on a journey, like
- 40:47Speaker 2: just to circle back before we wrap up in a
- 40:49Speaker 2: few minutes, isn't that why essentially therapists go on this
- 40:53Speaker 2: journey to really find ourselves, to find our own wholesomeness,
- 40:56Speaker 2: to find our own healing, to find our own joy,
- 40:58Speaker 2: to find our own hope for ourselves, for our loved ones,
- 41:00Speaker 2: because we have capacity. Either we've had some kind of
- 41:03Speaker 2: caregiving where we've had to care for ourselves, nurture ourselves,
- 41:06Speaker 2: nurture someone else. We are very empathetic. Whatever the reasonings
- 41:09Speaker 2: were or are, there's.
- 41:11Speaker 3: Something- You have to think of what is into this field.
- 41:13Speaker 2: Right, right. So I think when you're saying this, like,
- 41:17Speaker 2: it's like the self of the therapist to me, like,
- 41:20Speaker 2: I just know for myself, I was always like, I
- 41:21Speaker 2: want to help. I want to help. I want to help.
- 41:22Speaker 2: And the real healing and shifts happen are becoming a
- 41:25Speaker 2: healing vessel. And I don't think it's an overnight thing.
- 41:28Speaker 2: I think there's different skills and different strengths and weaknesses
- 41:30Speaker 2: and humility comes along with lived experience. But. I think
- 41:35Speaker 2: there's something about like, as we really look at ourselves
- 41:38Speaker 2: in the mirror, you speak about the third ear. I
- 41:40Speaker 2: think it's like, as we almost like cultivate more of
- 41:42Speaker 2: self and self and go in our own inner journey, right?
- 41:46Speaker 2: Yoloma always says, you can only take your client as
- 41:48Speaker 2: far as you've traveled. I almost feel like it's coming
- 41:50Speaker 2: back home to circle where it's like, essentially you're on
- 41:53Speaker 2: a journey for wholesome with yourself. Your clients are lucky
- 41:56Speaker 2: that you journey with them, but you're just as lucky.
- 41:58Speaker 2: Like I feel like clients have taught me such profound
- 42:00Speaker 2: things about life, right? They're giving us the gift. I
- 42:04Speaker 2: wonder if there's like anything specific before we hop off,
- 42:07Speaker 2: if there's like any young therapist, any questions for them
- 42:10Speaker 2: to reflect on, like, or things that you think would
- 42:13Speaker 2: be really important for them as they're developing, what would
- 42:16Speaker 2: you say to deepen? Yeah.
- 42:20Speaker 3: I think that when you, if you want to develop
- 42:21Speaker 3: your authentic self as a therapist and as a person,
- 42:25Speaker 3: but really as a person so that you could be
- 42:28Speaker 3: an authentic therapist. Yeah. So really like, almost simplistic, profound
- 42:34Speaker 3: questions like, who am I? Like, why am I, like,
- 42:39Speaker 3: what is my mission in life? Or why do I
- 42:41Speaker 3: want to do this work? And what do I aim
- 42:43Speaker 3: at doing? Is it for me that, you know, that
- 42:46Speaker 3: I want to say, oh, I'm a healer? Or is
- 42:48Speaker 3: it coming from that true sense of not, yes, I
- 42:53Speaker 3: want to be a healer, but I want to truly
- 42:56Speaker 3: help other people. What about this work makes it so
- 43:01Speaker 3: important to to us what about our backgrounds our histories
- 43:08Speaker 3: have an impact on why we do the work we
- 43:11Speaker 3: do have we are we trying to repair ourselves our
- 43:15Speaker 3: traumas our pasts and can we through good um our
- 43:21Speaker 3: own good analysis and our own good supervision surpass that
- 43:25Speaker 3: so it doesn't reflect doesn't reflect onto the you know,
- 43:29Speaker 3: patient-therapist relationship. We don't want, or that's what countertransference is
- 43:33Speaker 3: all about. You don't want your issues getting in the
- 43:36Speaker 3: way with your treatment. That is like a bit, that's
- 43:39Speaker 3: why it's like to all new therapists out there, if
- 43:43Speaker 3: they're not, if you're not in your own treatment, and
- 43:47Speaker 3: I don't care what kind of treatment it is, but
- 43:48Speaker 3: if you're not in your own treatment, you are doing
- 43:51Speaker 3: yourself a great disservice as a therapist.
- 43:53Speaker 2: You must be- And your client, and your client. See,
- 43:55Speaker 2: people say like, What's the training? What's the this? What's
- 43:58Speaker 2: the that? I'm like, really? Your own therapy, your own therapy,
- 44:01Speaker 2: your own therapy.
- 44:02Speaker 3: And supervision.
- 44:04Speaker 2: And supervision. Well, it's both because it's like deepening, deepening
- 44:08Speaker 2: the self, deepening the skills. Of course, you want to
- 44:10Speaker 2: cultivate skills, but it's really about like what you said,
- 44:13Speaker 2: going on a journey. And I love how you're saying, like,
- 44:15Speaker 2: ask yourself these questions. Like you're saying it Hindi, like
- 44:18Speaker 2: in a way where it's like, We're not criticizing or judging.
- 44:21Speaker 2: Like often it's normal to come with like a codependent
- 44:25Speaker 2: or to have a savior part of you or a
- 44:27Speaker 2: part of you that just wants to help or maybe
- 44:29Speaker 2: is like overly sensitive. Or I think even just starting
- 44:32Speaker 2: to acknowledge your why and started having these like reflective,
- 44:36Speaker 2: self-reflective conversations. Already it starts creating some kind of distance between, well,
- 44:41Speaker 2: what is my why? And how do I own when
- 44:43Speaker 2: I'm having a very strong reaction to someone whose father
- 44:47Speaker 2: is very similar to mine or whose husband is very
- 44:49Speaker 2: similar to an ex-boyfriend, right? So it's almost like starting
- 44:52Speaker 2: to create that capacity for awareness, right, is what you're saying.
- 44:57Speaker 2: And I think it's like what you just said, like
- 44:59Speaker 2: that reflective ability. I've only ever hired people at my
- 45:03Speaker 2: practice who were like were in their own therapy and
- 45:06Speaker 2: I think that, or I've ever, I've only ever really
- 45:08Speaker 2: referred to people as well who I could just, obviously
- 45:10Speaker 2: they share in their own, like they've done their own work.
- 45:12Speaker 2: There's just a different layer of, I think, humility, depth,
- 45:16Speaker 2: and reflectiveness that I think just exists.
- 45:19Speaker 3: You can't teach people how to reflect and understand themselves
- 45:24Speaker 3: if you have not gone through your own journey, as
- 45:29Speaker 3: it were, of reflecting and understanding yourself. If you don't
- 45:34Speaker 3: understand yourself, in that, I don't mean in a simplistic way,
- 45:40Speaker 3: deep way, if you don't really kind of, you know,
- 45:43Speaker 3: talk about self-reflection, insight, and so on, really looking inside yourself, mind, body,
- 45:49Speaker 3: seeing what part of your body gets rumbled every single
- 45:51Speaker 3: time something happens. Oh, I feel it in my stomach. Oh,
- 45:54Speaker 3: I feel it in my shoulders. Oh, I feel it
- 45:56Speaker 3: in my chest. Understanding your body. Like, you know, it's
- 45:59Speaker 3: like someone once said to me, do you work with
- 46:01Speaker 3: borderline personalities? I said, yes, I do. So they said, well,
- 46:04Speaker 3: what do you, how do you know? I said, I
- 46:06Speaker 3: could be sitting with a person who has borderline personality disorder,
- 46:10Speaker 3: 10 minutes, 10 minutes, my stomach starts hurting. After about 10,
- 46:15Speaker 3: 15 minutes, I feel it in my stomach. So you
- 46:17Speaker 3: need to be in touch with your body. It's not
- 46:19Speaker 3: all everyone thinks, oh, psychoanalysis is all cognitive. It's all
- 46:22Speaker 3: top down. You have to be in, if you're a
- 46:24Speaker 3: good analyst and you need to be in touch with
- 46:27Speaker 3: your body because you need it for your, you need
- 46:29Speaker 3: to be in touch with every single aspect of yourself
- 46:31Speaker 3: because you need it for that countertransferential reaction to understand
- 46:35Speaker 3: what your countertransference is and thus help, you know, the
- 46:38Speaker 3: transference and so on. So that's why I keep coming
- 46:42Speaker 3: back to this. I think the other modalities are so
- 46:44Speaker 3: wonderful and I'm so respectful of all the other really
- 46:47Speaker 3: gifted modalities that I know you do, Esther, but I,
- 46:50Speaker 3: and I, and I'm, you know, trained in some of them,
- 46:53Speaker 3: as you know, but you know, My mamaloshun, as they say,
- 46:57Speaker 3: my language of love is a psychoanalytic work. And I
- 47:00Speaker 3: think it encompasses many things.
- 47:02Speaker 2: Well, I think if we look at it, it's like,
- 47:04Speaker 2: it's not the modality ever that really heals the client.
- 47:07Speaker 2: Like when we said this, it's really the therapeutic relationship.
- 47:10Speaker 2: And that's why when you ask, right. So when you
- 47:12Speaker 2: ask about like a therapy.
- 47:14Speaker 3: That's the most immunative aspect of any psychotherapy. I don't
- 47:18Speaker 3: care what modality, the most immunative aspect of any psychotherapy is.
- 47:23Speaker 3: Is the therapeutic relationship correct? Right.
- 47:26Speaker 2: It's a therapeutic relationship of can you cultivate a therapeutic relationship?
- 47:30Speaker 2: I think we have a responsibility, like obviously you're a
- 47:33Speaker 2: psychoanalyst and then you've done intensive training. I do think
- 47:36Speaker 2: that there's a responsibility to deepen our skill. So it's
- 47:39Speaker 2: not just like you graduate with your doctorate or your
- 47:42Speaker 2: master's and now it's the therapeutic relationship. There's a responsibility
- 47:45Speaker 2: to deepen that. How you deepen that, that's up to you.
- 47:48Speaker 2: But I'm 100% with you on don't run in and
- 47:51Speaker 2: just give people tools because I think I remember I
- 47:53Speaker 2: actually once did this. I was like, I remember talking
- 47:55Speaker 2: to a good friend of mine who was going through
- 47:57Speaker 2: a difficulty in her marriage. And she said to me,
- 48:00Speaker 2: she's like, you know what it is? I'm a bull
- 48:03Speaker 2: and my husband's a plate. She was struggling. She's like,
- 48:05Speaker 2: I just feel like when he tells me things, I
- 48:08Speaker 2: can take in. But I feel like when I say
- 48:10Speaker 2: things to him, he just kind of all falls off
- 48:12Speaker 2: the plate. And it made me then think about something.
- 48:14Speaker 3: That's a great metaphor.
- 48:15Speaker 2: Isn't it brilliant? And then it made me think about
- 48:17Speaker 2: being a therapist. We first need to create the relationship
- 48:20Speaker 2: that our clients and ourselves are a bowl. Because if
- 48:22Speaker 2: your client's coming in as a plate or the therapeutic
- 48:24Speaker 2: relationship is a plate and you start piling things up, no,
- 48:28Speaker 2: I don't care. I've had clients say like, wait, so
- 48:30Speaker 2: I heard you do this, this. I'm like, hold on
- 48:32Speaker 2: one second. I'm not doing anything. First, you're just going
- 48:34Speaker 2: to get to know me. I'm going to get to
- 48:35Speaker 2: know you. Let's just see. We're not bringing in any fancy.
- 48:38Speaker 2: I think the technique, that's like the whole, like the
- 48:40Speaker 2: science and art, like what you just said. And that's
- 48:42Speaker 2: why I'm loving this conversation is like, you said, like,
- 48:46Speaker 2: do you feel it in here? It's the heart. And
- 48:48Speaker 2: it's the capacity to connect and to hold. And that's
- 48:51Speaker 2: like the foundation. Only once we have that can you
- 48:54Speaker 2: then obviously use some techniques or interventions. I know for myself,
- 48:58Speaker 2: somatic interventions were really profound. I know some of my colleagues,
- 49:01Speaker 2: I know some of the training I did in like
- 49:03Speaker 2: Sanitry is so expressive for people who are not as
- 49:06Speaker 2: like intellectually aware or eloquent or not in touch. But
- 49:10Speaker 2: I agree with you 100 percent. Like talk about the bowl.
- 49:13Speaker 2: It all comes back to that piece. And I love
- 49:15Speaker 2: how you have like you just have that because of
- 49:17Speaker 2: your training and like your your expertise.
- 49:19Speaker 3: You know I have to tell you I'm listening to
- 49:21Speaker 3: you and I'm reminded because how do you how do
- 49:24Speaker 3: you um kind of think about the therapeutic relationship, what
- 49:29Speaker 3: popped into my mind, I'm free associating, is what we
- 49:31Speaker 3: called the rapprochement phase of childhood development. So rapprochement is
- 49:36Speaker 3: part of the separation individuation, part of early childhood. Rapprochement
- 49:43Speaker 3: means in French to re-approach. So what you do is
- 49:45Speaker 3: you see how the child separates and runs back to mommy.
- 49:49Speaker 3: So the study that I'm reminded of, the video that
- 49:51Speaker 3: I'm reminded of watching, is they did this study with
- 49:54Speaker 3: a whole bunch of moms, because you said Sandra, a
- 49:56Speaker 3: whole bunch of moms sitting around the table, coffee clatching,
- 49:59Speaker 3: and they're sitting with their coffees. They're all coffee clatching.
- 50:01Speaker 3: And there are children who are not really doing interpersonal
- 50:04Speaker 3: play yet because they're two and a half. It's rapprochement
- 50:07Speaker 3: is like 18 to 30 months. So they're all playing
- 50:11Speaker 3: with the sandbox and dollies and toys over here. And
- 50:14Speaker 3: over here is the table with the mother. And all
- 50:16Speaker 3: of a sudden you see the kids playing. not even
- 50:18Speaker 3: so much with each other, but near each other, right?
- 50:20Speaker 3: Parallel prey, not interpersonal. And all of a sudden they realize, oh,
- 50:24Speaker 3: where's mommy? They run back. They, mommy, mommy goes and
- 50:27Speaker 3: hugs them, kisses them. They tug at mommy's skirts and
- 50:30Speaker 3: mommy gives them a hug and a kiss. And oh yes, sweetie.
- 50:32Speaker 3: Oh yes, sweetie. And then they go back and back
- 50:35Speaker 3: and forth it goes, rapprochement, back and forth it goes.
- 50:38Speaker 3: And that's how the person develops into a little person,
- 50:41Speaker 3: into then a bigger person, because they have the security
- 50:44Speaker 3: of mommy, but yet they separate and go on. And that's,
- 50:47Speaker 3: in a sense, what we do therapeutically, transferentially with our patients.
- 50:52Speaker 3: They stay with us, but then they go out and
- 50:55Speaker 3: learn how to be on their own. And they come
- 50:57Speaker 3: back and forth through this back and forth until they
- 51:00Speaker 3: are budding and Wonderful and healthy.
- 51:03Speaker 2: It's like the mama bird. And she's like feeding them.
- 51:06Speaker 2: And she's like, you're going to spread your wings.
- 51:09Speaker 3: And you'll go and you'll come back. And then they go.
- 51:13Speaker 3: And they're happy. And you're happy because they're happy.
- 51:17Speaker 2: We want our children to outgrow us. To be able
- 51:19Speaker 2: to live in the world. And to be able to cultivate.
- 51:23Speaker 2: Self and a life of their own. We're going to
- 51:26Speaker 2: wrap up. I'm so glad for this conversation. It was wonderful.
- 51:31Speaker 3: Esther, you're a wonderful, wonderful conversationalist. Let me tell you.
- 51:35Speaker 3: I think this was a lovely conversation and I thank
- 51:37Speaker 3: you for it. I'm so glad.
- 51:40Speaker 2: I'm so glad to have that.