Latest / Arroe Collins Like It's Live / Brilliant Summer Read The Model Patient From Lucy Ashe
Transcript
- 0:00Speaker 1: I've created this podcast network Arrow dot net A r
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- 0:21Speaker 1: you twenty different podcasts to choose from Arrow dot net
- 0:26Speaker 1: A r r oe dot net. And while you're at it,
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- 0:42Speaker 1: Enjoy that exploration. Hi, person with a great radio name,
- 0:46Speaker 1: But you're not in radio, but I'll accept it that
- 0:48Speaker 1: you're an author. Oh my god, look, I mean seriously,
- 0:53Speaker 1: Lucy ash is such a great radio name. Oh my god,
- 0:57Speaker 1: it's so Hollywood.
- 1:00Speaker 2: Thank you.
- 1:01Speaker 1: We got to talk about your book because your book
- 1:04Speaker 1: is an eye opener and it's one of those that's
- 1:06Speaker 1: going to create questions and people are going to You're
- 1:09Speaker 1: creating activation, is what you're doing. And I don't know
- 1:12Speaker 1: if that was your intention, but people are going to
- 1:14Speaker 1: be reading this and they're going to be looking at
- 1:16Speaker 1: the world differently because of what you're sharing inside these pages.
- 1:22Speaker 2: That's great to hear. I mean, I suppose when I
- 1:24Speaker 2: was writing this novel, The Model Patient, I was writing
- 1:27Speaker 2: it from a very personal place. It was inspired by
- 1:30Speaker 2: my own very intense, very bewildering experience in therapy. But
- 1:34Speaker 2: it certainly made me sort of think about therapy in
- 1:38Speaker 2: ways that I never imagined, never imagined before, and sort
- 1:43Speaker 2: of how we might go about finding those hidden parts
- 1:47Speaker 2: of ourselves and how challenging that can be.
- 1:50Speaker 1: Well, it says that, you know, I had to do
- 1:52Speaker 1: some chat GPT in on this because I wanted to,
- 1:54Speaker 1: and it's just because because I'm too lazy to type
- 1:57Speaker 1: stuff anymore. But the thing is is that I want
- 2:00Speaker 1: wanted to understand it more. And the thing that chat
- 2:02Speaker 1: GPT said was that it's not one sided and I
- 2:06Speaker 1: and that opened up my heart and I said, I
- 2:07Speaker 1: can't wait to talk with Lucy because she's going to
- 2:09Speaker 1: understand what chat GPT was saying. When it says it's
- 2:12Speaker 1: not one sided, where are they going with this?
- 2:17Speaker 2: So, well, yeah, what do I think they're going with that?
- 2:19Speaker 2: So when you're in therapy. It's about a relationship between
- 2:25Speaker 2: two people, the patient client and the therapist. And in
- 2:30Speaker 2: kind of a really good working relationship, working alliance you're
- 2:35Speaker 2: using the dynamics that will come up, the relationship patterns
- 2:39Speaker 2: and emotions that will come up. Is sort of like
- 2:42Speaker 2: a way of exploring what's driving you and what has
- 2:49Speaker 2: happened in your past. Then is repeating itself, like we
- 2:51Speaker 2: all have this compulsion to repeat. But the problem that
- 2:54Speaker 2: I found and that I write about in the Model
- 2:56Speaker 2: Patient is that the patient is very vulnerable in this
- 3:00Speaker 2: because of this thing called transference, where you end up
- 3:02Speaker 2: transferring these past relationship patterns and emotions onto the therapist.
- 3:07Speaker 2: That gives them a position of great power, and they
- 3:11Speaker 2: have to be very thoughtful about the way in which
- 3:14Speaker 2: they employ that power so that the patient can cope
- 3:19Speaker 2: with all of this, all of these intense emotions, rather
- 3:22Speaker 2: than get sort of dragged deeper and deeper into delusion.
- 3:25Speaker 2: In the Model Patient, that is what happens. Even in Westbrook.
- 3:30Speaker 2: This main character, she goes to therapy hoping for help,
- 3:33Speaker 2: but actually becomes deeply dependent and obsessed with her therapist,
- 3:37Speaker 2: and he just takes her further and further into those
- 3:41Speaker 2: obsessions rather than helping her separate out fantasy and reality.
- 3:46Speaker 1: Yeah, and Evylyn dives into that big time because first
- 3:48Speaker 1: of all, look what city she's in. So therefore she's
- 3:50Speaker 1: going to have to deal with that fantasy and reality
- 3:52Speaker 1: because when you go to London, you know, that's fantasy
- 3:55Speaker 1: in everybody's heart. And the fact that oh my god,
- 3:57Speaker 1: everything changes for her so quickly.
- 4:02Speaker 2: Yes, yes it does. And actually this was something that
- 4:06Speaker 2: I guess I was really interested in because when I
- 4:09Speaker 2: had been in this sort of intense therapy relationship, I
- 4:11Speaker 2: had a very very fast transference response to my therapist.
- 4:15Speaker 2: And when I suppose just he's very he's very withholding,
- 4:19Speaker 2: kind of silent and give gives not much back in
- 4:23Speaker 2: the sense, you know, I'd be sort of exploring all
- 4:25Speaker 2: these things about myself and then hip be silent. You know,
- 4:29Speaker 2: the session would end as very abruptly and be like,
- 4:31Speaker 2: what is going on here? How can I deal with
- 4:34Speaker 2: all of these emotions? And that can lead to a
- 4:37Speaker 2: very quick kind of transference essentially, and that's what happens
- 4:42Speaker 2: to Evelyn, and she doesn't know how to manage that,
- 4:45Speaker 2: and it sort of starts this spiral of events in
- 4:48Speaker 2: her life where everything is focused in on her therapy,
- 4:52Speaker 2: but also her husband wants to have a baby. She's
- 4:56Speaker 2: terrified of this. Her mother in law is making things
- 4:59Speaker 2: difficult for her. She's just given up a career. In
- 5:02Speaker 2: some ways, you want to go to therapy at a
- 5:05Speaker 2: time when you've got lots of things you want to
- 5:08Speaker 2: support with, But actually, really I imagine that the best time
- 5:11Speaker 2: to go to therapy was is when you're kind of
- 5:13Speaker 2: calm and there aren't too many changes in your life,
- 5:15Speaker 2: because it would allow you to really go into depth
- 5:17Speaker 2: about some of the relationship haassens and emotions that you
- 5:21Speaker 2: have without it all falling apart.
- 5:23Speaker 1: It's got such a connection to the reality of where
- 5:25Speaker 1: we are now. And what I loved about it was
- 5:27Speaker 1: that it really does give permission to women go talk
- 5:31Speaker 1: with somebody. It's okay to bring mental health up. Because
- 5:35Speaker 1: my mother, I wish she would have had it, but
- 5:37Speaker 1: that wasn't her generation. They internalized every single thing, and
- 5:41Speaker 1: I often wonder if my mother's life what would have
- 5:43Speaker 1: been even smoother than what it was if she would
- 5:45Speaker 1: have had some mental help. And that's what I love
- 5:47Speaker 1: about this book. But you also say go get the help,
- 5:51Speaker 1: but be aware. And that's what I love about this
- 5:54Speaker 1: is that that's the reality pinch is that you say,
- 5:57Speaker 1: but there's something on the other side that you need
- 5:59Speaker 1: to know. Well, they could take advantage of a situation here.
- 6:03Speaker 2: Yeah, of course, you know, it's not as simple of
- 6:05Speaker 2: just going to therapy and hoping that everything is going
- 6:07Speaker 2: to fall back into place. The relationship dynamic for the
- 6:11Speaker 2: therapist is so important. But actually the even even though
- 6:16Speaker 2: she has this very traumatic experience with the therapist, she
- 6:19Speaker 2: does end up learning so much about herself as a
- 6:22Speaker 2: result and making so much of progress in her life
- 6:25Speaker 2: as a result. It's just it had to be for her.
- 6:28Speaker 2: It was through this almost like retraumatization. And that is
- 6:31Speaker 2: I think what we don't hear about enough when we're
- 6:34Speaker 2: going into therapy is there is a risk that you're
- 6:37Speaker 2: not just going to find therapy difficult in challenging. Of course,
- 6:39Speaker 2: therapy is supposed to be difficult and challenging, like otherwise
- 6:42Speaker 2: what's the point. But it could actually re traumatize you.
- 6:46Speaker 2: It could make the things that you you know have
- 6:49Speaker 2: create almost like physical trauma responses to the work you're doing.
- 6:54Speaker 2: And that is a risk, and I think it's important
- 6:57Speaker 2: that people know about that and can sort of guard
- 6:59Speaker 2: themselves against that and sort of check what kind of
- 7:03Speaker 2: therapy they're actually doing. I didn't know what type of
- 7:05Speaker 2: therapy I was do until it was until it was
- 7:08Speaker 2: too late, really, and then I was like, Okay, well,
- 7:10Speaker 2: now I've just got to find a way to manage this.
- 7:12Speaker 2: And I wrote the model patient of the way to
- 7:15Speaker 2: help contain all of the chaos of my relationship in therapy.
- 7:19Speaker 1: Very interesting. That sounds like a Julia Cameron is. I
- 7:22Speaker 1: mean the way that she says, go in there and
- 7:23Speaker 1: clean out that closet so that you can create more
- 7:25Speaker 1: room for other things to take place. And so you
- 7:27Speaker 1: use an experience in order to kind of wake us
- 7:30Speaker 1: up or warm us up. On this side of those pages.
- 7:34Speaker 2: Yeah, I mean my own personal experience, I suppose was
- 7:38Speaker 2: the way of inspiring the idea for the novel. And actually,
- 7:42Speaker 2: while I was writing the novel, I was doing the therapy,
- 7:46Speaker 2: and I'd have this kind of crazy document of like
- 7:49Speaker 2: journaling that was just my emotions and my responses to
- 7:53Speaker 2: the work, and that was really it was just a
- 7:56Speaker 2: sort of almost out of control writing. And then I
- 7:58Speaker 2: had this craft did carefully research novel the model patient
- 8:03Speaker 2: that I was building, and I think having those two
- 8:06Speaker 2: side by side with such an interesting creative project for
- 8:10Speaker 2: me to have both the emotion and also the creativity.
- 8:15Speaker 1: Well, you break it up in a way to where
- 8:17Speaker 1: we can we can see the different sides of decisions
- 8:19Speaker 1: being made, and there's there's I would love to see
- 8:21Speaker 1: the research on how many readers are going to be
- 8:24Speaker 1: able to look at Evelyn and see not only themselves,
- 8:27Speaker 1: but kind of model their own life into something that
- 8:30Speaker 1: Evelyn would have done, or if she would have made
- 8:32Speaker 1: this choice instead. And so so it's almost like a
- 8:35Speaker 1: mile marker in the middle of this wandering highway with
- 8:37Speaker 1: a bunch of mirages. But then here comes Evelyn who's
- 8:40Speaker 1: experiencing it, and all of a sudden, our focus is
- 8:43Speaker 1: right there on that story.
- 8:45Speaker 2: Yeah. I hope we really travel. I hope the reader
- 8:48Speaker 2: really travels through this with Evelyn. She's she's not always
- 8:51Speaker 2: the easiest character to really warm to at different moments,
- 8:54Speaker 2: but I think that's because she's holding so much rage
- 8:58Speaker 2: and on sort of she's trying to contain herself when
- 9:02Speaker 2: actually she really just needs to sort of let go
- 9:05Speaker 2: and allow herself to feel all of the traumas from
- 9:09Speaker 2: her past. But I hope, yeah, I hope the reader
- 9:13Speaker 2: will will feel part of her journey as they go.
- 9:16Speaker 1: Father and stuff, Please do not move. There's more with
- 9:19Speaker 1: Lucy ash coming up next, the name of the book
- 9:23Speaker 1: The Model Patient. We are back with author Lucy ash Well.
- 9:27Speaker 1: And we all have psychotherapist or psychologist's stories. I mean
- 9:30Speaker 1: mine was I went in to talk with one. We
- 9:32Speaker 1: got in what he described or even prescribed period was
- 9:36Speaker 1: totally different from where I was going. He looks at
- 9:37Speaker 1: me one day and he says, you're you're addicted to excitement.
- 9:40Speaker 1: Figure it out. And I was like going, And so
- 9:42Speaker 1: that I became a daily writer. And that's where I've
- 9:44Speaker 1: been now for thirty four years, a daily writer because
- 9:47Speaker 1: it's like, okay, you want me to figure it out.
- 9:48Speaker 1: I ain't coming back then, but you do. You get
- 9:51Speaker 1: in those little arguments, and I think maybe maybe that's
- 9:53Speaker 1: my connection with Evelyn is because I want to fight
- 9:55Speaker 1: for I want to be able to get a voice
- 9:57Speaker 1: and say no, this is what i've been you know,
- 10:00Speaker 1: don't do it. Yeah.
- 10:03Speaker 2: I think there is this deep frustration at times in
- 10:05Speaker 2: therapy when you're trying to get the point across of
- 10:09Speaker 2: how you feel and you want your therapist to really
- 10:11Speaker 2: understand you, and they're saying something different, or they're not
- 10:15Speaker 2: on the same page as you, or they don't you
- 10:17Speaker 2: don't feel like they fully get it. And for me,
- 10:19Speaker 2: and also for Evelyn, it was the silences. It was
- 10:22Speaker 2: these silences, so I were like, what does it mean?
- 10:26Speaker 2: And my therapist will always say things like you think
- 10:30Speaker 2: that just because I'm silent, it doesn't mean I'm not thinking,
- 10:34Speaker 2: or it doesn't mean I don't care for you, and
- 10:39Speaker 2: I would, I would, It would drive me absolutely nuts.
- 10:41Speaker 2: I'd be like, I'm not here to just sit in silence.
- 10:46Speaker 2: I want to do the work. And actually, but of course,
- 10:49Speaker 2: actually there was so much in that silence that was
- 10:50Speaker 2: important for me. It was that need, need for reassurance,
- 10:54Speaker 2: that desire to know if I was getting things right,
- 10:58Speaker 2: if I was making a good impression, all of these
- 10:59Speaker 2: things it actually it's important to let go of. And
- 11:01Speaker 2: it was in the silence that those that the work
- 11:04Speaker 2: could be done. But I hated it, really hates.
- 11:06Speaker 1: You ask a very important question that's going to be
- 11:08Speaker 1: an eye opener as well as a stick of glue
- 11:11Speaker 1: in the way of getting people to stay true to
- 11:13Speaker 1: the story who holds power in the therapeutic relationship? And
- 11:17Speaker 1: you sit there and go, oh, who does hold that power?
- 11:20Speaker 1: I made the decision to go. Evelyn made the decision
- 11:23Speaker 1: to go. She obviously had questions and she needed to
- 11:26Speaker 1: explore it. But now who holds that power?
- 11:30Speaker 2: Yeah? That question? I mean, I think the power dynamics
- 11:32Speaker 2: are shifting. They're incredibly complex. Like, obviously the therapist does
- 11:37Speaker 2: hold the power because he has Yeah, I mean, he
- 11:41Speaker 2: knows exactly how the methodology works. He's able to understand,
- 11:49Speaker 2: you know, he's had years of training, knows exactly what's
- 11:53Speaker 2: going on in terms of the methodology. But of course, yes,
- 11:56Speaker 2: the patient also does have power. They have the power
- 11:58Speaker 2: to leave. So Evelyn and I actually felt that that
- 12:02Speaker 2: power had been taken away from me for a while
- 12:04Speaker 2: because of the pressure that was put on me to stay,
- 12:07Speaker 2: even though I did try to quite a few times.
- 12:10Speaker 2: But there's also you have the power to say whatever
- 12:13Speaker 2: you want. There's something very freeing about that, the power
- 12:17Speaker 2: to show specific parts of yourself while hiding others. Actually,
- 12:20Speaker 2: the therapists can only work with what you reveal. And
- 12:24Speaker 2: it's such a complex relationship, and I think perhaps a
- 12:26Speaker 2: sign of a successful therapy is when the patient can
- 12:29Speaker 2: reclaim their power and they can stop being so intensely
- 12:32Speaker 2: focused on the reactions and the responses of the therapist
- 12:36Speaker 2: and become kind of confident to make their own decisions.
- 12:39Speaker 2: But that can take quite a while, especially in this
- 12:42Speaker 2: the type of therapy that's in the model patient, which
- 12:45Speaker 2: is kind of psychoanalytical psychodynamic therapy, where it is about
- 12:49Speaker 2: the relationship dynamic that the work, where the work happens,
- 12:53Speaker 2: and therapist has to be very aware of the power
- 12:57Speaker 2: they have because of the way in which the patient
- 13:01Speaker 2: will actually really place so much onto them and project
- 13:04Speaker 2: so much onto them and become very dependent on them.
- 13:09Speaker 2: And that's it's a very delicate balance.
- 13:11Speaker 1: I was going to ask you about that because I
- 13:13Speaker 1: would like to check the blood pressure of those readers
- 13:16Speaker 1: when we start talking about dependence and dependency and and
- 13:19Speaker 1: and because it becomes a blurry line. I want to
- 13:21Speaker 1: know how readers are going to pick up on that
- 13:23Speaker 1: and and keep focused to the story and not think
- 13:26Speaker 1: about their personal lives. I mean, they're going to be
- 13:28Speaker 1: divided and all of a sudden, they've got to get
- 13:29Speaker 1: back to the paragraphs to see how Evelyn is going
- 13:32Speaker 1: to handle this situation.
- 13:34Speaker 2: Yeah, and I'm so that's the beauty of it. I
- 13:37Speaker 2: hope that that there will be those connections to people's
- 13:40Speaker 2: personal experiences and actually talking talking to people about their
- 13:44Speaker 2: own therapy. So many people tell me about how how
- 13:47Speaker 2: much they hate the end of sessions, and this was
- 13:51Speaker 2: something to me that was very important that I wanted
- 13:54Speaker 2: to get across in the book, is that the end
- 13:55Speaker 2: of a therapy session is almost where the most important
- 13:58Speaker 2: work happens. Those final couple of minutes. How regulated you feel,
- 14:04Speaker 2: do you feel like what emotions do you feel about
- 14:06Speaker 2: your therapist at the end? Do you want to stay
- 14:08Speaker 2: for longer? Do you feel like you're being abandoned? Do
- 14:10Speaker 2: you want to know who your therapist's and next patient is?
- 14:15Speaker 2: And the time ends, and then you've just had this
- 14:17Speaker 2: very intimate conversation and then it's done for the next week.
- 14:21Speaker 2: And that is a very strange thing to get your
- 14:23Speaker 2: head around, to be so intimate and then to have
- 14:25Speaker 2: such strong boundaries put up at the end. That is
- 14:31Speaker 2: something that I think lots of people in therapyople will
- 14:34Speaker 2: relate to.
- 14:34Speaker 1: Well, Yeah, because I wanted to know how Evelyn was
- 14:36Speaker 1: going to react. When the therapy session was over and
- 14:39Speaker 1: you walk out that door, it's usually into a small room,
- 14:41Speaker 1: and there is usually somebody out there in the lobby
- 14:44Speaker 1: waiting because they're next, And we all face that that
- 14:47Speaker 1: was not one of my favorite places to be because
- 14:49Speaker 1: I wanted to know what secrets did I leave behind
- 14:52Speaker 1: in there? And did I sweep them all up so
- 14:53Speaker 1: that they don't feel them?
- 14:56Speaker 2: Yeah? Well, I mean that desire to not leave them behind,
- 15:01Speaker 2: I think is a really interesting one because I think
- 15:04Speaker 2: Evelyn really wants the therapist to have her emotions. She
- 15:07Speaker 2: wants him to contain them and hold them and hold her,
- 15:10Speaker 2: like physically hold her and emotionally hold her, and the
- 15:13Speaker 2: thought that he's moving on to his next patient is
- 15:17Speaker 2: very painful for her.
- 15:20Speaker 1: Yeah it is. It was That's what I felt.
- 15:23Speaker 2: Yeah, yeah, yeah, exactly. And that's you know, that's something
- 15:27Speaker 2: that I just, very surprisingly I found coming into my
- 15:30Speaker 2: mind sometimes during my own therapyre like why am I
- 15:33Speaker 2: interested in in who his next patient's going to be?
- 15:38Speaker 2: And I actually I did manage to say this once.
- 15:41Speaker 2: You're always such awkward things to tell your your therapist about,
- 15:44Speaker 2: but I did manage to say, you know, I just
- 15:46Speaker 2: don't want you to have another patient after this, and
- 15:50Speaker 2: then at least, I know, what do you imagine this
- 15:53Speaker 2: this this patient is? And actually, interestingly I kind of thought, well,
- 15:57Speaker 2: this is a nice opportunity to be a bit create,
- 16:00Speaker 2: So I actually started sort of telling him about this
- 16:03Speaker 2: imaginary patient, and it helped me come up with the
- 16:06Speaker 2: character of Diana in the book, who is Evelin's best friend,
- 16:10Speaker 2: who is a sort of counterpart to Evelin in some ways,
- 16:14Speaker 2: I would say, a kind of calmer, more emotionally with
- 16:17Speaker 2: it kind of person who ends up actually having some
- 16:21Speaker 2: sort of relationship with this therapist. So I definitely used
- 16:26Speaker 2: some of the therapy sessions when I felt able to,
- 16:29Speaker 2: as a kind of muse for my writing.
- 16:31Speaker 1: Oh my god, I love where you are with this
- 16:33Speaker 1: story or is it going to You're going to create
- 16:35Speaker 1: a series of these books, because I mean, this is
- 16:38Speaker 1: the kind of stuff that people enjoy during the summer
- 16:40Speaker 1: months and they're out there in the sunshine. They want
- 16:42Speaker 1: a book that they're going to get seriously lost in
- 16:46Speaker 1: and then when they come back out, they're at least
- 16:47Speaker 1: going to be carrying a story with them.
- 16:50Speaker 2: Yeah, well I hope. So, I mean my next one
- 16:53Speaker 2: is actually is also therapy themed, but it's set in
- 16:55Speaker 2: the nineteen seventies in New York City about a therapy
- 16:58Speaker 2: cult hides disturbing methods of control behind this facade of
- 17:04Speaker 2: like free love, sex and countercultural ideals. So that's where
- 17:07Speaker 2: I'm working on next.
- 17:09Speaker 1: Well, let's book that interview right now then, so we
- 17:11Speaker 1: can talk about that when it comes out. Well, please
- 17:14Speaker 1: come back to this show anytime in the future. And
- 17:16Speaker 1: before you check out, please tell me where can we
- 17:18Speaker 1: go to find out more about you, Lucy. We want
- 17:22Speaker 1: to know about your writing, your experiences, because I believe
- 17:25Speaker 1: it's just like a rock star that readers want to
- 17:27Speaker 1: have that relationship with their authors.
- 17:30Speaker 2: Thank you. I have Instagram it's Lucy ash Underscoore author
- 17:34Speaker 2: and a website which is lucyash dot com. And I
- 17:37Speaker 2: love hearing from readers and I hope that people enjoy
- 17:39Speaker 2: the Model Patient. It's available today, publication today, so available
- 17:43Speaker 2: whatever books are sold.
- 17:44Speaker 1: Thank god, I love it. Please come back to this
- 17:46Speaker 1: show anytime in the future. The door is always going
- 17:48Speaker 1: to be open for you.
- 17:50Speaker 2: Thank you so much.
- 17:51Speaker 1: You'd be brilliant today. Okay, okay, bye bye, Thank you.