The depressed person also made it a point, when reaching out to members of her Support System, never to cite circumstances like her parents’ endless battle over her orthodonture as the cause of her unceasing adult depression. The “Blame Game” was too easy, she said; it was pathetic and contemptible; and besides, she’d had quite enough of the “Blame Game” just listening to her fucking parents all those years, the endless blame and recrimination the two had exchanged over her, through her, using the depressed person’s (i.e., the depressed person as a child’s) own feelings and needs as ammunition, as if her valid feelings and needs were nothing more than a battlefield or theater of conflict, weapons which the parents felt they could deploy against each other. They had displayed far more interest and passion and emotional availability in their hatred of each other than either had shown toward the depressed person herself, as a child, the depressed person confessed to feeling, sometimes, still.
The depressed person’s therapist, whose school of therapy rejected the transference relation as a therapeutic resource and thus deliberately eschewed confrontation and “should”-statements and all normative, judging, “authority”-based theory in favor of a more value-neutral bioexperiential model and the creative use of analogy and narrative (including, but not necessarily mandating, the use of hand puppets, polystyrene props and toys, role-playing, human sculpture, mirroring, drama therapy, and, in appropriate cases, whole meticulously scripted and storyboarded Childhood Reconstructions), had deployed the following medications in an attempt to help the depressed person find some relief from her acute affective discomfort and progress in her (i.e., the depressed person’s) journey toward enjoying some semblance of a normal adult life: Paxil, Zoloft, Prozac, Tofranil, Wellbutrin, Elavil, Metrazol in combination with unilateral ECT (during a two-week voluntary in-patient course of treatment at a regional Mood Disorders clinic), Parnate both with and without lithium salts, Nardil both with and without Xanax. None had delivered any significant relief from the pain and feelings of emotional isolation that rendered the depressed person’s every waking hour an indescribable hell on earth, and many of the medications themselves had had side effects which the depressed person had found intolerable. The depressed person was currently taking only very tiny daily doses of Prozac, for her A.D.D. symptoms, and of Ativan, a mild nonaddictive tranquilizer, for the panic attacks which made the hours at her toxically dysfunctional and unsupportive workplace such a living hell. Her therapist gently but repeatedly shared with the depressed person her (i.e., the therapist’s) belief that the very best medicine for her (i.e., the depressed person’s) endogenous depression was the cultivation and regular use of a Support System the depressed person felt she could reach out to share with and lean on for unconditional caring and support. The exact composition of this Support System and its one or two most special, most trusted “core” members underwent a certain amount of change and rotation as time passed, which the therapist had encouraged the depressed person to see as perfectly normal and OK, since it was only by taking the risks and exposing the vulnerabilities required to deepen supportive relationships that an individual could discover which friendships could meet her needs and to what degree.
The depressed person felt that she trusted the therapist and made a concerted effort to be as completely open and honest with her as she possibly could. She admitted to the therapist that she was always extremely careful to share with whomever she called long-distance at night her (i.e., the depressed person’s) belief that it would be whiny and pathetic to blame her constant, indescribable adult pain on her parents’ traumatic divorce or their cynical use of her while they hypocritically pretended that each cared for her more than the other did. Her parents had, after all—as her therapist had helped the depressed person to see—done the very best they could with the emotional resources they’d had at the time. And she had, after all, the depressed person always inserted, laughing weakly, eventually gotten the orthodonture she’d needed. The former acquaintances and roommates who composed her Support System often told the depressed person that they wished she could be a little less hard on herself, to which the depressed person often responded by bursting involuntarily into tears and telling them that she knew all too well that she was one of those dreaded types of people of everyone’s grim acquaintance who call at inconvenient times and just go on and on about themselves and whom it often takes several increasingly awkward attempts to get off the telephone with. The depressed person said that she was all too horribly aware of what a joyless burden she was to her friends, and during the long-distance calls she always made it a point to express the enormous gratitude she felt at having a friend she could call and share with and get nurturing and support from, however briefly, before the demands of that friend’s full, joyful, active life took understandable precedence and required her (i.e., the friend) to get off the telephone.
The excruciating feelings of shame and inadequacy which the depressed person experienced about calling supportive members of her Support System long-distance late at night and burdening them with her clumsy attempts to articulate at least the overall context of her emotional agony were an issue on which the depressed person and her therapist were currently doing a great deal of work in their time together. The depressed person confessed that when whatever empathetic friend she was sharing with finally confessed that she (i.e., the friend) was dreadfully sorry but there was no helping it she absolutely had to get off the telephone, and had finally detached the depressed person’s needy fingers from her pantcuff and gotten off the telephone and back to her full, vibrant long-distance life, the depressed person almost always sat there listening to the empty apian drone of the dial tone and feeling even more isolated and inadequate and contemptible than she had before she’d called. These feelings of toxic shame at reaching out to others for community and support were issues which the therapist encouraged the depressed person to try to get in touch with and explore so that they could be processed in detail. The depressed person admitted to the therapist that whenever she (i.e., the depressed person) reached out long-distance to a member of her Support System she almost always visualized the friend’s face, on the telephone, assuming a combined expression of boredom and pity and repulsion and abstract guilt, and almost always imagined she (i.e., the depressed person) could detect, in the friend’s increasingly long silences and/or tedious repetitions of encouraging clichés, the boredom and frustration people always feel when someone is clinging to them and being a burden. She confessed that she could all too well imagine each friend now wincing when the telephone rang late at night, or during the conversation looking impatiently at the clock or directing silent gestures and facial expressions of helpless entrapment to all the other people in the room with her (i.e., the other people in the room with the “friend”), these inaudible gestures and expressions becoming more and more extreme and desperate as the depressed person just went on and on and on. The depressed person’s therapist’s most noticeable unconscious personal habit or tic consisted of placing the tips of all her fingers together in her lap as she listened attentively to the depressed person and manipulating the fingers idly so that her mated hands formed various enclosing shapes—e.g., cube, sphere, pyramid, right cylinder—and then appearing to study or contemplate them. The depressed person disliked this habit, though she would be the first to admit that this was chiefly because it drew her attention to the therapist’s fingers and fingernails and caused her to compare them with her own.
The depressed person had shared with both the therapist and her Support System that she could recall, all too clearly, at her third boarding school, once watching her roommate talk to some unknown boy on their room’s telephone as she (i.e., the roommate) made faces and gestures of repulsion and boredom with the call, this self-assured, popular and attractive roommate finally directing at the depressed person an exaggerated pantomime of someone knocking on a door, continuing the pantomime with a desperate expression until the depressed person understood th
at she was to open the room’s door and step outside and knock loudly on the open door so as to give the roommate an excuse to get off the telephone. As a schoolgirl, the depressed person had never spoken of the incident of the boy’s telephone call and the mendacious pantomime with that particular roommate—a roommate with whom the depressed person hadn’t clicked or connected at all, and whom she had resented in a bitter, cringing way that had made the depressed person despise herself, and had not made any attempt to stay in touch with after that endless sophomore second semester was finished—but she (i.e., the depressed person) had shared her agonizing memory of the incident with many of the friends in her Support System, and had also shared how bottomlessly horrible and pathetic she had felt it would have been to have been that nameless, unknown boy at the other end of that telephone, a boy trying in good faith to take an emotional risk and to reach out and try to connect with the confident roommate, unaware that he was an unwelcome burden, pathetically unaware of the silent pantomimed boredom and contempt at the telephone’s other end, and how the depressed person dreaded more than almost anything ever being in the position of being someone you had to appeal silently to someone else in the room to help you contrive an excuse to get off the telephone with. The depressed person would therefore always implore any friend she was on the telephone with to tell her the very second she (i.e., the friend) was getting bored or frustrated or repelled or felt she had other more urgent or interesting things to do, to please for God’s sake be utterly up-front and frank and not spend one second longer on the phone with the depressed person than she (i.e., the friend) was absolutely glad to spend. The depressed person knew perfectly well, of course, she assured the therapist, how pathetic such a need for reassurance might come off to someone, how it could all too possibly be heard not as an open invitation to get off the telephone but actually as a needy, self-pitying, contemptibly manipulative plea for the friend not to get off the telephone, never to get off the telephone. The therapist1 was diligent, whenever the depressed person shared her concern about how some statement or action might “seem” or “appear,” in supporting the depressed person in exploring how these beliefs about how she “seemed” or “came off” to others made her feel.
It felt demeaning; the depressed person felt demeaned. She said it felt demeaning to call childhood friends long-distance late at night when they clearly had other things to do and lives to lead and vibrant, healthy, nurturing, intimate, caring partner-relationships to be in; it felt demeaning and pathetic to constantly apologize for boring someone or to feel that you had to thank them effusively just for being your friend. The depressed person’s parents had eventually split the cost of her orthodonture; a professional arbitrator had finally been hired by their lawyers to structure the compromise. Arbitration had also been required to negotiate shared payment schedules for the depressed person’s boarding schools and Healthy Eating Lifestyles summer camps and oboe lessons and car and collision insurance, as well as for the cosmetic surgery needed to correct a malformation of the anterior spine and alar cartilage of the depressed person’s nose which had given her what felt like an excruciatingly pronounced and snoutish pug nose and had, coupled with the external orthodontic retainer she had to wear twenty-two hours a day, made looking at herself in the mirrors of her rooms at her boarding schools feel like more than any person could possibly stand. And yet also, in the year that the depressed person’s father had remarried, he—in either a gesture of rare uncompromised caring or a coup de grâce which the depressed person’s mother had said was designed to make her own feelings of humiliation and superfluousness complete—had paid in toto for the riding lessons, jodhpurs, and outrageously expensive boots the depressed person had needed in order to gain admission to her second-to-last boarding school’s Riding Club, a few of whose members were the only girls at this particular boarding school whom the depressed person felt, she had confessed to her father on the telephone in tears late one truly horrible night, even remotely accepted her and had even minimal empathy or compassion in them at all and around whom the depressed person hadn’t felt so totally snout-nosed and brace-faced and inadequate and rejected that it had felt like a daily act of enormous personal courage even to leave her room to go eat dinner in the dining hall.
The professional arbitrator her parents’ lawyers had finally agreed on for help in structuring compromises on the costs of meeting the depressed person’s childhood needs had been a highly respected Conflict-Resolution Specialist named Walter D. (“Walt”) DeLasandro Jr. As a child, the depressed person had never met or even laid eyes on Walter D. (“Walt”) DeLasandro Jr., though she had been shown his business card—complete with its parenthesized invitation to informality—and his name had been invoked in her hearing on countless childhood occasions, along with the fact that he billed for his services at a staggering $130 an hour plus expenses. Despite overwhelming feelings of reluctance on the part of the depressed person—who knew very well how much like the “Blame Game” it might sound—her therapist had strongly supported her in taking the risk of sharing with members of her Support System an important emotional breakthrough she (i.e., the depressed person) had achieved during an Inner-Child-Focused Experiential Therapy Retreat Weekend which the therapist had supported her in taking the risk of enrolling in and giving herself open-mindedly over to the experience of. In the I.-C.-F.E.T. Retreat Weekend’s Small-Group Drama-Therapy Room, other members of her Small Group had role-played the depressed person’s parents and the parents’ significant others and attorneys and myriad other emotionally toxic figures from the depressed person’s childhood and, at the crucial phase of the drama-therapy exercise, had slowly encircled the depressed person, moving in and pressing steadily in together on her so that she could not escape or avoid or minimize, and had (i.e., the small group had) dramatically recited specially pre-scripted lines designed to evoke and awaken blocked trauma, which had almost immediately provoked the depressed person into a surge of agonizing emotional memories and long-buried trauma and had resulted in the emergence of the depressed person’s Inner Child and a cathartic tantrum in which the depressed person had struck repeatedly at a stack of velour cushions with a bat made of polystyrene foam and had shrieked obscenities and had reexperienced long-pent-up and festering emotional wounds, one of which2 being a deep vestigial rage over the fact that Walter D. (“Walt”) DeLasandro Jr. had been able to bill her parents $130 an hour plus expenses for being put in the middle and playing the role of mediator and absorber of shit from both sides while she (i.e., the depressed person, as a child) had had to perform essentially the same coprophagous services on a more or less daily basis for free, for nothing, services which were not only grossly unfair and inappropriate for an emotionally sensitive child to be made to feel required to perform but about which her parents had then turned around and tried to make her, the depressed person herself, as a child, feel guilty about the staggering cost of Walter D. DeLasandro Jr. the Conflict-Resolution Specialist’s services, as if the repeated hassle and expense of Walter D. DeLasandro Jr. were her fault and only undertaken on her spoiled little snout-nosed snaggletoothed behalf instead of simply because of her fucking parents’ utterly fucking sick inability to communicate and share honestly and work through their own sick, dysfunctional issues with each other. This exercise and cathartic rage had enabled the depressed person to get in touch with some really core resentment-issues, the Small-Group Facilitator at the Inner-Child-Focused Experiential Therapy Retreat Weekend had said, and could have represented a real turning point in the depressed person’s journey toward healing, had the rage and velour-cushion-pummeling not left the depressed person so emotionally shattered and drained and traumatized and embarrassed that she had felt she had no choice but to fly back home that night and miss the rest of the I.-C.-F.E.T.R. Weekend and the Small-Group Processing of all the exhumed feelings and issues.
The eventual compromise which the depressed person and her therapist worked out together as they processed the un
buried resentments and the consequent guilt and shame at what could all too easily appear to be just more of the self-pitying “Blame Game” that attended the depressed person’s experience at the Retreat Weekend was that the depressed person would take the emotional risk of reaching out and sharing the experience’s feelings and realizations with her Support System, but only with the two or three elite, “core” members whom the depressed person currently felt were there for her in the very most empathetic and unjudgingly supportive way. The most important provision of the compromise was that the depressed person would be permitted to reveal to them her reluctance about sharing these resentments and realizations and to inform them that she was aware of how pathetic and blaming they (i.e., the resentments and realizations) might sound, and to reveal that she was sharing this potentially pathetic “breakthrough” with them only at her therapist’s firm and explicit suggestion. In validating this provision, the therapist had objected only to the depressed person’s proposed use of the word “pathetic” in her sharing with the Support System. The therapist said that she felt she could support the depressed person’s use of the word “vulnerable” far more wholeheartedly than she could support the use of “pathetic,” since her gut (i.e., the therapist’s gut) was telling her that the depressed person’s proposed use of “pathetic” felt not only self-hating but also needy and even somewhat manipulative. The word “pathetic,” the therapist candidly shared, often felt to her like a defense-mechanism the depressed person used to protect herself against a listener’s possible negative judgments by making it clear that the depressed person was already judging herself far more severely than any listener could possibly have the heart to. The therapist was careful to point out that she was not judging or critiquing or rejecting the depressed person’s use of “pathetic” but was merely trying to openly and honestly share the feelings which its use brought up for her in the context of their relationship. The therapist, who by this time had less than a year to live, took a brief time-out at this point to share once again with the depressed person her (i.e., the therapist’s) conviction that self-hatred, toxic guilt, narcissism, self-pity, neediness, manipulation, and many of the other shame-based behaviors with which endogenously depressed adults typically presented were best understood as psychological defenses erected by a vestigial wounded Inner Child against the possibility of trauma and abandonment. The behaviors, in other words, were primitive emotional prophylaxes whose real function was to preclude intimacy; they were psychic armor designed to keep others at a distance so that they (i.e., others) could not get emotionally close enough to the depressed person to inflict any wounds that might echo and mirror the deep vestigial wounds of the depressed person’s childhood, wounds which the depressed person was unconsciously determined to keep repressed at all costs. The therapist—who during the year’s cold months, when the abundant fenestration of her home office kept the room chilly, wore a pelisse of hand-tanned Native American buckskin that formed a somewhat ghastlily moist-looking flesh-colored background for the enclosing shapes her joined hands formed in her lap as she spoke—assured the depressed person that she was not trying to lecture her or impose on her (i.e., on the depressed person) the therapist’s own particular model of depressive etiology. Rather, it simply felt appropriate on an intuitive “gut” level at this particular point in time for the therapist to share some of her own feelings. Indeed, as the therapist said that she felt comfortable about positing at this point in the therapeutic relationship between them, the depressed person’s acute chronic mood disorder could actually itself be seen as constituting an emotional defense-mechanism: i.e., as long as the depressed person had the depression’s acute affective discomfort to preoccupy her and take up her emotional attention, she could avoid feeling or getting in touch with the deep vestigial childhood wounds which she (i.e., the depressed person) was apparently still determined to keep repressed.3