The David Foster Wallace Reader

  Several months later, when the depressed person’s therapist suddenly and unexpectedly died—as the result of what was determined by authorities to be an “accidentally” toxic combination of caffeine and homeopathic appetite suppressant but which, given the therapist’s extensive medical background and knowledge of chemical interactions, only a person in very deep denial indeed could fail to see must have been, on some level, intentional—without leaving any sort of note or cassette or encouraging final words for any of the persons and/or clients in her life who had, despite all their debilitating fear and isolation and defense-mechanisms and vestigial wounds from past traumas, come to connect intimately with her and let her in emotionally even though it meant making themselves vulnerable to the possibility of loss- and abandonment-traumas, the depressed person found the trauma of this fresh loss and abandonment so shattering, its resultant agony and despair and hopelessness so unbearable, that she was, ironically, now forced to reach frantically and repeatedly out on a nightly basis to her Support System, sometimes calling three or even four long-distance friends in an evening, sometimes calling the same friends twice in one night, sometimes at a very late hour, sometimes even—the depressed person felt sickeningly sure—waking them up or interrupting them in the midst of healthy, joyful sexual intimacy with their partner. In other words, sheer survival, in the turbulent wake of her feelings of shock and grief and loss and abandonment and bitter betrayal following the therapist’s sudden death, now compelled the depressed person to put aside her innate feelings of shame and inadequacy and embarrassment at being a pathetic burden and to lean with all her might on the empathy and emotional nurture of her Support System, despite the fact that this, ironically, had been one of the two areas in which the depressed person had most vigorously resisted the therapist’s counsel.

  Even on top of the shattering abandonment-issues it brought up, the therapist’s unexpected death also could not have occurred at a worse time from the perspective of the depressed person’s journey toward inner healing, coming as it (i.e., the suspicious death) did just as the depressed person was beginning to work through and process some of her core shame- and resentment-issues concerning the therapeutic process itself and the intimate therapist-patient relationship’s impact on her (i.e., on the depressed person’s) unbearable isolation and pain. As part of her grieving process, the depressed person shared with supportive members of her Support System the fact that she felt she had, she had realized, experienced significant trauma and anguish and isolation-feelings even in the therapeutic relationship itself, a realization which she said she and the therapist had been working intensively together to explore and process. For just one example, the depressed person shared long-distance, she had discovered and struggled in therapy to work through her feeling that it was ironic and demeaning, given her parents’ dysfunctional preoccupation with money and all that that preoccupation had cost her as a child, that she was now, as an adult, in the position of having to pay a therapist $90 an hour to listen patiently to her and respond honestly and empathetically; i.e., it felt demeaning and pathetic to feel forced to buy patience and empathy, the depressed person had confessed to her therapist, and was an agonizing echo of the exact same childhood pain which she (i.e., the depressed person) was so very anxious to put behind her. The therapist—after attending closely and unjudgingly to what the depressed person later admitted to her Support System could all too easily have been interpreted as mere niggardly whining about the expense of therapy, and after a long and considered pause during which both the therapist and the depressed person had gazed at the ovoid cage which the therapist’s mated hands in her lap at that moment composed4—had responded that, while on a purely intellectual or “head” level she might respectfully disagree with the substance or “propositional content” of what the depressed person was saying, she (i.e., the therapist) nevertheless wholeheartedly supported the depressed person in sharing whatever feelings the therapeutic relationship itself brought up in her (i.e., in the depressed person5) so that they could work together on processing them and exploring safe and appropriate environments and contexts for their expression.

  The depressed person’s recollections of the therapist’s patient, attentive, and unjudging responses to even her (i.e., the depressed person’s) most spiteful and childishly arrested complaints felt as if they brought on further, even more unbearable feelings of loss and abandonment, as well as fresh waves of resentment and self-pity which the depressed person knew all too well were repellent in the extreme, she assured the friends who composed her Support System, trusted friends whom the depressed person was by this time calling almost constantly, sometimes now even during the day, from her workplace, dialing her closest friends’ long-distance work numbers and asking them to take time away from their own challenging, stimulating careers to listen supportively and share and dialogue and help the depressed person find some way to process this grief and loss and find some way to survive. Her apologies for burdening these friends during daylight hours at their workplaces were elaborate, involved, vociferous, baroque, mercilessly self-critical, and very nearly constant, as were her expressions of gratitude to the Support System just for Being There for her, just for allowing her to begin again to be able to trust and take the risk of reaching out, even just a little, because the depressed person shared that she felt as if she had been discovering all over again, and with a shattering new clarity now in the wake of the therapist’s abrupt and wordless abandonment, she shared over her workstation’s headset telephone, just how agonizingly few and far between were the people whom she could ever hope to really communicate and share with and forge healthy, open, trusting, mutually nurturing relationships to lean on. For example, her work environment—as the depressed person readily acknowledged she’d whined about at tiresome length many times before—was totally dysfunctional and toxic, and the totally unsupportive emotional atmosphere there made the idea of trying to bond in any mutually nurturing way with coworkers a grotesque joke. And the depressed person’s attempts to reach out in her emotional isolation and try to cultivate and develop caring friends and relationships in the community through church groups or nutrition and holistic stretching classes or community woodwind ensembles and the like had proved so excruciating, she shared, that she had all but begged the therapist to withdraw her gentle suggestion that the depressed person try her best to do so. And then as for the idea of girding herself once again and venturing out there into the emotionally Hobbesian meat market of the “dating scene” and trying once again to find and establish any healthy, caring, functional connections with men, whether in a physically intimate partner-relationship or even just as close and supportive friends—at this juncture in her sharing the depressed person laughed hollowly into the headset telephone she wore at the terminal inside her cubicle at her workplace and asked whether it was really even necessary, with a friend who knew her as well as whatever member of her Support System she was presently sharing with did, to go into why the depressed person’s intractable depression and highly charged self-esteem- and trust-issues rendered that idea a pie-in-the-sky flight of Icarusian fancy and denial. To take just one example, the depressed person shared from her workstation, in the second semester of her junior year at college there had been a traumatic incident in which the depressed person had been sitting alone on the grass near a group of popular, self-assured male students at an intercollegiate lacrosse game and had distinctly overheard one of the men laughingly say, of a female student the depressed person knew slightly, that the only substantive difference between this woman and a restroom toilet was that the toilet did not keep pathetically following you around after you’d used it. Sharing with supportive friends, the depressed person was now suddenly and unexpectedly flooded with emotional memories of the early session during which she had first told the therapist of this incident: they had been doing basic feelings-work together during this awkward opening stage of the therapeutic process, and the therapist had challenged the d
epressed person to identify whether the overheard slur had made her (i.e., the depressed person) feel primarily more angry, lonely, frightened, or sad.6, 6(A)

  By this stage in the grieving process following the therapist’s possible death by her own (i.e., by the therapist’s own) hand, the depressed person’s feelings of loss and abandonment had become so intense and overwhelming and had so completely overridden her vestigial defense-mechanisms that, for example, when whatever long-distance friend the depressed person had reached out to 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 back to the demands of her own full, vibrant, undepressed life, a primal instinct for what felt like nothing more than basic emotional survival now drove the depressed person to swallow every last pulverized remnant of pride and to beg shamelessly for two or even just one more minute of the friend’s time and attention; and, if the “empathetic friend,” after expressing her hope that the depressed person would find a way to be more gentle and compassionate with herself, held firm and gracefully terminated the conversation, the depressed person now spent hardly any time at all listening dully to the dial tone or gnawing the cuticle of her index finger or grinding the heel of her hand savagely into her forehead or feeling anything much at all beyond sheer primal desperation as she hurriedly dialed the next ten-digit number on her Support System Telephone List, a list which by this point in the grieving process had been photocopied several times and placed in the depressed person’s address book, workstation terminal’s PHONE.VIP file, billfold, zippered interior security compartment of her purse, minilocker at the Holistic Stretching and Nutrition Center, and in a special homemade pocket inside the back cover of the leatherbound Feelings Journal which the depressed person—at her late therapist’s suggestion—carried with her at all times.

  The depressed person shared, with each available member of her Support System in turn, some portion of the flood of emotionally sensuous memories of the session during which she had first opened up and told the late therapist of the incident in which the laughing men had compared the female college student to a toilet, and shared that she had never been able to forget the incident, and that, even though she had not had much of a personal relationship or connection to the female student whom the men had compared to a toilet or even known her very well at all, the depressed person had, at the intercollegiate lacrosse game, been filled with horror and empathic despair at the pathos of the idea of that female student being the object of such derision and laughing intergender contempt without her (i.e., the female student, to whom the depressed person again admitted she had had very little connection) ever even knowing it. It seemed to the depressed person very likely that her (i.e., the depressed person’s) whole later emotional development and ability to trust and reach out and connect had been deeply scarred by this incident; she chose to make herself open and vulnerable by sharing—albeit only with the one single most trusted and elite and special “core” member of her current Support System—that she had admitted to the therapist that she was, even today, as a putative adult, often preoccupied with the idea that laughing groups of people were often derisive and demeaning of her (i.e., of the depressed person) without her knowledge. The late therapist, the depressed person shared with her very closest long-distance confidante, had pointed to the memory of the traumatic incident in college and the depressed person’s reactive presumption of derision and ridicule as a classic example of the way an adult’s arrested vestigial emotional defense-mechanisms could become toxic and dysfunctional and could keep the adult emotionally isolated and deprived of community and nurturing, even from herself, and could (i.e., the toxic vestigial defenses could) deny the depressed adult access to her own precious inner resources and tools for both reaching out for support and for being gentle and compassionate and affirming with herself, and that thus, paradoxically, arrested defense-mechanisms helped contribute to the very pain and sadness they had originally been erected to forestall.

  It was while sharing this candid, vulnerable four-year-old reminiscence with the one particular “core” Support System–member whom the grieving depressed person felt she now most deeply trusted and leaned on and could really communicate over the headset telephone with that she (i.e., the depressed person) suddenly experienced what she would later describe as an emotional realization nearly as traumatic and valuable as the realization she had experienced nine months prior at the Inner-Child-Focused Experiential Therapy Retreat Weekend before she had felt simply too cathartically drained and enervated to be able to continue and had had to fly home. I.e., the depressed person told her very most trusted and supportive long-distance friend that, paradoxically, she (i.e., the depressed person) appeared to have somehow found, in the extremity of her feelings of loss and abandonment in the wake of the therapist’s overdose of natural stimulants, the resources and inner respect for her own emotional survival required for her finally to feel able to risk trying to follow the second of the late therapist’s two most challenging and difficult suggestions and to begin openly asking certain demonstrably honest and supportive others to tell her straight out whether they ever secretly felt contempt, derision, judgment, or repulsion for her. And the depressed person shared that she now, finally, after four years of whiny and truculent resistance, proposed at last really to begin actually asking trusted others this seminally honest and possibly shattering question, and that because she was all too aware of her own essential weakness and defensive capacities for denial and avoidance, she (i.e., the depressed person) was choosing to commence this unprecedentedly vulnerable interrogative process now, i.e., with the elite, incomparably honest and compassionate “core” Support System–member with whom she was sharing via her workstation’s headset right this moment.7 The depressed person here paused momentarily to insert the additional fact that she had firmly resolved to herself to ask this potentially deeply traumatizing question without the usual pathetic and irritating defense-mechanisms of preamble or apology or interpolated self-criticism. She wished to hear, with no holds barred, the depressed person averred, the one very most valuable and intimate friend in her current Support System’s brutally honest opinion of her as a person, the potentially negative and judging and hurtful parts as well as the positive and affirming and supportive and nurturing parts. The depressed person stressed that she was serious about this: whether it sounded melodramatic or not, the brutally honest assessment of her by an objective but deeply caring other felt to her, at this point in time, like an almost literal matter of life and death.

  For she was frightened, the depressed person confessed to the trusted and convalescing friend, profoundly, unprecedentedly frightened by what she was beginning to feel she was seeing and learning and getting in touch with about herself in the grieving process following the sudden death of a therapist who for nearly four years had been the depressed person’s closest and most trusted confidante and source of support and affirmation and—with no offense in any way intended to any members of her Support System—her very best friend in the world. Because what she had discovered, the depressed person confided long-distance, when she took her important daily Quiet Time8 now, during the grieving process, and got quiet and centered and looked deep within, was that she could neither feel nor identify any real feelings within herself for the therapist, i.e. for the therapist as a person, a person who had died, a person who only somebody in truly stupefying denial could fail to see had probably taken her own life, and thus a person who, the depressed person posited, had possibly herself suffered levels of emotional agony and isolation and despair which were comparable to or perhaps—though it was only on a “head” or purely abstract intellectual level that she seemed to be able even to entertain this possibility, the depressed person confessed over the headset telephone—even exceeded the depressed person’s own. The depressed person shared that the most frightening implication of this (i.e., of the fact that, even when she centered and looked deep w
ithin herself, she felt she could locate no real feelings for the therapist as an autonomously valid human being) appeared to be that all her agonized pain and despair since the therapist’s suicide had in fact been all and only for herself, i.e. for her loss, her abandonment, her grief, her trauma and pain and primal affective survival. And, the depressed person shared that she was taking the additional risk of revealing, even more frightening, that this shatteringly terrifying set of realizations, instead now of awakening in her any feelings of compassion, empathy, and other-directed grief for the therapist as a person, had—and here the depressed person waited patiently for an episode of retching in the especially available trusted friend to pass so that she could take the risk of sharing this with her—that these shatteringly frightening realizations had seemed, terrifyingly, merely to have brought up and created still more and further feelings in the depressed person about herself. At this point in the sharing, the depressed person took a time-out to solemnly swear to her long-distance, gravely ill, frequently retching but still caring and intimate friend that there was no toxic or pathetically manipulative self-excoriation here in what she (i.e., the depressed person) was reaching out and opening up and confessing, only profound and unprecedented fear: the depressed person was frightened for herself, for as it were “[her]self”—i.e. for her own so-called “character” or “spirit” or as it were “soul” i.e. for her own capacity for basic human empathy and compassion and caring—she told the supportive friend with the neuroblastoma. She was asking sincerely, the depressed person said, honestly, desperately: what kind of person could seem to feel nothing—“nothing,” she emphasized—for anyone but herself? Maybe not ever? The depressed person wept into the headset telephone and said that right here and now she was shamelessly begging her currently very best friend and confidante in the world to share her (i.e., the friend with the virulent malignancy in her adrenal medulla’s) brutally candid assessment, to pull no punches, to say nothing reassuring or exculpatory or supportive which she did not honestly believe to be true. She trusted her, she assured her. For she had decided, she said, that her very life itself, however fraught with agony and despair and indescribable loneliness, depended, at this point in her journey toward true healing, on inviting—even if necessary laying aside all possible pride and defense and begging for, she interpolated—the judgment of certain trusted and very carefully selected members of her supportive community. So, the depressed person said, her voice breaking, she was begging her now single most trusted friend to share her very most private judgment of the depressed person’s “character” ’s or “spirit” ’s capacity for human caring. She needed her feedback, the depressed person wept, even if that feedback was partly negative or hurtful or traumatic or had the potential to push her right over the emotional edge once and for all—even, she pleaded, if that feedback lay on nothing more than the coldly intellectual or “head” level of objective verbal description; she would settle even for that, she promised, hunched and trembling in a near-fetal position atop her workstation cubicle’s ergonomic chair—and therefore now urged her terminally ill friend to go on, to not hold back, to let her have it: what words and terms might be applied to describe and assess such a solipsistic, self-consumed, endless emotional vacuum and sponge as she now appeared to herself to be? How was she to decide and describe—even to herself, looking inward and facing herself—what all she’d so painfully learned said about her?