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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, mini-locker 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 Time 8 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 within 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?