BRIEF THERAPY INSIDE OUT

WITH

LEN SPERRY

Welcome to Brief Therapy Inside Out! We have been teaching courses in counseling theory and practice at Governors State University in Illinois for several years. Time and again, we have searched for ways to show students how various practitioners work. What if you know you can only work with this client for a brief time? What are some of the ways you can quickly develop rapport with a client? What does therapeutic hypnotherapy look like? Just what is EMDR anyway? Can you really do “brief” psychodynamic therapy?

We also wanted to share with our students the personhood of some of the leaders in our field. Not all students are motivated to or can afford to attend conferences and workshops where they can meet the leaders in our field. And, as practitioners ourselves, we know how difficult it is to find the time and resources to do this.

This series focuses on thirteen outstanding practitioners who share with us not only the skills and concepts of the brief therapy they have developed, but also tell us about themselves. Therefore, this project has been rewarding to us both personally and professionally. We hope you will share some of this with us as you view this video and follow the study guide.

We can be reached at Division of Psychology and Counseling, Governors State University, University Park, IL 60466. Jon’s e-mail address is jcarlson@genevaonline.com; Diane’s e-mail address is d-kjos @ govst.edu.

 

Jon Carlson, Ed.D., Psy.D                                                                            Diane Kjos, Ph.D.       


                                                                             

 

HOW TO USE THIS TAPE

This tape is divided into three segments. In the first segment (17 minutes), Jon Carlson and Diane Kjos interview Len Sperry to gain an overview of his approach. The next segment is client session (47 minutes). The client is a volunteer who has not previously met with Len Sperry. Following this, Len Sperry, Carlson and Kjos review and discuss key points in the counseling session (45 minutes).

Each of the three segments have time markers so that you can quickly find your place. These time markers are designed to indicate both the segment of the tape and the minutes into that segment. You will note that, in the first segment, the time marker has one line, in the second there are two lines, and in the third, three lines. Thus the therapy session, which is the second segment, has time markers with two lines. This study guide contains a complete transcript of the therapy session with minute indicators so that you can quickly find a particular exchange.

For class or workshop application: You may wish to assign one or more reading prior to having the class view the video. We recommend the following sequence for a class or workshop:

1.                  Show the opening interview which covers key points concerning this approach to brief therapy and then discuss with the class things they might look for in the counseling session itself.

2.                  Depending on time available:


1.                  Show the second segment without pause, asking participants to note the time markers of interventions they found particularly significant.

1.                  Briefly discuss significant interventions and turning points in the session.

2.                  Highlight and discuss common or universal skills such as relationship building or challenging that are demonstrated in this session.

2.                  Show the second segment with pauses to highlight and discuss significant interventions and turning points in the session.

3.                  Show the third segment and note the segments of the therapy session that the discussants highlighted.

                 

The video series is also useful for personal skill building. For example, you might compare how different therapists build a therapeutic relationship with the client or close a session.

                                          TRANSCRIPT OF THE SESSION WITH A [1]

LS1         [2-1] Well, Kathleen, what concerns brought you to this session today?


CL1        [2-2] Well, I have been having panic attacks or you might call it epilepsy for like about five or six years now. Right before I got married I was having these attacks where it would start coming up my leg and going into my arm. I would get like really, really tight, and it would go over to my left arm and then go down my leg, and they never could understand what the problem was. I’ve gone to see doctors. I’m currently seeing a therapist and a psychiatrist, and the psychiatrist says that these panic attacks, the kind that I get, do not, you know, they don’t occur with a panic attack. So, because like I pass out, and then I will kind of like awaken, like I might fall and hit my head or something like that, and then I will awake, and I won’t know where I’m at, and they say that those do not relate to panic attacks. So, but I think, to me, I do get panic attacks. But they just cannot pinpoint what kind I do get.

LS2         So you mentioned panic attacks and epilepsy.

CL2        Right.

LS3         So, in your mind do you have one or both?

CL3        Um, in one way I think I have both, and in the other way I think I have panic. I really, I really wish I could pinpoint down what kind of either or I have.

LS4         Okay. If you could do that . . .

CL4        Yes.

LS5         How would your life be different?

CL5        [2-3] Oh, much better. Much better. I wouldn’t like have to worry about anything or, I mean, I know people worry about things. But I would feel more at ease with life. Um, with being married and everything. I have to think of really if we want to have children, my husband and I. I would have to get off medication first or see if I’m well enough to have children. So that kind of is not worrisome, but it’s on my, it’s on both of our minds.

LS6         So, if you could get clarity, whether it’s one or both, it would make all the difference in the world.


CL6        [2-4] Oh, much. It would. Because I would be able to like I say enjoy life and be happy. Because I mean I just don’t laugh. I just sit there, and I’m like a bum. I just don’t, my husband like laughs and everything. He’s like why don’t you laugh?  I said I can’t. But when I’m away from him, because I volunteer at a hospital in the gift shop, I’m fine. I’m happy. I’m content there. It’s like every time that I go to start a job, that’s when it happens. I get panicky.

LS7         A job meaning . . .

CL7        A job.

LS8         Not a volunteer.

CL8        No. When I go to start a job, I get all panicky and then I can’t work. And then my husband gets all mad with me saying, you know, he’s like well why can’t you get this job?  Why can’t you stay on the job?  And he doesn’t get like really violently mad. He just gets upset which I don’t blame him. Because he was going to Purdue University in Hammond, Indiana, and at the time we were having problems with me having these attacks, and I was going and having these, and he was about to graduate, and he asked me, please don’t have any of your attacks while I’m trying to have my finals. And what did I do?  I had panic the whole week of his . . .

LS9         [2-5] Oh my goodness.

CL9        And oh was he mad. But at least he graduated.

LS10       How did he manage to do that?

CL10      I don’t know. He just did.


LS11       So, somehow he was able to take his final exams and didn’t seem to, your symptoms didn’t seem to make a difference.

CL11      No.

LS12       What kind of difference did those symptoms make in your life during that time?

CL12      [2-6] Well, we had to go from like a, we were planning our wedding at the time, and we had to go from like say a 200 people wedding down to only 40. That’s including myself and my husband, because we had to, we said why have a big wedding and the day of me be on the floor with panic attacks or whatever I have and we have to cancel out and lose all the money where we just had a regular wedding and then we had just a restaurant reception with our families, and then we had a big party at the house like for all our friends and everything, casual party. And I was so much better. So. . .

LS13       Did the thought ever occur or did you discuss, the both of you, whether maybe not to have any reception at all?

CL13      Um, what like a big reception or . . .

LS14       None.

CL14      Um, well at first . . .

LS15       A reception with 200 people, you could have had panic attacks, you could have had it with 40 people.

CL15      Right, but I was fine that day. I was fine.

LS16       What do you think accounts for that?


CL16      [2-7] I don’t know. I really don’t. I mean I think I was, see if I don’t think about it, I don’t get them. So I probably had a lot on my mind where I said okay, you know, they just didn’t even appear that day. And then the day we had our outside party nothing happened that day because I was too busy running around making sure everything was in its place and all, and I was fine.

LS17       [2-7] Was that sort of a rule for you that you noticed then?  If you are preoccupied, if you have things that need to get done, then it isn’t a problem?

CL17      Right. If I’m preoccupied, like if I, you know, sitting at home all the time watching TV, or taking naps, then you are sitting in the same house and you’re not doing nothing. Where if you get out and volunteer or just go shopping and not buy anything, at least you are out of the house. You’re doing something.

LS18       Okay. Is that kind of an iron clad rule?  It hasn’t failed you yet?

CL18      Right. I asked my husband. I said now if I don’t work, please can I have at least two or three days of volunteering, and he’s like fine. Because I mean it will get me out of the house for at least four or five hours and I’m around people that I love or like a lot.

LS19       [2-8] Any reason why you settle on two or three days instead of one day or five days?

CL19      Well, I mean if, I just said like two or three because I know the lady needs me two days a week, and plus we are planning on moving, and so he’s like do two days a week of volunteering and then the rest of the week pack. You know, cause like get ourselves packing because the house won’t pack itself.

LS20       Oh, you don’t have that kind of house?

CL20      No, I wish. I wish we did.

LS21       Yeah. Where are you going to be moving to.


CL21      Oh, hopefully Oak Lawn. It’s a suburb a little bit southwest of where we are living right now. Get closer to family. Because like all our friends and everything have moved. My neighbors have moved and so it’s kind of hard.

LS22       Is that going to be a good move?

CL22      I hope. Because we’ve been, it’s been my house for thirty-two years.

LS23       Oh, it was in the family?

CL23      Right it was my mom and dad’s, and that was my only house that I’ve known, and . . .

LS24       Where are they?

CL24      [2-9] Oh, both of them are deceased.

LS25       Oh, they are.

CL25      And I was the only child. So, it was kind of hard at first and everything, and my husband same thing. His mom and dad are divorced, I’m sorry, are deceased too. And he never, see right now he is seeing a doctor and a therapist because he has never really mourned his parents. And I said now you know how I feel. Because, I mean, I mourned, but I didn’t mourn. And that really effected me too.

LS25       So there is more mourning for you to do?

CL25      Not really, no. I mean some like occasions, like maybe Mothers Day, Fathers Day, like little things here and there, or anniversaries, birthdays will come up, but it is not as bad. Where like with my husband he never, never mourned. He just took it real lightly, and myself I was the other way around.

LS26       And how long ago was . . .

CL26      [2-10] Ah, my dad was twelve years and my mom eleven.

LS27       All right, so they were very close together.


CL27      Um, nine weeks of each other. So, it was hard. But I had family and friends that were around.

LS28       All right. And you got through things.

CL28      Yeah, I got through.

LS29       But then four or five years ago these things . . .

CL29      These things came up.

LS30       These attacks started happening.

CL30      Right. Because at first in 1982 I started getting what they thought were epilepsy, and I went through every test known to man.

LS31       Okay, is this 92?

CL31      No, I’m sorry, 82. And I had every test, excuse me, known to man done and I came out fine.

LS32       Okay.

CL32      [2-11] And now I think I need to see a neurologist to see what is wrong, but if I went right now, they would come up negative. But what I need is the test to be done while I’m having my panic attack to see what is wrong.

LS33       Okay. Do you think that will be arranged?

CL33      Well, I would have to see if I could get one done.

LS34       How do they usually come on?


CL34      Oh, I just get like really tense and I stop breathing, but then I tell myself breathe, breathe, just keep breathing. And then it’s like I’m lifting weights. That’s the way I feel, and then I, my arm drops down, and then maybe a few seconds later it will start up again, and I have to either be laying down on a couch or laying on a bed flat so I don’t fall anyway because I don’t want to hurt myself.

LS35       And about how long would that whole episode last?

CL35      The last one I had lasted practically all day, all day long from like 10:00 in the morning to almost 9:00 at night.

LS36       All right, and when was that, the last one?

CL36      Oh, probably in March.

LS37       Of this year?

CL37      Yes.

LS38       [2-12] All right. And when was the first one?

CL38      When was the first one. Oh, that was a few moths before we got married. No, I take that back. It was in let’s see, wait. When did he graduate?  1992. Had to have been like the fall of 1992 that I’ve been having these.

LS39       So he graduated at what time?

CL30      December of 1992.

LS40       All right.

CL40      And that’s when we were planning the wedding. And see I was planning, we were going to have, like I said the big wedding and everything, and I think a lot, if I get a lot of stuff on my mind, you know, built up and everything, then I get stressed, and that brings on the panic.

LS41       Can you describe that first panic back in 1992,  in the fall?


CL41      [2-13] The first one I had I was in bed, and all of a sudden, I was, the pain came up my leg into my arm, and I grabbed the bedpost, and it went over to this side, and I grabbed the bedpost, and I just, I didn’t know what it was. And I just called my husband. I just called him and called him, and he finally came in. And then I got out of the bed, and then it started again, and I sat on the floor, and I held his hand, and it went the same way and everything. And we didn’t know what to do. I mean, we tried calling my neurologist and everything, and they wanted me to come in, but I couldn’t go in.

LS42       So, what were you feeling?

CL42      Oh, god I didn’t know what.

LS43       These were like what? 

CL43      Demons coming in.

LS44       Like some shock pains?

CL44      Not shocks pains. No. It was just like really, really tight.

LS45       Tightness?

CL45      Yeah coming all the way up and going down and then int would start all over again. And I mean I had it like three, four hours.

LS46       So these were shooting sensations?

CL46      No, just real tight.

LS47       Tightness.

CL47      Yes.

LS48       And what about other things you noticed?

CL48      [2-14] Really those are the only kinds of experiences I get.

LS49       All right. Do you remember anything else at that first time?  Does your breathing change?


CL49      Yes. My heart goes really fast, and then I would stop breathing. Like I would get scared, and I would . . .

LS50       Hold your breath.

CL50      And then what I was told, breathe, breathe, continue breathing but slowly. You know, pace your breathing.

LS51       What kind of feelings did you have?

CL51      Scariness. I was very scared.

LS52       How scared?

CL52      Um, just as scared as you can get. Just wishing they were over.

LS53       Were you so scared that you thought something fatal was going to happen?

CL53      No, not really. No. Not that I was going to die or anything. I was just scared. I was just, I wished they would just get out of my system. I wish I never had them. I wished they would never come back.

LS54       Okay. You mentioned demons.

CL54      [2-15] Not really demons, but it was just a very, like when you go on a, like a scary ride or anything like that. You just get scared. And that’s how I felt.

LS55       Okay.

CL55      I felt like that.

LS56       Have you ever had anything like that in your life before?

CL56      No. No that was the first time it’s ever happened.

LS57       Well, you mentioned something similar to like when you are going on a ride. Or anything quite that intense?


CL57      No. Not really. It’s just, you just get scared, and you just, like I said, you just want them to go away. Never come back. But they just do when I get all stressed out.

LS58       Okay. Do you know anybody else who has had anything like that?

CL58      [2-16] Um, not really. No. It’s, this is, I take that back. I do have a cousin who has panic attacks, but I’ve never seen him have them. I was told. But no, I’m the first one in the family that’s ever had anything like that.

LS59       So your parents were pretty healthy?

CL59      Yeah, they were find up until their deaths and everything like that, and fine. Nobody.

LS60       But their deaths were really a surprise?

CL60      Yes. Both of them were cancer. Yeah. So, it was hard.

LS61       Did you have any particular kind of reaction around the time of their deaths?

CL61      [2-17] Well, I remember when they operated on my dad the second time. And they found the cancer, and the doctor did not come into the room, and he told my mother on the phone in his room saying that he had cancer. It was in between the liver and pancreas and it was inoperable and all, and when my mother told me, I just screamed and said I hate God. I just hate him, and my mother brought me to the side and she said, “Don’t you ever do that.” You know, I was just, it’s just mad. You just get mad. Anything just comes out of your mouth. And the same thing when my mother was ill. My aunt would bring her to the doctor, and I’d be talking to her on the phone, but it would be going in one ear and out the other. You just didn’t want to hear it. It was just, you know, I didn’t want to hear about it at all.

LS62       So, you didn’t want to hear it. . .


CL62      No.

LS63       . . .was one thing, but you were also very angry.

CL63      [2-18] Yeah, I was very angry, because I wish I could go back a few times and say like where are important papers that I need?  You know, just have a talk with them. But that’s the first thing I get up there I’m going to say to God why?  Why did you take them. But I look now, and I think that God did not want me, or my parents, I take that back, did not want me to watch them suffer or to have to take care of them, you know, if they got worse. So I think that they left me when they were just beginning to get sick and didn’t want me to take care of them. Ah, it hurt, but in the other sense, I think it was much better.

LS64       Because it could have been worse, for them and for you.

CL64      Correct.

LS65       What do you suppose is the reason why you’ve had these attacks?

CL65      I really wish I could answer that question. I don’t know. I don’t know at all.

LS66       Now I know you’re not a doctor.

CL66      No.

LS67       [2-19] But I also know that most people try to make sense of things that happen in their life, and they think about the different kinds of explanations, and sometimes those explanations help them to sort things out and to sort of put things to rest. What kind of thoughts have you had about that?

CL67      What, like with my parents or . . .

LS68       Well, specifically how these attacks you’ve had back starting in 1992. . .


CL68      I just wish they would leave me and just leave me alone. Sometimes I look at some friends and they are all healthy and all, and I say to myself, why can’t I be like them?  You know, no illnesses or nothing, but they could probably have some illnesses that they’ve never said to me.

LS69       Well, you said that you wish they would leave. They being . . .

CL69      Meaning either the panic attacks or the epilepsy. I just wish I never had anything.

LS70       Okay.

CL70      [2-20] I mean I don’t mind having occasional cold here and there, but I just wish I could get rid of the attacks.

LS71       Before you said you’d really be satisfied is you just had an explanation that would say this is just panic or it’s both or it’s just epilepsy. And then you said your life would be . .

CL71      I’d be fine. I’d be happy.

LS72       Okay. So is that two different things?  Do you want, in one instance you’re willing to settle for just an answer, and in the other one you say you want it to go away.

CL72      Well, I would like to just lead a normal life, have no illnesses, no nothing.

LS73       Okay. Do you know anybody who leads that kind of life?

CL73      No. I mean I know a lot of people they have illnesses and backaches and this, that and the other, but nobody’s perfect.

LS74       Well, what about yourself?

CL74      No. I’m not perfect.

LS75       Well, so then you would expect that you wouldn’t have perfect health then.


CL75      [2-21] No. But I just wish that I never came across having these, but somebody must have wanted me to have them.

LS76       Somebody.

CL76      Somebody. I don’t know who, but they chose me.

LS77       Sort of like a spell?

CL77      Well, not a spell, but I’ve seen people that have gone into my neurologist’s office, and they are worse off then me. I mean there was a little boy that was in a wheelchair, and I mean I said to myself my god, that could be me. That could have been me. I could have been in a wheelchair, couldn’t walk or talk or drive or anything or walk or you know my head could be in a brace of something like that or, I’m lucky. I’m lucky I can hold a job, walk, you know, go to concerts, you know, lead a normal life. So.

LS78       [2-22] So maybe things aren’t so bad after all.

CL78      No, they’re not. They’re not.

LS79       What’s your hope about the next six months?  What are you expecting?

CL79      Well, hopefully to get out of our house. Moved into a new either home or apartment or whatever. And, hopefully, we will start having a family. And just be happy as pie.

LS80       All right. How does the idea of starting a family sound for you?

CL80      Sounds good. I’d like to.

LS81       Any reservations about it?

CL81      [2-23] No. I was an only child and I didn’t like it. I’d like to have at least two children if possible so at least they have somebody to hang onto, and I just don’t want it to be my husband and myself when we get old. I’d like to have grandchildren and all. Something to look forward to.


LS82       Okay. When you say that, you changed. Your eyes shifted one direction and then the other. You didn’t know that that happened?

CL82      No.

LS83       Yeah, it’s almost as if your words said one thing and your body was saying something else.

CL83      No. I didn’t know that.

LS84       Yeah.

CL84      But I’m looking forward to getting everything together.

LS85       Sometimes people can be looking forward to something a lot but still have misgivings. Do you think sometimes you may be that way?

CL85      [2-24] No. No I don’t have any misgivings. I just want to have a nice life with my husband, raise a nice family, and just get on with life. Be nice and happy. Have occasional, you know, problems in the family. Everybody will have problems like that, and just grow old together. That’s what I think.

LS86       What’s the likelihood that that is going to happen?

CL86      I think it will happen.

LS87       All right, even with all these uncertain medical concerns?

CL87      I think it will. I really want to get down to it to figure out what the heck is wrong with me.


LS88       [2-25] There’s are going to be three possible answers. The one is that it’s something very well defined which may or may not be treatable. Another possibility is, the second possibility, is that there really isn’t anything at all that medical tests can pick up, at least at this stage of the development of the condition. And third is that it might be something that’s, that can be diagnosable but which attitudes and certain beliefs that you have may, may be making it, exacerbating it, making it worse. If you could get that answer tonight and be absolutely certain that that was the exact diagnosis and it wasn’t anything else, it was going to be one of those three, which of those three would you find easiest to live with?  Which would you find most difficult to live with?

CL88      [2-26] I would just want to be happy. Just be very happy.

LS89       But you only have those three choices.

CL89      Yeah. Um, I couldn’t answer you right now. I don’t know.

LS90       You don’t.

CL90      No. Not right now.

LS91       What’s keeping you from knowing right now?  How are you keeping yourself from knowing that?

CL91      I couldn’t answer that. I really don’t know offhand.

LS92       Okay. Well, let’s say you don’t know offhand. What inklings do you have?

CL92      Like of . . .

LS93       Well, which of those three would be the most difficult for you to accept?  Just based on what you know about yourself as a person and how your life has gone.

CL93      [2-27] I really don’t know offhand.

LS94       Okay. Let me ask you something else.

CL94      Sure.


LS95       Could you demonstrate what that tightness was like, without describing. Could you just show me in your body what it was like?

CL95      Oh, sure. Um, what it would be it would come up my leg, be real tight.

LS96       Without words.

CL96      Okay. Come up here, up to my. . .

LS97       But you can’t use words.

CL97      Real tight. Go across, down, and down.

LS98       So if I was to come into the room with your husband that day, and how would I see you?

CL98      [2-28] He would probably be sitting up against the couch on the floor, and I would have a hold of both of his hands because at that time I was afraid if somebody would let go of my hands that I was going to fall or anything like that. I mean, I was on the floor, but still I had to hold onto somebody’s hands or if they even just tried to let go a little bit to get blood back in their fingers, I would feel like I was falling.

LS99       Okay, and if you fell, what’s the worst thing that would happen to you?

CL99      [2-29] Well, I’d fall, I’d fall. Get back up. But I never did, I fell quite a few times. I mean I fell in the shower two times, but I feel them coming on, and what I do it get on the floor, and then when I usually go into them, like this one time I fell, and then the next thing I went to go like this and I rug burned my whole nose. So.

LS100     What’s the worst thing that could happen to you?

CL100    Well, I couldn’t die from these.

LS101     You’re sure of that?


CL101    Yeah. My husband always tells me, but I think it’s in anger, that he says he would leave me. Because he is just tired of these. But I think he just says it because he’s mad, because these keep coming on, and on, and on. But I just get these I think when I’m all stressed out, when I have two or three different things on my mind at the one time. And I just get so stressed that I just go into having the attacks.

LS102     And you said he was very angry with you?

CL102    Yeah, he gets made, but then what he does is he goes out to cool off, you know, take a ride or whatever, and it doesn’t bother me.

LS103     It doesn’t bother you that he is angry at you?

CL103    [2-30] Well, I understand now because we have been through it so many, so long, so many years, that he just goes off and just drives around, and then he will come back, because he says I can’t stay around here with you because I know how you’ll be and everything so. He comes back and then he’s okay. He understands.

LS104     Okay. What does he understand?

CL104    Well, I mean he understands that I’m going through these, and he wants me to get better. He does. Because he wants both of us to have children and carry on a normal good life.

LS105     Okay. Have you had any couples counseling?

CL105    No. No. Not at all.

LS106     Okay. So right now you’re getting some counseling yourself.

CL106    [2-31] And he’s getting counseling himself because he has not gotten over his grief from his parents. So he likes going to that too.

LS107     Is it possible there may be some issues with . . .


CL107    The marriage or something?

LS108     The marriage relationship?

CL108    I mean if we ever had to go to marriage counselor we’d go, but you know, I mean I don’t think we would say no to it. We’d go and just see if it was that or if it was both of our, I mean my panic attacks and his grief just to see. I’d do that. I’d be game.

LS109     What is the earliest experience you can remember as a child?

CL109    Doing anything?

LS110     Something that maybe happened once. Just a single time.

CL110    That I got in trouble or just anything?

LS111     No, the earliest thing you can remember.

CL111    [2-32] Earliest thing. Hmm. I remember getting in trouble with my dad. My neighbor and I went across the street and both the fathers, we were playing like in a new home they were building, and they found our little tricycles at the corner but no us. And both the father went over and oh boy we got a whipping coming home.

LS112     How old were you?

CL112    Oh, about three.

LS113     Okay, and so this was another little girl?

CL113    Me and my next door neighbor.

LS114     A little girl?

CL114    Yes.

LS115     She was about the same age?

CL115    She was a year younger. I was about four and she was about three, so.


LS116     And whose idea was it?

CL116    Oh, well, we got up to the corner, and our other neighbors were across playing in there, and we just kind of looked at each other and said let’s go for it.

LS117     Okay. All right. Which part of that whole experience do you remember most vividly?

CL117    The spanking.

LS118     [2-33] Okay. So how, tell me about how that came about?

CL118    It hurt.

LS119     Well, were you standing up?

CL119    Oh, yes standing up. Because my dad, both the dads had to carry the bikes back, and us, and hitting us, and you telling us not to go over there anymore, so.

LS120     Okay. You remember that pretty vividly?

CL120    Not really that one. There was another time when I went into a swimming pool at a neighbor’s house two doors down. I kept asking my mom, “I’m going swimming.” “No you’re not. No you’re not.” I said, “I’m going swimming.” So I went into the pool, and we were up to our chins with the water, and my dad found out that I was in the pool and so did the other neighbor, it was the same girl, oh boy. We got hit coming out of the pool.

LS121     Okay. And what part of that do you remember most?

CL121    Um, that the water was up to my chin and I could barely breathe.

LS122     [2-34] All right, and what was your feeling just as the water was up to here?

CL122    Nothing. My neighbor was saying are you supposed to be in that pool, and I said no.


LS123     Okay. So the water is up here, and you remember that?  What do you remember about that?

CL123    Well, just being in the pool and having fun.

LS124     And how were you feeling?

CL124    Fine. I was feeling fine.

LS125     Was it an adventure?  Was it scary?

CL125    No, it wasn’t scary. No it was fun. I like to swim.

LS126     All right. But you said you were concerned whether you were going to be able to breathe like that.

CL126    Well, a little bit. Because I was on my tippy toes and all the way up to here so because it was a four foot pool and I was under that height.

LS127     Sure. And how old were you at the time?

CL127    Um, four.

LS128     Okay. Well you did some pretty daring things as a child?  Sounds like you were kind of independent too.

CL128    Ah, yes and no. But I . . .

LS129     [2-35] Well how about the no part. In what way weren’t you?

CL129    Well, the no thing. This was really stupid how I look back at it. My parents, they used to go to my neighbors houses like they would trade off and just go over for a night like on a Saturday, and I could not go to sleep until my mother was in the house. Now I could see if they went out out to like far away and then waiting for them to come back, but they were either one, two, or four houses down. I could not fall asleep until she got in the house. And I could never understand it to this day.


LS130     Okay, and what’s your understanding?

CL130    [2-36] Well, now I look thinking that it was just I had to have her in the house like the, that guy, I can’t even think of the word, that you just had to be in there. The protectiveness. That she had to be in the house before I went to sleep. And she wouldn’t fall asleep until I went when I used to go out, and then she wouldn’t fall asleep until I got home.

LS131     And somehow she understood that and accepted that and your life went on and her life went on.

CL131    Yes.

LS132     If, put your husband in your mother’s place. Would he have understood that?  Would he have?

CL132    Yes he would. He’d understand.

LS133     And he wouldn’t have gotten mad at you?

CL133    No. See I was always afraid when I was growing up that when I would get married I’d be afraid say my husband would go out for the night, that I would not be able to fall asleep until he got home. It’s the other way around. I could fall asleep, and then he would come in. But we have made a pact. I said look, if you spend the night at a friend’s house, call. Let me know. Because if he doesn’t he hears from me. I’ll let him know.

LS134     How do you let him know?

CL134    [2-37] Oh, I give him a few nice words. I’ll have an argument with him, and he says okay, yeah, I know. I’m dumb. I know I did a dumb thing. But we’ve got a good understanding. A good friendship relationship marriage.


LS135     Who are you most like, your mother or your father?

CL135    I have a bit of my dad, I have a lot of my dad. I don’t have patience, and I do have my mom. So more like my dad, but I have my mom too.

LS136     Okay, and there is just one of you, did one of them sort of spoil you a little bit more than the other?

CL136    [2-38] My dad. Oh god my dad. I always went a lot of places with him. Like just to the store. You know, he’d say hey, let’s go to the store. Okay, get in the car and go with him. But I was close to my mom in a different way. But when my dad did die it just, it hit. I don’t know if it was the first person very close to me that died or what. To this day I don’t know that answer, but I think that’s what it is.

LS137     Yeah, makes sense. How you’ve described things is not much different at all from other people that have been very concerned about the kind of symptoms you describe, and often times they tell similar kinds of early life experiences as you’ve described, and almost always there is a sense where they are doing one of two things. You are either holding on really tight to themselves or feeling like their breath is holding them in very, very tight, and you want to know what tends to happen with those individuals?  After a period of time, something very interesting happens. And they wouldn’t have predicted it. Other people they know never would have guessed that it would have happened, but it happens. You know what it is?

CL137    No.

LS138     All of a sudden, out of the clear blue, that sense of tightness starts easing up. It tightens up a little bit, eases up a little bit, and then its gone.


CL138    That’s very good.

LS139     [2-40] And that means then that your breathing kind of starts back that normal rhythm again because breath is something that we don’t have to even think about. There is an automaticity to it. It’s, it just happens. It’s like your heart, and when the breathing comes back, it’s as if what were concerns and what were problems to them, they may still be there, but they don’t seem to be quite the same. There is a little different coloring to them. The texture of those concerns is a little bit different, and many of the things in their lives that were going well before continue to go well. [2-41] And some of the other things in their life that weren’t going quite so well really start being less of a problem. Now that doesn’t mean they are perfect anymore and not that everything has gone away, but there is not quite that sense of impending concern. And do you know why I’m thinking that’s going to happen?

CL139    No.

LS140     The story you told about the bicycles and the new house and about the swimming pool both those situations in the short run didn’t seem like they were absolutely happy endings. But your life went on after that.

CL140    Yeah, it did.

LS141     [2-42] And it was that little point in time, seconds, maybe a couple of minutes, and you got past the spanking. It came from the person who was probably the closest in your life.

CL141    And they were just trying to teach us.

LS142     Yeah.

CL142    Not to do wrong.


LS143     Yeah. Yeah. Well, and they may have been trying to teach you something else too. Probably even more so, and that is how to stay alive, to stay healthy. I think that’s what the lesson was in both those stories.

CL143    I think so too.

LS144     [2-43] And that’s a legacy that your parents gave to you. You always have those memories. Things weren’t going well for a while. They were very exciting up until that time when you were running around the house and in the pool, and then this little bit of reality comes in, but nothing really bad happens. You don’t die, you don’t lose privileges and get grounded for ten years, but out of that experience something good came. Your relationship was restored with your father. I’m sure he loved you as much as you did.

CL144    Oh god yeah. Yes he did.

LS145     And I’m wondering if that pattern, little pattern may repeat it self just ever so occasionally in your life in little mini fashion, little miniature fashion.

CL145    [2-44] It might. I think it does. Because I miss my dad a lot, and like I said, with certain things, I do miss him. I wish they were here like when we have children. I would miss . . .

LS146     And here’s what I am going to suggest to Kathleen. That one of the ways that you have been able to keep that fond memory of your father alive happens in your relationship with your husband.

CL146    Right.

LS147     Okay, so you two mix it up a little bit, but what is it that ends up coming out of that?  He shows you you are still together. You’ve got a life plan. It’s maybe a little . . .


CL147    Rocky here and there.

LS148     Yeah. And the future may not be absolutely clear. You’d like to have this the children and grow old together and have grandchildren, but you never know exactly how every step will be.

CL148    We are just going to have to go day by day.

LS149     [2-45] Yeah, right. And you have a unique way of remembering your father, and I think the important part of this whole thing is the experience you have of feeling energized and so alive I think is happening in both instances. When you were a little girl and even with the tightening up, there is a sense of aliveness that’s there because it’s not like the rest of your everyday life experiences. And you’re in a very interesting situation, and the thing that’s interesting about it is what would happen if you changed that little pattern that you have with your husband?  Will you forget about your father?  Will he still have that place in your life and in your heart?

CL149    Well, he’ll always . . .

LS150     [2-46] I think he will.

CL150    He will. Right.


LS151     [2-47] And you know, it may be that at some point in time, just like I said, that just sort of goes away, that kind of inner sense that something isn’t right. I think that same sense can go away too, and that you won’t need to quite remember your father through these experience of these bodily tightenings and symptoms. And you will still be able to love him, cherish him, remember him, and it will mean your life is going to go on, and your husband’s, your life with him is going to go on. So that’s what I think might happen. But you know what?  The other thing is it might take a different tact. But you’re going to be the one that will know that.

CL151    Yeah.

LS152     Okay.

CL152    That’s right.

LS153     We need to stop.

CL153    Okay.

LS154     I’m glad we had a chance to talk.

CL154    Thank you very much.

                                                   FOR FURTHER INFORMATION

Dinkmeyer, D. C., Dinkmeyer, D. C. Jr., & Sperry, L. (1987). Adlerian counseling and psychotherapy, (2nd Ed.) Columbus: Merrill.

Sperry, L. (1995). Handbook of diagnosis and treatment of the DSM-IV personality disorders. NY: Brunner/Mazel.

Sperry L. & Carlson, C., Eds. (1996). Psychopathology and psychotherapy: From DSM-IV diagnosis to treatment (2nd Ed.). Washington, D.C.: Accelerated Development.

Sperry, L., Brill, P.L., Howard, K.I., & Grissom, G. R. (1995). Treatment outcomes in psychotherapy and psychiatric interventions. NY: Brunner/Mazel

 

 

 


Copyright © 2001, Zeig, Tucker & Theisen, Inc., All Rights Reserved. 


 

 



[1]LS—Len Sperry, CL—Client