This blog covers mental health, drugs and psychotherapy with an emphasis on the role of family dysfunction in behavioral problems. It discusses how family systems issues have been denigrated in psychiatry in favor of a disease model for everything by a combination of greedy pharmaceutical and managed care insurance companies, naïve and corrupt experts, twisted science, and desperate parents who want to believe that their children have a brain disease to avoid an overwhelming sense of guilt.
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Monday, August 23, 2021
Tuesday, August 10, 2021
When You Can Never Be Content If You’re Contented
I could find somebody new somebody who'd be true
But honey I'm stickin' to you just to torture
myself
Say it out loud I'm sick and I'm proud
~ Kacey Jones, “Just to Torture Myself”
Way
back in March of 2012, I wrote a post
about members of couples who complain about a lack of affection from their
long-term partners, and in response quoted advice columnist Amy Dickenson: "In relationships, if you always
do what you always did, you'll always get what you always got." I opined
that, because these people continue to either put up with or needlessly inflict
frustration on their partners, then each member of the couple believes the other member of the couple really wants
the relationship to continue in its current form no matter how much they may
complain about it.
Each member of the couple discounts
their own compulsive behavior as indicating that they, too, want the current
parameters of the relationship to continue because they are playing a role in
their own family of origin that requires denying that they are playing that role. For a fuller explanation, see this post. In
actuality, both members of the couple are highly ambivalent about making any
changes. They really do hate the current situation, but this negative feeling
dwarfs in comparison to their fear of having a better one, due to anticipated consequences
to their respective families-of-origin.
Does this state of affairs also
pertain to relationships that are chronically and significantly neglectful or abusive, or to those characterized by repeated infidelity, rather than just to those
that are merely chronically frustrating? Absolutely. The ability of people to
put up with ongoing pain in these situations is impressive. People who do that
often act as if they are too stupid or evil to even know that this is what’s going
on, but those appearances are con jobs.
This can easily be seen in two letters
recently published in the Ask Annie advice column:
6/4/21. Dear Annie: I have dated a guy for the last six years,
always long-distance. I have loved this man with my whole heart. The issue is
we have not met each other's families. He has never met my kids and doesn't
even want to. He will not acknowledge our relationship on his social media
profiles. His parents know nothing of me. We do not spend holidays or birthdays
together. We do not go on dates. The last time we saw each other in person was
two years ago. He barely even texts me. There is always an excuse as to why he
is unavailable. Yet he claims that he loves me. I just don't get it. I want to
leave, but I care about him so much. What do I do? -- Mixed Signals
6/5/21. Dear Annie: I
met a man about four years ago. We started dating a week after we met, upon his
insistence. Well, after we were together a year, I found out that he was
messaging with a girl online and had been for several months. She didn't want
him. Then, a month after that, I heard he cheated on me with someone from work
who was in her early 20s, the same age as his daughter. I confronted him, but
he refused to admit he was guilty. However, I've caught him exchanging sexual
messages with a couple of other girls online since then. He says he's never
actually hooked up with them in person. I guess my question for you is, is it
worth trying to keep this man in my life? I love him, and he says he loves me,
but part of me is no longer in love with him. If I'm being honest, I've felt
this way ever since I heard of his cheating with that young woman. What do you
think, Annie: Should I set him on the curb on trash day? My heart is telling me
to stay, but my mind is wanting me to tell him to get lost. -- Confused
Girlfriend
Of course, in both
cases the advice columnist advised breaking off the relationship. In other
cases, advice columnists have also recommended psychotherapy if the letter
writer couldn’t seem to do that.
I submit that both of
these letter writers already knew
exactly what the advice columnist would recommend, but are just acting so
stupid that they can’t see the obvious. In fact, I would guess that they both
will stay in the relationship anyway, giving the partner even more evidence
that that is what they really wanted to do all along! I mean, how could they not know what advice they would get. The
way they word their letters practically begs
for that ever-so-obvious advice.
If I were seeing them
in therapy, hearing this would be the perfect opportunity for me to ask the Adlerian
question: So what would be the downside of being in a relationship with someone
who was actually there for you?