Posted by fxckfeelings on November 16, 2009
Despite the fact that every human medical oddity on basic cable has a spouse, from the “Half-Ton Dad” to the man with a leg coming out of his abdomen, there’s no gaurantee in life that we’re going to end up with somebody, let alone with someone who meets all of our needs, be they mental, physical, or otherwise. Missing out on an intense physical connection isn’t a sign of failure or even necessarily great loss, especially when you’ve been lucky to have any connection at all…and weigh less than 800 lbs.
–Dr. Lastname
My husband and I divorced two years ago after twenty-five years of marriage. Believe it or not, the divorce was amicable; I’ve never been truly happy in my marriage, and the second our youngest left for college, I told him I felt trapped and finally needed a chance to find myself. See, my husband was the first and only man I ever dated after a very sheltered, lonely childhood, and I’m haunted by the feeling that my life is missing something because there’s so much about life I feel like I’ve missed out on. Now that I’m on my own and have a chance to find my bliss—to be in a true, loving relationship—I wonder if my unhappiness from my husband stems from the fact that I might actually be happier with women. I know that sounds crazy, but it’s not something I ever even had the chance to consider before, and all I do know for sure is that life with my husband, especially sexually, was never really gratifying. My goal is to find someone, anyone, whom I truly connect with before it’s too late.
It’s nice if finding and making the right sexual connection gives you a greater feeling of connection to life and relationships in general, a realization of who you are, an acceptance of your place in the universe, etc., etc., whatever. That’s what certain of the early 20th century novelists were trying to argue, and maybe the whole sexual liberation movement of the 60s and 70s was driven by that hope.
In reality, however, sexual identity is just one factor in what makes human connections meaningful, and you can’t be sure that your feeling of disconnectedness is a matter of sexual identity or, in a broader sense, that it’s within your control.
If it isn’t, your goal of finding a better connection can become self-destructive, because then you believe that you’ve failed to find meaning in your life, which is worse than the pain of feeling lonely and disconnected.
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Posted by fxckfeelings on November 12, 2009
Boundary issues are always a fun topic for us at fxckfeelings.com; from those who want to get too close to those who push others too far away, people are always clashing over personal territory while assuming the other guy is violating the rules. But what if we’re wired to see our territories differently and talking about it just gets everyone more annoyed? That’s when your goal gets more interesting.
–Dr. Lastname
My next door neighbor is your typical Mrs. Kravitz…always in my business asking me personal questions. Lately, she’s taken to walking into my driveway while I am working to get more dirt. My proposed solution to remedy the uninvited driveway visits is to add on to the existing fence, cutting down the easy access. I don’t want to have a conversation about “why” I am putting up the fence, so I am just going to do it without letting her know. My only fear is that there will be some kind of future confrontation because this neighbor gets insulted at the drop of a hat. My goal is to protect my boundaries, one way or the other, without having an angry neighbor to deal with for the next 30 years.
Using a fence to block out your neighbor’s intrusive curiosity may work…unless it actually does the opposite.
After all, it may just serve to whet her appetite, and pretty soon, she’ll have you under 24 hour surveillance with Predator overflights and under-eaves webcams. You’ll look like Wile E. Coyote writing away to Acme (or the German Democratic Republic) for ever-more-advanced fencing.
In other words, your goal isn’t to stop her, but to try. If your goal is to stop someone from prying when you can’t, you’ll go nuts, and your helplessness will draw her like a magnet (and your misery will draw you to me like a magnet, trust me).
If you begin by admitting you might well be fucked, then you’ll probably try cheaper options first (unless you already have).
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Posted by fxckfeelings on November 5, 2009
Bitching about our higher-ups at work is a national pastime, but the sad fact is, there’s a reason bosses get paid more; being the one in charge of keeping everyone else happy is a real pain in the ass. If you get thrust into that position at work yourself and are expected to rally the troops, you first need to ask yourself whether you’re leading them to victory, or your own personal Waterloo.
-Dr. Lastname
I’ve worked at the same place for a long time. I’m a secretary, but I do get some respect due to seniority and the fact that I’ve always gotten along well with my peers and the higher-ups. That’s why some of my co-workers, who are younger and don’t know the new boss as well as I do, pushed me to confront him about the fact that he’s made some foolish decisions about the staff. The only problem is that, knowing he’s clueless and impulsive, I doubt he’ll hear what we have to say and he may well feel that we’re trying to get him fired, which may prime him to retaliate. Plus, all these kids are pushing me to say something because they’re angry and feel that agreeing with one another validates what they say, but they have no real evidence that the boss said what he did. I want to make the boss see that he has to be more careful so we can all go back to doing our jobs.
It’s an achievement that you have the confidence of your peers and administrators—kudos—but your goal is not to represent your co-workers, or anyone else, before first considering the risks.
From management’s side, you might be seen as leading a mutiny, make yourself responsible for the actions of people who are not as restrained and sensible as you are, and, surprise, get yourself fired. From your co-worker’s point of voice, you may also piss everyone off because you can’t give them the justice they sent you for.
In the end, the only thing everyone may agree on is that they’re mad at you. Then you’ll get depressed, and then tada, welcome to my practice!
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Posted by fxckfeelings on October 8, 2009
It’s easy, when someone can’t control their behavior, to assume that they are evil, stubborn, or somehow defective and that you’ve got to get through to them, one way or another (not so nice) way. Just because someone can’t behave, however, doesn’t mean s/he’s evil and/or totally resistant to your values; and just because you’re getting nowhere with them doesn’t mean they won’t get it together eventually. It’s easy to write someone off, and it’s easy to be written off, but if you’re hoping to work through a problem instead of just blame someone for it, the only thing incurably defective in these scenarios is the moralizing.
–Dr. Lastname
My older daughter just turned 10, and I’m fairly certain that she is pure evil. My wife and I are not bad people—no family history of mental illness, either—but our older daughter, who looks like a normal little girl, says such nasty things to her little sister that it would make your head spin. Our younger daughter, who’s 7, thinks her sister is a miserable terror, and I have to say, I agree with her; the stuff that comes out of our 10-year-old’s mouth is so cruel, I’m almost in awe of it. My wife and I have sat her down and asked her if she acknowledges how awful her words are, how much it hurts her little sister, and how serious we are about how much she needs to change her attitude. Since then, our older has been less mouthy with us, but just as terrible to her little sister, and we have no idea how to make it stop. My goal is to stop my older daughter from being so mean—that is, if she’s not just satanic and hopeless. I’d really like to get her to understand what she’s doing and why she needs to stop (if I can get that through her evil mind).
As those Spanish Inquisition cardinals learned while swishing around in their gorgeous red gowns, any effort to stamp out the devil gives him a giant energy boost and brings him (or her) to dramatic life.
This is because most of us—even the best of us, like David Letterman—have some devilish impulses that bust out when we’re tired, or rubbed the wrong way, and generally when our control is far from perfect.
So when someone tries to eradicate our wickedness, we may initially agree with their goals. Sooner or later, however, when our impulses don’t cooperate by disappearing, self-hate and shame get stronger and, yes, you guessed it, feed the nasty impulses, whatever they are. The cardinals get to meet the very devil they were trying to exorcise, and the devil’s poor host snarls back and throws up pea soup. A classic vicious circle.
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Posted by fxckfeelings on October 5, 2009
While being selfless seems like an admirable quality in the abstract, most of us learn early that people with a thing for giving aren’t actually so easy to be around; it’s hard to have an even give-and-take with somebody who doesn’t fulfill the “take” part of the bargain. Selflessness maybe feel good in the short term, but the more you extend yourself while shutting out (or being shut out by) the other party, the more likely you are to end up with only yourself as company.
–Dr. Lastname
I love my girlfriend, and we’ve gone through a lot together; not just living in different cities (which I’ll get to), but also serious health problems. I was there for her for every second of her treatment for cancer, an ordeal that lasted for one scary year, before she went into remission. While we were living together at that point, it wasn’t long after she was in the clear that my father asked me if I could move back to my home city to help him at work—he wanted some help expanding the family business—so I told my girlfriend it would be six months, max, and then I’d move back in with her. But six months have passed, and my dad says the business won’t work without me (although, admittedly, it has in the past), and I don’t think it would be fair to keep stringing my girlfriend along. I love her, but I’m needed here, and I also don’t want to hurt her and be responsible for a relapse. My goal is to break up with my girlfriend and get her to understand it’s the best thing to do.
Some people are born givers; they enjoy giving and, if they don’t think about it, their giving impulses push them closer to whomever needs them most. You might think such selfless givers were saints, regular Ghandi-jis or Mary Poppinses.
In reality—and while most people are loath to admit it—most selfless givers are assholes to everyone but the one who makes them feel most obligated. (Just ask Ghandi’s wife.)
So, my giving friend, I’m going to tell you the same thing I’d advise your ex-girlfriend to say to you: that your goal shouldn’t be to feel better about excusing yourself from your obligation to your girlfriend, but to figure out your own priorities, regardless of your obligations to her, your father, or anyone else.
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Posted by fxckfeelings on October 1, 2009
Guilt is an unvoidable part of life—as well as a central motivator of at least a couple of religions—and often the sources of guilt (see: family) never go away. What most people don’t realize is that there’s false guilt and real guilt, the former far more easy to ignore, the latter worth confronting in a meaningful way. Still, while you can’t get rid of guilt overall, there are ways of managing it so that, at the very least, it doesn’t become a holy pain in the ass.
–Dr. Lastname
My mother is a drama queen– she thrives on family conflict and gossip and needs to control every step of my life. She has her nose in everyone’s business, talks badly about most people, and also has a violent temper (at 79 years old, she still throws things and flips people [like me] the bird out of anger). Several events happened that finally made me so angry with her that I literally told her off and have cut ties with her for over a year, but during this year I have suffered from terrible guilt and shame for turning my back on my elderly mother. Believe me, I feel better and more relaxed without her constant turmoil, but there are nights that I wake up from a dream where I am shunned at her funeral as “the daughter who abandoned her mother”. I have tried, in the past, to talk sense into her and explain my feelings but she creeps back to her same troubling ways. My goal is to get over the guilt that I feel about cutting my mother out of my life.
Anger is never a good reason for doing anything, and particularly not for cutting off ties with your mother; after all, anger’s a feeling, and you know that’s a dirty word. It’s not that you don’t have good reasons for being angry, just not for letting anger make your decisions.
As you’ve now realized, once you let anger take over, it’s very hard to protect yourself against guilt, which is where your major problem lies now. The only good, healthy defense against guilt, other than drowning your neurotransmitters in alcohol, is to know you’ve done the right thing, regardless of how unhappy you’ve made someone feel or how badly they’re suffering while you’re the one standing watch.
In this instance, unfortunately, you haven’t done the right thing, so guilt has become your master.
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Posted by fxckfeelings on September 28, 2009
From having your sister falsely accuse you of stealing her doll to being landed with a deadbeat dad, most people learn early that family is rarely fair. Still, be you the familial accuser or accusee, there’s usually a great risk to speaking your mind; family bonds, unlike bridges, can never be completely burned, so unless you want to be forever tied to someone you’ve tried to set on fire, it’s better to shut up about injustice and accept the relatives you’ve got.
–Dr. Lastname
My mother has always been quick to take offense—hear things the wrong way, feel easily hurt, want an apology—and I’ve always been the one to smooth things out and reassure her and, if necessary, tell her I’m sorry. Recently, she got really angry when she heard me talking to a family friend at a party and thought that I was being critical and complaining about her. I told her that was absurd, I didn’t mean things that way and that the family friend didn’t hear it that way. Besides, it’s not the sort of thing I’d say about anyone. But my mom acted like I didn’t realize how mean I’d been. So I spoke to the family friend, who agreed with me, and I asked her to talk to my mom and let her know she hadn’t heard any criticism either, but my mom says she’s just trying to smooth things over. I know this is just how my mom is, but that doesn’t mean that it ever stops making me crazy, and everything about this latest stunt is totally unreasonable. My goal is to get her to see she’s being a nut and get over it.
Freud famously put a lot of emphasis on mothers, and most people assume that “tell me about your mother?” is the first question a psychiatrist asks a patient. My response to that, however, is that I don’t really care about your mother. And even if your mother was my patient, I wouldn’t be able to make her “better.”
You think, if only you could get your mom to stop being a nut, your problems would be over. And hey, if only I could find a way of turning dog turds into solid gold, I’d never have to work again. Alas, turds are turds, and your dreams haven’t come true for many years. Assume they won’t come true now.
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Posted by fxckfeelings on September 24, 2009
Often, the easiest way to infuriate someone is to try and do something nice for them; just ask, say, the citizens of any country occupied in the name of democracy. That perceived ingratitude then rankles the helper, and everyone ends up annoyed and frustrated. Be you the helper or the helped, what matters is doing whatever you believe is most necessary in the long run, even if that means watching someone hit bottom, forcing yourself to suck it up, or asking your troops to stand down.
–Dr. Lastname
My aunt is in her late 70s, and I’m on the only family she has anywhere nearby (my cousin, her daughter, lives in Europe). I try to look after her—check in every few weeks, make sure she has food, that the heat’s on, etc.—but it’s gotten harder now that she’s convinced my husband has stolen from her. In reality, my husband has never been to her apartment, plus he’d have no use for the pink sweater he’s accused of taking, but I can’t convince her otherwise. What drives me crazy is that, when she’s not calling me with absurd accusations, she screws up every plan I’ve labored to put in place to keep her safe. After I got her to the top of a housing list in a safer part of town, she took herself off and promptly got mugged. Then I arranged for a public health nurse to keep an eye on her health (she hasn’t seen a doctor in years) and my aunt refused to open the door for her so they closed the case. I’ve thought about getting guardianship powers so I can put her in assisted living, but my cousin, who phones her daily, says that would be cruel and make my aunt’s paranoia that much worse. If I can’t help her, I want to keep away from her because this is driving me crazy. I can’t stop her from screwing herself. It was her decision to reject my help. My goal is to help her or save myself.
As your beloved, dementing aunt demolishes your rescue attempts while accusing you of plotting against her, you can’t help feeling like, if she’s going to make it this hard to save her, you’d rather just kill her instead.
If you pay too much attention to the horrible way she makes you feel, however, you’re putting your mental pain ahead of your concern for her survival, which means you actually care more about saving yourself than her.
If your goal is to find a way to save her and/or end the pain of dealing with her, forget it. There’s no answer that will make you feel better that won’t also make things worse. If you make more arrangements, she’ll undo them, but if you walk away, you’ll feel responsible for the next disaster.
So accept that both you and she are fucked, and that the pain of dealing with her is unavoidable. Ultimately, and not surprisingly, your goal has nothing to do with your feelings. It’s to protect her, if possible, from a painful death, even if it means gathering a full arsenal of social services to do it.
You’ve already done a great job, whether your efforts worked or not. You’ve lined up public assistance and home visits and, though this time she blocked services, you now know where to turn and whom to call when the time comes.
And when the time comes—when it becomes clear that she can’t take care of herself—you can not only have services lined up to help her, but authorities lined up who can remove the yoke of responsibility you’ve placed on your own shoulders.
Prepare for that day by asking a lawyer to define what is required for a guardianship, i.e., how bad things have to be before the law lets someone else take over and force her into care. It probably includes any behavior that shows she can’t take care of herself, like neglecting a serious health problem, or leaving the stove on or going out and getting lost.
Then ask a social worker what services the state will provide. If you were able to provide those services, you might do it with more love than the state can provide and it would appease your guilt, but you wouldn’t last long and you don’t have coverage for when you’re sick, away, or dead. So your job isn’t to provide services but find the people who are responsible for providing them and persuade them that terrible things will happen if they don’t.
In the end, you may feel the silent disapproval of clinical professionals who resent having responsibility dumped on them, and it may add to your guilt. But, if you think of what’s best for your aunt in the long run, and not what makes you feel better, then screw their resentment—you’ll have reason to believe that you’ve done the right thing.
STATEMENT:
Write a statement to address those, including yourself, who expect you to rescue your aunt without regard to your limits or the self-destructiveness of her behavior. “I love my aunt and will do anything that will actually help her, within my capacity. I know that my efforts will sometimes feel inadequate, but what is really responsible for my helplessness and guilt is not failure, but the ravages of aging. If, in spite of my frustration and worry, I continue to keep an eye on her and do whatever good I can, particularly when it’s emotionally exhausting, I should remind myself that I’m doing a good job, because no one else will.”
I work in law enforcement, and a year or so ago, I had a piss test come back dirty. One of my superiors sprung the test on me because he suspected that I was using drugs. He was sure I was into heavy stuff, when really, I was just smoking pot occasionally as my way of dealing with an ugly divorce. Either way, it was dirty, so, in order to keep my job, I had to jump through a bunch of hoops, like going to meetings, monthly testing for a year, and having to sit behind a desk with most of my privileges and responsibilities stripped away. Worse, I now hate the place and don’t trust anyone, but I can’t quit this job until I’m seen as “rehabilitated” or no one else will hire me. So now, even though all I did was smoke a joint every weekend, I pretend to be a recovering junkie, and I’ve done everything they’ve asked of me for the past 16 months. At this point though, it feels like a game and I would do anything to get them off my back. I want to point out to them that I’ve done my time, stayed clean, and that I deserve to get my privileges back but I have a feeling that anything I say will just make them talk down to me about how I need supervision and they’re trying to help me. My goal is to get these people off my back and get things back to the way they were.
Once people have doubts about your ability to control your drug use, you don’t win back their confidence by complaining about unfairness (or complaining, period).
That’s because your complaints will do nothing but remind them that they wouldn’t have been having this unpleasant conversation if it weren’t for the weed in your wee-wee. You may be right and their treatment of you may not be fair; but shut up, or you’ll make things worse.
Your goal isn’t to win back anyone’s trust, because when people feel that you’re focused on their opinion, rather than on your own reasons for doing something, they tend to fear manipulation. Which means they’ll trust you even less.
Focus instead on your own reasons for sticking with this job, regardless of how the bosses make you feel. Assuming they will take their own sweet time before they trust you again, and that you will have to eat beaucoup de merde before that happens, decide whether the job is worth the trouble.
Set aside your anger and pride and think of the pay, security, flexibility of hours, benefits, length of commute, and what the job does or doesn’t do for your family life. Score the advantages and disadvantages. Then you’ll arrive at an answer that is not reactive to your anger, hurt, humiliation, or the provocation of others.
Bosses come and go; you want an answer that reflects your own long-term interests. And then you can decide whether to leave, transfer, or cowboy up, ignore the bullshit, outwait the review board, and get your old job back. If that’s what you decide, you’ll be a lot more careful before you jeopardize it again.
And here’s an added benefit. If your decision reflects your inner priorities other than your desire to get them to give you the green light, you’ll be much more persuasive. Because, of course, they’ll know that you have more important things on your mind, and only unimportant things in your pee.
STATEMENT:
Compose a statement that describes your thoughts about the value of your job. “This job feels like shit, but I’ve been around, and it offers me a lot more than I can get elsewhere. It may feel like a humiliating pain in the ass, but I’ve got good reason to stick it out and pay more attention to avoiding this kind of problem in the future. So if I have to wear the brown crown, I should remind myself that I’m accepting my pain for a good reason and have a right to be proud.”
Posted by fxckfeelings on September 21, 2009
In difficult situations with difficult people, we’re often tempted to turn to the law for help, hoping that the authority of police or the court can set things right and not asking ourselves what is really likely to happen next. In many cases, if you’re dealing with raw feeling, going to the cops or court brings in a whole new wave of complications and misery. So, as we always say, when cornered by a crazy person, act as you would if under attack from any wild animal; lie low, play dead, and just hope it loses interest and goes away.
–Dr. Lastname
I dated this guy years ago—only for a few months, nothing really serious because he seemed kind of weird even then—and he’s been harassing me ever since. Six months after I broke up with him, he wrote me a bunch of emails and left a ton of voicemails saying he wanted to know what he did wrong, that we should be together, and I did talk to him once just to tell him I was sorry but it was over and he should move on. He told me once that he was bipolar and I was sorry for him—he had seemed very normal then and I thought maybe his family didn’t like his eccentricities, which I thought were charming—but his messages seemed intense, illogical, and angry, and I started to worry. Then, six months after that, another bunch of emails and messages, this time more menacing, so I told him resolutely never to talk to me again. Just recently he started again, but this time the messages were actually scary—he threatened to kill me if we couldn’t be together. He said he felt broken inside and that he wanted me to feel the same way so that I’d understand him and then we could be friends again. Basically, I want to know if I need to get a restraining order against this guy—I’m really scared, and if anyone ever deserved police protection, it’s me. On the other hand, if he’s dangerous, maybe he needs to be put into a hospital and that’s something the police should be able to do. My goal is for the police to do something to protect me and, I hope, him.
In a fair and reasonable world, it would be easy for the police to lock up people who become temporarily dangerous because of mental illness, and doctors would be able to cure them. Unfortunately—naturally—that’s not the world we live in.
Unless someone is overtly dangerous in a way that is immediate and unequivocal—they’ve recently written threatening letters, or said something scary to a reliable witness, or can be expected to act aggressively when interviewed by the police or an emergency room clinician—they’re not going to get hospitalized. That’s the way our laws work for involuntary hospitalization.
These laws seem to do more to protect the accused than the alleged victims in that they protect the individual’s right not to get locked up for being different. In reality, they’re often worse for the mentally ill people they’re intended to protect, because they prevent them from getting treated for an illness that is killing their brain cells and ruining their lives.
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Posted by fxckfeelings on September 14, 2009
The not-MD here: Now that an actual health care bill is almost upon us, I thought this would be a good opportunity to ask my writing partner, as an actual health care provider, for his take on how we can improve health insurance.
We don’t like to get political, and everyone’s entitled to their own views (at least I think so—he’d probably tell you you’re just wrong), but this is not an entry about politics; at its core, the health care debate is about health care, and as a doctor, not a Democrat or Republican, this is his medical point of view. We’ll return to normal cases on Thursday.
–Dr. Lastname
One thing you learn as a parent is that there’s never enough time, money, or resources to provide perfect safety and security for your family. Worse, if you hold yourself responsible for providing it, you’ll go nuts the first time something goes badly wrong and you can’t control it. You’ll blow everything on something that can’t be helped, feel like a failure, and have nothing left, financially or emotionally, for those who need you.
As such, compromising on how you spend your resources is as much a part of good parenting as is nurturing, although it often makes you feel terrible. So it is with health care systems.
Democrats sometimes emphasize the nurturing part of this process, our shared humanitarian desire to provide more care, while Republicans sometimes emphasize the tougher part of this process, our desire to make sure that treatments work and are well delivered. But at the heart of good management there is always an unavoidable need to make good compromises, and that’s what I think needs more attention and reform. Not fewer denials from the insurance companies, but denials that are more fair and decided upon more ethically.
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