The Ups and Downs of Thinking Like a Therapist

Therapists possess a “hidden” talent, but one with a downside. Their peculiar way of looking at the world creates an occupational hazard: the “gift” widens our difference from those whose approach to life is more matter of fact.

This strange flair enabled me to do my work well. My profession included providing written opinions to colleagues who wished to better understand their patient’s psychological status and diagnosis. Others requested my services as an expert witness in civil lawsuits, which developed into a small portion of my practice.

A district court also chose me to help evaluate the State of Illinois Department of Mental Health. Of course, the capability of which I’m speaking served my clients too. Otherwise, I could not have fathomed who they were, why they lived in the manner they did, and how to calm their distress.

The “secret” is in the act of questioning — how a counselor thinks and ponders his excellences, limitations, and mistakes, not just those of others. Now, though retired, I ask myself even more about the information I encounter daily, the people I speak with, and the books I read. Though I no longer search for habitual patterns in the affairs of my clients, the phrase continues to describe my approach to analyzing conduct.

The authors who capture me do more than tell a story. They attempt to leave clues to their timeless vision of mortal creatures individually and in groups.

Like them, this tendency to search for such markers was part of the reason I became a clinical psychologist. We are something like archaeologists of the soul.

Perhaps the first question I wondered about as a boy was, “Why am I me?” That is, why did my sense of self, my emotions, and my internal identity reside within a particular body and not that of, say, my next-door neighbor?

Other than genetic and evolutionary reasons, I never came up with an answer. Nonetheless, this was the first “thoughtful” question of my life.

I hoped to explain the peopled planet to myself. I remain curious. All of you who read me are of interest to me as well.

In the book of Ecclesiastes, from the Bible’s Old Testament, the following line speaks to what I’m addressing, including the act of thinking like a therapist.

“For in much wisdom is much vexation, and he who increases knowledge increases sorrow.”

This takes the reader to some dark places. When you ask lots of questions, you see things about creation you might not be happy to face.

Even so, if you don’t figure out how to see in the darkness, you will block understanding yourself and quite a few of those you meet.

Psychological night vision enables other skills: finding opportunities in troublesome times, spotting pitfalls before you fall into them, admitting weaknesses you ought to master, and discovering a way to assist others and help make the world a better place.

Thus, it is necessary to interrogate yourself since you are the only chap you control.

We all are prone to tendencies quite different from the kind of scrutiny I’m describing. Most of us prefer simple answers and wear metaphorical sunglasses to shield ourselves from mankind’s darkness as much as we can. The way we try to determine if someone — let’s call him Person A — is good or bad provides an example.

Your solution to the dilemma of classifying Person A depends on how you define the sinful/saintly divide and, significantly, under what conditions you think the individual is good or bad. Say, in the cafeteria, in the bedroom, at work, or raising his children.

Since we lack access to much more than what A tells us, what others tell us about him, and receive no 24-hour video surveillance of the poor guy, we usually take the incomplete data we have and assume the bloke displays consistency in every circumstance.

Psychologists recognize this isn’t so.

Few folks want to see the shady side of those about whom they care. And we tend to dismiss kindnesses in those we dislike. Thus, we form simple, unitary opinions: A or B, good or bad. Questioning, for me, attempts to take a deeper look. We are more complicated than any superficial examination reveals.

It is easier to come to judgments about others than reflect upon why they are the way they are and in which situations they are different from their usual manner of self-presentation. As suggested, no one is constant — just one thing — always the same no matter the circumstances.

Still, we mostly get a glimpse of what is obvious.

The Stoic philosophers knew better than the simplifiers. They emphasized that no one achieves awareness of himself until he has been tested, if then. The trials they referred to include various temptations, dangers, moments demanding moral or physical courage, and how we respond to calamity. What you do then, not what you think you would do, defines your character.

In case you wonder, I got a passing grade on a number of these tests and failed others. So I’d like to believe. Ha! But — and I emphasize this — a better judge always must be a lady or gentleman at the head of the courtroom, not the one on trial. We forgive our lapses with disturbing frequency.

Much of the human world lives in a rationalized daydream of moral innocence. People believe they would survive unstained in situations they’ve never encountered and praise their purity without supporting evidence.

On the other hand, determining and criticizing someone else’s compromised or imperfect nature comes easily. Moreover, we do need societal judging, without which there would be full-time chaos.

However much judging is required in the world, one should take care since those who cover the mirrors in their own home almost make a profession of pointing fingers.

The kind of questioning I usually engage in nearly 75 years in the making. I imagine the process will continue to develop. It involves less categorical judgment than previous versions in my three-quarters of a century among all of you and those I knew who came before and left before me.

In describing a life of questions, I’m not recommending the practice as necessary or wise for all. The tendency to do so has chosen me in the God-given nature with which I was thrown into the world and the early life unique to me. I have merely decided to exercise and refine the process.

The skill is also the property of most therapists to an uncommon degree compared to those who make a living in other work. Nor would I recommend it to anyone much younger.

Young people are better off taking life as it comes, enjoying and learning from their initiation into adulthood. To make questions useful, the art of examination must be based on sufficient experience and knowledge of humanity.

We require the many encounters we endure along the way. Surprises and disappointments that only come with “living it” provide essential information and awareness.

Studying from the mountain top or staying on guard, away from the numerous challenges of proceeding through time, leaves one with enormous blind spots. The only way anyone should take on a mountain ought to be on an expedition, if then.

Youth also is a time of passion built into the hormonal flood. While the biological flow can be trouble, it is the source of much joy if you are lucky enough. We discover so much without knowing it as we proceed through the thicket of all the rapid changes in a youthful body.

The “first times” shower and dazzle we poor souls, or should. They come with new schools, new friends, new environments, new loves, and alterations to the world around us.

It is not a time for standing from an objective place outside of and distant from experience, a marginalizing choice. I realize this from having taken such stances early, though fortunately, I decided to enter the fray of existence because I realized I needed to reshape myself.

In his poem “The Archaic Torso of Apollo, Rainer Maria Rilke wrote, “You must change your life.” You, meaning each of us, in our never-ending response to the internal and external torrent in addition to the river of time’s usually gentler flow.

From the now distanced standpoint of recognizing there is more time behind than ahead, I also increasingly put my ego aside. When trying to investigate something, beginning with the unconscious intention of defending your ideas, you reduce the chance of rearranging beliefs and learning new lessons.

This position requires humility, a stance from which you realize, “I do not know everything, and I’ve not had every sort of life experience.”

I am enlarged by conversations in which I listen to the answers I am getting to my questions and what others ask or tell me. From this perspective, in the best cases, I learn more and am enriched by human contact and knowledge.

When the encounter works, as I hope it does some of the time (whether reading a great novel or speaking with someone who will engage me with fresh notions and reflections), I consider myself lucky and sometimes become a better person. That is, I intend to.

Another way I’ve grown is the result of looking at those occasions when I was unkind.

For a therapist, there is some overlap between performing your vocation and the position you take as a private conversation partner, at least for me. One needs to remember who this person is, their sensitivities, what might prompt their discomfort, etc.

The individual’s reactions also raise the prospect of questioning him (and yourself) about the state of play between the two of you and whether he desires something different from you. The word “play” needs to be taken in two ways. First, as the playing field of life and second, as a space offering the freedom to enjoy the other — with a watchful eye for the emergence of friction or animosity.

For those personal and therapeutic relationships not going well, it is appropriate to consider whether the conceptualization you’ve created of this individual is erroneous.

Did you miss something? What? And how does this insight revise or complete your picture of him? Importantly, does this knowledge lead to changes in your words and actions in the future? You are always doing this in performing your job, less often with friends and acquaintances.

Since retiring, the questions I repeatedly focus on include the larger human dilemma and the pattern of history leading everyone to this moment. I wish to find out what those I’m close to, and the great minds of history think about this remarkable thing on loan to us, which we call life. Also, how they, the living souls I love, understand themselves.

I reflect on my life, look back at a few regrets, and try to adjust to a world and a physical self in flux, moving in the challenging direction we all come to do with age.

An old friend once emphasized the importance of asking “the second question.” Here is another way of describing the process in which I engage. Most people don’t do this. The common spontaneous expression “That makes sense” too often stops the evaluation without considering alternatives. As the old saying tells us, “Common sense isn’t so common.” You might be surprised by what happens if you ask “the second question” or even a few more.

Some people are made uncomfortable by the questioning. Even those more open should not feel like you are putting them on a witness stand of confrontation, indifferent to the tender spots they try to hide. I’d venture very many members of the human race set aside the task of self-reflection, confident they already understand themselves.

An acquaintance of many years recently told me he was free of regret about his life and was at a loss to remember any significant injuries he did to others. I suppose I’d say he hasn’t reflected enough, but he is a happy man.

Perhaps wisdom lies in his approach if the goal of life is happiness instead of self-awareness and becoming the best self one can be. Certainly, we all want the joy.

As to where to discover the wisdom, that’s a question for you, too.

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Above are four examples of Mark Rothko’s work in an art form called Abstract Expressionism. All are untitled, except for names that refer to the colors employed. The top 1963 painting derives from the Smithsonian Institute. Next comes Purple, White, and Red  (1953), then works from 1967 and 1969. The last three can be found in the Art Institute of Chicago.

 

Youth vs. Experience and Maturity: Who Has the Edge?

What would it be like to couple a youthful body with the wisdom of age? It is largely the subject of movie comedies, partially because a serious look at the question would be difficult. Still, everyone seems to be wishing for that imaginary combination whenever they say “Youth is wasted on the young.”

My short response to that statement? I think not. Youth is exactly where it needs to be; age as well. But, just to make sure, let’s take a look at the advantages and disadvantages of youth and experience and why they can’t easily be combined, even conceptually.

To begin, what benefits attach to youth?

I’d include a fresh, eager perspective on things; enthusiasm and boundless energy; and a great capacity for getting excited (in every sense). Remember the enkindling experience of a new great song or a new love? You are likely to hear more wonderful music over time, and probably have later loves, but they don’t quite feel the same to you if you are mature when they happen.

Add to the period of life’s early gifts an openness to new experience, intellectual flexibility and the relative ease of molding yourself into a new shape; quickness of mind and body; great beauty and strength. Finally, youth is more innocent and finds it easier to trust, not yet having been so fooled by life and the people in it to assume that appearances are always the real thing.

On the down side, there is the self-consciousness that particularly afflicts the young and can make it a painful time. If some Eastern religions are correct, freedom from suffering and peace of mind are found in a state called “nirvana,” certainly not to be experienced while self-consciously finding your path in life. And, no, I’m not referring to the band “Nirvana.”

We tend to learn more from pain than pleasure. Thus, early life — the period in which we learn the most — is a painful time, of necessity. “The School of Hard Knocks” doesn’t award you a diploma, but perhaps it should.

Most of us do not enjoy the youthful stress connected with not knowing a thing and having to learn large quantities of procedures, skills, and information rapidly. It is no fun being behind all the bigger, older, and more learned competitors and authorities. But this gives way to a more gradual — less “all at once” process of learning as one ages. Routines are acquired. Practice makes perfect. One discovers “the tricks of the trade,” even though baseball great Vernon Law warned that “Some people are so busy learning the tricks of the trade that they never learn the trade.”

Still, experience does tend to make lots of things easier, so that each day is not quite so challenging as it was when we were growing up. And with that experience and the knowledge acquired along the way comes, one hopes, fewer of the errors that are a part of any learning process, thus serving to increase one’s feeling of self-confidence and security; and perhaps even allowing for less self-consciousness.

The young usually have a greater sense of “possibility” than the mature. It is easier for them to turn around, retrace steps, and start over. They are usually less encumbered by things like spouses and children, mortgages and other debts. However much one loves the spouse and children, they are also a responsibility that constrain you. As Francis Bacon said, “He that hath wife and children hath given hostages to fortune; for they are impediments to great enterprises, either of virtue or mischief.”

The fresh mind is more comfortable with change than the stodgy and stuck older person, as anyone who has looked at the effect of technological advances on these two groups. Indeed, one danger of aging is to gradually feel more alienated from the world in which you live, partly because it is no longer the world you knew.

Of course, the fuzzy-cheeked have more time ahead of them in most cases, and much less behind them than do the mature. What is more, the “sense” of time passing is different in the novice and the old hand; the latter can feel it passing with a speed that his junior cannot, even though the clock is the same for both.

I don’t wish to suggest that all the best of life is to be found in youth, but the rewards of the mature time of life are certainly different. If you can avoid becoming frozen in your ideas and jaded by having seen (and suffered) too much, you just might appreciate things more when you are older, not take them so much for granted.

My wife tells me that she never saw the moon in the old days, when she slept through every night. A bit older now, we both find that a trip past the skylight “into that good night” reveals the glorious moon shining down on us, the beauty of which is some compensation for sleep that is not as sound as it used to be. Just so, the love a mature person has its own, perhaps less urgent biological necessity, having to do with knowing that nothing lasts forever, a feeling that is often hard for a young person to fully grasp, even though he knows it to be true intellectually.

The more seasoned individual should have become more comfortable in his own skin, even when that skin undergoes its own unwelcome changes; less concerned with what the crowd thinks (although, obviously, this isn’t true for professions like politics)!

In real maturity there is a steadiness and calm: you’ve seen worse before, you’ve lived through a lot; so you know that not everything is a matter of life and death. Or to quote a famous basketball coach’s advice to his young players: “If every game is a matter of life and death, you’re going to have a problem. You’re going to die a lot.” And so the mature person “dies” less often than his youthful counterpart and is at least a little better at taking on difficult challenges. The man with seniority no longer sweats so much of the small stuff.

If he is more than just chronologically mature and has actually learned from time and experience, he has begun to accept some things — doesn’t rage so often and so easily at the unfairness that is a part of any life. Not surprising, then, that revolutions are usually for the young. Not that they aren’t worth fighting even by those who are older, but somehow the older man is no longer “that person” who is capable of the kind of energy and passion and idealism that fuel most revolutionaries. Life finds him less intense, not so easily worked up. Just look at the way young orchestra members sit on the edge of their seats, while seasoned musicians look more “laid back” and you will know what I mean.

Reflecting on my career as a therapist, I think that a few of my patients might have done better with the older than with the younger version of me: the seasoned psychologist who had “seen it all before” and could therefore make faster and more accurate diagnoses and more apt therapeutic interventions; the man who was more secure and more able to keep an appropriate psychological distance from the patient: not too close and not too far away.

But, it is possible that some of my patients would have benefited more from my younger self, one with more energy and a need to prove himself. That less experienced version of me, of course, sometimes had a hard time keeping the right therapeutic balance because he was prone to caring too much. But, sometimes enthusiasm and energy carry the day despite other shortcomings. “Swings and roundabouts” (offsetting gains and losses), as the British like to say. You are who you are at whatever age you are and you try to better yourself. A good therapist and, I should say, a good person should be forever looking to improve.

You would not want it otherwise if you were, as you will be inevitably, the patient of some medical or therapeutic practitioner. Experience does count. You wouldn’t want a surgeon, no matter how talented and bright, who has done the operation you are about to submit to only once before. On the other hand, you wouldn’t want a once great specialist who was worn down by routine and time.

Ideally, whether it is a therapist or a physician, what I think you’d want is someone with a good deal of experience but who approaches you with a fresh attitude; trying to recapture, if possible, that awareness and enthusiasm for the job that we usually associate with “the first time.” The very greatest scientists and lovers, teachers and musicians, friends and therapists “make it new.”

Victor Mature, a famous movie actor of the mid-twentieth century. Was he mature? He was married five times.

Back to the question of whether youth is wasted on the young, can you imagine going back to your childhood or teen years with the knowledge and experience of someone 30 or 50 or 70? How could you possibly fit in? And look at those middle-aged, well-seasoned folks who behave and dress like twenty-somethings. Same problem.

We are stuck with who we are, but there is a lesson in this, I think. No, it is not to spend the rest of your time regretting what you had and lost; or never had and wishing you could go back and try again, armed with all that time has taught you. Rather, the lesson is in living life fully at whatever age you are, because, in part, you will never be that particular version of yourself again. We need to stumble to learn, as we do particularly in our youth; and we need the losses that come with experience in order to appreciate what we have.

As much as change is frightening, it does make the experience of living more interesting. As Heraclitus, the Greek philosopher, said 2500 years ago, “You cannot step into the same river twice, for other waters are ever flowing on to you.”

Embrace the new river and the new version of yourself, at whatever age.

On the subject of maturity, you may find this of related interest: Signs of Maturity: What Does It Mean to Grow Up?

The top image is called Old and Young by Mbjerke. The second one is a New Zealand OFLC Poster. Both of these are sourced from Wikimedia Commons. The Dave Barry ad photo comes from Amazon.com