68 pages 2 hours read

Maybe You Should Talk to Someone: A Therapist, Her Therapist, and Our Lives Revealed

Nonfiction | Autobiography / Memoir | Adult | Published in 2019

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Themes

Psychotherapy as a Joint Process of Discovery

When the literary persona, Lori, enters therapy as a patient with Wendell, Gottlieb invites us to view her as both a therapist with some experience and as a patient who is dealing with layers of issues that slowly come to the fore. Structuring the book in this way, so that her persona benefits from experiencing both sides of the therapeutic process, Gottlieb achieves two things: First, she shows us how much she has learned and developed though working with her patients, and how that work informs her own process of therapy in a way that makes her appreciate both roles. Second, she helps us understand that therapists are ordinary human beings who experience life the same way we do, and in this manner, she dispels some of the societal mystery and fear surrounding the process of therapy and the persona of the therapist as someone who is an invader of our personal space.

The theme of mutual participation in therapy also brings awareness to the therapist’s experience during the process. People frequently see therapy as being taxing on the patient, or that individuals in therapy cannot cope with life or reality (in many societies, going to psychotherapy is still stigmatized, signaling to others that there is something unhealthy about people who decide to enter the process). Therefore, it is beneficial that Gottlieb shows us how much therapists involve themselves with each patient—how they develop empathy that creates a helpful, safe space within which changes can occur—so that we understand that both parties come into the process with a shared goal of achieving that change.

Every patient comes with a personal story and set of values, and the therapist needs to find the best individual approach to each patient, making him or her feel special and individualized. Some patients are demanding, some manipulative, others can be provocative or unhelpful, but therapists must learn to cope with these types of challenges so that they can offer the best possible help. In this way, each patient represents a learning ground for the therapist as well, as they will need to sharpen their skills and instincts to answer the patients’ demands.

As Lori deals with John’s barriers, Charlotte’s repetitive compulsions, Julie’s anger at her illness, and Rita’s fear of death wrapped in her rejection of life, she finds herself reflected through each of her patients, and she understands parts of her own psyche through working with them. She ponders her patients’ reactions as she investigates her own as Wendell’s patient. Gottlieb shows us that Lori’s work as a therapist is indelibly a part of her work as a patient; through finding ways to help her patients, she also finds a way for herself to move forward. By presenting the therapeutic process as a joint endeavor, the author emphasizes the sense of equality between patient and therapist.   

Self-Understanding Leads to Self-Realization

Self-realization is one of the key processes of a healthy psyche. Some of the main goals of psychotherapy are dealing with life in a healthy manner, understanding how our own personalities work, and overcoming various stresses of daily existence. Self-understanding is something we undergo throughout our lives if we are open to interpreting impulses, desires, and emotions that govern us, and therapy helps us achieve higher levels of self-understanding through the presence of a “guide”—a therapist who is there to facilitate the process and give us tools that will help us cope with the demands of life. As we learn to understand the way our psyche works—how our subconscious sometimes tricks and manipulates us—we learn the best ways to recognize and deal with such occurrences, and this helps us become better versions of ourselves. 

In the world of the book, John starts therapy having persuaded himself that everyone around him is an incompetent fool, and he feels slighted, misunderstood, and neglected. This is his self-perception at the outset, but through therapy, he begins to gain self-understanding, which allows him to see that what he perceives as the world rejecting him is John rejecting the world after the traumatic death of his son, Gabe. Lori leads him through the maze of his complex, convoluted feelings, and offers him a way to see himself without the illusions that his hurt psyche has produced. He then starts to rebuild his life with a full range of emotions and with an ability to share himself with his family. Similarly, Rita’s will to live suffocates under her heavy burden of guilt. She learns to understand that the past belongs in the past and that she needs to start reshaping her present so that she will have a future, reaching the full potential and a good quality of psychic life in her elderly years.

On the other hand, Julie’s self-realization comes because of her acceptance of imminent death. Even though she is terminally ill and full of justified rage, Lori helps her realize she can experience the fullness of her life within the time she has left by accepting her feelings and learning to appreciate the love that surrounds her. Charlotte’s moment of self-realization begins with her understanding that she suffers from alcoholism, and as she stops hiding behind false ideas and destructive choices, she begins to see her options and decides to go into an addiction treatment program.

The author utilizes all these examples of self-understanding bringing about self-realization to illustrate how individuals can benefit from therapy. By including herself in this group, however, Lori reminds us that this is a communal experience; we all participate in the life experience that is full of challenges, regardless of our profession or skill. Lori’s self-realization comes when she learns to deal with her fear of death and loneliness, and as she reconfirms her belief in her work as a therapist, which she does through treating her patients and through writing this book.   

Personal Obstacles as the Fuel of Change

By sharing personal stories and case histories of her patients and herself as a patient, Gottlieb demonstrates the progress line of people who decide to undergo psychotherapy. The line moves from registering there is a problem, to a precipitating event that causes us to seek therapy, to the process of therapy, to the ability to change our circumstance. Therapy reveals that we can use the obstacles in our lives as stepping stones towards a healthier psyche.

Lori thus converts John’s avoidance techniques (using his phone, demanding Skype sessions, ordering lunch to the office) into a workable set of approaches by consistently inviting John to examine his behavior and see it from a different perspective. She channels Julie’s anger into a transformative attitude towards her mortality, and asks Charlotte to think about her flirtations with The Dude considering her previous destructive choices of potential partners. Gottlieb offers these examples of personal nonfunctional behavior as evidence of how therapy brings about progress through working with characteristics that represent obstacles to achieving a healthy progress line in our psychological lives.

Because Gottlieb is writing about a version of herself (in memoirs and life stories, authors present a persona, a character that represents them in most of their facets, without necessarily revealing all), she has the most insight into the way her own psyche works, and how the change that she experiences comes about. Her precipitating event to go into therapy is the sudden breakup with Boyfriend and the resulting feelings of abandonment and anger. However, through therapy with Wendell, Lori understands that she employs many of the same defense mechanisms that her patients unconsciously use.

There are many obstacles in her way, both realistic ones (the unsettling physical symptoms she experiences and her father’s illness) and those she produces herself (avoidance of facing her procrastination and denial regarding her fear of death and uncertainty). As she describes Lori’s journey of self-understanding with Wendell, Gottlieb gives us direct access into a psyche that craves and fears change. Wendell’s expertise and empathy help Lori utilize the obstacles that block her way as moments of self-realization so that she can leave the symbolic prison in which she has been unknowingly keeping herself. 

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