Asked by Anonymous
I'm kind of curious (but if now is a bad time you can ignore this because its mostly curiosity) how other people's ruptures/repairs are with their therapist and what the 'causes' are / how other people deal with it. I guess seeing your posts and posts from others recently I recognise that ruptures or misattunements (?) are probably kinda normal... do you think its like a mix of stuff the client did and stuff the therapist did or for you is it more stuff A does or? Do you mostly navigate it by just talking it out and finding each other again?
Hey anon,
Ah, I relate to the curiosity! I’m going to answer this with my last session in mind, which I never wrote about on here in detail, so apologies if things don’t really make sense. Feel free to send a follow-up ask if that’s the case and I hope my words can be a bit of an answer to your questions!
I think ruptures and misattunements and misunderstandings and confusion are very very very normal parts of therapy - especially as soon as you enter therapy aimed at people with trauma, attachment, emotional (dys)regulation, and/or dissociative issues. And also, I think they’re necessary for therapy! At least for me! With all my attachment trauma, I need the relationship to heal. And however infuriating (and deeply, deeply terrifying and painful) it is: A showing up as a human with her own emotions and responses and reactions, is helping me in the long run.
For me it’s always a mix of stuff I did and stuff the therapist did. Or maybe not always something I did, but something I felt or thought or otherwise experienced: my reaction is not proportionate to what the therapist did, because something in me got triggered or reacted from another experience from the past.
For example, A taking off her shoes last session would not normally have been any kind of issue for me. The reason it did massively upset me, is because I’ve asked her once if I would be allowed to take off my shoes and she told me no. That in and of itself could be difficult, but these kinds of… unpredictable inconsistencies are one of the things that make/made my mother so ‘dangerous’ (unsafe) to me. Combined with other things that happened, I had a massive reaction during and to the last session. Also part of me was just yelling (internally) about how unfair it was, because they, too, wanted to put their feet on the chair, and you can’t do that with shoes on.
Ruptures, to me, are never about a single thing in isolation. If I had felt otherwise super connected to A, maybe her taking off her shoes (while a year ago she told me I was not allowed to) would not have been difficult at all. Maybe, if I had felt connected and secure, I could have just said something about it, and I’m 99% sure A would have apologized or made a lighthearted joke, or maybe she’d have given a sensible explanation.
It’s never just about what the therapist does, it’s never just about what I do (or feel, say, think, experience, remember - whether that’s an implicit or explicit memory). To me, with my truckloads of attachment trauma, it’s always about both, and about the relationship (attachment, transference, projection) (and, tbh, it’s probably also almost always about my mother, ugh).
As for your second question, yeah. It’s talking it out. Or writing it out, considering my 2000 word email I sent to A on wednesday evening. Or, sometimes, waiting it out. Because I have no clue if I’ll be able to talk through anything on monday, or if I’ll just be sobbing and stuck again, unable to talk. But even then, I have to try and hope that eventually my system (the nervous kind, and the parts kind) will calm down enough to (co-)regulate again. And sometimes it’s feeling it out, and I will just sob and sob and sob and hopefully A will be patient and kind and helpful, and eventually I’ll have cried the tears that had to be cried over whatever came up for me, whatever was triggered, whatever happened.
I think A’s reply to my email helped a little bit. The rest will be a wait-and-see for monday. (Which I’m absolutely terrified about and I can’t have faith at all at the moment, but we’ll see. I have some friends reminding me that A has mostly been super awesome, and I’m trying to hold onto that.)
One last thought after reading over my answer - I think for me it’s extremely important that A acknowledges that she makes mistakes. She apologizes, if needed. She tries to understand what she did or said that hurt or activated or angered me so much. Just because I’m the patient and she’s the therapist, doesn’t mean that everything is just 'because of me’. My previous therapist (T, for the long-time followers) put everything on me towards the end, and I still think that part of what was happening in my therapy with her had to do with her. Thankfully A is never shy of looking at herself and owning up to (and opening up about) what’s happening for/with her.
I’m gonna stop rambling now, but I could talk about this stuff for ages. So if you or anyone reading this has any questions like this - feel free to send 'em. I’ll most likely be home with no plans tonight and I’d love to answer some more therapy-related asks :)
Take care anon <3