Showing posts with label psychotherapy. Show all posts
Showing posts with label psychotherapy. Show all posts

Friday, October 14, 2016

HOW DOES THAT MAKE YOU FEEL?



LUCY BURDETTE: I jumped with excitement when I saw an email from Dennis Palumbo several weeks ago about a collection of essays from both shrinks and patients about the experience of psychotherapy, called HOW DOES THAT MAKE YOU FEEL? I ordered it instantly and asked Dennis if he would come to Jungle Red to talk about his essay.


Welcome Dennis! The therapy world seems to have changed so much since I worked as a psychologist in private practice. As the editor of this collection mentioned, we didn't have to deal with the minefield of social media and worrying about what our patients might think if (or when) they came across some personal data. When you were approached to write an essay, did you have concerns about telling so much about yourself?


DENNIS PALUMBO: Not really, because I felt (and feel) that it's important for patients in therapy to see that therapists have the same kinds of struggles that they do. Of course, all therapists need to be cautious in terms of personal disclosures, but having a patient know that you can relate to their issues has enormous therapeutic benefit. In the case of this essay, which details my career transition from Hollywood screenwriter to licensed psychotherapist, I believed it was important to let readers know the emotional ups and downs of any major life transition. And that while it may not be an easy journey, it's one worth taking if it's what your heart demands.

Lucy: I love the line in your essay when you announce to your new therapist that you intend only to be there for a few sessions, which stretches into eight years. For folks who are not familiar with long-term psychotherapy, could you explain how a person who is relatively sane might end up in therapy over a period like that? (I should say that I was going to put my psychologist character Dr. Rebecca Butterman (DEADLY ADVICE) in psychoanalysis, but a dear friend advised me that she would look like a nut-so I opted for therapy instead!)

Dennis: The length of time anyone stays in treatment varies from person to person. In my case, not only did I have some significant issues to look at, but I also found myself intrigued and moved by the therapy process itself. Moreover, since my private practice specializes in treating creative people, I'm fortunate in that such patients are usually interested in and intellectually engaged by the process of therapy. They enjoy both the introspection and the emotional support that therapy provides. (BTW, I found your comment about your own fictional psychologist interesting. As you know, my series of crime thrillers also features a psychologist, Dr. Daniel Rinaldi, and he mentions often how helpful being a patient in therapy has been for him. If some readers think that makes him look like a nut, there's nothing I can do about it. Thankfully, the vast majority of readers I hear from think otherwise. For many, being inside Daniel's head (the novels are told in first-person) as both a therapist and a former patient, are the most compelling parts of the story. Except for the murders, of course!)

Lucy: will you tell us a bit about how you use your experience as a therapist and a patient in your novels?

Dennis: While I don't use any of my patients' personal experiences as the basis of a novel, I do use what I've learned as a therapist for the past 27 years to inform the writing. How the therapist/patient dynamic often plays out, what might go on in the therapist's head during sessions, the relationship between the current state of the mental health profession and society, etc. More importantly, as in the novels NIGHT TERRORS and PHANTOM LIMB, how certain psychological conditions make a character's personality and actions more vivid and intriguing. Also, since Daniel Rinaldi is a trauma specialist, treating the victims of violent crime, I get to explore issues and symptoms associated with PTSD. I'm fortunate in that I spent five years studying trauma with Dr. Robert Stolorow, one of the nation's premiere trauma experts. I think, on the whole, this experience has been of enormous help in making what my characters go through moving, suspenseful  and true-to-life.   

LUCY: Finally, can you tell us a little more about working with creative people? We have lots of them here at Jungle Red!

Dennis: I work primarily with writers, but also see directors, composers, journalists, and musicians. Regardless of field of interest, most creative people struggle with the same issues: blocks, procrastination, fear of failure, anxiety and depression. Not to mention how these issues can impact the creative person's relationships. Though the issues may be consistent across any genre or occupation, how we deal with them in therapy is case-specific. In other words, there's no one-size-fits-all approach to dealing with these issues, primarily because a person's creative struggles are inexorably connected with his or her personal issues. Childhood experiences, career path, relationship history, substance use concerns, etc. I also try to help patients see that it doesn't mean anything negative about them if they're struggling with some creative project. Creative work of any kind is hard, and every artist of real worth struggles. If you think your creative difficulties mean there's something wrong with you, it will only make things worse. As I like to say to patients, "Work the problem. Don't make yourself the problem."

LUCY: Questions or comments for Dennis? (Tomorrow, we'll talk about our favorite fictional therapists...)

And here's a link to a review of the collection in the Washington Post.

Formerly a Hollywood screenwriter (My Favorite Year; Welcome Back, Kotter, etc.), Dennis Palumbo is a licensed psychotherapist and author. His acclaimed series of crime novels (including the latest, Phantom Limb) feature psychologist and police consultant Daniel Rinaldi. More info at www.dennispalumbo.com

Monday, May 24, 2010

Beginnings and Endings



ROBERTA: Some years ago, nearing the end of my training in psychotherapy, I described a new patient who had been assigned to me for therapy to my supervisor. He told me how much he loved starting with a new patient. Anything could happen. All kinds of fascinating information would be revealed. He found the beginning to be the most exciting part of the therapy relationship. I was surprised. I felt better in the middle of the process after I'd gotten to know my patient pretty well and had begun to feel we were making progress in sorting out their problems.

Recently I saw a post on the Guppies listserv (unpublished Sisters in Crime chapter) about how exciting starting a new book could be. Peg said: "I'm in the beginning stages of plotting a new manuscript, and I've been struck anew with how much fun this is! All the frustrations of rejections aside, there is such a great feeling about creating a world, characters, personalities, motives, etc. The actual writing down of words can be an exercise in hair pulling, but this part is pure fun!"

The parallel with therapy seemed amazing! And it works for reading too--it got me thinking how much I enjoy being in the middle of a good book, rather than just beginning to delve into the book's world.

So what do you like about writing--or reading--a book? Getting started? Plowing through the middle? Wrapping things up?

HALLIE: I think more books have good beginnings than have good middles. And fewer still deliver at the end. So when I'm reading a book that's still good in the middle or end, I'm blissed out.

As far as writing, I find it all excruciating. Typing THE END the first time is the high point, and rewriting is much more fun.

And I think I'm glad your supervisor wasn't my therapist...since the 'pleasure' that he finds in his work seems to come from satisfying his own curiosity rather than seeing growth in his patients.

ROBERTA: Oh no, I don't think that was it at all Hallie! I'm sorry if I made it sound that way. He found people so interesting and he really enjoyed the process of getting to know someone and then working on their issues. But the beginning was full of surprises.

RHYS: I love toying with a first paragraph, long before I start a book, but I have to confess I find the first chapters hard. I don't work from an outline. I don't really know where I'm going so it's sort of panic-driven floundering for the first fifty pages or so. Then I start to breathe normally again and can see my way ahead and by page 150 I pick up speed like a horse sighting its stable.

JAN: I confess that I'm resistant to starting new books. It It takes more and more for the writer to get me to buy in. I'm a hard sell. But then at the end, I'm so sad that world is over.

So I guess I'm with you Roberta on middles.

The same goes for writing. The beginning, while fun, presents so many possible choices, there's always the anxiety it won't work. The middle, while rife with problems to solve, means full engagement with this world I've made up.

There's always a point in any article, essay, or novel I'm writing where I get this AH-HA moment and I JUST know it's going to work. That's my absolute favorite part.

RO: Reading is all good - either I love it or I put it down and pick up something else that has the potential to be great. Right now I can't wait for July. I have a stack of books I'm anxious to plow into.

OTOH, Now that I'm in the endless re-write stage of book four, I'm thinking back to the beginning and remembering it as fun. But it's all work. Sometimes fun, sometimes "how can that just be three pages....??" or "will anyone believe this ending or was it obvious from the start?"

HANK: Writing? Oh, I can find fun parts in every third--and I do agree, Jan, there's always a moment, knock wood, where you think of the thing that's going to make it work. The linchpin piece that makes it hang together.

I love the moment where I get the idea for the big picture. I love the moment when I get the idea for the first line. But the first three chapters--auggh. Very tough for me. Once I get the ball rolling, it seems to create itself a bit. Things I've seeded in the beginnning, things I didn't know were there, seem to point themelves out to me once I get to the middle. (Did I say knock wood?)

Let me just say that right now I'm on page 4. If by the end of tomorow, I can be on page 7, just a bit closer to the end of the beginnning of the beginning, I'll be so thrilled! (Do I hear the sound of people knocking on wood?)

I just tell myself: I can do this.

ROBERTA: Knock wood, knock wood. And yes, Rhys, yes, panic-driven floundering, that's where I am! Wondering whether Jan's Ah-ha moment will ever come... How about you readers and writers, do you love the beginning, the middle, or the end?