It Might As Well Be Spring

Export to PDF | Export to DOC

It is now in the high 40s outside and we all are beginning to think we live in Florida. The sun is out. The birds are singing. Hell yeah!! I think the winter was really starting to wear me down. Now I have no real excuse for any lack of motivation due to snow and cold. I still have these mood shifts. I still flip from idea to idea. Maybe that is what not working means. I think the external structure that work provided was good for me. I would look forward to my time off and to occasional vacations., but I always would go back to the job. Now I have this big long vacation. Today one of the guys in our breakfast club was late and he told us time just got away from him because he really doesn’t have any time now. We all started to talk about that. The every day is Saturday is OK most of the time, except when it isn’t.

I just finished the David Carr book “The Night of the Gun”. Good book! At times it was like a lot of drunk-a-logs and TIW (There I Was) stories, but it confirmed again the importance of accepting addiction as a disease that you don’t get better from. He was a very passionate guy and I’m glad he got back in recovery before he died.

His website is interesting too. What he did was buy a video camera and an external hard drive and go around and interview people who knew him when he was using, and when he was in recovery. I started to think about the possibility of doing something like that about recovery. We’ll see how that goes.

I still go back to how important it is to find meaning in life. I still don’t think you can tie up all your meaning to a relationship with another person. What happens when that person dies? Or the relationship ends? I have seen what happens in my own family. My mother was lost despite having two young children still at home. My cousins, who have lost their spouses, still have a difficult time. They begin to feel as if they have lost half of themselves. The grieving is important, but you still have to hold on to your own center while you go thru it.

The thing about recovery is that it doesn’t mean just stopping alcohol/drugs/etc. It means that you have to find some meaning apart from the addiction. Sometimes the meaning is there and it is clear as glass, but then it begins to cloud up. Victor Frankl’s opening statement to his patients about what stop you from suicide is still important. Where do you find meaning? ? It’s easy to get lost in materialism. Get more things!! Get new things! No matter how much you have or get, sooner or later, it is just not enough.

The whole concept of accepting a higher power is essential. This doesn’t have as much a religious meaning as a spiritual one. I remember one guy who told us a bus was his higher power. Just before we were going to commit him, he explained it. He couldn’t drive and this bus would pick him up and take him to his meetings and to his treatment. He began to talk to the drivers and they were always supportive. In a way it made sense because he was a very lonely guy. The support groups he was in meant everything to him. They helped in his process of finding himself. I think all good relationships do that.

Maybe what I am trying to clarify for myself is still about growth and self-discovery. I keep thinking that I understand myself and my own process and then it just slips away again. We would always make jokes about people who spent all their time contemplating their own navels. I am not talking about that so much as being comfortable in my own skin. I can’t expect perfection or the constant insight into myself. I just want to understand the process better.

One Christmas Eve many years ago, I was putting together a very complicated toy for our children. My wife was wrapping presents and kept asking me how it was going. I kept telling her how hard it was. She finally asked, “What do the instructions say?” I never looked at them because I thought I could just do it by myself. It was a lot easier with the instructions. I know that there is no real set of instructions for this apart from keeping at it. I just have to keep working on this. Domeena Renshaw, the sex therapist from Loyola, would often tell our patients a story. She said that if all you focused on during sex was the orgasm it was like taking a trip to the Grand Canyon with your eyes closed. If you finally opened them up at the Grand Canyon (orgasm), great! —but you missed all the scenery along the way. I would like to enjoy more of the scenery on this journey.

Dream a Little Dream

Export to PDF | Export to DOC

The dream world is so strange. Freud had so much fun trying to explain it. Dreams have had such a mixed set of explanations. It wasn’t only Freud that focused on them. In the Old Testament Joseph and his Amazing Technicolor Dream Coat was just one example. All cultures have stories about dreams and their hidden meanings. In the late 1980s and early 1990s, a new theory trying to disprove this as all just chemical reactions within the brain came out. Supposedly you only dream in black and white. If you begin dreaming in color, your synapses are overly stimulated. If you ate a pepperoni pizza late at night and had a vivid dream, it was because of the chemicals you ingested. Fever, chemical ingestion/withdrawal, extreme stress can all produce intense dreams. Some of our patients in detox had very vivid dreams.

Some people would say they never dream. They do, they just don’t remember. Freud would have his patients keep dream journals by the side of their bed so they could write down the dreams immediately upon waking. Otherwise dreams can be forgotten almost immediately. Repeating dreams or dreams that you cant forget are important. I would be asked, “What does it mean”, and the standard answer was “What do you think it means?” The subjective meaning we place on our dreams can help open up our understanding of ourselves.

So anyhow yesterday I dreamed that I was going back to work on a part time basis in two different agencies. The one agency had mostly teen-agers and God knows I NEVER want to work with teen-agers again. They seemed to like me and a friend of mine ran the agency, but teens change quickly. One of the things about working with them is you have to be ready for their intensity and rapid mood changes. You can be their hero one moment and the worst villain on earth the next. It is always about being an idealized parent or a very evil and misunderstanding one. I always respected people who could make a career of that kind of work. I would work with their parents in family therapy and help them find ways to work thru problems with their kids. This dream agency seemed like I was going to have to work with just the teens.

The other job was just a standard agency that I seemed to be a consultant in. The strange thing was I was bringing my own couch (a small love seat) to each agency. I was really getting ticked off in that I had it in my car and I had to bring it to each place each time I worked. It didn’t have any cushions and that was strange. I don’t remember sitting in it or any one else sitting in it. Now what does this mean? Got me. I am not analytically oriented as much as I am structurally. I don’t ever remember having a patient where we would spend the time analyzing a dream. Usually I would offer support and confirm their own analysis and move on to other issues.

So what do I think? I think a part of me still misses being a therapist, but I need to think about the burden that it was. It wasn’t unbearable (the love seat had no cushions and I was able to carry it), but it was still a burden. The fact that one of the agencies had mostly teen-agers might mean that despite my ambivalence about retiring there are still limits in what I would want to do.

I really did have an interesting job. I met amazing people from all walks of life. I tried to listen to their stories and help them make sense of their past and make plans for their present. I wouldn’t give up a minute of it—–but I am starting to understand how it did affect me. I would get so focused on helping others that I would often forget about myself. I think this time now is still one of discovery. What will I find out ? I remember when Sammy Sosa played for the White Sox ( yes he did Cub fans!). He was a very streaky hitter. When he was on he was a miraculous ball player who could do anything. When he wasn’t he was terrible. One of the announcers was talking about him during one of his terrible times. He didn’t want Sammy to change and wanted him to just keep swinging “because sooner or later he’ll hit something”. I think that is what I am trying to do. If I just keep at it maybe I will come to a deeper level of understanding. We’ll see.

Sometimes a Great Notion

Export to PDF | Export to DOC

So today it is still cold and grey and so am I. What keeps us going and alive?

I just read an article about the many faces we have inside us. The author wrote about how many religions have saints or saint like beings who really represent the different aspects we all have. A few years ago I heard a sermon at our church from a visiting archbishop. He spoke about exorcism in the Old and New Testament. In those times demons were ways of explaining problematic changes in behavior. He then began to talk about the modern demons of addictions and mental health issues.   When I thought about it I could see the relationship.

Sometimes our demons seem overwhelming and totally unexplainable. The thought of even trying to change is too difficult to even consider. Other days it’s not that big a deal. When I am busy and active I don’t feel so “stuck”. When I have large chunks of time with no real plan to do anything, my own demons surface. William Buckley’s quote again comes to mind about industry being the enemy of melancholy. However what kind of industry? I have a friend with multiple hobbies. If he gets bored with one activity, he tries another. I don’t think I have the ability to do that. If I start something I need to finish it.

My life was divided into these neat fifty-minute segments. I would see people for 45-50 minutes, do a progress note, and prepare for my next patient. When the kids were young and in school, I could come home and get involved in their activities as much as possible. Now that is gone. I still think about work and wonder if I left too soon. The thing is I left on my own terms. I wasn’t walked out like one of my colleagues was. I think I could still be an effective therapist, I’m just not sure I want to do it again. The first time I had a pager I couldn’t even sleep for fear of missing it going off. Sometimes I still reach for it and feel undressed when it’s not there. I don’t want to have that responsibility right now.

My one brother-in-law has been retired for seven years. He is four years older than I am. When he first retired he was very active. He would play sports, go bike riding and try many activities. He talked about one of his friends who said you could tell a guy had hit the wall of retirement when he was still in his pajamas at three in the afternoon. He said that would never happen to him until one day it did. This became more pronounced as my sister’s illness progressed. His life became very focused around her. She has been gone now for four years. He has children scattered across the country, but still seems lost. One of the things people don’t talk much about in retirement is losing people. Death is a lot more present in my life than it used to be, and you know maybe that is a good thing. Little Feat had a song with the line “And You Know That You’re Over the Hill When Your Mind Makes a Promise That Your Body Can’t Fill”. I can complain about my aches and pains and etc.,but I just have to be grateful that I can still do something and don’t spend all day in my pajamas. If I do maybe I need to think about Hugh Hefner. He is 88 and his wife is 28. I bet he doesn’t have many boring days.

Hey, I think I’ve found a magic cure. I just have to start chasing my wife. It still seems to work!!!

Now is the Winter of Our Discontent

Export to PDF | Export to DOC

I’m still trying to get this retirement thing down. We had two of my wife’s relatives over for breakfast this weekend. The husband is in his early 80s and has been retired for many years. The wife is in her mid to late 70s. They travel a lot, go to the gym, go to church, and maintain regular contact with their children and grandchildren. Basically they do what we have been doing. So I wonder is this retirement? I don’t know if I am ready to say that yet.

I still get excited about new ideas and I still get urges to be a therapist. It comes and it goes, but my patient load right now is often concentrated on my own family and that is NOT a good thing. Some of the guys I know can talk about their old jobs and the way they were treated by their bosses, or how their companies were taken over by larger corporations. They still have interest in the business of what they did. My job was people, so it’s not quite the same thing.

The winter may be also contributing to this. It is grey and cold and snow covered. Good day to stay inside and read. Sometimes that is OK and sometimes not so much. I recently heard that an old friend began stocking at Target “just to keep busy”. Another colleague of mine told me she didn’t retire, she just resigned from one job and is now in a very limited practice near her home. She has four grandchildren and is very involved in a number of other activities. She still gets bored and often works until she almost collapses. This chapter of my life-the working full time, being on call etc, is over, but the book is not done. I am still trying to write the next section. I remember I once had the husband of a patient tell me that you don’t retire from something, you retire to something. I do think that is good advice, but it is a difficult question to answer. Is just keeping busy enough ?

I want more than that, but not so much as to work full time or again begin to assume responsibility for a caseload. I guess I just have to keep searching.

I was touched by David Carr’s death. He seemed like a good guy. He was an excellent writer and he had been in recovery for many years. His book “Night of the Gun” details his first recovery. He relapsed after 14 years, drank for couple of years, and then got back into sobriety. An interesting man who was very passionate about his profession. I think the idea of passion is what I am missing. Victor Frankl used to ask his patients “What stops you from Suicide?” as an opening to his interviews. For me it’s not that so much as “What else is there?”

When I was working I would see a real difference between Women’s Therapy Groups and Men’s Therapy groups. No matter what they were there for, women would always talk about their relationships (or lack there of) as contributing to their problems. Men would talk about their jobs in the same way. Now I know that is a generalization and may be related to the demographic I was working with. Yet something of that still rings with me. Maybe I need to therapize myself, or maybe I just need spring. I guess I will see what April brings

Laid Out Like a Grid

Export to PDF | Export to DOC

When I was 10-11 y/o my family was going to Chicago for the day. We were going “downtown” to see a movie at the State Lake Theater. This was a very big deal back then. After the movie was over, we walked around and I was overwhelmed at the size of the buildings and the mass of people. I remember asking my Dad how he knew where to go so we wouldn’t get lost. He told me Chicago was a very easy city to get around in “Because it’s laid out like a Grid”. Since then I believe hundreds of people have told me the same thing. “You can’t get lost here because Chicago is laid out like a Grid!”

Well by God that has never helped me! I always get lost in Chicago (and most other cities too). I think I have a very peculiar type of learning disability related to directions. Once when I got my drivers license I picked up my sister at her high school. We had to run an errand for the family and it took almost four hours to get home. Another time the hospital sent me to a conference in Minnesota. I got off the plane, rented a car, and drove for almost six hours to get to a location that was 45 minutes from the airport. I always remember Blanche Dubois line about depending on the kindness of strangers because of asking for directions. Sometimes conflicting instructions would make it worse and I ended up going in circles. I do eventually get where I’m supposed to. I just don’t do it the way you are supposed to. Wandering around has led to many strange encounters. In Minnesota I ended up stopping at a church picnic to get directions. The people there were wonderful and helped me get on the right track. In Ireland a convenience store helped get me back to the hotel. It just takes a little longer

My family laughs about this now. My wife thinks it is genetic and tells me that the reason my grandparents didn’t emigrate until 1902 was because they got lost trying to find America. My sister has some of the same difficulty so maybe there is something to this. GPS has been a mixed godsend. My wife always wants me to take one and use it if I go someplace new or someplace complicated. I have even ended up swearing at the GPS. I hate the words “Recalculating” or “Make a U-Turn”. It seems even machines know how to frustrate me on this. The shortest distance between two places is a straight line just doesn’t seem to work with me.

I think that is why I had patience with people who were struggling with their own problems and decisions. With alcohol and drug users the “Just Say No” plan seems very logical. Marital problems, domestic abuse, anxiety attacks should all be able to be fixed quickly. However people don’t work that way. Addicts basically stop when they are ready and not one minute before. Everybody has their own speed. Sometimes the solutions people have to problems seem to cause more difficulty than their original situation. I had many people who had affairs basically to get out of their marriage. After the divorce the affair stopped, the abandoned lover would often end up in my office in their own crisis.

Sometimes it seems like there are people who go from crisis to crisis. They get one problem solved and almost immediately find another. The Grateful Dead has a song with a line like “I may be going to hell in a bucket, babe. But at least I’m enjoying the ride”. This can be very frustrating for anyone trying to help, until you step back and let them find their own way thru the maze. I know early on I would want to solve everyone’s problems. I thought if they would just listen to me everything would be fine. I soon learned that was not a good idea. I would often end up being blamed and just another problem in their lives. I was the GPS being sworn at. So instead I would just end up trying to support them in their struggles and complimenting any small gain. I would gently confront any backsliding and continue to urge them on towards whatever goal they had. Defining the goal is important because otherwise people can just wander. If you stop drinking and become sober, now what? If you get divorced and are still unhappy, now what ? Often relapse would happen because the answer to that wasn’t available. If there is a genuine positive for stopping, changing, deciding, then the journey doesn’t seem that long. Helping people find it is what I was supposed to do. I just had to learn that there is no grid that fits everyone