Control-Vulnerability Therapy Discussion-
13 September 2006-Wednesday-9:11PM
This is kind of jumbled up but the basic premise is that for me control has more to do with my emotions than it does with interpersonal communication.
I say I feel out of control, like I’m going to lose it. You say that when I’m able to set boundaries for myself that I show a lot of control. Over the past few weeks I’ve figured out that our definition of control is different.
Yes, I can usually set limits. I can usually stand up for myself. I can usually be assertive when I need to be. I think that is what you mean when you say that I have more control than I think. When I say I feel out of control I mean that what I feel is overpowering. The depression, the flashbacks, the nightmares seem to consume me at times. My reaction to triggers isn’t so concealed anymore and I don’t like that at all. Vulnerability is not my strong suit.
Not showing emotion or showing emotion at the right time in the right amounts is what got me through living with the mother. No matter what happened you never were to act shocked. It didn’t matter what you saw you just didn’t freak out, you didn’t panic, and you didn’t express dismay or show any signs of being effected by it. You just went on like nothing ever happened. When my uncle shot me in the foot the mother held me while my white shoe turned red but we didn’t ever talk about it again. We did not go to the hospital to have it looked at. Thank goodness (???) it went through my toe and didn’t cause major blood loss that put my life in jeopardy. When my aunt beat my cousin with 100 lashes we went on as if nothing ever happened. We could hear her in the other room and then she stopped screaming. I wasn’t sure if she was dead or alive but I never showed it. I never looked offended, frightened or concerned and that is how I kept myself from getting 100 lashes. By the way, 100 is not an exaggeration. As a matter of fact it was more. I stopped counting at 100 because my mother and sister and I left to go to the Quickie Mart. When we returned the aunt was done. I did not show fear unless that was the response the mother was looking for. I did not cry unless that was the response the mother was looking for. As a matter of fact, I didn’t laugh unless that was what the mother wanted. I gave good conversation when she wanted it, humor when she wanted it, tears when she craved it. Somehow I took pride in knowing just what to do and how to read her. I knew how to second guess her and I tried to stay one step ahead of her. It was almost a challenge, something to live for. That was control of my emotions, being able to respond as required. Now, I respond as anyone else would and that is unfamiliar territory for me.
I do not know how to second guess the people I see daily or the roommate that I live with. I don’t know what is expected of me. I often do not know if my behavior is in response to current issues or past occurrences. Confusion is a major part of my day. I use to stay one step ahead and it was rare that I was caught off guard. Now, my emotional responses aren’t planned, they’re automatic. That lack of emotional control scares me.
Another thing I mean about control is how I’m affected by the PTSD symptoms. When I can’t get certain thoughts out of my head, when I can’t make the dreams stop, when I can’t eat enough to fill this emptiness it makes me feel like I’m open to every possible ….I don’t know the word I’m looking for….iIt makes me feel like I don’t have a choice in what my mind does. I can’t start or stop it. When it comes to other people I know very well I can tell them to get lost. I can set boundaries; I can be assertive without kicking into that aggressive mode. So that isn’t what I mean when I say I feel out of control. When I say I feel out of control I mean that the symptoms of PTSD seem so strong that they pull me under and suffocate me. I mean that depression grips me and doesn’t let go. I laugh when I want to cry. I laugh and chat when I want to scream. I talk and walk when all I really want to do is curl up and stop existing. The person you see in your office is not the person that I am at home. There are so many private shame behaviors at home that therapists and psychiatrist never see. Those are the things that weigh me down and keep my tonge tied but allow it to open up and laugh.
Vulnerability is not my strong suit. Sometimes i stay home because I know full well that my trigger responses are not within my control. I don’t want to show in public just how much afraid I am of living. I don’t want the public to see me look over my shoulder to figure out if my mother or my uncle or my sister is going to come out of nowhere and call me by that name they gave me at birth. God forbid they should try and hug me. I shutter at the thought. My level of fear is out of control. It keeps me at home when I could be out enjoying the day. The longer I stay in the house the harder it is to leave and the more I depend upon Captain to help me leave.
About DID and dissociation:
You asked me how much I know about it. I was fortunate enough to be diagnosed by Dr. E. Bowman at Indiana University back in 1990. Anything she had questions about I’m sure she could ask her hubby Dr. P. Coons. She has a lot of info. Early on I had really good therapists so I learned quite a bit about dissociation, about triggers, red flags, why the mind splits, why people dissociate, what depersonalization is and all of that. I think I have a pretty good understanding of my disorder. Most of all I have a pretty good understanding of how I function with DID. I’ve done more DID work than I have PTSD work which is why I totally agree that right now the main problem is PTSD and not DID. When I asked you what you thought about the dx you scared the crap out of me when you beat around the bush and tip toes around actually saying “yes, I think you have DID.” At home I thought about it. No, you didn’t say “I think you have DID” but you also didn’t say “I think you’re faking.” That is the answer most important to me. One thing I know for sure is that my story has not changed. I know for certain that the details I give today are in agreement with the details in my file if they even recorded them. Even though I know it’s true I still need to be believed by someone else.
I think you’ve said a few things that were empowering and very validating. I think some of the most basic things a person could say have gotten an “are you serious response.” When you said that it’s okay that I still struggle with abuse issues my response was “are you serious?” I thought you were mocking me at first. I thought you were looking for a response like, “yes, I’m handling things poorly” so you could say, “you’ve got to stop living in the past.” I thought it was a test Dr. B. Later I realized it wasn’t. When I hear you say the most basic things like, “you are human” or “I guess you are tired with what you’ve been through” my brain kinda skips a beat. I think to myself, is he serious? But you haven’t followed any of that up with, stop feeling sorry for yourself and let the past stay in the past. I’ve figured out that you’re not waiting for me to say, yes I’m tired so that you can jump me with how much I’m letting the mother control my current life. You have not told me that I have coping skills and that I’m strong and I can do this. I hate that Dr. B. I know I have coping skills. I know I have strengths but sometimes I just need someone to hear me say that I’m tired. I think you actually hear me say that. It’s a relief. Yeah, I grasp a lot about DID but it’s the small things that get looked over and the small but profound truths that stick in my head.
I’ve got the intellectual part of understanding abuse. I do not have the emotional part of it. I know there was nothing I could do to stop that woman. I still feel guilty. I know that the history of abuse is 6 generations strong. I still feel guilty. I know that my mother was out of control. I know that my mother is responsible for what she did. I know that these symptoms are typical for what I’ve been through. I still feel weak. I know how to recognize the symptoms and I can usually keep my head above water but I still feel weak. I have an intellectual understanding but I’m still emotionally on auto pilot. Auto pilot is not the same as flying. I’m not flying.
That’s all.
Austin
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