Living in an earthquake country, the imagery of seismic rumblings is a familiar part of daily life. I went through the “big one” in the Bay Area in 1989, and we all live with the knowledge that there will be another good-sized shaker sooner or later. The wiser among us have their preparedness kits safely stowed in their basements. It was probably fourth grade when I first started learning about plate tectonics, the science of the shifting slabs of rock that divide the earth’s crust. Not far under a seemingly solid, perhaps placid earth’s surface resides this rocking and rolling, drifting landscape, moving constantly and reshaping the exterior of the land, occasionally in a dramatic, even violent way. I found myself thinking of this craggy lithosphere as I pondered the fragmentation of selves, which in some ways seems quite similar.
When I first started learning about the fragmentation aspect of trauma, dissociation, it was confusing and still can be. Dissociation is a term used to describe two distinct but related phenomena: to crassly abbreviate them, “splitting” and “numbing.” Splitting refers to the “divided self,” torn between two or more fierce emotions or states. They might be the disparate parts of the self that witnessed and lived the traumatic experience in various ways and the part that kept traumatic events hidden from awareness. One part might look “functional” or “good” on the outside and “dysfunctional” collapsed into some other less desirable adaptation behind the scenes. The numbing refers to a dulling of awareness, lack of presence, and “spaced out” response, which can readily be one of the split-off parts. Both of these definitions are correct, often used interchangeably, and I still find they can muddy communication.
Back when I first started learning about dissociation, one of the parts was referred to as the “Apparently Normal Personality” (ANP). I never cared for that term. Mostly because I balk, in general, at the notion that there is any such definitive designation as “normal,” so it winds up being subjectivity or prejudice and often pathologizing. I like Janina Fisher’s wording: the part that “takes over the ordinary responsibilities of daily life.”
In the world of neglect, the bedrock fissure, the “crack at the core” is what I call the “Dilemma Without Solution.” This is the great divide between the two warring emotional forces of desperate longing and bottomless distress, be it terror, grief, or some combination of both. Particularly for an infant whose needs are limitless, if the source of comfort and rejection, pain, or simple but devastating absence are the same person, it is indeed unresolvable. The cracking mitosis is not a discrete event but a redundant process of approach/withdraw, reaching and recoiling, reaching and recoiling. For an infant, it is unresolvable; the only viable adaptation to this inescapable shock, the only way “out” is to freeze or collapse. And that icy answer can readily evolve into the numbed-out state of dissociation and can often congeal into lasting patterns that make for relationship hell.
For years I wondered why I couldn’t have anyone in my life for long. Some people still had friends going back to grammar school and even earlier. I felt more like a motor boat, looking behind me at a choppy wake, a trail of relationship wrecks. What was it with me? I simply could not get along with humans.
Magma is the molten, liquefied rock flowing deep in the earth’s core. Shifts in pressure and temperature may build and boil, ultimately culminating in the ruptures and upheavals of earthquakes. It is humbling and frightening to imagine that something as devastating as the recent earthquake in Turkey, which left thousands dead and thousands more orphaned and homeless, started with the quiet rolling around of warm liquid. I think of the dilemma without a solution as the magma of neglect trauma. It may at first seem subtle or barely noticeable, a “simple” absence. But to the infant, there is nothing simple about it. It is as if the sun is disappearing from the sky, and the very life force is extinguished. To the infant, the withdrawal of this all-central other makes for the rising pressure and the climbing temperatures that culminate in the devastating quakes.
Some struggling survivors of childhood neglect may berate themselves, complaining of what they might call “fear of intimacy.” Or they might not experience it as “fear” or call it anything, even. They might not even notice that they simply act on reflex, fleeing from something resembling closeness. They may not recognize it themselves but hear the disgruntled refrain from partners or others attempting to be “loved ones” that they are avoidant in some way. They might be tortured or mystified by loneliness or mystifying relationship “sabotaging” behavior such as being “needlessly” antagonistic (although antagonism is probably rarely, if ever, “needed!) They may recoil from the connection in any number of conscious or unconscious ways. They may, like the old me, look behind them with shame and bafflement at the trail of litter, the detritus of wreckage of relationship tried and failed. The surgeon general in 2023 identified a national “epidemic” of loneliness in the US. I wonder how much of it is rooted in this dilemma.
I have had clients who survived their childhood dilemma by “performing.” The poverty of presence and attention meant there was a failure of mirroring, with no one present to reflect back to them who they were. Rather than growing and exploring organically to what it means to “be me,” from the inside, they rather looked “out there.” Searching for cues and clues about how to garner approval at the least. Growing up and later showing up in our offices, they are frustrated and ashamed by how authenticity eludes them. “I have no idea what I feel and what I like. My husband tells me he grew up being a “fur coat.” He learned well how to be an elegant, even luxurious adornment until, with bitterness, he was old enough to get out.
Neglect is rife with complications of self. I must be ever mindful when I see a client feeling better one day or able to do things in a new way or in a way they have been aspiring to. I must not overshoot or excessively acknowledge or compliment them. They might wind up feeling unseen, or as if I don’t get it, that the terrified parts are still there, and may rear up again at any moment. The parts move and change; dominance and prominence may shift and drift. Disowned parts may not go away.
I have found that sometimes the hardest changes to integrate relate to seeing myself in new ways that are wonderful. Something I used to struggle with no longer eludes me. I feel easier, or people like me. I may strain to believe it or to not screw it up. We must go gently with that, too. The earth is ancient, core and surface, and everything in between, ever-changing. We strive for harmony and equilibrium.
Today’s song:
I am a great lover of words. It is hard to say whether I love words, color, or music more, of all the varied and vivid means of expression. I love them all. However, sometimes, I am struck by the poverty of verbal language and how deficient it can seem in conveying its message. Such was the case when recently I was visited by a fleeting whiff, almost like a less than a momentary blast of fragmentary memory. It was so lightning-quick and then vanished, almost like a trick of perception. Except it was so searing and real as to be unmistakable. It carried the label, however deficient, of my timeless, signature, and chronic childhood loneliness. Although it has hardly been a secret or a mystery that I was a desperately and hopelessly isolated little flailing misfit, what was jarring now, was the unbearably wrenching sadness that I did not remember having felt quite this way before. Might that be the most weighty and devastating bequest of trauma and neglect? Perhaps. I found myself pondering that question.
As a trauma therapist, I have invariably found that the unbearable morass, challenge, or chronic failure in the world of relationships was what most brought survivors to therapy. It seemed as if almost anything else was more bearable, but not being able to make a go of friendship, intimacy, parenthood, or other family ties drove a kind of urgency that “forced the issue.” It was simply too hard or too hard to keep on trying in vain to figure it out. Not that I was any kind of expert myself, but I knew plenty about what did not work; I could certainly read and learn, and intuitively empathy made sense to me. Although people seemed to think treating others as one would like to be treated oneself was a good thing, which is certainly true, treating people as they would like to be treated is even better. Why wouldn’t that be obvious? Most likely because of the preoccupation with oneself.
I pondered these questions from early in my solitary little life. I was a heady, bookish, introverted little girl who spent inordinate amounts of time quietly alone. Sadness was a default mode, like ambient air. It was not even noticeable but the omnipresent norm. When I conjure an emblematic self-image, I see myself in grades three through six, making the 30-minute trudge to school and back, reading a book. Walking and reading, how did I do that? Now when I see people walking and texting, I wonder how they keep from tripping. Back then, it was my daily routine. Is loneliness the worst of the symptoms of neglect? Sometimes it seems it might be. How can I forget that?
Becoming a therapist was a natural progression after a decade or so of crashing and burning and finding that psychotherapy was the only thing that kept me from dying. Just as going to therapy had seemed not like a choice but a “do or die” proposition, so becoming a therapist, as for many of us, seemed like a “shoe-in,” so to speak. And what else was there to do? It was a job description that my childhood prepared me for, both in the care-taking-of-parents sense and also in the knowing or thinking I knew what was needed sense. I also knew I had a lot to learn, and so set about the seemingly endless and solitary task of trying to learn it; and trying to be good enough in a world in which, as ever, I never was.
And for the “loner,” lonely social isolate that I was, it was an opportunity to be in a way very “close” to people, or “important” to them in some way, that was not really “real,” like real relationships, but what I could handle and could provide. And there was also plenty of quiet alone time in my office, except when I was working, reading and thinking, and planning where I could go to study and learn next. As I got increasingly immersed in the then young sub-field of trauma, I did a lot of running/jetting around to conferences and training. For some reason. Although the US West Coast is such a trailblazer in so many ways, in the area of trauma, it simply wasn’t. So I was going everywhere I could learn.
And everywhere I went, I was that same little girl walking and reading by herself. I floated around conferences like a wordless ghost, always staking out my seat in the front row of every conference room, large and small, never speaking to a soul, eating my room service dinners holed up with a book, haunting hotel gyms at the wee-est hours. I never spoke to a living soul, lived out my historic invisibility while I accumulated a growing store of knowledge. They were productive years and desolate. It is strange and somehow dissonant to remember them. It is no wonder that the sudden lockdown of the COVID-19 Pandemic did not feel strange or alien. Like for many of us who come from neglect, it was a throwback to a whole life of a similar, if less “intentional,” social distancing. What was striking was to have a partner and two sweet and scruffy dogs and to be sharing the experience so widely.
Thinking about it now, I am astonished. How I am not alone, not alone in my small world, and not alone in the larger world. I have a team that supports and works with me. I don’t have to do it all myself! There are many people near and far, some of whom I have never met or touched in person but whom I can authentically say that I love and even who love me. There is you, reading these words. Maybe I will never see or know you. But maybe I will. And I even, at least sometimes, dare to believe you or people like you are there. Neglect did not prepare me for that, and neglect-informed psychotherapy has that among its tasks. To discover that loneliness, being alone is not a birthright or a death sentence. It is an aberration, and it can turn into something else. Even a wonderful life like what I have now.
Sometimes looking back, my life looks like a honeycomb: a structure of geometric encapsulated, hermetically sealed cells, each with its own signature content. Honey is sweet, and some of the cells are not without sweetness or bittersweetness. It all constellates to make this attempt at a story. The healing of neglect is about elaborating the story out of all the nothing, all the fragmented missing fabric of experience and/or loss. It sometimes amazes me when another piece floats forth when I have long been focused on other things.
I have recently had the experience where a very dear client has felt shocked and incensed, abandoned and unseen by my gross oversight, negligence, and failure to see, comprehend and address her loneliness. It seemed mindless, senseless, colossally neglectful, and unconscionable for someone who is endlessly pontificating about the perils of neglect. She is right! How did this happen? How could I do that? Perhaps it is so “natural,” so familiar, and as we say, “ego-syntonic,” that it could disappear into the familiar field. My deepest apologies. A mistake I must strive to be mindful of and never make.
Today’s song: