What I remember best about John F. Kennedy’s assassination is the looping image of the president’s little son, “John-John,” saluting. In 1963, I was eight, and we lived in South Bend, Indiana, where the winters were fierce and long. I was hunkered down in the basement, with the heat blasting and unending coverage of the memorial and the national tragedy on TV non-stop. That image of John-John must have replayed a million times – or maybe it is the distortion of my young memory and my profound identification with the grief-stricken child. I don’t remember much else about John Kennedy Junior through the rest of my life, but I never forgot when he was, I guess, three. What happened to him?

The Kennedys were iconized, as tragedy and martyrdom often are, and it was years before I knew some of the unsavory politics and aspects of JFK. I was surprised a few days ago when I heard a story memorializing his sister Rosemary Kennedy on the 18th anniversary of her death. I did not know there was a Kennedy sibling who had been lobotomized for being “slow.” It got me thinking about the neglect, even seeming annihilation, that often comes with political or other kinds of “greatness,” large and small.

Our dad was not a major celebrity or famous, but in his way as a religious and community leader, he was a figurehead or centerpiece of sorts. I remember when we were growing up, sometimes when we met someone new, someone he knew, or someone noteworthy perhaps, he would say, “Do they know who you are?” The emphasis on “are” meant, “Do they know you are my daughter? The cantor’s daughter?” Evidently, that was all that I was. There was no me.  

When our mom died, we each had a list of people to call and notify, and one of the people on my list was the teacher of Dad’s autobiography writing group. He had been in that group for perhaps five years, writing and sharing his memoir. Everyone loved him. Apparently, the group format was that participants would read aloud and comment on each other’s work, so they knew each other quite well after that long. When I identified myself to the teacher, she said, “Oh! I didn’t know he had a daughter.” Rather shocked, but not really, I said, “Yes. He has three.” As ever, my existence was an ongoing question. In this case, it was all three of us, I guess. 

I remember early on feeling I had to justify my existence somehow, earn my right to occupy a patch of ground to stand on, on this earth. Much of the time, I felt like a puff of smoke or shadow that was perhaps punctuation in his screenplay. Or a prop or extra in his movie. Perhaps that is why I excised the word “deserve” from my personal lexicon, and to this day, I bristle when I hear it. There really is no such thing in this world as “deserving,” or perhaps more accurately, getting what one “deserves” – so I believed.

In the mind of the neglected child, existence is a mystery, or it was to me. Worthiness, merit, privilege, specialness, responsibility, “luck,” – how do they all fit together? How is it determined who gets what? And why me? Or why not me? And what on earth to do about it? I remember early in my exploration and study of neglect, I could spot a child of neglect quickly by the signature shrug, deep as the ocean, of “I don’t know what to do!” Or, “There is nothing I can do!”

In the mind of the neglected child, existence is a mystery, or it was to me. Worthiness, merit, privilege, specialness, responsibility, “luck,” – how do they all fit together?

Fame

Nelson Mandela was quoted as saying, “I have often wondered whether a person is justified in neglecting his own family for opportunities to fight for others.” Mandela’s daughter, Maki, much as she admires her father, recounts painful memories from long before her father was in hiding or imprisoned, of not knowing if he loved her or not. She is torn by grief and bitterness about her devastating neglect, tugging against profound feelings of admiration, respect and pride. “I had a father who was not there – which was how I saw it through the eyes of a child – who chose politics over me or even my brothers, my family.” I heard similar sentiments expressed by her brother in an interview some years ago, but I can’t seem to find it now. 

Fidel Castro’s oldest son, also named Fidel, a prominent physicist and accomplished researcher, died by suicide at the age of 68. I don’t know the details. What are the unique costs and conflicts of being the child of “greatness?” Of being eclipsed by the world’s suffering? How does a child make sense of, or peace with that, through their lifespan?

Our dad did much good in his own particular sphere. On weekends, I wished he would come home, but he was often running to the hospital to visit congregants. It is a “mitzvah,” a good deed, to visit the sick. And indeed, a noble and generous act of charity, so to speak. I honored and respected, even learned from that. But I, guiltily, hated it. Like Mandela, he was “never around.” And, of course, I could not begin to compete with the sick, dying and grieving multitudes. But shame on me for feeling that!

I sometimes wonder, is the price of heroism, martyrdom, or “goodness” the sacrifice of one’s kids?

Ambivalence

Neglect is fraught with searing, seemingly irreconcilable ambivalences. The mixed feelings of jealousy versus guilt, rage and resentment versus social and political responsibility, grief versus gratitude, love versus bitterness, self-care versus greater good, gratitude versus tail-chasing confusion. I am still flummoxed about the balance between my commitment to the larger world and looking out for my little and aging self. Oy vey. Admittedly that is part of what keeps me awake at night. My feelings about our dad are in a similarly vacillating both/and. He perhaps hurt me more than anyone, but he also bequeathed to me all of my most cherished traits, qualities and many skills. How do I resolve that? How do I make sense of it? What do I call it? That, of course, complicated my feelings further as his life drew to a close, now almost three years ago. But thankfully, I do not suffer about it anymore – it is more a contemplation.

I sometimes wonder, is the price of heroism, martyrdom, or “goodness” the sacrifice of one’s kids? As ever, kids have no say, no voice. Are they/we part of the deal? Sadly, it is on the unconsenting child to “figure it out,” to deal with the fallout of the neglect. Perhaps the conundrum that plagues a lifetime? 

I was always puzzled by the Bible story where God instructs Abraham to sacrifice his son as a show of faith. Dylan eloquently expressed my sentiments in his timeless missive, Highway 61: “Abe said God, you must be puttin’ me on!” I didn’t get it. How is that a good thing? I don’t know. I have had a similar conflict with an occasional client who had a famous parent whom I had always iconized and admired, until being jarred by a back story, a casualty that I had not known about before; or a memoir by the child of a hero figure who may have caused devastating harm. Steve Jobs’ first daughter Lisa, asked, “Was I named after the computer or was the computer named after me?!” I don’t know if she ever resolved it. And I still struggle with the ongoing choice between my own interests and the “larger good.” Perhaps it will always be one of those chicken-and-egg scenarios…

Today’s song:

My book “Working with the Developmental Trauma of Childhood Neglect: Using Psychotherapy and Attachment Theory Techniques in Clinical Practice” was published on August 31st. It provides psychotherapists with a multidimensional view of childhood neglect and a practical roadmap for facilitating survivors’ healing.

When I started therapy in 1978, long before many of my readers were born, our mom muttered bitterly, not quite under her breath, “…the ‘blame your mother’ generation!” I have no idea why I even told her. From then forward, my therapist ever retained her reign as “public enemy number one.” Blame is not my paradigm – that I want to underline – and my purpose is anything but that! Rather connecting perhaps counterintuitive dots, that might lead to better self-understanding is my wish. And admittedly, sharing insights that might be interesting to me.

Similarly, “Refrigerators, Helicopters and Tigers” (oh my!) may seem to evoke Dorothy exclaiming the perils of a terrifying world or a bad joke (what do the three have in common…) So, bear with me please as I seek to elucidate more less than obvious expressions of neglect. 

Again, the deepest and most injurious sequela of neglect is the rupture or failure of the primary, most important attachment(s,) most notably with the mother whose body houses the child at first, and ideally would continue as a home and source of comfort, regulation, and protection from the perils of that dangerous world.

Perhaps the most integral and the first vehicle of comfort and regulation is the “simple” experience of being seen. Gazing into the face of a present and loving (ideally calm and regulated) other is foundational. Brain development begins with the resonant dance of the gaze and evolves into being accurately heard and responded to. Not perfectly of course. It seems so simple, no? A no brainer in more ways than one. Sadly, it is so very often lacking. Missteps and mistakes, of course, are part of the deal, but with repair, we are actually better for them. Confidence or knowledge that repair is possible makes the inevitability of imperfection bearable and survivable. 

The most devastating impact of neglect is the deathlike loneliness of not feeling seen, but even worse, not being or feeling known. When I am known as me, as distinctly, uniquely ME, this means I exist. This feeling or sense that I exist may, with luck, evolve to a sense of self, and with even more luck, a sense of self-worth: I exist, and I matter. Without it, we may drift unmoored in a foreign world, wondering what is wrong.

Gazing into the face of a present and loving (ideally calm and regulated) other is foundational.

Refrigerators

I recently encountered the term, previously unknown to me, “Refrigerator Mom.” (If not for the chill factor, I would associate such a label with an abundance of food!) I came to find out that, in 1943, Austrian psychiatrist Leo Kanner theorized that cold, unresponsive, and emotionally inattentive parenting resulted in children who failed to develop and retreated from social contact. Kanner identified the child’s aloneness from early in life as the explanation for autism. In the later 1940s through the 1960s, Bruno Bettelheim, renowned psychologist, researcher, and educator at the University of Chicago, advanced further acceptance of the theory with the medical establishment and with the wider public.

Although understanding of autism has evolved since then, I find it interesting that some time ago, the connections were already being drawn between maternal emotional distance/absence, the young, developing brain, and subsequent social withdrawal. I also think that my serious, intellectual, decidedly cool-tempered, proudly Oxford-educated grandmother might have qualified as a refrigerator mother to our mom. She was stiff and unaffectionate, undemonstrative and matter of fact. She certainly was not a fairytale baking and gift-bestowing type of grandmother, either, and when our mother was a child, pre-Holocaust, being of substantial means, I am sure nannies contributed to the distance. No wonder our mom, from my point of view, was disconnected and lacking in emotion, presence, and warmth.

Confidence or knowledge that repair is possible makes the inevitability of imperfection bearable and survivable. 

Helicopters

In our part of the world, hovering in the shadow of Silicon Valley, where many over-achievers are made, horizons are crowded with the so-called Helicopter Moms. These are the micro-managing moms that are on top of the child’s every move, pushing and pulling, prescribing and buzzing, or roaring as it were around the suffocated and overstimulated child. The hovercraft is everywhere, researching and making decisions for the breathless little one, who has no opportunity to even see what the choices might be. Play dates, after-school activities, sports teams… These are the parents overzealous in the stands, cheering the child on as if their lives depended on winning the championships. 

In his 2017 book, The Matheny Manifesto: A Young Manager’s Old-School Views on Success in Sports and Life, professional baseball manager Mike Matheny describes in detail the behavior of these roaring sports “chopper” parents, many of them trying to compensate for their own mediocrity, or failure, living vicariously through their young jock child. Mothers are far from immune. The incidence of Tommy John shoulder surgery, once unique to elite professional pitchers, has proliferated among younger and younger kids, being allowed and perhaps overly encouraged to practice and play too much.

Helicopter mothers are of course not limited to athletics, but it is a good example of the child being micromanaged, controlled, pressured to perform in some way that does not originate with their own will and preference, and too much. The same can be true for playing a musical instrument, some other form of art, academics… anything really. In effect, the child is a foil or surrogate, an alter-ego, and not a unique and treasured individual. Treasured most specifically for their exquisite uniqueness.

Tiger Mothers

The term Tiger Mothers was originally associated with Chinese mothers who mercilessly pushed their children academically to the point of illness and injury. In effect, it is a variety of abuse. Although that is where we got the term, I am more inclusive in how I would use it, having seen examples of these poor, exhausted kids across national and ethnic borders. I have been amazed hearing what kids had to do to be accepted to a local high school, in the way of not only academics and sports, but additional extracurricular activities (not to mention the application process itself and the tuition costs of such schools!) I would be breathless and wiped out from merely hearing about it! Perhaps the mothers did not roar or bite, but ferocity of the wild feline often sadly did seem to fit. I would find myself uncertain as to whether it was good news or not when the final acceptance or rejection from the school arrived. 

It may seem counterintuitive to recognize profound neglect in such seemingly attentive, “involved,” seemingly child-centered parents. It is similarly painstakingly challenging to help such a child of any age recognize their experience as neglect. Some may be blindly “successful” in their honed abilities and live dissociated and detached socially and/or emotionally: Kanner’s autism. Some may crash in their struggle around partnering, finding the fulfillment of the marriage and family part of the script beyond their super capabilities. Some may be like the superstar Miss USA, Cheslie Kryst, who seemed to have it all, and shocked the world when she committed suicide by jumping from a high building. As Amy Tan powerfully stated, “loneliness is not about being alone, it is about not feeling understood.” 

In spite of being seemingly swaddled with devoted attention, when what is being seen is not really me, it can be some of the most devastating, life-destroying iterations of neglect. Especially as the child, whatever their age, feels so guilty and unentitled to feel bad.

I recently heard an interview with Michelle Obama, talking about her new book, The Light We Carry: Overcoming in Uncertain Times. She said that we can create authentically independent, strong, and self-actualized kids by being present as long as they need it, then showing them that we trust them enough to let them do it their own way. Parents evolve, she said, from “managers to advisors,” thus enabling kids to grow into, and feel free/able to manifest, their own unique authenticity; kids that have the delicious opportunity to say with pleasure and pride, “That’s me!”

Today’s song:

My book “Working with the Developmental Trauma of Childhood Neglect: Using Psychotherapy and Attachment Theory Techniques in Clinical Practice” was published on August 31st. It provides psychotherapists with a multidimensional view of childhood neglect and a practical roadmap for facilitating survivors’ healing.

It is hard to believe it has been a year since the horrifying Taliban takeover of Afghanistan. Admittedly, I was barely aware of the US’ 20-year “involvement” there until the messy and controversial evacuation. My limited knowledge of the place was only from the novels of Khaled Hosseini, some of which were so sad as to be almost unbearable to get through. I would ask myself: how did it happen that I was born here and those women were born there, and how do they endure such lives? 

With interest, I heard a young American war veteran talking about his experience in Afghanistan, which sounded much like how I remember young soldiers in my youth describing their experience of the Vietnam war. They had no idea what they were doing there or why. I was also surprised and gratified to hear the Public Radio commentator explaining the recently identified category of trauma referred to as “moral injury.” This is the trauma of being forced to witness or commit acts that painfully conflict with one’s own values, morals and beliefs. Often moral injury occurs in the line of duty: military, medical, where the survivor is faced with impossible choices or no choice at all. Of course, we know it also occurs plenty in families. This young veteran, only 20 years old, was talking about that. What a terrible burden to live out one’s days under such a yoke of grief, regret, remorse, guilt, anger and helplessness.

I remember when I was barely old enough to talk, my mother shaking her head and exclaiming, “I hate war!” in the same fierce tone as she sometimes said, “I hate alcohol!” She described herself as a pacifist, so I learned that word early. She loved Gandhi and Martin Luther King, and I remember her having a bumper sticker or a sign (I am not sure) that said “No War Toys.” Even though we were a family of all girls so it was not an issue for us, she was among a group of women opposed to little boys playing with guns, which it seemed like they all did. From an early age, I remember finding war horrifying, incomprehensible and frightening. I rarely watched a movie or read a book about it. In the Vietnam era, I was staunchly antiwar and active, but never quite knew or understood what was going on. Just that I hated it.

From an early age, I remember finding war horrifying, incomprehensible and frightening. I rarely watched a movie or read a book about it.

Unsung Heroes

I have always been amazed that Madonna and Jane Fonda looked so good, close to my age or older. Until I realized, well, parts of them are close to my age or older. They, and others like them, had had a lot of “work” done. Of course. I never knew the history of the science and art of plastic surgery until I recently read The Facemaker, a biography of the surgeon Harold Gillies. Gillies, born in New Zealand, was just completing his medical training when World War 1 broke out. Again, I was quite ignorant about this chunk of world history, and how that war was of a magnitude and scope of agony that seemed new even to the larger world. It also brought a new generation of weaponry that wrought new iterations of destruction: tanks, chemical warfare, bombs, rapid-fire guns. 

Besides the sheer numbers of dead and seriously injured, what compelled young Gillies was a massive increase in the appearance of young men whose faces had been blown apart. The damage was often so extreme that existing medical procedures and technology were completely unequipped to address it, let alone keep up with it. And where veterans who lost limbs and returned home in wheelchairs were often viewed as heroes, those with destroyed and disfigured faces looked so grotesque and frightening as to be repulsive to people, even their own children, fiancées and spouses. Even some medical personnel found them unbearable to look at while facing the new challenge, without protocols or textbooks, to develop techniques to try and put them even minimally back together. And, of course, the challenge was not only to “form” but also “function.” Not only was there a mandate to enable them to look such as to continue some semblance of “normal” daily life, but their faces, and the structures below, needed to be able to breathe, eat, and speak. 

Gillies made that his life’s work and became one of the founders of the art and science of plastic surgery in the process. In the beginning, plastic simply meant capable of being molded or receiving form, rather than a universe of ocean-strangling junk that we use to make virtually everything. Gillies and his comrades were truly creating an art form. In fact, alongside his unimaginable medical schedule, he added art classes so he could begin to draw and thus teach some of the techniques and procedures he was inventing. A massively energetic and generous human being who transformed many lives.

It was startling to me, as it often is when I discover a whole new category of knowledge or history that confronts me with a whole world of trauma and pain I had perhaps not thought about before. And unsung heroes that most of us never hear about. My own “petty” complaints about the appearance changes that come with natural aging; and narcissistic even identity related losses, paled into shame as I read these tragic accounts of young people in their twenties, trying to serve, or at the very least do what they were told, and being met with catastrophic losses of their sense of self. Often, they were greeted by a revolted and rejecting world, even their families. The horror was simply too much. This extreme of trauma shattered the interface of mind, brain, body, psyche, relationship, and most decidedly, sense of self. 

Sense of Self

The sense of self, as we know, begins at the very beginning, long before the face has developed much in the way of its unique characteristics. It develops in the most primitive part of the infant brain, as it resonates in a rhythmic dance with the attentive caregiver’s brain. That is sadly where the injury of neglect begins. The attentive caregiver is not there, or not nearly enough, or is out of rhythm due to their own trauma, depression, narcissism, addiction- whatever the harbinger of neglect. So the child is adrift, alone without a rudder or a boundary, long before there is a face. 

I have known and read about many a child of neglect who grew up and early on joined the military. It provided some sense of identity and affiliation, an orientation to how the world works, or simply instruction to the young adult who had never had anyone to help them know what to do or how to navigate the big world. The military tells one everything about what to do and when, even what to believe. It breaks my heart to think of the young men, 20 years old or even younger, who never had a sense of self to begin with, and then no longer had a familiar face in the mirror. Gillies cautiously permitted no mirrors in his hospital wards, to protect the patients from the anguish of their mangled reflections. Many of them had numerous surgeries and hospitalizations of many months and even years. 

Our mom was herself motherless and a survivor of war. Of course, her brain was sadly out of rhythm, and thus mine. It has taken years to slowly find the beat.

When I see younger people with beautiful skin, I tell them, “if I had known what I do now, when I was your age, I would not have this ragged old face. Take care of your skin!” I never thought about how lucky I am, however, to have an intact face! Perhaps my rhythm was long out of whack, and still sometimes is; with all the challenges of repairing a sense of self, I did not have that! It is a happy memory to think of my mother’s antiwar passion. I identify with that, even in relation to the parallel power struggles between intimate partners. I guess I inherited the passion for peace. 

Our mom sang this when we were kids – well, not with the rhythm you will hear in today’s song, but nonetheless. Thanks Mom!

Today’s Song:

My book “Working with the Developmental Trauma of Childhood Neglect: Using Psychotherapy and Attachment Theory Techniques in Clinical Practice” was published on August 31st. It provides psychotherapists with a multidimensional view of childhood neglect and a practical roadmap for facilitating survivors’ healing.

From an early age, I harbored both fascination and perhaps preoccupation with the body. Certainly my own, but really everyone’s. I was curious about sex, obsessed about food and weight, athletics, healing, all of it. I did not think I was smart enough to be a doctor, but I thought about it. In graduate school, I chose a specialization in somatics, even though back then, somatic psychotherapy did not have nearly the foundation of science and neuroscience it has now. I pored over Wilhelm Reich’s Function of the Orgasm because it integrated the essential worlds of psychology, sexuality, and politics in a way that profoundly resonated with me, those being three areas of exploration that consumed me and still do. I am gratified that the body has come to occupy center stage in the field of trauma, and even in a weird way, how the pandemic has forced us all to be mindful of the body and of health. It has also illustrated how profoundly matters of the body affect our mental health and even vice versa and worldwide.

Admittedly, I neglected the vast population of disabled or “differently abled” people. I don’t know if out of fear, denial, or simply oblivion. Another population that is invisible and forgotten, abandoned or cast out. I remember telling my husband early in our relationship, “if ever I can’t move, please shoot me.” I simply could not imagine being able to live if not fully “able-bodied.” (I am ashamed to remember it.) Our office has an elevator and a “disabled” parking space. I figured I was “doing my share.” Oy vey.

I recently heard an interview with a young woman introduced as a blind, queer, African American hip hop artist, Young Ant. She was talking about disability in the music industry, and what it is like to be a blind performer – something I had never thought about. Watching her rap and dance on YouTube was eye-opening. I had never considered how a performer finds their way gracefully onstage, dances, and looks cool moving, not to mention the accessibility issues of most or certainly many venues. Ant is on a mission to awaken the world to this.

I was impressed by the recently released movie, Box of Rain, a movie not about the Grateful Dead, but about the culture of Dead Heads, by the mention that way back in the 1970s, the Dead had a little platform in the audience at their shows for wheelchairs. That was radical in its time: the same era in which then-President Nixon killed what would have been the Americans with Disabilities Act. Many species destroy or abandon their “imperfect” young, and sadly, many human parents and fellow citizens are not much better. I am humbled to find another “blind spot” in my awareness, another big point of neglect and injustice.    

A man featured in Box of Rain, a longtime Dead Head, was Jim LeBrecht, who worked as the sound engineer for the Dead for many years. He is also a longtime friend of my best friend. Of course, I was excited to tell her about seeing Jim in this new movie. She asked me if I had ever seen another movie he had produced, Crip Camp, about a summer camp in the Catskill mountains of New York, specifically for disabled kids. I was intrigued.

Rarely have I seen a more moving and graphic depiction of the power of affiliation, what it is like to be in a group of others with a similar experience to one’s own. In the world of trauma and neglect, we are well aware of the power of the group: what it is like to be in the company of others with some sort of similar experience who understand without any words. Some of us have had the good fortune to have been in such a group and found it indescribable. I am not much of a movie person, as I always say, “I am way too stingy with my reading time,” but this one is a must-see (and it is available on Netflix).

The film also makes a powerful point of how (yes, we ever return to it) the original attachment with primary caregivers so profoundly affects the sense of self. The film opens with Jim narrating, 

“When I was born,” he says, “they did not expect me to live more than a couple of hours.” In the visual footage, a grainy old black and white home movie, we see little Jimmy as a toddler, blissfully happy, laughing and ambling, climbing and tumbling on his plump little arms. Although we do not see his parents, it appears that he feels secure and safe enough to explore widely, move and grow, even to become the teenager who has the gumption and grit to imagine and aspire, hope, and actually become the sound engineer for his favorite band. And those parents obviously got him to Camp Jened, lovingly referred to as “Crip Camp.”

At camp, everyone had one or another disability, and for the first time ever, felt free and accepted. They did what all kids do at summer camp: sports, art, music, experiencing nature and the outdoors, and communal living. With a culture of non-judgment and helpfulness, they pushed each other’s wheelchairs, carried those that needed it, and understood each other’s sometimes strained or challenged speech.   

In the larger world, apparently, there is a definite hierarchy or pecking order of disabilities, with the “Polios” at the top rung and the “CP’s” (those with cerebral palsy) at the bottom. Not here. It was moving to see how carefully and thoughtfully the “CP’s” difficult verbalizations were both listened to and comprehended, sometimes “translated” or summarized by a comrade. And my memory was jogged.

I remembered a time, the one time in my long and sweaty waitressing career, that I waited on a really famous person. I worked in a fancy place not far from UC Berkeley and had the honor of serving a large dinner party celebrating the luminary physicist, Stephen Hawking. I watched the tiny man in his wheelchair, fitted out with many super-high-tech devices to help him communicate with the throng of scientists and other intellectuals fawning over him, myself included. What a rarity in today’s “ability-supremacist” world.

My favorite part of Crip Camp was when a “CP” named Judy laughingly told the story, in her somewhat garbled speech, “I was getting older, and I did not want to die a virgin! With a twinkle she declared, “So I had an affair with the bus driver! A week or so later, I had a terrible abdominal pain. I went to the doctor and turned up a diagnosis of gonorrhea. The doctor was flabbergasted, incredulous! He could not imagine that anyone would want to f— me! As soon as I got well, I went back to school and got a master’s degree to become a sexuality educator.” Judy became an activist and vocally championed the cause of disabled sexuality. She also married happily, although she laughingly added, “my in-laws accepted me, but they said to their son, ‘couldn’t you have at least married a ‘Polio?’”

anybody

Admittedly, I neglected the vast population of disabled or “differently abled” people. I don’t know if out of fear, denial, or simply oblivion. Another population that is invisible and forgotten, abandoned or cast out. 

Acceptance

Our dad, when he had throat cancer, required a complicated surgery where they had to break his jaw and build a new one, out of steel. Always vain and proud of his strapping good looks, he was now disfigured. He was 50. Amazingly it did not seem to phase him (the insulation of narcissism?). Years later, I even asked him about that. He said it never bothered him. By then, he was fond of saying, much like Keith Richard, “I’m happy to be here! I’m happy to be anywhere!”

I once had a client who finally accepted his history and the idea of being a survivor of childhood neglect. He said, “I want a disabled placard for my car that says “Child of Neglect!” It is a blessing and a daily challenge to accept who we are.

Have a look at Young Ant rapping and dancing with her white cane. And thanks Jim!

Today’s Song:

My book “Working with the Developmental Trauma of Childhood Neglect: Using Psychotherapy and Attachment Theory Techniques in Clinical Practice” was published on August 31st. It provides psychotherapists with a multidimensional view of childhood neglect and a practical roadmap for facilitating survivors’ healing.

In June in San Francisco, the city is more colorful than ever, with rainbow flags billowing gaily in the wind. We live blocks from the famed Castro District, which is community and home to a large number of LGBTQ inhabitants. 

June is Pride Month, and for the last two years of the pandemic, festivities of all kinds have been toned down or cancelled, like everything else. As with all other re-openings, restoring some sort of “normal”, even if it is a “new normal”, brings a wash of feelings and memories. For some reason, I found myself drifting back to thoughts of my childhood friend, Jimmy (not his real name).

I was in 6th grade, and Jimmy was in 7th. He was a gangly, goofy smiling blond, and I was a too-sensitive, introverted bookworm. We were a pair: two invisible misfits who found each other and somehow became best friends. I would join Jimmy on his paper route, and we would spend hours pedaling our clunky three-speed bikes around the neighborhood long after the deliveries were done. We could joke, and Jimmy also had the depth that we could talk about serious things. And that we also endlessly did. 

As ever, my memory is spotty, and I don’t remember how we lost touch with each other for many years. I was in my middle 30s when I heard from Jimmy again. He had become a top fashion model in Milan. He was gorgeous; well, the glossy magazine photos of him were. But now it was the 1980s, the height of the AIDS epidemic, when it was a most terrifying and a pretty inevitable death sentence for those infected. When he contacted me, Jimmy was very sick. Once back in touch,  I spent as much of the short time he had left with him as I could. 

Jimmy wanted to talk about dying, and he said no one wanted to talk about that. We talked and talked, just like we always had. I don’t remember much at all, except how soon he died and how tragic it was. A tragedy sadly shared by many, if not all of us in my generation here in SF.

Most tragic of all, perhaps, Jimmy’s very religious parents, who had always seemed like such “nice” people and who had not known he was gay until after he got sick, distanced themselves and disowned him. They just could not accept it. He had always been invisible and disconnected from them, and now in his final days, more than ever. And then he died. Terribly neglected as a child, he was completely abandoned in his darkest and final hours. I am so sad about this and also deeply sad that my memory is so raggedly incomplete. I wish I could honor Jimmy with fuller recollection, and I wish I had it for myself.

Jimmy wanted to talk about dying, and he said no one wanted to talk about that. We talked and talked, just like we always had. I don’t remember much at all, except how soon he died and how tragic it was. A tragedy sadly shared by many, if not all of us in my generation here in SF.

Intergenerational Transmission of Self Hatred?

What kind of weird “otherism” would make a parent hate and reject their own flesh and blood? Self-hatred? More likely a legacy of feeling unseen and hated themselves. And yet it seems to be a horrible multi-cultural mutation. 

This morning I heard a program about spirituality and religion in the LGBTQ world. There were speakers from Muslim, Jewish, Hindu, First Nation, and Christian backgrounds, some still searching for a way to remain in faith, describing being shunned, outcast and worse by family, community and seemingly God. It seemed their only best consolation was in sharing experiences and understanding with their diverse compatriots around the world.

Nonetheless, the primordial attachment bond (we share it with all mammals) is the source of our deepest and most persistent longings and reactions. Clients often wonder why their vulnerability and stubborn endurance of mistreatment seems so intransigent; why their futile strivings for approval from the elusive parent endure, even often long after they have died. The “quiet” and invisible, seemingly subtle injuries of being ignored, not known, abandoned, forgotten, or as with Jimmy and many like him, disowned, are perhaps the most insidious, devastating, and under-rated trauma stories of all. And sadly, they are all too often the stories that, in effect, “have no story.” Often lacking concrete form, the experience of, in effect, “missing experience” having vanished from view disappears into non-existence, and the sufferer feels guilty or baffled about “feeling so bad.”

Another wave of attachment trauma is in the offing, with historical changes now unfolding in China. For decades, in an effort to manage burgeoning population expansion, the government issued a one-child mandate. Rapidly, baby girls became beyond worthless, a liability, and boys were inherently more valuable. Now it has caught up with them, and as the population shrinks and ages, there is a “shortage” of girls and women. With a shrinking population, how will the economy keep up? Parents worry about who will their sons marry. How can they afford the competition for suitable mothers for their heirs? And we have to wonder about the impact on attachment bonds of all this “conditionality.”

When couples talk about “unconditional love”, I must disclose my bias. I believe the one time in our lives we can reasonably hope to be loved “unconditionally” – meaning regardless of what we do or don’t do – is in infancy. It is an honorable goal but not always possible or even adaptive. I certainly would not expect Johnny Depp and Amber Heard, for example, to love each other unconditionally and similarly in less dramatic cases. But in infancy, that is the one time we can rightfully and realistically hope to be loved and valued with no expectation to perform or somehow merit, earn or win that love. When that is lacking, it is an unspeakably terrible lack.

 

And sadly, they are all too often the stories that, in effect, “have no story.” Often lacking concrete form, the experience of, in effect, “missing experience” having vanished from view disappears into non-existence, and the sufferer feels guilty or baffled about “feeling so bad.”

The Other Side of the Coin

Passionately involved in the Latin American solidarity movement for many years and being a music lover, the then “‘New’ Latin American Song” was an ever-present back beat or accompaniment. It was a beautiful hybrid of traditional folkloric and indigenous music and instruments, more modern folk music, and revolutionary lyrics. I was a tireless listener. Its “founder” or mother, was Chilean singer-songwriter Violeta Parra, most famous for her song, “Gracias a la Vida,” – thanks be to life – and acclaimed as the song that kicked off the new song movement. We all loved her. 

I was surprised and dismayed to learn that Parra’s 1967 death was from suicide. She was 50. As it happened, Parra was invited to Europe to accept a high-level international music award. She agonized over the decision to travel and be away from her beloved nine-month-old daughter. Ultimately, she decided to go and accept the award, concluding that the harm of being away from her baby for two weeks was outweighed by the good she might contribute to the world and to Chile by receiving the great honor. Shortly into her trip, Parra learned her daughter had contracted pneumonia and was terribly sick. Seized by fear of her daughter’s fate and racked with guilt for leaving her, Parra rushed to return to Chile. She found when she arrived that it was too late. Her little daughter had died. Parra was inconsolable, and ultimately this mythical lover of life killed herself by gunshot.

It is nature’s design for a mother to be as deeply attached as the child and to be as profoundly affected by attachment rupture. The same was true of mothers still in deep grief about the deaths of their murdered children in the massacre at Sandy Hook, now a decade ago. The interviewed mothers have never gotten over it, and we must anticipate something similar among the growing numbers of parents experiencing such losses. 

The inhale to George Floyd’s gasped exhalation “Mama, Mama…” with his last breaths. This is why we suffer so from the absence, loss, or never having had secure and loving attachments. Indeed, secure attachment is our inalienable birthright and the most natural and enduring of longings. 

To end on a more positive note, we do now have same-sex marriage. A relatively new historical development and change. It is evidence that, even at a glacial pace, there is movement on the historical map, which reminds us to not give up: that all our efforts at change are not in vain. 

Happy Pride.

 

The inhale to George Floyd’s gasped exhalation “Mama, Mama…” with his last breaths. This is why we suffer so from the absence, loss, or never having had secure and loving attachments.

Today’s Song:

My book “Working with the Developmental Trauma of Childhood Neglect: Using Psychotherapy and Attachment Theory Techniques in Clinical Practice” was published on August 31st. It provides psychotherapists with a multidimensional view of childhood neglect and a practical roadmap for facilitating survivors’ healing.

My course with Quantum Way is now available for registration! 

The Trauma of Neglect: Identifying and Treating it in Therapy