In Session, Part 2: Client & Therapist Meet

Abstract photo art for "Client and Therapist Meet" at The Third Eve, May 2009



Pearl, The Third Eve

Patricia was a 28-year-old single mother of two planning adoption for her unborn child, a son conceived as the result of a date rape.

Patricia contacted an adoption agency and completed an intake interview with their social worker, Jeanette Sizemore, who would guide her through the adoption process and help her navigate the difficult decisions ahead. Jeanette provided a list of independent local counselors who could offer pre- and post-placement support. She encouraged Patricia to seek ongoing help as she navigated the emotional complexities of the months ahead.

Soon after, Patricia met with a therapist for their first session.

Patricia’s new psychotherapist, Elizabeth Campbell, specialized in treating clients coping with grief and childbearing loss, including the unique challenges surrounding adoption. As Liz waited for Patricia’s afternoon appointment, she reviewed the file handed to her by Jeanette Sizemore, the adoption agency social worker. Jeanette’s notes were detailed, describing the neat double-wide trailer Patricia and her daughters lived in, along with two Polaroid photos taken during her home visit.

The first photo showed Patricia standing in her kitchen behind a Formica-clad island. She was an attractive brunette, her jaw set with quiet determination.

The second captured Patricia with her two young daughters, both with dark brown hair like their mother’s. The girls appeared to be around four and two years old. Liz scanned Jeanette’s paperwork for the girls’ names and exact ages, finding the older girl was nearly five, the younger almost three. Curiously, Jeanette had omitted their names in the social history, instead using only the initials “B” and “M.”

“Interesting,” Liz thought. Why only initials? And why “B” and “M”? Was this a standard adoption agency practice, or did Jeanette have a personal reason for the cryptic notation? Liz considered whether Jeanette’s choice reflected an unconscious association with adoption as something messy or difficult—a connection Liz knew she would need to explore in her own inner work.

She opened her journal and made a note to ask Jeanette about the use of initials in her report, and whether it was standard agency protocol. Liz also added an association exercise to her personal to-do list—a prompt to uncover her own personal connections and feelings about adoption, as well as other elements emerging from Patricia’s file.

“A good analytical psychologist regularly checks the rearview mirror,” she reminded herself, smiling wryly at her choice of the word.

That’s two base chakra associations in as many thoughts, she told herself. You’d better go ahead and call your own analyst—keep yourself an honest woman.

The chime of Liz’s telephone rang once, signaling that her client had arrived. She stood and took a slow, reflective breath before opening her office door to greet Patricia. In the waiting room, Patricia rose awkwardly and offered a tentative smile. They introduced themselves, then entered the office together. Patricia chose a chair directly opposite Liz’s desk, placing the desk as a clear barrier between them instead of settling into the sofa or the more informal sitting area.

Liz made a mental note of Patricia’s choice and recalled the Polaroid from the social worker’s visit—Patricia had stood behind a counter in that photo. Was this a pattern? Was Patricia ‘re-orphaning’ herself in the room—cutting herself off from the potential mother-energy of a therapist to avoid the pain of later rejection?

Liz wondered if her new client habitually positioned barriers between herself and other women. Other women might also carry her feminine archetype projections—symbols of Patricia’s emotional knots and complexes. Liz was curious about what she represented to Patricia and looked forward to exploring that in time.

After giving Patricia a few moments to settle and acclimate to the new environment, Liz began orienting her to the counseling process. Though Liz had a clear Jungian leaning, her formal training was standard Marriage, Child, and Family Therapist coursework. Any depth psychology education she had came from her own initiative—and she had pursued it diligently. After thanking Patricia for coming, Liz shared her approach and invited Patricia to express her expectations and hopes.

“I’m here because the social worker said it was part of the agency’s services,” Patricia said, “and because I’ve been thinking therapy would be good for me. But I’m very sure about my decision to give up the baby—I don’t want to get into anything like you trying to talk me out of it. I’ve got my hands full with the girls as it is.” She leaned back, crossing her arms as if daring Liz to disagree.

Liz nodded sympathetically. “My only aim is to support you on your path. If we were in high school,” she said gently, “you’d be the football team and I’d be the pep club, cheering you on through the season.”

Patricia grinned. “That’s funny,” she said, “because I was pep club president in high school—until things at home got so bad I had to quit. Now the tables are turned, and I get to be the one supported.”

They exchanged smiles, and Liz knew the session was off to a promising start.

“You mentioned your daughters, Patricia,” Liz began. “Tell me about them—and what your life is like right now.”

“Oh, they’re great!” Patricia replied, her face lighting up. “I couldn’t ask for better kids. But being on my own makes it hard, of course. It’s just the three of us girls now, and I don’t think bringing a boy into the mix would be a good idea—especially with the way he was conceived—and everything tied to that.”

She paused, her tone tightening, “I spent my whole childhood protecting my baby brother from our drunk dad. I’m trying hard to put all of that behind me. I want this baby to have a chance I can’t give him—not with all the trauma I’ve lived through, and not with the threat of his father eventually getting out of prison.”

Liz nodded gently, feeling the weight of what Patricia had just shared. She was about to ask how Patricia envisioned separating from that past when she realized she didn’t yet know the girls’ names. “I noticed Ms. Sizemore used only initials in her notes. What are your daughters’ names?”

“Brandy and Margarita,” Patricia said proudly, pulling out her phone and handing it to Liz. “Here’s a photo of them.”

Liz kept her expression neutral as she took in the image, masking her surprise at the girls’ names—both unmistakably alcoholic. “Oh, they’re beautiful,” she said warmly. “Do their names have any special meaning for you?”

“Not really,” Patricia said. “but I always loved that old song Brandy—my mom used to sing it. And Margarita is the Spanish form of Mary. Her dad used to call me his ‘spicy margarita baby’—from that Jason Derulo and Michael Bublé remix—and we were already calling her our spicy baby before she was even born. She gave me terrible pregnancy heartburn!”

Liz nodded supportively as Patricia spoke, but registered the names with a quiet, inward jolt. The orphancy lens revealed a tragic symmetry: Patricia, the daughter of a violent alcoholic, had christened her own children after the catalysts of her abandonment. This wasn’t merely a lack of awareness; it was an archetypal repetition. In the logic of the unconscious, Patricia was reclaiming the substance that had stolen her father, attempting to domesticate the ‘monster’ by giving its names to her most precious treasures. She was carrying the weight of the house she had fled into the one she was now building, unaware that the names themselves acted as an invitation for the past to haunt the present. By naming her children after the very thing that had caused her father to abandon his role as protector, she had created a profound orphancy loop—keeping the spirit of the house she lost alive in the children she kept.

Truth really is stranger than fiction, Liz thought. You can’t make this stuff up.

She decided to hold off on raising the alcohol connection—rapport needed time. For now, she listened attentively as Patricia shared more about her relationship with the girls’ father. The forty-five minutes passed quickly, the session flowing easily.

Patricia was articulate, warm, and grounded in many ways—yet also unaware of some deep inner currents. Liz felt a quiet anticipation. There was real potential here, and she hoped to witness Patricia’s unfolding.

Let it be so, she breathed, as they scheduled their next meeting.

A pomegranate with foliage, signifying life and abundance—benedictions from The Third Eve

CONFIDENTIALITY NOTICE
This case study is based on real-life therapy work and reflects the emotional and psychological truths of the process. To protect the privacy of those involved, all names and identifying details have been changed.


15 responses to “In Session, Part 2: Client & Therapist Meet”

  1. Phillip S Phogg Avatar

    Permit me to play the contrarian here, but I thought Patricia’s explanation for why she named her children Brandy and Margarita as plausible as Liz’s interpretation.

  2. deb Avatar

    I know you’re a busy woman but this waiting is hard! I want to read it all, now. Good thing I’m not an impatient woman:)

    I’m about to embark on my own therapy journey, find a therapist and start digging. There are things I still do that I know are not healthy, other things that surprise me, lots of stuff that needs to be dragged out of my closest and tried on. Time for spring cleaning.

    1. Eve Avatar

      Deb, if you can look around and find an IAAP certified psychoanalyst or at least find someone with that bent (someone who will listen to your dreams, for instance), you will hopefully get more bang for your buck. A good therapist of any orientation is a gem, though. I wish you luck!

  3. Aunty Christ Avatar

    Thank you for the great compliment, Eve. I really appreciate it. 🙂

  4. Aunty Christ Avatar

    No, no … that’s the Brandy I meant. All the sailors–including the one she was in love with–told her that she’d make a great wife–for someone, I guess–but they were married to the sea. Maybe I’m reading too much into it, but I’ve always thought she was the very image of all of us single women who are looking for love, bringing home strangers to our beds, only to be told, “You’re great, but … for someone else.” Oh, all those bad decisions from our youth.

    1. Eve Avatar

      Aunty, ah, I see. Thanks for clarifying! Having listened to the song this morning, I think a lot can be read into it, really. I’m reminded of the book, The Water Babies, the story of a boy who goes into the sea–“Down, down, down! cried the water babies…” and I think about the lure of the deep, the unconscious, mysteries and depths unplumbed etc. etc.

      You’d think that plumbing the depths of a woman would be enough for a man. ;o)

      And by the way, I was reading at your blog this morning. I’d forgotten how biting your wit, how entertaining your writing. You had me laughing wickedly.

  5. henitsirk Avatar

    Good lord, do therapists really read into every little thing like that? I’m never going again!

    1. Eve Avatar

      Heni, not all, but it’s not uncommon among those trained in or favoring analytic psychology (Jungian) or a psychoanalytic (Freudian) approach. There can be lots of musing with few conclusions drawn. Ultimately the client must draw his or her own conclusion.

  6. Irene Avatar

    Well, ditto here, I’m feeling impatient too, hate to put a good book down, but, oh well.

    Eve, my antennae went up when you wrote: “Other women were likely to carry her feminine archetype projections and symbolize or carry Patricia’s complexes–her emotional knots.”
    As I’m in the midst of trying to make a career decision regarding a new dealer – a woman – I’d like to try and be aware of such projections now myself.

  7. Amyadoptee Avatar

    Okay now you got me thinking why I named both of my daughters Native American names.

  8. jadepark Avatar

    Eve…I am really so interested in this portrayal. Sooo interested. I love people and their unique characteristics and seeing people through the ideas of a therapist is an amazing thing. It is helpful to me as a human being and as a writer. Thank you so much for posting.

  9. davidrochester Avatar

    Unlike Deb, I’m very impatient. 🙂 I also know you’re busy, but this is so fascinating.

    Reading this kind of thing always sends me into a kind of tailspin of … well no, I’m not going to self-censor that word — “terror” was what came to mind, so that’s what I’ll type, melodramatic though it sounds. A tailspin of terror, wondering what I’m blind to in my own life, and in what ways I am setting up my own destruction, blissfully unaware.

    1. Eve Avatar

      Now, David… don’t worry. You seem to be quite self-aware to me. Something I’ve noticed as you no doubt have is that people with truly good intentions toward wholeness tend to be better rather than worse as life goes along. And look at the therapist in this case study… she has her ‘stuff’ too. We all do!

      As for “blissfully unaware,” another thing I’ve noticed over the years is that this is rarely the case. Ignorance is not bliss; ignorance makes us difficult to be with for ourselves and others. However, paradoxically enlightenment can make us difficult to be around and difficult to bear in our mortal bodies, too (in some ways… or so I hear secondhand, not having become enlightened yet).

      A hug to you across the miles. You are doing fine. And I think it’s normal for each of us to be scared of what’s under the bed, eh? I know I am!

  10. Aunty Christ Avatar

    That makes me so sad. Forget that the name itself speaks to alcohol–why would anyone name their child after “Brandy,” one of the most depressing figures in the history of pop lyrics? Brandy was repeatedly left too, I note.

    1. Eve Avatar

      I agree that the name choices were unfortunate, given the fact that the mother was the child of an alcoholic. The 1972 hit song song her mother used to listen to was “Brandy, You’re a Fine Girl” by the band Looking Glass. But the contemporary Brandy is a tragic figure, too.

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