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Dreams, Imagined Dreams: Failed Therapy
Written by Dr. Richard Grossman   
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Nov 22, 2008 A +  A -  RESET  

In the fall of 1980, I overcame my wariness and asked Dr. Fortson, my mentor at Massachusetts General Hospital for a therapy referral. Dr. Fortson supervised my work, so I assumed she knew me well and could suggest a good match. She gave me the names of two psychologists.

I had had an evaluation a couple years before. Therapy was recommended for all clinical psychology students, and the consulting psychologist, Dr. Reich, kept a list of therapists willing to see clinical psychology graduate students, poor as we were, for a low fee. He asked me a few questions and made a family tree. When he got to me in his sketch, he blackened the circle.

"Ah!" I said, smiling, "The one with the disorder...like the hemophiliacs in the Royal Family!"

He laughed. "No," he said "Just my way of keeping everyone straight."

I liked that he laughed without interpreting my comment, and I loosened up immediately. By the time the interview was up, I had earned a deferment. "You're really not a high priority, so I'll put you at the bottom of the list. I wouldn't expect anyone to call you any time soon." I stepped lightly down the steps of the hospital both relieved and disappointed.

But two years later I volunteered again, determined to serve my time.

The first therapist I called, Dr. Farber, said he was happy to see me. He offered me a regular hour at 5:30 in the morning. These were still the "macho" days of psychotherapy--when one was expected to sacrifice for the sake of the "cure." Still, I politely refused. The second therapist, Dr. Edberg offered me a more reasonable hour, and I agreed to see him.

Dr. Edberg was a handsome, athletically trim man in his 40's, with a charming Swedish accent. He had short blonde hair, wire-rimmed glasses, and he dressed casually in corduroy pants and sweater vests. His home office was in the basement of a brick townhouse in Cambridge, near Harvard Square. In the winter time he fired up a small wood stove, and his Golden Retriever laid by his side. I told him I was there, not because I was in any specific distress, but because a lot was happening in my life: I was 23 years old, living with one of my professors from graduate school (soon to be my wife); she had three kids from a previous marriage. I was at Massachusetts General Hospital, proud of it, but swimming with the sharks--was this where I wanted to be? What I didn't, and couldn't tell him at the time, was that I quietly longed for someone to hear me and appreciate me - for I had always felt rather invisible in my life, except during those years when teachers (to whom I am eternally grateful) had taken a special interest in me. It might have made little sense to Dr. Edberg even if I had been able to tell him. Invisible kids don't usually end up on the staff of Harvard Medical School at age 23 - but such was the story.

I never asked Dr. Edberg to articulate his philosophy of therapy. But his job, as I soon learned, was to discover the parts of me that I did not know about (and perhaps would not want to know), and then reveal them to me with a twinkle in his eye. He was very clever. After everything I said, he had something smart and perceptive to offer. He didn't seem to particularly like or enjoy me and he contradicted much of what I said, but I figured that was o.k: therapy wasn't about being liked it was about discovering oneself with the help of a wise person. And if I wanted to impress him, well that was my problem (or "transference" as they say in the Freudian vernacular) - after all, hadn't I wanted to impress my mother and father? This was simply something to be "worked through." Sometimes to make his points more poignant, he made up names for me. Once, he called me Dr Jekyl and Mr. Hyde when I appeared in paint-spattered jeans and a sweatshirt after doing carpentry on my house all morning: usually I came from work in tie and jacket. But his favorite name for me was Cotton Mather, because he said I had the bad habit of criticizing people who had wronged or misheard me. After that, I dared not criticize him.

One day, a couple years into the treatment, Dr. Edberg reminded me I had had a sexual dream about him.

I was confused. I didn't remember any sexual dream I had had about him. "You mean the one in which I was sitting in front of you on a surf board?" I figured he could have interpreted this as a sexual dream - although what I felt was the wish for (non-sexual) intimacy and affection.

"No. I mean an overtly sexual dream."

I thought for a minute. "I don't think so--I had a dream about seeing my boss in bed with his secretary, and somehow feeling neglected. You know, the one I had after my boss canceled our squash game and I saw him leave the hospital with the young woman. You know it turns out they were having an affair. The dream was right."

"No," he said again, unimpressed by the detective work of my unconscious. "An overtly sexual dream about me."

"Gee, I don't think so. I would remember that."

He paged through the notebook in which he wrote down all his patients' dreams. He went forwards and then backwards. Then the room went silent.



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Last Updated( Jun 01, 2009 )
reviewed by: Harry Croft, MD
Psychiatrist, HealthyPlace.com Medical Director
 

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