I long maintained that being a psychotherapist was a strange way to make a living. It is a job that relies on human suffering. It is a job with an uncertain outcome for the honest psychotherapist knows that we do not help everyone who comes through the door. It is a job that has to do with stories. Everyone who comes to us comes with a story. Some but not all of those stories can be profound. We therapists can be overwhelmed by the stories. And yet as one lady reminded me “Hey! We crazy people didn’t ask you to do this job!”
We are often asked “What’s your approach?” Many therapists, especially these days, will use a label such as “cognitive behavioral” or “EMDR”. When I was asked that question, I would have to say “Well, that’s a bit of a story” since my approach was made up of an amalgam of approaches to which I was exposed over the years. It all started with my first class in theories of psychotherapy.
After surviving almost flunking out of graduate school, I was signed up for the first class in theories of therapy. “This” I thought “is why I’m here!” When I saw the textbook, however, I saw that it was all about THEORY not practice. What was I too do? I went to a fourth year student and asked for his advice. He recommended that I read “On Becoming a Person” by Carl Rogers and that I request supervision from Coy Robbins, an African-American social worker who was the only person in the clinic who actually did psychotherapy. Both suggestions were immensely helpful. But I also undertook my own path of exploration. I would go to the library and pick out a book by a therapist. Thus I was exposed to and influenced by Viktor Frankl, by Carl Jung, by Albert Ellis, and yes by Sigmund Freud.
Over the years, my approach continued to evolve, influenced by my interest in family therapy, in spirituality, in trauma. It was also influenced by my own therapy and my own recovery from addiction. This mix of influences made me, I suppose, a little different. One gets feedback about how one is perceived within the professional community. Thus, I would find out that I was viewed as eccentric and reclusive. I was told that another therapist said “Oh that Patterson. he’s more of a philosopher than a psychologist.” There was also a rumor that I had once been a Navy chaplain.
There were two other bits of feedback of which I am proud. One young man told me “I came to you because I was told you don’t bullshit people.” I was also told “You’re seen as a story-teller.” An eccentric reclusive philosopher who tells stories and doesn’t bullshit people. Now that I’m retired, if that’s my legacy, I can live with that.
I also believed that many of those who came to see me were there to teach me something. For example, I was blessed with an early important lesson. A woman came to see me and outlined her issue. I proceeded to pontificate on the reasons for her issue and what she needed to do about it. She listened politely and then finally put her hand up in a stop motion and said “Would you please be quiet and just listen to me?”. “You got it” I said and the witnessed her figure out her own situation with minimal input from me. At the end I said something profound like “Well, sometimes you gotta do what you gotta do.” I later heard this woman found the session helpful and made some difficult decisions in a way that worked for her. She gave me the gift of an early lesson not only in listening but in humility.
Maybe that’s the best kept secret of being a psychotherapist. We meet a number of people who help us learn things and grow. For that I am grateful.
I like to think that being open to new learnings stayed with me as I grew older. We older therapists can get set in our ways with a variety of habits regarding our work. I like to think I remained open to new learnings. I suppose that was reflected when I walked into the room for a first session with a woman and she said “Oh thank God you’re not young!” I guess she was hoping for someone who had lived life a bit and wasn’t stuck on theory. That I could offer her.
I leave then with this clip from one of my mentors — the great Bob Newhart
REFLECTIONS: Feel free to share any of your experiences either as a therapist or client or both.
