I am ready to return to posts about the many topics of interest we have explored previously. The first subject I find fascinating is whether we are correct in diagnosing ME as suffering from Major Depressive Disorder. Of course, the reason I came to this question is by reading an article in the NYTimes in March that mentions accelerated experiential dynamic psychotherapy. This type of therapy is new to me, although the therapists in our group may be familiar with it. The article is intriguing, however, because of the example used.
The patient in the article had been diagnosed with intractable depression and “he had been through cognitive behavioral therapy, psychoanalytic psychotherapy, supportive therapy and dialectical behavioral therapy” without success. He had also been medicated without a significant change other than intolerable side effects. Most importantly, he had grown up in a very detached and cold family atmosphere. The therapist recalls that “Brian had few memories of being held, comforted, played with or asked how we was doing.”
The therapist writes: “Based on what he (Brian) told me, I decided to treat him as a survivor of childhood neglect — a form of trauma. Even when two parents live under the same roof and provide the basics of care like food, shelter and physical safety, as Brian’s parents had, the child can be neglected if the parents do not bond emotionally with him.” It is the emotional engagement that is so important to children.
The therapist goes on to say: “One innate response to this type of environment is for the child to develop chronic shame. He interprets his distress, which is caused by his emotional aloneness, as a personal flaw. He blames himself for what he is feeling and concludes that there must be something wrong with him. This all happens unconsciously. For the child, shaming himself is less terrifying than accepting that his caregivers can’t be counted on for comfort or connection.”
Furthermore, this therapist explains that “to understand Brian’s type of shame, it helps to know that there are basically two categories of emotions. There are core emotions, like anger, joy and sadness, which when experienced viscerally lead to a sense of relief and clarity (even if they are initially unpleasant). And there are inhibitory emotions, like shame, guilt and anxiety, which serve to block you from experiencing core emotions…Children with too much shame grow up to be adults who can no longer sense their inner experiences. They learn not to feel, and they lose the ability to use their emotions as a compass for living. “
This description strikes me as being analogous to what we’ve been told about Martin’s childhood and what we see in his behavior as an adult. (Again, I am not proposing that the writers thought this all through when they created the character of Martin Ellingham. I am simply continuing to do more armchair analysis.) The portrayal of ME is weighted more towards the inhibitory emotions in general, although we’ve seen occasions during which he has appeared either joyful or sad, e.g. when he holds Louisa’s hand after the concert or when she accepts his proposal of marriage, and when Louisa tells him she doesn’t want to see him anymore. By the end of S6, ME has begun to experience many of the core emotions, particularly joyfulness and sadness. We know he feels joy during his wedding ceremony and the initial arrival at the lodge, and we know he’s sad during much of the latter episodes, but most especially when Louisa tells him she’s going to Spain and departs for the airport. (We see him tearful in the hospital following the AVM operation, and that’s a sign that he has begun to be in touch with his core emotions even though his tears are due to a mixture of relief and concern.) We may see him squashing his core feelings at the very end of S6 when he once again has trouble expressing any emotion in Louisa’s presence, but at least we know he can access his core emotions.
In the article the therapist encourages his patient ” to inhabit a stance of curiosity and openness to whatever he was feeling. This is how a person reacquaints himself with his feelings: to name them; to learn how they feel in his body; to sense what response the feeling is calling for; and in the case of a grief like Brian’s, to learn to let himself cry until the crying stops naturally (which it will, contrary to a belief common among traumatized people) and he feels a sense of visceral relief.”
I am pretty sure we will never see anything like this sort of therapy take place on the show, and they appear to be using couple’s therapy rather than individual anyway. Nevertheless, we’ve never shied away from considering the best form of therapy for someone in these circumstances and I don’t see why we should stop now! It certainly seems true that Martin’s childhood was similarly lacking in emotional attachment to either of his parents and that he could easily have developed a sense of shame.
There is much action for S7 that has been filmed in interior locations where no one outside of the cast and crew knows what has taken place. It’s possible that we may see some tears from ME and/or LE, and we may see some openness to expressing core emotions to each other beyond Louisa’s displays of anger we saw in S6. I hope to hear what all of you think of this distinction between core emotions and inhibitory emotions as well as what anyone knows about AEDP therapy. Actually, anything this post brings to mind is welcome!
Originally posted 2015-07-10 14:03:49.