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A Psychotherapist’s Disqualification: A Meditation on MalignantTrauma

 

by Marcel A. Duclos

 

 

     
 

Preface

I was asked to serve on a panel as a respondent to a presentation by Dr. Sue Grand, the author of The Reproduction of Evil. She was to present a patient who suffered from malignant trauma: a man who continued to suffer an early annihilation, a man who, in spite of multiple illnesses, dedicated his personal and professional life for the health and welfare of others while neglecting his own. Try as I might, I could not find anything clever, informed, erudite to say. I read the case and was immediately impacted by the patient’s suffering. When snippets of educated thought appeared on my inner screen, they immediately evaporated. All that remained was a felt sense of disqualification. Months of reflection, reading and conference calls with my panel colleagues did not resolve my impasse.

Having been informed the night before that the man had just recently died, in the early hours of the morning on the very day of the scheduled panel at a national conference, I yielded to what I had been compelled to say almost from my first reading of the case. I wrote the following while in an active meditation and it is what I spoke as a response. Sometimes the inner world knows best.

The hall lights dim. The gathered quiet their voices. The moderator taps the microphone at the lectern. “Good morning, ladies and gentlemen. I am the moderator for this panel. Our topic is malignant attachment. The presenter will introduce us to her client by reading her paper. The two panelists will each respond and then participate in an open discussion.” And so it went.

My Response

How does one survive malignant trauma: one that perpetuates evil, one that distorts the capacity to love and to work with the ethical strength on behalf of the other and of oneself?

For the first time in my life, while reading Sue’s book in 2002, I saw that EVIL was the opposite of LIVE. And then I read Sue’s paper. Today, I meet the man in Sue’s presentation through her voice and passion.

I see the generational inheritance of Evil’s cruelty, hardly dormant, eager to be awakened, present in the genetic endowment of the pristine soul sowing its seed of loneliness. I see that dissociative contagion: a veil to be known, the impossibility to be known the refusal to be known by self and by others. The questions: Who are you? Who am I? These are not sophomoric questions. They are poignantly screamed by a barely audible voice that arises from the residuals of a shattered sense of self. In the face of demonic violence, the choice is not to be, to remain unidentified, to be nameless, to be hidden, to be beyond finding.
His illnesses are archetypal. His body screams what his soul silences. He is a multifaceted illness. He cups his diseases in the chalice caldron of his body. He contains the contagion and the contagious. He gives. That he knows how to do. He has no template for receiving.

More and more, as I meet this man, I begin to experience his larger than what appears reality; I feel the immensity of the task ahead in therapy. Were I to be his therapist, would I loose hope if I entered into his world? What in me would be constellated? Would my desire to be a vehicle and instrument of healing and of wholeness making trick me into becoming a mirror suffering servant? Would our attunement find us both lost in our creative adjustments? He would continue in his self-destructive dedication to save others, to help them live; and I would draw Evil out of him on to myself like a shaman sucking venom out of the supplicant’s body. I felt the realness. One mistake and we could both die. I would give myself away, pump my blood into his veins. He would be alarmed by the sudden surge of life that, feeding the malignancy, would threaten to unleash the imprisoned prisoner. He would have to leave me for fear of destroying me. He would have to renew his dedication to his sacrificial life.

I think of the multiplicity of the mind, of his multiplicity. I think of the findings of neuroscience, of the sophisticated clinical approaches to treating such an individual; but, most of all, I hear the drums, see the dancing, smell the blood, tears, sweat, dust as I inwardly witness the self-sacrifice of the willing one at the Lakota Sundance. I catch my breath and regain my courage. The archetypal imagery of Isaiah’s suffering Servant resonates within in quick succession. “He is a man of sorrows acquainted with grief”, I say to myself. “He bares our grief, … carries our sorrows.” Part of me agrees with Job’s accusers. “We esteem him stricken by God. We hide our face from him. We do not esteem him.” Will I also hide my face from him; withhold, recoil, or worst still, impose, invade? “He was wounded for our transgressions, … bruised for our iniquities.”

The Evil perpetrated upon this noble soul is also my evil. Better him than me, I allow myself to think. I want to heal him, fully headlong and unchecked, to avoid my own healing work. He is dedicated to healing others and avoids his own healing. I admire him. I feel blinded and seduced by his heroism. I forget his potential to harm.

Perhaps is it our lot, our calling, destiny, and purpose to be selected and appointed. We are both the goat led into the wilderness carrying the malignancy away from the tribe and the good man leading the goat.
I reorganize my body. I align my segments. Breathe. Press my feet into the rug. Scan the room for here and now grounding.

Our patient is the good man, the malignancy, and the goat and the wilderness. Am I not that also? He is more than what appears. He is a living archetype. He is the face of Evil and Goodness. He is the battleground of the ultimate opposites. He is Job reconciling, on the dung heap, the forces of life and death beyond my understanding. He is I. He is we.

He is unlike the contract killer I met years ago in a maximum security prison who spoke of the sheer pleasure of seeing his victims expire, and then licked his lips at the prospect of doing it again in the future. He is unlike the woman who, with ice cold cruelty, declared that she would see her husband ruined even if she had to destroy her own children. Unlike these two soulless and selfless individuals, this man holds the devouring serpent within the fence of his skin and joins the ranks of many throughout the ages. Those who chose, insanely or heroically, to cut off their hand or poke out their eye for fear of perpetrating onto others the Evil that had befallen them.

And then, ad lib, I say the following to his therapist and to the audience.

I am so grateful that he was led to and found Sue. Had he knocked at my door, my resonance with him would have eventually produced dissonance because I recognize his life theme. It was, in a lesser degree,
mine for years. It nearly killed me. I had swallowed Paul’s motto unmetabolized. I can still recite it from memory today. ‘I count my life as nothing, nor do I count it as precious to myself providing I bear witness to God’s Grace.’ I did not know in my early adult and professional life that God’s Grace was Life in Abundance.

Today, I honor this man who lived his mystery, sought to lead others to life in abundance, exiled ravenous Evil in the desert of his body. I mourn the loss of this good man on this earth.

I remember the prophet’s prayer: if only there were one good person in the city, it could be spared.

 
     
 

 

     
 

Marcel A. Duclos, M. Th., M. Ed., Professor Emeritus of Psychology, Human Services, and Alcohol/Drug Counseling, maintains a private practice in Concord, NH. Marcel and co-writer / clinician Connie Robillard give trauma healing workshops. Their book, Common Threads – Stories Of Life After Trauma, was published at the end of last year. See website.

 
     

 

     
   
     

 

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