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Authors: David Foster Wallace

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Another important piece of therapeutic work the depressed person and her therapist had accomplished together—a piece of work which the therapist had said she personally felt constituted a seminal leap of growth and deepening of the trust and level of honest sharing between them—occurred in the therapeutic relationship’s third year, when the depressed person had finally confessed that she also felt it was demeaning to be spoken to as the therapist sometimes spoke to her, i.e., that the depressed person felt patronized, condescended to, and/or treated like a child at those times during their work together when the therapist would start tiresomely lallating over and over and over again what her therapeutic philosophies and goals and wishes for the depressed person were; plus not to mention, while they were on the whole subject, that she (i.e., the depressed person) also sometimes felt demeaned and resentful whenever the therapist would look up from her lap’s hands’ cage at the depressed person and her (i.e., the therapist’s) face would once again assume its customary expression of calm and boundless patience, an expression which the depressed person admitted she knew (i.e., the depressed person knew) was intended to communicate unjudging attention and interest and support but which nevertheless sometimes from the depressed person’s perspective looked to her more like emotional detachment, like clinical distance, like mere professional interest the depressed person was purchasing instead of the intensely
personal
interest and empathy and compassion she often felt she had spent her whole life starved for. It made her angry, the depressed person confessed; she often felt angry and resentful at being nothing but the object of the therapist’s professional compassion or of the putative “friends” in her pathetic “Support System”’s charity and abstract guilt.

5
Though the depressed person had, she later acknowledged to her Support System, been anxiously watching the therapist’s face for evidence of a negative reaction as she (i.e., the depressed person) opened up and vomited out all these potentially repulsive feelings about the therapeutic relationship, she nevertheless was by this point in the session benefiting enough from a kind of momentum of emotional honesty to be able to open up even further and tearfully share with the therapist that it also felt demeaning and even somehow abusive to know that, for example, today (i.e., the day of the depressed person and her therapist’s seminally honest and important piece of relationship-work together), at the moment the depressed person’s time with the therapist was up and they had risen from their respective recliners and hugged stiffly goodbye until their next appointment together, that at that very moment all of the therapist’s seemingly intensely personally focused attention and support and interest in the depressed person would be withdrawn and then effortlessly transferred onto the next pathetic contemptible whiny self-involved snaggletoothed pig-nosed fat-thighed
shiteater
who was waiting out there right outside reading a used magazine and waiting to lurch in and cling pathetically to the hem of the therapist’s pelisse for an hour, so desperate for a personally interested friend that they would pay almost as much per month for the pathetic temporary illusion of a friend as they paid in fucking
rent
. The depressed person knew all too perfectly well, she conceded—holding up a pica-gnawed hand to prevent the therapist from interrupting—that the therapist’s professional detachment was in fact not at all incompatible with true caring, and that the therapist’s careful maintenance of a professional, rather than a personal, level of caring and support and commitment meant that this support and caring could be counted on to always Be There for the depressed person and not fall prey to the normal vicissitudes of less professional and more personal interpersonal relationships’ inevitable conflicts and misunderstandings or natural fluctuations in the therapist’s own personal mood and emotional availability and capacity for empathy on any particular day; not to mention that her (i.e., the therapist’s) professional detachment meant that at least within the confines of the therapist’s chilly but attractive home office and of their appointed three hours together each week the depressed person could be totally honest and open about her own feelings without ever having to be afraid that the therapist would take those feelings personally and become angry or cold or judgmental or derisive or rejecting or would ever shame or deride or abandon the depressed person; in fact that, ironically, in many ways, as the depressed person said she was all too aware, the therapist was actually the depressed person’s—or at any rate the isolated, agonized, needy, pathetic, selfish, spoiled, wounded-Inner-Child part of the depressed person’s—absolutely
ideal
personal friend: i.e. here, after all, was a person (viz., the therapist) who would always Be There to listen and really care and empathize and be emotionally available and giving and to nurture and support the depressed person and yet would demand absolutely nothing back from the depressed person in terms of empathy or emotional support or in terms of the depressed person ever really caring about or even considering the therapist’s own valid feelings and needs as a human being. The depressed person also knew perfectly well, she had acknowledged, that it was in fact the $90 an hour which made the therapeutic relationship’s simulacrum of friendship so ideally one-sided: i.e. the only expectation or demand the therapist placed on the depressed person was for the contracted hourly $90; after that one demand was satisfied, everything in the relationship got to be for and about the depressed person. On a rational, intellectual, “head” level, the depressed person was completely aware of all these realities and compensations, she told the therapist, and so of course felt that she (i.e., the depressed person) had no rational reason or excuse for feeling the vain, needy, childish feelings she had just taken the unprecedented emotional risk of sharing that she felt; and yet the depressed person confessed to the therapist that she nevertheless still felt, on a more basic, emotionally intuitive or “gut” level, that it truly was demeaning and insulting and pathetic that her chronic emotional pain and isolation and inability to reach out forced her to spend $1,080 a month to purchase what was in many respects a kind of fantasy-friend who could fulfill her childishly narcissistic fantasies of getting her own emotional needs met by another without having to reciprocally meet or empathize with or even consider the other’s own emotional needs, an other-directed empathy and consideration which the depressed person tearfully confessed she sometimes despaired of ever having it in her to give. The depressed person here inserted that she often worried, despite the numerous traumas she had suffered at the hands of attempted relationships with men, that it was in fact her own inability to get outside her own toxic neediness and to Be There for another and truly emotionally
give
which had made those attempts at intimate, mutually nurturing partner-relationships with men such an agonizingly demeaning across-the-board failure.

The depressed person had further inserted in her seminal sharing with the therapist, she later told the select elite “core” members of her Support System after the therapist’s death, that her (i.e., the depressed person’s) resentments about the $1,080/month cost of the therapeutic relationship were in truth less about the actual expense—which she freely admitted she could afford—than about the demeaning
idea
of paying for artificially one-sided friendship and narcissistic-fantasy-fulfillment, then had laughed hollowly (i.e., the depressed person had laughed hollowly during the original insertion in her sharing with the therapist) to indicate that she heard and acknowledged the unwitting echo of her cold, niggardly, emotionally unavailable parents in the stipulation that what was objectionable was not the actual expense but the idea or
“principle”
of the expense. What it really felt like, the depressed person later admitted to supportive friends that she had confessed to the compassionate therapist, was as if the $90 hourly therapeutic fee were almost a kind of ransom or “protection money,” purchasing the depressed person an exemption from the scalding internal shame and mortification of telephoning distant former friends she hadn’t even laid fucking
eyes
on in years and had no legitimate claim on the friendship of anymore and telephoning them uninvited at night and intruding on their functional and blissfully ignorantly joyful if perhaps somewhat shallow lives and leaning shamelessly on them and constantly reaching out and trying to articulate the essence of the depression’s terrible and unceasing pain even when it was this very pain and despair and loneliness that rendered her, she knew, far too emotionally starved and needy and self-involved to be able ever to truly Be There in return for her long-distance friends to reach out to and share with and lean on in return, i.e. that hers (i.e., the depressed person’s) was a contemptibly greedy and narcissistic omnineediness that only a complete idiot would not fully expect the members of her so-called “Support System” to detect all too easily in her, and to be totally repelled by, and to stay on the telephone with only out of the barest and most abstract human charity, all the while rolling their eyes and making faces and looking at the clock and wishing that the telephone call were over or that she (i.e., the pathetically needy depressed person on the phone) would call anyone else but her (i.e., the bored, repelled, eye-rolling putative “friend”) or that she’d never historically been assigned to room with the depressed person or had never even gone to that particular boarding school or even that the depressed person had never been born and didn’t even exist, such that the whole thing felt totally, unendurably pathetic and demeaning “
if the truth be told,”
if the therapist really wanted the “
totally honest and uncensored sharing
” she always kept “alleging [she] want[ed],” the depressed person later confessed to her Support System she had hissed derisively at the therapist, her face (i.e., the depressed person’s face during the seminal but increasingly ugly and humiliating third-year therapy session) working in what she imagined must have been a grotesque admixture of rage and self-pity and complete humiliation. It had been the imaginative visualization of what her own enraged face must have looked like which had caused the depressed person to begin at this late juncture in the session to weep, pule, snuffle, and sob in real earnest, she shared later with trusted friends. For no, if the therapist really wanted the truth, the actual “gut”-level truth underneath all her childishly defensive anger and shame, the depressed person had shared from a hunched and near-fetal position beneath the sunburst clock, sobbing but making a conscious choice not to bother wiping her eyes or even her nose, the depressed person
really
felt that what was
really
unfair was that she felt able—even here in therapy with the trusted and compassionate therapist—that she felt able to share only painful circumstances and historical insights about her depression and its etiology and texture and numerous symptoms instead of feeling truly able to communicate and articulate and express the depression’s terrible unceasing agony
itself,
an agony that was the overriding and unendurable reality of her every black minute on earth—i.e., not being able to share the way it truly
felt,
what the depression made her
feel like
inside on a daily basis, she had wailed hysterically, striking repeatedly at her recliner’s suede armrests—or to reach out and communicate and express it to someone who could not only listen and understand and care but could or would actually
feel it
with her (i.e., feel what the depressed person felt). The depressed person confessed to the therapist that what she felt
truly
starved for and really
truly
fantasized about was having the ability to somehow really truly literally “
share
” it (i.e., the chronic depression’s ceaseless torment). She said that the depression felt as if it was so central and inescapable to her identity and who she was as a person that not being able to share the depression’s inner feeling or even really describe what it felt like felt to her for example like feeling a desperate, life-or-death need to describe the sun in the sky and yet being able or permitted only to point to shadows on the ground. She was so very tired of pointing at shadows, she had sobbed. She (i.e., the depressed person) had then immediately broken off and laughed hollowly at herself and apologized to the therapist for employing such a floridly melodramatic and self-pitying analogy. The depressed person shared all this later with her Support System, in great detail and sometimes more than once a night, as part of her grieving process following the therapist’s death from homeopathic caffeinism, including her (i.e., the depressed person’s) reminiscence that the therapist’s display of compassionate and unjudging attention to everything the depressed person had finally opened up and vented and hissed and spewed and whined and puled about during the traumatically seminal breakthrough session had been so formidable and uncompromising that she (i.e., the therapist) had blinked far less often than any nonprofessional listener the depressed person had ever shared with face-to-face had ever blinked. The two currently most trusted and supportive “core” members of the depressed person’s Support System had responded, almost verbatim, that it sounded as though the depressed person’s therapist had been very special, and that the depressed person clearly missed her very much; and the one particularly valuable and empathetic and elite, physically ill “core” friend whom the depressed person leaned on more heavily than on any other support during the grieving process suggested that the single most loving and appropriate way to honor both the therapist’s memory and the depressed person’s own grief over her loss might be for the depressed person to try to become as special and caring and unflaggingly nurturing a friend to herself as the late therapist had been.

BOOK: Brief Interviews With Hideous Men
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