THE CASE OF MARGARET

 

Margaret's Conflicting Voices

 

Care for Me voice in italics.

Caretaker voice (the community representative) in bold.

 

APES Stage 3.0: Problem Statement/Clarification

 

Session 1: lines 295-314

 

Margaret: you know, my husband is a very nice person.

he's a very easy going person you know.

but I mean he's wrapped up in his job

and its just that I-I know I don't understand it enough you know.

like I just sort of feel like

'hey I've been giving giving giving to kids and the husband for thirty odd years

when is it going to be my turn?'

and that sounds awfully selfish I know

but +maybe (laughs)

Therapist: well I'm not sure (incomprehensible)+

your sense that you have been giving

especially in that year that everything happened all at once.

Margaret: mm-hm.

Therapist: and kind of now waiting to get something back and not just getting it.

Margaret: yeah. - - -

and as I say I feel that's not right you know.

I should be just rela- taking things as they come you know .

but I don't seem to be

I seem to have a very negative attitude to things you know.

Therapist: yeah. so you'd like it to be different.

Margaret: mm-hm.

 

APES Substage 3.2: Rapid Cross-Fire

 

Session 3: lines 294-334

 

Margaret: 'you know I've been nurturing people for thirty odd years;

isn't it about damn time someone started nurturing me?'

Therapist: mm-hm.

Margaret: you know that when you've always got your husband's supper,

it’s very difficult to change…

to say: 'get your own’…

but he's the one who's ruined the routine,

not me

why should I stop what I'm doing?

Therapist: right.

Margaret: but I still felt I should do it. (laughs)

because this is my generation you know,

…but I resented doing it.

so I kind of I'm sort of resolving that as I go along.

 

Session 4: lines 414-436

 

Therapist: so I don't know

maybe you haven't actually gone (client blows nose) in

and been able to really tell him how you feel about it?

Margaret: no. not really.

as I say I think you know -

I-I think he just he just doesn't know what to do anymore.

and I think what he does - is

he blocks it out.

I really think this is what happened

because he doesn't know what to do so -

you know. so I think he's caught -

he's caught between his job and me. you know and.

Therapist: mm-hm.

so almost when you see it from his perspective maybe he is kind of caught.

Margaret: yeah. he's caught.

I mean he has - so much to do right now.

and he like he's dealing with people.

he's trying to like he's trying to relocate staff

and you know relocate jobs and one thing and another. and - -

I can sympathize - -

and a few years ago I might have been able to handle it better. -

but I just find that I've because a very

/ not to myself

I'm thinking well what about me?

Therapist: yeah.

Margaret: you know and (incomprehensible)

maybe I'm feeling guilty because of that.

Therapist: so something has changed for you.

Margaret: mm-hm.

Therapist: it's like maybe a few years ago I could accept this

but now I want something for me.

Margaret: mm-hm.

 

APES Substage 3.4: Entitlement

 

Session 4: lines 579-592

 

Margaret: I became very resentful you know

And I said 'you just wait a minute

I'm your wife

my feelings are important too

I just needed you as a sounding board'.

he said, "don't forget M,

if you want a sounding board,

you have to be prepared for an opinion too…

you may be wrong".

and I said "well maybe you do have a point" (laughs).

but 'at the same time,

that's not really what I want'.

Therapist: right.

Margaret: …I just want somebody to just sit there and listen.

Therapist: yeah.

Margaret: just like I do with you, you know.

 

Session 7: lines 162-185

 

Margaret: … I just said 'oh I haven't seen [the neighbor's] truck move for a while.

I wonder if they're away'.

and before I could finish what I was saying, [my husband] said

'no. I talked to [the neighbor] and they're not going away until the end of February'.

and he like he interrupted me. - -

and you know, [therapist]

I don't know what came over me

but you know I just lost it completely.

I: got: so: angry: - and: I: was: (laughing) / /

I was yelling at him

'don't you dare interrupt me'.

and it was just it was stupid.

but it was just -

I couldn't hold myself in I was so angry and so incensed:

that you know that he dared to interrupt me.

and he said 'but Margaret, why didn't you just say "shut-up, [husband], I was talking"?' (laughs)

 it would have been so simple

but you know, [Therapist] I couldn't.

I was just and I don't know whether it was - - reaction - or what it was.

but I was just I was so angry.

I said 'you know you've been doing this to me'

and actually [my husband] does have a habit - he anticipates what you're going to say.

and I said you know 'you've been doing this to me for so long [husband]'

and I said 'I'm not taking it any more'.

and I was actually I was literally screaming! at him.

and we pulled in to the church parking lot (slight laugh)

and I was just shaking.

I was so mad.

and - - um (weepy) I said I don't think I can go into church

I don't think I can sit you know.

 

APES Substage 3.6: Respect and Attention

 

Session 8: lines 839-857

 

Margaret: this is basically what I'm trying to do [husband].

"I [want to] sound off to you."

but he became so defensive…

I said "it's like this power struggle between us"

Therapist: mm-hm.+

Margaret: "I'm not trying to start anything."

"I just wanted someone to bounce it off…

some moral support

that was all."

 

Session 9: lines 1071-1095

 

The underlined text represents the beginning of a joint understanding.

Margaret: …I can sympathize with [my husband]in many ways too

and, and yet you sort of find like, when you get his reaction to things,

like, now the other night, what was it?

he started to tell me something

and then I said - -

and I said this sort of half kidding, you know

like "ah come on" I said "these guys are giving you some of baloney"

or something like that.

and he said "well wait until I finish" you know.

and I thought, I guess I'm doing to him what I used to +say

Therapist: hm.

Margaret: you know.

and I said "well, I'm sorry."

and ah, he said "well, okay."

and, this is very unlike [my husband]

because he had always been so even tempered you know.

and he would just sit there.

but I guess a lot of these things are bothering him too you know.

and then, after I did it,

and you know, after supper

and I was sort of cleaning up,

and I thought,

well, I guess, Margaret;

I was angry because he /,

like it made me feel silly +you know

Therapist: mm-hm.+

Margaret: and he said "well wait till I'm finished."

I thought, oh, you know

and I felt silly.

and then I, you know I thought,

well, instead of thinking of yourself, think of how he felt.

I mean I must have made him feel sort of stupid

+when I said

Therapist: mm-hm.+

Margaret: "oh come on"

you know like, I don't believe this +you know

Therapist: mm-hm.+

Margaret: but, I find, our reactions to things are a little different

but, um, I can be a little more understanding than I used to be.

 

APES Substage 3.8: Joint Search for Understanding

 

Session 10: 458-797

 

Margaret: I just nagged him!

I was actually looking for things to nag him about.

Therapist: mm-hm.

Margaret: and I thought, why am I like this?

I know I'm contributing to this, sort of

I guess maybe he just gets tired of listening to me

and shuts me out…

 (lines 458-465)

Therapist: and yet, and there are probably things he's doing

to contribute to the way they are now,

but you're saying but there are also things I do

Margaret: mm-hm…

(lines 473-477)

he was trying to help me you know…

(lines 596-597)

it's almost like verbal abuse that I was giving him

and I feel bad-

but I do it and I can't stop myself…

(lines 617-619)

I think sometimes he shuts me out

because I'm sure it's very painful for him too you know.

maybe this is just his way of coping:

he just shuts me out.

and then of course I become more frustrated.

 

Session 11: lines 941-964

 

Margaret: mm-hm. so this is how I, you know, I mean as I say,

I'll admit like, it really was a bad time

and as I say,

part of it was my fault too,

I guess maybe I pushed [my husband] away in a lot of ways

so that he got to the point he thought okay, that's the way she feels,

she can, I'm not gonna, you know, try any more.

even now he's very careful what he says about my family (laughs).

Therapist: so somehow that started this kind of thing

where he was afraid to maybe say,

or get involved?

Margaret: mm-hm.

Therapist: it was more like, he thought you wanted him to keep his distance?

Margaret: yeah, I think yeah.

and and I think,

and then when something like that happens it leads to other things too, you know, like quite unwittingly I think people just say,

okay fine enough, if that's the way she wants it, or

Therapist: yeah maybe he, just kind of,

I can imagine him maybe just getting confused about what you did want

Margaret: yeah.

Therapist: just kind of feeling like,

maybe you need some space

when it sounds like probably that was the last thing you really wanted.

Margaret: yeah.

I just needed somebody.

 

APES Stage 4.0: Understanding/Insight

 

Session 11: lines 1100-1123

 

Margaret: ….I never thought about it this way until now but,

maybe, he felt so left out too, maybe!

he just felt left out.

Therapist: when…[you] were consumed with what was going on with your family…

maybe he felt, left out

and maybe helpless.

Margaret: yeah, you know I never looked at it that way before.

I just always…had this feeling of resentment

that my, my sole support (slight laugh) wasn't there

Therapist: uh-huh, like he should have supported you more.

Margaret: yeah,

and maybe !he just felt left out you know that,

as I say, I was so consumed with my parents,

that maybe I pushed him out of my life?…

Therapist: maybe he didn't know how to help or?

Margaret: yeah.

Therapist: maybe he didn't know what you needed at the time

Margaret: …yeah, you know, I never thought of it that way,

isn't that strange,

…I guess maybe I was just so angry

and so let down and, you know

Therapist: and maybe there was a lot of hurt there that wasn't being expressed too

 

Progress in Later Sessions

 

Session 16: lines 138-161

 

Therapist: So that was new for you.

To be able to kind of relax and just let it flow.

Margaret: Mm-hm.

And I thought, fine.

And then I thought, if anything happens it's not, you know,

 someone else can worry about it.

 I just sort of took this attitude, like okay,

 there's people taking care of things at the church

and there's people taking care of things at the hotel,

and so what (laughs).

Therapist: So somehow in the past you might have,

I guess, worried or fretted?

Margaret: …I know I would have been a wreck.

Therapist: +Uhuh.

Margaret: And actually to be perfectly truthful with you,

I really enjoyed myself.

I had a good day.

 

 

THE CASE OF LISA

 

Lisa’s Conflicting Voices

 

Resentful Fighter in italics.

Empathic Supporter in bold.

 

APES Stage 3.0: Problem Statement/Clarification

 

Session 2: lines 283-292

 

Therapist: so there's this part of you that really feels that,

            strong resentment towards her

Lisa:     yeah yeah,

            and then the other part wants to just,

            you know, forgive and carry one (T. mm hm)

Therapist: so those are likely conflicting forces with you right,

            like almost like two complete discrepant voices

            that one's saying 'no no no she should pay'

Lisa:     yeah

            and the other is like, you know,

            'forgive she's your mother and she's human,

            she makes mistakes too' (T. uh huh)

             - - I feel like I'm caught –

            like a yo yo (laugh) you know,

            going back and forth (T. uh huh) um

            - - - and it feels good to finally let that out.

 

APES Substage 3.2: Rapid Cross-Fire

 

Session 2: lines 97-110

 

Therapist: yeah, so when you say anger

it's-it's like you feel a resentment towards your mother for having--

Lisa:     yes and no,

um, I guess I understand it now,

but the feelings are still there about it

Therapist: uh huh, it's like you can have an understanding, like a--

Lisa:     well I know that they were both working at the time

and you know, try to you know, pay a house and

- - that's why, I guess, where I came in as the provider (T. mm hm)

Therapist: so in some ways it makes some sense to you,

or you understand that you were needed

Lisa: yes I understand it

Therapist: that you were needed (C: right) - and

Lisa:     and yet, why no time to be a child and-and play and

 

Session 5: lines 107-123

 

Lisa:     right, and then I guess sometimes I feel guilty,

that I should be, supporting more, (T. um hum)

- but then what about my needs

Therapist: yeah, so then you go back there

it's like well what about me right (Lisa: yeah)

- what about what I need

Lisa:     that's right - yeah,

what, what I feel is comfortable inside me

and (T. um hum), and for my kids and (T. um hum)

and I deserve this and (T. um hum)

I'm a person and I'm going to uh, look after myself

- - - but, I feel like I'm abandoning him,

like, as a wife I shouldn't

Therapist: - yeah, but it's just this thing telling you (Lisa: um hum)

- if you were a good wife you would stick by him

Lisa:     yeah - yeah, it's almost like I would allow him

- I should allow him to,

to treat me this way,

and and do these things to me (T. um hum)

and just be there for him (T. um hum)