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Deep political differences became the elephant in my therapist’s office

Editor: A lot of readers responded to our anonymous post the other day, “The therapist blurts,” in which a therapist’s judgmental comments about a patient’s Palestinian solidarity work terminated the relationship. This was not a singular occurence. Here is another story from the couches.

I am glad your friend is wisely looking for a different therapist. About 15 years ago I consulted a psychiatrist. He had a photo in his office of a kid in an army uniform. I never looked at it too closely until the day I did, and then asked him about it. Proudly, he offered that his son made aliyah and served in the Israeli army. I responded by sharing my recent involvement in Palestine solidarity work. He thought that was great, telling me his daughter worked for CAMERA. I took a deep breath and didn’t mention the subject again. 

Eventually, he moved to another part of the country, and our therapeutic relationship ended. We stayed in touch, from time to time exchanging political informational emails about Israel-Palestine. Sadly, not only did we disagree, but could not do so with even a modicum of respect. The person who had spent hours listening attentively, supporting me during a very difficult time in my life was now harsh, judgmental, and disrespectful. Ultimately, I asked him to stop emailing me.

I too am a psychotherapist. Clients come to discuss their lives not mine. But there is no mystery where I stand on Israel-Palestine.

Rajie Cooks image of the kaffiyeh on Susan Landaus office wall
Rajie’s poster of the keffiyeh on Susan Landau’s office wall

On one wall in my office is a print of a keffiyeh with three small peace signs, by Rajie (Roger Cook). Another wall has a photo of a Palestinian boy with the caption, ”If you destroy our houses, you will not destroy our souls.” 

To me this communicates an understanding of grief, loss, suffering, family, abuse, violence, conflict, destruction, exile, and inhumanity. And that my practice and my politics are rooted in my belief in the resiliency of the human psyche and spirit.

It is fascinating to me to consider how helpful he was to me. He was a “good therapist.” Or was he? For a substantial period of time we shared an agenda that had clear boundaries. That seemed to work well. At the point where I asked about his photograph and he responded, the relationship boundaries expanded to include new material. His initial response was honest. As a patient, I avoided confronting and dealing with his response. He also let it go. From that point on, the therapeutic relationship was compromised. The familiar elephant was in the room with an invisibility cloak.

Was it the difference in political perspective itself that terminated my relationship with a therapist with whom I was no longer in treatment? Or was it that without the established boundaries intact, we were real people without the skills to navigate a difference? And, does that change, and how does it alter the time period in which he was a “good therapist?” 

Paramount for me in all this is “Therapists are people, too.” But prerequisite to being a therapist and a person is an ethic that supports and allows the other person to fully be him or herself. Honesty, respect, and appreciation of difference are the sub-text of all human relationships, in or out of the consulting room. When those ethics are violated, trust is shattered. However one reflects on the previous basis of relationship, it is changed forevermore. Or so it seems.

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I am a clinical social worker/psychotherapist. One relevant term we use in the field is “conscious use of self”. Sharing personal feelings or opinions can open up a can of worms, but I have always felt that if that sharing is done consciously, with a defined purpose, it can actually benefit the therapeutic relationship. A client that I have been seeing, an older man, is a fervent, right wing Zionist. He knows I disagree with him, but in showing him that I respect his right to his opinion and his feelings, I am able to help validate his own self-respect. The fact that I disagree with his opinions might even enhance my work with him since gaining the respect of someone with whom you disagree can be even more significant than with one who shares your opinion. But I have to be extremely careful and constantly monitor my own feelings and interventions. The temptation to try and “convince” this man is a strong one, but as a professional I have to scrupulously avoid this. Thankfully, this man influences no one but himself; I imagine treating someone with real influence like a major politician or journalist with those views would be rather more of a challenge. I should have such problems!

Had a similar experience with my eye doctor. After participating in an e-mail debate in which I presented pro-Palestinian arguments ane he and other people defended the Zionist viewpoint, he refused to see me for a while. When I needed new eyeglasses he was always busy and could not see me, even when he did have time for new patients; he finally referred me to a young female doctor who had started to practice at his clinic.

A few years later, when I again needed new eyeglasses, he agreed to see me again, but of course we didn’t talk about that issue. Our relationship has been correct since.

“Thankfully, this man influences no one but himself”

And all the money he sends to the settlements is never used to hurt anybody! No one has even thought of killing Palestinian olive trees by smothering them with dollar bills.

Mooser, if the therapists that were the subject of this and the other MW post were unprofessional in letting their political views affect the therapy that they did (which seems to be the consensus) so would I be unprofessional if I let my own strongly held views (similar to yours, I am sure) affect my ability to work with this client. My point was really that it is difficult, no matter what one’s perspective, to resist the temptation to take advantage of one’s position in a professional relationship, but ethically it does need to be done. Having said that, you do make a good point about the damage he can do if he donates to the settlements (or the IDF, JNF, or whatever else for that matter).

RE: “Paramount for me in all this is ‘Therapists are people,
too’.” ~ Susan Landau

WITH APOLOGIES TO THE UNITED NEGRO COLLEGE FUND (AND MALCOLM X): “A mind is a terrible thing .”

PEOPLE, PEOPLE WHO NEED PEOPLE. . .

FROM ‘ANNIE HALL’ (1977)
Duane: “Can I confess something? I tell you this as an artist, I think you’ll understand. Sometimes when I’m driving… on the road at night… I see two headlights coming toward me. Fast. I have this sudden impulse to turn the wheel quickly, head-on into the oncoming car. I can anticipate the explosion. The sound of shattering glass. The… flames rising out of the flowing gasoline.”
Alvy Singer: “Right. Well, I have to – I have to go now, Duane, because I, I’m due back on the planet Earth.”

Great Movie Scenes; Annie Hall (1977); Dwayne’s Urge For Collision [VIDEO, 00:56] – http://www.youtube.com/watch?v=pGtFWAivsqY