Clinical psychologists sometimes say that two kinds of people seek therapy: those who need tightening, and those who need loosening. But for every patient seeking help in becoming more organized, self-controlled, and responsible about her future, there is a waiting room full of people hoping to loosen up, lighten up, and worry less about the stupid things

"A therapist who fears dependence will tell his patient, sometimes openly, that the urge to rely is pathologic. In doing so he denigrates a cardinal tool. A parent who rejects a child's desire to depend raises a fragile person. Those children, grown to adulthood, are frequently among those who come for help. Shall we tell them again that no one can find an art to lean on, that each alone must work to ease a private sorrow? Then we shall repeat and experiment already conducted; many know its result only too well. If patient and therapist are to proceed together down a curative path, they must allow limbic regulation and its companion moon, dependence, to make the revolutionary magic. Many therapists believe that reliance fosters a detrimental dependency. Instead, they say, patients should be directed to "do it for themselves" - as if they possess everything but the wit to throw that switch and get on with their lives. But people do not learn emotional modulation as they do geometry or the names of state capitals. They absorb the skill from living in the presence of an adept external modulator, and they learn it implicitly. Knowledge leaps the gap from one mind to the other, but the learner does not experience the transferred information as an explicit strategy. Instead, a spontaneous capacity germinates and becomes a natural part of the self, like knowing how to ride a bike or tie one's shoes. The effortful beginnings fade and disappear from memory. (171)"

TRUST IN ONE’S ORGANISM A second characteristic of the persons who emerge from therapy is difficult to describe. It seems that the person increasingly discovers that his own organism is trustworthy, that it is a suitable instrument for discovering the most satisfying behavior in each immediate situation. If this seems strange, let me try to state it more fully. Perhaps it will help to understand my description if you think of the individual as faced with some existential choice: “Shall I go home to my family during vacation, or strike out on my own?” “Shall I drink this third cocktail which is being offered?” “Is this the person whom I would like to have as my partner in love and in life?” Thinking of such situations, what seems to be true of the person who emerges from the therapeutic process? To the extent that this person is open to all of his experience, he has access to all of the available data in the situation, on which to base his behavior. He has knowledge of his own feelings and impulses, which are often complex and contradictory. He is freely able to sense the social demands, from the relatively rigid social “laws” to the desires of friends and family. He has access to his memories of similar situations, and the consequences of different behaviors in those situations. He has a relatively accurate perception of this external situation in all of its complexity. He is better able to permit his total organism, his conscious thought participating, to consider, weigh and balance each stimulus, need, and demand, and its relative weight and intensity. Out of this complex weighing and balancing he is able to discover that course of action which seems to come closest to satisfying all his needs in the situation, long-range as well as immediate needs.

The individual becomes more openly aware of his own feelings and attitudes as they exist in him at an organic level, in the way I tried to describe. He also becomes more aware of reality as it exists outside of himself, instead of perceiving it in preconceived categories. He sees that not all trees are green, not all men are stern fathers, not all women are rejecting, not all failure experiences prove that he is no good, and the like. He is able to take in the evidence in a new situation, as it is, rather than distorting it to fit a pattern which he already holds. As you might expect, this increasing ability to be open to experience makes him far more realistic in dealing with new people, new situations, new problems. It means that his beliefs are not rigid, that he can tolerate ambiguity. He can receive much conflicting evidence without forcing closure upon the situation. This openness of awareness to what exists at this moment in oneself and in the situation is, I believe, an important element in the description of the person who emerges from therapy.

It seems to me that clients who have moved significantly in therapy live more intimately with their feelings of pain, but also more vividly with their feelings of ecstasy; that anger is more clearly felt, but so also is love; that fear is an experience they know more deeply, but so is courage. And the reason they can thus live fully in a wider range is that they have this underlying confidence in themselves as trustworthy instruments for encountering life.

But clinical psychologists also began to find something disconcerting emerging from therapy: even on that rare occasion when therapy goes superbly and unusually well, and you help the client rid herself of depression, anxiety, and anger, happiness is not guaranteed. Emptiness is not an uncommon result.

I should like to point out one final characteristic of these individuals as they strive to discover and become themselves. It is that the individual seems to become more content to be a process rather than a product. When he enters the therapeutic relationship, the client is likely to wish to achieve some fixed state: he wants to reach the point where his problems are solved, or where he is effective in his work, or where his marriage is satisfactory. He tends, in the freedom of the therapeutic relationship to drop such fixed goals, and to accept a more satisfying realization that he is not a fixed entity, but a process of becoming.

It's very therapeutic, what I do. Other people get this anonymity and thrill from being in an Internet chat room, where they can be anybody they want to be. That's the feeling I get, but to an even greater extent. I physically take on these characteristics. Afterwards, I feel I'm a parrot. I need a black bag put over my head until I become myself again.

One of the fundamental directions taken by the process of therapy is the free experiencing of the actual sensory and visceral reactions of the organism without too much of an attempt to relate these experiences to the self. This is usually accompanied by the conviction that this material does not belong to, and cannot be organized into, the self. The end point of this process is that the client discovers that he can be his experience, with all of its variety and surface contradiction; that he can formulate himself out of his experience, instead of trying to impose a formulation of self upon his experience, denying to awareness those elements which do not fit.

During the process of therapy the individual comes to ask himself, in regard to ever-widening areas of his life-space, “How do I experience this?” “What does it mean to me?” “If I behave in a certain way how do I symbolize the meaning which it will have for me?” He comes to act on a basis of what may be termed realism — a realistic balancing of the satisfactions and dissatisfactions which any action will bring to himself.

Therapy is therapy-- talking to the patient about what matters to him, no matter at what pace he can take it... As long as you take the position of talking to a person about what matters to him, then he can feel secure. Someone cares enough and is concerned enough about him to work with him and listen.

Knowing someone is the first goal of therapy. Modulating emotionality - whether by relatedness or psychopharmacology or both - is second. Therapy's last and most ambitious aim is revising the neural code that directs an emotional life. (176)

The collegiate young are being re-educated before they have been educated. From our collegiate ranks, the therapeutic will appear a re-educated man, one who can conquer even his subtler inhibitions; his final know-how will be to irrationalize his rationality and play games, however intellectualized, with all god-terms in order to be ruled by none. In their moral modestly therapeutics will be capable of anything; they will know that everything is possible because they will not be inhibited by any truth. Far more destructively than earlier interdict-burdened character types, the therapeutic will be the warring state writ small; he may be even cannier, less sentimental, stronger in ego, shifting about his principles and impulses like so many stage props.

the more the therapist becomes a real person and avoids self-protective or professional masks or roles, the more the patient will reciprocate and change in a constructive direction. Of course, the therapist should accept the patient nonjudgmentally and unconditionally. And, of course, the therapist must enter empathically into the private world of the client.