A Guide to Psychology and its Practice

Questions
and Answers

 

I entered therapy partly to deal with a chronic illness, rheumatoid arthritis. My therapist believes that this illness is caused by repressed emotion. I think he believes that our work together can significantly improve my illness. This is difficult idea for me to swallow because:
1) I feel awkward discussing the fact that my illness is progressing rather than improving—am I not working hard enough? not measuring up? Plus I feel that he’s being a bit unscientific and a bit arrogant (as I told him).
2) This is not how I want to think of myself—so repressed that I brought myself a great deal of pain and aggravation. I’m not even saying his idea is not possible. Just that it doesn’t work for me as the story of my life. I think I have a disease. I think there are many reasons why. Bad stuff happens to everyone. Now I need to deal with it.

Because I think that dealing with any repressed emotion can only help my illness and help me make a good life, I think my therapist and I still have the same goal basically, so I think we can work together. I believe that our work together can really help me improve my life and maybe my illness. Here’s my question: Is it reasonable for me to tell my therapist that I’m going with my version of what causes my illness rather than his? Perhaps we can agree to disagree. What do you think?

 
The real issue here is not about who is “right” but about the definition of cause.

The fact is, there can be several causes of one thing. Rheumatoid arthritis can have a genetic cause, a chemical cause, and a psychological cause. Given that you cannot do anything about your genetics, and that medications may provide only partial help, it might be very helpful to do everything you can to alter the psychological aspects of the case. In general, because repressed emotions are usually a key component of the psychological cause of anything, using psychotherapy to improve your physical condition will involve your learning to expand your emotional awareness.

As for thinking of yourself as “so repressed that I brought myself a great deal of pain and aggravation,” well, join the club! We all have an unconscious, and we all are so repressed that we bring ourselves a great deal of pain and aggravation. We are so filled with disagreement that we disagree with life itself. Unconscious psychological conflicts rule the world—literally. That’s why the world is filled with hatred, violence, terrorism, and war. If you want peace—whether it be physiological, political, or spiritual—it has to begin with the purification of your own heart, so that anger and victimization give way to forgiveness.

So, instead of disagreeing with your psychotherapist—and your own body—seek out the healing wisdom of understanding.

 


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