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Blog (by JH, no AI)

Thoughts on Psychotherapy

Blog | Dr. Jamey Hecht | Beverly Hills, CA
 
Posts in Sexuality
Addiction, or No?

A habit merits the term “addiction” when it costs you more than it’s worth; when you try to stop it, but find you can only put it “on pause” for a short while; and when you find your thinking (especially your judgment) is distorted by the high priority you place on repeating the habit. Another criterion is perhaps less important because it’s outside you, but it can be very important indeed: when multiple neutral or friendly people tell you they think you have a problem—especially if they haven’t spoken to each other about it beforehand. 

In an excellent book called In the Realm of Hungry Ghosts: Close Encounters with Addiction (2010), Gabor Mate argued that addictions have their roots in early trauma. He tells the story of the thousands of American soldiers who fought in the war in Vietnam, which at that time was part of the “golden triangle,” a geographical area that produced a large share of the world’s heroin supply. U.S. troops coped with horrific levels of combat trauma, including guilt/moral-injury; anxiety, uncertainty, and fear; bereavement and loss; the shock of seeing so much injury and death; and the various physical wounds, ruined health, lost limbs, and so on. Many became habitual heroin users. But when they came home, it turned out that for the most part, the soldiers who remained stuck in heroin addiction were those who had suffered childhood trauma, long before the war. The others were able to drop the habit, though heroin is perhaps the most addictive substance on Earth. 

Not every addict has a trauma background. But most do, and when you meet one who apparently does not, you can’t be certain they have (or have shared) a full knowledge of their own relevant personal history. While many different kinds of trauma can happen to a kid, the CDC lists a few of the big ones in its online material about Adverse Childhood Experiences (or “ACEs”):

Experiencing violence, abuse, or neglect.

Witnessing violence in the home or community.

Having a family member attempt or die by suicide.

Substance use problems.

Mental health problems.

Instability due to parental separation.

Instability due to household members being in jail or prison.

They add “not having enough food to eat, experiencing homelessness or unstable housing, or experiencing discrimination.”

This painful picture of deep human suffering should not be taken as a portrait of an “average addict,” since there’s no such entity. And what amounts to trauma is not actually the stuff that happens to somebody, but how it’s experienced. The mystery of resilience has to do with the kid’s temperament, circumstances, culture, and especially the interpersonal supports that did or did not keep the situation from being even worse. There are people who endured every ACE listed here, who have never been addicted to anything. And there are others who had only one or two of these to deal with, and in adolescence or adulthood became dependent on one or more substances or behavioral habits that cost them dearly. 

The difference is not a moral one, and there is no rational calculus about who had it worse, or who went on to put up the best fight against addiction or depression or anxiety. These pseudo-questions involve impossible apples-and-oranges comparisons and fictitious quantifications of how bad different childhoods were. The feelings are most important; the facts matter, too; but the measurements of them are largely illusory. The reality of trauma has to do with what happened inside the child: what the bad stuff meant to him or her. If parents are neglectful or abusive, a kid will infer that young person in the mirror is deeply flawed, and deserved the bad experiences. But if the same kid also has a benevolent art teacher, a well grounded mentor, a kind and wholesome uncle who is reliable and interested, sane and warm—the kid may be protected from drawing that toxic conclusion about the self, and grow up less susceptible to addiction, to cults, to swindles, to sadomasochistic attachments, and so on.

The trauma theory of addiction is the profound claim that we mammals, we primates, we human beings, have universal evolutionary needs for nurturance and protection, and when these go unmet, or are met with harm mixed in, addiction often results. The person seeks out whatever will soothe away the pain of neglect and/or abuse from long ago. Usually, it’s pain from very long ago: infancy is the first love relationship we ever have, the mother-baby dyad that sets the emotional foundation for the whole lifespan. Even if things don’t go relatively wrong until later in childhood, it’s the inner baby part-of-self within the older kid that’s most overwhelmed. Freud taught that each of us is all the ages he or she has ever been, so the baby who craves a substitute for the warm and milky breast is actually still active inside the active addict, running the show—which is why the addicted adult can be found making such poor decisions. A brilliant, short book by Abraham Twersky, Addictive Thinking (1997), spells out what that kind of cognitive distortion can sound, look, and feel like. 

But acute or chronic trauma need not be the only reason for addiction, and often there is a very useful significance to the person’s particular “drug of no choice,” as it’s sometimes called in twelve step culture. For example, with or without the expectable ACEs, people who have uncontrolled habits of excessive sexuality may be trying to prove to themselves that they are indeed attractive sexual beings, capable of evoking erotic participation from others. Boys who were repeatedly rejected by the girls they hoped to kiss—and that’s most boys, who mature more slowly than girls tend to do—can grow up with a lot to prove. Many spend their late teens, twenties, and even their thirties struggling to establish that they are not icky “involuntary celibates” who will never find a mate (even if the guy himself is now the only person who sees him that way). If they can do this without deception, and without heaps of gender-based resentment, and without excessive risks to physical and mental health, they may manage to accumulate enough sexual experience to falsify their own worry about it. They can be fortunate enough to realize one day that they have indeed established what they were so desperate to establish. Now they are free to let go of the pattern that looked like, or really was, “sex addiction.”

Shopping addiction can be like that, too. I’ve said “people with uncontrolled habits of excessive sexuality may be trying to prove to themselves that they are indeed attractive sexual beings.” Well, people with uncontrolled habits of excessive consumerism may be trying to prove to themselves that they are indeed successful participants in the world of consumption, including the spells cast by advertising. Ads comprise a powerful technology of conscious and unconscious persuasion that links people’s self-esteem to their capacity to get hold of whatever product or service is being defined as beautiful, validating, and necessary. If I succumb to this, my identity will be bound up with my ownership of the bag, the boots, the car, the designer version of whatever I’ve been convinced I need.

Insofar as this is true of somebody in particular, that person’s sobriety will have a lot to do with identity: achieve an internal locus of value, and you can also build up an internal locus of control that defeats the addiction. When a person suddenly comes into a sum of money, a lot can be learned by watching how they spend it: the speed of the spending, but more importantly, the buying choices they make. If you are making large purchases of “designer stuff,” you might be an erudite connoisseur of fine handbags and their nuanced history since the year 1588. But it’s more likely you are buying an Hermes bag for $9,850 because that is what the surrounding culture told you was important, valuable, and above all, validating for the identity of the buyer. It is, ultimately… a bag.

A designer purse like that “says” plenty, but just what it says depends on the wisdom of the beholder. The message can range from “look, I am successful, you would be fortunate to share sex, love, friendship, or business with me” to “look, I cannot think for myself, and remain profoundly naive about the available better uses to which money can be put.” Those uses include appropriately limited altruism, where you get good feelings by helping others who need help; buying experiences (especially travel, but also course-taking, conference-going, skill-building, etc.) rather than things; connecting to the past and to the globe by acquiring works of art that speak to you; funding ambitious projects that you find fascinating and beneficial to the communities of which you count yourself a part; and so on.

I know brilliant, beautiful, accomplished people who collect high-end designer handbags. I see it as an expression of their aesthetic enjoyment of these exquisite objects. I also see it as a mechanism of compensation for early experiences of having to do without the goods that other kids had. If your peers in elementary school and middle school and high school all wore flashy stuff and drove expensive bikes, while you wore hand-me-downs and walked to school without wheels, you might well benefit from disproving the worry that they are blessed and deserving while you are deprived and unworthy. And the collectors I’m thinking of are at least as psychologically sophisticated as I am; they know all about their own formerly unconscious motivations for spending “real money” on glam and bling. But they do it anyway, and apparently it serves them well. Rather than judging anybody for buying or selling luxury goods, I am commenting on some of the common underlying dynamics that contribute to habitual choices which can come to feel quite unfree.

And that’s the issue with therapy for troublesome habits: is the habit a free and informed choice? Is it an addiction, or would we get better results framing it as a mere habit that needs tending? The more it costs you—in money, time, opportunity, relationships, access, etc.—to continue with the habit, the easier it is to decide that you must stop. The less it costs you, the more reluctant you or I will be to use the term “addiction,” or recommend 12-step programs, or insist that only abstinence will constitute recovery. Mild addictions to substances or behaviors can be addressed with a commitment to “harm reduction.” Someone who drinks a few times a week but does not lie about it, nor have blackouts, nor have a Jekyll-and-Hyde personality change when they’re intoxicated, is probably a person who can reduce drinking by, say, 65% without too much struggle. But if it turns out to be a big struggle, then the language of addiction might be very useful for getting hold of the habit and changing it.

If you’re dealing with repeated behaviors that you suspect are costing you too much in money, time, peace of mind, or otherwise, consider booking a session with me. We can join forces to help you figure out your relationship to the habit in question, and find the best ways to change for the better—guided by your values and goals.

Email me through the contact form on this website, or call 917-873-0292.

Moving from Sex-Positive Dating to Seeking a Relationship

This post is addressed to people who (a) currently live in the world of sex-positive dating, which often includes kink and polyamory, and who (b) have begun to feel that all this sex and sociality is fun, but that Romantic Love is missing, and its absence matters more and more. Hence the title: “Moving from Sex-Positive Dating to Seeking a Relationship.” 

Yes of course, those two things can be the same. It is indeed possible to keep on “playing in the scene” and eventually manage to meet somebody within it who also wants to find an enduring, central love. Sex-positive social politics: check

Having said that, let’s notice the equally obvious truth that living a lifestyle of erotic adventurism and searching for a Primary Partner can be two very different things. And if you think you might want to attempt a permanent monogamous commitment with somebody awesome who feels uniquely suited to your nature, then they’re very different things.

Let’s draw on Greek mythology for a moment, to explain this in a more vivid way. What you’ve been doing is sampling the erotic individuality of a large number of people, and in pagan terms (which will likely suit you better than the relatively sex-negative monotheist worldview), that’s like living in a valley presided over by Aphrodite, the Goddess of sexuality and thrilling infatuation (also known, in the poly world, as NRE, “new relationship energy”). Since you’re also prioritizing consent, Aphrodite shares the place with Artemis, protector of women and girls. Wonderful.  

But where is Hera? She’s the Goddess of marriage, of long-term reliable continuity, of compatibility and all the wisdom we only really learn by voyaging deep into that other region that includes commitment, time, aging, and death. It’s where you get to really know someone else, and be really known. So it is also the place where someone’s feelings about you mean the most, because they’re based on the fullest knowledge of what and who you actually are: they really know you, and instead of running away, or friend-zoning, or attacking… they bring you acceptance, loyalty, and desire. And they let you know them just as deeply, and if it goes well enough, the whole thing becomes gloriously mutual. Well, that’s where Hera presides; that’s her realm, located somewhere over there, beyond Field and The League and Fetlife, beyond all those apps and “play parties.”  

There are two different metaphorical voyages involved: the second voyage is the LTR (Long Term Relationship) itself. But to reach its starting point, you must make the voyage that comes first, out and away from what you’re now doing and being (the nasty term for it, if you’re a man, is “fuckboy”—but such slut-shaming is quite unnecessary, especially if your Ethical Non-Monogamy has indeed been ethical, not deceptive), and into Hera’s country, where meeting Ms-or-Mr Right becomes much more likely, for inner and outer reasons.  

This first voyage is what I’m talking about, and what makes it difficult are the uncertainty and the rejections. You don’t know how long it will take, or exactly how best to go about each particular piece of it. And each encounter has four basic possibilities: you like them and they don’t like you, which is rejection, your least favorite. Or they like you and you don’t like them, which is disappointment; better than rejection, but awkward and boring. Or neither of you is interested, which is usually a bit better still, since nobody is hurt. Or the jackpot is hit, the gimmel on the dreidl: you like each other. 

Now I’m going to say something you already know. Why? Because the point is not to convey information, but to calm the anxious part of you that dreads rejection and uncertainty. Your head might find the repetition tiresome, but your heart needs it because that’s how emotional reassurance works. Here it is: the person you’re trying to get a date with is living their own life, populated by thousands of factors and people and exes and ailments and plans that you know nothing about. They might not reject you at all, but if they do, these unknowns would probably amount to a robust explanation for why you got turned down, one that has nothing to do with your value, your game, your charisma, or your prospects for finding love and happiness. As I once said to a lonely gentleman who’d just been turned down by a lady he liked: She’s on Planet Her

But what if the rejection actually is about you? Well, if it’s got any hostility in it, and you didn’t do much to warrant that, then it ain’t really about you. People’s hostility discredits itself. If they’re the sort of person who would say something hurtful or aggressive just because there were no fireworks between you two, then that’s obviously somebody you don’t want to be around anyway. You “dodged a bullet.”

Between that kind of egregious static, and a better result, there is only a thin band of genuinely relevant personal criticism that is not untrue and not unkind—and therefore worth taking seriously, and difficult to hear. But that’s also the stuff you can actually learn from. For example, people need to feel heard, and listened to—especially women, whose conversational style and expectations make many of them quite sensitive to being interrupted by a man, or spoken to at length without enough turn-taking. When a man is given constructive criticism about this issue it can be quite unpleasant for him, but if he can incorporate the advice into his manner, a great deal is to be gained. “Pick yourself up, dust yourself off…”

In relationship-oriented dating, an interaction that turns out to be a rejection is a bit like a pretty tree that turns out to be one of those stinky gingkos: it’s appealing from a distance, and then, up close, you realize what it is. But remember: they are part of the native foliage of the very terrain you are trying to cross. Be glad those experiences are there, because they tell you you’re in the right region, headed in the right direction. “Where grows the danger,” wrote the poet Hölderlin, “there also grows the power of salvation.”

People-Pleasing Pleases Nobody

Perhaps you were raised in a household with a chronically and deeply inculcated ethic of self-effacement. Perhaps people quoted to you that vexing line of scripture, Proverbs 16:18: “Pride goeth before destruction, and an haughty spirit before a fall.” Maybe that was a gendered experience, in which girls and women were raised to people-please, as if their maternal function were the only legitimate contribution they could make to the world. Or maybe it was a message for men and boys, that male people must be regarded as toxic opportunistic jerks, until and unless they establish their own goodness through people-pleasing.   

It’s true that people-pleasing and self-effacement are much better than the opposite extreme—where narcissists act as if the world owed them everything they could ever want, going through life exploiting others by deception, cheating, and entitlement. But there is a vast, wholesome, fertile middle-ground between these extremes.  

The culture of masochistic self-effacement—particularly common in the American Midwest, but not rare elsewhere—involves an extremely important error about human nature. When you withdraw into yourself like a turtle in its shell, giving up your claim to social space, resources, and dignity, other people in general do not actually benefit. Unprincipled characters may avail themselves of your services without reciprocating; such opportunists do not generally deserve what you’re giving them. Warmer folks might welcome your generosity and actually repay you in kind, but this is actual mutual goodness—not people-pleasing. Those who have the self-confidence to meet their own needs are going to do so with or without your self-sacrifice. And those who lack that confidence may be cowed by your example and feel shamed into emulating it (especially if you are their parent).  

Here are a few analogies, since the same principle applies in many other domains. Watching an anxious, apologetic musician perform is exhausting, whereas watching a confident and relaxed performer is energizing. When a singer is tense, tentative, inhibited, and nervous, the audience is drained by the performance and waits for it to end. When the singer is calm, expansive, centered, and open, the voice fills the whole space; the improvisation is playful and fluid; and the audience is captivated in delight.

Sociality tends to work the same way. The other people around you will benefit more from your loving self-acceptance than from your self-loathing. They are more likely to flourish if you flourish, than if you sulk, stagnate, or persecute yourself.  It is not anti-social to love yourself. It is pro-social to love yourself.  

As a brilliant Chinese political philosopher, Jiwei Ci,  once observed: “In a world of perfect altruists [who only promote their neighbors’ interests, not their own], no one has any interests for his neighbor to promote.”  

This same principle also applies to dating, where there are two major ways of being beautiful. One way is to absorb the standards of beauty that are tendered to you by the media and by your peers, and shape yourself to match those ideals as closely as possible. Some people will stop at nothing in pursuit of such external notions of aesthetic self-presentation, even at great personal expense, not all of it financial. Some will even inject their own faces with botulism toxin (“Botox”)—often at such youthful ages that there are not yet any wrinkles for the procedure to erase. The price is bigger than it seems, since the deactivation of facial muscles can make the human countenance less expressive, with serious possible consequences for emotional intimacy. Other forms of body modification have their risks, too. Fasting can have health benefits, or spiritual aspects, but starving oneself in pursuit of weight loss can constitute dangerous (even fatal) disordered eating. Working out in the gym can be a great enhancer of physical and emotional health, a rewarding and challenging part of self-care, and a venue for camaraderie. But it can also be the site of an “adonis complex,” where people toil for a missing self-respect that they associate with a highly muscular physique (this is a struggle often met with in some forms of Gay men’s culture).  

Most people benefit from some moderate degree of participation in shared ideals of attractiveness, maintaining their appearance as part of the pleasure of self-care—without overdoing it, or falling prey to excessive anxiety about how they look. At that point, the other approach to beauty takes over: sheer genuine confidence. So long as I have met this basic standard of self-care, my confidence that I am beautiful—even if my beauty is unconventional—has a benign influence on the way other people perceive me. Whatever my age, gender, sexual orientation, or social position might be, my comfort within my own skin, my genuine belief that, odd or not, I am cute as hell—is itself part of the way observers see me. The visual dimension of my self-image is part of my charisma; it is self-fulfilling.  

I’ve discussed musical performance and physical attractiveness as examples of the broader issue I raised at the beginning: my belief in myself is better for me—and for others—than my self-doubt. Put another way, other people will benefit more from my achievement of loving self-acceptance than they will from my continued self-denial and people-pleasing.

This applies to many more arenas than the few I’ve discussed here. For example, one of the best books I’ve read on sex is Male Sexuality: Why Women Don’t Understand It and Men Don’t Either, by psychoanalyst Michael Bader. He spells out the way that sex between men and women can go poorly if both people are entirely focused on the other person’s pleasure. Of course, it can also go poorly if they’re exclusively concerned with their own pleasure, but that problem is much more obvious, and much easier to discuss. Some generous attention to the other person is, of course, important, since sexual giving is both gratifying in its own right, and ethically salient—but so is some degree of embodied raw desire for stimulating experience of one’s own, without distraction, judgment, guilt, or ambivalence. When you share what’s yours, you’re sharing what’s yours.

As is said on every airline flight, and metaphorically repeated in myriad therapy sessions: put on your own oxygen mask first, because that’s the necessary preparation that makes it possible to help anyone else. If you do not start off by loving yourself (and it’s never too late for that), but instead regard yourself as a despicable sinner who must find ways to prove his or her own decency, then how do I know whether your kindness to me is a genuine gift, or just another impersonal effort to demonstrate that you’re a worthy human being? We generally prefer to receive kindness from people whose motive is not to escape hell (in this world or the next), nor to win entry into post-mortem paradise. We prefer to receive kindness as an authentic expression of somebody’s good nature, or, if we know each other well, as a communication about their feelings for us—not as a mere byproduct of their own secret wrestling match with a tyrannical conscience. Love yourself, and your love for others will mean more to them, not less.

Two thousand years ago, the great Rabbi Hillel said this unforgotten thing: “If I am not for myself, who will be for me? If I am only for myself, what am I? And if not now, when?”

If this post resonates with you, consider booking an appointment with me at 917-873-0292, or email Jamey@drjameyhecht.com. Sessions available in-office in Park Slope, Brooklyn, and remotely in NY, NJ, TX, and CA.

Chasing Status to Avoid Love

In F. Scott Fitzgerald’s great American novel The Great Gatsby, a self-made millionaire aspires to win the heart of a woman he once loved. Daisy is married and unavailable, but Gatsby has idealized her for years. He knows that she appreciates the outward signs of wealth, fame, and power—things that confer status—so he reinvents himself as a wealthy tycoon, hoping this will impress her enough to make her value him. He benefits from this quest because it focuses his energies, motivates him, and brings him the clothes and cars and cash that sometimes make life fun and exciting. Gatsby makes his money by bootlegging liquor during Prohibition, when it was illegal and therefore risky and lucrative. Alcohol has destroyed myriad lives, but in moderation it has been part of the good life in many cultures for millennia; one could argue that Gatsby’s path to success was not so antisocial as to be self-discrediting—he is no Al Capone, and no Macbeth. But such success itself poses a problem: if it all works out, and Daisy is won over by glitz and bling, how will he know she really loves him? Gatsby is a man, not a Rolls Royce or a bank account.

The book ends in tragedy, when Gatsby is killed by another character. But had he lived, one possible outcome would’ve been a temporary affair between him and Daisy, followed by some kind of disillusion. Either she would reject him and stay with her boorish husband (Tom), or Gatsby would tire of her upon realizing that she loves his status, his money, his power, more than she is capable of loving him. Such disillusion would be agonizing, but it would do him a world of good. Disillusion is the way out of illusion, and some illusions can be extremely hard to escape because their logic has a seamless continuity that conceals the exits. Of course I want to live in a giant mansion; of course more money is always better, ad infinitum; of course a higher status will enhance my success at anything I could possibly undertake in life, including finding a mate. It is because these assumptions seem so obvious that their fundamental error is so hard to detect.

Freud taught that the purpose of psychoanalysis (it applies to mental health treatment in general) was to help people to love and to work. The idea that more-is-always-better has serious drawbacks on both sides. In work, it threatens what we call “work/life balance” and risks work addiction, in pursuit of ever-more earnings, far beyond our ability to enjoy them. In love, more-is-better can mean either of two troublesome things. It can mean I am stuck in a compulsive accumulation of temporary partners, building my “body count” without checking its effect on my wellbeing. Or it can mean I am doing what Gatsby did, pursuing just one partner, but using means that are accumulation-based: if I have more status than these competitors, then I’ll win the competition for her. What gets neglected here is the way my toys and my success can upstage the merely human, unique individual I actually am. I also may fail to notice how much my attention is diverted from my “Daisy” onto the men with whom I’m busy competing, jockeying for position, comparing the size of our houses (paging Dr. Freud), etc.

If such a disillusioned Gatsby can survive the disillusioning experience, he may win the real prize, one more valuable than the solid gold toilet, or the victory over his male rivals, or even Daisy herself. The real prize is a mature freedom: freedom from the endless compulsion to accumulate ever more status and wealth, and with it, freedom from the need to woo the kind of person who remains focused on that kind of stuff. Whoever escapes from the prison-house of status-seeking gets to love and be loved by people who are also free of it.

There are plenty of good reasons for a couple to want lots of money, or for a single person to want wealth in an eventual marriage. Raising kids, running a small business, keeping a theater afloat, endowing a community’s nonprofit, all these require plenty of cash and become impossible if there isn’t enough, and the list goes on and on. What’s not so good, is chasing wealth as a substitute for self-love, and hoping that the display of this wealth will attract somebody else who has the same confusion between wealth and love.

People who are unconsciously afraid of love might not be able to tolerate getting the love they really need, but do not want. So they collude with similar people to form relatively loveless couples, held together not by deep affection, acceptance, and desire, but by the glue of status, purchasing power, and the conspicuous display of resources. Real love is associated with eventual death, because if I fall in love with one unique, mortal, individual person, I will one day lose them and it will matter to me. If I marry someone I really love who really loves me, I move forward on what Kierkegaard called “the stages on life’s way,” and this means leaving youth behind and getting closer to the end. Focusing on status and trophies can instead create the illusion that I am outside of the arc of the life cycle, that my world is one of endless youthful playdates and context-free experience, often of a dissociative, thrill-seeking kind. Diverse pleasures have their place, and there’s nothing inherently bad about thrills. But it’s worth checking: am I doing this as a defense against something else? Might I be partying quite this much because I am avoiding something?

If this post resonates with you, consider booking an appointment with me at 917-873-0292, or email Jamey@drjameyhecht.com. Sessions are available in-office in Park Slope, Brooklyn, and remotely in NY, NJ, TX, and CA.