Instances of negative transference are not the only time or the only way in which the therapeutic relationship can become a vehicle for learning, growth, and change. Actually, devoting a portion of therapy time to the therapeutic relationship on a regular basis can really have a significant impact on therapy. It’s like performing maintenance on the therapeutic relationship – evaluating its condition, confirming mutual understanding of and agreement on goals and methods, analyzing interactions that come across wrong even when they don’t cause major disruptions or misunderstandings, and all the other small tasks that keep a relationship on track and running smoothly. Not only will this help the therapeutic relationship to stay healthy and strong, thereby preserving its viability as a continued part of healing, but these small maintenance tasks can also prove to be surprisingly revealing.
However, despite its potential benefits, focusing time on the therapeutic relationship rather than on “actual therapy” is not always looked on favorably by therapy clients.
Some people believe that the therapist should be solely responsible for maintaining the health and strength and viability of the therapeutic relationship, and that the client should not have to contribute anything to that particular effort. These people never discuss the therapeutic relationship because it’s just not their problem – and if a problem does develop in the relationship, it’s not their responsibility to fix it, so there’s still no need to talk about it except insofar as the therapist needs to be told what to do about it.
These same people are likely to find that their therapy is a thoroughly unsatisfying and ultimately futile endeavor. No healthy relationship can be entirely and exclusively focused on only one side of the dyad. All relationships are two-way streets, even the therapeutic relationship, and it takes some maintenance from both sides to keep it viable. Additionally, how we treat the therapeutic relationship is a microcosmic and intensified view of how we treat all our other relationships. If we are willing to neglect it, abuse it, take advantage of it, assume on it, or otherwise treat it poorly – that’s a pretty good indication of how we treat the other relationships in our lives as well.
Other people think that focusing on their relationship with the therapist is an unnecessary waste of time because they’re in therapy to address their depression or their test anxiety or something equally unlikely to benefit from focus on any kind of relationship. And it’s true that focusing time on the therapeutic relationship might not be necessary for these people – but doing so is never a waste, even if it does seem like a complete digression at first.
It has been a constant surprise to me in my studies and experiences, how even issues that seem to be entirely self-contained and unrelated to any kind of relationship dynamic can so often be traced back to a difficult past relationship or a hurtful experience at an impressionable moment. Even a relationship that was positive overall might contribute one small negative that lives on in the backs of our minds, unregarded and unrecognized, but still influencing our current-day lives.
And this is not relevant only to dissociative survivors, or even only to survivors in general – anyone might have a relationship or an interaction from which they took away a hurtful or self-defeating lesson.
We can live our entire lives with these background influences and never realize that they’re coming from anything more than “just how we are.” The original precipitant can be so small, so distant, so seemingly insignificant to our current-day selves, that we might hardly even remember that it happened at all, and we never consider its potential strength.
But the lingering effects of these old lessons will still be apparent in how we act and react within the therapeutic relationship.
These effects are more subtle than the big transference issues, so they are easier to overlook, especially if nobody’s looking for them. However, if they are recognized for what they are, they can lead to some surprising realizations and some very positive changes.
This is why devoting regular time to the maintenance of the therapeutic relationship is important, and it is another way that the therapeutic relationship itself can be beneficial to us as clients.
If we spend time on the therapeutic relationship only when there are problems, then the problem at hand is always the focus, and we miss the smaller and more subtle influences that might be affecting us even when there are no big problems to resolve.
Spending a regular portion of therapy time on the therapeutic relationship, even in the absence of specific problems, gives our therapist and ourselves the chance to recognize and draw out these quieter factors that influence our relationships and our interpersonal skills, so that we can analyze and learn from them.
Therapy at its best and most effective has far greater potential than just being a place we go to dump our weekly troubles so we can move on. Therapy is a dynamic process, a product of the relationship between us and our therapist. The therapeutic relationship is a mirror and a magnifying glass for all of our real-world relationships. It is also the one relationship where, if we are willing, we can safely experiment with new and more effective ways of being in the world. It is a relationship in which all our expectations and projections and beliefs come to life, for good or bad – but it is also a relationship where we can examine these things as they are, develop new perspectives on old lessons, and gain mastery over them rather than allowing them to continue having mastery over us.

And focusing on building relationships doesn’t mean that other therapy work gets put completely on hold. In fact, the process is likely to necessitate processing numerous memories and possibly even addressing some programming in order to form a cohesive group from the disparate members of your system. However, the shift in focus means that the issues as they arise will be addressed by the system working together, even if all they are working on together at the time is simply learning to work together. It is still a shared effort toward a common goal, where the hardships and obstacles surmounted become memories that bond the group together instead of dividing it further.
Pure behavioral programming is frequently created using conditioned stimulus-response training, like that used with Pavlov’s dogs. If a person does or says or hears or sees any of the programmed stimuli, they immediately react with the programmed response (such as self-injury, suicidal urges, binging and purging, starving, and acting out in therapy). However, breaking the behavioral link eventually makes the program stop working altogether.
This works best if the new response chosen is something absorbing enough to serve as at least an adequate distraction, even from the beginning. Just as an example – taking an activity as emotionally addictive, compulsive, and habitual as self-injury and replacing it with watching CNN on television probably won’t be too effective – however, replacing self-injury with running or walking outside, going to the gym, cleaning the house, doing yardwork, shooting hoops in the driveway, shooting aliens in Halo, playing Wii tennis, playing real tennis, just smacking tennis balls agains the side of the house – anything you can do safely and regularly, something that suits you and caters to your interests and your needs, something that pulls you out of yourself and (ideally) moves you away from your location and tools of choice for self-injury, will give you a fair chance for success.
All new learning requires time. Habit is a really powerful thing – the number of things that physical and mental memories accomplish without our conscious thought is immense, and obedience to programming is a deeply rooted habit that all mind control victims were forced to learn. It is neither easy nor comfortable when a rote activity suddenly requires conscious awareness – as when we are learning a new way to do an old task – but it’s not going to happen any other way.
Whether specifically spoken or not, working on addressing programming involves a contract of sorts by which both your system and your therapist should be operating.
In the beginning, we might not be able to get much distance from them at all. Programming presses on us like a second skin. We might have to sit in the discomfort of wondering, fearing, hating, feeling… and from the midst of it, find a way to hold on to the fact that it is programming and we are not going to act on it. This can make for some truly miserable stretches of time – however, if we truly wish to be free of it in the end, then we have to fight against it, even through the smothering emotional intensity of the first few attempts.
Each pitfall, trap, trigger, and program has at least one alter who knows about it and/or maintains it – and that someone also knows how to circumvent, defuse, and/or remove what they are currently protecting. Listen to them – get to know them for themselves, apart from the goal you want to reach or the information you want them to give you. Consider whether you would be friendly with or trusting of someone who only wanted to pump you for information – would you want to be helpful in that situation? Alters should never be used in this way. It’s worth the time and effort to build genuine relationships with them – whether or not you end up being best friends, everyone in the group should work toward a place of mutual respect. Our alters will be with us literally for the rest of our lives, so there’s no point in starting off on a bad foot or allowing animosity to fester and disrupt the entire system when we can do something to prevent that from happening – and your group needs to be able to work together if addressing the programming is going to be effective.
I’m sure I’m not the only DID survivor who finds talking to be extremely challenging even under the best of circumstances. After thirty years of don’t-talk programming, forcing words out of my mouth can have the same feeling of fatalistic resignation as jumping off a cliff to avoid being eaten by a lion. The lion would be worse, but I’m going to be dead either way.
And they are supported in that intention (or lack thereof) by the vast majority of mental health professionals, hospitals, and networks. Most professionals absolutely refuse to touch the deepest mind control programming, and they steer their patients away from addressing it as well. They are complicit with the patients in believing that a little improvement in current day functioning is enough.
Although therapy can help the front worlds function somewhat better, there are still entire sections of people’s internal systems that are being left untouched and unhealed, except insofar as they are being “controlled” to prevent them from causing trouble — and this tiny ray of light in the pitch blackness is what most survivors and nearly all mental health professional consider “healing.”
If someone is already feeling overwhelmed dealing with their own marriage, job, children, or life in general — if sometimes the chores and errands don’t get done, the bills don’t get paid, the kids aren’t attended to as well as we might wish, or the crises and emergencies and troubles are just piling up faster than we can handle them (and anyone who says they don’t have those periods of time would be lying, it has nothing to do with being DID, it’s just how life goes sometimes) — then where would a roster of needy clients fit in to all that?
There are numerous reasons why this has been so important — but they can all be summed up by saying, there is both safety and strength in numbers. Strength for healing, strength for learning the truths we have hidden from ourselves, strength to safely ride out the emotional crises that memories can precipitate, and strength to find what lies beyond the ugliness with which we are all most familiar.
It is never a waste of time to pause at any step where a new alter or group of alters is discovered. However much this seems to slow you down, it will be to the benefit of the system as a whole to take the time necessary to learn about new alters met along the way. Not only does this keep the cooperative group cohesive, but who knows what useful information new alters might possess?
What I am saying is, they usually aren’t the bottom of the barrel in terms of memories. Sometimes they are, but more often, ritual memories are like a camouflage of leaves strewn over a trapdoor to conceal it. They are real, but at the same time, they are not what they appear to be.