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Page Contents: The psychological cause of illness.                    

 
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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 believe 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 causality.

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 temporary relief but not a cure, it might be very helpful to do everything you can to alter the psychological aspects of your illness. In general, because repressed emotions are usually a key component of the psychological cause of anything, using psychotherapy to improve your physical condition requires that you learn to expand your emotional awareness.

In general, psychological healing for any illness requires finding the symbolic “place” of the healing. When emotional distress afflicts a person—especially in childhood—that person can feel alone and helpless and stuck, and, if the parents are not emotionally aware themselves, or are even abusive, there will be no one to whom the child can speak who can understand. Therefore, without a place of safety to speak about the trauma, the pain will find its place somewhere in the body. Psychotherapeutic healing can provide a safe place where the emotional pain—the repressed pain—can be given a voice so that it can be understood. Then, feeling understood, the pain can leave its “place” in the body and take up its rightful symbolic place in the story of your life

As for thinking of yourself as “so repressed that I brought myself a great deal of pain and aggravation,” well, welcome to the human race. We all have an unconscious, and, without doing the psychotherapy to go deep into understanding the unconscious, we all are so repressed that we bring ourselves a great deal of pain and aggravation. We can be so filled with disagreement that we disagree with life itself. When we encounter problems, we try to get rid of them, rather than understand them. Unconscious psychological conflicts rule the world—literally. That’s why the world is filled with hatred, violence, terrorism, and war.

Bad stuff happens, yes; but unless you “swallow” it (and “digest” it) psychologically, it will find its place somewhere outside your understanding. Right now, without the help of psychotherapy, you cannot understand your unconscious by yourself, and it is arrogant of you to believe that your version of illness is correct. So, instead of disagreeing with your psychotherapist, keep an open mind and seek out that place where the healing wisdom of understanding is located.

 

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Raymond Lloyd Richmond, Ph.D.
San Francisco
 
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