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please the parent. What appeared to be a true first came to see me, she had been hampered
dependence, was o�en compliance that avoi- by panic a�acks and paralyzing anxiety at her
ded conflict and did not allow for true reliance. workplace. Her boss had given her a leave of
The turbulence of this period raises ques�ons. absence in order for her to have �me to recover
In the transference the pa�ent wonders if the her health
therapist is like the parent who is a hypocri�cal
Chris�an. Some�mes the therapist is so ideali- When Claire was 6 years of age, her mother
zed, that their faith is una�ainable for the pa�- was diagnosed with breast cancer. Most of Clai-
ent. An en�rely unchurched pa�ent may test re’s elementary school years were memories of
the limits of how much vulgarity or salacious mother’s struggle with cancer, with Claire as
stories the therapist can bear. mother’s caretaker and confidant. If her mo-
When this period is worked through, a pa�ent ther needed a drink, a hug, an errand run,
comes to know the therapist and themselves as Claire was always sure to intuit and provide.
individuals who have deep, though different, Unfortunately, dad was pleased with Claire’s
feelings about their world. They begin to truly preoccupa�on with mom, since he had li�le ca-
relinquish a feeling of being in control of all pacity to empathize and support.
things, and allow themselves to truly need. For
the Chris�an, a capacity to believe that “Jesus One day in our early work, Claire came in with
really does think about you” (John 17) becomes a box that was beau�fully wrapped. She said it
the applica�on of object constancy for the per- was for me because of how much I had come to
son in Christ. For the pa�ent who walked away mean to her. I carefully unwrapped it and found
from their faith, they may begin to understand a beau�ful pair of earrings. She reassured me
reac�ons to the parents’ faith were not based that they were only costume jewelry and did
on reason and understanding of the truth. Pre- not cost that much. I explained that ethically if
viously the pa�ent had not worked through the gi� had been of any significant value, I
their own separateness from their parents, but would need to politely refuse it. She said she
had a�empted to do so through defiance of understood. In subsequent months Claire
them. Having experienced the therapist’s care would o�en bring something—a cupcake, a
and having worked through the need to be a se- flower, a card—and lovingly gi� me. We gently
parate person, the pa�ent is more able to belie- explored the meaning of gi�-giving and she re-
ve that Christ does not want to control them, solutely held that it was simply a way of sharing
and rather, He desires them and ac�vely seeks apprecia�on. While I suspected that there was
them. Now the pa�ent can reconsider renewed a repe��on of her past taking place, the �me
faith in Christ. For the unchurched pa�ent, the was not right, and our rela�onship was not
illusion of omnipotence has been realized, and sturdy enough to explore this.
a fledgling ability to need someone, and to de-
sire true dependence introduces them to the It was the week before Christmas and as many
omnipotent, benevolent God. As the represen- of my pa�ents do, Claire brought a gi� which I
ta�ve of true faith in Christ that had been cari- an�cipated would be of acceptable monetary
catured as cultlike or unscien�fic, you, the the- value. Instead, as I opened the fairly large box,
rapist as a caring, ar�culate, and reliable care- I found to my surprise a genuine Tiffany lamp
taker can be a credible witness to “Good that must have cost nearly $1000.00. She said
News.” that I had “turned the lights back on” in her life
and I deserved such a valuable gi�. While it was
Case Illustra�on: Claire difficult to do, I had to tell Claire that I could not
Claire, a 46-year-old divorced woman, had be- accept this amazing gi�. I explained that it
en the perfect child. She was the eldest of three would be unethical for me to accept something
and her mother’s favorite. She a�ended church so costly. Claire burst into tears and said she
regularly and served as a deaconess. When she knew that I really didn’t care for her, and didn’t
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