Dialectics: 1. The art or practice of arriving at the truth by the exchange of logical arguments;
Dialectical Behavioral Therapy: ….DBT combines standard cognitive-behavioral techniques for emotion regulation and reality-testing with concepts of distress tolerance, acceptance, and mindful awareness largely derived from Buddhist meditative practice.
DBT is a burgeoning mental health treatment model that is fat with interventions and techniques for use with a host of disorders and issues. I will be super lucky to spend four days immersed in intensive training come November. But I’m already using pieces of it here and there with clients, in conversation with distressed friends and family and also with my own damn self. The main thrust is this: that two opposing facts can exist at the same time and both remain true. For example, if my client says to me, “my mother doesn’t give a shit about me,” because her mother has been ignoring the mounting scores of lacerations on her thin wrists, I might say, “could you consider the possibility that your mother is acting as if she doesn’t care about you and at the very same time loves you very much?” Or, more to the point, “can you consider the possibility that your mother is a terrible mother and, also, she loves you very much?”
Of course, most people blink at you and furrow their brows and/or laugh derisively. But then sometimes they also grow pensive. Ideally, of course, this opens up the space to talk about the reasons why his/her mother became a terrible mother, what influences and causes piled up to prevent her from doing well. This increases empathy, in theory, and pushes on the door marked reconciliation or forgiveness or maybe just forward motion. And another central, related tenet of DBT comes in: “I care about you and admire you and accept you exactly as you are and I also will support you in changing things about yourself.”
Lying in bed under the skein of a new moon’s light and a heavy dose of nighttime decongestant and red wine at some small hour this morning, however, I was not thinking about dialectics in terms of clinical work. I was thinking about dialectics in terms of language and meaning and Buddhism and life and the possibility that embracing wholeness presents. I remember reading Insight Meditation by Joseph Goldstein when I was 20 years old, on a hot night in urban Venezuela and coming across this line (paraphrase): “Can you feel the difference between ‘I am angry!’ and ‘I am experiencing anger.’ Through that small distinction flows a whole world of freedom.”
It strikes me that an entire world of possibility flows through the distinction between
“I love my wife but she’s so fucking stressed out by her job all the time”
and
“I love my wife and she’s so fucking stressed out by her job all the time.”
The implication of “but” is that while I might love my wife, I can’t enjoy her or appreciate her or really be in possession of that love until some later time when she’s not stressed out. “And” represents the possibility that even in the midst of horrendous stress I might enjoy my wife and celebrate the love I have for her.
Or a kid might mourn the mother she wish she’d had while also knowing she did the best that she possibly could.
Or maybe I’m just under the influence of daytime cold medicine.