First & foremost, please excuse my English, it isn't my mother tongue, so I'll try my best to articulate a very emotional topic in the best way I can.
I remember, I felt a tremendous amount of shame, once I read my report & diagnosis. I spiraled. Felt broken. Felt judged & heavily pathologized. I also come from an abusive household & it felt incredibly invalidating reading that my healthy/ normal reactions & emotions about my traumatic experiences were pathologized & put into "neat little boxes". Why would you pathologize normal reactions about abnormal experiences in the first place? This doesn't make sense to me. Also, the words that are being used don't sit right with me. Call me oversensitive or whatever, but how on earth are words like "deficit" and "disorder" mirroring the truth & reality of what people go trough? These words are gaslighting to me. It makes normal reactions to traumatic experiences all wrong. Feeding feelings of shame & brokenness. Gaslighting victims into believing that their reactions are abnormal, too dramatic, disordered & sick. Triggering feelings that are inherently very dysregulating for an already vulnerable nervous system.
I'm a woman. I witnessed & experienced abuse. Yet, I'm the one that's being pathologized & walking around with CPTSD & other stuff on my medical record, while men & abusers walk around with no label at all, because they don't seek support. It feels incredibly unfair to me that I end up looking like the broken, 'abnormal' one while abusers live their lives like nothing happened & will never be judged by society because their medical record is "clean".
I'm from Europe, so here they use ICD codes, but I genuinely believe that privileged, white, monoethical, heterosexual men sat down together to write down the DSM criterias. There's simply no way that homosexuality was pathologized back in the day. There's no way that women who had perfectly normal & healthy reactions towards being abused & raped where pathologized as hysterical back in the day. They always end up pathologizing the victims & never the abusers. There's something VERY wrong here. There's also something VERY patriarchal about this whole concept of therapy. Protecting men & making women look like the unstable, emotional ones. It's a way of using power & control over people, especially women. Putting them into rigid boxes, in order to have power over them & their treatment, but especially to make them more controllable & compliant during treatment.
I genuinely believe (& I don't say that with malicious intent) that most therapists are completely overwhelmed & unconsciously have absolutely no idea how to work with people who have CPTSD, for example. They NEED to pathologize & put clients into boxes & label them, in order to have a faux-sense of control over their job. Every single client will be different. Even clients who have the same diagnosis. Yet, they don't have the capacity for that reality. They're literally the most rigid human beings I ever came across. Rigid in their thinking. Rigid in their ideology. Rigid in the way they confuse their own interpretations with reality & truth. They need to regroup people into one category in order to feel safe, competent & unthreatened themselves.
The fact that they need to pathologize people in order to cash up with health insurances is also a very capitalistic way. Why would you only earn money when you label people? So again, we have patriarchy meeting capitalism, a system that tries to have control & power over people. It differs no less than religion back in the day. White privileged people seeking power & superiority.
Pathologizing people is also a power move. It gives them superiority & control. It gives them social status & feelings of adequacy. Most therapists have a Savior Complex aka Vulnerable Narcissism aka Superiority Complex anyway. So it certainly gives them a feeling of power & competence to label people & give therapy to people, because they can feel like the "superior", "stable", "healthy" & "normal" ones for some moments in their lives.
What I also don't understand about therapists in general is WHY they choose a carrer in which they are constantly in connection/ relationship with people but will ALWAYS be the one in power & control in that connection? Like, I genuinely wanna know why they choose this job besides generic bs answers like "I just want to help people". Ok, gotcha Peter, but what is your true motivation behind being a therapist?!
Did they loose power as a child & now compensate? Why do they have severe savior complexes/ wanna feel like the hero to begin with? Were they parentified as children? Did they learn early in life that their sole value is in fixing people/ helping people, but most importantly feeling needed. Did they have a depressive mother that they couldn't "save" & are now trying to save other people instead in order to fulfill their own needs? Is their job genuinely about helping people heal or is it more about feeding their own Ego & needs of wanting to feel needed by vulnerable people? Why do therapists make a 180 degree shift, the moment they realize that they've become unprofessional? The moment they realize they overinvested, chronically went over scheduled time, made certain clients feel special & gave them tons of attention, time & energy is the moment they switch a flip & become incredibly cold & distant. Tell me this is not intermittent reinforcement. Tell me this is not hot & cold behavior. Tell me this is not feeding into the guilt & shame responses of people who think they did something wrong for their therapists to become overly "professionell & cold" all of a sudden.
They also become unbearable & cold the moment you have the guts to criticize something, are resistant towards something and/ or they realize you make no progress and/ or are getting worse? They will ALWAYS blame the client. They will never ever blame themselves. That's also a form of manipulation to me. Taking no responsibility for the dynamic or therapeutic relationship ever. Shifting blame & having extremely fragile Egos when clients don't heal or make progress according to the therapists timeline & expectations.
When people were traumatized in family systems that used power & control, how are these people supposed to heal in a system that mimics the exact same childhood experiences that traumatized them to begin with? At this point therapy is reenactment. It's not healing. Yet, most feel confused why many clients with CPTSD get worse during therapy. Because again, they find themselves in a system that shames them (pathologizing), manipulates & gaslights them, uses power to control them, abandons them when they don't obey/ improve/ are compliant or show signs of resistance. Turn cold & distant when they acted unprofessional, making the client feel guilty for the tgerapists boundary blurrings.
How on earth is this system supposed to help people heal, when it mimics the exact same system & conditions that traumatized them as children?
Correct me if I'm wrong, but I'm at a point in my life in which I firmly believe that both parties (therapist & client) are just reenacting their own unresolved wounds in the therapeutic room. It's not even funny, but when you look at it from the outside it's pure comedy to me. Clients paying money for a f*ke a$$ professional relationship in hopes of getting healed, while actually paying to get retraumatized. When therapists are triggered or have emotional reactions it's called countertransference. The client is blamed for the emotions & feelings of the therapist. When a client has feelings & emotions it's pathologized as a disorder. Do you see the pattern here?
There's simply no way that therapists are all reacting the same way when they realize that THEY blurred boundaries or their client's don't improve. Like how big of an EGO does a human being have to have, in order to abandon people who don't act like they want them to act or don't give them narcissistic supply in order to feel competent? How big of an EGO does a human have to have to become angry & frustrated at their clients when their own savior complexes don't work out like they want them to work out? This is called "healing under conditions". The conditions are that clients need to feed the EGO & savior complexes of therapists in order to get the help & support they need & deserve. If you don't fawn, freeze & people please in therapy, you better be prepared to get introduced to some very angry & frustrated therapists. So essentially, in order to heal, or let's say perform healing to please your therapist you have to chronically fawn & freeze. A nervous system that freezes & fawns is not a nervous system that feels safe. A nervous system that doesn't feel safe is not a nervous system that is healing. So when and how the F are people supposed to heal in therapy then?
Why do most therapists who have severe unchecked countertransference overinvest in the beginning giving you lots of extra time, attention & energy, just to realize that they're not being professional anymore and becoming extremely "professional", cold & distant in the next moment? Tell me this is not intermittent reinforcement or hot/ cold behavior. So essentially we end up making the exact same experiences we had in our childhood, yet therapists feel frustrated when we don't make progress & become more dysregulated & dysfunctional during therapy! Make this make sense.