I
My First Session with Theresa -- Friday Afternoon
I reviewed the patient information sheet for the day's final client. It was her first consultation. She was a thirty-six year old accountant who worked at the local firm that did my taxes. Her health was good; she took no medication other then birth control pills. Her forty-four year old husband was an executive with a local commercial construction company. They had an 18 year old son. She has left the line asking for the reason for the consultation blank. This was not unusual. Many clients were cautious about disclosing their most personal issues in writing to what were effectively strangers. My staff had ensured she had the proper insurance. I buzzed the reception room to send her in.
I greeted Theresa [I have changed her name to preserve confidentiality] at the office door. Anxiety was evident on her face. She wore little make-up and was dressed in a brown pants, sensible flat shoes, and a colorful loose-fitting blouse. Nonetheless, she was a striking woman. She stood about 5 feet 5 inches tall. Her long wavy almost-black hair was pulled behind her head, reaching beyond her shoulder blades. Her dark complexion revealed her Italian ancestry and her slender face featured deep brown eyes, a narrow nose, and thick lips on a relatively small mouth. The blouse, although loose, could not wholly hide her charms. Considering her thin frame her breasts were ample. We shook hands. I directed her to my leather couch. I sat in my chair.
She was nervous. After a brief exchange of pleasantries I decided to open with a question to which I knew she knew the answer. "Theresa, why did you choose me?"
"Well, Dr. Barry, should I call you Dr. Barry?" She asked.
"Sally, will do. Why did you call me? There are many skilled therapists in this community."
"Some friends recommended you. I was also told you have a teenage son."
"That is correct," I replied. Was this about her son? My mind flitted to all the people who come to my office or corner me at parties asking how to bring their son, who is really a good boy but just has a few bad friends, under control. "Call 1 800 ASK-GODD," is an answer no one appreciates.
"And what brought you to my office," I asked as I leaned forward. This was both for effect, I wanted Theresa to know she had my full attention, and because Theresa was soft-spoken, a trait I initially attributed to her obvious anxiety about our meeting but which turned out to be her normal voice tone.
"Well, I'm not sure if I am here looking for permission, or a way out, or to be told I am bad, or good, or simply to make sure I am not crazy, or to see if any damage I am causing can be cured." I waited. Theresa's background and manner confirmed her intelligence. She knew she wasn't saying anything I could use. I was learning that she was confused and worried and looking for me to help. It would take a bit more coaxing before she would tell me why she was here.
I asked if she wanted some water. When she said yes I walked to the back of my office and retrieved the imported bottled-water my clients prefer from a small refrigerator in one of the cabinets. This short interruption was not an accident. Theresa needed a moment to compose herself, something she would do more effectively if I was not staring at her. My mind worked through the usual suspects of issues that would bring a thirty-six year old women with a teen-age boy to my office. I handed Theresa the water and sat down.
"Everything you say in this office stays in this office. All our conversations are confidential. The walls are practically sound-proof. The people out there," I gestured to my office door and staff beyond, "don't know what you and I are talking about. I don't even let them handle my notes."
Theresa considered my words, leaned forward, and said, with her voice tone dropping a level and her eyes on the floor, "Dr. Barry, Sally, my son and I are sexually involved."
My initial thoughts were not exactly clinical. They were, in no particular order, "Omigod, I did not see this coming," and a graphic mental picture of Theresa and her son, who I had never seen but imagined to be as attractive as his mother, making love. I pushed my mind back to professional mode. The look on Theresa's face indicated my face had not betrayed my thoughts.
I had no significant training in incest. Theresa, was troubled, had chosen me to help, and the confession she had just made was tormenting her. She had asked me to be her therapist. Telling her I had to shuffle her off to an expert was not what she needed - it might come later, it would not come now.
I asked her to tell me her story. She said she was not sure how. I asked her to tell me the story in the way she tells it to herself. She seemed reassured.
"I met my husband when I was eighteen. It was the summer before my senior year in high school and I was working in the bookkeeping department of Coliseum Construction [again I have changed the name to preserve confidentiality]. He was eleven years older than me and worked as a job superintendent, running construction projects on a day-to-day basis. He was strong and assertive and tough and I had an instant crush on him."
I took some notes, but mostly paid attention. Her choice to start with her marriage told me that whatever was happening with her son had a lot to do with her marriage.
"Pretty soon we were dating and pretty soon after that I was pregnant. I was not a virgin when I started sleeping with him, but I was fairly inexperienced and what experience I had was with high school boys who knew less than I did. Our sex was not gentle. Foreplay was not his thing. He loved intercourse, and he loved it hard and fast.
"A few years after our son, Miles [again I have changed the name], was born I went to college and received my accounting degree. My husband steadily advanced at Coliseum. He was promoted to project manager and then vice-president. His first love was his work and he was not around as much as I would have liked, but I loved my son and my job and, to be honest, the lifestyle our success brought us. The frequency and length of our sex decreased; his tendency to," here she briefly paused, "mount and quickly dismount increased, but most of my girlfriends reported husbands whose declining libidos were complemented by atrophied skills. I accepted it as inevitable.
"To be honest, I was also no longer that attracted to him. He hadn't taken care of himself. He happily complied with the construction industry's norm that men display beer bellies. On the other hand, my professional success increased my own confidence and our financial success allowed me to take care of myself. I became a far more social animal. I liked to dress nicely, I liked men's eyes on me, and I became something of a flirt. I was well aware of the advantage that an attractive woman has in the business world and had no hesitation in using it. However, although I had plenty of opportunities to cheat, I remained faithful."
She shifted in her chair. Her story was about to take a turn.
"My husband, son, and I spend a week each summer at the beach. We have friends who are kind enough to lend us their beach house. We go at the same time each year to coincide with my son's birthday and this year, like most, we had a passel of his friends with us. It's a big place that can accommodate quite a crowd. We had fun. The atmosphere was loose. It felt good to relax and to know I still look good enough in a bathing suit to attract the attention of, and even a little flirtation from, young men.
She stopped for a second. "I don't want to sound too self-centered, some of those boys had a few beers in them."
I moved to validate her, "I doubt any alcohol was necessary, you're a striking woman."
She smiled, "Thank you, you're sweet." Turning back to her story she said, a bit wistfully, "It was nice, even the distance between my husband and I seemed submerged by all those happy teenagers.
"The kids packed up and left on Sunday. We planned to stay through Thursday, but my husband announced on Sunday night that he had to be back to work on Monday and would leave the next morning. We had a few words, which I am sure my son overheard, and we both went to bed angry.
"The next morning, however, he had that puppy-dog look that told me he wanted to have sex. I let him know that I wasn't interested; he insisted. I pointed out that the last thing he told me the night before was that I was a selfish bitch who was happy to spend his money while complaining he spent too much time making it. Then it occurred to me: I did not particularly want his company. It was better to let him satisfy himself and leave. He crawled between my legs, thrust vigorously a few times, and came. I didn't, and I didn't even pretend. Within an hour he was on the road. I showered, threw the sheets in the washing machine, put on a robe, poured myself a cup of coffee, and took it to the porch to drink. The sun was bright, the sky blue, and I started feeling better.