68 pages • 2 hours read
Lori GottliebA modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.
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Lori relates to Wendell how she got into an irrational argument with Zach, only to realize she was displacing her anger from a conversation with her mother onto her son. It turned out Zach was doing the same: Angry with some boys who were mean to him, he displaced his anger onto a safer subject—his mother. Lori lists other types of defense mechanisms: denial, rationalization, reaction formation (“unacceptable feelings or impulses are expressed as their opposite” (724)), sublimation. Some are primitive (irrational), and some mature (helpful). As people grow older, they should reach a level of psychological and emotional maturity that will help them react more calmly and rationally, but sometimes (especially with parents), we regress into immature patterns.
Recently, some of tests Lori did came back positive for Sjögren’s syndrome, which may or may not mean she has this autoimmune disease, common in women over 40. Wendell advises her, “The more you welcome your vulnerability […] the less afraid you’ll feel” (732).
While watching TV with her friend Allison, Lori comes across John’s show, which now features a therapist who receives an unexpected hug from the main character. Lori responds much as the TV character: with confusion. Is she the basis for the TV character? During the next session, she asks John about it, and he denies it vehemently, claiming it is all fiction. He shows her the photo of his family, and then, surprisingly, of Gabe, which makes Lori tear up. John then shows her a review of his show from the New York Times where the critic praises the new depth and introspection of the main character. Even though it is very hard for him to verbalize it, John thanks Lori for helping him. They share an authentically emotional moment.
Rita has turned 70 but has not committed suicide. She reconnected with Myron, after he had time to process her letter, and they are now a couple. She sent similar versions of her letter to her children, and on her birthday she received a reply from her daughter, telling her the she, too, is in therapy, and that she is learning to remember the best of her mother, even though it is still not enough to forgive her. Two of her sons agreed to meet with Rita and Myron, and her first (surprise) birthday party in over 40 years counted over 20 people. Her life has changed in just over a year, and although she still has self-sabotage issues, she uses therapy to course-correct, and to see things from a different perspective.
Julie has died and Lori receives an invitation to her funeral service. Even though therapists rarely do this (“therapists are expected to compartmentalize their humanity when it comes to their patients’ deaths” (767)), she decides to honor her promise to stay with Julie until the very end. Lori reflects how working with Julie has made her more compassionate. The service is moving and emotional, which shows how many lives Julie has touched. Lori still thinks about Julie, “All these years later” (778).
John shows incredible progress in self-awareness by asking Lori is she thinks he might be an asshole. Margo told him that he had been one for a long time, and as the whole family shared a happy evening, he began to wonder if what she said was true. Lori tells him that he sometimes acts like one to protect himself. They reflect on the power of the word sometimes, which allows people to “escape from the tyranny of black-or-white thinking” (783). John and Margo will see a couples therapist to try and overcome the obstacles between them.
John reveals he wanted to become a psychiatrist but had no money; now that he is a successful writer, he feels it a revenge on those who did not allow him to pursue his dream. He tells Lori she has a “more complete picture of my total humanity than anyone else in my life” (792), which makes them both tear up. He writes an episode dealing with the death of a son, which moves Lori immensely, while John and Margo manage to find companionship in watching it together.
Lori reveals to Wendell that she has started writing about her experiences from the past year, and that he figures prominently in her writing. She felt compelled to start shaping her understanding in words, at first for herself, but then for others as well. She wrote, “we have choices about how to live our lives” (797). All this time she was searching for meaning, and now she has begun to find it. She asks Wendell if the offer to dance still stands, and during one session, they both dance to the Beatles’ Let It Be. She now feels ready to talk about the termination of her therapy; she is ready to leave.
Gottlieb muses, “The strangest thing about therapy is that it’s structured around an ending.” (806) Lori prepares for her last session with Wendell, and summarizes the benefits: He has helped her do hard work on herself, and he helped her save herself. She likens the end of therapy to a pause in conversation, and not its conclusion, “Relationships in life don’t really end, even if you never see the person again” (810). As she leaves his office, Lori stops to soak up the sun, because she finally feels she has “plenty of time” (814).
The final chapters of Gottlieb’s book bring the stories of her therapy and those of her patients to a close. By exploring and revealing the intricacies of the process of psychotherapy, Gottlieb structures the book as an analogy to the process, with the “resolution” becoming a pause in the narrative rather than the ending of a story. The therapeutic process does not always end with the solution of a patient’s problem; often, it is a natural slowing down of productive conversation and the beginning of self-understanding that equips the patient with psychological tools to deal with life on his or her own.
John slowly learns how to unblock his emotional reactions and accept his fallibility as part of his humanness, thereby allowing himself to assess his own personality in a more objective manner (Chapters 53 and 56). Gottlieb underlines this by showing us how TV critics notice a new depth in the way he builds characters and story arcs, as they reflect his new openness. Rita turns 70 but does not commit suicide as she had fantasized doing, because her life has changed dramatically during the year of therapy (Chapter 54). Not only has she allowed herself to connect with the family across the hall (becoming an “honorary grandma”), she has admitted Myron into her life as they start to navigate their new relationship based on what they know of each other’s psychologies. Most importantly, she has found the strength to reach out to her children constructively, receiving tentative but positive feedback. Lori’s work with Rita has been about accepting her past as past, and allowing herself to invest emotions into the future, whatever it may bring.
Julie’s death has been imminent and unavoidable (Chapter 55). Still, Lori experiences a deep sense of loss, not just of a patient but also of a friend. The unorthodox nature of her therapy, which was all about termination, has helped Lori understand the process of dying better, and this has brought a new level of appreciation for the things she has in her life. Working with a person as strong and brave as Julie has taught Lori the value of true empathy and healthy psychological participation in somebody’s pain and fear.
Chapter 57 utilizes the literary device of metafiction (bringing the awareness of the book itself into the work) in Lori’s conversation with Wendell, when she informs him of her intent to form a book around her therapeutic experience. This is a powerful device for a nonfiction work as it invites the readers once again to see the “characters” as real people, and it reminds them as the book ends that they have been reading about the reality of certain situations, even though they have been presented, in part, as fiction. Thus Lori Gottlieb’s experience, and the experience of her patients and her therapist, become less about the “story” and more about the overall theme of the book, which is to bring the process of therapy closer to the readers, and demystify the role of the therapist by showing us they are ordinary people with problems just like ours.