3/20/2008

Getting out of a cult...

A former primal therapist writes:
"The running of the business was based on human greed, deep hypocrisy, and a need for fame and fortune at whatever cost.

Nor were therapists the 'Post Primal' people Janov described. Many had disturbing personal problems which had easily survived their own therapy. The Institute was a difficult workplace. Training techniques were abusive. The political infighting and positioning among the staff was the same as any business which offers lucre at the top. The humor, for the most part, was mean- spirited. Attitudes were arrogant and insulting of anything which challenged the Primal belief system.

Above all there were unethical and unprofessional practices built into the system: dual relationships (business and sexual) between therapist and patient, false claims of results, false advertising, interns working beyond their level of skill, treatment of patients who were too disturbed for this kind of 'therapy,' emotional harm caused by a system that opened people up to intense feeling without adequate follow-up, perhaps even medical malpractice by the neurologist who prescribed medication according to 'Primal' guidelines.

In this context, even therapists who wanted to provide effective therapy would fail. There were well-meaning and creative people who worked hard to make Primal Therapy live up to its promise. We failed. The system was too destructive.

That it took me eight years to learn this indicated how desperate my life was when I went to the therapy, how much I needed to believe in a powerful and omniscient world view, how isolated I was in the world, and how well Janov's promises matched my personal desires as well as the political and cultural forces of those times. It also speaks to the effectiveness of the Primal indoctrination techniques.

I also think it is an indication that there are aspects of Primal Therapy which contain therapeutic value. The techniques for eliciting painful feelings can be quite effective. The grief process is well understood and may be healing, depending on the context. Patients' experiences are often quite real and dramatic. Unfortunately, whatever there was of value was completely overshadowed and negated by the destructive superstructure within which it was housed.

I worked hard to become a competent therapist. I struggled against the drawbacks in the system. I became competent, but the system burned me out. When I left that world in 1982, it was a shock. I realized I'd been in a cult. As with anyone who leaves a cult, I had to learn different ways of looking at the world and myself in it. It was a confusing and disorienting process which challenged my beliefs on many levels.

I experienced deep ambivalence. My self-esteem suffered tremendously. I know how destructive the Primal world had been, yet I couldn't reject it completely. I had given such a big part of myself to it. I had to believe there was value there. I rejected the Institute and its destructive practices. I could no longer be a part of that. But I wasn't sure about the theory.

After almost a year of 'floating' and 'decompression,' I decided to continue working as a therapist. I wanted nothing to do with Primal Therapy. This meant I needed to open up to other ways of thinking and working in my profession. Even though I was already a licensed Marriage, Family and Child Counselor, I knew I needed to start learning my craft all over again./.../
The Therapy takes responsibility for changes that are positive. Failure is always the fault of the patient.

Patients' vulnerability, low self-esteem, and high expectations make them easy to indoctrinate into the Primal mind-set. Perhaps if the therapy were effective it would be okay. But when the results don't happen, it becomes a destructive process. /.../

The main purpose, though, was to make Janov famous and rich. Even without him, it remained a cult. /.../

He is aiming his promise at vulnerable and desperate people in an unforgivable way./.../

So Primal Therapy doesn't work. Once this is acknowledged, alternatives become possible. None are easy. There's no simple, quick cure. Healing is a complex process.

The following are some steps people might find themselves taking if they decide to leave a cult:

Physical separation: One must actually separate from the people and places which reinforce the cult mind-set.

Breaking the ritual: Stop the addictive habit of thinking that you need to 'feel a feeling' to solve every problem or whenever you feel bad.

Decompression: a floating kind of disorientation, ambivalence, and depression. Uncertain who you are or where you're going. Expect it; watch out you don't try to 'Primal' it away; experience it -- it'll be a part of your life for a while.

Anger and loss: As with an eating disorder, Primal intrudes into an essential area of human activity, our emotional life. These feelings need to be dealt with in a different way. Sometimes long periods of repression are necessary at first. Remember, it's okay (even necessary) to repress things at times.

Reconnection with the person you were before you came: your hopes, dreams, desires, and interests. This can be an exciting time of discovery as the world begins to open up for you. Expect uncertainty and anxiety as well.

Creating a place in the world for yourself; friends, family, work, fun, community. Widen your context and your perspective. There are many possibilities in the world.

Acknowledge and honor the needs which attracted you into the cult and which were satisfied by that tightly controlled world.

If necessary, get professional help: this could include groups with others who have shared the experience. This is not always necessary. Many can leave without professional help, if they have work, friends, and interests which are supportive.

Attend to the problems which made you seek Primal in the first place: Chances are some of them will still be around causing you havoc. It's a terrible feeling to have spent years 'in therapy' only to discover the same old awful problems in your life. A lot of anger and hopelessness here.

Hanging on: If you do seek professional help, watch out for all the comparisons you'll be making wherein the 'new' therapy won't compare well at all with the Primal one. You'll ask, 'Don't you BELIEVE in FEELINGS?' and the therapist won't know what you mean. Remember, feelings are just one of many human processes and experiences: there's nothing to 'believe' in. Also, the new therapy won't satisfy your addictive need for intensity. That will be hard [at] times but ultimately is a good thing.

Shame: It brings many to Primal Therapy in the first place, and it finds a convenient hiding place in those dark rooms and that 'special' world. When you leave, it can emerge like a serpent from hell to torment you. It is tamable.

Separate what has been of value in the Primal experience: It's not an all-or-nothing proposition. Some of what you learned and experienced may be of great importance in your life. Honor that."

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