Lisa Marchiano Profile picture
Jun 11 19 tweets 3 min read Twitter logo Read on Twitter
I’ve just heard another story from an acquaintance about a therapist encouraging someone to cut off contact with her parents. This is such a fraught and complex area, but I have thoughts. Here goes.
First, of course, there are times when a parent has been so horribly abusive or is currently so difficult to contain that it makes sense to have no contact. However, I think these cases are unusual.
Most of us have parents who tried to be “good enough.” James Hollis has said that life is traumatic, and parents can either mitigate or intensify that trauma. None of us make it to adulthood without some wounding experiences.
Our parents certainly did things that were wounding at some point. This is rarely abuse. Most of the time, it is the more ordinary, inevitable, and perfectly human ruptures in attunement. Weathering these ruptures will mold us, make us resilient, and shape who we become.
But they are wounding nonetheless, and we will need to come to terms with them.

We all must separate psychologically from our parents if we are to become the fullest version of ourselves possible.
For most of us, this process begins during adolescence but continues throughout our twenties and even thirties. This process takes time. Part of it involves acknowledging parts of our childhood that were wounding.
Evaluating these wounds – understanding where our parents let us down or hurt us and how that has affected us – is an important part of gaining self-understanding. The path to psychological growth means acknowledging the ways in which we were wounded.
Every therapist has had an adult come into therapy claiming they had a perfect family and everything about their childhood was great. That is a sure sign that the person is defending against something too painful to acknowledge.
If exploring our childhood through the lens of our woundedness is a necessary step toward psychological independence, it is not sufficient. We must move beyond grievance to take responsibility for ourselves and our lives.
We cannot do this while remaining focused on what our parents did or didn’t do for us. To believe that everything that is wrong is our parents’ fault infantilizes us.
It keeps us trapped in a black and white world where all of the “bad” is out there and we can protect ourselves if we just stay away from it. In truth, the world is complex. People are complex. We are complex and so are our parents.
In the 2017 film “Lady Bird,” the titular character comes to accept and understand her mother’s fervent love for her even though her mom is flawed and held back by her own limitations.
Monstering our parents prevents growth in other ways as well. We are usually similar to our parents. If we are our parents’ biological child, we may have much in common with them.
Making a parent out to be the villain makes it harder for us to accept those parts of ourselves that we have in common with that parent. For this and other reasons, we must move beyond guilt and blame if we are to grow toward wholeness.
Clients often need help from therapists identifying relational patterns in their family of origin that may have been maladaptive. Doing this work can bring up previously cut-off feelings of hurt and anger, and it's important that these feelings have plenty of room and validation.
Clients may need help setting good boundaries with parents who are intrusive, demanding, or controlling. But care must be taken that therapist and client don't collude in creating a black and white narrative that paints the parent as “toxic” and irredeemable.
All things being equal, being in contact with our families is better for everyone – as long as we maintain good boundaries. If your therapist encourages you to cut off contact with your parents without extremely good reason, consider that this may not be in your best interests.
"But no matter how much parents and grandparents may have sinned against the child, the man who is really adult will accept these sins as his own condition which has to be reckoned with. Only a fool is interested in other people's guilt, since he cannot alter it...
...The wise man learns only from his own guilt. He will ask himself: Who am I that all this should happen to me? To find the answer to this fateful question he will look into his own heart.” ~C. G. Jung

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More from @LisaMarchiano

Feb 27, 2021
Before I became a mother, I asked an older woman who was a mentor to me what she would have done differently if she could live her life over. “I would have had more children,” she said. “Being a mother was my refiner’s fire. Who would I have become if I had had more?”
With its extremes of emotion, parenthood is a little like a crucible in which we are cooked. The superfluous gets burnt away, the soul becomes tempered. Before becoming a mother, I imagined that the work of raising children would be a pause in the self-development process.
Instead, I was surprised to find that motherhood has been an invitation to greet parts of myself previously unknown. It has helped me to claim what really matters, and aided me in finding my firm ground. Where I expected to be impoverished, instead I was enriched.
Read 4 tweets
Jan 3, 2021
THREAD: On relationships with adult children. There are so many parts of the parenting experience that are sugar-coated in the popular imagination. Pregnancy is supposed to be blissful. Having a newborn is supposed to be transporting. 1/
And parenting small children is supposed to be full of love and hilarity. I’ve spoken with women who were really shocked at how miserable it can be to be pregnant, how grueling it is to have a newborn, and how tedious it can be to parent young kids. 2/
But at least there are some places where you can talk about how difficult the early years can be. Things get harder in the teen years. Parenting an adolescent is always challenging, but if our teen is struggling or troubled, we can feel isolated... 3/
Read 15 tweets
Mar 1, 2020
"I should have been challenged on the proposals or the claims that I was making for myself," she said. "And I think that would have made a big difference as well. If I was just challenged on the things I was saying." bbc.com/news/health-51…
For years, I’ve been speaking with parents of teens who have announced a trans identity out of the blue in adolescence. Most were pressured by clinicians to accept child’s declaration without question.
They were told that if they didn’t affirm that their child was “born in the wrong body,” their child would commit suicide. Over the years, I have seen that it *is* important for parents to longingly challenge their trans id’ing kids.
Read 8 tweets
Dec 31, 2019
Really interesting. First, this person appears to have been a GNC boy who grew up to be gay. That’s pretty typical. His father disapproved of his feminine interests and tried to force him not to be gay. Seems that that’s when the issues with GI started. journalofpsychedelicpsychiatry.org/feature-article
I see anecdotal evidence that this might be a common pathway to GI issues — parents become worried about their young child acting “gay” and trying to repress GNC behavior. In some cases, parents appear to feel more comfortable having a trans kid than a gay kid. 2/
See here, for example.
abcnews.go.com/amp/Lifestyle/…
Read 19 tweets
Nov 17, 2019
This LTE from @marcusevanspsyc makes me proud to be an analyst.

“The treatment of gender- dysphoric children has become highly politicised and, in many ways, operates outside good medical practice.” thetimes.co.uk/article/letter…
“There is pressure to view patients as consumers who have a choice over their gender, rather than people with underlying conflicts about themselves and their relationship with society.”
“In the absence of long-term outcome studies, services often quote Dutch research that found positive results for transition, ignoring the small size of the cohort.”
Read 7 tweets
Nov 8, 2019
I'm thrilled to see the issue of gender transition among minors receiving more critical attention from around the world. It seems as though more people are recognizing that there are serious ethical lapses in how this issue has been handled.
While it's wonderful to see more and more journalists, clinicians, and doctors taking note of this, I want to take a moment to honor some who have been in the trenches for a long time. @4th_WaveNow tops the list. Her blog was one of the first places where these issues were aired.
Journalists including @VictoriaPeckham, @lubelluledotcom, @HJJoyceEcon and @sarahditum were early on the scene.
Read 9 tweets

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