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Chapter no 19

The Silent Patient

RUTH SHOWED ME INTO THE LIVING ROOM. โ€œWould you like a cup of tea?โ€

The room was as it had always been, as Iโ€™d always remembered itโ€”the rug, the heavy drapes, the silver clock ticking on the mantel, the armchair, the faded blue couch. I felt instantly reassured.

โ€œTo be honest, I could do with something stronger.โ€

Ruth shot me a brief, piercing glance, but didnโ€™t comment. Nor did she refuse, as I half expected.

She poured me a glass of sherry and handed it to me. I sat on the couch. Force of habit made me sit where I had always done for therapy, on the far left side, resting my arm on the armrest. The fabric underneath my fingertips had been worn thin by the anxious rubbing of many patients, myself included.

I took a sip of sherry. It was warm, sweet, and little sickly, but I drank it down, conscious of Ruth watching me the whole time. Her gaze was obvious but not heavy or uncomfortable; in twenty years Ruth had never managed to make me feel uncomfortable. I didnโ€™t speak again until I had finished the sherry and the glass was empty.

โ€œIt feels odd to be sitting here with a glass in my hand. I know youโ€™re not in the habit of offering drinks to your patients.โ€

โ€œYouโ€™re not my patient anymore. Just a friendโ€”and by the look of you,โ€ she added gently, โ€œyou need a friend right now.โ€

โ€œDo I look that bad?โ€

โ€œYou do, Iโ€™m afraid. And it must be serious, or you wouldnโ€™t come over uninvited like this. Certainly not at ten oโ€™clock at night.โ€

โ€œYouโ€™re right. I feltโ€”I felt I had no choice.โ€ โ€œWhat is it, Theo? Whatโ€™s the matter?โ€

โ€œI donโ€™t how to tell you. I donโ€™t know where to start.โ€ โ€œHow about the beginning?โ€

I nodded. I took a breath and began. I told her about everything that had happened; I told her about starting marijuana again, and how I had been smoking it secretlyโ€”and how it had led to my discovering Kathyโ€™s emails and her affair. I spoke quickly, breathlessly, wanting to get it off my chest. I felt as if I were at confession.

Ruth listened without interruption until I had finished. It was hard to read her expression. Finally she said, โ€œI am very sorry this happened, Theo. I know how much Kathy means to you. How much you love her.โ€

โ€œYes. I loveโ€”โ€ I stopped, unable to say her name. There was a tremor in my voice. Ruth picked up on it and edged the box of tissues toward me. I used to get angry when she would do that in our sessions; Iโ€™d accuse her of trying to make me cry. She would generally succeed. But not tonight. Tonight my tears were frozen. A reservoir of ice.

I had been seeing Ruth for a long time before I met Kathy, and I continued therapy for the first three years of our relationship. I remember the advice Ruth gave me when Kathy and I first got together: โ€œChoosing a lover is a lot like choosing a therapist. We need to ask ourselves, is this someone who will be honest with me, listen to criticism, admit making mistakes, and not promise the impossible?โ€

I told all this to Kathy at the time, and she suggested we make a pact.

We swore never to lie to each other. Never pretend. Always be truthful. โ€œWhat happened?โ€ I said. โ€œWhat went wrong?โ€

Ruth hesitated before she spoke. What she said surprised me.

โ€œI suspect you know the answer to that. If you would just admit it to yourself.โ€

โ€œI donโ€™t know.โ€ I shook my head. โ€œI donโ€™t.โ€

I fell into indignant silenceโ€”yet I had a sudden image of Kathy writing all those emails, and how passionate they were, how charged, as if she was getting high from writing them, from the clandestine nature of her relationship with this man. She enjoyed lying and sneaking around: it was like acting, but offstage.

โ€œI think sheโ€™s bored,โ€ I said eventually.

โ€œWhat makes you say that?โ€

โ€œBecause she needs excitement. Drama. She always has. Sheโ€™s been complainingโ€”for a while, I supposeโ€”that we donโ€™t have any fun anymore, that Iโ€™m always stressed, that I work too hard. We fought about it recently. She kept using the wordย fireworks.โ€

โ€œFireworks?โ€

โ€œAs in there arenโ€™t any. Between us.โ€

โ€œAh. I see.โ€ Ruth nodded. โ€œWeโ€™ve talked about this before. Havenโ€™t we?โ€

โ€œAbout fireworks?โ€

โ€œAbout love. About how we often mistake love for fireworksโ€”for drama and dysfunction. But real love is very quiet, very still. Itโ€™s boring, if seen from the perspective of high drama. Love is deep and calmโ€”and constant. I imagine you do give Kathy loveโ€”in the true sense of the word. Whether or not she is capable of giving it back to you is another question.โ€

I stared at the box of tissues on the table in front of me. I didnโ€™t like where Ruth was going. I tried to deflect her.

โ€œThere are faults on both sides. I lied to her too. About the weed.โ€

Ruth smiled sadly. โ€œI donโ€™t know if persistent s*xual and emotional betrayal with another human being is on the same level as getting stoned every now and then. I think it points to a very different kind of individualโ€” someone who is able to lie repeatedly and lie well, who can betray their partner without feeling any remorseโ€”โ€

โ€œYou donโ€™t know that.โ€ I sounded as pathetic as I felt. โ€œShe might feel terrible.โ€

But even as I said that, I didnโ€™t believe it.

Neither did Ruth. โ€œI donโ€™t think so. I think her behavior suggests she is quite damagedโ€”lacking in empathy and integrity and just plain kindnessโ€” all the qualities you brim with.โ€

I shook my head. โ€œThatโ€™s not true.โ€

โ€œIt is true, Theo.โ€ Ruth hesitated. โ€œDonโ€™t you think perhaps youโ€™ve been here before?โ€

โ€œWith Kathy?โ€

Ruth shook her head. โ€œI donโ€™t mean that. I mean with your parents. When you were younger. If thereโ€™s a childhood dynamic here you might be replaying.โ€

โ€œNo.โ€ I suddenly felt irritated. โ€œWhatโ€™s happening with Kathy has got nothing to do with my childhood.โ€

โ€œOh, really?โ€ Ruth sounded disbelieving. โ€œTrying to please someone unpredictable, someone emotionally unavailable, uncaring, unkindโ€”trying to keep them happy, win their loveโ€”is this not an old story, Theo? A familiar story?โ€

I clenched my fist and didnโ€™t speak.

Ruth went on hesitantly, โ€œI know how sad you feel. But I want you to consider the possibility that you felt this sadness long before you met Kathy. Itโ€™s a sadness youโ€™ve been carrying around for many years. You know, Theo, one of the hardest things to admit is that we werenโ€™t loved when we needed it most. Itโ€™s a terrible feeling, the pain of not being loved.โ€ She was right. I had been groping for the right words to express that murky feeling of betrayal inside, the horrible hollow ache, and to hear Ruth say itโ€”โ€œthe pain of not being lovedโ€โ€”I saw how it pervaded my entire consciousness and was at once the story of my past, present, and future. This wasnโ€™t just about Kathy: it was about my father, and my childhood feelings of abandonment; my grief for everything I never had and, in my heart, still believed I never would have. Ruth was saying that was why I chose Kathy. What better way for me to prove that my father was correctโ€” that Iโ€™m worthless and unlovableโ€”than by pursuing someone who will

never love me?

I buried my head in my hands. โ€œSo all this was inevitable? Thatโ€™s what youโ€™re sayingโ€”I set myself up for this? Itโ€™s fucking hopeless?โ€

โ€œItโ€™s not hopeless. Youโ€™re not a boy at the mercy of your father anymore. Youโ€™re a grown man nowโ€”and you have a choice. Use this as another confirmation of how unworthy you areโ€”or break with the past. Free yourself from endlessly repeating it.โ€

โ€œHow do I do that? You think I should leave her?โ€ โ€œI think itโ€™s a very difficult situation.โ€

โ€œBut you think I should leave, donโ€™t you?โ€

โ€œYouโ€™ve come too far and worked too hard to return to a life of dishonesty and denial and emotional abuse. You deserve someone who treats you better,ย muchย betterโ€”โ€

โ€œJust say it, Ruth. Say it. You think I should leave.โ€

Ruth looked me in the eyes. She held my gaze. โ€œI think youย mustย leave. And Iโ€™m not saying this as your old therapistโ€”but as your old friend. I donโ€™t think you could go back, even if you wanted to. It might last a little while perhaps, but in a few months something else will happen and youโ€™ll end up back here on this couch. Be honest with yourself, Theoโ€”about Kathy and this situationโ€”and everything built on lies and untruths will fall away from you. Remember, love that doesnโ€™t include honesty doesnโ€™t deserve to be called love.โ€

I sighed, deflated, depressed, and tired.

โ€œThank you, Ruthโ€”for your honesty. It means a lot.โ€

Ruth gave me a hug at the door as I left. Sheโ€™d never done that before. She was fragile in my arms, her bones so delicate; I breathed in her faint flowery scent and the wool of her cardigan and again I felt like crying. But I didnโ€™t, or couldnโ€™t, cry.

Instead I walked away and didnโ€™t look back.

I caught a bus back home. I sat by the window, staring out, thinking of Kathy, of her white skin, and those beautiful green eyes. I was filled with such a longingโ€”for the sweet taste of her lips, her softness. But Ruth was right. Love that doesnโ€™t include honesty doesnโ€™t deserve to be called love.

I had to go home and confront Kathy. I had to leave her.

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