‘You can’t fix me.’
There was a vicious challenging tone to her voice that was so at odds with her demeanour that it hit Karen harder than the words she’d used. But she had been shocked in her job thousands of times and she’d got hellish good at concealing her reactions; her face remained an impassive mask without a flinch.
‘Is that what you think is going to happen here, Jessica? That I’m going to try and fix you?’
‘Isn’t that what you do, Dr Browning? Fix the poor little mental cases, make their lives as perfect as yours?’
She didn’t break eye contact. Her eyes were blue, but too dark to be striking, with flecks of brown that dulled the effect further. Unremarkable – like the rest of her appeared to be.
‘No, Jessica, that’s not what we do. I’m just here to listen to what you have to say and try and help you come to terms with what’s going on.’
‘Listen and help, doesn’t sound very proactive to me. Why is it that people pay you so much money just to act as a brick wall? What’s so special about you?’
It wasn’t unusual for patients to be angry or confrontational, Karen told herself, trying not to let the anger that resonated from this girl rattle her on a personal level. Sometimes people were furious at life itself when they walked into their session; sometimes the vitriol was directed at their psychiatrist. Jessica Hamilton was no different to anyone else. And yet that was how she felt: different.
‘It’s often easier to share our problems with someone who has no personal investment in our lives; it makes people feel less judged and gives them a safe place to air their issues. I’m not here to judge you, Jessica, nor am I here to try and improve you. We don’t see people as being broken and it’s not our job to fix them. If you’re happy to talk to me, I’d like to try and understand what’s going on in your life. Is there somewhere you’d be comfortable starting?’
She saw Jessica processing her words and almost felt her disappointment that Karen wasn’t going to rise to her attack. She couldn’t help but wonder what the girl thought therapy was going to achieve, or why she’d come in the first place if she felt so strongly about the profession.
‘I’m having sex with a married man.’
If her first words were meant to challenge, now she meant to shock. Karen was already writing up her notes in her mind. Patient is looking to shock as a way of eliciting judgement. Possibly looking to diminish feelings of guilt. She’d have to look a lot further than she had so far; Karen had heard far worse admissions inside these walls.
‘Is that all it is, just sex? Other people might have chosen the words “sleeping with” or “having an affair”.’
Jessica’s face was blank, unreadable. ‘I’m not in love with him. There’s no point. I’m not some stupid girl who thinks he’s going to leave his wife to be with me.’
Patient is using denial as a defence mechanism against admitting her feelings. Signs of a different problem?
‘Would you like to start at the beginning and talk about how the two of you met?’
It was a difficult profession, being a psychiatrist, but Karen had never considered a different one, and in all the years she’d been practising she had never regretted her choice. It had come naturally to her to treat the client like a wounded bird: no sudden movements, keep a neutral voice, listen, lead but don’t dictate. With some people it felt like one wrong word and they would try to escape, seeing you as a captor rather than a saviour. At first you could be the enemy – especially if therapy wasn’t their choice.
Jessica ignored the question and, placing her elbows on her thighs, leaned in to decrease the distance between them.
‘What makes a person good or evil, do you think?’ she asked, her voice so low that Karen had to inch forward on her seat to hear her. ‘Their thoughts? Or is it just when you actually do the things you’re thinking of? A lack of morals? Empathy?’
‘Are you concerned about thoughts you’ve been having?’
Jessica smirked slightly, her unremarkable face becoming unattractive with the expression. ‘Not exactly. You haven’t answered me.’
‘It’s a complicated question, Jessica, and not one I’m sure I’m qualified to answer. But if you’re worried about your thoughts, I’d say that the fact that you are here trying to get help with them shows that they are a product of your situation rather than an inbuilt cognitive dysfunction.’
‘Do you always sound like a textbook?’
‘I’m sorry—’
‘And do you always apologise so much?’
‘I—’
‘Okay, what does Freud say about hurting people by accident?’
A tiny thread of tension twisted a knot inside Karen’s chest. It wasn’t often she lost control of a session, but it definitely felt as though this one was becoming counterproductive. ‘Have you hurt someone by accident?’
‘Who says I was talking about me?’
The dread inside Karen caused her hand to tremble almost imperceptibly, and she wondered if Jessica had noticed her discomfort. She couldn’t have known the reaction she’d get from that question, and yet the ghost of a smile that settled on her lips before her face reverted to impassive suggested she had.
‘An accident is just that, Jessica. Accidental. It’s often the way we deal with the fallout of our actions that defines our character.’
‘My father always had this funny way of looking at accidents. Not the tripping-over type, but the really bad things that we allow to happen in life because we’ve taken our eye off the ball. He’d say that nothing in this life was accidental, that accidents don’t just happen. He said they were ways of our subconscious allowing us to act out our true feelings under the guise of being unintentional. Do you think that makes sense, Dr Browning?’
The tension tethered them together like a rope, her innocent question thick with unspoken meaning. Karen said nothing.
‘I think you’d like my father.’
Karen’s thoughts scrambled to join themselves into coherent sentences. Buzz words from her training – father, subconscious – triggered automatic questions, and yet she struggled to voice them. Before she could say anything, Jessica started to speak again.
‘It was at a charity gala.’ Her eyes were fixed on a loose piece of skin at the edge of her thumbnail, the jagged skin bringing to mind anxiety disorder. Her nails were short and uneven – bitten down rather than filed – and free of nail polish.
It took Karen a second to realise that Jessica was answering her original question, the mask her patient had arrived with having slid back down into place. She allowed herself a second to gather her work persona, slotted her professionalism back into place and continued the session as though the last few minutes had never happened.
‘Are you involved in the charity world?’
‘Not really. Someone I know had a spare ticket. He was at the bar and he looked just as bored as me. He made some joke about paying me to stay there with him, and I said I wasn’t a prostitute. He got really flustered and started saying he hadn’t meant that; he was worried that he’d insulted me. That’s when I noticed how good-looking he was.’
She looked up from her hands and smiled, not the smirk that had played across her lips a minute earlier, but a real smile at the memory. It didn’t transform her face the way some people’s smiles did. If anything it made her plainness stand out more, the fact that even a smile couldn’t light her up. It made a difference, physical appearance, as to how people treated you, and Karen could well imagine this girl being swept away by the attention of an attractive man. ‘He was cute, though, not all cocky and self-assured like some good-looking men.’
‘Is that your experience of men?’
She didn’t miss a beat with her story, as though Karen hadn’t even spoken. She described in great detail the evening she’d met her married lover, the jokes he’d told, the way his hand had rested so close to her knee that every time she laughed it brushed the satin of her dress. But as her story went
on, her body language changed again and she reverted to a hard-shouldered stance, bracing herself against the part that was causing the negative feelings.
Classic indicators of cognitive dissonance.
‘So what happened when the gala ended?’
Jessica crossed her arms. The patient is uncomfortable with the memory. ‘We went back to his hotel room and we fucked.’
‘And how did you feel about that?’ Karen knew it was a cliché, and a bloody awful one at that. She nearly cringed every time she had to say it. It had become a running joke with her friends; for the first twelve months after Karen had told her she wanted to be a psychiatrist, her best friend Bea would ask her at least once every time they spoke: And how did that make you feel? But sometimes – okay, a lot of the time – it was exactly the question that needed to be asked. Because that was what she was there for: to get to the root of how the client felt about what they were telling her. A lot of the time they were so lost in their own story that they didn’t even notice the corniness, almost like they were expecting it anyway.
Jessica raised her eyebrows, as though she couldn’t believe Karen had pulled the feelings card so soon.
‘I didn’t come, if that’s what you mean. It was fine, over a bit quickly and hardly romantic love-at-first-fuck, but it was okay.’
The patient uses humour and shocking language to divert from the question of feelings. Karen couldn’t stand bad language; it made her feel uncomfortable and insecure. She supposed it stemmed from her days at school, reminding her of the goody-goody she’d been, afraid to use bad words while the cool kids peppered their conversation with gutter talk. Or maybe from before that. Long before.
‘The second time was better. And before long there was a third, and a fourth. Now we meet up all the time in the week. He isn’t office-based; he practically lives at my place.’
‘Aren’t you afraid his wife might find out?’
Jessica scowled. ‘For a while I thought she might. I kept waiting for a phone call or for her to turn up, to say “I know what you’re doing. I know what you’ve done.” But she’s so wrapped up in the children she wouldn’t realise what was going on if we shagged in her car while she was driving it. She doesn’t even care what he does.’
‘Is that what he says?’
‘He doesn’t have to actually say it; it’s obvious from the other things he says. She doesn’t have time for him.’
‘And you do.’
Jessica shot her a glare. ‘What difference does that make? I don’t want him to leave her or anything. I just don’t understand how she can not know what’s going on with her own husband.’ Her eyes were back on her fingernails and her voice lowered. ‘I think about it a lot.’
So there they were. It hadn’t taken as long as Karen had expected for them to get to the next layer of the problem. This was the reason Jessica was there, and if she pushed too hard now, it would ruin the last forty minutes’ work. She tried to reassure herself that Jessica was just a young girl who had got herself into a situation that was causing her an internal struggle. All the defiance from the beginning of the session, the feeling that Jessica was there to challenge her – it was her own hang-ups manifesting themselves in her client’s innocent questions about life. She was nearly convinced of it.
‘About his wife …’ She kept her words low and quiet, leaned towards Jessica slightly. Jessica responded with a nod, still not looking at her but not scowling any more.
‘How she could let herself be treated like that? I mean, does she know and not care? Or is she just so stupid that she can’t see what he’s doing? He bought another phone, you know. So he can contact me without her knowing. She does all the finances, but he’s got his own account that she doesn’t know about. What kind of husband feels like they have to do that? Because his wife is such a controlling bitch, that’s the only way he can get his own money.’
To spend on sleeping with other women.
‘I’ve done these things, just little things. I messed with a few things on her calendar, made sure she missed a few appointments. It made me feel good, in control.’
‘You’ve been in this woman’s home?’
‘Yes.’
The unease that had been mounting during the last half an hour now threatened to suffocate her completely.
‘Jessica, I’m afraid I have to ask you this. It’s part of my responsibility as a professional, and I wouldn’t be doing my job if I didn’t. Do you understand that?’
Jessica nodded.
‘Do you feel like your behaviour is in danger of escalating? That your thoughts towards this woman may lead to actions beyond your control?’
‘No.’ She shook her head slowly. ‘None of those things. She disgusts me and I hate her, but I’m not evil.’
3
Bea
‘Hi, everyone, my name is Eleanor, and my Fuck This Shit Friday is …’ Eleanor paused for maximum dramatic effect, something she had been good at since they were children. ‘I had to change at least sixteen nappies today, and I managed to drop one of them on my feet. Literally shit.’
Neither Bea nor Karen could stop the burst of laughter that resonated around the small café. Bea saw a couple of people look up from their newspapers as though the three of them were raucous teenagers in a library. She resisted the urge to stick her tongue out. As Karen continued to remind her on a weekly basis, they were grown-ups now, although whenever they were together, the last fifteen years seemed to melt away and they were back under Eleanor’s cabin bed with a bottle of Mad Dog 20/20.
Eleanor screwed up her face and took a swig of her drink.
‘You can laugh, you bastards. You’re not the ones cleaning shit off your new flat-heeled, so-sensible-I-could-top-myself shoes. Right. I nominate Karen.’
Karen picked up her mug and raised it to the group, but Bea saw her hesitate. It was only a fraction of a second; most people wouldn’t have noticed, but most people hadn’t known their friends since reception. ‘Pleasure to be here with you all on this lovely Friday afternoon. Thanks for the nomination, Eleanor. My FTS is that I’ve been so busy at work that last week I missed a dentist’s appointment and a talk by a leading psychiatrist that I’d been looking forward to for months. Clean forgot to write them on the calendar.’
Bea and Eleanor groaned theatrically and Eleanor threw her head on to her arm on the table. ‘For God’s sake, Karen Browning, you could at least make something up if your life is so bloody Little House on the Prairie,’ she mumbled through her sleeve. She looked up. ‘I’ve missed so many health visitor’s meetings lately I’m certain they have social services on speed-dial. Bea, your turn. And this had better be worse than poo on your feet. I don’t think I could handle winning this game a third week in a row.’
Bea topped up her glass of juice from the jug standing on the chintzy red and white tablecloth and braced herself.
‘Hi, everyone, my name is Bea.’
‘Hi, Bea,’ the other two chorused. Bea raised the glass and nodded in the direction of Eleanor, who was waiting eagerly.
‘I’d like to thank Eleanor for my nomination. My Fuck This Shit Friday is that I forgot to—’ She stopped short, remembering that the thing she’d forgotten to do couldn’t be mentioned in front of Karen. Thinking on her feet, she recalled her afternoon at work. ‘I forgot to book one of our major clients at work into our senior management seminar and received a royal rollicking from my prick of a boss, who called me incompetent in front of the entire office.’
‘What a wanker,’ Eleanor murmured, reaching over to rub Bea’s shoulder, the thumb of her other hand swiping through the text message she’d just received. ‘Oh for God’s sake, Noah’s still asleep. He’ll never sleep tonight if Mum lets him nap all day.’
Bea felt a momentary flicker of annoyance, but at the last second Eleanor redeemed herself and dropped the mobile into the yawning mouth of her overstuffed handbag.
‘He’s not worth worrying about.’
As Eleano
r took Bea’s juice-free hand, Bea couldn’t help noticing faint biro marks on the back, the ghost of a reminder or a phone number that a ninety-second shower hadn’t quite erased. Her phone buzzed again from under the table, and to her credit she barely threw a glance at it.
‘That’s what Fran said.’ Bea grinned. ‘Just a touch more colourfully.’
Karen raised her eyebrows. ‘Isn’t it a bit late for big sister to be flying to the rescue?’
‘Oh leave off her, Karen,’ Bea said good-naturedly. ‘Fran’s always had my back; you’ve just never given her a look-in. It’s nice to finally have a sister I can talk to. There’s no bond like a sisterly one, you know.’ She flung a hand to her mouth, remembering what had happened to the sister Karen had had once upon a time. ‘Oh shit, sorry, hun.’
Karen smiled, but her mouth was a tight line that made it look like more of a grimace. ‘It’s okay, you don’t have to apologise for loving your sister. And I’m glad you’re getting on better with Fran, honestly.’
She smiled properly this time, and lifted her mug. ‘Okay, Eleanor wins again this week. To your shitty life.’
Bea followed suit, raising her mug above the table and clinking it with Karen’s. Eleanor lifted her own mug and sighed.
‘To my shitty life.’
‘So gym mum says to working mum, “Oh no, I’m just surprised you had the time to …”’ She stopped and looked from Bea to Karen and back again. ‘Oh God, I’m boring, aren’t I?’ She hid her face in her hands. ‘You can leave if you want to. I’ll look away and you can just sneak out.’
Bea laughed. ‘No, seriously, I really wanted to know what gym mummy said to that other one … vegan mummy?’
Eleanor groaned. ‘All right, all right. But you should know that those sixteen minutes of adult interaction during the school pick-up are all I get most days. I’m not sat in an office gossiping about who stole whose turkey sandwich, or fixing people’s heads. Feuding mums are all I have.’
‘Have you thought about when you’ll go back to work?’ Bea saw the crestfallen look on her friend’s face and immediately regretted asking the question.
Before I Let You In Page 2
