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I thought I wasn't a real man: a case of Gecko

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A 51-year-old divorced management consultant came to see me for the first time on 26 September 2008.

Initial consultation:
My main problem is something I would call anxiety. It shows up as the feeling of being overwhelmed by panic.
I have an obsessive-compulsive disorder, but I have not been taking medication for about a year.
Sometimes it comes over me quite unexpectedly. It starts like this: a thought occurs, e.g. I worry about money (money is my big issue), or I think about an argument with my ex-wife.

The problem begins to overwhelm me, I feel a tightness in the chest, I am nervous and tense and get short of breath. Sometimes I wake up in the middle of the night, or I am tense and anxious in the morning.
A few days ago I gave a presentation to a group. It was a four-hour strategic planning session which I chaired, and the call came: “Come on — you’re up!” I totally froze. I felt dizzy and light-headed. I panicked. It was more than fear; it was a panic attack.
It does not occur regularly. There are times when I am fine for days. But there are also times when it jumps on me and comes at various times of the day.
I often feel empty and worn out. It takes a lot of energy to keep my energy up and to feel OK with my stuff. As soon as my energy level drops, the anxiety creeps in. First my defences weaken; if my energy then drops further, I get frightened.
I don’t have much sexual desire. When I masturbate my erections are quite soft and do not last long. I do not currently have a sexual relationship, and I fear that if I did I would not be able to perform and it would not be very satisfying. To be honest I have never used a condom. I don’t like condoms. Then it’s no fun. My dilemma is that it would certainly be safer to use condoms, but I still don’t think they are right for me.

Tell me more about your panic and your feelings of anxiety; what exactly do you feel? Describe every detail.
I feel a tightness in my chest. The world narrows and becomes very small, there is nothing pleasant, no other concerns except the problem I am currently fixated on. It is hopeless. I’m not able to push these thoughts away and carry on.

What kind of thoughts are they?
The main thing is that I fear I won’t have enough money. I’m afraid I’ll run out of money or won’t be able to retire. I could get ill. I’m self-employed, so that’s a tender spot. I wouldn’t have any more fun and wouldn’t be able to go on holiday. I always have to be on the treadmill. New expenses always arise. Those are the kinds of thoughts that come up in me. Other people earn more than I do. Others can do everything better than me. Such thoughts and feelings haunt me.
Besides the shortness of breath I have a feeling of constriction in the chest, it feels as if I have to get out of my skin, I don’t feel comfortable in my own skin. As if I had to move house. When I’m lying in bed I actually have to get up again to move, to dissipate this energy and loosen the tension.

World narrowing? Tell me more about that!
It’s as if I’m wearing blinkers. I’m so fixated on the topic in front of me that I can’t balance things and can’t see what’s going well. “You have a successful practice, earn a lot of money and have no debts; you meet your obligations, have a lovely house, you can take care of your affairs, everything’s actually running well.” If you look at it from the outside it really looks bloody good. It’s this nagging fear. It’s something irrational. I mean, there’s no reason for my feelings. It’s not like: “Oh, you’re in debt and unemployed and can’t provide for yourself.” It’s not that!

The visions and images, that feeling that the world is getting narrower or the blinkers — how do you experience that?
Dark and small. Something flashes up in my memory. When I was younger I was clinically depressed. I was abused by my brother when I was about 12. It was only once, but it had a huge effect on me. It confused me and I felt very vulnerable. As a result I felt small and insignificant, as if I wasn’t really strong, I had no support. And then I went off the rails and abused some neighbourhood children when I was 16 or 17. It stopped when I was 21 and I exposed myself to a little girl at a building site while I was painting. Then I told myself: “That’s not right, I won’t do that anymore!”
I had a lot of sexual fantasies, messed around with porn and voyeurism, but I wasn’t inclined to act it out physically.

That’s what my OCD (obsessive-compulsive disorder, obsessive neurosis) was about. I was driven by sex, and it was horrible; I had terrible thoughts of acting it out on children or rape fantasies that were very disturbing. Through therapy and medication I was able to heal myself and I no longer have these problems.
It was traumatic. For years I was tormented by guilt and shame. That ultimately also destroyed my marriage. My ex-wife could not cope with my past. I have two children, 14 and 17. They live with me now; they know nothing about it.

My mother spent her honeymoon in the bathroom because she was afraid to be with my father. My daughter has recently been taking “Prozac”; she had suicidal thoughts, serious obsessive-compulsive disorder, and is seeing a child therapist. It’s my disposition that I now have to face. I don’t want to take medication any more.”

Say a bit more about your feelings after being abused by your brother!
I try to remember how I felt ... there were a few other things at school that reinforced my bodily perception that I wasn’t a real man. I grew up in an Italian community where 14- and 15-year-old boys already had full beards and big, masculine bodies. I was just this thin little guy from Long Island.
I didn’t feel like a real man, I didn’t feel particularly masculine.
On the school bus someone once pinched me in the testicles. I felt like a girl, like something you could just use and abuse. It was so demoralising. As if I had only a small penis, as if I were a little boy.
Later, at about 18, I was in a bar. A big guy, a truck driver, stalked me; he wasn’t trying to pick me up, he was stalking. He followed me outside, and I jumped into the car and drove away, it was very frightening. Almost like a sexual predator.
Once, after high school, I brazenly approached a girl and said: “I want to sleep with you!” She replied: “You probably can’t even find your cock, it’s so small.”
After experiences like that I had the feeling: “You’re really useless. You’re probably not a man at all, you’re not strong, you can be used. Stuff just happens to you, you have no control over it.”
“I chose the gecko as my animal totem. (The gecko is actually a transformation totem; it has to do with metamorphosis and change, because geckos tend to mimic their environment; they also lose their tails easily.)
I went through a process where I was no longer a gecko and became the Great Elk-Bull. The Great Elk-Bull meant anchoring strength for me, so that I could stand in my own power after I am now over 40. So I changed my name. I am now Elk-Heart. Being Elk-Heart for me means not only power, I think it is about a more important part of me, and that is my heart. Something I think I can give — that fulfils me spiritually and emotionally. I have undergone some changes. Occasionally I will draw on the Great Elk-Bull again because I need that power.
These feelings go back to the time when I felt small, insignificant and scarred. It was a time when I did not have control over my environment or what happened to me. When I look at my life now I’m amazed that everything is so different now, I have control. In my life today I am so lucky, so many advantages.

Having absolutely no control over your life and feeling very small — describe that feeling!
That scares me. I’m afraid of the dark. I’m going to tell an embarrassing story now — it really haunts me. It doesn’t happen often, but every now and then it sneaks in when I go up to my bedroom and the lights go out ... I feel uncomfortable being alone at night because I think something is after me. It’s completely irrational, but it’s an old childhood fear, a feeling that I wasn’t safe anywhere, that “something” wanted to get me.
As a small child I repeatedly had nightmares that I had been forgotten. I was in an old abandoned building, and my family had forgotten me, and there was a maze and I could not get out. I looked out of the window and saw them sailing away in a boat or driving off in a van. I turned around and there was a huge witch, a terrible person who was now supposed to be my mother. Then I woke myself up.
When I talk about it I realise that this feeling of financial insecurity is merely a metaphor for the fact that as a child I could not feel safe — that’s what it’s about. Even with women I do not feel safe. I was lucky to have a relationship with a woman after my marriage which affirmed that I was OK, that I could attract women, that everything could be different. That was exactly what I needed.

Not safe?
I was in danger, I had been forgotten.

Danger from what?
That someone with more power could take me ... There is a cartoon, a picture of a sweet little girl in a cute dress with a bow in her hair; she sits at a table with really horrible parents. The caption reads: (Parents) “It’s true, you once belonged to a beautiful king and his queen, but we stole you, and now we are your parents and there’s nothing you can do about it!”
My father was an alcoholic, and that was very sad because he had completely lost control of himself.

How?
He was slovenly and drooled and made a fool of himself. He did not abuse me, he was not violent at all, he was more of a lightweight; his face was smeared with food, he slurred his speech and often fell asleep.
When I was 17 or 18 something happened that was particularly frightening. We had a large house and it was somehow spooky because it had belonged to a captain in the 1880s, and so we had always been afraid of going down the stairs where all the many rooms were.
I was alone with my father, just the two of us, and of course he was drunk. We were a large family, but none of my siblings were there. It was in the evening, probably about 7 o’clock, he was drunk and completely off his head, then I heard footsteps upstairs very clearly and I became very afraid; it was so eerie, and it became clear to me that I could not rely on him to protect me. I grabbed my keys and left. I got in the car and drove for 4 hours through the night. I wound the window down to stay awake and drove to my mother’s in our holiday home. It was so horrible.
What would you say if someone asked you: “What were you like as a child?”
I was a very compliant child. I didn’t make trouble. I had top grades. I was considered well adjusted and unproblematic.
My mother met her emotional needs through her children, and especially through me. She would make advances to me and stroke my leg, no, not my leg ... I don’t know why I said that. She confided in her children how lonely she was, all the problems she had. About ten years ago I cleared this up with her as far as this issue is concerned. It became a problem in our marriage. There were some problems between my ex-wife and me because the close relationship between my mother and me always seemed threatening to her and there were no clear boundaries.

How could that happen? How could her clinginess pose a threat to your wife?
My mother came more often to visit me. She was very clingy, she came and sat next to me and put her hand on my leg, she pressed herself against me. My mother would not accept that she could not hold my hand when we went out with my wife, or put her arm around me or sit very close to me. It was a terrible moment when my ex-wife said: “Stop treating my husband as if he were your lover!” I had to distance myself more from my mother; she became an emotional burden for me. I don’t feel aroused by it (HG—hand gestures: hands together, fingers intertwined). But that’s how it was. I was very close to her. When I had nightmares I would go into my parents’ bed and sleep between them. My mother was very understanding. I did that until I was about 14.

You were abused by your brother and began to seduce other small children — tell me more about your feelings connected with those experiences!
I felt powerful and believed I had control. I was aroused by their curiosity and by my ability to make it seductive and comfortable for them so that I could satisfy my needs.
I had problems with masturbation because my ejaculations were very painful. I had nocturnal ejaculations that were very intense and painful, so I was pretty frustrated and didn’t know what to do with it. I saw no way out, felt awkward with girls and could not masturbate.
I remember an early experience with my brother. A boy was on the couch and I pulled my trousers down. I felt that great joy, that huge feeling of happiness. I spread my legs over him and said: “Just watch the television!” And I let my penis dangle into his hands, and when he began to play with it that was really exciting. Finally I found a little relief from the grief and pain of feeling alone. Sometimes I had this feeling of being at the centre of attention. I was positively flooded with euphoria because I was noticed and someone cared for me. I felt safe, that I could receive joy that seemed safe. I liked that I had control. I enjoyed that it was secret, that it was my thing.
It was very painful for me to try to work all this out — on the one hand I had done things that hurt other people, and on the other hand I had felt good doing them.

Tell me something about your career, your interests!
I am a self-employed marketing consultant. I have been doing it for about 8 years. I work alone. I have many different areas of work. I write articles, do advertising, invent names. I develop and design advertising and work with a graphic designer. I design websites, develop marketing strategies and tell people which market targets they should aim for, which groups of people they can address, what they should say, how they can differentiate themselves from the competition, how to proceed to always reach the right people. I organise everything for a company, from hiring suitable employees to customer service, sales and services. I do not work sequentially but at the same time for everyone (HG: as before: hands together, fingers spread and intertwined, then one hand on top, one below).

What do you do in your free time?
I draw.

Tell me about that!
Once or twice a week ... I draw very large portraits, e.g. a head, in charcoal. Sometimes I draw nudes.

Say something about your feelings when drawing!
I flip a switch and am on another level. I enjoy looking, applying my visual ability. It’s like taking a music course and concentrating entirely on listening to music, or a wine tasting where you concentrate entirely on the taste experience, really focusing on taste. Or during a massage where you give yourself over entirely to sensation. I like that I can concentrate entirely on seeing, and that I can direct my attention to different ways of seeing. I like to look at things from different sides, and that’s also what my work is about. I like to use different patterns of behaviour and different strategic methods, I mix them together and live out my creativity that way.
Drawing allows me to do that. I cook, and that is a tangible way of experiencing things. I play racquetball because it has a physical and a social component. I want more contact, more communication with other people. That means life to me — life takes place in this social context (HG - again he spreads his fingers and interlaces them). But I want to take something from here and see how it fits into my life. I like people who are good at demystifying all this stuff and finding the connections. I had no idea that this fits here... For example — when they did that one thing — did you know then that you would now do the other? — (HG — the same) — but there is probably more to it. This modern way of bringing up one’s earlier experiences really fascinates me. Those are the crosspoints where things come together (HG — with fingers splayed back and forth)
A year ago I had different relationships with my clients. I had ongoing relationships, I was good friends with my clients. We socialised. When we came together it was: “We have to go out to eat, we have to play golf.” They were business contacts but ... I really miss that. A big theme in my life is that I don’t have such relationships.
A year or two ago my work was still manageable, I was not so hectic. I had relationships where I could call people and they were pleased about it. It was like a family. I mention family because I lost my family. My family broke up. That’s why I stayed in the nest so long, and when the nest was torn down I asked myself: “What am I supposed to do now?”
My ex-wife felt lied to. She did not know a lot about me when she got involved with me and had children with me. It was a contentious issue. What I liked about her were her ethical principles. She knew what was wrong and what was right, she always did the right thing. I liked that. My boundaries were flexible, wishy-washy: “Well, I don’t know!” What made it difficult was that she was not only critical but also hurtful. She did not fight fair. She became really mean and humiliated me, and thus I felt so wrong and bad, as if something were not right with me. It brought that old feeling of not being enough back to the surface.
I felt frozen. I was angry with her; then I gave in because I was the one who messed everything up, yet I resented her. We repeatedly fell into that vicious circle. I said: “You know, something’s not right with me.” But she turned everything around; she was a better fighter and made me feel that I had to say: “Yes, you’re right.” Before I told her about my past I read a book about a girl who had been sexually abused by her father, and it aroused me. We then acted out that fantasy. Well, you can say it always takes two. That was devastating for her. In therapy she said: “I can’t believe you did that to me.” That went badly, but I had done it. She had been raped at about 15, but she had put it in a locked box, that was the past. She could not connect the dots. My theory is: if she admits it to herself, then someone has control over her. It is a control problem. We had a very disturbed sex life where it was only about the physical and there was no fulfilment. It was not love!

 

Prescription:
The patient was given Syphilinum, which did not help him.

 

First follow-up

16 October 2008:
At the moment I’m doing well. Some days I have bouts of sadness that last about an hour, sometimes I have anxiety or am physically tense. I often worry about money, I am obsessed by it. These are the three things I deal with. I wake up and cannot stop thinking about it. Sometimes I feel good, almost manic, really superb. There is no middle ground.

Tell me about your anxiety!
I worry about my finances, all the costs I have, all the bills I have to pay. I may not be able to do that — I have built up my work and now it is on ice. Now I fear that I may not have enough work. That is my big fear.
When my father died we had to collect donations to be able to buy a grave. It was pathetic, and I felt exposed to outside influences. I have shed those expectations. I was like a gecko: he adapts but loses his tail. It is a kind of metamorphosis. I didn’t want conflict; it seemed as if there was no room for me. If I had a firm footing, the others would have to give way. If I took the name of the Grateful Elk that would mean solid ground under my feet. I wanted to be strong, secure, without self-doubt. With the gecko there is no firm ground under the feet. It’s like quicksand. I fear that something from outside will come and destroy my office and undermine everything. It is a lonely, alienating work. Can I find a job where I am part of a community or an organisation? Contacts, the feeling of belonging are very important to me. At the moment I am lonely and only do my own stuff.

13_0102_Gecko_2.jpg

Describe a gecko!

It is a lizard belonging to the chameleon family. It changes colour, visually matches its surroundings. I understand situations and can adapt to them. The gecko is known to lose its tail. It is very fast. Losing its tail can signify transformation. I gave up the gecko because I needed more power within myself. I bend to the situation. I want to be able to face the world. I want to be someone who does not worry about money and who does not constantly count his pennies.
 

Analysis:
The patient’s main complaints are anxiety, fear, obsessive worry about money, and fear of women and of conflict. He reports sexual abuse in childhood by his brother, and subsequent abusive behaviour by himself. The dynamic clearly involves themes of power, control and victim-aggressor. When he was abused he felt “small, insignificant, as if I wasn’t really strong; I received no support.”
He doubted his masculinity: “I didn’t feel like a real man, not particularly masculine. Someone once pinched me in the testicles on the school bus. I felt like a girl, like something you could use and abuse. It was so demoralising. As if I had only a small penis, as if I were a little boy.”
He encountered sexual offenders and became one himself. He sought control and power through seduction, manipulation and secrecy (deception). He compares himself to others: “The others do everything better than I do.”
Together with the characteristic themes of the animal kingdom such as victim / aggressor, dominance / submission and sexuality, the desire for support and inclusion in the family are strong motifs. These repeatedly arise and are best expressed by his recurring nightmare: “I had been forgotten. I was in an old abandoned building, and my family had forgotten me, and there was a labyrinth, and I could not get out. I looked out of the window and saw them sailing away in a boat or driving off in a van. I turned around and there was a huge witch, a terrible person who was now supposed to be my mother.”
The need for support from the family and for guidance are important themes of the lizard remedies. Money and materialism are also important themes of this family. The patient identifies with the gecko because of his tendency not to assert himself, to adapt rather than confront (losing the tail). He repeatedly makes gestures with both hands and intertwines his fingers. He is unaware of these gestures, but they remind me of the clinging, invisible hairs on the soles of a gecko’s feet, which allow it to run on ceilings and stick to almost any surface.
His hobby “drawing” and his statements about the pleasure he takes in using his eyes are interesting, since the gecko is also known for its astonishing visual acuity; it is one of the few animals that can perceive colours at night. Its multifocal optical system is about 350 times more light-sensitive than the human retinal system.

The patient has also adopted the name Great Elk-Bull and later the name Elk-Heart. But these names refer to the strength and magnanimity he aspires to, not to the characteristics or sensations he struggles with internally. Apart from the need to be taken into a community or family, no further mammalian themes are prominent.
 

Prescription: Gecko LM5

 

Follow-ups:

4 November 2008:
I’m much better. The feeling of hopelessness and the obsessive thinking about money have disappeared. I still suffer from some anxiety, but I can calm myself down again. I went to a dance event and felt a lot of energy flow through me. I know I’m better, that I have become more optimistic. I feel that I am going through a transformation. I can assert myself. I have clarity and calm in conversations with my ex-wife. I can talk to my children without burdening them. I have met some women. I am still somewhat anxious, but I have more clarity, more concentration and more stability. I feel grounded with regard to decisions about my work.”

25 November 2008:
Two weeks ago I felt really well. I have never felt so good. That concentrated, balanced energy! I could be really positive and active, tackle my work optimistically. Now there are certain setbacks. But I’m better than I have been for a long time. There is a certain anxiety, a need for belonging, the fear of being different.”

Prescription: Gecko LM5

20 January 2009:
I’m doing well. I no longer take the remedy. I have more of a sense of being myself. I have every reason to worry about money, but it doesn’t drag me down as much any more. I don’t think about it all the time. I sleep well. Emotionally and mentally I am very well. My energy does not drop so easily any more. I have fewer anxieties. I can give more, am more grateful. I feel blessed. I have to be grateful for many things in my life. I no longer feel self-pity. If it doesn’t work out with one woman I know there are plenty of others.
My ex-wife is getting married. That is hard for me. My family is destroyed. Dead. But I feel that I have come closer to what I want to be. I volunteer, reading to kindergarten children and first-graders — then I feel bigger. When I acted out of a feeling of lack I felt smaller.”
Since his last follow-up the patient has communicated with me more often by e-mail and telephone. He reports that on a “relapse” or reappearance of the symptoms a repetition of one or two doses of Gecko LM5 has always completely eliminated the symptoms.


Photos: Wikimedia Commons
Gekko vittatus; Creative Commons licence 2.0 US (not ported); Brian Gratwicke
http://commons.wikimedia.org/wiki/File:Lined_Gecko_%28also_called_Skunk_Gecko%29_Gekko_vittatus.jpg?uselang=de-formal
Category: Cases
Keywords: anxiety, fear of women, fear of confrontations, obsessive thoughts regarding money, sexual abuse in childhood, victim / perpetrator, power, control
Remedy: Gecko

Doug Brown