RSS Feed

Tag Archives: boundaries

What the #@$% are Boundaries?

            My father created chaos in our house when I was little, intentionally and unintentionally, because it worked for him, but living in his house made me feel like the floor was going to drop out from underneath me at any moment. He resented closed doors, even though he wanted to keep his own door closed; and he used all of the bathrooms in the house, even when he could easily get to his own private bathroom in time, almost like a male dog marking his territory. He set the rules, and often broke them, and then yelled at us for breaking rules he’d never told us about. All of that has left me handicapped when I try to figure out what “normal” boundaries should be, and when I have the right to enforce them.

“I always enforce my boundaries. Preferably with my teeth!”

And when I realized, recently, how hard (impossible!) it was for me to set boundaries with my doctors, and limit the damage they could do with their comments about my weight and their minimization of my symptoms, I decided that I needed to do some more basic research on boundaries, and figure out what the hell they are.

            First and foremost, when I think of the word “boundaries,” I think of something like a fence or a wall, something solid and visible, but interpersonal boundaries aren’t supposed to be either. I think they’re supposed to be more like the semi-permeable cell membranes we learned about in High School Biology class, the ones that allow some molecules in and not others. But those molecules supposedly got through based on their size, rather than something more vague, and the cell walls were visible, at least under a microscope, and interpersonal boundaries just aren’t.

            Each article I’ve read seems to have a different idea of how to set interpersonal boundaries, and even what they’re good for. One said that boundaries are a way to set a clear line between what is me and what is not me. For example: my father’s feelings, needs, crimes, etc., are not my responsibility, no matter how many times he told me that they were. Another article focused on how boundaries are a way to determine which behaviors you will accept from other people, and which ones you won’t (though they didn’t explain how to not accept behaviors you don’t like, and the assumption that I can just walk away from a bad situation feels dismissive, of me). The articles also talked about different kinds of boundaries: physical, emotional, material (stuff), time, intellectual (this one was blurry to me), sexual, etc.

            My most obvious boundaries are the ones around my body, if only because my internal alarm system is so loud when my physical boundaries are crossed.

“Even I can hear it,”

I remember going to a new doctor when I was nineteen years old, probably transitioning from a pediatrician to my first official grown up doctor, and the nurse came into the exam room before I’d even met the new doctor and told me to take all of my clothes off and put on a paper robe. And I said, well, can I meet the doctor first, because I’m not comfortable taking off my clothes right now. I didn’t think I was being unreasonable at the time, or even setting a boundary, but the nurse got mad at me and brought in someone else from the office to yell at me and tell me I was being obstructive and if I didn’t take off my clothes I would not be allowed to see the doctor. So I jumped off the exam table and walked out. I didn’t choose to set a boundary, I just knew I physically couldn’t take my clothes off. I felt the boundary; though afterwards, of course, I felt guilty for being so immature and uncooperative.

            Covid’s social distancing and zoom meetings have been a godsend for me, because finally everyone else’s physical boundaries have had to be more like mine (no touching and at least three feet away, I don’t know anyone who managed the six foot distance), but I’ve also become more aware of how much less personal space other people seem to need or want, and I’m worried about how I will deal with that again once the Covid precautions end.

            I’m also a big fan of time boundaries – like the ones created by a forty-five minute session with my therapist, or an hour and a half limit for a class, but I’m not good at setting those time boundaries myself, like for phone calls or conversations that I wish were much shorter than they turn out to be.

“I think the phone should never ring.”

            I’ve been told, many times, that my boundaries are too rigid and keep me isolated from other people, but my rigid physical boundaries are there to protect me from my more blurry emotional boundaries: like my inability to recognize what’s my fault and what’s not, or what’s my responsibility and what isn’t, and my fear of telling people to stop hurting me when their weapons are words instead of hands.

            It seems like, in order to relax my rigid physical boundaries, I’ll need to learn how to say no to conversations I don’t want to have, and to believe that I have the right to my own feelings and beliefs and opinions even when someone else disagrees with me. But it all feels so uncomfortable. I struggle with navigating the gradual boundary crossings required for building friendships, because each small step closer to another person feels like I’m losing control over my boundaries completely.

I remember when we adopted Butterfly (an eight-year-old Lhasa Apso rescued from a puppy mill after many litters), and her boundaries almost glowed around her. When she was in the cage at the shelter, she was desperate for contact and outgoing, licking me through the bars of her cage, but as soon as she was taken out of the cage she was terrified and unsure where to look or what to do. She healed so much in the almost five years we had with her, but she never became like Cricket, who always needs to be physically attached to, preferably suffocating or pinning down, her people.

Miss Butterfly

Butterfly knew she had a home, and enough to eat, and a lot of love, but she was never quite sure that the people who were being kind to her one day would still be kind to her the day after that, and she seemed to wake up each morning needing to test the air, just to make sure her world hadn’t changed again. And that resonated with me. I still do that, unconsciously but consistently, every day, worrying that my good fortune is about to run out.

Ellie, who came to us from a home breeder, instead of a puppy mill, and was retired from breeding at age four instead of eight, is still unwilling to stand up to Cricket’s boundary crossings and bullying, choosing to walk away rather than fight. And I see myself in her too: the way I can be overly accommodating, at times, because I’m afraid of what will happen if I say no.

“Uh oh!”

            It’s interesting, though, that I am comfortable sharing so much of myself in my writing. It’s as if the writing itself acts as my most secure boundary, allowing me the time I need to choose what to share and what to keep to myself. If I could take a time out during a conversation, in real time, and think about what I want to say instead of saying the first thing that comes to mind, I’d feel a lot safer. But I haven’t figured out how to stop time, yet. It’s been a lifelong goal, though, and at this point I have about equal faith in my ability to develop magical powers as to figure out how to set healthy boundaries and enforce them.

“Could we have magical powers too?”

If you haven’t had a chance yet, please check out my Young Adult novel, Yeshiva Girl, on Amazon. And if you feel called to write a review of the book, on Amazon, or anywhere else, I’d be honored.

            Yeshiva Girl is about a Jewish teenager on Long Island, named Isabel, though her father calls her Jezebel. Her father has been accused of inappropriate sexual behavior with one of his students, which he denies, but Izzy implicitly believes it’s true. As a result of his problems, her father sends her to a co-ed Orthodox yeshiva for tenth grade, out of the blue, and Izzy and her mother can’t figure out how to prevent it. At Yeshiva, though, Izzy finds that religious people are much more complicated than she had expected. Some, like her father, may use religion as a place to hide, but others search for and find comfort, and community, and even enlightenment. The question is, what will Izzy find?

I Don’t Want To Go To the Doctor

            I got a call on the answering machine (yes, they still exist, as do land lines), cancelling an upcoming appointment with the cardiologist. And I was thrilled! It’s not that I particularly hate my cardiologist, but every time I go to a doctor, whether it’s my primary care doctor, or a rheumatologist, a pulmonologist, an endocrinologist, a cardiologist, etc., they weigh me and then tell me that my real problem is my weight, and proceed to lecture me on how to go on a diet.

“I’m not fat, I’m fluffy.”

            I have been on every diet, and read every diet book, and lost and gained weight multiple times, and now I am working on Intuitive Eating with a Nutritionist and trying to undo all of that damage, but even so, every time I see a doctor they insist that if I just ate less and exercised more it would all be fine – as if my problem is that I’ve never heard of a diet before.

            Or as if my weight is my primary medical issue, which it’s not; the added weight is a symptom of both the psychological trauma of my childhood and the medical disorders I have had to deal with as an adult (and the medications I need to take to manage both). I’ve said this to my doctors over and over and over again, but it doesn’t seem to make a difference.

            When I told my nutritionist about all of this – and about my rage at the doctors, and adults in general, who encouraged my eating disorder when I was a child, and who have continued to push me into disordered eating as an adult, without ever feeling shame or responsibility, let alone bothering to educate themselves about an alternative way to address issues of nutrition and weight in their patients – she said, well then, that should be our next project.

            Huh?

            She said, you need to practice setting boundaries with your doctors around weight, and even try to educate them about the pervasiveness of the Diet Mentality and the endless Mobius strip of weight loss and weight gain that they seem to think of as such a wonderful idea but that has actually been shown to cause more health problems than remaining steadily overweight your whole life.

            But I’ve tried, and they never listen to me, and it’s not fair, and why don’t they have to learn this in school, and why is it my job to teach them and…

            And she agreed with me, and listened to me, and said, we need to work on setting boundaries with your doctors around the subject of weight.

            But, but, but…they never learn, and they keep repeating the same things, and whenever they tell me that I should just stop eating so much I believe them and…

            Oh.

            I had the aha moment at the same time she did: the real problem is that I don’t have confidence in what I already know and have worked so hard to learn, so that when they challenge me, I give in.

“Never give in!”

            I’ve worked so hard this past year to learn how to hold my ground when the “You just need to stop eating,” and “You’re less of a person because you are overweight” messages are said by movie stars, or social influencers, or random people in my life; but when a doctor says it, the ground under my feet still gives way. I sit there feeling small and hopeless and I forget everything I know, and believe everything they tell me – that if I would just stop eating so much I’d never have health problems again.

            Depending on how brittle the doctor is in presenting their message on my weight, it can take me hours, or days, or even weeks to get back to solid ground and remember that, actually, my weight is not the problem. And diets have never been a long lasting solution even to the weight issue, never mind for my health overall.

            So what can I do to fix this? And can it be fixed before my rescheduled appointment with the cardiologist which is coming up way too soon?

            The nutritionist suggested that I remind myself that, on this subject, the doctors don’t know me better than I know myself. She said to tell them – I know you’re going to bring up my weight, but I am working with a nutritionist on Intuitive Eating and I am making progress at my own pace, and, for now, your advice is not helpful on this subject. My weight is the least of my problems, and if we can focus on the physical pain and exhaustion that make life so difficult for me, and the connective tissue and auto-immune disorders that cause the pain and fatigue, and numerous other symptoms, that would be a more productive use of our time together.

            But I’ve said all of that, or at least most of it, to my doctors, and they just talk over me. Though maybe I haven’t said it with confidence. Maybe I’ve said it with my eyes on the floor, afraid of what they would say in response, afraid of their disapproval. Because even when I’ve said “the right things” I’ve only said them once; and when the doctor, inevitably, pooh poohed it, I shut up. Because I freeze in the face of their disapproval. I forget everything I know, and I let them talk down to me and blame me without contradicting them. And, no, it’s not my responsibility to teach them, or change them. But if I could stand up for myself, maybe I wouldn’t be so negatively impacted by each doctor visit.

            But how do I get there? How do I hold onto what I know when I start to feel shaky and small? How do I convince myself that I do know my body better than they do, and that I have done the research and I’m not just believing what I want to believe because it sounds easier?

            The temptation to just cancel appointments, or to go but shut off my brain for the duration, is very deep, because I don’t feel strong enough to stand up for myself effectively.

“Yeah, let’s stay home.”

            I wish I could promise myself that next time will be better, and that I will be different. But I don’t know how to make that happen. I had hoped that writing this essay would give me the confidence to believe that I can stand up for myself, but instead it has made it clear to me how much more work I need to do.

“Oy.”

If you haven’t had a chance yet, please check out my Young Adult novel, Yeshiva Girl, on Amazon. And if you feel called to write a review of the book, on Amazon, or anywhere else, I’d be honored.

            Yeshiva Girl is about a Jewish teenager on Long Island, named Isabel, though her father calls her Jezebel. Her father has been accused of inappropriate sexual behavior with one of his students, which he denies, but Izzy implicitly believes it’s true. As a result of his problems, her father sends her to a co-ed Orthodox yeshiva for tenth grade, out of the blue, and Izzy and her mother can’t figure out how to prevent it. At Yeshiva, though, Izzy finds that religious people are much more complicated than she had expected. Some, like her father, may use religion as a place to hide, but others search for and find comfort, and community, and even enlightenment. The question is, what will Izzy find?