The Problem is not the Problem but a Solution to another Problem: The role of self-harm, addiction and other ‘apparently’ sabotaging behaviour

“Is your foot sore?”, I innocently asked. Part way through a session I noticed my client pressing her foot into the floor. Her face froze. She looked like the proverbial deer caught in the headlights. Her expression was a combination of shock (at my noticing) and shame (for something of which I had no idea). I was perplexed by her reaction. I sat quietly and waited. After a few seconds she replied, “No. I have a thumb-tack in my shoe and I’m pressing my foot down on it.”