Transcript of 50th Session between Charles Balis, M.D. and Ms. Anna Green, Thursday, July 31, 1997 at 4:00 pm.

Dr. Balis: Hello, Anna. God, you look dreadful.
Ms. Green: Thanks, Doctor Balis. I got a bad cold, I think. Or maybe it's a flu. Don't worry--I won't breathe on you too much, though.
Dr. Balis: Shouldn't you be in bed?
Ms. Green: Yes. I'll go home soon. I was just at work and as long as I was that close to your office...well, it seemed like a good idea at the time. But I'm feverish and my decision making is certainly impaired.
Dr. Balis: How high is your fever?
Ms. Green: Oh, I don't know. A hundred and two? A hundred and three?
Dr. Balis: That sounds awfully high.
Ms. Green: Well, maybe it's lower then. Stop asking me all these questions, Doctor. Can't you see I'm sick?
Dr. Balis: Hmm. Why don't we not have our session today? I think you should go home now.
Ms. Green: Thanks. I guess if you really don't want to be around me...I can take a hint.
Dr. Balis: Anna, you're obviously really sick.
Ms. Green: Tell me something I don't know. But I still want to talk a bit, if you don't mind.
Dr. Balis: Well, if you insist.
Ms. Green: This situation with Martin and Kathy is getting all out of hand.
Dr. Balis: What do you mean?
Ms. Green: They are spending way too much time together. It's not like I'm jealous or anything, Doctor, but I wish...I just want them to stop.
Dr. Balis: Did you talk to Martin about it?
Ms. Green: Yes. He told me that I was overreacting.
Dr. Balis: I think you might be. How often does Martin see Kathy?
Ms. Green: He saw her Monday for lunch, and yesterday for coffee after work. And who knows? They might be talking on the phone the rest of the time.
Dr. Balis: Why does it bother you so much?
Ms. Green: They are both supposed to be in love with me, right?
Dr. Balis: Hmm.
Ms. Green: I just feel like I'm losing them both, Doctor.
Dr. Balis: Did you make up with Kathy yet?
Ms. Green: We talked on the phone. She apologized, sort of, and I said that I forgave her. But we haven't gotten together after that, and it still feels very weird.
Dr. Balis: When did you have this conversation with Kathy?
Ms. Green: Monday night.
Dr. Balis: It's only been a few days...
Ms. Green: But she's not making an effort to see me.
Dr. Balis: Are you making an effort to her?
Ms. Green: I just wanted her to make the first move. I don't know, I guess you're right, Doctor. I'm probably overreacting. But I felt so sick all day today and since I couldn't really concentrate on my work, I just churned and mulled over this whole thing with Kathy and Martin and all. At least Martin and I are doing better.
Dr. Balis: You are?
Ms. Green: Yeah. We are sort of having sex now.
Dr. Balis: Hmm?
Ms. Green: Well, I guess we are having sex now. It's just that we don't actually had intercourse yet.
Dr. Balis: But you engaged in other sexual activities?
Ms. Green: Yes. We developed this really cool way of dealing with our sexual needs. I think we can both be satisfied if we try to make it work and follow the rules.
Dr. Balis: What are the rules?
Ms. Green: Oh, you'll like them, Doctor Balis.
Dr. Balis: I hope so.
Ms. Green: Well, since Martin is into doing one type of sexual play and I like doing something else, we figured that the only way we could make this work is if we can figure out a fair way to divide our sexually active time together into activities that Martin likes and those that I like. And, of course, there are some things we both like, so they fall into a separate category.
Dr. Balis: I'm still not sure what your system is.
Ms. Green: Martin and I wrote down all the different kinds of sexual things we like to do and then we rated them according to the amount of time they take on the average including the set-up time, the amount of energy they require of each participant, and just how much pleasure each of us gets from that particular activity.
Dr. Balis: Hmm. Very scientific.
Ms. Green: Don't worry, Doctor. Let me give an example. Martin likes for me to put on the "come fuck me" shoes and he masturbates while licking the shoes and my legs. So licking and masturbating with shoes gets a rating of 10 on Martin's pleasure scale and a rating of 1 on my pleasure scale. So I can 9 pleasure points added to my point bank. Since Martin asked for this act, I get the time and difficulty points as well. This activity doesn't take much set-up time and usually takes about fifteen minutes--it earns me 4 time points. And it really doesn't require much of me except for wearing the shoes and bearing the tickling, so I get just 3 difficulty points.
Dr. Balis: I still...
Ms. Green: If I agree to do this shoe-fucking, then it costs Martin those points. See?
Dr. Balis: I...
Ms. Green: Each sexual act that we could think of, we rated this way. Now we have this very extensive chart, and if I'm into doing oral sex one night--remember that I like to give it almost more than receive it--then Martin could look up the points for that on our sex-rating chart and I would be obligated to let him earn the appropriate number of points. It's like a sex barter system. I think it works very well, especially if one works out the points to be accurate and agreed upon ahead of time. I think it's very ingenious, don't you?
Dr. Balis: It's interesting. Who came up with this idea?
Ms. Green: Actually, it was both of us. We started talking about it one night. And after we identified our problem, we were able to come up with this solution. It's been real good for us.
Dr. Balis: And how long have you been doing this?
Ms. Green: Four days now.
Dr. Balis: Hmm.
Ms. Green: I think it's a great system. Maybe you can use it with your other patients, hmm, Doctor?
Dr. Balis: I think your sexual relationship with Martin is somewhat unique, Anna.
Ms. Green: Doctor?
Dr. Balis: Yes?
Ms. Green: I think I've got to go now. I'm really beginning to feel like the world is just spinning and fading out of my control.
Dr. Balis: Would you like me to call you a cab?
Ms. Green: I think so. Do you mind?
Dr. Balis: Not at all. Lie down here and I'll call the taxi.
Ms. Green: Thank you, Doctor.
Dr. Balis: No problem, Anna. Drink plenty of fluids and get some rest. I hope you don't have any plans for this weekend, because I don't think you should get out of bed.
Ms. Green: Don't worry, Doctor. Martin will take very good care of me.
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