Families, relationships, and communities shape us in ways both obvious and invisible. Jonathan Spector’s This Much I Know explores how our personal histories, inherited beliefs, and the stories we tell ourselves collide—sometimes painfully, sometimes with unexpected insight. In this beautifully acted play, competing truths coexist, challenging us to sit with ambiguity and consider how context shapes conviction.

Therapists understand that children can grow up in the same family and yet experience profoundly different childhoods. A couple can weather the same adversity and later remember it as if they lived through two separate realities. In therapy, two competing truths can share the same space—though it is rarely an easy space to inhabit.

The question of competing narratives frames This Much I Know, which recently left a successful run at Theater J in Washington, D.C., for New York’s 59E59 Theaters. A superb trio of actors fluidly inhabit multiple roles through subtle shifts in costume, accent, and setting, creating a world where memory, identity, and ideology overlap.

We first meet Lukesh (Firdous Bamji), a psychology professor whose dry humor and knowing detachment come through as he asks the audience to silence their phones and launches into a lecture on confirmation bias. His wife, Natalya (Dani Stoller), wrestles with the aftermath of a traumatic experience, channeling her turmoil into research for a book about her grandmother—who fled Russia and was rumored to have been a childhood friend of Stalin’s daughter.
Natalya leaves Lukesh early in the play, while Harold (Ethan Rapp), a university student, faces a reckoning of his own when a news story exposes him as the son of a prominent white supremacist. He insists he doesn’t share all of his father’s beliefs, but no professor will sponsor his thesis—except Lukesh, who reluctantly agrees. Their charged exchanges about truth, bias, and belonging become the play’s intellectual core, while Natalya’s search for her grandmother’s story, and her portrayal of Stalin’s daughter, add layers of haunting symmetry.

Questions of ownership, blame, the butterfly effect, genetics, and epigenetics weave through the dialogue. This Much I Know resists easy answers and refuses to label narratives as right or wrong. Instead, it invites the audience to sit with ambiguity—to consider how context shapes conviction, and how difficult it is to break free from the gravitational pull of family legacy.

Like therapy itself, the play offers no tidy resolution. It asks us to tolerate complexity, to listen for truth in stories that contradict our own, and to recognize that understanding—like healing—requires curiosity more than certainty.

On the surface, they’re frothy and absurd: wealthy women in fabulous wardrobes, meticulously designed mansions, murder mysteries, and eccentric philanthropists. But look closer, and they’re each telling a deeper story about trauma, birth order, and the bonds that form between sisters who survive dysfunctional families in very different ways.

Chaos Enters the Penthouse
In The Better Sister, Nicky Macintosh (Elizabeth Banks) makes a dramatic reentry into her younger sister Chloe’s life by showing up, un-welcomed, to her pristine Manhattan penthouse. A murder investigation is already underway—Chloe’s husband, who also happens to be Nicky’s ex-husband, has just been found dead. Chloe Taylor (Jessica Biel) is an influential media figure with a picture-perfect life and an image she’s desperate to maintain. Nicky, by contrast, is messy, contrarian, and undeniably inconvenient.

Meanwhile, in Sirens, Devon DeWitt (Meghann Fahy) is released from a night in jail and returns to care for her ailing father. She discovers that her younger sister, Simone (Milly Alcock), has sent an elaborate edible arrangement which is much more performative than helpful. Furious, Devon grabs the display in her car and sets out to confront her sister. She finds Simone at the legendary “Cliff House” working for Michaela “Kiki” Kell (Julianne Moore), a hyper-stylized billionaire philanthropist. Simone has abandoned her upstate New York identity for headbands, cheekiness, and florals. Her tattoos have been removed and Devon finds her almost unrecognizable.

Devon and Nicky are cut from the same chaotic cloth. Both speak in cringey, grammatically obtuse sentences, wear the wrong clothes, and offend nearly everyone they encounter. Law enforcement doesn’t know what to make of them, and their younger sisters—Simone and Chloe—vacillate between embarrassment, protectiveness, and avoidance. They’ve both tried to leave the past behind. But the past, in the form of their big sister, has other plans in store for them.

As a therapist, I often see how unresolved trauma shows up in family relationships. What’s psychologically compelling about Sirens and The Better Sister is how they depict strikingly similar responses to childhood trauma. Both shows invert the familiar sibling stereotype. In many families, the older child plays the achiever, the responsible one, while the younger rebels. But in homes shaped by trauma, especially when the mother is absent or compromised, it’s often the eldest daughter who bears the brunt of the father’s rage. She becomes the shield. And that role comes with consequences—depression, addiction, a deep sense of unworthiness.

In both of these current popular shows, the older sister copes through acting out, numbing, and self-destruction. The younger sister copes by striving, perfecting, and escaping.
Both sets of sisters come from profoundly abusive or neglectful households. The fathers are violent, controlling, or cruel; the mothers are absent, weak, or complicit. In both stories, the older sister—despite her flaws—tried to protect the younger one. But as adults, both younger sisters survive through secrecy, deception and feigned perfection.

Camp with a Core
Sirens and The Better Sister are not high art. They’re over-the-top, glossy, and often ridiculous—streaming’s version of a beach read. But that doesn’t mean they’re devoid of meaning. When the sisters in both shows are forced to confront one another, old wounds resurface. They lash out, shut down, try to run. But in fleeting, tender moments, the emotional core glimmers through: a look, a shared memory, a flash of loyalty or sorrow.

In families marked by danger, siblings often become the only witnesses to the full story. They remember what others can never fully understand. Their bond may be fraught or fractured, but it’s also forged in shared survival. One may long to forget; the other may be paralyzed by what she remembers. That tension, and the love that sometimes endures beneath it, is where these shows find their emotional resonance.

I can’t recommend Sirens or The Better Sister for their realism, narrative logic, or emotional nuance. But I can say this: the messy connection between sisters shaped by trauma is something these shows surprisingly get right. The glitz may be superficial—but the emotional truth, in moments, rings loud and clear.

Ann Patchett’s 2023 novel, Tom Lake, is a relationally-oriented therapist’s dream. A love letter both to northern Michigan’s cherry farms and to small-town family life, Patchett’s novel unpacks how greater emotional maturity is conducive to choosing healthier, more sustainable romantic partnerships.

The novel begins during the height of the COVID-19 pandemic while protagonist Lara is quarantining with her three daughters and her husband on their cherry farm in northern Michigan. With the world at a standstill, Lara’s daughters insist that she finally share with them the story from her early adulthood when she dated a young actor who went on to become the world’s most famous movie star. Lara’s three daughters worship the devastatingly handsome Peter Duke and demand that their mother finally give them the backstory. Reluctantly, and with strict and entertaining boundaries, Lara agrees.

What unfolds is a moving tale of a young, innocent and unassuming girl plucked from small town life in part because of her uncanny ability to portray small-town life through her performance in the lead role (Emily) in various productions of Thornton Wilder’s classic play Our Town. Lara’s youthful whirlwind romance with Duke is a classic Hollywood tale of innocence lost and how the spotlight of fame corrupts and contorts. Tom Lake’s plot toggles between Lara’s quarantine with her close-knit family and the complexities of life on the farm and Lara’s detailed description of her years as a young, unsuspecting, aspiring starlet. Heartache, sibling rivalry, and family love are concurrent themes, and Our Town’s cherishment of the wholesomeness of small-town life works as a convincing psychological template for emotional maturity and the beauty of healthy choices and a quiet, connected, authentic life.

The late Shirley Glass, a prominent infidelity researcher, encouraged an ideal script at the outset. Her suggestion is that when a married person notices a spark with another, it is highly advisable to discuss this spark with one’s spouse. To say something like:

“I was having coffee with Lucy today and I felt surprised that our conversation quickly became both personal and flirtatious. I was also surprised that I enjoyed it. It reminded me of how you and I used to be with one another, and I want to try to get that back. Can we work on that?”

If only more married adults chose to run this script.

Elizabeth Stroud’s latest novel, Tell Me Everything, is one of her very best. In a showcase that feels something like a finale, she allows her beloved, previously unacquainted characters from her various critically acclaimed series to intersect and collide with one another in the small town of Crosby, Maine. Set during the later part of the pandemic, the novel begins with the meek, brilliant novelist Lucy Barton having recently befriended the angsty attorney Bob Burgess. The friendship has become romantic, though Lucy and Bob remain in denial of their palpable romantic spark. They believe they are good friends and insist their frequent walks are covid-friendly and purely platonic. Quirky local fixture Olive Kitteridge (of Stroud’s Pulitzer Prize winning novel of the same name) understands the blossoming romance between Lucy and Bob and easily sees straight through their blind spots. Olive’s friendships with Lucy and Bob animate the novel as does the plot’s unfolding murder mystery.

Stroud understands that intimate life happens in the small quiet moments rather than the large romantic gestures. Lucy and Bob cherish their deep unfiltered conversations. Lucy calls Bob a sin eater because she understands that Bob has sacrificed to much for others, especially his older brother. Lucy opens up about her impoverished and abusive childhood:

“But I don’t remember feeling envious a lot, Bob, and I don’t understand that. You would think, I would think, that I would have been envious of people from the start, all these mothers who seemed to love their children as they picked them up from school, all those kids who seemed to have normal lives, but I just somehow understood: That’s not my life. And I was always inside my head, and I remember thinking: I’m glad this is my head.”

Even Bob’s bad haircut illuminates the intricacy and hilarity of the human connection. He and Lucy both agree that it makes him look like a twelve-year-old with a man’s face, and their dual experiences of this unfortunate new style represent their powerful connection and the unexpected path forward.

Bob loves his wife, the minister of their local church. And Lucy loves her ex-husband William. Lucy and William reconnected during the pandemic and are giving it another go. Despite these satisfying unions, the chemistry fueling Lucy and Bob’s conversations anchor the plot and transfix these two central characters.

Emotional repairs, infidelity, betrayal, sexual abuse, neglect, isolation, therapy and memory are all important themes explored with rich emotional intelligence. And yet, as a therapist, what stays with me most about this beautiful story is its exploration of the road not taken.

Dear Edward toggles between two stories. One follows a 183 passenger morning flight from Newark to LA packed with a dynamic cast of characters — an ailing billionaire, a tounge pierced misfit who discovers she is pregnant while testing in the plane’s compact bathroom, a hippy in a jingle skirt who is leaving her husband to embrace a new roller blading lifestyle, a gay soldier struggling with his identify, a conceited econ bro and an impossibly glamourous flight attendant. And then there’s the Adler family – Bruce (a math professor who recently did not make tenure) Jane, a frustrated but successful writer, Jordan a vegan teen missing his first love and twelve-year-old Edward. The flight is intimate, humorous and relatable to anyone who has ever crammed themselves through a tight squeeze on a plane in order to attempt to not awakening a sleeping seatmate in order to reach the aisle and head to the toilet. Readers experience a robust tribute to the simultaneous excitement and compromised dignity of air travel, and there is no indication that the plane will implode other than the alternating chapters about Edward’s life in the crash’s aftermath.

The second tale begins in the hospital after the crash and navigates young Edward’s traumatic grief. Edward’s shellshocked aunt and uncle struggle to raise and care for him. Uncle John and Aunt Lacey experience years of infertility and limited exposure to child rearing before inheriting responsibility for their nephew who has become an internet and world-wide obsession. His devastating pain and grief are met by an engaging community of characters who rally around him to varying degrees. Neighbors, a principle, a coach, and a reasonable great therapist offer lessons in healing wounds that will never entirely disappear.

Sibling bonds are central to both plot threads. Edward wears his dead older brother’s clothing for years, despite the inappropriate sizing. And in a particularly heartbreaking moment – one of many scattered throughout the novel — Edward longs for his mother as his Aunt Lacey attempts to nurture him:

Edward nods and is surprised that as she leaves the kitchen, she bends down and kisses his cheek. It’s a gentle kiss, and she ruffles his hair on the way up. He’s surprised party because Lacey rarely kisses him but also because the moment separates, the way the individual clous did in the sky and the threads of grass did on the ground. He sees – and feels – two separate realities. Lacey kisses his cheek the exact same way his mother had kissed Edward’s cheek when she was alive. The kiss feels deliberate and intentional; Lacey can’t write her sister’s movie, but this is something she can do. But she also kisses his cheek the way Lacey would have kissed the cheek of the baby she had so badly wanted. Edward knows this, even though he can’t explain how. The word cherish enters his brain as if on a foreign breeze and then departs…

In her acknowledgments, Napolitano explains that her book was inspired by the 2010 crash of Afriqiyah Airways Flight 771 in which all passengers died except for one surviving nine-year-old boy. She also drew from the details of Air France Flight 447 and a 2011 article in Popular Mechanics detailing the crash. She shares that her additional inspiration was her personal observations about the love that transpires between her own two sons. The author’s palpable awe of sibling love and passion for travel despite it’s remote but real risks come alive in all corners of this beautiful novel. Take it in the air if you dare, it’s a magical read.

Family therapists love a good genogram. For those unfamiliar with this term, a genogram is a comprehensive family history framed through the psychological lens of Family Systems Theory. Family Systems Theory is a relationally oriented approach to therapy emphasizing the formative importance of the family landscape. Systemic therapists believe that relational patterns are often passed down from one generation to the next and that early experiences shape adult patterns and choices.

In my work with therapy clients, our third and sometimes also our fourth session of therapy are entirely focused on a constructing a comprehensive genogram. I begin by drawing a map of circles and squares with horizontal lines connecting married couples and vertical lines between the married couples, connecting parents to their children. We discuss each family member’s role within the family unit, how siblings and parents get along, what parental relationships are like and what clients understand about what their parents’ lives were like growing up. I am particularly curious about grandparents and their marriages. It is surprisingly common to know very little about how one’s grandparents met or what their early courtship was like. I encourage clients who are comfortable doing so to ask their parents to tell them more about their grandparents. If grandparents are still living, I encourage clients to also speak with them and be curious to learn as much as they can about their lives. Family Systems Theory assumes that our grandparents’ stories are essential to our own, and that the human impulse to deny painful parts of a family history can be quite strong. The past is worthy of exploration as a gateway to deeper self-awareness and healing.

Tom Stoppard’s magnificent play, Leopoldstadt, is anchored through a meticulous genogram which is displayed for the audience in the middle of the playbill and also presented as a primary staging element of the play’s opening scene, titled “1899”. The horizonal and vertical lines track the 27 Austrian family members of the Merz and Jakobovicz family tree whose journey is traced through five scenes, each marked by the year – 1899, 1900, 1924, 1938 and 1955. Emilia and Israel Merz and Estelle and Solomon Jakobovicz are “machatunim” — a Yiddish term referencing that their children Eva and Ludwig are married to each other. But this sophisticated, cultured group are not likely to speak Yiddish. They have assimilated into Austrian life, and we meet them on Christmas Eve 1899 gathered around a festive, unYiddish looking tree. One of the gleeful children places the Jewish star of David atop the tree and is told to take it down. The family and the audience erupt in laughter as the families’ conflicts about their Jewish faith shine brighter than the rejected Jewish star. The tension for the survival of the Jewish people and the lack of a Jewish homeland are consistent threads of conversation. Some family members have converted to Catholicism and several tense conversations challenge the characters and the audience to explore how difficult it is to acknowledge and understand current events as they unfold.

Denial and repressed memories shape each scene. By 1955, a dapper young Leo is one of only three remaining family members. Like Tom Stoppard, Leo has only a vague sense that he is Jewish. Like Stoppard, Leo writes popular, funny stories. Like Stoppard, Leo has changed his name so that it sounds less Jewish. Leo’s demeanor reflects how temping it can be to avoid the past. Even as his pasts lingers within and shapes who he has become.

Leopoldstadt is running through January 31, 2023 at the Longacre Theater in Times Square. While obviously intense, this important story challenges audiences to confront the impulse to look away.

Let’s say a therapy client is working on a pattern of choosing unhealthy relationships. These relationships are important to explore in terms of how the client chooses partnerships and what the client’s role may be in participating in these substandard relational patterns. In this mode, it is common to look back and remember someone kind from one’s past. It is not unusual to remember a possible partner who was suitable and available and who expressed interest and to wonder – what if? It is often clinically valuable to reflect on past experiences and to be curious why dating someone kind and engaging was not the chosen path at the time.

Intensive reflection on the path not taken is the central theme of Matt Haig’s number one NYTimes best-selling book, The Midnight Library. Haig’s acclaimed memoir, Reasons to Stay Alive, is a candid study of his personal struggle with depression. Haig continues this exploration of depressive disorder in this compelling, memorable novel. Following a horrible day, angsty protagonist Nora Seed finds herself in a mysterious library. It’s midnight and she lingers somewhere between life and death. A beloved librarian from Nora’s past offers her the chance to read from a selection of books lining the library shelves in order to explore a series of what ifs. Each book represents its own unique do-over. What if she had stuck with swimming? What if she had not quit her band? What if she had moved to Australia or stayed in college, and received her philosophy degree?

Parallel universes exist in the Midnight Library, and why shouldn’t they? As Nora explains:

“’Everything in quantum mechanics and string theory all points to there being multiple universes. Many, many universes…’”

Haig weaves principles of metaphysics and philosophy into a compelling backdrop as Nora glides earnestly from one universe to the next. Between each life, she returns to The Midnight Library to reflect and recharge. As she excavates layers of regret about various paths not taken, her discoveries form a tale reminiscent of It’s a Wonderful Life and The Wizard of Oz. Both of these classic films teach that the answer to many individual struggles is often located in one’s own backyard. These and many other lessons flow from Nora’s tale, making The Midnight Library a magnificent and engaging therapeutic tool.

As Nora learns, “you could be as honest as possible in life, but people only see the truth if it is close enough to their reality. As Thoreau wrote, ‘It’s not what you look at that matters, it’s what you see.'”

Of my pre and post-surgical reading, Sarah Polley’s Run Towards the Danger offered the most meaningful and memorable frame for navigating physical adversity. The book chronicles her fascinating career in film and television but focuses on the long-standing psychological impact of trauma and the challenges of recovering from traumatic a physical injury.

Polley is widely known throughout Canada for her childhood role as Sara Stanley in the wildly popular television series Avonlea (1990-1996). She has starred in several films including Terry Gilliam’s The Adventures of Baron Munchausen and Atom Egoyan’s The Sweet Hereafter. But it is Polley’s work as a screenwriter and director which fully showcases her astonishing talent.

She has written and directed two of the most realistic films about infidelity ever made. Away From Her (2006) won Polley the Canadian Screen Award for Best Director and demonstrates how one can forgive a spousal betrayal but may never forget it. Take This Waltz (2011) stars Michelle Williams, Luke Kirby, Seth Rogan and Sarah Silverman in a study of the human tendency to want what we don’t have. I often suggest one or both films to therapy clients who are navigating the discovery of a spousal betrayal.

Polley’s 2012 The Stories We Tell won the best film of the year award from the Toronto Film Critics Association. The film unpacks a family secret about Polley’s parents’ marriage years after her mother’s death. This unforgettable autobiographical documentary showcases the director’s depth and innate understanding of complex familial bonds and the power of denial. Interestingly, this film and its revelation are not explored in her book.

Polley also wrote a memorable New York Times article about Harvey Weinstein soon after the revelations surfaced about his predatory crimes.

Clearly, I am a fan of her work. So if Polley writes a book about how trauma shapes the body and her journey through multiple health challenges and a concussion that forced her to drop out of plans to write and direct the film Little Women, I am keen to read it regardless of my foot surgery.

Polley writes earnestly and honestly about the traumatizing underbelly of childhood stardom. Part of Polley’s appeal is that she may be the least vain, least materialistic film star with the smallest ego in entertainment history. She was breaking ground for female filmmakers way before it became a hashtag or a movement. Weinstein tried to seduce her by telling her he could make her an even bigger star, but even as a young girl, she did not want to be a star, she wanted to write and direct. This depth and resolve fuse her account of the myriad of trauma and adversity she faced as a child actor with somewhat absent parents, vicious scoliosis, dramatically lopsided breasts and chronic pain.

At times, it seems Polley may not fully appreciate the breadth of rare door openings her stardom affords her. But maybe that’s because she seems so profoundly disinterested in being a star. The book is full of powerful behind-the-scenes accounts of her experience as a young actor, as a patient hospitalized with a high-risk pregnancy, as an early member of the Me Too movement and a tireless activist. But it is her journey fighting to recover from her three-year concussion that resonates most with my therapeutic training. Polley works with multiple experts and specialists and remains largely incapacitated for several years. As the title suggests, healing comes only when she finds a doctor who insists she run toward rather than away from her pain. Diving into excruciating physical pain runs a parallel track with excavating her traumatic childhood history. The book reads as if it was necessary that she write it in order to fully heal. By running toward her danger, this strong woman comes out even stronger on the other side.

As a systems therapist, family roles and dynamics are an important area of exploration. Developing a deeper understanding of the roles directly or indirectly assigned in childhood helps therapy clients reflect on how such roles are internalized and carried into adult careers and adult relationships. Developing a grasp of how past roles play out in the present makes the space to cultivate the adaptive elements of such roles and to challenge the maladaptive elements.

In this mode, the term “parentified child” is quite common. A parentified child references a child in a family unit who is directly or indirectly assigned an adult-like role. This assignment represents a family’s effort to compensate for parental shortcomings, limitations, adversity or absence. Many children raised by alcoholics, for example, will describe memories of caring for drunken parents or being sent by the sober parent into mature missions such as extracting the inebriated parent from a bar. For obvious reasons, memories of a parentified childhood may be quite painful and traumatic. But like so much in human relationships and in memory, relationships are complicated, families are unique, and parentified childhoods might also be laced with genuine happiness, joy and love.

Best picture academy award winner Coda is a beautiful film on many levels. From a therapeutic perspective, it captures the emotional complexity of a parentified childhood. The term Coda is an acronym standing for a child of deaf adults. (The word coda is defined as a concluding passage of a musical movement.) Coda’s protagonist, Ruby, has deaf parents and a deaf older brother. The film opens aboard the family’s fishing boat. Ruby and her father and brother are reeling in the day’s catch and preparing the fish for market sale. Music plays loudly, but Ruby’s father and brother seem oblivious. Only Ruby sways to the rhythm of the robust tunes. Viewers soon learn that Ruby is needed on the boat each day to meet regulatory requirements. All boating vessels must have a hearing individual aboard who can respond to coast guard alarms and notifications. Each morning, Ruby sails before sunrise and then dashes to high school where she doses off in class and struggles to balance the demands of academics with her familial obligations.

Ruby acts as her parents’ translator, protector and price negotiator. She must accompany them to doctor’s appointments and union meetings. The family’s livelihood seems completely dependent on Ruby’s engagement and support. Ruby embodies the quintessential parentified child. Her accountability toward her family is extreme. And yet, what makes Coda such a captivating film is the deep rapport and love and depth of Ruby’s family bonds. As Ruby and her parents struggle with the essential task of separation, the strengths and the complexity of the family dynamics are as challenging as they are endearing.

Ruby signs up for choir and the revelation and expression of her musical talent is entertaining and elevating. But Coda’s more substantive contribution is the complex portrayal of the strengths and dilemmas imbedded in the characters’ familial emotional life. Ruby is overly-responsible for her brother and parents’ welfare and safety. She cannot realize her full potential if she remains fully devoted to this parentified role. But the bonds framing her parentification demonstrate how sometimes one’s most unfortunate family role simultaneously illuminate both beauty and pain. Coda challenges a conventional understanding of what it means to operate in the parentified role and celebrates that sometimes our heaviest burdens also illuminate defining strengths.