Ok, spoken as someone who says hateful things to people...
When I read a post & my gut reaction is "ooh, so and so is saying that I'm bad", I try to look at it and figure out what part of ME is telling me that I am bad.
Because seriously, if someone posts Pbutton has purple toenails and didn't graduate from high school, I am just going to roll my eyes and think they're an idiot. If I feel there is a grain of truth in what they've said, that's when it starts to hurt.
People who say hateful things know that it isn't a nice thing to do. I think therapists can handle it. But it's still a crappy way to act and it is painful to feel like a mean person. It makes me feel out of control and childish.
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