Ellyn Bader

Momentum-imageIt’s pretty common to start couples therapy strong. You use your empathy skills and make a good connection with each partner. Each one has a chance to describe the problem and each feels understood. And with basic skills, you begin to shift troubled interactions to more collaboration and better communication.

Then it happens. Progress stalls. Sessions start feeling repetitive. Your insights and feedback have limited value.

Now what?

Consider this. Most likely, one or both partners has hit an intrapsychic impasse and they are showing you the impasse that is preventing relationship growth.

Here’s an example. In a previous session a client, Charlie made a commitment to call his wife,  Sue, when he was going to be late for dinner. He did not call and now Sue reports that they are once again fighting about the same issues that brought them in. She is feeling distressingly hopeless that this pattern will change. It’s another dreary example of how Charlie promises and doesn’t deliver. She says it makes total sense not to trust Charlie again.

Charlie says this is a one time error. He fully intended to call but an unexpected circumstance occurred when his boss called an emergency meeting. He asks, “Why can’t Sue cut me some slack?”

What do you do?

Do you give Charlie a “pass” on this one and help him express renewed commitment to do better?

Do you help Sue reduce her distress, enlarge her perspective and find a better way to express her hopeless disappointment, so Charlie will be compassionate?

Luckily, you were anticipating this. You knew they might stall and you know how to work with this impasse.

You know that everyone has a limbic system that may generate resistance to achieving desired goals. So you are not surprised by Charlie’s lack of follow-through.

You are also not seduced by his apparent “legitimate” excuse.

You take this opportunity to deepen the work. You go quickly from their systemic fight to intrapsychic work.

Here’s what I mean.

You help Charlie describe the conflict between his two brains. You ask him to describe each side in the present as if he is experiencing it right now. One side of his brain wants to collaborate, be dependable, and strengthen his connection with Sue. This would be his visionary brain or prefrontal cortex.

The other side of his brain, AKA “the lizard brain,” is impulsive and makes excuses rather than  being accountable, especially when it is inconvenient. He wants to do what he wants to do when he wants to do it!

Here is how you direct this intrapsychic dialogue.

You could start like this. “Charlie, when you made the commitment to call Sue, what were you thinking and feeling? Let’s review all the benefits to you, to Sue, and to your relationship if you stick to your commitments even when it is difficult.”

You recap and embellish whatever Charlie describes.

Then say, “Good. Now let’s move over here to another chair and respond from your alter ego that says something like, ‘Well those reasons sound pretty good, however….’ And let’s hear from the part where it is often difficult to maintain commitments.”

You can smoothly validate, embellish and even clarify the reasons it is hard to keep commitments. When done well, Charlie will feel supported in his resistance without getting defensive.

You can go very deep into Charlie’s ambivalence about change. And you do this by challenging Charlie to dialogue with himself. As Charlie verbalizes more and more of his resistance, he will be increasingly open about what keeps him stuck.

Having this dialogue in front of Sue gives her a clearer picture of Charlie’s intrapsychic conflict and is the first step to deepening your work and their conversation.

By understanding the neuroscience of the limbic brain opposing the collaborative visionary brain, you’ll recognize the myriad ways that intrapsychic conflict shows up. Now, your work is faster and more comprehensive with less effort.

Sue, of course will have her own internal conflicts about trusting and not trusting, in order to protect herself.

Using these types of dialogues can be a very powerful way to reveal early life parallels without you – the therapist – having to work so hard to uncover them.

Deepening the work often involves exposing the conflict between these two regions of the brain.

Your work may also stall when a client is ambivalent about closeness or is re-enacting an early transference with their partner.

Whew, no wonder so many therapists lose steam rather than channeling clients into deeper work.

Act Now

  1. Do you find it easy or hard to clearly identify internal conflicts and the ambivalence they represent?
  2. Gestalt Two-Chair work is taught in lessons 21 and 22 of my training program and shown in a video tape example. To learn more about the many aspects of this training, click Developmental Model.

This blog post is from a 9-part series called “Avoid Losing Control, Momentum or Direction in Couples Therapy.” Click here to see the other articles in the series.

About 

Ellyn Bader, Ph.D., is Co-Founder & Director of The Couples Institute and creator of The Developmental Model of Couples Therapy. Ellyn is widely recognized as an expert in couples therapy, and since 2006 she has led innovative online training programs for therapists. Professionals from around the world connect with her through internet, conference calls and blog discussions to study couples therapy.

Ellyn’s first book, "In Quest of the Mythical Mate," won the Clark Vincent Award by the California Association of Marriage & Family Therapists for its outstanding contribution to the field of marital therapy and is now in its 18th printing. She has been featured on over 50 radio and television programs including "The Today Show" and "CBS Early Morning News," and she has been quoted in many publications including "The New York Times," "The Oprah Magazine" and "Cosmopolitan."

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Deb Hecker
Deb Hecker
5 years ago

Losing momentum is an almost predictable occurrence when working with individuals and couples. I know when I am “on my game” and I know when I am “off my game.” Your reminder to go deeper and to consider the intrapsychic impasses is a great way to get back into the ring. Per your example, I find that clients relate very well to highlighting both sides of their conflict.

Kelly Scharver
Kelly Scharver
5 years ago

Thank you! I really appreciate how you articulate the typical next steps and then give clear alternatives. I am making an impasse note to myself when I feel the momentum drop with a couple. The example is common and makes this guidance very tangible, thank you.

Robert Fortney, LPC-S, Texas
Robert Fortney, LPC-S, Texas
5 years ago

I am “in” to limbic system techniques for individual anxiety issues, so your illustration for couples brings me over to a whole new area of application with some obvious opportunities for humor.

JB
JB
5 years ago

I agree. Cognitive restructuring is very effective. At the beginning having them do it in writing allows them to contine to strengthen their own offbase thinking or neurally based perceptions (habits) and also contine to review and debate each time it occurs. It also teaches the client to do their own work outside of session.

Mollie
Mollie
5 years ago

Thank you so much for these blogs Ellen! I am learning a lot, and am delighted that you are challenging me, the therapist. It really helps. And the content is really speaking to me as I’m working with a couple at present and it’s spot-on!!

Marjorie Lewis
Marjorie Lewis
5 years ago

“When done well, Charlie will feel supported in his resistance without getting defensive.”
I am new to couples’ work – in fact, I have not yet taken on my first pair. Being a beginner is daunting. Could you please give me a sample of what ‘done well’ looks like? A bit of dialogue with Charlie?

Marcia Naomi Berger
Marcia Naomi Berger
5 years ago

Thank you for generously sharing all this wonderful information about working with couples. Much of what you share can be used with good results for people seen individually. Some partners will not allow themselves to be vulnerable enough to do some exercises in the presence of a partner so I’m fine suggesting they see me alone once or more for work that helps move things forward.

Janae
Janae
5 years ago

This is fantastic stuff! Thank-you Ellyn. I am aware of feeling some of my own anxiety about my couple going to get stuck. This then in turns that I get stuck, So now we are all stuck! Your way of getting out of this stuck place by elucidating the intrapsychic conflict is brilliant ! I am looking forward to learning more about this technique.

Ümit Çetin
Ümit Çetin
5 years ago

Your article contains so much valuable information about losing momentum. I really liked how you reframed clients’ intrapsychic struggles in terms of the conflict between the two brains. In this way, from the very beginning, you demonstrate that you value their resistance by pointing out its adaptive value.
The Two-Chair dialogue is an amazing technique to facilitate clients’ confronting themselves effectively, and I am still learning from you the many subtleties of this work. Thank you Ellyn for your generous sharing of your expertise.

Pam Weissman
Pam Weissman
5 years ago

I really appreciate your own examples, of how you work with these tough moments in treatment. We usually just hear that something isn’t working.

Thanks

Ellyn
Ellyn
5 years ago

Marjorie-Charlie may express something like,
“I get busy. My work is absorbing. I lose track of time. Sometimes my boss calls a meeting and I go there and forget about calling my wife.”
And as the therapist talking to this side of Charlie, you might say to him-
So you get so absorbed in work that you lose track of time. You care alot about doing a good job. When your boss calls a meeting, you don’t think twice about showing up. It is important to you to be successful at work.

Marjorie-you are supporting all the reasons Charlie doesn’t keep the commitment to his wife. You want him to feel safe expressing what happens that he is oblivious to his wife.

I hope this helps you understand how to support the side of Charlie that does not keep commitments.

Anne
Anne
5 years ago

It is so helpful to look at the experience of losing momentum. Sometimes the pieces are all there in the room and I don’t know which one to pick up first.

A Glossary of Terms that are sometimes Confusing

Couples Therapy is a counseling procedure that seeks to improve the adjustment of two people who have created an interdependent relationship. There are no standard procedures to help two people improve their adjustments to each other. Generally, a more experienced therapist will offer more perspectives and tools to a couple. Length of treatment will depend on severity of problems, motivation and skills of the therapist. A couple can be dating, living together, married or separating and may be gay, lesbian or heterosexual.

Marriage Therapy is a term often used interchangeably with marriage counseling. The term marriage implies two people have created a union sanctioned by a government or religious institution. The methods used in marriage counseling, marriage therapy and couples therapy are interchangeable and depend more on the specific challenges of each unique couple.

Psychotherapy is one or more processes to help improve psychological and emotional functioning. Examples are psychoanalysis, cognitive therapy, behavior therapy, Gestalt therapy, Transactional Analysis, Rational-Emotive therapy, or group therapy. Many forms of psychotherapy are blends of different approaches. For example, newer forms of psychotherapy called energy psychology draw upon recent advances in brain and neuroscience. These approaches often build on cognitive behavioral methods.

Clinical Psychologist. After graduating from college, it usually takes about five years of graduate school to get a Ph.D. in Psycholgy. It then requires an additional two years of supervision and passing a written (and often) an oral exam. There are a few states that allow psychologists to prescribe medications (with additional training) but that is uncommon.

Psychiatrist. After graduation from medical school, there is a generally a 4-year psychiatric residency. After the completion of this training, psychiatrists must pass an exam issued by the American Board of Psychiatry and Neurology to obtain certification and legally practice in the field. Psychiatrists can prescribe medications.

Clinical Social Worker. This profession usually requires two years of study after obtaining an undergraduate degree. While specific licensure requirements vary by state, most require clinical social workers to obtain 3,000 hours or 2 years of supervised clinical experience, after obtaining a Masters degree. Social workers can also specialize in diverse fields such as human services management, social welfare analysis, community organizing, social and community development, and social and political research.

Marriage and Family Therapist. Obtaining this license requires a Masters degree which takes approximately two years of post graduate study. The license also requires 3000 hours of supervised work and passing written exams.

The Couples Institute. We have assembled a group of top notch therapists at The Couples Institute. Whatever marriage help or marriage advice you are looking for, we are here to serve you. While most other therapists see only a few couples a week, we specialize in marriage and couples relationships, working to develop and bring you the most current and effective approaches to couples therapy. For more information about couples therapy or marriage counseling, see our couples therapy section.