Moving Couples Through Defense and Ambivalence Toward Intimacy

It’s easy for partners to say, “I want more intimacy” while having no idea what they mean and no history of expressing their desires to one another. They may be afraid to pursue what it is they really want. Or perhaps they don’t really know what it is. Clients often mask this ambivalence by talking […]
When Circumstances Complicate Developmental Stages
A trainee in my Developmental Model training class asked me the following question: “Can you speak a little bit about the nature of the stages of development? Do you think of them as true stages? For example, can one regress to an earlier stage?” That’s a great question. When couples come in, usually the developmental […]
Integrating Goals and Growth in Couples Therapy

The other day, a therapist in my Developmental Model training program asked me the following:“How do you integrate a couple’s goals for therapy with the specific developmental tasks that a couple needs to accomplish?” I want to be direct and collaborative about this with the couple. Once I get a sense of the stage, I want to […]
Getting Started: Disrupting the Cycle of Externalization and Blame

Many of the couples who come to see us are stuck organizing their complaints around an external symptom or problem. It’s easier for them and preserves individual self-esteem when partners deflect the focus away from themselves and place blame on the other partner for problems in their relationship. Surely you’ve heard examples such as “He […]
Utilize the Initiator-Inquirer Process in Couples Therapy
Stop Angry, Hostile Fighting and Immediately Structure More Effective Interaction Are you interested in a way to get out of the middle of a couple’s conflicts and work with both partners at the same time? One important and powerful aspect of our Developmental Model is the Initiator-Inquirer process for effective communication. The guidelines are simple, […]
Becoming Savannah: One Man’s Transgender Journey

I am sharing the story of Julie, a friend of mine. Daniel, her husband and the father of their daughter, transitioned two years ago to become a woman named Savannah. Australian TV produced a 2-part special on their story. It is a story of love and loss, of pain and freedom. I admire their ability […]
10 Skills for Early Sessions
Each year I mentor a small group of therapists to help them set goals for their business and clinical skills. I often ask them to assess themselves by being brutally honest about their ability on a variety of criteria that I believe make for strength and effectiveness as a couples therapist. I am including some […]
Common Issues and 5 Helpful Questions to Use with Gay Male Couples

Although I have always enjoyed doing couples work with gay men, I am hardly a specialist in this area. So at times when I’ve had questions I’ve turned to my colleagues Rick Miller and Clinton Power. Rick’s practice in the Boston area specializes in work with gay men and Clinton’s in Sydney serves the LBGTQ […]
I woke up this morning feeling sad

At 9am, I was supposed to be riding in a stuffy 9-seater van driving down dusty, unpaved roads to a Kenyan refugee village. For the past 6 years, I’ve taken this bumpy drive to visit the Shalom community. Today I was longing to see those children’s happy faces and feel their little hands in mine […]
How to Help Couples Work Towards Positive Dreams Through Visualization

Today we are discussing setting larger goals; what is commonly known as having a vision, and working towards them with visualization. Vision setting is the focus of today’s blog post. It is an enormous help in couples therapy to take the focus off daily struggles and put relationship efforts into a larger context. The reality […]