Ellyn Bader

…with one Exercise–Guaranteed!

Want to improve your ability and your self esteem as a couples therapist? You can, with one exercise. This one exercise won't be easy or simple, but it will be effective and will pay dividends for years to come.

The problem. Couples enter therapy and after the initial sessions a common pattern emerges. They begin the sessions reporting on the fight of the week. Each person trots out their complaint and hopes you will somehow wave a magic wand and bring relief by fixing their partner. They are not eager to hear you ask, “Well, what is each of you willing to do to change these patterns?” They hope, expect and want answers from you.

The second variation is when couples come in and say they really don't have much to talk about and would like a suggestion from you. They really haven't thought about their objectives for the session (and they have forgotten what they discussed last session) and now hope you will give them the appropriate focus.

If you're not on your toes, the therapy process can easily get bogged down into wandering around without focus. You can give nifty insights into how the present patterns may recreate earlier life experiences. Perhaps you help them see the function or dysfunction of their behavior. You offer some homework. Then inertia (passivity and forgetfulness) sets in and the next week the wandering begins anew. The longer the pattern goes on, the harder it is to reverse.

Here is one antidote:
Define your role clearly and be explicit about what you expect from them. How you define these roles will vary from couple to couple depending on the circumstances and diagnosis; however, there are also some consistent principles that apply to most couples.

Toward the beginning of the initial session you might say, “Here is what I would like to cover in our first sessions. I'd like to understand your current distress and how it fits into the history of your relationship. It's also important for me to understand the kind of relationship you wish to develop and the kind of partner each of you would need to be in order to create the desired relationship. We will also cover what you can expect from me in our sessions and what I expect from you.”

We believe that by the end of the first two sessions it is important for you to define yourself including,
1. What you have to offer
2. What you expect from your couple

Here is the first part of the exercise:
Define your role–what you expect of yourself and what your couples can expect of you. This is a soul-searching exercise. I (Pete) have been refining mine for about ten years, and I can now give couples a document that clarifies my role and how they can get the most from our work together. It has been the single most difficult and effective thing I have done to organize multiple contradictory thoughts about my role in couples therapy. These contradictions were easy to juggle when they bounced randomly in my head. But when I began writing them out, I saw the amazing number of impossible inconsistencies I took into the office–and I was forced to sort them out.

To get started, write down three things you know you offer. For example you might write:
1. I actively intervene into your negative, repetitive cycles.
2. I give concise feedback about where I see you being stuck.
3. I coach you in learning new skills so you stop triggering negative reactions in your partner.

Then take the three you have listed and write them into a paragraph. It might sound like this: “I'm not here to judge your fights or take sides. I am here to help you each make significant improvements in how you communicate and connect with each other without violating your core values. I will intervene actively in your negative cycles to give you clear and concise feedback about where I see you are stuck. I will describe and teach you skills to get unstuck.”

Now repeat the exercise, listing another set of three things that you offer. Next integrate those three into a paragraph. Do this again. If you work and rework this several times, you will define yourself more clearly. You will have strong statements you can make to any couple in the first session to set the trajectory for therapy.

Writing out the role expectations will help enormously in clarifying what you offer. This exercise helps you get back on track when you are wondering what to do in repeating “go-nowhere” patterns. It also helps you give a crisper response when clients ask, “So how do you work?”

This is just the beginning. Next month we'll discuss how to clarify what you expect from your couples.

 

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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Therapist in Berkeley
9 years ago

This is an extremely helpful exercise. It helps to both define within myself what I am providing, and clearly communicates what my role is–and isn’t–to clients.

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.