Hostile Dependent

I Can’t Live With You, I Can’t Live Without You: The Hostile-Dependent Couple

Earlier this week, we talked about how the symbiotic-symbiotic stage of a relationship can present as “peace at any price” conflict avoidance. This week, I’d like to take a look at when the symbiotic-symbiotic stage presents as “I can’t live with you, I can’t live without you,” hostile-dependent. These couples have a simultaneous fear of abandonment and engulfment. You’ll recognize this stage when partners have difficulty in identifying and articulating what they want, think, or feel. You’ll notice rapid escalation into regressive behavior. Or, since there is very limited capacity for autonomous interaction, as soon as one errs the other will punish or withhold.… Read more...

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, but the process is rich, and quite revealing. It can be used with couples at all of the different developmental stages. In the “I-I” process, there are 2 roles, the Initiator and the Inquirer. The Initiator: Brings up only one issue/problem Uses “I messages” to describe thoughts and feelings about the issue Describes the issue without blame or name calling And most essentially is open to learning more about him/herself than was known before he/she started talking The Inquirer: Listens actively and recaps a description of the issue Asks questions to understand the partner's feelings, thoughts or desires Responds with empathy Continues with empathic responses until a soothing moment occurs for the Initiator At first glance the roles sound easy.… Read more...

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.