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Therapists’ BlogTrauma, Part 3: Bringing it Together
Over the past two months, we’ve examined some key principles behind trauma-informed care for couples. Now it’s time to take a closer look at what these concepts look like in practice. We will explore a case brought to my training group by a seasoned therapist who has been trained in emotionally focused couples therapy and the Gottman method, as well as the Developmental Model. The couple she is treating offers us a chance to see the dynamics of trauma-informed care in action.
What we know from the beginning
The couple in this case present a complex set of issues. The female partner has a long history of difficulties with attachment.… Read more... Interesting Ideas from Recent Conferences
In years past, I have shared valuable ideas I’ve heard while attending major conferences, either as a speaker or guest. With so many virtual meetings taking place over the past several months, I’ve had the chance to gather many useful thoughts from a wide range of presenters. I hope these short summaries capture your interest and even stimulate your thinking as they did for me.
From attorney and social justice advocate Bryan Stevenson, author of Just Mercy
Stevenson’s talk to therapists was designed to stimulate action. He stressed how in the United States, we continue to accept the unacceptable. We must push back against the narratives of fear and anger that surround race relations in the U.S.… Read more... Couples and Trauma, Part 2: Red flags that may reveal a troubled past
As explained in last month’s article, hidden trauma can be a serious obstacle in your efforts to help partners build stronger, more trusting relationships. We touched on the concept of trauma configurational reflex, which suggests that humans will interpret what’s happening in the present through the lens of the past. Yet when trauma is triggered in therapy, even the most skilled therapist may have difficulty reading the situation at first.
What makes this difficult? In many cases, partners have suffered in ways that aren’t immediately clear. As counseling begins, you may have learned something about their childhood, culture or significant relationships.… Read more... Couples and Trauma, Part 1: Understanding the Challenges
It’s been said that the past is never really dead. All our prior experiences have the power to shape our thoughts and perceptions – which in turn influences our closest relationships.
The couples you meet with every day are dealing with issues that took root long before they came to you. Yet even after you’ve uncovered signs of past trauma in one or both partners, it’s not always clear how to help them move forward.
In some of the next posts, we’ll take a closer look at trauma and couples therapy, offering insights and techniques that will help you plan a highly effective course of treatment.
How the past distorts the present
Trauma configurational reflex is a concept that explains how, as humans, we tend to configure what we see in front of us through the lens of our past experiences.… Read more... Endurance Rides and Relationships
Our daughter Molly has taken up endurance horseback riding. Two years ago, she rode 600 miles across Mongolia in 9 days. Now she is training for the Tevis Cup, a 24-hour 100 miler from Lake Tahoe to Auburn, CA in July.
This is a recent passion for her, although she has loved horses since she was six. Pete and I asked her why she loves these long, draining, intense rides. To answer us, she sent an article by Jody Buttram that helped capture Molly’ feelings for Rocky(her horse teammate) and the race.
Buttram wrote the article to help folks understand the true endurance distance rider. When I read it, I thought, “Isn’t this something all couples should hear when they get married?” … Read more... Are You Working Harder Than Your Clients?
Over the years, I’ve talked with many therapists who told me they feel exhausted after seeing certain couples. They describe the sensation of dragging partners along a path that might lead to change, only to find that, in the very next session, they’re starting all over again.
Why and how does this happen? And how can you avoid falling into the trap of overworking with passive or disengaged clients? How do you reset when clients magically hope you’ll do all the work for them?
The assumptions we make – and some habits to break
In a recent training session, a therapist raised the question about how to get unstuck when a husband and wife seemed to be leading her in circles. … Read more... Couples Who Avoid Conflict, Part 2: Principles & Techniques
In my last post, I shared 4 key insights that can help you lay the groundwork for counseling couples who shy away from conflict.
In looking at the challenges posed by this pattern, it’s clear that conflict avoidance reveals itself in many ways. Your first clue may be the long, tense silences that follow when you pose honest questions. Or the fact that one partner tends to dominate the conversation, offering lengthy explanations that gloss over the issues you’re trying to explore.
Whatever pattern you’re seeing, you will benefit from having a strong strategy that addresses the couple’s unique situation and helps them move forward. … Read more... Understanding the Dangers of Conflict Avoidance
You’ve seen the pattern before. A couple comes to you, seeking help with tension that they just can’t understand or resolve. As you’re working to build openness and trust with them, you begin to notice that one or both partners react strongly when there’s the slightest hint of difference or disagreement.
What happens next may vary widely. Perhaps one partner withdraws from the conversation, almost seeming to disappear from the room, while the other rattles on. Or both fall silent, shooting glances at you as if to ask, “Where do we go from here?”
This is a well-worn path, and every couples therapist must develop a set of sound strategies for helping partners who withdraw or disengage when intensity or conflict arise.… Read more... A Couples Therapy Session After Infidelity: Transcript of a Role-play, Part Two
I’ve been highlighting ways I’ve used Initiator-Inquirer when working with couples who have experienced infidelity. Recently I shared a role play with a couple we called Logan and Marta. I demonstrated how I might work with Marta, who had been cheated on in the Initiator role. You can find that exchange right here.
Now today, I’m going to shift to the part of the role play demonstrating how I might work with the other partner, Logan, in his role as the Inquirer. I began by feeding him a question:
Ellyn:Can you ask her to tell you what it's like to be tracking you?
Logan:Can you tell me what it's like to be tracking me?… Read more... A Couples Therapy Session After Infidelity: Transcript of a Role-play
Infidelity can be devastating to a couple’s relationship. Even before we walk into the room and learn anything about the couple, we can be sure the crisis has them deeply unsettled.
In my last blog post, I gave an overview of some of the issues you are likely to confront when working with a case like this. If you missed it, you can find it right here.
Many times, a couple will want to rush you, or you may want to rush yourself to move faster than a couple is ready. So, in your work, it’s crucial to slow things down. One way to slow things down is to use the Initiator-Inquirer process with them.
The Initiator-Inquirer is a powerful exercise that gives partners specific skills to learn and apply so they can manage their own emotional volatility during tense discussions.… Read more... |
