Tag: relationships

Individual Emotionally-Focused Therapy

Emotionally-focused therapy (EFT) for couples is a highly effective method for resolving relationship distress and creating deeper connection.  EFT methods prioritize the innate need for a secure bond with another human.  An insecure bond compromises our physical and psychological welfare.  EFT zeros-in on the barriers to connection and carefully dismantles and replaces them with an open pathway to bonding.  First one partner, and then the other, each learns to walk the new path, both alone and then together.  On this new path, partners jointly create a bond by sharing emotions.

Anything that thwarts the honest and direct expression of emotional needs is a barrier to the bond that we depend on.  Cliched but true, the barriers to connection are forged in childhood.  Lessons learned so long ago feel instinctive; we remain oblivious to them and the effect they have on our relationships.  The clinician trained in emotionally-focused therapy creates opportunities to notice patterns of feeling and reacting that form these hidden barriers.  Our awareness offers the chance to break out of reflexive, default reactions.

Can I do it?

Virtually everyone has the capacity to re-shape default reactions.  In fact, we are born in with the innate ability to share emotions.  An infant’s survival hinges on alerting the parents that there is a need.  Infants cry when they’re hungry; they cry when in pain; they cry if frightened.  Ideally, parents get the signal and meet the infant’s need.  With parents who are responsive to the emotional signals, the infant learns to rely on the outside world as a source of comfort.  Moreover, the infant senses that emotional needs are legitimate, important, and worthy of attention.

Word of caution: responsiveness differs from indulging or spoiling a child.  Good parenting also involves teaching a child to be patient, to take turns with others, and to master a myriad of other skills for living successfully in our social world.  One of the surprising facts about parental responsiveness is that “good enough” gets the job done.  One study showed that the mothers of securely-bonded children are in-tune-with and responsive to their children about 30% of the time.

Emotional Styles.

Emotionally-Focused Therapy: Flee!
Shut-down needs, turn away from partner!
Emotionally-Focused Therapy: FIGHT!
Demand, accuse and scare partner away!

Denied adequate parental responsiveness, children learn that other people are a dubious source of comfort and bonding.  Simultaneously, they learn to doubt their emotional needs.  The doubt disguises emotional needs as weakness and things to be hidden, or deforms their expression into demands or accusations.  These become our emotional styles in our most intimate adult relationships.  In the moments when we need connection the most, we unwittingly cut ourselves off from the person we need.

If one of these descriptions sounds like you, individual emotionally-focused therapy may help you.  You can learn to “tune in” to your emotions and to express them in a way that pulls loved ones closer, rather than push them away. You don’t need to wait for couple therapy.

 


Share this post
Facebooktwitterlinkedin

Physical pain and emotional pain share the same spots in our brains.

 

Check out this article entitled, “Social rejection shares somatosensory representations with physical pain” by Kross et al.  For non-geeks, here’s my summary:  Researchers studied the brains of 40 adults (21 women, 19 men) who had been rejected by a romantic partner within the previous six months.  Using functional MRI imaging, they compared the location of brain activity that occurred while the research participants experienced physical pain (heat applied to the forearm just below their pain tolerance) and while they experienced emotional pain (seeing a picture of the rejecting partner and remembering how it felt to be rejected).  The same brain regions were activated with both types of pain, and the authors concluded that “…intense social rejection may represent a distinct emotional experience that is uniquely associated with physical pain” (p. 4).  In essence, “hurting” after an unwanted breakup is not simply a metaphor.

Rejection and Pain

Link to article: http://www.pnas.org/content/early/2011/03/22/1102693108.full.pdf


Share this post
Facebooktwitterlinkedin

Couple Therapy: Does it make sense for you?

Research tells us that “marital deterioration is one of the leading causes of human suffering.”1 Persons in troubled relationships are at greater risk for depression2,3,4 and lowered immune function,5 and are less likely to attend to their health.6 Compared to persons who are satisfied with their relationships, those in distressed relationships miss more work, are less productive in their work, and push harder to accomplish everyday tasks.7 In addition, they have fewer positive interactions and more negative interactions with friends and relatives; they describe themselves as more distressed.7 Moreover, the children in these families have problems in school, behavior and health.8

The research also tells us that couples wait too long to seek outside advice and guidance9,10 and that long delays, years in many cases, make the problems more challenging to resolve.11,12 Less than a third of divorcing couples ever seek professional help.10,13 And, whereas couples worry about the effect of divorce on their children, research shows that marital strife preceding divorce accounts for most of the hardship on children.8

Fortunately, the research demonstrates that some couple therapy methods are effective.14 Among these are behavioral couple therapy, emotion focused couple therapy,15 and a method that combines features of both behavioral and emotion-focused approaches called integrative behavioral couple therapy.16 In one review of empirically-supported therapies, the authors said, “…in no published study has a tested model failed to outperform a control group. In virtually every instance in which a bona fide treatment has been tested against a control group, the treatment has shown reliable change” (page 85).17

Finally, there are promising results from recent studies supporting the value of a relationship checkup, akin to the annual physical checkup.1,18 The value of this approach is the likelihood of identifying problems when they are small and can be more easily addressed, and while the couple has enough mutual goodwill for a collaborative effort to improve the relationship.

Essentially, what the research tells us about marriage and couple counseling is that troubled marriages are destructive to the couple and their children and that couples wait far too long before getting help, if they get help at all. To increase their odds of success, distressed couples should find a psychotherapist who practices one of the empirically-supported couple therapy methods – sooner than later.

References

1. Cordova JV, Scott RL, Dorian M, Mirgain S, Yaeger D, Groot A. The marriage checkup: An indicated preventive intervention for treatment-avoidant couples at risk for marital deterioration. Behavior Therapy 36:301-309, 2005.

2. Hooley JM, Teasdale JD. Predictors of relapse in unipolar depressives: Expressed emotion, marital distress, and perceived criticism. Journal of Abnormal Psychology 98:229-237, 1989.

3. Paykel ES, Myers JK, Dienelt MN, Klerman GL, Lindenthal JJ, Pepper MP. Life events and depression: a controlled study. Archives of General Psychiatry 21:753-760, 1969.

4. Weissman MM. Advances in psychiatric epidemiology: Rates and risks for major depression. American Journal of Public Health 77:445-451, 1987.

5. Newton TL, Kiecolt-Glaser JK, Glaser R, Malarkey WB. Conflict and withdrawal during marital interaction: The roles of hostility and defensiveness. Personality and Social Psychology Bulletin 21:512-524, 1995.

6. Schmaling KB, Sher TG. Physical health and relationships. In WK Halford & HJ Markman (Eds.), Clinical Handbook of Marriage and Couples Interventions (pp. 323-336). Chichester: Wiley & Sons, 1997.

7. Whisman MA, Uebelacker LA. Impairment and distress associated with relationship discord in a national sample of married or cohabiting adults. Journal of Family Psychology 20:369-377, 2006.

8. Cherlin AJ, Furstenberg FF, Chase-Lansdale PL, Kiernan KE. Longitudinal studies of effects of divorce on children in Great Britain and the United States. Science 25:1386-1389, 1991.

9. Bowen GL, Richman JM. The willingness of spouses to seek marriage and family counseling services. Journal of Primary Prevention 11:277-293, 1991.

10. Wolcott IH. Seeking help for marital problems before separation. Australian Journal of Sex, Marriage and Family 7:154-164, 1986.

11. Snyder DK. Marital Satisfaction Inventory, Revised. Los Angeles: Western Psychological Services, 1997.

12. Snyder DK, Mangrum LF, Wills RM. Predicting couples’ response to marital therapy: A comparison of short- and long-term predictors. Journal of Consulting and Clinical Psychology 61:61-69, 1993.

13. Albrecht SL, Bahr HM, Goodman KL. Divorce and remarriage: Problems, adaptations, and adjustments. Westport, CT: Greenwood Press, 1983.

14. Baucom DH, Shoham V, Mueser KT, Daiuto AD, Stickle TR. Empirically supported couple and family interventions for marital distress and adult mental health problems. Journal of Consulting and Clinical Psychology 66:53-88, 1998.

15. Johnson SM, Hunsley J, Greenberg L, Schindler D. Emotionally focused couple therapy: Status and challenges. Clinical Psychology: Science and Practice 6:67-79, 1999.

16. Christensen A, Atkins DC, Berns S, Wheeler J, Baucom DH, Simpson LE. Traditional versus integrative behavioral couple therapy for significantly and chronically distressed married couples. Journal of Consulting and Clinical Psychology 72(2):176-191, 2004.

17. Jacobson NS, Addis ME. Research on couples and couple therapy: What do we know? Journal of Consulting and Clinical Psychology 61:85-93, 1993.

18. Cordova JV, Warren LZ, Gee CB. Motivational interviewing as an intervention for at-risk couples. Journal of Marital and Family Therapy 27(3):315-326, 2001.

copyright Ann-Marie Codori 2009


Share this post
Facebooktwitterlinkedin

Individual Emotionally-Focused Therapy

Emotionally-focused therapy (EFT) for couples is a highly effective method for resolving relationship distress and creating …

At what age do humans develop emotional intelligence? The answer might surprise you.

Emotional pain typically drives the quest for psychotherapy.  Pain, after all, is nature’s signal that an organism’s …

Major Depression May Be Triggered by Teenage Stressors

A recent study using mice to mimic stress and depression in adolescents suggests that the teenage years are a particularly …