John Gottman’s philosophical assumptions towards couples therapy interventions is most closely realized in the Collaborative Couples Therapy model of Dan Wile. It is the intent of this presentation to show how.
John Gottman’s Sound Marital House Theory is based upon 30+ years of researching couple interactions. This research reinforces that relationship success depends heavily upon the contingencies of relationship repair and the state of the couple friendship
Bowenian Family Therapy focuses on differentiation and reducing emotional reactivity. The therapist acts as a neutral coach and educator. Assessment involves a genogram to identify multigenerational patterns. Goals are to increase self-differentiation long-term by reducing reactivity and triangulation in the short and intermediate term. Interventions include the genogram, coaching, and education throughout therapy.
Satir family therapy assumes that all people have the potential for positive growth through their relationships and interactions. The therapist views the client as the expert and aims to disrupt the status quo by introducing foreign elements to initiate change. Through normalizing feelings and examining family rules, new possibilities for growth and improved relationships can emerge as unexpected changes are practiced and new understandings develop, leading to a new status quo with equal capacity for all family members to thrive.
Boweian Family Therapy - Presentation Slides - Weekend 1christinemoran54
This document provides an overview of Murray Bowen's family systems therapy. It discusses Bowen's background and the basic tenets of his approach, including differentiation of self, triangles, emotional cut-offs, and the multigenerational transmission process. The document also outlines Bowen's eight major concepts and describes techniques used in Bowenian therapy such as demonstrating differentiation and using genograms.
The document provides an overview of Emotionally Focused Therapy (EFT) for couples, describing its theoretical underpinnings in experiential and systemic approaches as well as attachment theory. EFT uses a three stage, nine step framework to assess negative interaction cycles, access underlying emotions, create new bonding experiences, and consolidate secure attachment between partners. The therapist aims to develop trust, soften rigid positions, and facilitate new solutions through enactments and emotional engagement.
Dual and multiple relationships in counsellingANCYBS
This document discusses dual and multiple relationships in counseling practice. It defines dual relationships as situations where two or more connections exist between a therapist and client, such as being friends or colleagues. Multiple relationships involve additional roles beyond the treatment relationship. While some dual relationships can be unavoidable, they risk undermining client trust and confidentiality. The document outlines different types of dual relationships and strategies for counselors to maintain ethical standards by prioritizing client autonomy, trust, and consent.
This document provides an overview of key concepts in family therapy. It discusses systems theory perspectives, including circular causality, reciprocal relationships, and holistic views of families. Specific models are described, like structural and strategic family therapy. Key concepts like boundaries, narratives, and power differentials are examined. The document emphasizes strengths-based and solution-focused approaches, co-constructed change, and the importance of self-reflection for therapists.
John Gottman’s Sound Marital House Theory is based upon 30+ years of researching couple interactions. This research reinforces that relationship success depends heavily upon the contingencies of relationship repair and the state of the couple friendship
Bowenian Family Therapy focuses on differentiation and reducing emotional reactivity. The therapist acts as a neutral coach and educator. Assessment involves a genogram to identify multigenerational patterns. Goals are to increase self-differentiation long-term by reducing reactivity and triangulation in the short and intermediate term. Interventions include the genogram, coaching, and education throughout therapy.
Satir family therapy assumes that all people have the potential for positive growth through their relationships and interactions. The therapist views the client as the expert and aims to disrupt the status quo by introducing foreign elements to initiate change. Through normalizing feelings and examining family rules, new possibilities for growth and improved relationships can emerge as unexpected changes are practiced and new understandings develop, leading to a new status quo with equal capacity for all family members to thrive.
Boweian Family Therapy - Presentation Slides - Weekend 1christinemoran54
This document provides an overview of Murray Bowen's family systems therapy. It discusses Bowen's background and the basic tenets of his approach, including differentiation of self, triangles, emotional cut-offs, and the multigenerational transmission process. The document also outlines Bowen's eight major concepts and describes techniques used in Bowenian therapy such as demonstrating differentiation and using genograms.
The document provides an overview of Emotionally Focused Therapy (EFT) for couples, describing its theoretical underpinnings in experiential and systemic approaches as well as attachment theory. EFT uses a three stage, nine step framework to assess negative interaction cycles, access underlying emotions, create new bonding experiences, and consolidate secure attachment between partners. The therapist aims to develop trust, soften rigid positions, and facilitate new solutions through enactments and emotional engagement.
Dual and multiple relationships in counsellingANCYBS
This document discusses dual and multiple relationships in counseling practice. It defines dual relationships as situations where two or more connections exist between a therapist and client, such as being friends or colleagues. Multiple relationships involve additional roles beyond the treatment relationship. While some dual relationships can be unavoidable, they risk undermining client trust and confidentiality. The document outlines different types of dual relationships and strategies for counselors to maintain ethical standards by prioritizing client autonomy, trust, and consent.
This document provides an overview of key concepts in family therapy. It discusses systems theory perspectives, including circular causality, reciprocal relationships, and holistic views of families. Specific models are described, like structural and strategic family therapy. Key concepts like boundaries, narratives, and power differentials are examined. The document emphasizes strengths-based and solution-focused approaches, co-constructed change, and the importance of self-reflection for therapists.
Strategic family therapy is a directive, brief therapy approach developed by Jay Haley in the 1960s-1970s. It is based on principles of structural family therapy and communication theory. The therapist takes responsibility for influencing the family and designs specific interventions for each family's problems. Interventions may include paradoxical directives, prescribing symptoms, or reframing problems positively. The goal is to create second-order changes to disrupt stuck interaction patterns and restore family homeostasis.
Feminist therapy aims to promote equality and empowerment. Key goals include developing egalitarian relationships, challenging gender stereotypes, and analyzing power dynamics and social influences. Common techniques used in feminist therapy include consciousness-raising, exploring gender roles and power, appropriate self-disclosure, bibliotherapy, assertiveness training, reframing, and relabelling. Feminist therapists work to empower clients on personal, interpersonal, and sociopolitical levels.
P660 chapter 6 - strategic family therapy - natalieFebrika Setiyawan
The document discusses the theoretical underpinnings of strategic family therapy, including its focus on communication patterns, family rules and homeostasis. It describes Don Jackson's concept of family rules and how they maintain homeostasis. The document also outlines the Milan Associates' approach of identifying positive feedback loops that maintain problems and reframing family rules and interactions to change problematic behaviors.
1. Bowen's theory describes an evolutionary process where families balance the needs for intimacy and individuality.
2. Psychological problems stem from a family's inability to effectively manage stress, leading to increased reactivity and fusion between members.
3. Bowen's theory incorporates concepts from other therapies and retains broad applicability, emphasizing the role of stress in health issues.
This document provides an overview of key concepts in systemic therapy, including social constructionism and its influence on understanding the self and emotions. It discusses how social constructionism views reality as co-constructed through language and relationships. The self is seen as developed through interactions with others from a young age. Emotions are also viewed as socially and culturally constructed. Context is emphasized as central to meaning, and the document outlines changes to traditional Milan principles like curiosity replacing neutrality. Circular questioning is introduced as a way to explore relationships.
Feminist Therapy
Introduction
Feminist therapy puts gender and power at the core of the therapeutic process. It is built on the premise that it is essential to consider the social and cultural context that contributes to a person’s problems in order to understand that person.
The document discusses Carl Rogers and his person-centered therapy approach. Some key points include:
- Rogers believed people have an innate potential for growth and self-actualization given the right environment.
- The therapeutic relationship is the most important factor in therapy, with the therapist displaying genuineness, unconditional positive regard, and empathic understanding.
- The goal of therapy is to help clients fully understand themselves by exploring their feelings in a non-judgmental setting. Clients are seen as capable of solving their own problems.
The document summarizes Bowen family systems therapy techniques for working with the Stone family, who are seeking therapy to help their daughter Susie adjust to kindergarten and their plans for childcare. The therapy techniques discussed include creating a genogram to map the family relationships, maintaining a therapy triangle to avoid being drawn into family triangles, using process questions to gain objective information and clarify roles, and relationship experiments and coaching to increase awareness of family dynamics.
The document discusses cognitive behavioral therapy (CBT) models and methods for couple relationships. It describes the phases of development in CBT couple therapy, from early behavioral couple therapy to newer phases focused on self-regulation and treating psychiatric disorders relationally. It then explains how CBT for couples works, with a focus on identifying counterproductive behaviors, beliefs, and triggers and practicing new relationship skills. Finally, it compares CBT couple therapy to integrative behavioral couple therapy, noting their similarities in using behavioral principles but differences in treatment strategies and theoretical frameworks.
Structural family therapy was developed by Salvador Minuchin at the Philadelphia Child Guidance Clinic. It is based on systems theory and focuses on structural change as the main goal of therapy. The therapist takes an active role in restructuring the family. Structural family therapy addresses problematic patterns of interaction within families. It uses techniques like joining, reframing, and enactment to restructure the family system and make interactions more flexible. The goal is to establish clear boundaries between subsystems like parents and children.
Feminist therapy challenges male-oriented assumptions about mental health and emphasizes understanding oppression and social justice. It views clients' problems in social contexts and aims to affect both individual and social change through egalitarian partnerships between therapist and client. Key concepts include considering gender socialization and taking multicultural, lifespan, and interactionist perspectives. Principles involve recognizing personal issues as political and valuing marginalized voices to understand how repression and inequities negatively impact people. The goals are to empower clients and facilitate social transformation.
1 family system therapy powerpoint presentation christine moranchristinemoran54
Family systems therapy views individuals as best understood through their interactions within the entire family. Symptoms are seen as expressions of family dysfunction, and problematic behaviors often serve purposes for the family system. The goals of family systems therapy are to change interactional patterns within the family and between generations to reduce distress and initiate family reorientation.
The narrative approach focuses on separating the individual from their problems through storytelling. It believes that by externalizing problems, individuals can be empowered to overcome destructive behaviors. The therapist acts as a facilitator who uses questioning to help clients construct alternative stories that reduce the influence of problems on their lives. Some key aspects of narrative therapy include viewing the client as the expert, being non-blaming, and discovering unique outcomes or moments when clients were not dominated by problems. The goal is to invite people to describe their experiences in new, problem-free languages and view problems as things people have rather than things people are.
Emotionally focused couples therapy is a form of therapy that aims to change negative interaction patterns and emotional responses between partners to build a stronger emotional bond. It involves 9 steps, including assessing the problem, accessing underlying emotions, reframing issues, and facilitating new solutions. Research shows that couples therapy can be effective, with treated clients functioning better than most untreated individuals, and one third to two thirds of couples achieving nondistressed levels of functioning after therapy.
A clinical psychologist with over four decades of experience, Donald “Don” Crowe, PhD, operates a private practice in Orinda, California. Throughout his career, Don Crowe, PhD, has assisted individuals, families, and couples using a variety therapeutic approaches, including the Gottman Method.
Person-centered therapy, developed by Carl Rogers in the 1940s, focuses on supporting the client to take an active role in treatment. The therapist takes a nondirective approach and aims to provide unconditional positive regard and accurate empathy. Key concepts include actualization, conditions of worth, and becoming a fully functioning person. The goals are greater independence by focusing on the person rather than the problem and helping clients express their true feelings through techniques like congruence, unconditional positive regard, and accurate empathic understanding.
Couple therapy involves helping partners improve communication skills, negotiate behavior changes, and focus on positive interactions. It addresses issues like criticism, defensiveness and stonewalling. Approaches include behavioral therapy, emotion-focused therapy and narrative therapy. Techniques involve building affection, resolving conflicts respectfully, separating problems from people, and exploring unconscious relationship roots to change perceptions and reactions. The goals are to modify dysfunctional patterns, decrease avoidance, and promote relationship strengths and intimacy.
Strategic family therapy developed from combining elements of several theories including those of Erickson, the MRI group, Minuchin, Bateson, and Jackson. The therapist takes an active, directive role in planning interventions to change problematic feedback loops and achieve second-order change by modifying family rules. Core concepts include viewing problems as maintained through misguided solutions, conceptualizing symptoms as voluntary, and using techniques like tasks, paradoxes, and reframing. The goal is to motivate families to alter signature behavioral patterns associated with identified problems.
Gestalt therapy is a form of psychotherapy developed in the 1940s by Fritz Perls that focuses on self-awareness and understanding one's present experiences. It uses creative techniques like role-playing, dialogue, and dream analysis to help clients gain insight into their thoughts, feelings, and behaviors. The goal is to understand how one's mind, body, and soul interact with their current situation to potentially resolve issues and achieve their full potential. Key concepts include emphasizing direct experiences in the present moment, treating clients with respect, and developing the client-therapist relationship.
This document provides an overview of different types of psychological therapies, including:
- Psychotherapy, which involves interaction between a therapist and client suffering psychological difficulties. The most popular is an eclectic approach combining techniques from different schools.
- Psychoanalysis, developed by Freud using techniques like free association and dream interpretation to understand the unconscious.
- Humanistic therapy focuses on self-fulfillment and takes a present/future orientation rather than past issues. Client-centered therapy uses empathy, acceptance and genuineness.
- Behavior therapies apply learning principles to change unwanted behaviors. Techniques include counterconditioning, systematic desensitization, exposure therapy, and operant conditioning using rewards.
- Cognitive therapy teaches more
Therapy methods have evolved over time from institutionalization to community-based treatment. There are various forms of psychotherapy including psychoanalysis, humanistic, behavior, and cognitive therapies. Psychotherapy involves interaction with a trained professional to understand and change behavior, thinking, relationships, and emotions. Current therapies also include biomedical approaches using medications and procedures, as well as combining therapies to fit each client's specific needs.
Strategic family therapy is a directive, brief therapy approach developed by Jay Haley in the 1960s-1970s. It is based on principles of structural family therapy and communication theory. The therapist takes responsibility for influencing the family and designs specific interventions for each family's problems. Interventions may include paradoxical directives, prescribing symptoms, or reframing problems positively. The goal is to create second-order changes to disrupt stuck interaction patterns and restore family homeostasis.
Feminist therapy aims to promote equality and empowerment. Key goals include developing egalitarian relationships, challenging gender stereotypes, and analyzing power dynamics and social influences. Common techniques used in feminist therapy include consciousness-raising, exploring gender roles and power, appropriate self-disclosure, bibliotherapy, assertiveness training, reframing, and relabelling. Feminist therapists work to empower clients on personal, interpersonal, and sociopolitical levels.
P660 chapter 6 - strategic family therapy - natalieFebrika Setiyawan
The document discusses the theoretical underpinnings of strategic family therapy, including its focus on communication patterns, family rules and homeostasis. It describes Don Jackson's concept of family rules and how they maintain homeostasis. The document also outlines the Milan Associates' approach of identifying positive feedback loops that maintain problems and reframing family rules and interactions to change problematic behaviors.
1. Bowen's theory describes an evolutionary process where families balance the needs for intimacy and individuality.
2. Psychological problems stem from a family's inability to effectively manage stress, leading to increased reactivity and fusion between members.
3. Bowen's theory incorporates concepts from other therapies and retains broad applicability, emphasizing the role of stress in health issues.
This document provides an overview of key concepts in systemic therapy, including social constructionism and its influence on understanding the self and emotions. It discusses how social constructionism views reality as co-constructed through language and relationships. The self is seen as developed through interactions with others from a young age. Emotions are also viewed as socially and culturally constructed. Context is emphasized as central to meaning, and the document outlines changes to traditional Milan principles like curiosity replacing neutrality. Circular questioning is introduced as a way to explore relationships.
Feminist Therapy
Introduction
Feminist therapy puts gender and power at the core of the therapeutic process. It is built on the premise that it is essential to consider the social and cultural context that contributes to a person’s problems in order to understand that person.
The document discusses Carl Rogers and his person-centered therapy approach. Some key points include:
- Rogers believed people have an innate potential for growth and self-actualization given the right environment.
- The therapeutic relationship is the most important factor in therapy, with the therapist displaying genuineness, unconditional positive regard, and empathic understanding.
- The goal of therapy is to help clients fully understand themselves by exploring their feelings in a non-judgmental setting. Clients are seen as capable of solving their own problems.
The document summarizes Bowen family systems therapy techniques for working with the Stone family, who are seeking therapy to help their daughter Susie adjust to kindergarten and their plans for childcare. The therapy techniques discussed include creating a genogram to map the family relationships, maintaining a therapy triangle to avoid being drawn into family triangles, using process questions to gain objective information and clarify roles, and relationship experiments and coaching to increase awareness of family dynamics.
The document discusses cognitive behavioral therapy (CBT) models and methods for couple relationships. It describes the phases of development in CBT couple therapy, from early behavioral couple therapy to newer phases focused on self-regulation and treating psychiatric disorders relationally. It then explains how CBT for couples works, with a focus on identifying counterproductive behaviors, beliefs, and triggers and practicing new relationship skills. Finally, it compares CBT couple therapy to integrative behavioral couple therapy, noting their similarities in using behavioral principles but differences in treatment strategies and theoretical frameworks.
Structural family therapy was developed by Salvador Minuchin at the Philadelphia Child Guidance Clinic. It is based on systems theory and focuses on structural change as the main goal of therapy. The therapist takes an active role in restructuring the family. Structural family therapy addresses problematic patterns of interaction within families. It uses techniques like joining, reframing, and enactment to restructure the family system and make interactions more flexible. The goal is to establish clear boundaries between subsystems like parents and children.
Feminist therapy challenges male-oriented assumptions about mental health and emphasizes understanding oppression and social justice. It views clients' problems in social contexts and aims to affect both individual and social change through egalitarian partnerships between therapist and client. Key concepts include considering gender socialization and taking multicultural, lifespan, and interactionist perspectives. Principles involve recognizing personal issues as political and valuing marginalized voices to understand how repression and inequities negatively impact people. The goals are to empower clients and facilitate social transformation.
1 family system therapy powerpoint presentation christine moranchristinemoran54
Family systems therapy views individuals as best understood through their interactions within the entire family. Symptoms are seen as expressions of family dysfunction, and problematic behaviors often serve purposes for the family system. The goals of family systems therapy are to change interactional patterns within the family and between generations to reduce distress and initiate family reorientation.
The narrative approach focuses on separating the individual from their problems through storytelling. It believes that by externalizing problems, individuals can be empowered to overcome destructive behaviors. The therapist acts as a facilitator who uses questioning to help clients construct alternative stories that reduce the influence of problems on their lives. Some key aspects of narrative therapy include viewing the client as the expert, being non-blaming, and discovering unique outcomes or moments when clients were not dominated by problems. The goal is to invite people to describe their experiences in new, problem-free languages and view problems as things people have rather than things people are.
Emotionally focused couples therapy is a form of therapy that aims to change negative interaction patterns and emotional responses between partners to build a stronger emotional bond. It involves 9 steps, including assessing the problem, accessing underlying emotions, reframing issues, and facilitating new solutions. Research shows that couples therapy can be effective, with treated clients functioning better than most untreated individuals, and one third to two thirds of couples achieving nondistressed levels of functioning after therapy.
A clinical psychologist with over four decades of experience, Donald “Don” Crowe, PhD, operates a private practice in Orinda, California. Throughout his career, Don Crowe, PhD, has assisted individuals, families, and couples using a variety therapeutic approaches, including the Gottman Method.
Person-centered therapy, developed by Carl Rogers in the 1940s, focuses on supporting the client to take an active role in treatment. The therapist takes a nondirective approach and aims to provide unconditional positive regard and accurate empathy. Key concepts include actualization, conditions of worth, and becoming a fully functioning person. The goals are greater independence by focusing on the person rather than the problem and helping clients express their true feelings through techniques like congruence, unconditional positive regard, and accurate empathic understanding.
Couple therapy involves helping partners improve communication skills, negotiate behavior changes, and focus on positive interactions. It addresses issues like criticism, defensiveness and stonewalling. Approaches include behavioral therapy, emotion-focused therapy and narrative therapy. Techniques involve building affection, resolving conflicts respectfully, separating problems from people, and exploring unconscious relationship roots to change perceptions and reactions. The goals are to modify dysfunctional patterns, decrease avoidance, and promote relationship strengths and intimacy.
Strategic family therapy developed from combining elements of several theories including those of Erickson, the MRI group, Minuchin, Bateson, and Jackson. The therapist takes an active, directive role in planning interventions to change problematic feedback loops and achieve second-order change by modifying family rules. Core concepts include viewing problems as maintained through misguided solutions, conceptualizing symptoms as voluntary, and using techniques like tasks, paradoxes, and reframing. The goal is to motivate families to alter signature behavioral patterns associated with identified problems.
Gestalt therapy is a form of psychotherapy developed in the 1940s by Fritz Perls that focuses on self-awareness and understanding one's present experiences. It uses creative techniques like role-playing, dialogue, and dream analysis to help clients gain insight into their thoughts, feelings, and behaviors. The goal is to understand how one's mind, body, and soul interact with their current situation to potentially resolve issues and achieve their full potential. Key concepts include emphasizing direct experiences in the present moment, treating clients with respect, and developing the client-therapist relationship.
This document provides an overview of different types of psychological therapies, including:
- Psychotherapy, which involves interaction between a therapist and client suffering psychological difficulties. The most popular is an eclectic approach combining techniques from different schools.
- Psychoanalysis, developed by Freud using techniques like free association and dream interpretation to understand the unconscious.
- Humanistic therapy focuses on self-fulfillment and takes a present/future orientation rather than past issues. Client-centered therapy uses empathy, acceptance and genuineness.
- Behavior therapies apply learning principles to change unwanted behaviors. Techniques include counterconditioning, systematic desensitization, exposure therapy, and operant conditioning using rewards.
- Cognitive therapy teaches more
Therapy methods have evolved over time from institutionalization to community-based treatment. There are various forms of psychotherapy including psychoanalysis, humanistic, behavior, and cognitive therapies. Psychotherapy involves interaction with a trained professional to understand and change behavior, thinking, relationships, and emotions. Current therapies also include biomedical approaches using medications and procedures, as well as combining therapies to fit each client's specific needs.
Therapy methods have evolved over time from institutionalization to community-based treatment. There are various forms of psychotherapy including psychoanalysis, humanistic, behavior, and cognitive therapies. Psychotherapy involves interaction with a trained professional to understand and change behavior, thinking, relationships, and emotions. Current therapies also include biomedical approaches using medications and procedures, as well as combining therapies to fit each client's specific needs.
MENTAL HEALTH NURSING-PSYCHOLOGICAL THERAPIESAkila anbalagan
This document provides an overview of psychological therapies. It begins by defining psychotherapy and explaining its historical origins and current definitions. It then describes the main types and stages of psychotherapy. The stages include an introductory stage where the client and therapist meet and assess the problem, a working stage where deeper exploration occurs, and a termination stage to end the relationship. It also outlines several approaches to individual psychotherapy like psychodynamic, humanistic, behavioral, cognitive, and supportive therapies. A key part of the document focuses on psychoanalytic therapy, describing Freud's psychodynamic theories of the mind, techniques like free association and dream analysis, and the typical therapy process.
Individual therapy involves regularly scheduled talks between a client and a mental health professional such as a psychologist. The goals of individual therapy are to increase well-being, modify maladaptive behaviors, and improve relationships. Therapy works by examining thoughts, feelings, experiences, and patterns to gain greater self-understanding. Key aspects of effective individual therapy include developing a strong therapeutic relationship, helping the client gain insights and set goals, and teaching new coping strategies.
Comparison and similarties and differences among psychotherapyMuhammad Musawar Ali
This document compares and contrasts various psychotherapies. It discusses similarities and differences in their views of human nature, goals, roles of counselors, and techniques. Key similarities include a focus on human beings' positive aspects, cognitions and behaviors, psychological needs, and building rapport. Differences include views on the role of biology, unconsciousness, free will and the environment in human development. Goals and roles of counselors also vary between insight-focused versus action-oriented approaches. Techniques range from interpretation to homework assignments depending on the theory.
COUNSELLING APPROACHES Report no. 25 Marion A. Piczon.pptxMarionAgarpaoPiczon
The document discusses various counseling approaches including psychoanalytic, behavioral, cognitive behavioral, rational emotive behavioral therapy, transactional analysis, and humanistic approaches. It provides descriptions of each approach's founding theorists, key philosophies and techniques, goals of therapy, and applications. Counseling approaches are differentiated based on how therapists interact with clients and are guided by theory and research.
The humanistic approach views humans as striving for self-actualization and believes people are inherently good. Key aspects include forming an empathetic, trusting relationship and viewing the client holistically. Proponents emphasize the client's uniqueness and potential for growth. For change to occur, the therapist must demonstrate genuineness, unconditional positive regard, and empathy so the client feels understood and accepted. When these conditions are met, clients experience responsibility, self-exploration, and positive change within themselves and the therapeutic relationship.
Clinical and counseling psychologists help people struggling with psychological disorders and make positive changes in their lives. The approach used in therapy depends on the problem, therapist, and client. Common treatment approaches draw from behavioral, cognitive, psychodynamic, humanistic, systems, and biological perspectives. Behavioral approaches use techniques like systematic desensitization and behavior modification programs to change environmental reinforcement of behaviors. Humanistic therapy provides unconditional positive regard and a client-centered approach. Cognitive-behavioral therapy addresses faulty cognitions and their relationship to behaviors. Psychodynamic therapy aims to make the unconscious conscious through free association, transference analysis, and analyzing resistance.
There are two broad categories of therapy - somatic therapy which treats psychological disorders by treating the body, and psychotherapy which treats problems through psychological techniques. Researchers have found psychotherapy to be consistently more effective than placebo treatment through studies using double-blind techniques. While there are many different types of therapy, researchers contend that most psychotherapies are equally effective, suggesting there is a common underlying component that makes them successful.
The document defines psychotherapy as a treatment method that involves developing an intimate therapeutic relationship between a client and therapist to explore and modify client behavior in a satisfying direction. It further describes psychotherapy as a process where a person seeks to resolve problems or issues by interacting with a psychotherapist in a prescribed way.
This document provides an overview of different therapies used to treat psychological disorders and personal problems. It discusses biomedical therapies that use medication and electroconvulsive therapy, as well as various types of psychotherapy including psychoanalytic, humanistic, behavioral, cognitive, and group/family therapies. Key figures and approaches within each therapy type are outlined, along with factors that contribute to effective psychotherapy and considerations for cultural differences.
1. The document discusses the historical development of cognitive behavioral therapy (CBT), outlining three phases: behavior therapy roots, cognitive therapy roots, and the merging of behavior and cognitive therapies.
2. Key concepts of CBT are explained, including core beliefs, dysfunctional assumptions, and negative automatic thoughts, as well as the cognitive triad.
3. Different types of CBT are mentioned, including rational emotive behavior therapy, cognitive therapy, dialectical behavior therapy, and mindfulness-based CBT.
DBT is a therapy developed by Marsha Linehan to treat individuals with borderline personality disorder and emotional dysregulation. It combines cognitive behavioral therapy techniques with mindfulness practices. The core of DBT involves teaching clients skills in four areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. Through individual therapy, group skills training, coaching sessions, and therapist consultation, DBT aims to help clients learn to manage intense emotions, reduce self-harming behaviors, and build healthier relationships.
Hypnotism has been used since the 1840s and can take several forms including traditional hypnosis, hypnotherapy, self-hypnosis, and NLP hypnosis. Hypnotherapy uses hypnosis to promote healing and can help with issues like addictions, emotions, pain, and more. Self-hypnosis allows one to hypnotize themselves for relaxation. While hypnosis has advantages like stress reduction and helping to change unhealthy behaviors, it also has disadvantages like not being recommended for serious psychological disorders and potential disappointment if used expecting miracles. Modern hypnotherapists use it to treat various conditions from phobias and smoking cessation to confidence issues and exam stress.
Rabindrik psychotherapy refers to a therapeutic approach derived from the literary works of Rabindranath Tagore that focuses on self-awakening. It views consciousness as composed of three dynamic layers - Murta, Raag and Saraswat. Disequilibrium in these layers can lead to psychological disorders. Rabindrik psychotherapy aims to reconstruct equilibrium states through customized performing arts therapies rather than talk therapy or labeling disorders. The client plays an active role in their own therapy through creative self-expression, unlike classical psychotherapies where the therapist directs treatment. Rabindrik psychotherapy also emphasizes exploring consciousness and controlling flows between its layers using techniques like Rabindra Sangeet to induce beneficial mental states like flow.
This document provides an overview of different approaches to psychotherapy and therapy, including psychoanalysis, humanistic therapy, cognitive therapies, behavior therapies, and biological approaches. It discusses key concepts for different therapeutic approaches such as transference, dream analysis, cognitive restructuring, systematic desensitization, and drug therapies. It also examines what makes an effective therapist and different types of therapies such as group therapy.
Chapter 15 discusses different types of psychotherapy used to treat psychological disorders. Biomedical therapies include drug therapies that treat disorders through neurotransmitters, electroconvulsive therapy that uses electric shocks, and rarely, psychosurgery that alters brain tissue. Psychotherapies treat the mind through psychoanalysis, cognitive therapies that target irrational thoughts, humanistic therapies that help clients gain self-worth, and group/family therapies. Conditioning techniques and applying rewards/punishments can treat disorders by changing the environment. Research finds most therapies effective but some work better than others depending on the problem. Common factors across therapies include support, learning, and taking action.
3. GOTTMAN COUPLES THERAPY
METHOD PRESENTATION #3
“When it comes
to the treatment of
relationships, I must
consider myself
utterly at a loss!”
Sigmund Freud (1912)
5. Sound Marital House
cREATING
sHARED mEANING
Making Dreams come true
4 Parts of Problem Solving &
Dialogue with perpetual issues
Positive Sentiment Override
Turning Towards vs
Turning Away
Fondness & admiration
LOVE MAPS
10. Intervention Assumptions
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
11. Intervention Assumptions
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
12. Intervention Assumptions
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
13. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
14. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
15. Intervention Assumptions
Therapy should be dyadic
• Goal is to shift from the Tx as necessary to
not needed
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
16. Intervention Assumptions
Therapy should be dyadic
• Goal is to shift from the Tx as necessary to
not needed
• The center pole of the circus tent
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
17. Intervention Assumptions
Therapy should be dyadic
• Goal is to shift from the Tx as necessary to
not needed
• The center pole of the circus tent
• Tx has to learn how to shut up
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
18. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
19. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
• The “Unfortunate Heritage” systemic
therapies regarding emotion
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
20. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
• The “Unfortunate Heritage” systemic
therapies regarding emotion
• Typical example of Tx posture to emotion
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
21. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
• The “Unfortunate Heritage” systemic
therapies regarding emotion
• Typical example of Tx posture to emotion
• Therapeutic attunement to client energy
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
22. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
23. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
• All emotions all wishes are acceptable
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
24. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
• All emotions all wishes are acceptable
• Need for therapist to look at their own meta-
emotion internal working model
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
25. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
• All emotions all wishes are acceptable
• Need for therapist to look at their own meta-
emotion internal working model
• Do not declare war on anger
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
26. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
• All emotions all wishes are acceptable
• Need for therapist to look at their own meta-
emotion internal working model
• Do not declare war on anger
• Learning about emotion is state dependant
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
27. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
28. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
• Interventions should seem easy to do
Therapy should be positive
Should not be idealistic
29. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
• Interventions should seem easy to do
• Should not be mystifying or foreign
Therapy should be positive
Should not be idealistic
30. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
• Interventions should seem easy to do
• Should not be mystifying or foreign
• Expect “oh... this is all there is to it?”
Therapy should be positive
Should not be idealistic
31. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
• Interventions should seem easy to do
• Should not be mystifying or foreign
• Expect “oh... this is all there is to it?”
• Reader Rabbit Approach
Therapy should be positive
Should not be idealistic
32. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
33. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
• All too common - the client’s flaws pointed
out to them
Should not be idealistic
34. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
• All too common - the client’s flaws pointed
out to them
• The culture of “Nailing People”
Should not be idealistic
35. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
• All too common - the client’s flaws pointed
out to them
• The culture of “Nailing People”
• Needs to highlight two homeostatic states
Should not be idealistic
36. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
37. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
38. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
• My approach “the good enough marriage”
39. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
• My approach “the good enough marriage”
• Some assert that couples therapy success can
heal childhood wounds
40. Intervention Assumptions
Therapy should be dyadic
Therapist’s role in self soothing
Role of emotion
LOW PSYCHOLOGICAL COST
Therapy should be positive
Should not be idealistic
• My approach “the good enough marriage”
• Some assert that couples therapy success can
heal childhood wounds
• You wont be alone in your woundedness
45. Session Structure
• Catch up on
burning issue
• If not, process the
last week
• Ask for the
couple’s
Intervention
46. Session Structure
• Catch up on
burning issue
• If not, process the
last week
• Ask for the
couple’s
Intervention
• Homework
intervention that is
in keeping with in-
session learning
47. Session Structure
• Catch up on • Get the couple to
burning issue own the
• If not, process the intervention
last week
• Ask for the
couple’s
Intervention
• Homework
intervention that is
in keeping with in-
session learning
48. Session Structure
• Catch up on • Get the couple to
burning issue own the
• If not, process the intervention
last week • RESISTANCE???
• Ask for the
couple’s
Intervention
• Homework
intervention that is
in keeping with in-
session learning
49. Session Structure
• Catch up on • Get the couple to
burning issue own the
• If not, process the intervention
last week • RESISTANCE???
• Ask for the • Poor responses
couple’s
Intervention
• Homework
intervention that is
in keeping with in-
session learning
50. Session Structure
• Catch up on • Get the couple to
burning issue own the
• If not, process the intervention
last week • RESISTANCE???
• Ask for the • Poor responses
couple’s • “Hitting Paydirt”
Intervention
• Homework
intervention that is
in keeping with in-
session learning
51. Session Structure
• Catch up on • Get the couple to
burning issue own the
• If not, process the intervention
last week • RESISTANCE???
• Ask for the • Poor responses
couple’s • “Hitting Paydirt”
Intervention • Process they are
• Homework stuck on
intervention that is
in keeping with in-
session learning
52. Session Structure
• Catch up on • Get the couple to
burning issue own the
• If not, process the intervention
last week • RESISTANCE???
• Ask for the • Poor responses
couple’s • “Hitting Paydirt”
Intervention • Process they are
• Homework stuck on
intervention that is • Explore narratives
in keeping with in-
of their internal
session learning
working model
55. 6 Goals of Intervention
MASSING/fading/long sessions
56. 6 Goals of Intervention
Build Marital Friendship
MASSING/fading/long sessions
57. 6 Goals of Intervention
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
58. 6 Goals of Intervention
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
59. 6 Goals of Intervention
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
60. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
61. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
62. 6 Goals of Intervention
Self/other Soothing
• Biofeedback, in-session breaks, 5 markers
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
63. 6 Goals of Intervention
Self/other Soothing
• Biofeedback, in-session breaks, 5 markers
• Homework to have discussion about stress
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
64. 6 Goals of Intervention
Self/other Soothing
• Biofeedback, in-session breaks, 5 markers
• Homework to have discussion about stress
• Offer soothing action to partner
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
65. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
66. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
• First step - have a recovery conversation later
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
67. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
• First step - have a recovery conversation later
• 2nd step - Have a recovery conversation right
after the fight
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
68. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
• First step - have a recovery conversation later
• 2nd step - Have a recovery conversation right
after the fight
• 3rd step - Repair during the fight (Having the
conversation they needed to have)
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
69. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
70. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
• Identify the 4 Horsemen and offer them the
antidotes right in session
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
71. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
• Identify the 4 Horsemen and offer them the
antidotes right in session
• Identify evidence of psychological abuse and
offer alternatives
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
72. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
73. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
• 4 Horsemen
Build Marital Friendship
MASSING/fading/long sessions
74. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
• 4 Horsemen
• Soften start up
Build Marital Friendship
MASSING/fading/long sessions
75. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
• 4 Horsemen
• Soften start up
• Accepting Influence
Build Marital Friendship
MASSING/fading/long sessions
76. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
• 4 Horsemen
• Soften start up
• Accepting Influence
• Self-soothing
Build Marital Friendship
MASSING/fading/long sessions
77. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
• 4 Horsemen
• Soften start up
• Accepting Influence
• Self-soothing
• Repair and de-escalation
Build Marital Friendship
MASSING/fading/long sessions
78. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
• 4 Horsemen
• Soften start up
• Accepting Influence
• Self-soothing
• Repair and de-escalation
• Compromise
Build Marital Friendship
MASSING/fading/long sessions
79. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
80. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
• Defensiveness & NSO
MASSING/fading/long sessions
81. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
• Defensiveness & NSO
• Anatomy of failed bids
MASSING/fading/long sessions
82. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
• Defensiveness & NSO
• Anatomy of failed bids
• Building rituals of connection
MASSING/fading/long sessions
83. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
• Defensiveness & NSO
• Anatomy of failed bids
• Building rituals of connection
• Deepening Love Maps
MASSING/fading/long sessions
84. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
• Defensiveness & NSO
• Anatomy of failed bids
• Building rituals of connection
• Deepening Love Maps
• Resistance/SMH/psychopathology
MASSING/fading/long sessions
85. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
86. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
87. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
• Longer earlier sessions (1.5 hrs)
88. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
• Longer earlier sessions (1.5 hrs)
• 2-3 wk vacations once couple trajectory has
shifted
89. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
• Longer earlier sessions (1.5 hrs)
• 2-3 wk vacations once couple trajectory has
shifted
• Ongoing homework - MAGIC 5 HOURS/wk
90. 6 Goals of Intervention
Self/other Soothing
3 Steps towards repair
Label Dysfunctional actions
provide antidotes
ESTABLISH 6 SOCIAL SKILLS
Build Marital Friendship
MASSING/fading/long sessions
• Longer earlier sessions (1.5 hrs)
• 2-3 wk vacations once couple trajectory has
shifted
• Ongoing homework - MAGIC 5 HOURS/wk
• Follow couple for a year (sessions 3-6 mos)
95. Dan Wile PhD
"I love Wile's writing and thinking. They are entirely
consistent with many of my research findings. I think
that Wile is a genius and the greatest living marital
therapist. I am blessed to have been able to exchange
ideas with him.”
102. Dan Wile PhD
Clearing the air - fight
For many years, I felt that if only I were able to reach
through to soft-underbelly feelings, I could snap partners
out of their "feeling-so-stung-by-what-their-partners-just-
said-that-they-must-immediately-sting-back adversarial"
couple state.
I now believe that what I need to do is to help them
sting back better -- that is, sting in a way that touches
closer to the heart of what is upsetting them, provides
greater satisfaction and sense of vindication, or make it a
little more likely that their partners will be able to listen
instead of just immediately sting back harder.
I want to turn the partners into the kind of couple for
whom fighting clears the air -- partners who feel that
105. Dan Wile PhD
Confiding Soft underbelly emotions
This minute in a life of a couple shows how little of what
goes on in anyone's mind ever gets expressed -- or even
remembered. It reveals a reality about couple
relationships so squarely in front of our eyes that it is
hard to see.
The therapeutic task, when partners are in such a state,
is to dig through to soft underbelly feelings. It is the
inability of partners to confide their soft-underbelly
feelings -- their failure to bring the other in on their
experience (or realize what it is themselves) -- that
creates the "alienated" couple state.
Shifting into another state means suddenly having a new
set of feelings, wishes, thoughts, and awarenesses; it