Explaining how therapy works can be hard Clients who haven’t had much practice at self-exploration or even talking about their feelings often need quite a bit of psychoeducation about the therapy process. I have adapted Freud’s “iceberg” model by getting rid of the confusing notion of the “pre-conscious” and accepting consciousness is a function of … Read more
Lots of couples have one person who is more self-centred and one who is more self-sacrificing. Often we have learned these ways of operating as a self-protection in our formative years. It can be hard for clients to understand what the alternative is – often they fear that they might become like their partner (whose … Read more
Clients often mean ALL kinds of things when they say they have “problems communicating”. But one thing it can be very useful to help them sort out is; what “level” are they communicating at? I describe 3 levels to my clients: 1. CONTENT level – we are having a discussion about whether we should try … Read more
In talking with clients, have you ever noticed people describing their partner (or themselves) as “needy” or “demanding”? They complain about pressure for (or a lack of) affection, sex, attention, talk etc. Yet our culture idealises the notion of needing your partner. “I need you” is generally offered up in a movie or book as the … Read more
Esther Perel recently published a new book called “The State of Affairs” which both Paula and I think is great and recommend highly. It’s got both of us thinking about how we work with infidelity and this is the first of a series of blogs on the topic – something of a warmup for our … Read more
Paula is off at the Couple’s Conference this week (see our earlier blog if you don’t know what that is) so I thought it was a good time for me (Nic) to confess. Sometimes I do bad therapy – I make mistakes and do things that are not good for the client. Yet I am frequently … Read more
In the second of two blogs reporting on Ellyn Bader’s recent therapist workshop on Confrontation, Paula offers an in-depth and advanced exploration of a very common issue for couples: In the workshop Ellyn showed us how to skilfully challenge subtle (and not so subtle) patterns of symbiotic regression which prevent couples from continuing relational development. She … Read more
Recently Dr Ellyn Bader presented an online therapist workshop on Confrontation. In this she described “the how, the when and the what” of using confrontation skilfully in couple therapy. Here’s Paula’s report on the training Essentially the technique (or HOW) of therapeutic confrontation involves being able to help each partner see which specific aspect of … Read more
We are fond of telling our clients that they way we destroy our relationships is that “we protect ourselves out of them”. When we can’t find a way to soothe our own hurts and settle our feelings, we remain reactive, aroused, defensive, guarded, shut down and withdrawn. When we feel threatened we are far more … Read more
Have you ever been sitting in the room with a couple and they are both looking at YOU to take charge of their relationship. Their lack of motivation for creating change seems to suck the air out of the room. While there may be a role for the therapist to take charge right at the … Read more