Showing posts with label marital therapy. Show all posts
Showing posts with label marital therapy. Show all posts

Thursday, December 17, 2020

Dr. Alan Singer Achieves Certification As a Discernment Counselor


Discernment counseling is a protocol for treating mixed-agenda couples where one is leaning out of the relationship and is reluctant to work on it in therapy, and the other wants to save the relationship. Studies suggest that as many of 30% of couples presenting for couples therapy fall into the mixed-agenda category, and they present a significant challenge for couple’s therapists because our models assume a basic willingness to try therapy and to stay in the relationship for the time being. Discernment counseling is intended for couples who once made a lifetime commitment, whether legally married or not. It’s not for couples considering whether to commit.

Goal: greater clarity and confidence in their decision making about the future of their marriage, based on a deeper understanding of what’s happened to their marriage and each person’s contributions to the problems.

2. A clear distinction between discernment counseling and couples therapy. No couple interventions occur in discernment counseling and no experiential enactments during sessions. The “deeper” work occurs during one-to-one conversations with each partner.

3. Distinctive structure: • Short term: 1-5 sessions. Preferably weekly. A decision made each time whether to meet again. • Two hour opening session. 1.5 hour follow up sessions. Both partners come for all sessions. • Session flow: first part with the couple, then separate conversations with each partner followed by a brief sharing of something learned during the individual time, and then couple together at the end. Confidentiality guideline for individual conversation: the discernment counselor does not share the specifics of what each spouse says, but is free to share impressions and reactions to each spouse when talking to the other. • Insist that both spouses come for each session, even though they each spend part of the session in the waiting room.

4. Focus on decision making about three paths: the marriage as it has been (path one), separation/ divorce (path two), or a six month reconciliation period with an all-out effort in couples therapy (and using other resources), with divorce off the table—and then a decision about the long term future (path three)

5. Use different approaches with leaning in and leaning out partners • Leaning out: Help them make a decision based on more a complex understanding of the marriage and their own role in its problems and potential future • Leaning in: Help them bring best self to the crisis, not make things worse, get what the other spouse is saying, and work on self. 

6. Outcomes: Path three: launching couples therapy (usually but not always with the discernment counselor); Path two: move towards divorce; or Path one: stay on hold for now—neither divorce nor start couples therapy 

7. Study of 100 consecutive discernment counseling cases: 48% chose path three, 42% path two, 12% path one. About 40% of the total sample were still married two years after discernment counseling. Ref. Doherty, Harris, & Wilde (2016)

 

 


Wednesday, April 22, 2020

Your Fifty Day Marital Survival Guide by Dr. Alan Singer

 

Join me in taking an aggressive approach to saving marriages during this seemingly endless coronavirus pandemic. Many U.S. scientists believe that the peak has passed and in fifty days our lives should significantly improve. Fact? No. But whatever we’re short with facts, let’s make up for in optimism. There are no assurances about when social distancing will end. 
 
Our collective loss of control escalates our anxiety level. Heightened anxiety fans the sparks of disagreement and can magnify them into full scale arguments. One of the couples that I counsel commented, "Fifty more days...it will be a miracle if our marriage last fifty more minutes!"
 
Rest assured that if you threaten divorce (or actually initiate divorce steps) in the midst of this tragic pandemic, you will most likely regret it down the road. Blow off some steam by doubling your exercise regimen on the step-master, not by abruptly reversing the most important decision of your life - your marital commitment. Here it is, short and blunt: the ABC's of sustaining your marriage for the next fifty days. 
 
Ø > > A < < <
 
Avoid judgmental questions and harsh start-ups effective today.
Here is a neutral question: Debbie what time is it?
Here is a judgmental question: Is this how much coffee you normally drink at work? The difference is clear. Maintain some distance between you and your spouse during work hours and avoid snooping around or being nosey.  
 
Avoid “you” statements because they evoke defensiveness. Use “I” statements because they evoke empathy.  
Try this: I am overwhelmed and can use your help now. 
Not this: You never lift a finger to help me.  
 
Use A soft start-up like this: I feel like I've been stuck in the kitchen alone all week rather than a harsh and judgmental one such as: I'd faint if you ever helped me make dinner.   
 
Avoid disagreement escalation. Use repair attempts such as "Wait, let me rephrase that." Dr. Eileen Feliciano wisely suggests, "Don't show up at every argument that you are invited to".  
 
A winning rule of thumb: If your goal is family well-being in a respectful partnership, then before you say or do something to your spouse ask yourself, is what I am about to say or do going to bring me closer or further from my goal? If further---STOP Yourself (Michelle Weiner Davis).  
 
Ø > > B < < <
 
Be the first to use these three words and use them liberally: Appreciation – Affection – Admiration. These words are a win-win for marriage.  
 
B is for respecting boundaries and one another’s space. Anthropologist Dr. Helen Fisher suggested last week "Creating a safe space can help people to feel in control so they feel happy instead of helpless...or even hostile" (NY Times 4-13-20). Another superb Fisher-ism is: Don't invoke the golden rule (Do unto Others) rather use the platinum rule---Do unto your spouse as she wants to have done for her.  
 
Space is more than just having elbow room. "Space and privacy have emerged as a class divide; more valuable than ever to those who have it and potentially fatal to those who don't (NY Times 4-13-20).   
 
The final B is to give your spouse the Benefit of the doubt.  Whether you call it "money in your emotional bank account" or "positive sentiment override" (Dr. John Gottman) your go-to position needs to be: My spouse means well; these are dreadful circumstances that we are in together. They’re not mean intentions.  
 
Ø > > C < < <
 
I am calling for a fifty day moratorium on Criticism of each other's character! We must stop ourselves. If you have a complaint about a specific behavior of your spouse, state that simply and civilly.  
Say this: We need to work together for thirty minutes daily to keep order here. 
Not this: I never realized how big a slob you are. 
 
Commit yourselves and your children to a daily routine.  
 
Commit yourselves to the triangle of health----Sleep-Nutrition-Exercise. 
These aren't suggestions...they are essential!
 
Couples don’t need to think alike…but they need to think together (R. Ralph Pelcovitz, obm).
Ø > > D < < <  
 
Decide that you will put meaningful effort into your marriage and keep the “D” word off the table and out of any conversations. Now is the time to protect your marriage; there will be plenty of time later if you choose the “D” route. 
 
Do the best that you can; Don't keep score.
 
Don't institute or eliminate any major rules especially with children.  
 
Don't make any major decisions especially something as substantial as whether or not to have another child in the future.  
 
Do seek out professional marital advice using video counseling from a licensed therapist. Don't wait out the fifty days thinking that things might work themselves out; they just might not.  
 
Most importantly---DO BE Forgiving. Whether you are married three years or three decades, you must understand and actualize this: Forgiveness is not a feeling - it is a decision!
 
###
 

Wednesday, October 19, 2016

Turbulent Marriages Are Threatened by Trump vs. Clinton Feuding

 

A growing number of unhappy couples are having heated arguments about Trump versus Clinton and, as a result are now making appointments for marriage counseling. It is no surprise given that the American Psychological Association just concluded that half of U.S. adults say this election is a significant source of stress. In fact, half of the couples I counsel place political arguments at the top of their sparring list. ‎ I haven't seen this many political arguments in my career as a couple’s therapist. There has not been so much dissatisfaction and stress as with presidential candidates Trump and Clinton. The problem is not as simple as spouses stating, let's just agree to disagree. If it were, marriage counseling wouldn’t be needed. Here’s how I have tailored my guidance for conflict resolution skills for these couples.

The fundamental truth is that each couple has the instinctive skills to solve their own problems and cultivating and nurturing those skills may be my most important role as a therapist.It is imperative to change the habitual patterns of unfair arguments. Most couples know how to de-escalate as well as how to escalate a disagreement. These Clinton/Trump disagreements turn into raging arguments that go for weeks and escalate at the risk of causing long-term damage. The wife yells at her husband, you are an arrogant thick conservative just like your father, and the husband sneers back, it’s no wonder you support Hillary because you are both lying liberals. When she shouts, he is insane and I don't know how I ever married him and they question each other's character, the situation spirals out of control. What started as a disagreement over political viewpoints is threatening the fabric of their marriage.
The first priority is for me to assess their communication. I ask them to continue their argument in front of me for 20 minutes while I study their facial expressions, body language, tone and the volume of their voices. After a glimpse of their sparring style, it is time to get to work and tone down the harmful rhetoric. 

These are the four treatment steps that seem to be most helpful:
Number 1: Teach couples how to de-escalate by calling a time-out when things get heated and they both get flooded. A time-out can’t be for five minutes because that is not enough time to calm down. Try an hour or a day or a week or just table the whole discussion and lock it in a cabinet. If the couple doesn’t calm down quickly and speak in a normal tone of voice, I apply some pressure by asking, you have ten years invested in your marriage and two children and you are ready to flush it down the drain for political differences? Last, who dreamed up that you have to resolve all your marital differences before bedtime each night? It is preferable for couples not to go to sleep angry, but resolving all differences is an unrealistic goal. Do you know what spouses should do each night? Express respect, affection, and appreciation to each other; tomorrow is another day.
Number 2: I re-focus the couple back to the topic of politics and not each other's character. I establish a ground rule: No personal attacks on your spouse in any shape or form. Otherwise this “external” conflict devolves into an “internal” struggle. Keep it on the outside; keep it external. It cannot be allowed into the inner sanctum where you store feelings, emotions, hopes, and dreams for you, your spouse and family. 
Number 3: I insist couples understand the difference between a disagreement and an argument. Disagreements are normal and common in healthy long-lasting marriages. ‎ Arguments, especially those that are scorching, are not. I reference the indispensable research of Psychologist Dr. Jon Gottman. Gottman found that two thirds of relationship issues in normal couples are perpetual. Examples of the most common disagreements are: parenting, money, work stress, intimacy, in-laws, and household chores. In his "love lab", Gottman discovered that it is the "regulation" of conflict not the "resolution" of conflict that is critical. 
Number 4: I remind each couple of the marital commitment they made in front of family, friends, and God. It is not a commitment as-long-as the love is strong, or as-long-as our political views remain in-sync rather it is a commitment No Matter What. Too often these days, commitments are like Velcro, it holds well but is easy to pull apart (Professor Bill Doherty).  Commitment is crucial as we humans are evolving and dynamic. Circumstances change; life happens. Just because you don’t have an in-law issue this year, doesn't mean you won’t next year. After all, your mother-in-law might move in with you. You don't argue about parenting your toddlers currently, but have you prepared yourself for adolescence? Not arguing about finances now is great, but what if you are laid off in an economic downturn?
As a last resort ‎I give couples an ultimatum that they must tone down the rhetoric, halt the character attacks, and start repairing immediately. I don't have a crystal ball, but I will predict that if you both continue down this road, you will likely destroy your marriage. The consequences of that choice not only impacts you both but doubles the chances that your children will get divorced.
Final note: This is a disagreement that will not end on November 8 with the presidential election. One candidate will be the winner; the other the loser. In a scorekeeping relationship which is as common as it is detrimental, one spouse will believe that he/she is the winner of the argument. ‎If the losing spouse rubs it in for months with quotes like I told you this is the kind of president she will be, it is a recipe for continued provocation and friction. Also, keep in mind that marriage is not a 50-50 arrangement. Do you know how to really win big? By giving more in your marriage, not by taking more.

Monday, January 30, 2012

Ferris_Wheel Relationship Can Doom Your Marriage



Do the ups and downs of your marriage feel like an amusement park ride?
Does this unending relationship cycle ring a bell: Trouble Begins > Meltdown > Silent Treatment > Cooling Off > Conversation Restarts > Back to So-Called “Normal”.


When I counsel couples who fit this profile, I label the pattern: a Ferris_Wheel Relationship. The biggest problem is that a seemingly benign cyclical pattern may, in fact, be on the precipice of a disaster. After the silent treatment, nothing substantial ever changes and most couples simply resume their lives in order to achieve a modicum of normalcy. In this column, I will describe the biggest danger that I see with this quite non-amusing ride and provide four steps for couples to utilize in remedying this type of relationship.

The Cycle
The Ferris_Wheel Relationship is no stranger in my three decades of counseling couples. An outsider might observe the ups and downs and quip….no relationship is perfect; if they stayed together for all these years, then it must work for them. But that is simply not true and this uninterrupted pattern of ups and downs can be catastrophic to a marriage. The main reason is that one spouse, feeling trapped by the cycle, often secretly plans an exit strategy from the Ferris wheel. Benchmarks in life that motivate spouses to plan their exit include: the transition to empty nesting and stay-at-home Moms who return to the workplace.

Don’t be complacent and think: what comes down will always go up. When the surprised spouse (often the husband) hears “I want out”, he may scramble (trying to use marriage counseling) to repair the damage done but it is often too little and too late. Researchers have shown that two thirds of divorcing couples do not receive even one hour of counseling.

The Repair Strategy
What should couples do if their relationship is spinning like a Ferris_Wheel? And when is the best time in the cycle to strive for a change? The Ferris_Wheel analogy provides these answers. When you’re on top of the ride (for obvious reasons) no one exits or enters. But alas, when you are on the bottom, that’s your opportunity. It’s a win-win strategy because things can’t get any worse.

Unlike a Ferris_Wheel, where you discharge and admit passengers, in a relationship, you have the chance to discharge some harmful habits and welcome aboard some constructive ones. Please heed this warning: when you hit bottom…..you must change something! No one seeks out a marriage therapist when you’re riding on top of the world, because who wants to dredge up painful feelings? People don’t do much soul-searching or self-improvement when things are just peachy.

Each time the Ferris_Wheel spins around and nothing changes is a missed opportunity. You never know how many chances you’ll get before your spouse takes action to free him/herself from the unrelenting ups and downs of the spinning wheel. One of the techniques I utilize in therapy sessions with these couples is the Marital Dyad Exercise. Each spouse lists what they like about themselves and don’t want to change and what they don’t like and do want to change. They then do it for their spouse. Predictably, the longest lists are…..things that I like about me and don’t want to change and things I don’t like about my spouse that I want him/her to change. Does it surprise you that we tend to be so self-absorbed?

When I advocate that rock bottom is the ideal time for changing something, I am recommending that you pick something you like about yourself and don’t want to change but your spouse doesn’t like and wants you to change……and start the conversation with each other. There is no fast track solution for couples who have circled in the Ferris_Wheel for years. Round and round they go….often not realizing that they have an ominous problem, but also the potential to improve their relationship. Take baby steps at first; large swings of the pendulum are too short-lived and ineffective. Seize the moment at rock bottom to try something different. Do it for your own mental and physical health; for the health of your relationship, and if you have children, especially for them.

Four Steps to Remedy the Ferris_Wheel Relationship
1. Identify this unending relationship cycle and recognize its potential harm.
2. Formulate a repair strategy instead of an escape plan.
3. Get a marriage-friendly therapist involved early on. Two thirds of divorcing couples did not receive even one hour of marital counseling.
4. When you’re at the lowest point and hit rock bottom…CHANGE SOMETHING. Discharge one bad habit and bring one good habit on board.

Tuesday, July 14, 2009

Huffington Post Interviews Alan Singer

When Huffington Post announced the "All For Good" campaign of the White House for national service, the release stated: "In troubling times it's important for us to come together and lend a hand to our community".

I wrote to HP and described my volunteer work in central New Jersey with couples who need marital therapy and have been hard-hit by the recession.

Stephanie Harnett of HP interviewed me and you can read her article here.