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West Hartford, Connecticut

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Steps in Couples Therapy PDF Print E-mail

Defining the Presenting Problem

Couples present a wide range of concerns, for example:

  • They argue in-effectively rather than discuss problems and find solutions.
  • Partners hold different parenting beliefs – strict vs. lenient - order vs. disorder.
  • One or both partners are uncomfortable with the emotional domain and there is a shortage of empathy and intimacy.
  • There is a breach of trust and loyalty that is devastating to the betrayed partner.
  • Alcohol or drug abuse is eroding the relationship and hurting the family.

Both Partners Must Commit to Restoring Respectful Communication

  • There may be a pattern of accusative argument about who is right and who is wrong. Accusative arguments generate lots of heat and little light – and thus issues are not resolved.
  • Communication may have eroded to the level of contempt. Contempt is a relationship killer and respectful communication needs to be restored if the relationship is to survive.
  • Both partners need to get out of accusative mode and they must put aside assignment of blame in favor of doing better moving forward.
  • He or she must learn to express angry feelings in an appropriate way with words rather than acting out.

Exploring Family History and Inherited Patterns

  • Exploring family history reveals differing expectations of family life.
  • As a child, what was the family structure and how did the family interact?
  • What were the over-riding themes, patterns and beliefs in the family the person grew up in?
  • What was the individual’s role in family?
  • What lessons were learned as a child, that for good or ill, are being imported into the present day family?

Articulating the Interlocking Triggers that Fuel Conflict

  • The couple’s communication process is explored and clearly described.
  • Most often partners are triggering  each other into a negative downward spiral of mis-communication and hurt feelings.
  • Partners project their un-resolved issues onto their mate and vice versa.  Self reflection and owning one’s own inner conflicts has a dramatic effect on the individual and on their primary relationship.

Committing to Change

  • The groundwork has been laid.  It is what needs to change.
  • Most often both partners have a role in the dysfunction and therefore both partners have to change in sync - a challenging task.
  • The clients and the therapist must be creative to retire obsolete beliefs and behaviors in favor of more functional ones.
  • A "creative leap" is when the couple embraces a new solution to an old problem and thus break out of a repetitive, unhappy, entrenched pattern.
  • It’s a trial and error process.  It requires grit and determination and time.

Rehearsing New Behavior in Therapy Sessions and at Home

  • Old habits die hard.  It takes time and repetitive practice to install new behavior patterns.
  • The couple needs to take initiative – the therapist can’t make anyone change against his or her will nor can he motivate the un-motivated – the individual needs to make decisions and resolve to change his/her behavior patterns.  Passively waiting for suggestions will not suffice – there needs to be active and creative actions on the part of both partners.
  • Old patterns can predictably re-emerge under stress and at such times it is necessary to step back and try again.

 

© 2009 Donald Hope