Tuesday, October 12, 2010

SOCIOPOLITICAL CONTEXT AND DISCOURSE

To the narrative therapist, context is everything. Therapeutic inquiry seeks
to deconstruct discourses and the institutions that promote them. These
discourses create social realities that often keep problematic relational patterns
alive (White, 1991).
Terry and Shawn enter therapy with a very thin description of their relationship
(Geertz, 1973; White, 1991). Terry is “too emotional” and Shawn is
“distanced and shut down.” This relationship-restraining story has the couple
caught in a repetitive cycle of blaming each other for what’s wrong in
their relationship. By eliciting the messages that Shawn received in his training
as a young adult, he identifies the following discourse: “If a woman cries,
it ’s my fault.” Instead of locating the problem within Shawn, we turn an evaluative
eye on this discourse and how it shapes Shawn’s understanding of
gender relationships. In so doing, space is opened for Shawn to evaluate the
real effects of this discourse on his life, and he’s invited to choose whether or
not these beliefs serve his own preferences for his relationship. At the same
time, Terry is invited to consider renegotiating other discourses that may be
constraining to the couple, and she identifies this one: “Emotion equals weakness.”
Through this process of expanding the couple’s options, Terry and
Shawn begin exploring alternative descriptions of themselves as a couple
and find themselves on the path to relationship-promoting practices.

Tuesday, September 7, 2010

The First Years of Marital Commitment

MARITAL COMMITMENT AND the treatment of couples who are in their
first marriage are the focus of this chapter. In American society,
this refers mainly to couples who are in their twenties, or in some
instances, in their early thirties, who have not been married previously.
Couples in later stages of marriage and gay or lesbian couples are the subject
matter of subsequent chapters.
What do we need to know to work therapeutically with couples in their
early years of committed relationships? We need to understand, in the
broadest terms, the nature of marriage, cohabitation, and commitment in
such relationships.
The next section delineates the nature of marriage, cohabitation, and
commitment. Following that is a brief review of family development and
the concepts of individual and marital life cycles—with some reference to
family life cycles and the central tasks of those cycles as they pertain to first
marriage—and the commitment process; and integrative marital therapy,
involving object relations, system theory, and cognitive behavioral constructs.
Clinical illustrations of how interventions are made with couples
and individuals requesting marital therapy are then presented. Because not
all couples have difficulties with all parts of early marital adjustment, illustrations
are taken from a variety of cases. Next, reference is made to
some issues typically found in therapy with mainstream White American
couples and couples from other ethnic, racial, and religious backgrounds.
The majority of extant research literature deals with differences between
White Americans and African American or Hispanic couples. A brief summary
is provided in the final section.

SUMMARY

PAIRS premarital counseling and training offers premarital couples rich
resources that will enhance not only their intimate relationship but also enrich
and emotionally deepen their personal and family lives. Research documents
that the PAIRS experience results in achieving far higher levels of
self-worth, emotional literacy, emotional maturity, and relationship satisfaction.
Love and community are well documented to be potent healing
powers that create longer, healthier, more joyful lives (Ornish, 1990). This
chapter presented premarital assessment, counseling, training sequences,
and preventive support from the PAIRS perspective, as applications of a
powerful technology for healing, building, strengthening, and sustaining
healthy marital and family relationships.
The PAIRS technology is available to train counselors and through them
their clients in how to build lasting, satisfying, healthy, successful relationships.
With successful lifelong marriages, there will be healthier children
and reduced suffering in successive generations. It is the profound hope of
the PAIRS network of leaders and trained professionals that PAIRS, as an
educational and counseling resource, will become an essential part of the
training for all those who provide therapy, counsel, assist, and train couples,
particularly premarital couples. This knowledge base needs to be culturally
incorporated as a universally expected foundation for every new
couple considering a permanent commitment to building a lasting, stable
marriage and healthy family life together.

PREVENTIVE MAINTENANCE PROGRAMS

At the close of the semester program, participants often wish to continue
their group learning and practice in a preventive maintenance format.
They often request monthly meetings with the support of their PAIRS instructor
or the PTP. Requests from class groups often include a desire for
periodic weekend workshops, usually once or twice a year. Repeating the
Bonding Weekend Workshop is most often requested because it helps to
maintain access to the core emotional openness needed for bonding and
intimacy.
A PAIRS Three-Year Preventive Maintenance Program is under development
for graduates to sustain their strong foundation for loving, healthy
marriage and family relationships. This program provides opportunities
for those who have had PAIRS experiences (including premarital assessment
and OFFICE PAIRS) to refresh and practice a wide range of skills,
such as the Fair Fight for Change with Peer Coaches, PARTS Parties, Dialogue
Guides, Daily Temperature Readings, and Genograms. Options in
this program include continuing monthly three-hour classes, periodic sixmonth
one-session check-ups, and twice-yearly day-long seminars. Fees for
this program vary by the options chosen by each couple. Based on years of
experience conducting PAIRS programs, relationships clearly benefit from
a psychoeducational program in knowledge and skills in building and sustaining
intimacy in relationships and this benefit can be sustained with
regular preventive support.

CONTRACTING—CLARIFYING EXPECTATIONS

Based on Clifford Sager’s work (1976), the PAIRS curriculum culminates in
an integration and application of all the tools and concepts learned in the
proceeding months toward a revised relationship contract. To prepare for the
Contracting Weekend, the Powergram (Stuart, 1980) is examined as a model
for understanding how power is shared and decisions are made in each relationship.
Using this model, couples address where and how to change the
division of power and responsibilities so that both are satisfied with their
degree of input, influence, and responsibility, and areas of autonomy in decision
making. Couples use the Museum Tour of Past Decisions, to review and
learn from past decisions about which there may remain a residue of resentment
or hurt.
Participants extensively journal to clarify expectations and needs in their
relationship. They examine all areas of life—work and career, leisure time,
money, housework, children, in-laws, religious observances, sexuality—and
rank areas of importance or dissatisfaction in order of urgency. Couples
also identify their core expectations or Walking Issues—the ones that are
nonnegotiable. Couples work together to make a priority list of those issues
they agree need adjustment through negotiation. They are coached in Contracting
Sessions by other couples using the Fair Fight for Change as the basic
structure for contracting. They also use any of the other tools they have
learned in PAIRS.
Through contracting, couples discover that seemingly impossible differences
can be bridged with goodwill, hard work, and support. They now possess
the self-awareness and necessary skills to continue this recontracting
work after the course on an on-going basis at home using the full range of
skills in their PAIRS Tool Kit. Issues that have not yet been resolved are identified
and prioritized for homework, and couples have a network of peer
coaches on whom they can draw if they need assistance. Lifetime friendships
are commonly forged in the group, and there is a profound sense of trust and
community that group members enjoy. It is typical for class groups to continue
to meet on a regular basis and continue to provide a network of support
to one another. They form a caring community. Some groups have met for
many years following the Relationship Mastery Course.
In contrast to individual growth activities, such as individual counseling
or therapy, PAIRS highlights the importance of the couple as a crucible from
which healing, personal growth, and the development of higher capacities
can emerge. Thus, sustained intimacy and pleasure are assured and the relationship
becomes a lasting source of authentic love, mutual respect, and
trust between two growing and evolving partners. Premarital couples in
PAIRS courses find enormous support from veteran couples. They acquire
mentors, role models, support figures, and (for the younger premarital couples)
new surrogate mothers and fathers to support them and reparent
them toward successful marriage. Couples considering a second marriage
find opportunities to explore what went wrong for each earlier and take responsibility
for their part so that the old maladaptive patterns do not
reemerge in their new relationship. Many divorced individuals who take
PAIRS as singles have vowed never to reenter another relationship until
they understand what happened and acquire the skills to assure a different
outcome the next time around. PAIRS training provides the strongest opportunity
for the newly committing couple to acquire the skills, concepts,
understandings, self-knowledge, and strategies for building deep intimacy
and assuring a lasting, healthy marriage.

PLEASURE—SENSUALITY AND SEXUALITY

Couples explore how they can expand the range of pleasure that they share
together. PAIRS recognizes three special biological needs (sources of pleasure)
that require physical touch met by the married couple: Sensuality, Sexuality,
and Bonding. The Pleasure Weekend Workshop is devoted to removing
barriers to pleasure and enhancing skills and understandings that enable
couples greater pleasure, joy, and fun through stimulation of the senses,
touch, and physical closeness. Same gender groups explore: (1) early experiences
and messages that have impacted one’s development as a sensual and
sexual being; (2) playful exploration of gender differences in romantic turn
ons and turn offs; and (3) sexual saboteurs and stereotypes, myths, and fallacies
about sex. Cross-gender conversations and guided visualizations
about early experiences with sex development help generate more empathic understanding between partners and more acceptance for their biologically
based differences.
Sprinkled throughout the weekend are exercises designed to open the five
senses, as well as guided massages where couples practice giving and receiving
pleasuring touch with feedback. The Guided Face Caress and Foot Massage
are among the most enjoyable moments of the entire PAIRS program.
Along with these sensual exercises, an explicit film on lovemaking is
shown that re-focuses the couple on intimacy and pleasure, and helps to relieve
performance anxieties. Participants fill out detailed and explicit inventories
to help identify romantic, sensual, and sexual preferences,
dissatisfactions, and wishes for change. Couples are guided through a safe
process in which they share their pleasure inventories with each other and
discuss their reactions and feedback. Often, a lack of communication or a
buildup of resentment or fear of hurting or embarrassing one another has
blocked giving and receiving pleasure freely. Sensual and sexual pleasure
dates (McCarthy & McCarthy, 1990), which are assigned for homework,
give couples permission to experiment in new and creative ways with both
giving and receiving pleasure. Couples usually leave the weekend with a
renewed sense of hope and excitement about their sex life, and frequently
describe breakthroughs in the following weeks from having been able to
enjoy each other based on leveling about their physical and sexual needs
and preferences.
The roots of jealousy—the downside of natural sexual possessivness—are
examined. Participants are shown how the Web of Jealousy, comprised of
fear, shame, pain, guilt, and rage, negatively affects self-esteem and trust.
Jealous reactive behaviors to stem the pain and control outcomes often
make matters worse, creating a Jealousy Infinity Loop. Through a Jealousy
Journaling Exercise with guided discussions with partner, couples come to
understand one another’s jealous reactions and vulnerabilities to jealous
reactions. Betrayal and love triangles are discussed. The essential steps to
prevent jealousy are presented using guidelines developed by Shirley Glass
(2003).

EMOTIONAL REEDUCATION, EMOTIONAL LITERACY, AND BONDING

PAIRS dives even more deeply into emotion via the PAIRS Bonding Weekend
Workshop. PAIRS adapted the New Identity Process (Casriel, 1972) to
the couple orientation of PAIRS, calling it Bonding Work. Casriel, a
renowned specialist in the treatment of drug and alcohol addiction in
therapeutic communities, originally developed this expressive process to
treat character disorders. Paul MacLean’s (1973) A Triune Concept of the Brain and Behavior is presented as a model to understand emotional memory
that, when activated, does not know time and place and is experienced
as reoccurring now. Participants learn several different positions for holding
their partner while he or she is expressing intense emotions. Participants
learn how to progress from less intense emotions to more intense
expression, to the reexperiencing of emotions in full measure. In this intense
emotionally open state, emotional reeducation can occur. Once individuals
have emptied old pain, they become open to receive positive,
comforting, and affirming messages about themselves from their partners
and the group. When ready, they are assisted in construction affirmations
of their own value, rights, and entitlements. They replace old or toxic
choices with new, healthy attitudes and decisions.
During this process, couples develop deep empathy and compassion for
one another. They discover that, not only can they handle their partners’ intense
emotions, but they can also offer their partner comfort through holding
and touch when they are in pain. Over the course of this weekend,
participants commonly lose their fear of both their own and their partners’
emotional intensity. They experience directly and observe in others how an
intimate relationship generates intense emotions about bonding, belonging,
needing one another, never leaving, and being loved for oneself. They learn
that the expression of these powerfully intense emotions cements their
bond at the deepest of levels and can restore passion to their relationship.
The culmination of this workshop is the Death and Loss experience in
which participants enact saying goodbye to their deceased loved one. They
are led to speak what would need to be expressed to say goodbye. Music
and the use of carefully chosen sentence stems make this an emotionally
charged and deeply meaningful exercise for partners. They experience the
depth of their bond in the “experience” of losing one another through
death. This exercise also allows communication about the meaning of their
lives together. Rest-of-life wish-baskets are shared between partners.